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03107af9-4ba4-421a-871a-b74fbe25e01e | The rooms .habitually used as sleeping rooms only in a basement can be closed if they cannot made to comply with the Council's regulations relating to such rooms, but it would be well if the regulations applied equally to rooms used as living rooms or workshops. 10 Under Section 20 of the Housing Act, 1930, proceedings... |
a941b774-2169-4f64-b805-132db226119d | Most of these houses come under the byelaws with regard to houses let in lodging or occupied by members of more than one family, but it is doubtful whether the clause in these byelaws dealing with the adequacy and accessibility of W.Cs. for each family can be construed so as to require an owner to construct a W.C. on e... |
3f4ecf69-ca58-4717-acee-52b74d7ecd48 | Inspection of Dwelling-houses during the Year 1934:— (1) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts)1959 (b) Number of inspections made for the purpose 4886 (2) (a) Number of dwelling-houses (included under sub-head(l) above), which were inspected and recorded... |
c46501ca-d3ba-4e18-b9e8-4c8bdeff5526 | Remedy of Defects during the Year without Service of formal Notices:— Number of defective dwelling-houses renderered fit in consequence of informal action by the Local Authority or their officers 1753 3. Action under Statutory Powers during the Year:— A.—Proceedings under sections 17, 18 and 23 of the Housing Act, 1930... |
0edc645d-072d-4182-ae1c-05e98e09a745 | C.—Proceedings under sections 19 and 21 of the Housing Act, 1930 : (1) Number of dwelling-houses in respect of which Demolition Orders were made 8 (2) Number of dwelling-houses demolished in 1934, in pursuance of Demolition Orders17 D.—Proceedings under section 20 of the Housing Act, 1930:— (1) Number of separate tenem... |
9b15812c-89b6-4e11-8140-f82e9f7e6478 | Total number of dwelling-houses inspected for housing detects (under Public Health or Housing Acts) 1959 (1) Dealt with by service of Informal Notice 1753 (2) Dealt with by service of Statutory Notice under Section 17, Housing Act, 1930 127 (3) Dealt with by service of Statutory Notice under Public Health Acts 8 Premis... |
835c0533-2b3c-4fa8-9d29-944fecf34d62 | Workshops and Workplaces 135 Bakehouses 29 Slaughterhouses 2 Public House Urinals 37 Common Lodging Houses 1 Butchers' Shops 47 Fish Shops 32 Premises where food is manufactured or prepared 35 Milk Punrveyors110 Cowsheds Nil. Piggeries Nil. Rag and Bone Dealers 7 Mews 4 Schools 13 Caravan Grounds 2 13 Rent Restriction ... |
fff82685-18d9-4cf3-adf8-4b5ca71e6e3e | pan and traps removed and replaced by new 61 Defective W.C. flushing apparatus repaired or new fixed 585 Defective W.C. |
7939f186-ef7d-4066-a29e-563de3652b29 | seats repaired or new fixed 198 Defective flush pipe connections repaired 157 Insanitary7 sinks removed or new fixed 46 Sink waste pipes repaired or trapped 203 Insanitary wall surface over sinks remedied 145 Ventilated food cupboards provided 10 Drinking water cisterns cleaned 593 Defective covers to drinking water ci... |
aa187334-5c7d-418a-983b-5e9a76d15173 | apartments provided 4 Accummulations of offensive matter removed 31 Drains unstopped and cleansed 289 Overcrowding nuisances abated 14 Drains tested, exposed for examination, &c 73 14 Smoke observations taken 163 Smoke nuisance abated on service of notice 18 Nuisances from animals abated 7 Notifications of waste of wat... |
2dfadb04-a92a-4992-8314-4eed7d96090c | 2 Cows' Carcases with Offal. 74 sets Sheeps' Lungs. 5 Stirks' Carcases with Offal. 13 Sheens' Livers. 16 Calves' Carcases with Offal. 1 set Sheep's Lungs with 6 Forequarters of Veal. Heart. 2 Loins of Veal. 1 Side of Veal. Parasites and Cirrhosis. 2 Stirks' Heads & Tongues. Cattle. 4 Calves' Heads & Tongues. 2 sets Cow... |
7fed61dc-54cc-484d-b856-6f5c5daf1ec0 | 1 Calf's Carcase with Offal. Tuberculosis and Pleurisy. 1 Brisket of Beef. 1 Calf's Carcase with Offal. 2 Forequarters of Veal. T uberculosis & Dropsy. 9 Breasts of Veal. 1 Calf's Carcase with Offal. 19 Ribs of Veal. 1 Stirk's Pluck. Parasites. 17 Calves' Plucks. 1 Cow's Liver. 46 sets Calves' Lungs with 1 Calf's Liver... |
e48a0125-bb18-4828-8a6e-ccb3d18b5b6a | Pleurisy and Pneumonia. Cattle. 1 Calf's Carcase with Offal. 1 Shoulder of Beef. 1 Knuckle of Veal. Suppurating Pleurisy. 1 Shank of Veal. 2 Calves' Carcases with Offal. Pyaemia. Abscesses. 2 Calves' Carcases with Offal. Pigs. 1 Leg of Pork. Leukaemia. Cattle. 1 Calf's Carcase with Offal. 9 Calves' Heads. Cirrhosis. 1 ... |
4f09717c-0519-4d58-b730-4f38e769fa83 | Congestion. 1 Calf's Pluck. 2 sets Calves' Lungs with Hearts. 3 Calves' Carcases with Offal. 2 Calves' Plucks. 2 sets Calves' Lungs with Hearts. Jaundice. 5 Calves' Carcases with Offal. Dropsy. Congestion and Bruising. 1 Calf's Carcase with Offal. 2 Calves' Carcases with Offal. Dropsy and Emaciation. Cystic. 1 Cow's Ca... |
a1fc5dab-e7db-4b4c-a590-68e5409f0d0d | 1 Calf's Liver. Moribund. 1 set Calf's Lungs with Hearts. Pigs. Suffocation. 2 Carcases with Offal. Pigs. Cattle. 12 Pigs Carcases. 12 Calves' Carcases with Offal. Sheep. 4 Sheeps' Carcases. Sheep. 2 Sheeps' Carcases with Offal, Other Foods. Bruised. Bruised, Fractured, etc. 1 Turkey. Pigs. 1 Chicken. 2 Hindquarters. M... |
fbb79128-51bd-4efa-b2d0-9526338deb44 | 1 Leg of Veal. 19-lbs. Cod Fillets. 4 Knuckles of Veal. 36 tins Prawns. 3 Calves' Kidneys. 1 (6-lb.) tin Ox. Tongue. 17 TABLE II NUMBER OF PIGS' CARCASES INSPECTED FROM 1st JANUARY TO 31st DECEMBER, 1934 WITH ANALYSIS OF SURRENDERS ON ACCOUNT OF DISEASE. 1934 No. of Carcases Inspected. No. of Heads Diseased. No. of Car... |
1370c160-649a-4087-a5a3-cfeb4f4e4993 | January 1687 53 3 - - 2 - - 26 232 lbs. — lbs. February 979 23 4 - - — - - 15 136 „ - , March 1412 59 5 - - — - - 30 256 „ - „ April 1373 34 5 - 1 — - - 22 192 „ 40 „ May — 1179 40 2 - 2 — - - 24 168 „ 34 , June 1223 49 4 - - - - - 20 184 „ - „ July 1295 50 4 - - - - - 27 140 , - , |
604ce43b-58d4-4f16-b5e7-d5a58745b3ee | August 1433 35 3 - — - 1 - 23 108 „ - „ September 1747 60 10 -— 2 - - - 32 248 „ —-„ October 2018 108 11 - 2 - - - 44 432 „ - „ November 2248 71 7 - — - 2 - 31 272 „ 42 „ December 2175 81 6 - - - - - 39 328 „ - „ Total 19369 663 64 — 7 2 3 — 333 2762 „ 116 „ 18 SANITARY CONDITION OF THE SCHOOLS. A complete sanitary sur... |
ee909d62-c341-4caa-99fc-852366035340 | seat, &c. Considering that some of the schools are about 40 years of age, the sanitary conditions are astonishingly good. INSPECTION AND SUPERVISION OF FOOD. Milk Supply. There are no cowsheds in the Borough, all the milk being produced outside. There are 119 persons or firms retailing milk in the district under the fo... |
9c238b40-8068-4500-b1aa-013cc6f04d20 | The number of persons or firms licensed to sell Special Designated .Milk are as follows:— 3 " Certified " 5 " Grade A (Tuberculin Tested) " 1 " Grade A " 16 " Pasteurised " 1 " Grade A Pasteurised " BAKEHOUSES. Of the 29 bakehouses in the Borough 5 are underground these were licensed under the Factory Acts of 1901. 19 ... |
1684bc70-d4ea-4148-91cd-d73906c22abe | The siftings of Welsh Steam Coal or semi-anthracite have a high calorific value and give off little smoke, but the slack of coals from Derbyshire and Nottingham—soft house coals—is highly bituminous and gives off as much as one third of its weight in smoke. It is therefore impossible to fire such coal by hand without c... |
3a42ba0b-75a0-4f98-88d8-512c6ebf09f1 | To burn any soft coal it is necessary to stoke at frequent intervals—not longer than 5 minutes—but this has the decided disadvantage that every time the fire door is opened the cold air which enters the furnace, reduces its temperature and also the temperature in the combustion-chamber, with the consequence that volume... |
03431106-c9c4-49b5-816f-e226d331e3f8 | 20 quiry it was found that a soft Nottingham slack costing about 20/per ton was being burned, whereas formerly semi-anthracite peas costing 30/- per ton had been used. Although the firm was saving £250 per annum on their coal bill the district around the works was subjected to a very bad smoke nuisance. There was one p... |
1342ef44-c712-44ba-a2d4-e7efb4863431 | These are good smoke producers, and as all efforts to prevent smoke nuisances from this class of boiler have failed, many firms are replacing them by boilers of the Paxman type. Complaints are frequently received of smoke nuisances on vacant land caused through the burning of wood waste, sawdust, old motor tyres, ets. ... |
de8e2227-513b-4d66-99c6-5b6c6ae93da2 | The total number of births registered was 943:483 males and 460 females. This figure is equal to a birth-rate of 13.57 per 1,000 inhabitants. In addition 32 still births were registered as belonging to the district. The birth-rate is 1 per 1,000 higher than that of 1933, and the number is 57 higher in 1934 than in 1933... |
225dc90a-faf9-42f5-b1ea-0c93a12da33a | The higher birth-rates occur in those districts which are now in course of development, as these naturally attract newly married couples ; based upon the gross population, their birth-rates appear high. If the birth-rates were standardised according to the age distribution of the population, or based upon the number of... |
08cdb6eb-0a32-49ad-a5e7-ff556daa8b26 | In Acton this phenomenon has not been marked until recently, because of the abnormal agedistribution of the population as a developing district, but now that the borough is almost fully developed, the birth-rate will exhibit the same character as that of the rest of the Kingdom and show a regular decline, probably in a... |
3066e753-8c9f-46f3-9b96-75c8ce6ee63a | At the present time also, I think that similar conditions exist, and that instead of the population being lower than it was at the Census, it is higher, and that the birth-rate had not increased last year. 22 Two hundred and ninety-seven deaths of Acton residents occurred outside the area and have been included in our ... |
4c17dc94-9999-4cbb-870d-81838e05750e | The comparability factor for Acton before the change of boundaries on April 1st, 1934, was 107 and after April 1st, 108 In order to institute a comparison with other districts the death-rate has to be multiplied by the comparability factor. The standardised death-rate of Acton would therefore be 11.29 per 1,000 inhabit... |
e38c807d-78e4-407a-9e48-9609ecc20059 | If the populations of all areas were similarly constituted as regards the proportions of their sex and group conponents, their crude death-rates (deaths per 1,000 population) could be accepted as valid comparative measures of mortalities experienced by the several populations. In practice, however, populations are not ... |
aaae278d-8db4-4e57-83c9-e3b2ff788735 | The adjusting factor now supplied in respect of a given area represents the ratio of the resulting death rate for the national 1931 census population to the similarly obtained hypothetical death-rate for the said area. The factor may be said to represent the population handicap to be applied to the area and, when multi... |
12c8b1cc-5aeb-48cd-94a6-af8e109fdcc2 | Apart from the abnormal age distribution of the population, the death-rates in some districts would require all persons who died in those districts to be centenarians, and only the method of comparison is by the use of the comparability factor. As the population becomes stabilised, the death-rate must rise. Even at the... |
7569d513-5202-48e0-a728-fcbfa5d8814b | Were it not that the death-rates at all ages below 80 have been reduced, the death-rate would have started to rise steadily about 1910, but actually it fell during the period 1920-1930 and has not yet started to rise steadily, but inevitably it must do so before many years have passed in spite of a healthier population... |
a27ac040-d2da-4d57-bd5f-3ca6b0d86a17 | Nearly one-half of the deaths—46 per cent.—occur in people over 65 years of age. In previous reports I have pointed out how the increased age at death affects the morbidity of certain diseases. Apart from the diseases which are associated with worn out cells of the body such as old age with 38 deaths, Cerebral Haemorrh... |
b4ffc3fa-ef26-4202-814c-b30c2927d8e5 | There was a decrease of 11 in the number of deaths from Cancer as compared with 1933, but there is an increased tendency of death from Cancer. In studying the apparently increased incidence of Cancer, we must also bear in mind the altered age-distribution of the population, and the relative increase of people living to... |
7463282f-fb52-433a-90d0-23d12371c909 | The increase has been a gradual one, and at no particular period was there any marked or sudden increase. The increase though has been most marked in the County Hospitals and in the local general hospital. Thirty years ago, less than one-half of the total deaths in public institutions occurred in the old poor law infir... |
0802f1eb-e492-4763-a342-f1ed23eeabef | By the Local Government Act, 1929, these institutions were transferred from the Boards of Guardians to the County Councils, and the old stigma of the Poor Law was removed. But the popularity of these institutions had commenced before the transfer, and even when they were under the control of the Guardians the general p... |
d98d90e0-a480-4831-8262-510d7e05a9a6 | These figures are sufficient to indicate that the type of the disease was mild. For a number of years the mildness of Scarlet Fever has been a subject of comment, but in the Annual Report of 1932, a resume of the history of Scarlet Fever was given, and it is evident from that history that Scarlet Fever throughout some ... |
a096791d-046e-4aae-a480-0bc5e5aa1fa8 | It has been found that the incidence of the types of streptococci in Scarlet Fever varies in different localities and reflects the clinical character of the prevailing scarlatinal infections. 26 A number of the eases admitted to hospital have a definite train of signs and symptoms. The earliest symptom is usually a sor... |
76d13a25-bb34-4cfc-ae00-cd4f776d5631 | The temperature may not be above the normal; the throat symptoms may be very mild ; the appearance of the tongue may be quite indefinite, and the rash so evanescent as to have disappeared before admission to hospital. So that although most of the cases are easy, others are difficult, and some are impossible to diagnose... |
4266273c-aea5-48d0-b511-03d3a2304fe2 | In the majority of the cases of Scarlet Fever, the organism found is a haemolytic streptococcus belonging to one of four types. In some epidemics scarlatinal types 1, 2, 3 and 4 represent over 75 per cent of the strains isolated, and it is confidently stated in some quarters that the severity or mildness of the disease... |
3668cc85-c49f-49b1-b63f-15a84cc0258a | Last year in only two instances did we have a secondary rash and throat symptoms in a person who had had what we had diagnosed as Scarlet Fever, on admission to hospital. It has also been suggested that the return case may be caused not by a continuance of the original infection, but by another disease picked up in hos... |
c5fff887-c429-4b87-b821-3bf42aca17cb | The ages of the infecting cases in 1934 were 16, 7, 4, 4|, 7, 5, and 2. In 1933, the ages of the infecting cases were 11, 13, 12, 11 and 34, and in 1932, 10, 10, 11, 12, 12, 16 and 20. In most hospitals the acute cases are separated from the convalescent. In the third week the patients are usually removed to a clean co... |
ef13960b-ebc9-43a1-bf36-d781b7ec5f8e | The subject has been discussed for over 30 years, and though improvements in hospital management may have reduced the numbers, we have not yet found out the true cause. It was at one time suggested that return cases occurred because the quarantine period in the hospital had been too short, and that the infection still ... |
36772623-e581-42ed-9ec3-b7b1e643f203 | The more recent views on immunity have been responsible for the suggestion that the sooner the case is returned from the hospital the less is the likelihood of return cases, upon the grounds 28 that at the time of removal the other members of the family will be immunized by sub-reacting doses of the parasite, and that ... |
b99f8af2-9d8e-4bb0-b52b-04e16db57fa4 | At the present time for the reasons stated above, it is almost impossible to make a comparison. Measles. Eleven deaths occurred from Measles during the year. Since the War measles in this district has been a less fatal disease. Part of this improvement had been due to the altered age incidence of the population ; this ... |
b080c3df-0deb-4054-a955-7af44dd00a33 | 1910 1 1880 0 1893 2 1907 20 1911 44 1881 3 1894 15 1908 38 1912 0 1882 3 1895 6 1909 40 1913 25 1883 2 1896 24 1914 0 1884 1 1897 2 1915 2 1885 25 1898 6 1916 11 1886 3 1899 0 1917 39 1887 8 1900 16 1918 7 29 1888 1 1901 0 1919 0 1589 25 1902 32 1920 9 1590 11 1903 0 1921 0 1891 9 1904 15 1922 5 1905 4 1923 0 1924 |
94a41fe2-9d68-4144-a97c-d82c8a65f565 | 16 1925 0 1926 12 1927 0 1928 12 1929 0 1930 9 1931 3 1932 12 1933 1 1934 11 During the 13 years 1879-1891, measles did not show any regular periodicity. This was followed by the 14 years 1892-1905, in which measles regularly appeared in epidemic form every other year. Then follows a curious period of 4 years—19061909,... |
acaf1823-456c-46b6-a4fa-a69131566349 | In March 1908 another epidemic occurred which prevailed during the months of April, May and June. In November 1908, measles again appeared in epidemic form and continued throughout the early spring of 1909. These two epidemics caused 38 deaths in 1908 and 40 in 1909. Since 1909 measles has for a quarter of a century al... |
319ffa9d-9137-412b-a4aa-ade12fc8e5c7 | It is now generally admitted that the character of an epidemic of measles, the severity and fatality of the disease, the speed with which it travels and the 30 means which bring it to an end depend upon the interaction of a number of variable factors. One of the most important factors the immunity factor or the total q... |
6fe90e9a-a26a-43bb-9d69-372fdf60e4a6 | For every 100 children suffering from a clinical attack of measles in a densely populated area about 300 others become temporarily immunized, and of these 250 lose their immunity again before the next epidemic is due. Starting with 300 children so immunized at the end of one epidemic, 225 would still be immune after th... |
54e0047f-4e8e-4da6-af00-928d75eb13ff | It was formerly assumed that the lower fatality at later ages was due simply to the increased physiological resistance which came with years, but in view of recent research, it is more probable that the children who get measles later in life showed a lower case mortality because they had survived small doses of the dis... |
dda7c425-44a8-41ec-9af6-720530babf09 | The first cases were reported in January, but these were not school children. Cases in the school did not occur until late in the Spring term. The disease had not become general in any of the departments before the Easter holidays. With the closure of the schools for the Easter holidays, there was a slight break in the... |
797caa44-3371-4a88-8092-5240d786d0e4 | It is difficult to measure the mortality from measles. Owing to the altered age incidence of the population on account of the declining birth rate, it would not be a fair comparison if the number of deaths were assessed as a proportion of the population. If this method were adopted a very great imProvement could be rec... |
7990900d-8b87-4d00-8c97-3c06b45d2e5e | The births and deaths from measles in these periods were as follows:— Period Total births Deaths from Measles Deaths from Measles per 1,000 births 1879-1888 7042 44 6.24 1889-1905 16364 201 12.29 1905-1913 12012 195 16.23 1914-1934 23616 112 4.74 32 The increased mortality from measles commences in 1889 and continued w... |
95c80090-b6fd-4d57-91d2-0de3626a6cf7 | The most obvious explanation of the phenomenon is that the varying fatality of the disease depends upon the virulence of the organism or virus which causes measles. As the causative agent has not been isolated this theory cannot be proved or controverted. From a long experience of the disease, and in the last ten years... |
0dc037d9-09be-4ad3-9369-56f7e1ae3c09 | It is unlikely from the history of measles that the improvement has been secured by an increasing immunity on the part of the children. It has been previously stated that in the older children a certain amount of immunity has been established, but this does not apply to the children in the second and third years of lif... |
7d8f8ceb-c70f-42fc-b015-de4ceccb2867 | The conditions which formerly killed a large number • ufants, scarred and maimed many of those who survived beyond 33 the age of twelve months, and these fell ready victims of ailments which attacked them between the ages of 2 and 5 years, of which measles was one of the most important. In this manner, probably our inf... |
55150d14-894d-45eb-8f7a-fa33bd6893bc | These would not result in the abrupt improvement which was noticed about 1914, and the improvement took place before these were in operation. During the war, dwelling-house erection was practically at a standstill, and naturally the conditions at the end of the war were worse than they were in the pre-war period. In Ac... |
f074d1f5-89bf-4347-9f27-ce4e268c35dc | As often happens in the development of science, a fundamental idea is foreshadowed in many quarters, but has long to wait before it emerges as a basis of accepted knowledge. The existence if vitamins was suggested long ago, but it was the publication of Professor Gowland Hopkins' researches in 1912 which served the pur... |
35c8ac4c-a2b7-44f2-8754-946666eb41c9 | 34 On the positive side, we have evidence that one of the most hopeful modes of the treatment of measles is with a fish-liver oil concentrate rich in vitamins A and D. In the London County Council Report on the measles epidemic of 1931-32, Dr. Ellison reports favourably on this treatment which was tried in the case of ... |
722acbcd-3ddc-4d72-9274-3eaa4e5eecac | Most of our cases were admitted on account of complications, severity of attack, or unfavourable home conditions. In the circumstances, therefore, they are very favourable figures. If we turn again to the mortality figures on a former page, it will be seen that the worst period was in the later years of the last centur... |
be9cc88a-1ea6-496c-b5a0-f25647eb76a0 | In the summer, milk would not keep unless it was boiled, and even in the winter it was not considered too safe to drink raw milk. Pasteurization, in the sense that it is now done, was hardly ever carried out. The prolonged boiling of the milk destroyed the vitamins, and the margarine contained none. It is only since th... |
efd631f3-d542-4de4-85a5-71a28797a536 | It is true that butter was difficult to obtain during the war, but by that time cod-liver oil had been recognised as a valuable source of vitamins A and D. Although, not to the extent which prevailed at the beginning of the century, it is possible that the depression of recent years may have had some effect in the slig... |
64c44ba1-6107-43ae-a3bc-581ea8a11e81 | Although there has been a great reduction in the number of notifications and deaths compared with the two previous years the figures show that the type of disease which is present in the district is of the same virulent character as that experienced in 1932 and 1933. The virulent type of Diphtheria is not a recent muta... |
a11b762c-80d4-4a52-a7f0-7fb48c3e5026 | These graver forms were limited to a school or small circumscribed area. Since the autumn of 1932, cases of the graver type have been found in all parts of the district and among pupils of all the schools in the borough. Within the last few years Medical Officers of Health in several parts of the country have been face... |
15f5c5c4-6a22-46f9-98a2-b68250526f6b | That these types exist is agreed, and it is also generally acknowledged that the clinical type of disease is closely correlated to the particular Corynbacterium isolated from the patients. The soil alone does not determine the character of the symptoms. The severity of the symptoms depends upon several factors which ar... |
9493b7e4-daa3-4306-a24c-301e14b239ad | It has been stated that serum prepared from Park 8 strain is effective against the bacillus gravis as well as the bacillus mitis, if injected early; that is, if the antitoxin is administered soon after the dose of toxin has been given. Large amounts of toxin or culture of gravis and mitis strains have been injected int... |
b3dc462d-ef8c-4322-be2b-87297ce1154b | We have seen cases in which the disease has progressed so rapidly that death has occurred within 24 hours and even 12 hours of the time a doctor was called in. The following cases may be given as examples. A girl of 7 years of age, from a good home and where a doctor was always called in early for almost every illness ... |
86c8fa26-862e-46ae-b362-2b43ab205740 | He was again sent for in the afternoon and when he arrived between 4 and 5 the picture had entirely changed. The tonsils and soft palate were swollen, the glands of the neck swollen, and the child was obviously desperately ill. He sent her to hospital at once, but on arrival her condition was hopeless,—bull-neck, foeti... |
ac5d1d1a-4f21-48ca-8293-f4a08088d01a | The boy was given 80,000 units of antitoxin intravenously immediately and the dose was repeated the same evening. In spite of this he died within 48 hours of the first onset of sore throat. Another boy of 15 years was admitted to hospital on the same night as the previous boy. He had a history of sore throat commencing... |
c0d21bc1-33e2-43dc-81b8-39db657dd9a2 | This boy ultimately recovered. I have mentioned these cases as examples, but we have had many others in which the symptoms had advanced almost as rapidly, and where death had occurred in a few days after admission, in spite of the intravenous administration of 80,000 and 100,000 units of antitoxin. In the graver forms ... |
ead2fd8b-3751-45a5-a7bb-ee21e943adc5 | The records of the incidence of the disease in Acton since 1890 show that there have been irregular periods of maximum and minimum prevalence of the disease. Prior to 1932, the last period of maximum prevalence had been in 1921, 1922 and 1923, and this followed a short period of only four years of minimum prevalence. B... |
bf258049-6771-4fcd-b1b4-fdf53682a80d | These cases occurred not in an infants' department, but in a junior department, and the next cases occurred in a Secondary School. Formerly our deaths had usually occurred in young chilren, either in those under school age or in the infants' department. Dr. O'Brien of the Wellcome Research Laboratory kindly examined so... |
27ae9a2c-4bf6-4b9a-b3ff-7f1b472fb9cc | 17 3 October 33 4 November 48 9 December 17 2 1933 January 29 3 February 17 7 March 26 4 April 15 3 May 19 2 June 17 2 39 July 13 — August 4 — September 4 October 7 — November 2 — December 7 1 1934 January. 8 1 February. 11 — March. 10 2 April. 5 1 May. 4 — June. 9 — July. 2 — . August. 3 1 September. 8 2 October. 10 —... |
47cea407-53ab-4f6b-9c46-8942380c8fd8 | In the junior department 68.8% of the children were schicktested and in the infants' department 61.8%. Before the end of the Christmas term of 1932 we had started immunization in 5 of our schools and at the beginning of June 1933, we had visited the 9 schools in the Borough and given 3 doses of the immunizing agent. We... |
6a9a1e29-f27d-45bd-8187-e94ea26f7ba7 | We have not used Formal Toxoid generally throughout the schools, owing to the extra time involved in the use of the Malonev test. For children between 5 and 11 years of age, we give 3 doses of 1 c.c. each of T.A.M. In children between 11 and 14 years we give only ½ c.c. of the T.A.M. for the first dose. If no reaction ... |
2cdf81ce-9424-4e15-b7e1-ad70b5b78e8c | In 1933 we revised the interval periods and we now allow three weeks between the first and second dose and 4 weeks between the second and third dose. In the first school which we visited both the infants' and the junior departments were schick-tested. In the infants' department S4.9 per cent, of the children were found... |
39af29dd-568c-4aea-9912-f9a9a9e9fca8 | We saw two of these, and the disturbance was not sufficiently marked to keep the children away from school. We did not see the third child, as he was attended by his own doctor. Because of the necessity of controlling the outbreak in the schools we had to concentrate at first our attention very largely on the children ... |
9dfcb939-4315-4606-8d2f-29c028fe466e | An immunizing clinic is held every Saturday morning at the school clinic for children under school-age. The health visitors distribute circulars to the mothers at the infants welfare centres. The numbers on these Saturday mornings vary, the lowest attendance being 9 and the highest 108. At the beginning of each term, a... |
4811fe5a-38d3-47b9-a73f-a658df0a0e4c | The League had quite unintentionally awakened the parents to the fact of the existence of diphtheria, had taught many whom we had not reached, and that the public health authority was doing something in the matter. We have not felt the necessity of an elaborate system of propaganda ; we have found the quiet efforts of ... |
54aafd38-0ef7-441e-a0bc-4e8dc986f06b | Negative: 1075. . Posterior Schick Tests :— Positive: 13. Negative: 2050. The total number immunized were — Is/ Dose—4052. 2nd Dose:—3840. .. 3rd Dose—3631. 91 refused after the 1st dose and 71 after the 2nd dose. 2 were schick-negative after the 1st dose and 3 after the second dose. 119 were awaiting their 2nd and 3rd... |
8adf7032-a6c7-43e6-beaf-ea83ecf66631 | 5-7—377. 7-15—203. It will be seen that the relative number under 5 who were immunized was much higher than in the first year. This is due to the fact that we have been concentrating upon the lower ages. At the end of 1933 the percentage immunized in the infants' departments was as follows:— AAV. 24.3 J.P. 63.1 B.P. 64... |
9f279e3e-4129-46a9-bcb9-a0ff7a82eb7e | It has been claimed for some of the immunizing materials—such as Alum Toxoid—that immunity can be obtained from one dose. As previously explained we have not used Alum Toxoid because of the risk of local reactions. In the case of Formol Toxoid and T.A.M. three injections of the prophylactic are needed to develope gradu... |
f2ddc363-75fb-41bc-83a1-94d1beaa41c5 | In two the interval was five weeks, in the third it was 8 weeks. In the child who died she received the first dose on February 23rd, 1933, the case notified on March 17th and she died March 22nd. Of the children who received 2 doses, six developed diphtheria in 1933 and 1 in 1934. In 1933 one of the children died, 1 ha... |
6925ae6a-5b42-4da3-9a76-85f398f530b4 | All the others occurred before thay were post-schicked, although in one instance over seven months had elapsed since the third dose had been given. There were also five cases in those who had given a schicknegative reaction. These were all mild cases. In 1934, five cases occurred amongst those who had had 3 doses, 4 of... |
0e98f100-9975-4e37-8d97-e955bff61ba2 | It is impossible in the case of mass immunization to estimate the anti-toxin present in the blood, and even if we could, we should not know what exact amount would be necessary to avoid an attack. This would only give us a measure of one of the factors. But if the Schick test is negative, the person concerned probably ... |
845905f4-8dd7-4557-a097-d59491b9f410 | All the cases which occurred in immunized children in 1934, were very mild, and in the latter half of the year no immunized child has contracted the disease, even in a mild form. Tuberculosis. 82 cases oi Pulmonary Tuberculosis and 22 cases of other forms of Tuberculosis were notified during the year. There were 50 dea... |
3966ccd9-0bd3-4de8-9087-822c8a125c6c | The death notification interval of the 50 patients who died of Pulmonary Tuberculosis in 1934 was :— Information from Death Returns 10 Died within 1 month after notification 7 Died between 1 and 3 months after notification 2 Died between 3 and 6 months after notification 3 Died between 6 and 12 months alter notificatio... |
b0dfce8c-fb0d-4fdc-b7b2-a67d0dcf7f22 | on the Register at the commencement of the year 162 161 37 27 387 Number of Cases notified for the first time during the year 34 30 14 8 86 45 Number of Cases previously removed from the register which have been restored thereto during the year 1 - 1 - 2 Number of Cases added to the Register other than by notification ... |
99dd37db-5cad-4394-9045-0050cbb33773 | Non-Respiratory M. F. M. F. M. F. M. F. 0- - - - - - - - - 1- - - - 1 - - - l 5- 1 2 5 2 - 1 3 1 15- 7 17 3 1 6 8 2 1 25- 9 13 2 1 4 6 - - 35- 12 8 3 1 7 2 1 - 45- 7 1 - 1 4 2 1 1 55- 3 2 1 - 8 2 - 1 65 and upwards - - 1 - - - - - - - - - - - - - Totals 39 43 15 7 29 21 7 5 47 ISOLATION HOSPITAL. |
dcd38df5-36ba-4df5-9180-02291bc07d28 | 718 cases were admitted during the year compared with 738 cases during 1932. On January 1st, 1934, there were 64 cases in the hospital and on January 1st, 1935 there were 61. The following is a list of the cases admitted for the different diseases. Scarlet Fever. Diphtheria. Measles. Acton 194 83 69 Wembley 275 73 5 Ot... |
cf57edf6-334c-4610-aa48-c137c7eb20f8 | (re-examinations) 1 10 Sent from Isolation Hospital 63 754 Convalescents (1st Swabs) — 14 Contacts 22 263 do. (2nd examinations) 1 22 Carrier's Swab. 6 12 Precautionary Swabs — 69 School Sore Throats 17 165 48 (b) For Ringworm. Positive. Negative. Total Examinations—13 7 6 (c) For Tubercle. Positive. Negative. Total Ex... |
3abfca97-a30d-4c7f-8c28-9b8730f60bd2 | There is a drop of 9 deaths from Premature Birth, but an increase of 4 in the deaths from Congenital Heart Disease. Eighteen of the deaths occurred before the baby had reached the age of 1 month. Twelve of the deaths were in the North East Ward, 9 in the North West, 3 in the South East and 15 in the South West Ward. Th... |
836dd8f8-1b6b-4f9d-afb5-2ed0fcb7b146 | So far the factors which have played a part in bringing down the under-one-year rate have hitherto had much less effect upon the loss of life of infants under one month. The great reduction in infantile mortality has been effected in the period 1-12 months. It will be easily understood that the measures first adopted f... |
d559a12c-72aa-4388-8632-cd73df7d4a77 | In a subsequent paragraph, the extension of this part of our Maternity and Child Welfare Scheme has been outlined, and we feel that this aspect of the work has an important bearing not only on the Maternal but also on the Infantile Mortality. Maternal Mortality. Five deaths occurred in child bearing women, 2 from Puerp... |
d66f48fc-651c-4ee7-989b-562f54227583 | The doctor who was called in found an incomplete abortion, and he advised her removal to a hospital. The wife at first refused, and she did not consent to removal for two days. She died 10 days after removal to hospital. In one of the other cases, the patient had not been under the care of a doctor before her confineme... |
0845c9a5-34d9-400d-9056-fd74c695c777 | on the subject of Maternal Mortality. The Minister reviewed the action taken throughout the country to give effect to the suggestions in Memorandum 156 and 50 lie recognised that on the whole there has been a widespread response. After citing instances in which the work has been done, he stated that in spite of develop... |
73d2a6f0-7a83-4e5b-aa5e-2a9f75290e78 | The Minister deemed it desirable that a special report on the subject should be made, showing to what extent effect has already been given to the suggestions made in the Memorandum, and in the recommendation of the Maternal Mortality Committee in their final report for 1932. This report was submitted to the Cliild Welf... |
dab40902-50c8-4703-9dde-eaba19f3c3b3 | 1925 5 4 1 1047 1926 5 2 3 1098 1927 4 3 1 1026 1928 4 2 2 1003 1929 3 1 2 1026 1930 4 2 2 1105 1931 5 4 1 1018 1932 7 3 4 970 1933 5 3 2 886 1934 5 2 3 943 51 It will be seen that the maternal mortality has been persistently high and has recently shown a slight tendency to rise. Ante-Natal Service. Until the autumn of... |
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