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55.2 9 49.3 54.8 50.3 54.4 Berrymede Infants' 1 1 48. 50.3 ... ... ... ... ... ... Derwentwater Junior 44 29 50.2 57.7 15 50.7 58.8 ... ... ... Derwentwater Infants' 6 6 49. 55.7 ... ... ... ... ... ... John Perryn Infants' 22 11 49.2 56.1 11 50.3 61.1 ... ... ... Priory Infants' 2 2 49.8 52.9 ... ... ... ... ... ... Rothschild Junior 23 5 50.4 57.4 18 49.5 54.9 ... ... ... Rothschild Infants' 6 6 49.7 55. ... ... ... ... ... ... Southfield Junior 23 17 49.
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57.6 6 49.4 56.2 ... ... ... Southfield Infants' 3 3 48.6 51.6 ... ... ... ... Roman Catholic 12 5 50.5 57.6 7 50.7 55.4 ... ... ... West Acton 23 11 49.1 54.7 12 54.6 61.2 ... ... ... 230 146 ... ... 82 ... ... 2 ... ... (GIRLS). - Acton Wells Junior 2 ... ... ... 2 51. 60.2 ... ... ... Acton Wells Infants' 11 10 48.3 53.6 1 48.5 47. ... ... ... Beaum'nt Pk. Jnr.
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30 8 49.8 57.8 22 49.8 54.6 ... ... ... Berrymede Junior Girls' 44 35 48. 51.5 9 48.4 51.5 ... ... ... Berrymede Infants' 4 4 48.5 55.3 .... .... ... ... ... ... Derwentwater Junior '28 22 50.3 56.2 5 51.2 56.2 ... 51 57. Derwentwater Infants' 7 7 47.7 51. ... ... ... ... .... ... John Perryn Junior 3 ... .... ... 3 50.4 58.2 ... .... ... John Perryn Infants' 31 11 48.9 54.3 20 49.5 53.1 ... ... ... Priory Infants' 5 5 49.
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52.4 .... ... .... ... ... ... Rothschild Infants' 4 4 49. 50.4 ... ... ... ... .... ... Southfield Junior 21 13 48.9 54.6 8 48.5 54.8 ... .... ... Southfield Infants' 5 5 49. 56.9 ... .... .... ... ... Roman Catholic 8 5 48.7 51.9 3 49.6 52.3 ... .... ... West Acton 19 8 49.3 51.9 11 51.4 61.7 ... .... ... 222 137 ... ... 84 ... ... 1 .... ... TABLE SHOWING HEIGHTS AND WEIGHTS AT DIFFERENT AGES. ENTRANTS (BOYS). No. Examined. Years of Age. 3β€”4 4β€”5 5β€”6 6-7 No. Height ins. Weight lbs.
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No. Height ins. Weight lbs. No. Height ins. Weight lbs. No. Height ins. Weight lbs. Acton Wells Infants' 16 8 38.8 36.2 3 41.1 40.5 4 42.7 42.2 1 46. 50.3 Beaumont Park Infants' 15 5 38.3 33.8 4 44.5 44.1 4 44.5 45.4 2 43.2 41.1 Berrymede Infants' 30 8 37.9 34.8 8 40.8 39. 10 42.2 40.5 4 43.4 44.6 Derwentwater Infants' 47 .... .... .... 22 40.
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37.3 20 42.5 41.1 5 44.5 42.7 John Perryn Infants' 21 .... .... .... 11 40.9 38.8 8 44.2 43.7 2 45.6 54.4 Priory Infants' 34 13 37.9 34.9 11 40.2 37.7 8 43.6 43.3 2 45.1 45.3 Rothschild Infants' 41 18 37.8 35. 12 40.8 39.5 7 42.8 42. 4 45.2 46.1 Soufhfield Road Infants' 25 .... .... .... 12 41.5 39.3 11 43.3 41.3 2 45. 43.8 Turnham Green R.C.
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6 .... .... .... 3 39.6 36.9 2 44.2 42.7 1 47.3 43.5 West Acton 13 3 38.6 33.7 5 41.5 39.8 4 44.5 42.6 1 46. 48.3 248 55 .... .... 91 .... .... 78 .... .... 24 .... ... (GIRLS). Acton Wells Infants' 17 4 36.7 31.9 7 41.2 41.7 3 42.2 39.3 3 45.4 47.8 Beaumont Park Infants' 11 5 37.5 34.4 2 42.5 40.6 3 43.4 40.1 1 47.5 58. Berrymede Infants' 24 6 38.
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35.9 7 39.8 37.6 9 42.8 42.2 2 44.2 43.5 Derwentwater Infants' 52 .... .... .... 25 40.3 38. 21 42.4 40.6 6 44.1 45.2 John Perryn Infants' 26 .... .... .... 9 42. 40.6 12 44.3 43.3 5 45.3 45.5 Priory Infants' 42 13 87. 33.1 16 40.5 38.5 11 43. 41.4 2 44.8 42.5 Rothschild Infants' 25 13 37.6 35.2 6 39. 37.1 6 41.9 41.
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.... .... .... Southfield Road Infants' 19 .... β€’β€’β€’β€’ .... 6 41.5 38.6 12 43.7 41.3 1 45.3 45. Turnham Green R.C. 8 .... .... .... 3 41.8 40.8 5 42.4 39.9 .... West Acton 18 8 38.2 34.8 4 40.8 37.4 3 42.6 37.9 3 44.9 44. 242 49 .... ... 85 .... .... 85 .... .... 23 .... .... 37 38 SCARLET FEVER. There were only 50 cases of Scarlet Fever reported in the school population in 1939, and the cases were very mild in type.
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There was a great difference in the incidence of Infectious Diseases in Acton apparently due to evacuationβ€”the scattering of the child population resulting in no cases of Measles, very few cases of Diphtheria, and a big drop in the number of cases of Scarlet Fever. In Acton in 1937 there were 134 cases of Scarlet Fever. in 1938 there were 108 ,, ,, ,, ,, in 1939 there were 50 ,, ,, ,, β€ž The cases were distributed as follows:β€” Acton Wells Priory 7 Beaumont Park 12 Rothschild 3 Berrymede 3 Southfield β€” Derwentwater 6 Roman Catholic - John Perryn 18 West Acton 1 None of these cases occurred after the outbreak of war. diphtheria. There were only 3 cases of Diphtheria reported in the school population in 1939.
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They were distributed as follows:β€” Acton Wells 1 Beaumont Park 1 Southfield 1 Two of these children had not been previously inoculated against Diphtheria,β€”one had been inoculated 3 years previously. Endeavours are still being made to continue to protect the school and pre-school population against Diphtheria but, not unnaturally, the figures for 1939 are very poor. It is impossible to give the percentage figures of inoculated children in our schools, as the data are so upset by evacuation. As stated in the Annual Report of 1938, the post Schick test has been dropped and children are given an extra inoculation in place of it. Parents are advised to continue to have their children given one inoculation every three years until admitted to the Senior School, after which all children are Schick tested before additional inoculations are given.
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It has been impossible to gauge how the scheme has worked, as 1939 was not a normal year and no conclusions can be drawn, but the cases of Diphtheria were few and the procedure found to be much less of an ordeal for small children than the methods previously adopted. Inoculation figures for 1939 are given as under. Diphtheria Immunisation, 1939. School. Primary Schick test. Inoculations with A.P.T. Re-inoculation alter Schick test after 3 years. Pos. Neg. fist. 2nd. 3rd. 3 years. Pos. Neg. Acton Wells Senior - - - - 1 7 - 1 Acton Wells Junior - - - 1 12 35 β€” - Acton Wells Infants' - - 2 2 34 7 - - Beaumont Park Senior - - - - - 16 - 6 Beaumont Park Junior - -
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1 1 3 18 - β€” Beaumont Park Infants'* - - 5 3 20 14 - β€” Berrymede Junior Boys’ β€” - β€” 2 9 24 β€” β€” Berrymede Junior Girls’ β€” - β€” β€” 4 16 β€” β€” Berrymede Infants' β€” - 9 10 26 4 β€” β€” Central - - - - 2 27 2 19 Derwentwater Junior - - - 2 13 32 - β€” Derwentwater Infants' - - 7 16 26 7 - β€” John Perryn Senior - - - - - 27 2 3 John Perryn Junior β€” - β€” β€” 3 31 β€” β€” John Perryn Infants' β€” - 1 6 24 12 β€” β€” Priory Boys' - - - - - 1 1 16 Pri6ry Girls' - - - - - β€” β€” 15 Priory Infants' - 1
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15 16 33 11 - β€” Rothschild Junior Rothschild Infants' - - - - 6 26 - β€” - - 19 17 48 10 - β€” Southfield Senior - - - - - 7 2 7 Southfield Junior 1 - 2 3 10 32 β€” β€” Southfield Infants' - - 10 9 16 12 - β€” Roman Catholic - - - 2 19 2 - β€” West Acton - - 10 13 22 8 - β€” Others - - - - 1 - - - Isolation Hospital - - 6 6 13 - - β€” Infant Welfare β€” β€” 106 96 111 β€” 1 1 Total 1 1 193 205 456 386 8 68 39 40 SCABIES. Scabies continues to be a serious cause of irregularity of school attendance, and a great nuisance to all concerned.
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There appears to have been a very widespread outbreak of Scabies all over the country, Acton is not alone in being infested with the disease. Treatment is carried out in the first instance at home, the parent is given careful typed instructions and sufficient ointment to carry out the necessary treatment. Arrangements are made to sterilise the clothing and bedding of infected persons, and advice is given that all children in a family should be treated similarly and simultaneously whether suffering from Scabies or not. Only in that way can there be a chance of getting rid of the disease quickly. If home treatment fails, recourse is had to cleansing baths, for which Acton has an arrangement with the Borough of Kensington. In the great majority of cases, it should be perfectly possible to cure Scabies by home treatment, and nothing shows up the mother who is not prepared to take pains to look after her children, quicker than the length of time taken to get the children clear.
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It is worth noting that from September to the end of the year, several children were brought back from the evacuation areas by their parents because they were found to have contracted Scabies while away, and there were one or two instances of apparent failure on the part of the foster mothers to give the children adequate attention for the complaint. The Table attached will show how widespread the cases in Acton were in the first half of the year. There were in all 61 cases, and 40 families were affected, 3 families being affected more than once. Cases of Scabiesβ€”1939. January 17th 13th 13th 16th 17th 24th 31st Colville Road. *Colville Road. *Colville Road. *Conway Grove (3 children). Goldsmith Road. *Goldsmith Road. Goldsmith Road. Goldsmith Road. *Junction Road (2 children).
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Horn Lane Horn Lane Nemoure Road Rothschild Infants'. Rothschild Infants'. Priory Girls'. Acton Wells. Derwentwater. Derwentwater. Priory. Derwentwater. Priory Girls'. Acton Wells. Derwentwater. Derwentwater. 41 February 1st 2nd 6th 13th 21st 22nd 27th March 7 th 9th 13th 28th April 3rd 4th 18th 19th 25th 27th May 4th 8th 12th 15th 22nd June 6th 9th 15th 21st 27th 61 cases.
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Colville Road Mill Hill Grove *Steyne House (4 children) Berrymead Road Graham Road *Packington Road (2 children) Packington Road *Palmerston Road (5 children) Osborne Road Julian Avenue *Acton Lane (3 children) The Vale Steyne Road Horn Lane Graham Road Goldsmith Road *Steyne House (2 children) Rusthall Avenue Brouncker Road Churchfield Road Leythe Road Montgomery Road Steyne House Junction Road *Churchfield Road (4 children) High Street Maldon Road Birkbeck Road Birkbeck Avenue Berrymead Road The Vale Burlington Gardens 0 families. Rothschild Infants'. Priory Girls'. Derwentwater. Priory Boys'. Rothschild Junior. Beaumont Park. Berrymede Infants'. Berrymede Boys'. Berrymede and Central. Priory Girls'. County School. Beaumont Park. Southfield.
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Roman Catholic. Derwentwater. Beaumont Parkβ€”return case. Denventwaterβ€”return case. Derwentwater. Southfield. Berrymede Infants'. Derwentwater. Berrymede Girls'. Rothschild Infants'. Derwentwater. Berrymede Boys'. Priory, Derwentwater & Special Priory Infants'. Special School. Derwentwater. Priory Girls'. Rothschild Juniorβ€”return case. Southfield Junior. Derwentwater Junior. *Members of one family. 42 PROVISION OF MEALS. Free meals and milk were provided as usual in Acton until the evacuation scheme was put into operation. The meals were dispensed from 7 feeding centres, and free milk was supplied at all the schools.
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In accordance with previous policy, meals and milk were provided during school holidays, and attendances were sufficiently good to make the continuance of the scheme worth while. Free meals and milk were granted as formerly after an examination by the School Medical Officers had shown the children to be medically in need of them. Menus were supervised, and suggestions for dishes containing important protective food substances were given by the School Medical Officers. Numbers of meals provided and bottles of milk supplied are much diminished owing to the schools being shut from September until mid November, and then being reopened with lower numbers. Meals supplied at the different centres.
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West Acton 690 Beaumont Park 3,627 Central 2,508 John Perryn 3,672 Priory 3,017 Southfield 404 Avenue Road 15,092 29,010 Meals supplied during the quarter ending:β€” March 11,604 June 11,284 August 6,122 29,010 4.3 Numbers of bottles of milk supplied, period ending:β€” March 40,937 June 37,583 August 17,640 96,160 Number of children on Feeding list:β€” Meals and Milk. Milk only. March 214 201 June 225 199 August 223 191 EAR CLINIC. 67 cases were seen at the Ear Clinic during 1939. 11 cases were seen who had attended the Clinic in previous years, of these 8 cleared up under treatment, 1 decided to attend his own doctor, 1 attended a hospital and 1 refused further treatment.
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33 new cases of otorrhoea were seen, 24 cleared up with treatment, 2 left Acton while still under treatment, 2 were removed to Hospital, 4 cases did not attendβ€”in two of these cases because it was not possible for the school to send the children to the Clinic, 1 case, on being referred to the Ear Clinic_ was found to be suffering from a mastoid inflammation and was sent to Hospital for operation. 20 cases were referred suffering from Earache. 11 of these were due to a cold in the head and subsided on treatment, 5 were due to irritation from large plugs of wax, 1 was due to the presence in the ear of a large plug of paper, 1 was due to the presence of a polyp in the ear, 2 were due to external otitis. 3 children were seen because of deafness, were referred to Acton Hospital and operated on for removal of tonsils and adenoids.
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The Ear Clinic was conducted on the same lines as in 1938, but of course the work was curtailed and disorganised by the Evacuation Scheme. 44 REPORT OF DENTAL CLINIC. The Evacuation scheme, having affected mothers and infants from the welfare clinics as well as school children, has made comparisons of figures with those of the previous year impossible. Work has, however, been going on throughout the whole year. Those children and mothers who did not go away were called up to the clinic for inspection and treatment. From records at the Education Offices we were able to obtain the names and addresses of those who returned and appointments were sent to them. As soon as a sufficient number of children had returned to the schools, inspections were resumed there in the ordinary way. Mr. Goldie's part time assistance has been temporarily discontinued.
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Below are given the figures for dental work in Secondary Schools and the Maternity and Child Welfare Centres, as these are not shown in the returns to the Board of Education on Table V. Secondary Schools. Number examined 637 Referred for treatment 470 Number treated 260 Attendances for treatment 632 Permanent Fillings 488 Permanent Extractions 125 Temporary Extractions 23 Dressings 57 Maternity and Child Welfare. Number of mothers examined 227 Referred for treatment 227 Number treated 177 Number of children examined 97 Referred for treatment 84 Number treated 70 45 Permanent Fillings 61 Permanent Extractions 737 Temporary Fillings 24 Temporary Extractions 240 Dressings 94 Anaesthetics given 216 Number of attendances 386 Dentures supplied 23 P. H. Slater. OPHTHALMIC CLINIC. Dr. Clifton joined the Army on the outbreak of war and so no report can be included from him.
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The figures for the year are given below and it will be seen that they are much below the *β–  figures for the previous year. Elementary School Children. 224 referred for refraction. 136 provided with glasses. ^ β€” 2 obtained glasses privately 64 refused treatment or left the district. 22 did not require glasses. 6 cases of external eye disease were seen. Welfare Cases. 14 children referred for refraction.__ 5 children obtained glasses. 1 refused treatment. 8 did not require glasses. 1 case of external eye disease. 46 County and Junior Technical Schools. 17 boys referred for refraction. 13 obtained glasses. 1 did not require glasses. 2 refused. 1 left school. In December, 1939, Dr. V. Eileen Brander was engaged to act as temporary Ophthalmic Specialist at the Eye Clinic, in the absence of Dr. Clifton. Her appointment was approved by the Board of Education.
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exceptional children. It has been found impossible to give the complete account of all the Exceptional children in Acton which is usually included in the Annual Report. A Table has been drawn up, as under to show what the position is as far as information is available. Defect. In Hospital. Residential Special or Open Air School. Ord. School. Evacuated. me. Tuberculosis 2 1 - - 1 Delicate children - 2 3 6 3 Rheumatism β€” 2 3 4 Crippled children 2 1 - - 1 Epilepsy - 3 - 1 β€” Deaf and Dumb β€” 2 - 4 β€” Blind and Partially Sighted - β€” - 2 1 1 partially sighted boy left school during the year and has obtained employment.
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TABLE SHOWING THE DISTRIBUTION OF ALL CHILDREN EMPLOYED DURING THE PERIOD 1st JANUARY, 1939 to 31st DECEMBER, 1939. School.
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Acton Wells Central County John Perryn Priory Roman Catholic South field Technical Others Special Total 1.β€”Registered Occupations:β€” (a) Delivering Newspapers 8 7 7 1 21 1 6 β€” 1 1 53 (b) Delivering Milk 4 1 3 β€” 6 β€” 1 β€” 1 β€” 16 (c) Carrying or Delivering Goods or Parcels 2 6 4 1 30 β€” 9 β€” 2 β€” 54 Total 14 14 14 2 57 1 16 β€” 4 1 123 Corresponding figures for 19.38 19 12 15 2 66 - 21 3 4 - 142 47 TABLE SHOWING THE NUMBER OF CHILDREN ATTENDING ACTON SCHOOLS EMPLOYED IN THE VARIOUS REGISTERED OCCUPATIONS ON 31st DECEMBER, 1939. SCHOOL.
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Delivering Newspapers Delivering Milk Delivering Goods or Parcels Totals Boys. Boys. Boys. Acton Wells 1 - 1 Central 3 β€” β€” 3 County 1 2 1 4 John Perryn 1 β€” β€” 1 Priory 8 2 6 16 Roman Catholic 1 β€” β€” 1 Southfield 3 β€” 1 4 Technical β€” β€” β€” β€” Special β€” β€” β€” β€” Others 1 β€” 1 2 Totals 19 4 9 32 48 49 VISITS PAID BY SCHOOL NURSES. The following are the number of home visits paid by the Nurses during the year. The visits have been divided into school distribution.
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Acton Wells 17 Rothschild 128 Beaumont Park 128 Southfield 53 Berrymede 170 Roman Catholic 5 Central 2 West Acton 11 Derwentwater 56 Special School 38 John Penyn 10 Priory 120 Total 738 CONVALESCENT HOMES & COUNTRY HOLIDAYS. Two boys and two girls were given a fortnight's free holiday during the Summer at Bexhill, but, no children were sent to the Winter School of Recovery. MEDICAL INSPECTION RETURNS. TABLE I. A.β€”Routine Medical Inspections. Number of Inspections in the prescribed Groups:β€” Entrants 490 Second Age Group 452 Third Age Group 352 Total 1294 number of other Routine Inspections Grand Total 1294 B.β€”Other Inspections. number of Special Inspections and Re-Inspections 2228 table ii.
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Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups up to 31st August, 1939. Age-groups Number of Children Inspected A (Excellent) B (Normal) C (Slightly subnormal) D (Bad) No. % No. % No. % No. % Entrants 490 140 28.57 304 62.04 44 8.97 2 .4 Second Age-group 452 152 33.62 253 55.97 45 9.95 2 .44 Third Age-group 352 60 17.04 257 73.01 35 9.9 β€” β€” Other Routine Inspections Nil β€” β€” β€” β€” β€” β€” β€” β€” Total 1294 352 27.2 814 62.9 124 9.58 4 .3 50 51 table III. BLIND CHILDREN.
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Name Age Address At a Public Element'y School At another Institut'n At no School or Institut'n Reginald Goodrick 12 230, Old Oak Common Lane. β€” β€” At home DEAF CHILDREN Name Age Address At a Public Element'y School At another Institut'n At no School or Institut'n Nil. β€” β€” - β€” β€” table iv. Return of Defects Treated during the Year ended 31st December, 1939. Treatment Table. Group I.β€”Minor Ailments (excluding Uncleanliness, for which see Table VI.) Disease or Defect (1) Number of Defects treated, or under treatment during the year Under the Authority's Scheme (2) Otherwise (3) Total (4) Skinβ€” Ringworm-Scalpβ€” (i). X-Ray Treatment β€” - β€” (ii).
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Other Treatment β€” - β€” Ringworm-Body 4 - 4 Scabies 64 - 64 Impetigo 178 - 178 Other skin disease 119 - 119 Minor Eye Defectsβ€” (External and other, but excluding cases falling in Group II.) 85 - 85 minor Ear Defectsβ€” 57 3 60 Miscellaneousβ€” (e.g., minor injuries, bruises, sores, chilblains, etc.) 719 - 719 Total 1226 3 1229 52 (group II.β€”Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailmentsβ€”Group I). Defect or Disease. (1) No. of defects deah with.
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Under the Authority's Scheme (2) Otherwise (3) Total (4) errors of Refraction (including squint) 224 2 226 Other defect or disease of the eyes (excluding those recorded in Group I) 6 β€” 6 Total 230 2 232 No. of Children for whom spectacles wereβ€” (a) Prescribed 138 2 140 (6) Obtained 136 2 138 Group III.β€”Treatment of Defects of Nose and Throat. Number of Defects. Received Operative Treatmem Received other forms of Treatment (4) Total Number Treated (5) Under the Authority's scheme, in Clinic or Hospital (1) By Private Practitioner or Hospital, apart from the Authority's Scheme (2) Total (3) 1. 2. 3. 4. 1. 2. 3. 4. 1. 2. 3. 4.
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1 1 20 β€” β€” β€” - - 1 1 20 β€” β€” 22 (1)β€”Tonsils only. (2)β€”Adenoids only. (3)β€”Tonsils and adenoids. (4)β€”Other defects of the nose and throat. Group IV.β€”Orthopaedic and Postural Defects. Under the Authority's Scheme. (1) Otherwise. (2) Totalnumber treated Residential treatment with education (i) Residential treatment without education (ii) NonResidential treatment at an orthopaedic clinic (iii) Residential treatment with education (i) Residential treatment without education (ii) NonResidential treatment at an orthopaedic clinic (iii) No. of children treated β€” β€” β€” β€” β€” 4 4 53 54 Table V.β€”Dental Inspection and Treatment. (1) Number of children inspected by the Dentist: (4) Attendances made by children for treatment 2666 Age: 5β€” 453 (5)
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Half-days devoted to: Inspection 25 (a) Routine age-groups 6β€” 496 Treatment 447 7β€” 482 Total 472 8β€” 422 9β€” 408 10β€” 370 (6) Fillings: Permanent Teeth Temporary Teeth 11β€” 339 1229 12β€” 301 99 13β€” 311 14β€” 36 Total 1328 3618 (7) Extractions: Permanent Teeth 500 (b) Specials 344 Temporary Teeth 2850 (c) Total (Routine & Specials) 3962 Total 3350 (8) Administrations of general anaesthetics for extractions 1309 (9) Other Operations: (2) Number found to require treatment 2817 Permanent Teeth 101 Temporary Teeth 73 (3) Number actually treated 1818 Total 174 Table VI.β€”Uncleanliness and Verminous Conditions.
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Average number of visits per school made during the year by the School Nurses 6 Total number of examinations of children in the Schools by School Nurses 14863 Number of individual children found unclean:β€” Vermin and Nits 89 Slightly infested 424 Number of individual children cleansed under Section 87 (2) and (3) of the Education Act, 1921 4 Number of cases in which legal proceedings were taken : - (a) Under the Education Act, 1921 - (b) Under School Attendance Byelaws - 55 STATEMENT OF THE NUMBER OF CHILDREN NOTIFIED DURING THE YEAR ENDED 31st DECEMBER, 1939, BY THE LOCAL EDUCATION AUTHORITY TO THE LOCAL MENTAL DEFICIENCY AUTHORITY. Total number of children notified 4 Analysis of the above total. Diagnosis. Boys. Girls. 1.
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(i) Children incapable of receiving benefit or further benefit from instruction in a Special Sdhool: (a) Idiots β€” β€” (b) Imbeciles 1 β€” (c) Others β€” β€” (ii) Children unable to be instructed in a Special School without detriment to the interest of other children: (a) Moral Defectives β€” β€” (b) Others β€” β€” 2. Feeble-minded children notified on leaving a Special School an or before attaining the age of 16 3 β€” 3. Feeble-minded children notified under Article 3, i.e., "Special circumstances" cases β€” β€” 4.. Children who in addition to being mentally defective were blind or deaf β€” β€” Grand Total 4 β€” We are, Your Obedient Servants, G. E. B. PAYNE, E. MADELEY.
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Borough of Acton ANNUAL REPORT of the Medical Officer of Health together with the Report on the Medical Inspection of Schools FOR THE YEAR 1940 ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH FOR THE YEAR 1940. Public Health Department, Town Hall, Acton, W.3. To the Mayor, Aldermen and Councillors of the Borough of Acton. Ladies and Gentlemen, I beg to submit the annual report on the health of the Borough for the year 1940'. The report of the School Medical Service is given at the end as a separate report. This year's annual report is curtailed, as requested by the Ministry of Health, and contains only the essential information with regard to statistics and general work of the Health department. As a result of Mr. Kinch, Chief Sanitary Inspector, retiring in December, 1939, Mr. Jenkins was appointed Chief Sanitary Inspector. Mr.
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Cackett was appointed as temporary Sanitary Inspector in March, 1940, and the Council in December confirmed his appointment to the permanent staff. The statistics for the Borough show that the Birth Rate per 1,000 of the population is 14.04 as compared with 11.7 for 1939. The death rate for 1940 is 14.7 as compared with 10.1 for 1939. The Infantile Mortality rate of children under 1 year is 58.3 as compared with 59 for 1939. There were two deaths caused by 4 childbirth in 1940, and 4 in 1939. Every endeavour is made by careful ante-natal treatment and advice given to expectant mothers at the ante-natal clinic, to ensure that all is done to avoid any complication during the actual confinement of the mother.
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As Civil Defence matters are of such vital importance in our national life, and as the local Authorities are responsible for much of the organisation of Air Raid Precautions, some brief notes are appended with regard to various matters of this branch of the Service. It will be observed that further improvements at the Depots have been carried out. During the year considerable improvements have been made in the condition of the Depots of the Acton Casualty Sen-ice. Sleeping accommodation has been improved by the issue of twotier metal bunks, mattresses and pillows, for the personnel of the Stations, to replace the original camp beds. Individual sleeping equipment, which includes three blankets, one pillow slip and two towels, has now been allocated to all personnel. A house at 59 Gunnersbury Lane has been provided as a resting place for day duty nurses, and protected sleeping accommodation for the night duty shift stationed at Acton Hospital First Aid Post. No.
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11 Gunnersbury Lane has been taken over to accommodate the ambulance staff previously stationed at 28 Gunnersbury Lane. This step has proved to be very satisfactory, as besides No. 11 being a far more suitable building, it is adjacent to the garage. The caretaker's house at East Acton School has been acquired for the use of the ambulance personnel stationed there. An extra room has been granted by the Director of Education for the female personnel at Acton Wells School. Further improvement has been made in the sleeping accommodation at Stretcher Party Post No. 3, as the Middlesex County Council authorised the building of protective accommodation in which 45 persons can rest and sleep. A canteen has been installed at this Post and is entirely run by the personnel. I feel you should be informed of the splendid way in which the A.R.P. Casualty Sendees behaved during the aerial bombardments and carried out their duties in an exemplary manner often at considerable personal risk.
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I should like to thank the staff of the Public Health Department for their kindly co-operation and loyalty throughout the year. I remain, Your Obedient Servant, GEORGE E. B. PAYNE. 5 STAFF. George E. B. Payne, m.d., m.r.c.s., d.p.h., Medical Officer of Health and School Medical Officer. Elsie Madeley, m.b., ch.b., d.p.h., Assistant Medical Officer of Health and School Medical Officer. P. H. Slater, l.d.s. School Dentist. J. J. Jenkins, M.R.San.I., Cert, of Royal Sanitary Institute; holds Meat and Smoke Certificates, Chief Sanitary Inspector (Inspector under Diseases of Animals Acts, Rag Flock Act, and Fabrics Misdescription Act). J. J. Matthews, Cert, of Royal Sanitary Institute, holds Meat and Smoke Certificates; Deputy Chief Sanitary Inspector.
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M. Dowie, Cert, of Royal Sanitary Institute, holds Meat Certificate; Sanitary Inspector. G. W. Burden, Cert, of Royal Sanitary Institute; Sanitary Inspector. (On War Service). H. V. Cackett, Cert, of Royal Sanitary Institute, holds Meat Certificate; Sanitary Inspector. (.Appointed 21.12.40). A. H. G. Johnson, Cert, of Royal Sanitary Institute; holds Meat Certificate; Meat Inspector. Miss B. G. Sorlie, s.r.n., Certificate of Royal Sanitary Institute, C.m.b., H.V. Diploma, Health Visitor and School Nurse. Miss W. E. Bennett, s.'r.n., Health Visitor's Certificate of Royal Sanitary Institute, c.m.b., Health Visitor and School Nurse. Miss W. L. Orfeur, s.r.n., Health Visitor's Certificate of Royal Sanitary Institute, c.m.b., Health Visitor and School Nurse.
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Miss A. Woosnam, s.r.n., c.m.b., Health Visitor and School Nurse. Miss N. Lapham, s.r.n., Certificate of Royal Sanitary Institute, c.m.b., Health Visitor and School Nurse. Miss Evans, s.r.n., School Nurse. 6 A. S. M. Pratt, Barrister-at-Law; Chief Clerk. Miss A. Kent, " Clerk. (Resigned July 1940). Miss V. 1. Peters, Senior Clerk. (Appointed October 1940). Mrs. J. Jeffery, Clerk. Miss J. Warburton, b.a.(hons.), Clerk. (Resigned October 1940). Miss M. G. Hester, Clerk. Miss B. Kellaway, Clerk. (Resigned December 1940). Miss M. Pears, Clerk. (Appointed December 1940). Miss D. Beezley, Clerk.
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(Appointed December 1940). Miss F. A. Cavendish, Matron, Day Nursery. G. Baker, Disinfector. (Retired December. 1940). T. W. Mason, Mortuary Keeper. (On War Service). G. H. J. Saunders, Disinfector and Acting Mortuary Keeper. SECTION A. General Statistics. Arear 2,317 acres. Population Census, 1931 70,510 ,, Registrar General's estimate, 1940 55,830 Rateable Value Β£813,784 (Sum represented by the product of a penny rate, Β£2,850). General Rate in the Β£1 (half-year) 6/4d. 7 Extract from Vital Statistics. Live Births. Total (B.R.)
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M. F. Legitimate 752 373 379 Illegitimate 32 15 17 Birth rate per 1,000 of the estimated populationβ€”14.04 Still Births. Legitimate 19 10 9 Illegitimate 2 2 β€”" Deaths 805 Death rate per 1,000 inhabitants 14.3 ,, ,, (adjusted) 14.7 Deaths front Puerperal Causes (Heading 29 and 30 of the Registrar General's Short List). Rate per 1,000 total Deaths. (live & still) births. No. 29. Puerperal Sepsis 1 1.3 No. 30. Other Puerperal Causes 1 1.3 Death rate of Infants under 1 year of age. .
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All infants per 1,000 live births 58.3 Legitimate infants per 1,000 legitimate live births 60.9 Illegitimate infants per 1,000 illegitimate live births 31.2 Deaths from Cancer (all ages) 112 Deaths from Measles (all ages) . Nil Deaths from Whooping Cough (all ages) Nil Deaths from Diphtheria (all ages) 1 Diarrhoea (under 2 years of age) 7 8 SECTION B. GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Laboratory Facilities.β€” During this year the Laboratory has been re-opened for the examination of swabs and sputa. Examination required for specimens other than those previously mentioned a risent either to the London Counties Laboratory or to the Ministry of Health Emergency Medical Service Laboratory at Ealing. Ambulance Facilities.β€” The Acton and Wembley Joint Hospital Committee possesses an Ambulance for the removal of infectious cases from the Acton and Wembley areas.
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Two ambulances for accident and non-infectious cases are at the Fire Station and are available at all hours. Nursing in the Home.β€” Since April 1st a combined Committee of the Public Health Committee and the Acton Hospital Council have administered the arrangements for nursing patients in their homes. This arrangement has worked satisfactorily, and during the year 381 sick patients were nursed and the nurses paid 11,319 visits to the homes of the patients. Hospital Provision.β€” The Isolation Hospital is now managed by the Acton and Wembley Joint Hospital Committee. The Acton Voluntary Hospital is still carrying on although admission of cases is limited since the Hospital is a Casualty Clearing Hospital for A.R.P. Casualties. Maternity and Child Welfare.β€” Every endeavour has been made to maintain the Ante-Natal and Maternity and Child Welfare Clinics, and the same number of clinics have been held this year as in 1939.
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Maternal Mortality.β€” There were two maternal deaths during 1940; one death occurred in Hospital as a result of obstetrical shock following a difficult and prolonged labour necessitating delivery by means of forceps; the other was the result of miscarriage, death being due to puerperal sepsis. Infantile Mortality.β€” There were 43 deaths of infants under 1 year, giving an Infantile Mortality figure of 58.3. Day Nursery.β€” As mentioned in the Annual Report for 1939, the Acton Day Nursery was evacuated to a house near Woking. Owing to the condition of overcrowding that occurred there, further 9 premises were acquired at Hook Heath near Woking. Acting on a a Ministry Circular, the local Supervising Authority for Maternity and Child Welfare in the reception area was made responsible for the administration of the Home, and since the date of thisi Circular the Surrey County Council have taken over the administration of the Nursery.
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Since being evacuated to Woking, all the children have improved in physical appearance, brought about doubtless by the regularity of a well balanced diet in addition to the general training necessaw for young children. Nurse Children.β€” The number of Nurse children visited by the Infant Life Protection visitors during 1940 was 21. This low figure as compared with previous years may be accounted, for by the fact that Acton is an evacuation area. Milk for Children and Mothers,.β€” The Ministry of Health arranged for children between 2 and 5 years to receive daily a pint of liquid milk, and this has been extended to Expectant and Nursing Mothers. In May 1940 the Ministry of Health further provided a National Dried Milk for young babies. Both these schemes are administered by the Food Executive Office on behalf of the Ministry of Health and Food. Actual figures of milk provided under this scheme cannot be given as the local Food Officer is unable to provide me with this information.
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He has been instructed by the Ministry of Food that such information is confidential. During the year 1940 the Maternity and Child Welfare Committee sold 8,083 lbs. of proprietary dried foods and issued free 3,886 lbs. As a consequence of the issue of milk by the Ministry of Food, there is a considerable drop in the amount of dried food sold and issued free by the Maternity and Child Welfare Committee. TABLE 1. INFANT WELFARE CENTRES, 1940. Number of Centres provided and maintained by the Council Total number of attendances at all Centres during the year:- 4 (a) By children under 1 year of age 6,092 (b) By children between 1 and 5 years of age 3,480 Number of children who attended for the first time during the year: β€” (a) Under 1 year of age 550 (b) Between 1 and 5 years of age 93 10 TABLE 2.
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ANTE-NATAL CLINIC. Number of Expectant Mothers who attended 513 Number of attendances made by Expectant Mothers 1,381 Mothers referred for Dental Treatment at the Clinic 212 Mothers supplied with Dentures 29 Mothers treated at Ophthalmic Clinic 1 Expectant Mothers to whom dried milk was supplied free 32 Number of lbs. of Dried Milk supplied free 3,886 PREVALENCE AND CONTROL OF INFECTIOUS DISEASES. 1.β€”Notifications. The number of notifications of Infectious Diseases received this year was 214. From Table 5 the various infectious diseases can be examined; there were 26 cases of Scarlet Fever and 7 cases of Diphtheria. There were 5 cases of Enteric Fever with one death. The person who died as a result of Enteric Fever was diagnosed post mortem and on investigation no cause could be traced.
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Of the four other cases, no definite source of infection could be found, but as all four girls were new arrivals to the area from the North of England, enquiries were made, but no cases of Enteric had occurred in the area from which these cases arrived. During 1940 the number of cases of Scabies sent to the Health Department for cleansing by the Local Authority has increased from 43 cases in 1939 to 63 cases. This probably represents only a proportion of the actual number of infected persons in the Borough, and one is inclined to the view that, should persons continue to live in Air Raid Shelters during the next winter when raids may be expected, then cases of Scabies will increase unless prompt action is taken when cases are first recognised.
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Percentage of notified live births represented by number of children who attended a Centre for the first time during the year 70.1% Children treated at Dental Clinic 92 Children treated at Ophthalmic Clinic 22 CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1940. Notifiable Disease. / Cases notified in whole District. At Agesβ€”Years. Ward Distribution.
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At all Ages Under 1 1 to 6 5 to 15 15 to 25 25 to 45 45 to 65 Over 65 North East North 1 West South East South West Scarlet Fever 20 - 6 1 1 3 6 - - 9 7 7 3 Diphtheria 7 - - 6 I - - - 1 - - 6 Pneumonia 24 1 2 l 2 4 8 6 9 5 5 5 Erysipelas 11 1 - - 1 - 6 1 3 1 1 4 Puerperal Pyrexia 7 - - - 3 4 - - 2 1 1 3 Paratyphoid 4 - - - 4 - - - - 4 - - Tuberculosis (resp.)
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78 - 1 2 21 29 22 3 24 19 18 17 Tuberculosis (other) 10 1 1 1 1 6 - - 3 2 - 5 Measles 28 4 9 8 7 - - - 5 10 11 2 Whooping Cough 4 4 - - - - - - - 1 1 - Enteric 1 - - - - - 1 - - 1 - - Ophthalmia Neonatorum 2 2 - - - - - - - 1 1 - Meningitis 14 1 3 2 4 3 1 - 8 2 2 TOTALS 214 14 22 31 47 52 38 10 66 54 47 47 11 OPHTHALMIA NEONATORUM. Cases. Vision unimpaired. Vision impaired. Total Blindness. Deaths.
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Notified. Treated. At home. In hospital. 2 1 1 2 - - - 12 13 ISOLATION HOSPITAL. Dr. Thomas, Medical Superintendent of the Acton and Wembley Joint Hospital up to September 1940, has furnished the following report: β€” The total number of patients admitted to the Hospital in the year was 338β€”5 more than in 1939, and comparing with 633 in 1938, and an average of 610 in the four years 1934-1938. Of the total number of patients admitted, 20 of them were from outside districts, 84 were refugee children and 22 were soldiers billeted in Acton and Wembley. Although the number of admissions of Acton and Wembley residents is lower than that of the previous year, the conditions are so abnormal that no conclusions can be drawn.
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> It will probably be remembered that the Central Authorities could not arrange for the establishment at the hospital of a Casualty Clearing Station, as it was considered to be too near danger zones, and might become a target of enemy planes, but it was one of the few fever hospitals in the immediate neighbourhood, in the grounds of which no hostile bombs fell during the year. This accounts for the admissions of cases from outside districts during the year. We also had to send cases to outside hospitals, but that was because of our inability to provide for the isolation of that particular disease at the time. It will be noticed that during the year, persons suffering from 16 diseases were admitted, compared with 9 diseases in 1939, yet we were fortunate to escape cross-infection. Scarlet Fever. 125 cases of Scaret Fever were admitted, and no deaths; 7 of the cases were diagnosed not to be Scarlet Feverβ€”3 from Acton, 3 from Wembley, and 1 from Ealing.
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9 cases were admitted from houses where a patient had been discharged from hospital less than a month previously. Only one mastoid operation was performed during the year. Diphtheria. 46 cases of Diphtheria were admitted, with one death. Nine of these were probably wrongly diagnosed before admission, 5 from Acton, 3 from Wembley and 1 from Hendon. 14 Cerebro-Spinal Meningitis. During the Spring of the year 14 cases of Cerebro-Spinal Meningitis were admitted; one of these was a contact, the other cases were severe but there was only one death. In the Autumn a case which proved fatal was also admitted. One of the most remarkable achievements in connection with the disease has been the success which has been obtained in its treatment with M & B 693, by means of which the mortality has been materially reduced. In the last War, the mortality in some outbreaks of the disease exceeded 50%.
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The bacteriological examination of the Cerebro-Spinal fluid was done at the Ministry of Health Regional Laboratory at Ealing. German Measles. 31 cases of German Measles were admitted, of which 16 were soldiers billeted in the district. Most of the cases occurred in the early Spring. There were no deaths. Measles. 80 cases of Measles were admitted, of which 74 were refugee children. In the early summer, the buildings connected with the Wembley Stadium and Wembley Pool were adapted for the reception of refugees from Gibraltar. The children were immediately examined there, and following a case of Measles which occurred 'on board one of the ships which carried the refugees, an outbreak occurred amongst those accommodated at Wembley. The refugees admitted were as follows: β€” Under 1 year. 1-2 years. 2-3 years. 3-4 years. 18 19 8 6 4-5 years.
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5-10 years. Over 10 years. 6 15 2 Certain aspects of the outbreak were interesting. Not only was there no death, but with one exception there were no complications. One of the children at the end of the second week developed a night temperature for about 9 days, and then made an uninterrupted recovery. All the other children recovered quickly without any complications. 15 This result was obtained though the majority of the children were at an age when complications from Measles are common. As a matter of interest it might be mentioned that all the cases were treated with M & B 693, as a possible preventive of pulmonary complications though the figures are too small in themselves to be of much use. There were other factors which influenced the results. Most of the cases occurred during the warm months of the year, and a summer epidemic of Measles is always less fatal than a winter one.
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The cases arose from one source of infection, and it used to be held that an epidemic became more fatal if the infection was mixed and massive. The vast majority of the cases were diagnosed and treated in an early stage of the illness. Many of the cases were sent into 'hospital before the rash had appeared. In the early or catarrhal stages, Koplik's spots appear on the mucous membrane of the mouth, and many of the cases were diagnosed and sent to the hospital on the appearance of Koplik's spots. It is at this stage that the disease is most infectious, and this early diagnosis not only limited the infection and probably saved many other children, from developing, the disease, but contributed also to the good results of hospital treatment. In general practice, the doctor is not called in to see the patient at this early stage, and thus does not have a good chance of diagnosing the case in the catarrhal stage.
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It is usually only possible to detect these early cases when a careful inspection of contacts is made, which in this instance was made by the doctors in charge of the medical supervision of the refugee children." ACTON & WEMBLEY JOINT HOSPITAL REPORT FOR THE YEAR, 1940. Patients admitted during 1939β€”333. Patients admitted during 1940β€”338. Patients admitted : S.F. Diph. try. Mens. G. Meas. C.S.M. Typhoid. Fncephalitis. Flu. Dysentery. Wh.C. C.pox. Puerperal Fever. Mumps. 1 mpetigo. Mastoid.
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Acton 23 12 4 2 13 5 4 - - - - 2 2 2 - - WVmbley 88 26 8 77 18 10 - 2 1 4 4 5 - - 1 1 Ealing 7 6 - 1 - - - - - - 1 - - - - - Hendon 7 2 - - - - -Β«- - - - - - - - - - 125 46 12 80 31 15 4 2 1 4 5 7 2 2 1 1 Total = 338. Patients discharged S.F. Dipli. Kry. Meas.' (J. Mens. C.S.M. Typhoid. Fncepha litis. 'Flu. Dysentery. VVh.C. C.l'ox. Puerperal Fever.
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M umps. 1 mpe- Mastoid. Acton 24 11 3 2 13 5 4 - - - - 2 2 2 - - Wembley 81 25 8 76 19 7 - 2 1 4 3 5 - - 1 1 Ealing 4 6 - 1 - - - - - - - - - - - - Hendon 7 2 - - - - - - - - - - - - - - 116 44 11 79 32 12 4 2 1 4 3 7 2 2 1 1 Total = 321. Deaths : Acton Fry. 1 C.S.M Diph.
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; l Wembley β€” 2 - Patients in Hospital, January 1st, 1910= 9 Total = 4 1 2 1 Patients in Hospital, January 1st, 1941 = 22. 16 17 2.β€”Tuberculosis. Particulars of new cases and of deaths from the disease during 1940 are given below. 78 cases of Pulmonary Tuberculosis and 10 cases of other forms of Tuberculosis were notified during the year. There were 35 deaths from Pulmonary Tuberculosis and no deaths from other forms of Tuberculosis. The following Table gives the age incidence of new cases of Tuberculosis in 1940 and of the deaths from the disease in the area in 1940. Age Periods. New Cases. Deaths. Respiratory Non-Respiratory Respiratory Non-Respiratory M. F. M. F. M F. M. F.
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0β€” - - 1 - - - - - 5 2 l 1 - - 1 - - 15β€” 14 7 - 1 1 3 - - 25β€” 12 11 1 4 4 4 - - 35β€” 6 - - 1 3 2 - - 45β€” 13 2 - - 5 - - - 55- 7 - - - 8 1 - - 65 and upwards 2 1 - - 2 - - - Totals 50 22 3 7 24 11 - - 18 19 The following is a statement of the particulars appearing in the Register of cases of Tuberculosis on 31st December, 1940. Pulmonary. NonPulmonary. Total. Number of Cases on the Register at the commencement of the year 222 males 44 males 200 females 43 females .
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509 Number of Cases notified for the first time during the year 56 males 3 males 22 females 7 females 88 Number of Cases previously removed from the Register which have been restored thereto during the year 1 male β€” males 1 female β€” females 2 Number of Cases added to the Register other than by notification 10 males β€” males 5 females 1 female 16 Number of Cases removed from the Register during the year 44 males 2 males 23 females 2 females 71 Number of Cases remaining on the Register at the end of the year 245 males 45 males 205 females 49 females 544 SECTION C. SANITARY CIRCUMSTANCES OF THE AREA. Water Supply. The Borough is supplied with water by the Metropolitan Water Board. 20 Drainage and Sewerage. All the dwelling houses are provided with water closets and are drained into the main sewerage system. By arrangement with the London County Council the sewage is discharged into the London sewers.
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Storm water is filtered and emptied into the Thames. Public Cleansing. The house refuse is collected by the Council and burnt in the Destructor. Last year 16,465 tons of refuse were collected and burned. Sanitary Inspection of the Area. The following table includes the tabular statement furnished by the Sanitary Inspector under Article 27 (18) of the Sanitary Officers (Outside London) Regulations, 1935. TABULAR STATEMENT OF INSPECTIONS AND DETAIL OF WORK CARRIED OUT BY THE SANITARY INSPECTORS. Number of Inspections made and Action Taken.
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Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 1,024 (1) Dealt with by service of Informal Notice 647 (2) Dealt with by service of Statutory Notice under Section 9, Housing Act, 1936 136 (3) Dealt with by service of Statutory Notice under Public Health Acts 27 21 Premises (other than defective dwelling-houses) inspected for nuisances and miscellaneous defects 1,251 (1) Dealt with by service of Informal Notice 775 (2) Dealt with by service of Statutory Notice under Public Health Act, etc. 18 Re-inspections subsequent to service of Notice 4,645 Inspections after notification of Infectious Disease 207 Number of Premises under Periodical Inspection.
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Factories 490 Bakehouses 34 Slaughterhouses 2 Public House Urinals 31 Common Lodging Houses 1 Butchers' Shops 40 Fishmongers' Shops 17 Fish and Chip Shops 18 Greengrocers' Shops 86 Premises where food is manufactured or prepared 55 Grocery and Provision Shops 182 Dairies 15 Cowsheds Nil Piggeries 3 Rag and Bone Dealers 9 Mews 4 Schools (11 Elementary, 1 County, 1 Technical, 1 Private) 14 Caravan Grounds 1 Hairdressers' Shops 42 Rent Restriction Act. Number of Certificates granted 10 22 Detail of Work carried out.
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Sanitary Dustbins provided 292 Yards paved or yard paving repaired 71 Insanitary forecourts remedied 7 Defective drains repaired or reconstructed 36 Defective soil pipes and ventilating shafts repaired or renewed 29 Defective fresh air inlets repaired or renewed 17 Defective gullies removed and replaced by new 43 Rain water downpipes disconnected from drain 15 Dishing and curb to gullies repaired and new gratings-fixed 51 Defective W.C. pan and traps removed and replaced by new 53 Defective W.C. flushing apparatus repaired or new fixed 173 Defective W.C.
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seats repaired or new fixed 70 Defective flush pipe connections repaired 13 Insanitary sinks removed or new fixed 31 Sink waste pipes repaired or trapped 66 Insanitary wall surface above sinks remedied 35 Ventilated food cupboards provided 10 Drinking water cisterns cleansed 54 Defective covers to drinking water cisterns repaired or new fixed 39 Insanitary sites beneath floors concreted 17 Spaces beneath floors ventilated 14 Dampness in walls from defective damp-proof course remedied 130 Dampness from defective roof, rain water gutterings, etc., remedied 418 Defective plastering repaired (number of rooms) 344 Rooms where dirty walls and ceilings have been cleansed and redecorated 778 Defective floors repaired 100 Defective or dangerous stairs repaired 24 Defective doors and windows repaired 408 Defective kitchen ranges and fire grates repaired 157 Defective washing coppers repaired 24 Coal cupboards provided or repaired 2 New W.C.
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apartments provided 14 Accumulations of offensive matter removed 42 Drains unstopped and cleansed 84 Drains tested, exposed for examination, etc 41 Smoke observations taken 52 Smoke nuisances abated on service of notice 6 Miscellaneous nuisances abated 93 Notifications of waste of water sent to Metropolitan Water Board 71 23 Meat Inspection. Tables, showing the meat inspection carried out at the two slaughterhouses in the Borough, will be found on pages CARCASES INSPECTED AND CONDEMNED. Cattle, excluding Cows Cows Calves Sheep & Lambs Pigs 1. Number killed 24 β€” 349 6,078 115,033 2. Number inspected 24 β€” 349 6,078 115,033 3.
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All diseases EXCEPT TUBERCULOSISβ€” Whole carcases condemned β€” \ β€” β€” 19 68 Carcases of, which some part or organ was condemned 4 β€” 1 896 8,070 Percentage of the number inspected affected with disease other than Tuberculosis 16.00% β€” .28% 15.05% 7.07% 4. TUBERCULOSIS ONLYβ€” Whole carcases condemned 1 β€” 1 β€” 208 Carcases of which some part or organ was condemned 9 β€” 2 β€” 7,204 Percentage of the number inspected affected with Tuberculosis .41.66% β€” .85% β€” 6.44% 24 NUMBER OF PIGS' CARCASES INSPECTED FROM 1st JANUARY TO 31st DECEMBER, 1940, WITH ANALYSIS OF SURRENDERS ON ACCOUNT OF DISEASE. 1940. No. of Carcases Inspected. No.
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of Heads Diseased. No. of Carcases Diseased. No. of Sides Diseased. No. of Fore Quarters Diseased. No. of Hind Quarters Diseased. No. of Legs Diseased. Weight of Ribs Diseased. Plucks (Lungs, Livers and Hearts). Mesenteries, Stomachs and Intestines Pieces of Pork. January 4615 129 2 - - - - - 28 188 lbs. - February 4807 185 28 β€” - 2 β€” - 13 2123 ,, β€” March 11972 289 32 1 1 8 2 8 lbs. 1 1593 ,, β€” April 10083 281 14 β€” - 2 β€” β€” β€” 2088 β€ž 519 lbs. May 16498 567 44 β€” 1 4 1 92 lbs.
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β€” 653 β€ž 67 ,, June 1 2382 267 20 β€” 1 - 2 β€” 33 2453 ,, 22 ,, July 11833 117 18 - 1 1 1 428lbs. 103 1660 ,, 31 ,, August 10123 617 21 β€” 7 1 11 44 lbs. 298 993 ,, 324 ,, September 10696 557 5 - 4 1 1 120 lbs. 228 1016 ,, 389 ,, October 4247 325 7 β€” 8 - 1 11 lbs. 104 004 β€ž 253 ,, November 6947 374 10 β€” 2 1 β€” 35 lbs. 104 921 ,, 444 ,, December 5914 212 2 β€” 3 β€” β€” 93 486β€ž 40 ,, Total 108017 4220 203 1 23 20 19 744 lbs.
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1005 14778 lbs. 2089 lbs. 25 INQUESTS. Suicide 8 Accidental Fall 2 Motor Car Accident 5 Accidental Burns 2 Other Causes 6 Total 23 POST-MORTEM WITHOUT INQUEST. Heart Disease 15 Respiratory Conditions 10 Fractured Skull 5 Other Causes 18 Total 48 26 AGES AT DEATH, AND WARD DISTRIBUTION OF DEATHS IN 1940. Causes of Death. Age in Years. Ward Distribution.
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Total Under 1 year 1 and under 2 2 and under 5 5 and under 15 l5 ard under 25 25 and under 45 45 and under 65 65 and upwards North East North West South East South West Enteric Fever 1 β€” - β€” β€” β€” - 1 β€” - β€” β€” 1 Influenza 4 β€” - β€” β€” - 2 β€” 2 2 2 β€” β€” Diphtheria 1 β€” - β€” 1 β€” β€”- - β€” β€” β€” - 1 Cerebro-Spinal Fever 1 - - - - - 1 β€” β€” - β€” 1 β€” ' Pulmonary T.B 37 - β€” 1 5 13 15 3 9 7 8 13 Other T.
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B 1 β€” β€” 1 1 2 β€” β€” β€” 1 2 1 Nervous Diseases 7 ~~~ - β€” β€” - 1 2 4 2 2 2 1 Diabetes 6 - - - - - β€” 1 5 1 1 2 2 Cancer 112 β€” - β€” β€” 1 8 15 58 33 23 28 28 Sarcoma Hypernephroma 4 β€” - β€” 1 - β€” 2 1 1 1 1 1 Cerebral Haemorrhage,
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Thrombosis 58 2 β€” β€” - 3 14 39 25 9 12 12 Heart Disease 108 1 β€” β€” 2 7 39 100 46 28 39 45 Other circulatory diseases 27 β€” - β€” β€” - - 10 17 0 9 8 4 Bronchitis 38 3 β€” β€” - 1 9 25 13 9 6 10 Pneumonia 60 8 2 - β€” - 5 18 33 20 11 12 23 Other respiratory diseases 20 2 β€” β€” β€” - 2 10 6 7 4 6 4 Peptic Ulcer 5 β€” β€” β€” β€” β€” β€” 4 1 1 1 β€” 3 Diarrhoea and Gastro.
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Enteritis 7 7 β€” β€” β€” β€” - β€” β€” 1 2 1 2 Cirrhosis of Liver and Gall Bladder 4 β€” β€” β€” 1 β€” β€” 2 1 4 - β€” Diseases of Alimentary tract 9 β€” β€” β€” 1 3 1 2 2 1 2) 1 2 Cerebral Tumour 5 - - - - - 1 1 3 1 2 β€” 2 Nephritis 32 β€” β€” β€” 2 β€” 2 8 20 14 10 5 3 Senility 49 β€” β€” β€” β€” β€” β€” β€”.
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49 15 6 11 17 Enlarged Prostate 4 β€” β€” β€” β€” β€” - β€” 4 1 1 1 1 Childbirth 1 β€” β€” β€” β€” 1 β€” - - 1 β€” β€” - Other diseases of Parturition 1 - - - - - 1 β€” β€” - β€” β€” 1 Cong.
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Debility and Prematurity 17 17 β€” β€” β€” β€” β€” β€” β€” 10 2 4 1 Suicides 8 - β€” β€” β€” 1 1 2 1 2 β€” 5 1 Other deaths from Violence 17 β€” 1 - β€” 1 2 5 8 10 2 4 1 Deaths from War Operations 86 1 β€” 4 3 13 25 31 9 35 24 22 5 Infantile Convulsions 2 2| β€” β€” β€” - - - - 1 β€” - 1 Epilepsy 2 β€” - β€” β€” 2 β€” β€” 1 β€” - 1 Other ill-defined Diseases 12 1 β€” β€” β€” 1 5 5 3 1 1 1 TOTALS 805 43 4 1 11 28 81 226 408 269 164 181 191 27 BACTERIOLOGICAL EXAMINATIONS.
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(a) For Diphtheria. Positive.Negative. Total Examinations, 74 5 69 Sent by Medical Practitioners 2 37 Convalescents (1st Swab) β€” 4 Contacts (1st Swab) β€” β€” 19 Precautionary Swabs β€” β€” 7 School Sore Throats β€” 2 (b) For Haemolytic Streptococcus. Positive. Negative. Total Examinations β€” β€” β€” (c) For Vincent's Angina. Positive. Negative. Total Examinations, 1 β€” β€” β€” 1 (d) For Ringworm. Positive. Negative. Total Examinations, 1 β€” β€” β€” 1 (e) For Tubercle. Positive. Negative. Total Examinations, 46 β€” 15 31 28 ANNUAL REPORT of the School Medical Officer FOR THE YEAR 1940. Town Hall, Acton, W.3.
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To the Chairman and Members of the Acton Education Committee. Ladies and Gentlemen, We beg to submit the following report upon the schools and school children of Acton for the year 1940. Following the request of the Board of Education, the report will be short and the Statistical Tables have been yet further condensed. This has been a very difficult school year, the school population fluctuating constantly. Compulsory school attendance was re-introduced as from 26th February, 1940, for all children for whom reasonable shelter accommodation could be provided. No children under 5 were admitted to school. 29 In June a second large evacuation of children took place and thereafter the " Trickle " Scheme operated. In spite of this, in September 1940 there were 3,237 children on the school rolls, and at the end of 1940 there were still nearly 2,000 children on the rolls. Attendance at school was bad, especially following heavy enemy action in the autumn.
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Children who had been evacuated came back and were re-evacuated sometimes as often as three or four times. In some cases the children's return was completely justified, as the parent would find on visiting that the child was uncomfortable, unhappy, or unclean. Several children were brought back because they had contracted Scabies. The 'milk in schools' scheme was begun in May 1940 and free meals and milk were supplied to necessitous children. The numbers of such children in Acton were much less than in peace time as there was almost no unemployment and in a number of cases both parents were working. Children whose parents wished it, were allowed to have school meals and pay for them, but in most cases arrangements were made at home with relatives or friends. All the usual clinics operated throughout the year, Minor Ailment, Dental, Ophthalmic, Rheumatic, Nose & Ear Clinics, etc. There were no changes in the staff and work was carried on as normally as possible.
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30 AVERAGE HEIGHTS AND WEIGHTS. LEAVERS (BOYS) Total 12 yrs. of age. 13 yrs. of age. 14 yrs. of age. No. seen Height ins. Weight lbs. No. seen Height ins. Weight lbs. No. seen Height ins. Weight lbs. Acton Wells 15 13 59.5 84.8 2 63.1 100.7 ... ... John Perryn 23 15 58.3 80 8 60.2 87.9 ... - Priory 52 38 58 80.7 14 60.3 90.5 ... ... Southfield 46 38 58.6 80.6 8 58.2 94.3 ... ... Turnham Gn. R.C.
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8 7 58.5 82.2 1 66 131.5 ... ...β€” .... West Acton 14 14 58.9 83.9 ... ... ... ... ... 158 125 ... ... 83 ... ... ... ... LEAVERS (GIRLS) Acton Wells 20 15 60.8 94.4 5 62.6 101 ... ... Beaumont Park 50 43 59.6 88.3 7 59.9 89.3 ... ... John Perryn 31 28 59.4 87.3 3 60.4 85.3 ... ... Priory 62 52 59.8 86.9 9 61.7 96.1 1 62.5 101 Turnham Gn. R.C.
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8 6 59.5 85.8 2 64.5 105.7 ... ... West Acton 9 9 59.7 92 ... ... .... ... ... 180 153 ... ... 26 ... ... 1 ... 31 AVERAGE HEIGHTS AND WEIGHTS. INTERMEDIATES (BOYS) Total Age Groups. No. soon 7 8 9 Height ins. Weight lbs. No. seen Height ins. Weight lbs. No. seen Height ins. Weight lbs. Acton Wells 8 . . . 7 50.8 56.7 1 53 77.5 Beaumont Park 10 6 50 58.5 3 51.3 58.2 1 52.8 62.8 Berrymede 43 16 49.8 57.6 22 50.2 57.4 5 53.8 66.
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6 Derwentwater 44 12 48.1 50.2 22 50.7 60.1 10 53 65.1 John Perryn 29 9 49.8 56.1 18 50.6 58.1 2 50 56.6 Priory 1 1 45.8 43 . . . . . . Rothschild 31 7 49.2 56.9 23 50.3 57 1 52 61.8 Southfield 27 8 50.1 58.9 13 50.1 56.9 6 52.7 63.9 Roman Catholic 20 6. 49.7 56.2 14 50.6 57.4 . . . West Acton 16 2 51.1 56.9 13 51.1 58.4 1 51 56.8 229 67 .
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. 135 . . 27 . . (GIRLS) Acton Wells 7 2 50.2 51.2 5 51.3 57.4 . . . Beaumont Park 14 7 50.7 59 6 51.5 61.4 1 52.8 57.5 Berrymede 50 11 49.5 56.5 35 50.2 56.7 4 52.3 65.4 Derwentwater 42 14 49.1 54.8 17 51.1 59.6 11 51.7 59.4 John Perrvn 27 5 49.3 54.4 17 50.3 55.4 5 52.9 64.4 Priory 4 4 49.1 52.2 . . . . . . Rothschild 1 . . . 1 50 49.
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3 . . . Southfield 36 4 48.9 48.6 23 50.5 59 11 53.3 62.7 Roman Catholic 10 6 50.1 54.7 4 51 61 . . . West Acton 12 4 51.9 59 7 50.9 57.2 1 56 69 205 57 . . 115 . . 33 . . 32 AVERAGE HEIGHTS AND WEIGHTS. ENTRANTS. 5 6 BOYS. Total .No. seen Ht. Ht. No. seen Ht.
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Ht Acton Wells 5 1 41.5 31.5 4 46.2 46.7 Beaumont Park 8 6 43.3 42.8 2 47 46.6 Berrymede 7 7 45.5 45.9 Derwentwater 19 15 44 43.8 4 46.3 46.9 John Perryn 15 11 43.6 42 4 46.9 48.6 Priory 18 10 43.1 40.5 8 46.9 46.3 Rothschild 10 8 43.8 43.8 2 44.1 41 Southfield 18 17 44.8 43.8 1 50.5 55.8.
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Roman Catholic 3 4 43.8 43.3 1 47.8 49.8 West Acton 9 6 45.3 41.7 3 46.4 44.4 114 85 29 GIRLS. Acton Wells 3 3 42.9 53.6 Beaumont Park 10 6 43.8 40.8 4 47.1 51 Berrymede 7 6 44.1 44.5 1 43.3 41 Derwentwater 26 22 43.4 40.8 4 48.5 52.2 John Perryn 14 10 45.2 42.5 4 46 43.4 Priory 16 11 44.7 43 5 44.6 40.5 Rothschild 9 7 43.5 42.7 2 47.
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6 48 Southfield 21 12 44.4 42.8 9 46.6 56.2 Roman Catholic 4 2 44 45.6 2 46.1 49.9 West Acton 4 2 44.4 42.9 2 45.5 44.6 114 81 33 33 INFECTIOUS DISEASES.' Scarlet Fever. 4 cases only were reported during 1940 in the school population, 3 at Southfield School and 1 at Rothschild. Diphtheria. 2 cases only were reported during 1940 in the school population, 1 at Berrymede School and 1 at Prioiy. Free immunisation is still being offered to all our school children and the scheme is run on the same lines as indicated in previous Annual Reports.
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Percentages of children inoculated in our schools are given in the following Table, but it must be remembered that the school population was varying and fluctuating during the year, and these end of the year figures therefore are merely interesting and not likely to be representative for long of the conditions at each school. PERCENTAGES OF CHILDREN INOCULATED. table I. Schbol. Age Groups. Under 7. 7β€”11. 11β€”14. Totals Acton Wells 29.1% 43.5% 57% 46.5% Beaumont Park 53.6% 66.1% 59.7% 59.9% Berrymede 24.4% 43.05% β€” 38.3% Derwentwater 37.3% 46.5% β€” 42.7% John Perryn 44.4% 51.8% 60.9% 53.4% Priory 47.
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05% β€” 40.3% 41.6% Rothschild 42.1% 66.6% β€” 57.5% Southfield 54.4% 47.7% 51.7% 50.3% Roman Catholic 63.6% 40% 13.3% 37.5% West Acton 38.08% 62.3% 59.09% 55.2% Total 41.6% 50.3% 49.2% 47.8% Inoculation figures for 1940 are given in detail below but are, as was to be expected, poor. The bulk of children inoculated were of pre-school age, which is as it should be and a step in the right direction. It is in the early years of life that Diphtheria is particularly dangerous. 34 TABLB II. DIPHTHERIA IMMUNISATIONβ€”1940. School.
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Primary Schick test. 1st. Inoculations with A.P.T. 3rd. Re-inoculation after Schick test after 3 years. Pos. Neg. 2nd. 3 years. Pos. Neg.