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573ec43d-28d3-476a-8f87-d45ef9869d43 | Acton Wells 2 3 2 - - 6 Beaumont Park — — 7 — — — — — Berrymede — 1 — — — — — — Derwentwater 4 3 12 — — 1 — — John Perryn 1 1 8 - — 11 — — Priory — 1 7 2 4 6 — — Rothschild — — — — — 1 — — Southfield 4 2 13 — 2 15 — — Other Schools — — 2 — — — — Infant Welfare — — 253 218 184 — — — Isolation Hospital — — 3 2 2 " — — — Total 11 11 307 222 192 34 - 6 35 Scabies. This disease continues to be a serious nuisance. 45 cases were treated, some at home, and some were sent to cleansing baths at Kensington, with which borough Acton has an arrangement for this purpose. |
2ba9f6e6-3855-4f50-b91c-feea767b45e1 | Table 3 shows the distribution of these cases. TABLE 3 DISTRIBUTION OF SCABIES. 5.1.40. Esmond Road Southfield Baths 6.1.40. St. Albans Avenue (2 children) Southfield „ 16.1.40. Maldon Road Derwentwater Home treatm't 22.1.40. Saxon Drive (2 children) West Acton „ „ 31.1.40. St. Andrews Road (2 children) John Perryn „ 7.2.40. Petersfield Road (2 children) Berrymede Baths 17.2.40. St. Albans Avenue Beaumont Park Home treatm't 22.2.40. Colville Road Berrymede „ „ 22.2.40. Shakespeare Road Priory „ „ 24.2.40. |
e0c47717-c49e-4c39-b793-82b2062ef472 | Mill Hill Road Priory „ „ 12.3.40. Holland Terrace (2 children) Berrymede „ „ 15.3.40. Osborne Road Priory „ „ *8.4.40. St. Albans Avenue (2 children) Southfield „ „ 16.4.40. Somerset Road Special (M.D.) „ „ *16.4.40. St. Andrews Road (2 children) John Perryn Baths 22.4.40. Bayham Road (2 children) Southfield Home treatm't 28.5.40. Essex Road Derwentwater „ „ 22.5.40. The Vale (2 children) Southfield „ „ 8.6.40. The Vale (2 children) Southfield „ ,, 11.6.40. Essex Pk. Mews, The Vale Southfield „ „ 11.6.40. |
0a03a16e-640e-4514-90c5-5f5d95808716 | Goldsmith Road Priory „ „ 12.6.40. Palmerston Road Priory Baths 18.6.40. Birkbeck Road Priory „ 18.6.40. Lynton Road Derwentwater Home treatm't 1.7.40. Acorn Gardens Acton Wells „ „ 12.7.40. Packington Road Berrymede „ „ 25.7.40. Bollo Lane (2 children) Berrymede Baths 8.8.40. Stirling Road (2 children) Berrymede „ 3.9.40. Birkbeck Avenue Derwentwater Home treatm't 13.11.40. Packington Road Priory Baths 21.11.40. Cowper Road Derwentwater Home treatm't 25.11.40. Shakespeare Road County School „ „ 25.11.40. |
e1075005-0092-4e39-9724-4f96d0bda4cc | Newburgh Road County School „ „ * Denotes a return case. 36 PROVISION OF MEALS. Free meals were distributed from 1st May 1940 at two feeding centres, Priory and John Perryn School. The numbers were few as there is very little unemployment now amongst parents of school children. Nutrition surveys were held each term by the School Medical (Officer, the Head Teacher of each school being requested to bring forward for examination any children suspected of being undernourished. School Nurses and Head Teachers were also requested to be constantly on the outlook for such cases and to refer them to the Medical Officer for inspection. Free milk was supplied to all schools as from 1st May, 1940. the numbers again were low, as the table given below shows. At one point milk could not be supplied to some of the schools owing to difficulties in supplying l/3rd pint bottles. |
41d19c68-46a5-40ac-9fed-4fdfd9daf21e | In most of the schools quart bottles of milk are now being supplied, the children bring cups and the milk is divided out. One school supplied Horlicks malted milk instead of plain milk, during the winter. table 4. Provision of Meals and Milk. — Number of meals supplied 741 Number of bottles of milk 6,185 Number of children to whom meals and milk were granted 21 Number of children to whom free milk was granted 23 THROAT, EAR & NOSE CLINIC. These Clinics were run in conjunction as in previous years. Children suffering from post nasal catarrh were treated where the disease consisted of: — (a) Post nasal catarrh only giving rise to symptoms of deafness. (b) Post nasal catarrh with ear discharge. (c) Post nasal catarrh giving rise to symptoms suggesting necessary removal of Tonsils and Adenoids,—i.e., large tonsils, enlarged glands, obstruction to nasal breathing, etc. |
8b26b586-efb2-4f84-9ae0-37e251c54308 | 37 TABLE 5. Nose Clinic. Cured 13 Not cured and referred to Hospital for further treatment 2 Evacuated before completion of treatment 11 Left Acton 2 Did not report for examination after treatment— result unknown 2 30 Ear Clinic. (i) Those suffering from Otorrhoea. Cured 2 Referred to Hospital because of complications 1 Failed to attend for treatment 1 Evacuated before finishing treatment 5 9 (ii) Those suffering from Earache. Due to external otitis 3 Due to wax 2 Due to bad teeth 2 Due to head colds 4 11 (iii) Those suffering front Deafness. Due to wax 2 38 REPORT OF THE DENTAL SURGEON. With the re-opening of the schools in January 1940, we were able to resume regular school dental inspections with corresponding benefit to the number of children treated. |
5f2ac04e-4b71-463b-8060-0e2f8a52b1b8 | The percentage of acceptances seems to have remained about the same as last year. Other figures cannot of course be compared with 1939, the earlier months of which were normal. With regard to Maternity and Child Welfare work, the number of mothers examined was 213 as against 174 in 1938, that being the last complete normal working year. The number treated was 205 as-against 99 in 1938. The number of infants treated was 92 as against 74 in 1938. Further figures are given below of the work undertaken for Maternity and Child Welfare cases and for pupils attending the Acton County and Junior Technical Schools. Maternity & Child Welfare. |
67dc3fad-acfd-40c9-bd74-00eece689b1c | Technical & County Schools Mothers examined 213 Number examined 492 Mothers referred 212 Referred for treatment 309 Mothers treated 205 Number treated 246 Children examined 88 Attendances 388 Children referred 85 Permanent Fillings 276 Children treated 92 Permanent Extractions 124 Permanent Fillings 87 Temporary Fillings — Permanent Extractions 823 Temporary Extractions 21 Temporary Fillings 18. Dressings 79 \ Temporary Extractions 286 Dressings 204 Number of attendances 663 Dentures supplied 29 P. H. Slater. 39 REPORT OF THE SCHOOL OCULIST. The numbers referred for treatment have again been reduced owing to war conditions. During the year, 182 Elementary school children were referred for examination. Of these, 30 did not require glasses, 116 obtained glasses through the Clinic, 3 obtained glasses privately, and 33 refused treatment or left Acton. There were 3 cases of external eye disease. |
b79e1c99-660f-4a9c-b8f1-e4448b8a5eac | 22 children and 1 mother were referred from the Welfare Centres. Of these, 12 children and 1 mother obtained glasses, 3 children did not require glasses and 7 children refused treatment or left the district. There was 1 case of external eye disease. 40 boys were referred from the Secondary and Junior Technical Schools. Of these, 34 obtained glasses and 6 did not require glasses. There was 1 case of external eye disease. It has not been possible to arrange for any orthoptic training, owing to war conditions, but every effort is being made by occlusion and regular supervision to prevent the occurrence of amblyopia. v. e. Brander. EXCEPTIONAL CHILDREN. TABLE 6. Deject. In Hosp. Residential Spec. or Open Air Sch. Ord. Elem. School Evacuated At home. |
9eff1087-bd6b-49fd-b220-59b2262fde09 | Total Tuberculosis - » - - - - Delicate — 2 2 5 — 9 Rheumatism — 1 1 2 1 5 Crippled — 1 — — — 1 Epilepsy — 3 1 — — 4 Deaf & Dumb — 4 — 1 — 5 Blind and - 1 - 2 - 3 Partially Sighted. The above table gives the position as accurately as it is possible to ascertain it. 40 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. Acton Wells 20 Southfield 38 Beaumont Park 72' West Acton 13 Berrymede 93 Roman Catholic 4 Derwentwater 15 Special School 10 John Perryn 5 Priory 85 85 Total 422 Rothschild 67 MEDICAL INSPECTION RETURNS. |
c897e43c-1e4a-4c29-9602-ab29a2886f01 | TABLE I. A.—Routine Medical Inspections. Number of Inspections in the prescribed Groups:— Entrants 228 Second Age Group 431 Third Age Group 338 Total 1000 Number of other Routine Inspections Grand Total 1000 B.—Other Inspections. Number of Special Inspections and Re-Inspections 2627 41 TABLE II. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Croups. Age-groups ' Number of Children Inspected A (Excellent) B (Normal) C (Slightly subnormal) D (Bad) No. % No. % No. % No. % Entrants 228 62 22.8 156 68.4 20 8.7 — — Second Age-group 434 122 28.1 274 63.1 36 8.2 2 4 Third Age-group 338 123 36.3 194 57.3 21 6.2 . |
8542427f-40d2-4b8a-ba1a-9ad1b7dff010 | — — Other Routine Inspections — ; — — — — — - — Total 1000 297 29.7 624 62.4 77 7.7 2 .2 42 TABLE III. Group 1.—Minor Ailments (excluding Uncleanliness. for which see Table V. Total Number of Defects treated or under treatment during the year under the Authority's Scheme 375 Group II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I). No. of defects death with Defect or Disease. Under the Authority's Scheme Otherwise Total (1) (2) (3) (4) Errors of Refraction (including squint) 179 3 182 Other defect or disease of the eyes (excluding those recorded in Group I) 4 — 4 Total 183 3 186 No. |
689fca98-ce4c-4ac4-9d95-7494a4acaace | of Children for whom spectacles were— (a) Prescribed 116 3 119 (b) Obtained 116 3 119 Group III.—Treatment of Defects of Nose and Throat. Number of Defects. Received Operative Treatment Under the Authority's scheme, in Clinic or Hospital By Private Practitioner or Hospital, apart from the Authority's Scheme Received other forms of Treatment. Total number treated. (1) (2) (3) (4) - - — - 43 TABLE IV. Dental Inspection and Treatment. |
30699872-2d8a-4934-bc95-088c42d79db6 | (1) Number of children inspected by the Dentist: (4) Attendances made by children for treatment 1834 Age: 5) Half-days devoted to: (a) Routine age-groups - 5— 313 Inspection 25 Treatment 436 6—317 Total 461 7— 350 8—357 9— 357 (6) Fillings : 10— 340 Permanent Teeth 853 11— -286 Temporary Teeth 40 12— 316 13— 277 Total 893 14— 36' -2949 (7) Extractions: Permanent Teeth 433 (b) Specials 17 Temporary Teeth Total 1672 2105 (c)Total (Routine & Special) 2966 (8) Administrations of general anaesthetics for extractions 979 (9) Other Operations: (2)Number found to require treatment 2093 Permanent Teeth 113 Temporary Teeth 62 (3) Number actually treated 1342 Total 175 TABLE V. |
dfa5826e-d7f5-42ea-90f9-6422890bf6e5 | Verminous Conditions. Average number of visits per school made during the year by the School Nurses 7 Total number of examinations of children in the Schools by School Nurses 14558 Number of individual children found unclean:— Vermin and Nits 27 Slightly Infested 209 Number of individual children cleansed under Section 87 (2) and (3) of the Education Act, 1921 — Number of cases in which legal proceedings were taken:— (a) Under the Education Act, 1921 - (b) Under School Attendance Byelaws — 44 TABLE VI. Blind and Deaf Children. 1. At a Public Elementary School. 2. At an institution other than a Special School. 3. At no School or Institution 4. Total not receiving suitable education. Blind Children — — — Nil Deaf Children — — — Nil Mentally Defective Children. |
f6625c6e-9465-42a2-b049-d1cebf45f162 | Total number of children notified during the year ended 31st December, 1940, by the Local Education Authority to the Local Mental Deficiency Authority, under the Mental Deficiency (Notification of Children) Regulations, 1928 1 We are, Your Obedient Servants, G. E. B. PAYNE, E. MADELEY. |
da3da00e-5a41-4ddc-a5bb-c63e0e0c9ff4 | ACT 44 Borough of Acton , ANNUAL REPORT of the Medical Officer of Health together with the Report on the Medical \ Inspection of Schools FOR THE YEAR 1941 annual report of the MEDICAL OFFICER OF HEALTH FOR THE YEAR 1941. 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 1941. 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. The statistics for the Borough show that the birth rate per thousand of the population is 14.4 as compared with 14.0 in 1940. |
19adeaa5-52f1-43dd-9e41-b42009576081 | The death rate for 1941 is 12.5 as compared with 14.7 for 1940. The infantile mortality rate of children under one year is 47.8 as compared with 58.3 in 1940. In 1940 the death rate of maternal cases was 2.6 as compared with 2.9 in 1941. Actually there were the same number of cases in both year but the Registrar General estimates the population of action lawer than in 1940 and thus, the death rate is higher this year. During 1941, although the birth rate has only increased slightly, It would appear that by the large number of expectant mothers attending the ante-natal clinics, that the expectant mother is making a free use of the clinics. 4 As regards the notification of infectious diseases in the Borough, there were over 500 cases notified. |
b2331324-986e-46d6-9bef-4b47897101b0 | The majority of these cases were attributed to measles and whooping cough, scarlet fever and diphtheria being very low during the year. I feel that the Council may congratulate themselves that there has been no large major epidemic during the year having regard to the fact that for a considerable part of the year one of the large sewers in the town was under repair. Under the conditions in which we now live, when our water supply or sewerage sytsem may be disrupted, all precautions have to be taken to prevent epidemics developing, it is very fortunate that there have been no cases of enteric fever during the year. Of the minor infectious and contagious diseases, and with regard to their seriousness on health, scabies appears to be definitely on the increase and every endeavour has been made to treat people who are known to be suffering from this unpleasant ailment. |
dfeb8468-0242-4c78-bc81-cc8d7b963dc3 | For some years now, scabies has been on the increase in this Borough, and when people were living in shelters it was not surprising that under the close conditions in which they lived with their fellow people, that one case of scabies could infect others. Although no case was traced in Acton to this cause, it was necessary to take all precautions to prevent an increase in scabies, by canying out a thorough treatment of any person known to be suffering from this complaint. Civil Defence still plays an important part in the work of the Borough, and every endeavour is made for the personnel to be housed at their Depots in a reasonable state of comfort. I still feel that it is my duty to inform you of the satisfactory manner in which the Civil Defence Casualty Services have been trained and their knowledge maintained by various tests that are being carried out. |
d9315dac-5ad5-49e5-8032-af9ea8a47193 | During this year a First Aid Party competition was arranged for the members of Stretcher Party Service and those of you who witnessed this competition will well remember the smart and efficient way in which the teams in the finals carried out first aid work set for them in the competition. I feel that the Casualty Service have carried out their duties, however trying and tedious, in a manner as fine as in 1940. I should like to thank the Staff of the Public Health Department for their kind co-operation and loyalty throughout the year. I remain, Your Obedient Servant, GEORGE E. B. PAYNE. 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. (On War Service). |
72e83a79-949f-4eb8-9b72-323ca8cf58cd | 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. 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. C. Codrington, Temporary Sanitary Inspector. A. H. G. Johnson, Cert, of Royal Sanitary Institute; holds Meat Certificate; Meat Inspector. |
3b953253-8e9c-4798-933b-be5ebb6821a4 | Miss B. G. Sorlie, s.r.n., Certificate of Royal Sanitary Institute, c.m.b., H.V. Diploma, Health Visitor and School Nurse. Miss M. Percival, 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. Miss A. Woosnam, s.r.n., c.m.b., Health Visitor and School Nurse. Miss W. Fordyce, s.r.n., Certificate of Royal Sanitary Institute, c.m.b., Health Visitor and School Nurse. 6 Miss K. Carney, Housing Visitor. A. S. M. Pratt, Barrister-at-Law; Chief Clerk. Miss H. Willy, Senior Clerk. Mrs- J. Jeffery, Clerk. Miss M. G. Hester, Clerk. |
d937297b-a588-4b73-91c5-04381326c926 | Miss M. Pears, Clerk. Miss D. Beezley, Clerk. Miss J. Watts, Clerk. Miss F. A. Cavendish, Matron, Day Nursery. T. W. Mason, Mortuary Keeper. (On War Service). G. H. J. Saunders, Disinfector and Acting Mortuary Keeper. SECTION A. General Statistics. Area 2,317 acres. Population Census, 1931 70,510 Registrar General's estimate, 1941 49,800 Rateable Value £813,784 (Sum represented by the product of a penny rate, £3,152). General Rate in the £1 (half-year) 6/4d. 7 Extract from Vital Statistics. Live Births. Total (B.R.) |
ee527be7-791c-45ff-8b13-63041d09c11a | M. F. Legitimate 676 370 306 Illegitimate 44 20 24 Birth rate per 1,000 of the estimated population—14.4 Still Births. Legitimate 19 15 4 Illegitimate — — — Deaths Death rate per 1,000 inhabitants 12.5 Deaths from 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 — — No. 30. Other Puerperal Causes 2 2.9 Death rate of Infants under 1 year of age. |
7c9f4164-0b39-423d-864b-271a17f3f2cf | All infants per 1,000 live births 47.8 Legitimate infants per 1,000 legitimate live births __ • 44.3 Illegitimate infants per 1,000 illegitimate live births 90.9 Deaths from Cancer (all ages) 121 Deaths from Measles (all ages) 1 Deaths from .Whooping Cough (all ages) 2 Deaths from Diphtheria (all ages) 2 Diarrhoea (under 2 years of age) 3 8 SECTION B. Laboratory Facilities. At the laboratory in the Town Hall examinations of cultures are carried out for the presence of Corynebacterium diphtheriae and sputa are examined for the presence of Tubercle Bacilli. Other specimens requiring examination are sent to the Emergency Medical Service Laboratory at Ealing. Ambulance Facilities. The Acton and Wembley Joint Hospital Committee possesses an Ambulance for the removal of infectious cases from the Acton and Wembley areas. |
c47302cc-3426-4d4b-bb37-2ee403cb70df | Two ambulances are maintained at the Fire Station for accident and non-infectious cases. Nursing in the Home. The same arrangements are in existence as in previous years and during the year three hundred and four sick persons were nursed and 10,798 visits made. Hospital Provision. The Isolation Hospital is now managed by the Acton and Wembley Joint Hospital Committee. The Acton Voluntary Hospital is still admitting cases. Maternity and Child Welfare. The attendances at both the child welfare and ante natal clinics are well maintained. The National Milk Scheme has now been in operation for a year and by this arrangement every child under five can receive a pint of fresh milk each day. In certain circumstances on the recommendation of the Doctor or Medical Officer of a Welfare Clinic, the child may receive National Dried Milk in place of fresh milk. There are two grades of National Dried Milk—full cream and half cream, both of which are suitable for children under one year of age. |
567f733f-d96f-49f8-b79d-b2f2f3c554c6 | The amount of proprietary dried milk sold by the Maternity and Child Welfare Department to Mothers, was 8,131 lbs. One would have expected that this sale of milk would have dropped in the advent of the National Milk Scheme, but for some reason, which at present it is very difficult to explain, the drop has not been so much as was at 9 first expected. I think, however, that one explanation is that Mothers are feeding their children artificially rather than by breast feeding, partly because owing to economic conditions, e.g., a Mother who has a young child and her husband in the forces, is necessarily forced to find work in order to keep herself and her child, as she is unable to manage adequately on the allotment made, so consequently she is unable to feed her child naturally herself as she must be away working as soon as possible and thus she feeds her child artificially because some friend or neighbour is able to look after the child while she is at work. |
33f20df8-4b60-4889-81c9-2b17147972b4 | Many of the Mothers do not seem to take kindly to the National Dried Milk and prefer to pay for the proprietary dried foods on which their other children have been reared. The number of mothers availing themselves of the use of the ante-natal clinic will necessitate the appointment of an extra health visitor. Maternal Mortality. There were two maternal deaths during the year, the first case was due to shock following acute post partum inversion of the uterus, and occurred in an institution outside the Borough; the other death occurred in the Acton Hospital, and was due to the pulmonary embolism associated with subinvolution of the uterus due to retention of part of the placenta. This patient attended the ante-natal clinic once only and neglected to carry out what advice was given. Infantile Mortality. There were 31 deaths occurring in children under one year, giving an infantile mortality figure of 47.8, as compared with 58.3 per 1,000 in 1940. |
380de693-6823-4b79-bd7a-8f5f442203b7 | The mortality rate for illegitimate children is 90.9 per thousand. Day Nursery. The Day Nursery in Bollo Bridge Road was re-opened in April of this year, the Matron and Assistant Matron were transferred from "Aigburth," Woking, to Acton and re-established the Day Nursery. The number of staff has been increased and staff rooms improved in order to provide additional facilities for the staff. The permission of the Committee has been obtained to instal a refrigerator and this is an added amenity to the Nursery. The number of children using the Nursery is about 28 to 30 per day. The total yearly attendances were 4,826. During this period there were 208 half-days and 4,618 whole day attendances. 10 During the early part of the year it was ascertained there was a need for a war-time day nursery in the Horn Lane area. |
0dcd99dc-e408-4aeb-9f13-9c3014bd59a8 | After considerable difficulty, premises were found to which, although not by any means ideal, the Ministry's approval was given for the plans. The work necessitated much renovation of the premises. The nurseryconsists of a block of four two-storied houses in Horn Lane and when completed, will Serve a very useful purpose in this area. Unfortunately, these premises will not be ready for occupation until the early part of Further sites for war-time nurseries have been considered and St. Dunstan's Vicarage in East Acton has been approved by the Ministry as a site, and the plans have been submitted to the Ministry for approval. The Committee also approved the Priory Club premises as a day nursery and plans will be prepared for submission to the Ministry. At the request of the Committee, suitable premises in South Acton are to be found, plans of which will be drawn up when a suitable site has been approved by the Committee. Nurse Children. |
cc300fb0-22aa-4163-8d4d-beffc3ad8b52 | The number of foster mothers on the register in 1941 looking after nurse children was 17. Owing to so many female persons working, it is difficult to find enough foster mothers for these children. TABLE 1. INFANT WELFARE CENTRES, 1941. Number of Centres provided and maintained by the Council 4 Total number of attendances at all Centres during the year: — (a) By children under 1 year of age 6,731 (b) By children between 1 and 5 years of age 3,676 Number of children who attended for the first time during the year:— (a) Under 1 year of age 57B (b) Between 1 and 5 years of age 183 Percentage of notified live births represented by number of children who attended a Centre for the first time during the year 80.2% Children treated at Dental Clinic 93 Children treated at Ophthalmic Clinic 22 11 TABLE 2. |
68d70f4d-86b4-4b11-8de6-86d26a3d5665 | ANTE-NATAL CLINIC. Number of Expectant Mothers who attended 497 Number of attendances made by Expectant Mothers 1,582 Mothers referred for Dental Treatment at the Clink 207 Mothers supplied with Dentures 30 Mothers treated at Ophthalmic Clinic Nil Expectant Mothers to whom dried milk was supplied free Nil Number of lbs. of Dried Milk supplied free Nil PREVALENCE AND CONTROL OF INFECTIOUS DISEASES. During the year under review, there were notified 505 cases of infectious diseases. Of this number, 234 and 107 were attributed to Measles and Pertussis respectively; and of the remaining 164, 79 Were due to Pulmonary and 10 were notified as non-pulmonary tuberculosis; and 32 were due to pneumonia. Twelve cases of Scarlet Fever were notified during the year, and 6 cases of Diphtheria were treated in the Isolation Hospital. |
5f64ec72-bb2a-45dc-9a8f-4defdb7d8e08 | There were no deaths caused by Scarlet Fever, but 2 children Succumbed from Diphtheria. Neither had been immunised against Diphtheria and in both cases the parents did not call for medical aid until the child was "in extremis." In all, 13 cases were admitted to the Isolation Hospital as Suffering from Diphtheria, but actually of this number only 3 Suffered from Diphtheria of the throat and as mentioned above, two died. One other child was admitted as a nasal carrier and the remainder admitted to the hospital were not diagnosed as suffering from Diphtheria, although the doctor seeing the case Considered than clinically Diphtheria. Every endeavour has been made by the use of films, articles in the Press, and circularizing the parents at regular intervals, to induce them to permit their children to be immunised against Diphtheria. |
f31cc807-967a-4d38-8237-341ba5e77011 | During the year, 405 children under 5 and 192 school children were immunised against Diphtheria. The regulations requiring Measles and Pertussis Id be notified have now been in existence since 1940 but it has taken nearly a year for the medical practitioners to be educated to notify the cases in has been necessary to remind the doctors on several occasions and the result has been that 234 cases of Measles and 107 of Pertussis were notified during 1941 as compared with 28 and 4 respectively in 1940. 12 For some years now it has been the practice to recommend parents that if their young children have not had whooping cough, the child be immunised by a suitable vaccine against the disease. It is considered that immunity may last only a relatively short time, but this time is, in our opinion, of sufficient length to tide the young child over a period of months until such time as the epidemic has abated or the child has been removed from the area of infectivity. |
a8e9490e-9b8e-440f-a446-627931db2b09 | There were 432 cases immunised against pertussis, and by reference to the persons notified and the list of those known to be immunised, only 6 were found to have contracted the disease. There were 2 deaths of children under five from pertussis, one was due to pertussis and bronchitis, and the other due to the strain of coughing, for a blood vessel was ruptured in the brain. This latter case shows the seriousness of the disease, and suggests that if whooping cough could be prevented by inoculation, then in our opinion, every endeavour should be made to further this principle, for it is generally accepted by the medical profession that the sequelae of both Measles and Whooping Cough give rise to more subsequent ill-health and weaknesses than any other of the so-called childish ailments. There were 2 deaths due to Measles during the year. The procedure of preventing measles by a serum has been used in hospital but it is not yet a practical proposition for large numbers. |
014d1109-ae1c-489a-8bfd-317b6b40f90b | There were 11 cases of Meningitis during the year and 2 of this number succumbed to the disease. During the year the treatment of this type of case has been completely revolutionised by the use of the sulphonalamide group cf drugs which have been employed so successfully in the treatment of pneumonia. There were 79 cases of pulmonary tuberculosis and 10 of nonpulmonaiy, notified during the year. Considerable publicity has been given to this disease of recent months for statements have been made that tuberculosis is on the increase. While this is true in certain areas, figures for the year 1940 show that the number of cases notified were 78 pulmonary and 10 non-pulmonary, a total of 88 as compared with 89 for 1941. Scabies still continues to be on the increase for there were 155 treated in 1941, as compared with 63 cases treated in 1940. |
518dc736-9526-4c03-8564-b0daeab6e417 | The Public Health Committee are giving this matter their consideration and it is to be hoped that further facilities can be obtained for treating these cases within the Borough. I think that these figures shown in the Table and quoted in the report of infectious disease on analysis are not adverse, having regard to the fact that a certain sewer was out of action for a greater part of the year, for there have been no large outbreaks of infectious diseases of the enteric fever or dysentery type. 13 CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1941. Notifiable Disease. Cases notified in whole District. At Ages—Years. Ward Distribution. |
1c9167f1-48ca-4832-8afc-cd0614283fe6 | 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 West South East Sooth West Scarlet Fever 12 — 3 8 — 1 — — 8 2 2 — Diphtheria 6 — 3 2 — 1 — — 1 1 — 4 Pneumonia 32 — 6 — 2 0 13 5 13 7 7 5 Erysipelas 7 — — — — 1 3 3 1 3 2 1 Puerperal Pyrexia 2 — — — 1 1 — — — 1 — 1 Typhoid 1 — — — 1 — — — — 1 — — Tuberculosis (resp.) 79 — — 3 20 42 9 0 26 22 10 21 Tuberculosis (other) 10 — |
1b7e84d8-1739-4d3d-ac96-b553cfde7717 | — 2 3 3 2 — 2 4 — 4 Measles 234 8 77 139 8 1 1 — 43 52 70 69 Whooping Cough 107 7 41 56 1 2 — — 32 45 13 17 Ophthalmia Neonatorum 1 1 — — — — — — 1 — — — Meningitis 11 1 3 1 — 4 1 1 2 3 3 3 Poliomyelitis 2 — 1 — — 1 — — — — — 2 Poliomyelo-Encephalitis 1 — — — 1 — — — 1 — — — TOTALS 505 17 134 211 37 63 29 14 130 141 107 127 14 Food. |
488a1045-c873-4d91-afa3-a60fb56156b7 | Since the passing of the Food & Drugs Act, 1938, a registered medical practitioner must notify cases he suspects of suffering from food poisoning. There were 4 cases notified during 1941. Of these cases, 3 were on investigation found to be probably due to the eating of cooked meats, the symptoms being mild and recovery taking place within 48 hours. In the other case, the illness was of longer duration and occurred as a result of eating a meal in a factory canteen. Several persons reported to the nurse at the factory as being unwell, and attributed their symptoms to partaking of the meal in the canteen. By the time the doctor reported the case and our investigations were started, the stock from which some gravy was made had been thrown away, although samples of the oxtails which had been the 'plat de jour' were examined bacteriologically and the report was as follows:— Specimen appeared normal in colour and had no bad odour. |
a1551c9a-f996-49af-a4ce-9efe192f8017 | Cultures: non-lactose fermenting coliforms grown which proved negative on agglutination with any of the salmonella anti-sera. Also enterococci found, but these were found to be non-faecal. Animal feeding was carried out on rats, animals showed no sign of illness. Specimen of the faeces of the patient were also examined but showed no pathogenic organism. As frequently happens in this type of food poisoning, scientific investigation fails to find the cause, but one can frequently suspect certain items of food found to have been eaten by all, as the cause of the trouble. Acting on the information received from a nearby Health Department that certain people resident in that area were suffering from food poisoning as a result of eating food in a canteen of a factory in this Borough, I visited the factory and found that about .50 persons had been temporarily upset, one for as long as 14 days, by consuming food in this canteen. |
52c3cd3a-0889-4ffc-9065-ac5cf6e1e56e | The common factor was found to be salt beef, but again there was none left for examination. At the same premises later in the year, a further outbreak of sickness occurred as a result of persons eating some curried meat. I had specimens from the personnel of the staff canteen examined, in all of which no pathogenic organisms were found. Certain advice was given to the manager in regard to hygiene and the storing of food, so as to prevent the advent of mice. The Sanitary Inspectors have given a large percentage of their time to dealing with unsound food, or food damaged by enemy action. All food found to be unfit for human consumption is 15 salvaged by the Ministry of Food, who arrange for it to be used as animal food. ACTON AND WEMBLEY JOINT ISOLATION HOSPITAL. REPORT 1941. |
9b043635-3d41-40b1-87ae-8605daea8d2f | The total number of patients admitted to the hospital in the year ending December 31st, 1941, was 287, compared with 338 in 1940 and 333 in 1939. The admission included 48 patients from Acton, 222 from Wembley, 16 from Ealing and 1 from Willesden. Although the majority suffered from Scarlet Fever or Diphtheria, cases of 11 other infectious diseases were also admitted. Chiefly on this account, we were unable always to provide for the isolation of a particular disease, and arrangements had to be made for the treatment of a few patients in outside hospitals. Scarlet Fever. 119 cases of Scarlet Fever were admitted and there was no death. Of this total, 3 cases proved, after examination and due observation, not to have been suffering from this disease. 5 cases were admitted from houses, where the probable source of infection was a patient discharged (from hospital) less than 28 days previously. |
de09b916-b151-4d1f-8798-91935da3b510 | These are, of course, the so-called "return" cases. No mastoid operation was performed during the year. Diphtheria. 72 cases were admitted. No less than 36 of these had no definite clinical signs of the disease on admission, and all the swabs from the nose and throat were found to be negative. There were 3 deaths, and in each case the patient had not been immunised. Two of these cases died less than 36 hours after admission. 16 Measles. 34 cases were admitted. One child, aged 1 year, suffering from broncho-pneumonia, died within 2 hours of admission. All the cases were treated with M & B 693 and this fact may account for the almost complete absence of complications. Cerebro-Spinal Fever. 14 patients suffering from this disease were admitted and there were 2 deaths. Both of these patients, aged 16 months, died within an hour or two of admission. |
6122aa98-876c-48de-8b50-dc24fa7c4b77 | Two cases on admission were found to be suffering from Landry's Paralysis. This is an exceedingly rare form of paralysis, often ending fatally when the respiratory muscles become involved. Both cases were immediately transferred to the Central Middlesex Hospital, in order to secure treatment by means of Drinker's Apparatus, or, as it is more commonly called,—"the Iron Lung." A most satisfactory feature was the response, .in some cases remarkable, to treatment with M & B 693. Bacteriological examinations were carried out at the Ministry of Health's Regional Laboratory at Ealing. (Sgd.) H. L. SPARROW, Medical Superintendent. 17 ISOLATION HOSPITAL REPORT FOR THE YEAR 1941. Patients admitted during 1940 338. Patients admitted during 1941 287. Patients admitted: S. Fever. Diph. C.S.M. Typhoid. Fry. Measles. Wh.C. |
8815702a-262b-4469-b142-cf583b4c6817 | Dysentery. Mumps. Impetigo. C. Pox Anterior Poliomyelitis Acton 11 18 3 8 2 9 . 7 — — — — — Wembley 92 69 11 6 6 24 10 3 4 6 2 1 Ealing 16 — — — — — — — — — — — Willesden — — — — — 1 — — — — — — 119 72 14 8 8 84 17 3 4 6 2. 1 TOTAL: 287 Patients discharged: S. Fever. Diph. C.S.M. Typhoid. Fry. Measles, Wh. C. Dysentery. Mumps. Impetigo. |
07580ec5-ef33-4889-a851-4b8398d664d0 | C. Pox Anterior Poliomyelitis Acton 11 9 2 3 2 9 4 — — — — — Wembley 89 61 9 4 6 24 8 8 4 5 2 1* Ealing 16 — — — — — 1 — — — — — Willesden — — — — — 1 — — — — — — 116 70 11 7 8 34 18 3 4 6 2 1 TOTAL: 278. * (Transferred). Deaths: Diph. C.S;M. Measles & Pneumonia. Whooping Cough, Tubercular Meningitis. Acton 2 - - 1 - Wembley 1 2 I — 1 Patients in Hospital, Jan. 1st, 1941—22. 8 2 I 1 1 TOTAL: 8. |
96f3f672-3c5c-4744-a5c7-1807524ffa3d | Patients in Hospital Jan. 1st, 1942—28. 18 (2)—Tuberculosis. Particulars of new cases and of deaths from the disease during 1941 are given below. 79 cases of Pulmonary Tuberculosis and 10 cases of other forms of Tuberculosis were notified during the year. There were 38 deaths from Pulmonary Tuberculosis and 2 deaths from other forms of Tuberculosis. The following Table gives the age incidence of new cases of tuberculosis in 1941 and of the deaths from the disease in the area in 1941. 19 • Age Periods. New Cases. Deaths. Respiratory Non-Respiratory Respiratory N on-Respiratory M. F. M. F. M. F. M. F. 0— — — — — — — — — 1— — — — — — — — — 5— — 3 2 — — 2 — — 15— 12 8 |
710f2ad6-7728-4858-9ead-fb6167fc073e | 1 2 3 1 — — 25— 30 12 2 1 4 5 — — 35— — — — — 5 2 — — 45— 7 2 1 1 4 — 1 — 55— — — — — 5 — — — (55 and upwards 3 2 — — 2 5 1 — Totals 52 27 6 4 23 15 2 — 20 The Tuberculosis Officer for this area gives me the following figures of cases dealt with during the year 1941:— Pulmonary 43 Surgical 4 Sent to Sanatoria 37 Sent to Hospital for Tuberculosis other than Pulmonary 4 Under Dispensary Supervision at 31-12-41 179 The following is a statement of the particulars appearing in the Register of cases of Tuberculosis on 31st December, 1941:— Pulmonary. NonPulmonary. Total. |
110553de-745d-430e-ad7c-6e356d54314b | Number of Cases on the Register at the commencement of the year 243 males 45 males 539 201 females 50 females Number of Cases notified for the first time during the year 52 males 6 males 89 27 females 4 females Number of Cases previously removed from the Register which have been restored thereto during the year males males 4 4 females females Number of Cases added to the Register other than by notification 5 males 1 male 9 3 females females Number of Cases removed from the Register during the year 42 males 2 males 77 29 females 4 females Number of Cases remaining on the Register at the end of the year 258 males 50 males 564 206 females 50 females 21 SECTION C. SANITARY CIRCUMSTANCES OF THE AREA. Water Supply. The Borough is supplied with water by the Metropolitan Water Board. Drainage and Sewerage. All the dwelling houses are provided with water closets and are drained into the main sewerage system. |
96a770c8-c990-4448-8050-c6533ce4382a | By arrangement with the London County Council the sewage is discharged into the London sewers. Storm water is filtered and emptied into the Thames. Public Cleansing. The amount of house refuse collected by the Council in 1941 was 13,604 tons of which 1,095 tons was salvage and the remaining 12,509 tons was burnt at the Refuse Destructor. Sanitary Inspection of the Area. The following table includes the tabular statement furnished by the Sanitary Inspector under Article 27 (18) of the Sanitaiy 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. |
8d0424aa-b9bc-454b-b7c0-d477c7d926bc | Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 1,441 (1) Dealt with by sendee of Informal Notice 796 (2) Dealt with by service of Statutory Notice under Section 9, Housing Act, 1936 32 (3) Dealt with by service of Statutory Notice under Public Health Acts 20 22 Premises (other than defective dwelling-houses) inspected for nuisances and miscellaneous defects 2,985 (1) Dealt with by service of Informal Notice 1,937 (2) Dealt with by service of Statutory Notice under Public Health Act, etc. 25 Re-inspections subsequent to service of Notice 3,992 Inspections after notification of Infectious Disease 322 Number of Premises under Periodical Inspection. |
80073895-8055-4f07-9e22-206ea46e048a | Factories 509 Bakehouses 34 Slaughterhouses 2 Public House Urinals 31 Common Lodging Houses 1 Butchers' Shops 38 Fishmongers' Shops 17 Fish and Chip Shops 21 Greengrocers' Shops 86 Premises where food is manufactured or prepared 60 Grocery and Provision Shops 182 Dairies 15 Cowsheds Nil Piggeries 4 Rag and Bone Dealers 7 Mews 4 Schools (11 Elementary, 2 Secondary, 1 Special, 2 Technical, 1 Private) 17 Caravan Grounds 1 Hairdressers' Shops 42 Rent Restriction Act. Number of Certificates granted 4 23 Detail of Work carried out. |
2f145c58-76fe-4a06-8613-8a57520699a9 | Sanitary Dustbins provided 57 Yards paved or yard paving repaired 14 Insanitary forecourts remedied 3 Defective drains repaired or reconstructed 85 Defective soil pipes and ventilating shafts repaired or renewed 10 Defective fresh air inlets repaired or renewed 11 Defective gullies removed and replaced by new 18 Rain water downpipes disconnected from drain 2 Dishing and curb to gullies repaired and new gratings fixed 1 4 Defective W.C. pan and traps removed and replaced by new 46 Defective W.C. flushing apparatus repaired or new fixed 53 Defective W.C. |
45953622-77a2-40e8-ab80-571311736e09 | seats repaired or new fixed 34 Defective flush pipe connections repaired 16 Insanitary sinks removed or new fixed 13 Sink waste pipes repaired or trapped 44 Insanitaiy wall surface above sinks remedied 25 Ventilated food cupboards provided 2 Drinking water cisterns cleansed 25 Defective covers to drinking water cisterns repaired or new fixed 16 Insanitary sites beneath floors concreted 4 Spaces beneath floors ventilated 31 Dampness in walls from defective damp-proof course remedied 110 Dampness from defective roof, rain water gutterings, etc. |
dbb2e351-f1fc-4a77-aa9e-a7084a94c8c0 | remedied 439 Defective plastering repaired (number of rooms) 262 Rooms where dirty walls and ceilings have been cleansed and redecorated 457 Defective floors repaired 50 Defective or dangerous stairs repaired 15 Defective doors and windows repaired 208 Defective kitchen ranges and fire grates repaired 93 Defective washing coppers repaired 8 Coal cupboards provided or repaired 4 Accumulations of offensive matter removed 47 Drains unstopped and cleansed 94 Drains tested, exposed for examination, etc 96 Smoke observations taken 6 Smoke nuisances abated on service of notice Miscellaneous nuisances abated 68 Notifications of waste of water sent to Metropolitan Water Board 54 24 CARCASES INSPECTED AND CONDEMNED. Calves Sheep & Lambs Pigs Horses 1. Number killed 6,855 10,392 63,887 80 2. Number inspected 6,855 10,392 63,887 80 3. |
73ab8ae2-93db-472a-a51c-d004ad72009a | All diseases EXCEPT TUBERCULOSIS— Whole carcases condemned 15 12 30 4 Carcases of which some part or organ was condemned 128 746 609 21 Percentage of the number inspected affected with disease other than Tuberculosis 2.08% 7.29% 1.00% 31.25% 4. TUBERCULOSIS ONLY— Whole carcases condemned 11 — 27 — Carcases of which some part or organ was condemned 92 — 3,317 - Percentage of the number inspected affected with Tuberculosis 1.6% — 5.23% - 25 NUMBER OF PIGS CARCASES INSPECTED FROM 1st JANUARY TO 31st DECEMBER. 1941 WITH ANALYSIS OF SURRENDERS ON ACCOUNT OF DISEASE. 1941 No. of Carcases Inspected. No. of Heads Diseased. No. of Carcases Diseased. |
4be193d4-29eb-473c-bf3f-0cce99f1a6d8 | No. of Collars Diseased. No. of Fore Quarters Diseased. No. of Hind Quarters Diseased. No. of Legs Diseased. Plucks (Lungs, Livers and Hearts). Mesenteries, Stomachs and Intestines Pieces of Pork. January 8638 365 25 2 1 - 6 137 4650 lbs. 4 lbs. February 6831 240 16 - 8 - 3 116 5960 , 50 , March 7591 305 6 2 2 1 4 165 8460 , 11 „ April 9717 308 2 1 1 - 1 123 7000 , 4 „ May . 6288 322 — — — - 2 123 7400 , 31„ June 5209 229 1 1 1 - 1 160 5440 , |
d58a5cc3-0285-45f4-a0bb-db93227d5bbd | 31 „ July 6076 208 1 - 2 - 2 116 5700 , 38 , August 2741 61 - 1 1 - 4 42 6610 „ 539 , September 2409 190 1 - 1 - - 73 4530 , 3 , October 2646 149 1 — — - 2 61 3160 , 6 „ November 2493 97 2 5 — 1 1 46 2530 , 26 , December 3948 t 147 2 — 1 - 1 70 3050 , 3 „ Total 63861 2621 67 12 18 2 26 1232 64490 lbs. 746 lbs. 26 INQUESTS. Suicide 8 Road Traffic Accident 8 Other Causes 14 Total 30 POST-MORTEM WITHOUT INQUEST. |
cbc4b4c0-b48d-44b4-9c7c-26bab1729bd1 | Heart Disease 16 Respiratory Conditions 5 Other Causes 8 Total 29 27 AGES AT DEATH, AND WARD D1STRIBUTIONS OF DEATHS IN 1911. Causes of Death. Total Under 1 year 1 and under 2 2 and under 5 5 and under 15 15 and under 25 25 and under 45 45 and under 65 65 and upwards Ward Distribution. North East North West South East South West Enteric Fever - - - - — - — — — - — - — Influenza 5 1 - - - - 1 — 3 — 1 1 3 Diphtheria 2 - - 1 1 - — — — - — — 2 Cere.bro-Spinal Fever 2 - - - - - 1 1 - 2 — — Pulmonary T.B. |
03997488-3aa1-4a15-a3f0-3ee20bccb995 | 38 - - 2 4 16 9 7 11 8 9 10 Other T.B. 2 - - - — — — 1 1 — — — 2 Nervous Diseases 11 - - - - - 4 4 3 2 6 3 1 Diabetes 6 - - - - - 1 2 3 4 — 1 1 Cancer 121 - - - - - 6 55 60 38 24 30 29 Sarcoma 2 - — — 1 1 — 1 — — 1 Measles 1 - 1 - — — — - — 1 — - — Whooping Cough 2 — 1 1 — — - — — — — — 2 Heart Disease 118 1 1 - — — 3 27 86 29 28 21 40 Other circulatory diseases 11 1 - - — — - 3 7 1 3 |
43a923a7-2ab7-4c5a-9701-be80415d64a9 | 2 5 Bronchitis 25 - - - — — — 9 16 9 7 5 4 Pneumonia 33 3 2 - — 1 2 7 18 11 7 7 8 Other respiratory diseases 6 4 - - — - — 2 - 2 2 1 1 Peptic Ulcer 10 — — - — — — 4 6 5 4 - — Diarrhoea and Gastro. |
1b854106-7fec-4576-8178-fe64f5345ece | Enteritis 3 3 — - - - - - - — 2 - 1 Diseases of Alimentary tract 3 1 — — — 1 — 1 — — 3 — — Nephritis 13 — — - 1 — 2 6 4 3 6 1 3 Senility 37 — — - — — — — 37 11 8 7 11 Enlarged Prostate 8 - - - - - - - 8 4 1 1 2 Childbirth — — — - — — — — — — — — — Other diseases of Parturition 2 - - - — — 2 — — — — 1 1 Cong. Debility and Prematurity 15 14 — 1 — — — — — 8 3 1 3 Suicides 8 - — - — 1 4 3 — 3 2 2 1 Other deaths from Violence 21 - — — 3 — |
8f5b4c9f-ba0f-4410-be8b-e7e6d19fe845 | 4 6 8 6 4 5 6 Deaths from War Operations 14 - - — — 3 6 4 1 3 3 8 — Scarlet Fever — — - - - - - - - - — — — Meningitis 2 — — - — - 2 - - - 1 - 1 Syphyllis 7 — — —- — — 1 5 1 5 1 1 — Intra Cranial Vascular Lesion 59 2 — - — 1 3 14 39 19 14 13 13 Other ill-defined Diseases 15 1 — — 1 2 7 4 3 5 2 5 TOTALS 602 31 5 3 7 12 60 171 313 179 144 123 156 28 BACTERIOLOGICAL EXAMINATIONS. (a) For Diphtheria. Positive. Negative. |
4f1538c6-6275-4cae-9334-c353b55f94cd | Total Examinations, 167 3 164 Sent by Medical Practitioners 2 119 Sent by Public Health Department 1 45 (b) For Haemolytic Streptococcus. Positive. Negative. Total Examinations — — (c) For Vincent's Angina. Positive. Negative. Total Examinations—2 1 1 (d) For Ringworm. Positive. Negative. Total Examinations—1 — 1 (e) For Tubercle. Positive. Negative. Total Examinations—92 16 76 29 ANNUAL REPORT of the School Medical Officer FOR THE YEAR 1941. Town Hall, Acton, W.3. To the Chairman and Members of the Acton Education Committee. Ladies and Gentlemen,. We beg to submit the following report upon the schools and the school children of Acton for the year 1941. |
85bb1a37-6b68-4684-a7e7-60dc098b53da | At the request of the Board of Education, this report is as brief as possible, while giving particulars as to the welfare of the school children and the services carried on by the Borough for their benefit. All schools were open in Acton for the whole of the year 1941 and all services were maintained. Medical inspections were carried out as in normal times and all Clinics to deal with special defects were in operation. There were no changes in the medical staff, but there was a reduction of one in the school nursing staff, caused by the retirement 30 of Nurse Evans. This deficiency was made good by the engagement of a dental attendant, thus releasing the remaining school nurses for more visiting and inspecting in the schools and homes. Mr. Slater, the School Dentist, joined H.M. Forces on 9th October, 1941, and a rota of local dentists took weekly sessions to carry on his work. |
9fb738f9-2e7b-4c70-991e-700720601ca9 | The general development of the school children in Acton is maintaining its usual level. The only class of children showing any depreciation in height and weight over last year, are the girls aged 7—9, where there is a difference of 1% since last year, but if the figures for this age group are compared with those for the year 1939, the year 1941 shows a slight improvement over 1939, so there would appear to be no cause relating to the war or wartime feeding operating to produce the slight lowering in nutrition. Considerable advantage was taken of the provision of school meals and milk. 2,970 free meals were provided to Acton school children and 19,343 free bottles of milk were dispensed. The percentage of children receiving school milk, either paid or free, at the end of 1941, was extremely high, ranging from 70% to 96%, except in one senior boys' school where only 20% of the boys took milk. |
1e377686-2c02-461a-8727-93f307046122 | On free meals and/or milk, all children gained adequately except 2 and these responded to the addition of cod liver oil and malt. Attempts were made to decrease the verminous condition of the Acton school children. All families known to be chronic offenders in this respect, were given appointments with the Assistant School Medical Officer, who offered cleansing facilities to the whole family at the same time, with advice how to keep themselves from becoming reinfected. This was undertaken before compulsory powers of cleansing were given under the Scabies Order of 1941, but it was found that the majority of these families were well content with their state, desired no help, and resented as an insult being informed of what they must have known to be a fact from the frequent exclusion from school of their children, as verminous. There is an increase in the number of verminous children over 1940, but none over 1939, so the increase is presumably due to the increased school roll. |
d5976166-a4aa-4d1f-8ede-466a29207ecd | At the beginning of 1941 there were 1938 children on the roll, and at the end of 1941 there were 3293. Scabies continued to be a nuisance all through the year. There were 94 cases, 59 families being affected. A table showing the distribution of those affected is in the report. Some of these cases were treated at home and some were sent to the Cleansing Baths at Kensington, with which Borough Acton has an arrangement for this purpose. 31 Immunisation against Diphtheria was carried out as formerly. To each parent invited to attend the medical inspection of his child, was put the question: "Has your child been protected against Diphtheria?" If the child had not been protected, immunisaticp was then offered and instructions given as to the Clinic to attend for this purpose. All parents of school entrants were approached about inoculation by the Head Mistress. |
07b86723-c3f5-4ed9-90ad-a997b3585bdc | The "follow-up" scheme adopted in previous years was also followed and all children whose immunisation was done three years ago, were offered re-inoculation (one injection) to bring the immunity up to its original level. A table showing the inoculations done, is contained in the Report. That Acton's school population has now a sufficiently large number of children protected to ensure relative freedom from Diphtheria is perhaps evidenced by the figures of the last four years. 1941 3 cases. 1940 2 „ 1939 3 „ 1938 9 „ The three children who developed Diphtheria in 1941 were un-inoculated, and one of them died. Clinics for the treatment of Otorrhoea and Otalgia and for the treatment of Post Nasal Catarrh were held as formerly. A table of cases treated is in the Report. 32 AVERAGE HEIGHTS AND WEIGHTS. |
0bc46c04-8bd8-4628-afe7-a6a3dffabbb7 | LEAVERS (BOYS) Total 11 YEARS 12 YEARS 13 YEARS 14 YEARS No. seen. Ht. Wt. No. seen. Ht. Wt. No. seen. Ht. Wt. No. seen. Ht. Wt. Acton Wells 30 - - - 11 58.4 81 17 64.2 96.4 2 63.3 97 John Perryn 22 — — — 13 59 85.7 9 58.5 86.3 — — Priory 90 1 62.5 67.5 61 58.2 84.6 27 60.5 92. |
40207dfe-cce9-40c0-bf4c-1937d2aadcfb | 1 69.6 158 Southfield 44 2 57 84.3 35 57.8 84.3 7 62.9 106.7 — — Turnham Gn. R.C. 6 — — — 5 57.1 78.5 1 61 91.6 — — West Acton 10 — — — 9 60 84.8 1 62 96.3 — — 202 3 55.5 78 134 58.5 84.1 62 62.6 95.7 3 65.3 117 LEAVERS (GIRLS) Acton Wells 23 1 58 72 17 59.3 87 5 61.9 94.5 - - John Perryn 21 1 56 78 16 69 83.5 4 57.1 83. |
2124ceb5-10f8-4b5b-9fe5-52b52ad08495 | 8 - - Heaumont Park 39 1 57.3 80.3 31 61.5 92 7 59.4 87.1 - - Priory 86 2 56.6 79.7 61 59.3 83.2 20 62.3 100.2 3 62.6 103 Turnhnm Gn. R.C. 8 - - - 6 60.9 91.5 2 64 121.2 - - West Acton 10 — — - 4 60.1 95.3 6 63.2 98 — — 187 6 56.9 77.9 135 59.9 86.5 44 61.5 96.6 3 62.6 103 33 AVERAGE HEIGHTS AND WEIGHTS. |
981f846c-2736-4d55-b073-75bd2dc974d7 | INTERMEDIATES (BOYS) Total 7 YEARS 8 YEARS 9 YEARS 10 YEARS No. seen. Ht. Wt. No. seen. Ht. Wt. No. seen. Ht. Wt. No. seen. Ht. Wt. Acton Wells 20 6 49.2 54.7 7 50.7 56.5 6 51.3 58.6 1 58 75.7 Beautmont Park 6 3 48.3 52.3 3 50.6 56.2 — — — — — Berrymede 51 18 48.6 51.9 20 50.1 52.5 12 51.8 53.5 1 53.5 72 Dcrwetttwater 30 13 47.9 53. |
01e07f32-3fff-43d4-93e9-043ecf88e57e | 1 12 51.1 61.6 5 52.1 65.4 — — John Perryh 20 5 49.3 54.9 12 50.9 58.9 3 51.7 60 - — Priory 2 2 52.2 60.9 — — — — — — — — Rothschild 28 12 48.4 52.5 12 50.8 61.6 3 50.3 54 1 53.8 63.8 Roman Catholic. 6 3 50.3 54.6 3 50 55.6 — — — — - Southfield 43 12 49.5 55.2 17 51.7 59 11 52.5 64.4 3 57.7 77 West Acton 18 7 47.9 48.7 9 50.4 56. |
1add904e-f642-4280-8aff-984154b1cbdb | 4 2 50.9 62.8 — — . 1 (GIRLS) 224 81 48.8 53.4 95 50.9 56.3 42 51.8 61.8 6 56.4 73 Acton Wells 20 2 51.2 55.8 11 51.6 59.5 6 50.8 58.7 1 57 74 Beaumont Park, 32 13 48.5 52.7 9 50.7 55.7 9 51.9 57 1 54 63 Berrymede 57 27 48.1 50.9 21 49.6 53.7 8 48.1 51.6 1 57 78 Derwentwater 37 18 49 54.7 14 50.1 57.2 5 53. |
a225de38-790c-4856-9fac-0d9b629d7f7c | 3 66.5 - - John Perryn 20 8 50.7 59.8 10 50.9 61.2 2 55.9 84.8 - - Priory 2 2 47.8 50.8 - - - - - - - - Rothschild 1 1 47 51.8 - - - - - - - - Roman Catholic. 7 1 44.8 36.5 4 49.4 54.5 2 50 52.5 - - Southfield 33 10 48.6 50.1 18 50.6 58.8 5 52.3 58.6 - - West Acton 13 5 48.5 55.6 8 50.4 56.7 — — — — — 222 87 49.1 54.1 95 50.5 57.3 37 51. |
c9fbcb1a-c811-4385-a001-c1ea3cce9864 | 4 59.8 3 56 71 34 AVERAGE HEIGHTS AND WEIGHTS. ENTRANTS. BOYS. Total 4 YEARS 5 YEARS 6 YEARS 7 YEARS No. seen. Ht. Wt. No. seen. Ht. Wt. No. seen. Ht. Wt. No. seen. Ht. Wt. Acton Wells 12 - - - 8 46.2 47.8 4 47.3 47.8 - - Berrymede 24 1 44 45.5 10 43.8 43.1 9 45.5 47.1 4 41.9 41.6 Beaumont Park 9 — - — 6 44.3 42.1 3 44.2 41. |
cec7a8ad-57d4-430a-8954-2069df9ccfdc | 5 - - Derwentwater 23 - - - 19 44.3 44.5 4 46.6 48.3 - - John Perryn 17 — — — 11 44.8 45 6 46.7 48.5 - - Priory 24 — — — 16 43.1 40.9 6 47.6 50.4 2 56.2 60.9 Rothschild 8 — - - 8 43.9 44.4 - - - - - Roman Catholic 6 - - - 3 44.9 46.2 3 45.8 47.2 - - Southfield 27 - - - 21 44.5 43.7 6 46.2 50.1 - - West Acton 21 — — — 16 45.1 46.4 5 47.6 46.1 - — GIRLS. |
95f2a904-561f-4669-bd2a-bd274ad906ef | 171 1 44 45.5 118 44.4 44.2 46 46.5 47.8 6 45.3 48 Acton Wells 8 — - - 5 44.4 42.3 3 45.3 47 - - Berrymede 20 — - - 15 43.3 43.5 5 47.3 48 - - Beaumont Park 14 — — — 10 44.2 43.8 4 46.2 44.9 - - Derwentwater 28 - - - 16 43.2 40.9 12 45.7 47.1 - - John Perryn 25 — - — 21 43.4 41.7 4 63.8 64.8 - - Priory 18 — — — 12 42.9 43.2 4 46.4 44. |
f3f105ba-4e0e-488e-9033-84fee0cf730b | 3 2 47.8 50.8 Rothschild 4 - - - 3 41.2 39.8 1 43 39 - - Roman Catholic 3 1 44 43.3 1 46 47.8 1 45 45.8 - - Southfield 31 — - - 22 43.5 42.4 9 46 47.9 - - West Acton 15 — — — 13 44.7 43.9 2 46.7 46.2 —- — 166 1 44 43.3 118 43.4 42.2 45 46.2 46.8 2 47.8 50.8 35 INFECTIOUS DISEASES. Scarlet Fever. |
6be11b01-378b-43d2-8a71-1a2fe7df5dcd | 6 cases only were reported during 1941 in the school population, 4 at Derwentwater School, 1 at Priory and 1 at Berrymede. Diphtheria. 3 cases only were reported during 1941 in the school population, 1 at Berrymede School, 1 at Derwentwater and 1 at the Special School. PERCENTAGES OF CHILDREN INOCULATED. Acton Wells - - - 52.76% Beaumont Park — — — — 52.37% Berrymede Girls' and Infants' — — — 32.04% Berrymede Boys' — — — — 40.36% Derwentwater Infants' — — — 39.58% Derwentwater Juniors — — — 43.24% John Perryn Upper — — — — 43.5% John Perryn Lower — — — — 45.78% Priory Boys' — — — — 34. |
d89f5e9e-3915-4c94-991c-688d5da797d5 | 97% Priory Girls' — — — — 34.5% Priory Infants' — — — 34.36% Rothschild - — — — 54.01% Roman Catholic - — — — 43.36% Southfield Upper - - — — 42.47% Southfield Lower - - — — 39.88% West Acton - - -55.85% 36 INOCULATIONS—1941. Primary Pos. Schick. Neg. 1940 Old Cases. Doses. 1st. 1941. Doses. 2nd. 3rd. After 3 Years. Schick. 1st. Doses. 2nd. 3rd. 2nd. 3rd. Pos. Neg. All Wells Sptts 1 7 - — 1 5 3 2 11 6 - — 1 11 - - 7 5 5 - |
3d8e11c7-870b-468e-bb3d-ac8932c789c4 | 1 4 - - 1 4 - 1 5 1 - - 4 1 - Beaumonth Park Senuis - 4 - - 1 1 - 5 22 5 1 - Beaumont Park Juniors — — - 2 1 1 1 2 - 12 3 - Beaumont Park Infants 4 1 7 5 22 10 12 — — 18 5 3 Derwentwater Infants - - 8 6 29 28 24 — — 14 2 1 Derwentwater Juniors 7 3 2 2 11 8 7 1 5 11 2 — John Perryn Seniors - - - - - - - 2 20 3 1 — John Perryn Juniors - - — — 1 •— — — 2 19 2 — John Perryn Infants - - 6 4 4 4 3 |
0a8a8b23-6495-42de-b647-3453e59971f2 | — - 9 7 — Priory Boys 5 2 — — 6 2 2 4 18 4 2 — Priory Girls 2 4 — — 2 2 — 2 21 2 1 — Priory Infants - 1 4 2 23 17 15 — — 18 8 1 Rothschild Infants - - 1 1 25 18 13 — — 19 4 2 Rothschild Juniors 4 1 - - 5 5 2 3 8 24 4 — Southfield Infants - - 8 10 9 7 7 — 1 12 — — Southfield Juniors 8 1 4 4 7 4 4 1 9 13 1 — Southfield Senior Boys - — — — — — — — 6 — — — Roman Catholic 1 1 — — 4 2 1 3 4 |
8ece4a98-7d90-4583-a869-2ca28e1844d2 | 10 4 — West Acton 10 2 2 2 24 18 10 1 19 37 4 1 Berrvmede Boys 1 1 4 1 2 2 2 4 3 21 1 — Berrymede Girls 3 4 - - 5 4 3 2 5 22 4 — Berrvmede Infants - - - - 13 8 7 - — 7 1 — County 20 15 - - 26 25 20 2 22 - - — Other Schools 3 3 2 2 4 4 4 — 4 — - — TOTALS 87 51 25 43 255 201 149 34 195 292 58 8 37 DISTRIBUTION OF SCABIES. Acton Wells. |
eb2b927a-9a56-4060-ab5c-b124f16a0006 | — Wesley Avenue Home treatment Saxon Drive Lowfield Road Baths The Link Home " 2 children Harold Road „ „ 2 children Wales Farm Road Wales Farm Road „ „ Newark Crescent „ „ Canada Road Beaumont Park. Kent Road „ ,, 2 children Stanley Gardens „ „ Alexandra Road „ „ Somerset Road Baths „ Gladstone Road Home „ Acton Lane „ „ Rothschild Road *Baths „ Antrobus Road Home „ Berrymede Road Baths „ 2 children Kingswood Road Home „ Reynolds Road Baths „ Berrymede. Stanley Road „ „ Stanley Road „ „ 4 children Bollo Lane Home „ „ Packington Road „ „ Park Road North Baths „ 2 children Stirling Road Home „ 2 children Osborne Road Shaftesbury Road „ „ Colville Road „ „ Packington Road *Baths „ 2 children Petersfield Road Home „ Junction Road „ Avenue Road „ „ 2 children Stanley.Road „ „ 2 children Derwentwater. |
645a5257-5ef2-498a-b54d-ead5d0602378 | Essex Road „ „ Derwentwater Road „ „ Grafton Road „ „ Cowper Road „ „ 2 children Birch Grove „ „ 3 children 38 Distribution of Scabies—contd. Priory. Shaftesbury Road ,, „ 2 children Leythe Road Baths ,, 2 children King Edward's Gardens Home ,, Leythe Road „ Denehurst Gardens ,, ,, Colville Road ,, ,, 2 children Petersfield Road ,, „ Agnes Road *Baths „ Bollo Bridge Road * „ „ Park Road East Home ,, „ Acton Lane ,, ,, Ramsay Road „ „ Avenue Road „ „ Roman Catholic. Devonshire Road, W.4. Home treatment Princes Gardens „ ,, Shaftesbury Road „ ,, Paxton Road, W.4 ,, ,, 2 children Rothschild. Antrobus Road ,, „ 2 children Antrobus Road ,, ,, Southfield. |
84dd0c9d-2fec-401a-83b3-3da27ad01c3e | Stanley Gardens ,, „ Agnes Road *Baths ,, 3 children Stanley Gardens Home ,, 2 children Valetta Road ,, ,, West Acton. Tudor Gardens ,, ,, 2 children Saxon Drive Baths ,, 2 children The Link Home „ Special. Stirling Road ,, ,, Julian Avenue ,, ,, Bollo Lane „ ,, *denotes a return case. 39 SCHOOL MILK AT DECEMBER, 1941. School. Free milk. One third pint daily. Two-thirds pint daily. % having milk. |
806d62f0-d13f-4119-b341-66062be441ea | Acton Wells 4 107 97 72% Beaumont Park 32 37 141 72% Berrymede Boys' 13 42 59 55% Berrymede Girls' & Infants' 6 106 115 85% Derwentwater Junior 3 70 107 78% Derwentwater Infant 1 23 86 96% John Perryn Upper 5 140 - 71% John Perryn Lower 2 117 20 79% Priory 7 70 150 - Priory Infants .... 95% Senior Boys' .... 20% Senior Girls' .... 55% Rothschild 3 29 149 90.8% Roman Catholic 3 44 58 93% Southfield Upper 1 74 66 66% Southfield Lower — 40 102 76% Special — — — 75% West Acton — 78 69 80% Provision of Free Meals and Milk. |
0181d03c-5659-4afd-827d-4325ac6fd3d5 | Number of meals supplied .... .... .... .... 2970 Number of bottles of milk .... .... .... .... 19343 Number of children to whom meals and milk were granted 22 Number of children to whom free milk was granted .... 12 Ear Clinic. Those suffering from Otorrhoea: — Number attending - - - 7 Number cured - — - - 5 Ceased attending - - - - 2 Left district — — - — 1 Those suffering from Otitis Media: — Number attending - - - 4 40 Those suffering from Furunculosis of Meatus: — Number attending 4 Those suffering from deafness due to wax: Number attending 17 Nose Clinic. Total number who attended at Clinic for treatment for post nasal catarrh—40. Number cured 22 Number not cured and referred to hospital for further treatment 9 Ceased attending 6 Still attending 3 REPORT OF THE SCHOOL OCULIST. |
2ca40466-725b-4a63-90e7-5205858435f7 | The clinic has been well attended during the last year and the percentage of treatments obtained has been increased. Of the 208 Elementary school children examined, 159 obtained glasses. 32 did not require treatment, 15 refused treatment or left the district and 2 obtained private treatment. 11 boys were examined from the Secondary schools. 10 of these obtained glasses and one did not require treatment. 34 children were referred from the Welfare Centres, including 3 with external eye diseases. 19 children obtained glasses, 10 did not require treatment and 2 refused treatment or left the district. V. E. Brander. REPORT OF THE SCHOOL DENTAL SURGEON. In view of the fact that it was not until January, 1942 that I joined the staff at Acton, a detailed report for the year 1941 is not possible. When Mt. Slater, l.d.s. (Bristol) joined H.M. |
0201cebe-119a-488b-a455-f3f8e328f551 | Forces in October, the work was carried on by part-time private practitioners. Their efforts made possible the maintenance of a reasonable dental sen-ice in the circumstances. 41 The figures given below are of the work undertaken for Maternity and Child Welfare cases and for pupils attending the Acton County and Junior Technical Schools. Technical and County Schools. Maternity and Child Welfare. Number examined 338 Mothers examined 207 Referred for treatment 208 Mothers referred 202 Number treated 150 Mothers treated 141 Attendances 296 Children examined 109 Permanent fillings 195 Children referred 103 Permanent extractions 82 Children treated 93 Temporary fillings Permanent fillings 76 Temporary extractions 8 Permanent extractions 630 Dressings 57 Temporary fillings 17 Temporary extractions 299 Dressings 195 Number of attendances 613 Dentures supplied 30 N. T Smith. EXCEPTIONAL CHILDREN. Defect. In hospital. Residential special or open air school. Ordinary elementary school. |
fcdb8037-c45a-4232-a276-fdd8b7a0efff | Evacuated. At home. Total. Tuberculosis - 2 1 - - 3 Delicate - 1 14 6 1 22 Rheumatism — 1 14 — — 15 Crippled 2 1 5 2 — 10 Epilepsy — 4 1 — — 5 Deaf and Dumb — 4 — — — 4 Blind and partially sighted — — — 1 — 1 42 SPECIAL SCHOOL. This school for the Mentally Defective was open for the whole of 1941, and 24 children attended. In addition there were belonging to Acton, several ineducable imbecile and idiot children, of whom 4 were evacuated, 1 attended the Acton Special School for children who were mentally defective only, and 5 were cared for at home, attending no school. VISITS PAID BY SCHOOL NURSES. |
d03c2669-cd57-4f6a-a011-5b7736bf79c1 | The following ait thfe nufhber of home visits paid by the Nurses during the year. The visits have been divided into school distribution. Acton Wells 29 Southfield 76 Beaumont Park 58 West Acton 24. Berrymede 64 Roman Catholic 11 Derwentwater 88 Special School 3 John Penyn 100 Priory 112 Total 635 Rothschild 70 MEDICAL INSPECTION RETURNS. TABLE I. A.—Routine Medical Inspections. Number of Inspections in the prescribed Groups :— Entrants 337 Second Age Group 446 Third Age Group 389 TOTAL 1172 Number of other Routine Inspections GRAND TOTAL 1172 B.—Other Inspections. Number of Special Inspections and Re-Inspections 484 43 TABLE II. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups. Age-groups. Number of Children Inspected. A. B. C. D. |
2c253198-fcad-4e3a-a8f5-9b94bb695e01 | (Excellent) (Normal) (Slightly subnormal) (Bad) No. % No. % No. % No. % Entrants 387 71 21.1 225 66.7 40 11.9 1 .3 Second age-group 446 123 27.6 296 66.4 26 5.8 1 .2 Third age-group 389 114 29.3 241 61.9 33 8.5 1 .3 TABLE III. Group I.—.Treatment of Minor Ailments (excluding uncleanliness). Total number of Defects treated or under treatment during the year under the Authority's Scheme 414 Group II.—Treatment of Defective Vision and Squint. Under the Authority's scheme. |
c9b56833-55a3-4167-80f4-aee7c815afe2 | Errors of Refraction (including squint) 208 Other defect or disease of the eyes (excluding those recorded in Group I) nil Total 208 Number of Children for whom spectatles were Prescribed 159 Obtained 159 Group III.—Treatment of Defects of Nose and Throat. Received Operative Treatment 16 Received other forms of treatment 43 Total number treated 59 44 TABLE IV. Dental Inspection and Treatment. |
87c0f8bd-3e00-496c-af22-9ec6fd1b77d4 | (1) Number of children inspected by the Dentist (a) Routine age-groups 5 — 374 5 — 349 7 — 315 8—354 9 — 345 10 — 351 11 — 334 12 — 318 13 — 326 14— 11 3077 (b) Specials 1 Total (Routine and Specials) 3078 (2) Number found to require treatment 2102 (3) Number actually treated 1181 (4) Attendances made by children for treatment 1905 (5) Half-days devoted to:— Inspection 26 Treatment 386 Total 412 (6) Fillings:— Permanent Teeth 858 Temporary Teeth 58 Total 916 (7) Extractions:— Permanent Teeth 396 Temporary Teeth 1699 Total 2095 (8) Administrations of general anaesthetics for extractions 904 (9) Other Operations:— Permanent Teeth 134 Temporary Teeth 50 Total 384 TABLE V. |
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