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63.4% of the population under 5 years of age is now protected, and 70.5% of the population aged 5 to 141. Diphtheria Immunisations, 1946. Total number of under 5's. inoculated 863 Total number of over 5's inoculated 146 Re-inoculations after 3 years 824 Schick tests after 3 yearsβ€”negative 175 positive 84 Primary Schick testsβ€” negative 58 positive 76 21 CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1946. Notifiable Disease. Cases notified in whole District. At Agesβ€”Years. Ward Distribution. At all Ages Under 1 1 to 2 3 to 4 5 to 9 10 to 14 15 to 24 25 to 14 45 to 64 Over 64 North East North West South East South West Scarlet Fever 103 - 8 17 48 19 7
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4 - - 22 17 14 50 Diphtheria 34 - 3 4 13 6 6 1 1 - 7 10 3 14 Pneumonia 76 1 - 1 9 4 9 14 21 17 26 16 6 28 Erysipelas 9 - - - - - - 2 5 2 2 2 - 5 Puerperal Pyrexia 2 - - - - - 1 1 β€” - - - 1 1 Dysentery 12 2 2 2 1 β€” 1 3 β€” 1 3 4 1 4 Tuberculosis (resp.) 104 - - - 1 3 26 46 25 3 35 30 19 20 Tuberculosis (non-resp.) 22 β€” 1 1 3 3 4 9 1 β€” 6 8 2 6
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Measles 281 11 61 83 109 8 4 2 β€” β€” 101 47 47 86 Whooping Cough 48 6 9 9 20 3 β€” 1 β€” β€” 25 11 5 7 Opthalmia Neonatorum 4 4 - - - - - - - - 1 1 2 β€” Meningitis 3 2 - - - β€” β€” 1 β€” - 3 - - β€” Typhoid - - - - - - - - - - - - - - Poliomyelitis 1 β€” 1 - - - - - - - 1 - - - Food Poisoning 2 β€” β€” β€” β€” β€” 1 1 β€” β€” 1 1 β€” β€” TOTALS 701 29 84 117 204 46 59 85 53 23 233 147 100 221 22 Acton and Wembley Joint Hospital Report. 1946.
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Patients in Hospital January 1st, 1946 34 Patients admitted during 1946 349 Patients admitted during 1945 354 ADMISSIONS: S.F. Diph. Dysentery. C. Pox. C.S.M. Ery. Wh.C. Mumps Enteritis. Measles. D. & V. Rubella Suspected Typhoid. Acton 85 28 11 1 3 4 1 1 2 3 1 β€” 1 Wembley 143 24 3 1 6 3 10 2 1 8 β€” 2 1 Ealing β€” 1 - - - - - - - - - - - Military β€” 2 - - - - - - - - - - - 229 55 14 2 9 7 11 3 3 11 1 2 2 TOTALβ€”349.
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DISCHARGES: S.F. Diph. Dysentery. C. Pox. C.S.M. Ery. Wh.C. Mumps Enteritis Measles. D. & V. Rubella Suspected Typhoid. Acton 95 29 11 1 4 4 1 1 2 3 1 β€” 1 Wembley 154 22 3 1 4 3 8 2 1 8 β€” 2 1 Ealing β€” 1 β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Military β€” 2 - - - - - - - - - - - 249 54 14 2 8 7 9 3 3 11 1 2 2 TOTALβ€”365. TRANSFERS: S. Fever. Diph. DEATHS: Diph. Wh.C.
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Meningitis Acton - 1 Acton 1 - - Wembley 9 1 Wembley 1 3 2 9 2 2 3 2 TOTALβ€”11. TOTALβ€”7. 23 Tuberculosis. Particulars of new cases and of deaths from the disease during 1946 are given below: 103 new cases of Pulmonary Tuberculosis and 23 cases of Non-Pulmonary Tuberculosis occurred during the year. There were 35 deaths from Pulmonary, and 5 deaths from Non-Pulmonary Tuberculosis during the, year. The following table gives the age incidence of new cases, of the disease in 1(546, and of deaths from the same cause.
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24 TUBERCULOSIS Age Periods NEW CASES DEATHS Respiratory Non-Respiratory Respiratory Non-Respiratory Male Female Male Female Male Female Male Female 0β€” - - - - - - - - 1β€” - - - β€” - - - 1 5β€” - - 1 1 - - - - 15β€” 3 β€” 3 4 5 - - 1 25β€” 14 14 1 3 3 2 - 1 35β€” 20 10 2 4 3 3 - 1 45β€” 8 5 1 2 4 3 - - 55- 9 1 - 1 5 - 1 - 65 upwards 18 1 - - 5 2 - - 72 31 8 15 25 10 1 4 25 Statement of particulars appearing on the Register of cases of Tuberculosis for 1946.
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Pulmonary NonPulmonary Total (a) Number of cases of T.B. on the Register at the commencement of the year 1584 males 272 males 3422 1240 females 321 females (b) Number of cases notified for the first time during the year 56 males 10 males 106 29 females 11 females (c) Number of cases previously removed from the Register which have been restored thereto during the year - males - males 1 1 female - females (d) Number of cases added to the Register other than by notification 12 males - males 19 4 females 3 females (e) Number of cases removed from the Register during the year 46 males 1 male 78 22 females 9 females (f) Number of cases remaining on the Register at the end of the year 1611 males 281 males 3470 1252 females 326 females Scabies and Verminous Conditions.
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As in previous years, cases suffering from the above conditions have been referred to the Kensington Medicinal Baths for cleansing treatment. The number of cases and the number of families is again smaller than last year. 26 PATIENTS TREATED AT KENSINGTON BATHS FOR SCABIESβ€”1946. Month. Total N.E. N.W. S.E. s.w. No. of families treated.
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January 19 9 2 β€” 8 7 February 27 2 4 11 10 13 March 19 7 6 5 1 12 April 24 10 4 2 8 11 May 23 4 8 7 4 10 June 23 11 9 1 2 9 July 11 9 β€” β€” 2 8 August 26 14 4 β€” 8 15 September 15 7 β€” 3 5 8 October 14 1 1 2 10 7 November 6 β€” 2 β€” 4 4 December 14 6 8 β€” β€” 8 TOTAL 221 80 48 31 62 112 PATIENTS TREATED AT KENSINGTON BATHS FOR VERMINOUS HEADS DURING 1946. Month. Total N.E. N.W. S.E. S.W. No. of families treated.
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January 3 2 1 - - 3 February 16 5 β€” β€” 11 9 March 3 β€” β€” β€” 3 1 April 2 β€” 2 β€” β€” 1 May 1 - 1 β€” β€” 1 June 8 1 4 β€” 3 6 July - - β€” β€” β€” β€” August 1 1 β€” β€” β€” 1 September 8 6 β€” β€” 2 4 October - - - - - - November 3 2 1 β€” β€” 2 December 6 1 β€” 1 4 3 TOTAL 51 18 9 1 23 31 PATIENTS TREATED AT KENSINGTON BATHS FOR BODY LICE-1946. Month. Total N.E. N.W. S.E. S.W. No. of families treated. May 2 β€” 1 β€” 1 2 TOTAL 2 - 1 β€” 1 2 27 Premature Infants.
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Total number notifiedβ€”53. Born at Homeβ€”22 Born in Hospitalβ€”31 Nursed entirely at Home. Died in 24 hours. Survived 1 month. Died in 24 hours. Died between 1 day and 1 month. Survived 1 month. 20 1 19 6 3 22 Care of Illegitimate Children. During 1946, four mothers were sent to the Hostel under arrangements made with the County Council. HOUSING. I am indebted to the Chairman of the Housing and Town Planning Committees for the following extracts from a report on Housing, dated 6th May, 1947. In 1945, there were 3,500 applicants on the waiting list for houses in Acton, and in April 1947, there having been very few withdrawals, it is estimated that 4,500 families need proper accommodation in which to live.
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The Town Clerk has power to requisition certain premises for housing, and the position on 31st March, 1947, is set out below: Total number of dwellings requisitioned 1,000 (approx.) Number of families rehoused 1,272 Number of dwellings now held under requisition 800 The lower figure of 800 is. due to the release of housing in exceptional circumstances. The, Council have provided 3 hostels in which each family has separate bedrooms, but living rooms and kitchen are shared, although in nearly all cases each housewife has her own gas stove. The number of houses rebuilt will be seen in the, figures supplied by the Borough Engineer. 28 It is intended to erect 250 prefabricated houses on land in the Borough, and of this number 83 have been erected and are occupied. It is hoped that the remainder will be occupied before the end of the year.
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The 250 are sited as follows: On bombed sites 58 On private open space 50 In Public Parks 33 On land which will become public open space at the end of the life of the temporary dwellings 109 250 The Town Council have decided that any vacant piece of land suitable for housing shall be acquired in the Borough. Fortunately, the Council acquired 10 acres of land in The Vale, and a contract for the erection of, 318 flats was let in 1946. This scheme provides for: 30 One roomed flats (for old people). 98 Three roomed flats. 24 Four roomed flats (for 5 people). 96 Four roomed flats (for 6 people). 70 Five roomed flats. In addition there will be a community centre for social gatherings, a laundry for the use of the tenants fitted out with the latest appliances for washing and drying clothes, a tenants' workshop, and a mortuary.
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The Town Council have decided that any vacant piece of land suitable for housing shall be acquired in the Borough. Fortunately, the Council acquired 10 acres of land in The Vale, and a contract for the erection, of, 318 flats was let in 1946. This scheme provides for: 30 One roomed flats (for old people). 98 Three roomed flats. 24 Four roomed flats (for 5 people). 96 Four roomed flats (for 6 people). 70 Five roomed flats. In addition there will be a community centre for social gatherings, a laundry for the use of the tenants fitted out with the latest appliances for washing and drying clothes, a tenants' workshop, and a mortuary. Preliminary plans for the development of the first seven-sites of the list set out below, have been approved: Site. Net area (acres) No. of flats. Total 1 2 3 4 bedrooms.
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Bromley Lodge, Lynton Road 0.90 - 6 12 - 18 Bollo Bridge Road 0.84 4 14 18 2 38 Park Road North (E. side) 0.19 2 7 3 β€” 12 Horn Laneβ€”Shalimar Gardens 0.52 β€” 3 17 4 24 Oldfield Estate, The Vale 1.99 6 20 32 β€” 58 Oakley Avenue 0.7'2 2 4 12 β€” 18 Esmond Road and Ramillies Road 1.05 1 11 12 β€” 30 Pierrepoint and Creswick Roads 0.50 *18 Avenue Crescent & Heathfield Rd. 1.10 12 378 Uxbridge Road 0.36 8 * Total estimated. 29 The Council also intends rehousing persons outside the Borough at Hemel Hempstead, which Borough concurs in the Acton Borough Council buying enough land to house 1,000 families.
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The Acton, Ealing, Hayes, Harlington and Southall Councils have, made representation to the Ministry of Health for release of land occupied by a government department, and this would give Acton a share sufficient for land for 600 families. Acton recently heard of land in the Ruislip and Northwood Urban District Council area, near to the G.W.R. Station, and from enquiries made, there, seems every prospect of finding sites for 600 houses. A Town Planning Scheme has been prepared for the redevelopment of Acton, but I do not propose here to describe this scheme in detail. Acton has a big problem of rehousing and from the information set out above it appears, that every effort is being made to remedy the conditions now existing. Overcrowding exists as it did before the war, the.
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loss of, houses destroyed during the war has not made matters easier, but as the schemes, mentioned are, put into effect housing conditions will improve., The Borough Engineer has submitted the following information, showing the amount of work carried out on houses damaged by enemy action. (a) Dwellings slightly damaged but not uninhabitable 19,660 (This figure is the number of repair jobs carried out, including cases where, a property was repaired several times). (b) Dwellings rendered temporarily uninhabitable for short periods 225 (c) Dwellings seriously damaged and uninhabitable for substantial periods 813 (d) Dwellings demolished by enemy action 482 (e) No. of destroyed dwellings rebuilt by 31.3.47 13 (f) Number of destroyed dwellings in course of re-erection at 31.3.47 141 Food and Drugs Act, 1938. The Middlesex County Council are the, sampling authority in this area, and the Chief.
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Officer of the Public Control Department 30 has supplied the figures appended below of samples taken during the year: Article. Taken. Adulterated. Milk 153 4 Aspirin 1 β€” Banana Slab 1 β€” Bicarbonate of Soda 1 β€” Black Pepper 1 β€” Boracic Ointment 1 β€” Brimstone and Treacle 1 β€” Browning 1 β€” Coffee 1 β€” Coffee and Chicory Essence 1 β€” Curry 1 β€” Fish Paste 1 β€” Gin 8 - Jam 1 β€” Marmalade 1 β€” Mayonnaise 1 β€” Meat Paste 1 β€” Meat Savouries 1 β€” Meats, cooked 2 β€” Mixed Spice 1 β€” Mustard l β€” Pimento 1 β€” Rum 2 β€” Salad dressing 1 β€” Sausages 7 β€” Sausages,
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cooked 9 β€” Sausage meat 7 β€” Vinegar (non brewed) 1 β€” Whiskoda 1 β€” Whisky 7 β€” Zinc and Castor Oil Cream 1 - 218 4 On the, adulterated samples of milk, one contained 10% of added water for which legal proceedings were instituted and the defendant fined Β£5 with 15/- costs, one was 12% deficient in fat for which an official caution was issued, and no action was taken in respect of the other two samples which contained added water to the extent of 2% and 2.8% respectively. 31 SECTION C. SANITARY CIRCUMSTANCES OF THE AREA. Water Supply. The Borough is supplied with water by the Metropolitan Water Board. The supply has been satisfactory and the whole of the population is supplied from the public water mains direct to each house. Drainage and Sewerage. All the dwelling houses are provided with water closets and are drained into the. main' sewerage system.
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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 1946 was 17,255 tons, of which 2,040 tons was salvage. Trade refuse collected amounted to 1,289 tons, and a total weight of 13,119 tons was burned by the Destructor. Rodent Control. Work of investigation and inspection, followed by systematic treatment of premises as soon as evidence of rats is noted, has resulted in freedom from serious infestation of the Borough. Early destruction of the rodents and measures of rat-proofing where necessary have, been so effective that loss of foodstuffs or damage to materials or structures are rarely recorded. In connection with treatments carried out by the Council, 1,250 visits have been made, 945 to business premises and 305 to dwelling houses, in addition to inspections by the Sanitary Inspectors as.
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noted elsewhere. Inspection of Factories. There are 570 power factories and 44 non-power factories within the Borough, and the Sanitary Inspectors have carried out inspection to ensure that the appropriate provisions of the Factories Act, 1937 and the Sanitary Accommodation Regulations, 1938 are complied with. In relation to Factories also, the hygiene of Canteens, and questions as to fitness of food therein for human consumption has received full attention as necessary. 32 Sanitary Inspection of the Area. The following Table includes the tabular statement furnished by the Chief Sanitary Inspector under Article 27 (18) of the Sanitary Officers (Outside London) Regulations, 1935. Tabular Statement of Inspections and Details of Work carried out by Sanitary Inspectors.
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Number of Inspections made and Action taken: Total number of dwelling houses inspected for housing defects (under Public Health or Housing Acts) 3,759 (1) Dealt with by service of Informal Notice 1,099 (2) Dealt with by service of Statutory Notice, under Section 9, Housing Act 1936 572 (3) Dealt with by service of Statutory Notice under Public Health Acts 180 (4) No defects found 41 Premises (other than defective dwelling houses) inspected for nuisances and miscellaneous defects 2,305 (1) Dealt with by service of informal notice 115 (2) Dealt with by service of Statutory Notice, under Public Health, etc. Reinspections subsequent to service of.
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Notice 12,486 Inspections after notification of Infectious Disease 270 Premises inspected under Rats & Mice (Destruction) Act, 1919, and Infestation Order, 1943 620 Details of work carried out: The insufficiency of housing accommodation in the Borough has emphasized the need for preserving every available type of dwelling against what may be, general dilapidation and the war damage which was not effectively remedied by first-aid repairs. Many dwellings which but for the present emergency might have been " closed," have, been given a new " lease of life " as the result of compliance with the Council's requirements under the Housing Act 1936. The. condition of many of the older properties is reflected in the figures in the following table, which has reference to defective damp proof courses, roofs, and rainwater gutterings and 33 downpipes.
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The Sanitary Inspectors have devoted much time to the eradication of dry rot from dwelling houses and other buildings, this work entailing the expending of extensive materials and labour. Sanitary dustbins provided 453 Yards paved or yard paving required 18 Insanitary forecourts remedied 6 Defective drains repaired or reconstructed 84 Defective soil pipes and ventilating shafts repaired or renewed 47 Defective fresh air inlets repaired or renewed 12 Defective gullies removed and replaced by new 50 Rainwater downpipes disconnected from drain 9 Dishing and curb to gullies repaired and new gratings fixed 31 Defective W.C. pans and traps removed and replaced by new 87 Defective W.C. flushing apparatus repaired or new fixed 119 Defective W.C.
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seats repaired or new fixed 86 Defective flush pipe connections repaired 39 Insanitary sinks removed or new fixed 57 Sink waste pipes repaired or trapped 111 Insanitary wall surface over sinks remedied 71 Ventilated food cupboards provided 23 Drinking water cisterns cleansed 15 Defective covers to drinking water cisterns repaired or new fixed 21 Insanitary sites beneath floors concreted 7 Spaces beneath floors ventilated 45 Dampness in walls from defective damp-proof course remedied 378 Dampness from defective roof, rainwater gutterings, etc. remedied 2,088 Defective plastering repaired (number of rooms) 1,783 Rooms where dirty walls and ceilings have been cleansed and redecorated 1,
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867 Defective floors repaired 419 Defective or dangerous stairs repaired 61 Defective doors and windows repaired 613 Defective washing coppers repaired 24 Coal cupboards provided or repaired 3 Accumulations of offensive matter removed 5 Drains unstopped and cleansed 121 Drains tested, exposed for examination, etc. 207 Smoke observations taken 13 Smoke nuisances abated on service of notice - Miscellaneous nuisances abated 311 Notifications of waste of water sent to Metropolitan Water Board 88 New W.C. apartments 7 34 Rent Restriction Act. Certificates granted to occupiers 13 Certificates (clearance) granted to owners 3 Premises under Periodical Inspection. Factories and Workshops 601 Piggeries 4 Rag Dealers 2 Mews 4 Public House Urinals 31 Hairdressers 43 School Buildings: Elementary 11, Secondary 2, Technical 2, Special (M.,D.) 1, Private 3.
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19 Butchers' Shops 37 Fish Shops 37 Fish and Chip Shops 16 Greengrocers' Shops 87 Premises where food is manufactured or prepared 43 Grocery and Provision Shops 135 Dairies 13 Bakehouses 25 Slaughterhouses 2 Restaurants, Cafes, etc. 129 Premises where ice-cream is manufactured 12 Food Inspection. There was a considerable diminution in the amount of. unfit food dealt with in the year as compared with the previous years, due largely to the absence of direct enemy action. Included in the foodstuff surrendered were 23,012 containers of preserved meat, fish, milk, fruit, vegetables, etc., a large quantity of which was salvaged in accordance with the scheme of salvage, instituted by the Ministry of Food.
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In addition to the above-mentioned unfit foods, a very large quantity of meat and milk has been received in the Borough for manufacturing purposes, and has been dealt with under the supervision of the Sanitary Inspectors, each of, whom is a certificated Meat and other foods Inspector. 35 Milk. The thirteen dairies within the Borough, subject to regular inspection, have been maintained in a hygienic condition, and in no case has there been cause for complaint as to any milk distributed therefrom. At the Pasteurising and bottling depot in Bollo Lane, milk has been processed to full capacity throughout the year, and no cause for complaint has been registered. Including the samples of milk at the above depot, 144 samples have been taken, and on submission to the prescribed phosphatase test, in each case the milk was proved to have been properly pasteurised. Water.
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Five samples of water were taken and submitted for examination, three as to bacteriological and two as to chemical content, and in every case the, result showed the sample to be satisfactory. Ice-cream. During the year 23 samples were taken of ice-cream sold within the Borough, and the. results of examination by the pathologist indicated in certain cases the need for more care in handling the product. During inspection of, premises and plant and in conversation with manufacturers, proper and thorough cleansing of the plant used in processing and strict attention to personal hygiene were stressed. The reduction in bacterial content of the product in successive examinations is consistent with improvements in the general conditions of plant and premises and indicates that special supervision in this trade is warranted. Diseases of Animals.
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In the course of the year there occurred outside the Borough two outbreaks of Foot and Mouth Disease, in respect of which Acton was included in the Schedules of Infected Areas, and 271 licences were granted by this Local Authority for the removal of pigs into the borough for slaughter. 36 Slaughterhouses. The slaughterhouses in Atlas Road and Hanbury Road have been in commission throughout the year, and the, carcase and offal of every animal slaughtered have been examined as to their fitness for human food. The increasing demand for horseflesh to supplement the meat ration is revealed in the number of horses slaughtered β€”almost two thousand more than in the previous year and over ten times the number slaughtered in 1942. The incidence of disease in horses, is extremely small as compared with bovines and pigs, and the, relative amount of horseflesh condemned in the slaughterhouses is correspondingly small. No case of tuberculosis in a horse was noted during the year.
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Tables showing details of meat and offal surrendered following examination by the Sanitary Inspectors will be found on the two succeeding pages. Pigs. Horses. 1. Number killed 68,811 5,830 2. No. inspected 68,811 5,830 3. All diseases except T.B.:β€” Whole carcases condemned 41 10 Carcases of which some part or organ was condemned 1,218 943 Percentage of number inspected affected with disease other than T.B. 1.83% 16.34% 4. T.B. only:β€” Whole carcases condemned 65 β€” Carcases of which some part or organ was condemned 1,041 Percentage of number inspected affected with T.B. 1.61% β€” 5. Total weight of meat arid offal surrendered: Pigsβ€”19 tons 17 cwt. Horsesβ€”9 tons 18 cwt.
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37 NUMBER OF PIGS' CARCASES INSPECTED DURING 1946 WITH ANALYSIS OF SURRENDERS ON ACCOUNT OF DISEASE. Date Pigs Slaughtered PARTS CONDEMNED. Carcases Heads Collars Fore Qtrs. Hind Qtrs. Legs Skins Hocks Pieces of of Pork Plucks (Lungs, Livers, Hearts) Wt. of Mesenteries, Stomachs & Intestines January 6154 11 102 - - - 28 3 2 16 lbs. 130 840 lbs. February 5030 6 65 β€” - 2 25 1 2 13 lbs. 83 760 lbs. March 5844 12 65 β€” - β€” 27 1 β€” β€” 96 810 lbs. April 7013 11 141 β€” - 2 232 β€” β€” 27 lbs. 199 630 lbs.
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May 6090 8 125 β€” - 3 37 3 - 87 lbs. 122 870 lbs. June 5998 12 79 β€” - 1 13 8 5 11 lbs. 90 860 lbs. July 7708 10 142 2 - β€” 17 3 2 11 lbs. 178 710 lbs. August 5122 12 66 β€” 2 β€” 15 2 β€” 21 lbs. 79 690 lbs. September 5170 8 82 β€” β€” β€” 16 1 2 - 154 740 lbs. October 4945 6 68 1 β€” β€” 19 6 1 14 lbs. 96 890 lbs. November 4164 8 80 β€” β€” β€” 8 - 1 9 lbs. 106 750 lbs. December 4673 2 56 β€” β€” β€” 17 2 β€” 19 lbs.
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62 730 lbs. Total 68,811 106 1071 3 2 8 454 30 15 229 lbs. 1355 9280 lbs. ' ' . 39 ANNUAL REPORT of the School Medical Officer FOR THE YEAR 1946. To the Chairman and Members of the School Health Committee. Ladies and Gentlemen, The. following report is submitted giving details of the work carried out during 1946. The Education Act came into force in 1945 and since that date a considerable amount of time has been spent correlating the work of the School Health Services and endeavouring to provide a smooth running service, since the administrative centre is established in the Offices of, the, Middlesex County Council. I think on the whole there has been developed a smooth running and yet flexible administration. Every two months, the County Medical Officer of Health and his Representative meets the School Medical Officers of, Middlesex Areas to discuss the procedure of new circulars, policy, etc.
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Clinic accommodation is at 45 Avenue Road, Acton, and the premises are inadequate and out of date for the great amount of work carried out there,. All Clinics were open throughout the year and figures are given in the report. During the year the number of children on the, school roll was. 6,596. Provision still continues to be made for the admission of children from the. age of 3 years where such accommodation can be made available. Maples Nursery has now been taken over by the local Education Authority and is functioning as a nursery school attached to the Priory Infants' School. 40 Under the School Meals Service, the number of, meals provided in '1946 was 626,830 as compared with 402,600 in 1945. Milk has been supplied free to all school children since August 1st, 1946.
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There was not an epidemic of any infectious disease in 1945, only 56 cases of Scarlet Fever and 12 cases of Diphtheria being notified as compared with 43 and 8 respectively in 1945. The percentage of children immunised against Diphtheria is shown for each school. The Ear and Nose Clinic has expanded considerably during the year. The Clinic held especially for nasal and post-nasal catarrh treatment has increased from 67 cases in 1945 to 189 cases in 1946, whilst the number of cases treated for ear trouble was 120 as compared with 46 in 1945. Twelve children were sent for Audiometric tests on account of deafness. Reports of the work carried out by the School Oculist, Dental Surgeons and Speech Therapist are included. The latter is, in my opinion, a very valuable part of the school health service.
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During the latter part of the year, a part time School Nurse was appointed to carry out the work of the Minor Ailment Treatment Centre, thus relieving a Health Visitor who can be better occupied in carrying out the duties for which she was appointed. Before ending this report, one must thank all the staff of the School Health Service for their co-operation and loyal support throughout the year. Your obedient servant, GEORGE E. B. PAYNE. SCHOOL MEALS AND MILK- 1946. (1) Total number of meals supplied 626, 830 (2) Total number of free meals supplied 59, 344 (3) Ordinary Schools. Total number of paid meals supplied 624, 775 Total number of free meals supplied 58, 890 41 (4) Special School.
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Total number of paid meals supplied 2,055 Total number of free meals supplied 454 (5) Number of bottles of free milk supplied from January 1st, 1946 to August 1st, 1946 Ordinary Schools 65,791 Special School 1,116 INFECTIOUS DISEASES. Scarlet Fever 56 cases were reported during 1946 in the school population, the distribution being as follows:- Acton Wells 2 Beaumont Park 1 Berrymede 18 Derwentwater 7 Central 1 John Perryn 4 Priory 10 Roman Catholic 5 Rothschild 6 Southfield 2 West Acton Diphtheria. 12 cases were reported in 1946 in the schools, the distribution being as follows:- Acton Wells 4 Rothschild 1 Berrymede 4 Derwentwater 1 Priory 2 42 Percentages of Children Inoculated in School.
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Acton Wells Secondary Modern 70.60% Acton Wells Primary 82.58% Beaumont Park Primary 73.59% Berrymede Boys' Primary 65% Berrymede Girls' Primary 58.88% Berrymede Infants' 61.38% Acton Central Secondary Modern 72.67% Derwentwater Primary 65.32% Derwentwater Infants' 65.89% John Perryn Secondary Modern 66.67% John Perryn Primary 84.69% Priory Boys' Secondary Modern 63.46% Priory Girls' Secondary Modern 55.12% Priory Infants' 73.08% Rothschild 80% Southfield Primary 79.11% Southfield Infants' 76.78% St. Mary's R.C., Turnham Green 67.66% West Acton 78.38% 43 INOCULATIONS, 1946. School. Trt.
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commenced 1945 Primary Schick. Completed 1946. Doses. 1946 Doses. Schick tested after 3 years. " Boost " Dose. 1st. 2nd. 3rd. Pos. Neg. 2nd. 3rd. Pos. Neg. 1st. 2nd. 3rd. Acton Wells Upper _ 1 - 1 13 9 8 10 28 3 _ _ Acton Wells Lower 7 9 2 4 19 15 12 6 11 57 3 Berrymede Boys 6 10 2 2 13 10 4 6 6 32 β€” β€” Berrymede Girls 4 4 2 3 7 6 4 4 8 27 1 β€” Berrymede Infants 3 1 2 4 34 23 14 β€” 2 55 2
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Beaumont Park 9 3 β€” 1 18 14 11 2 12 66 Central 1 1 2 3 4 4 2 3 19 Derwentwater Juniors 2 1 1 2 13 13 5 7 9 45 Derwentwater Infants 1 1 2 3 14 10 9 1 β€” 43 β€” _ John Perryn Lower 4 2 β€” β€” 15 15 12 4 2 79 2 β€” John Perryn Upper 4 8 β€” β€” 6 4 2 4 11 3 1 β€” Priory Boys 6 1 1 1 12 9 9 14 14 β€”: β€” β€” Priory Girls β€” 4 2 2 4 3 2 7 12 1 β€” β€” Priory Infants β€” 1 4 4 7 7 6 1 3 46 2 β€”
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Southfield Junior 7 2 β€” β€” 9 7 3 5 5 58 7 - Southfield Infants 2 β€” β€” 1 8 8 8 4 - 37 1 - Rothschild 2 1 β€” β€” 14 8 8 2 3 49 - - St. Mary's R.C. 12 5 4 3 23 17 11 2 15 32 3 - West Acton 1 1 β€” β€” 2 2 2 β€” - 25 - - Other Schools 5 2 _ _ 8 6 4 2 15 29 2 β€” TOTALS 76 58 24 34 244 191 136 84 175 687 24 β€” 44 DISTRIBUTION OF SCABIES. Acton Wells. Rosebank Gardens Home Treatment. Leamington Park Baths β€ž Wales Farm Road Baths β€ž 2 children.
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Wales Farm Road Baths β€ž Beaumont Park. Beaumont Road Baths Treatment. 2 children. Beaumont Road Baths β€ž Somerset Road Baths β€ž Evelyn Road Baths β€ž Bridgman Road Baths β€ž Cunnington Street Baths β€ž Gladstone Road Baths β€ž Fletcher Road Baths β€ž Berrymede. †Ramsay Road Baths Treatment. 2 children. Park Road North Baths β€ž †† Junction Road Baths β€ž 4 children. Shaftesbury Road Baths β€ž Stirling Road Baths β€ž 2 children. Bollo Bridge Road Baths β€ž Berrymede Gardens Baths β€ž Mill Hill Terrace Baths β€ž Park Road North Baths β€ž Avenue Road Baths β€ž ††Meon Road Baths β€ž Shaftesbury Road Baths β€ž 2 children. Meon Road Baths β€ž 2 children. Stanley Road Baths β€ž Acton Lane Baths β€ž Winchester Street Baths β€ž Shaftesbury Road Baths β€ž 3 children. Central. Meon Road Baths Treatment. Stirling Road Baths β€ž 2 children. County.
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Ramsay Road Baths Treatment. Bollo Lane Baths β€ž Derwentwater. Creffield Road Home Treatment. Birkbeck Road Baths β€ž 2 children. Summerlands Avenue Baths β€ž Cumberland Road Baths β€ž Alfred Road Baths β€ž 2 children. Chaucer Road Baths β€ž 5 children. Essex Road Baths β€ž † Denotes a return case. 45 DISTRIBUTION OF SCABIES-Contd. John Perryn. †Mashie Road Baths Treatment. Brassie Avenue Baths β€ž The Fairway Baths β€ž 2 children. Long Drive Baths β€ž 5 children. †The Fairway Baths β€ž 3 children. Strelley Way Baths β€ž First Avenue Baths β€ž Priory. Gladstone Road Baths Treatment. Avenue Road Baths β€ž Mill Hill Terrace Baths β€ž 2 children.
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Park Road North Baths β€ž Mill Hill Road Baths β€ž Newton Avenue Baths β€ž Acton Lane Baths β€ž Goldsmith Road Baths β€ž Colville Road Baths β€ž Essex Road Baths β€ž Chaucer Road Baths β€ž Acton Lane Baths β€ž The Vale Baths β€ž Essex Road Baths β€ž St. Mary's R.C. Acton Lane Baths Treatment. Beaconsfield Road Baths β€ž 2 children. Friary Road Baths β€ž Rothschild. Rothschild Road Baths Treatment. Southfield. Brookfield Road Baths Treatment. 3 children. West Acton. Canada Crescent Baths Treatment. †Denotes a return case. In all 101 cases of scabies received treatment through the School Clinics. of this number 7 received treatment twice. 46 EAR AND NOSE CLINIC. Ear Treatment only.
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Number attending with Otorrhoea 38 β€ž β€ž β€ž Boils 5 β€ž β€ž β€ž Mastoid swelling β€” β€ž β€ž β€ž Earache 11 β€ž Wax_ 49 β€ž β€ž β€ž other Ear diseases β€ž referred, but did not attend 17 120 (24 cured, 3 better, '11 failed for further treatment). Nose Treatment. Nasal and post-nasal catarrh. Number cured 76 β€ž improved 55 β€ž complicated by other conditions β€” β€ž referred to Hospital 1 β€ž who did not report for examination after treatment 20 β€ž referred, but not did not attend 22 β€ž who failed to complete treatment "14 β€ž continuing treatment 1 189 Nose and Ear Treatment simultaneously. Cases suffering from Otorrhoea and post nasal Catarrh.
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Number cured 6 β€ž referred to Specialist β€” β€ž who ceased to attend " 1 β€ž irregular in attendance (not seen after treatment) 1 β€ž continuing treatment β€” β€ž referred to Hospital β€” 8 Number of children sent for Audiometric, examination 12 47 REPORT OF THE SCHOOL OCULIST. There has been a good attendance of children at the Eye Clinic. During the, year 1946 the following numbers of children were examined: Elementary and Secondary Schools 380 From Infant Welfare Clinics 29 Spectacles were prescribed in 272 cases. One child was referred for orthopic, treatment and one for operation for squint. One child was referred to a myope school. (Signed) V. E. Brander. REPORT OF SCHOOL DENTAL SURGEON. Regarding the general dental condition of the children a definite improvement is to be seen in the lowest age groups, compared with pre-war standards.
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This was, perhaps, more noticeable to people returning to civil life from the forces (as I did in February of this year) and one's first reaction was to give credit largely to the extra milk, fruit juices., cod liver oil, etc. supplied. However, a very similar improvement took place during and immediately after the 1914-18 war, when these foods were not available in the same way. It will, therefore, be interesting to see if, and for how much longer the improvement is maintained this time. Reduction in the amount of sweets, cakes, etc., probably also has its effect. The figures for treatment show an increase on last year, though owing to difficulties of accommodation and the unavoidable, absence of staff, this was less than it otherwise would have been. The percentage of acceptance of treatment has risen from 47% to over 65.9% this year. Though this is still low, it is a good move in the right direction.
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The increase in acceptance rate for Maternity and Child Welfare cases was from 50% to 77%. One of our greatest problems is the number of cases requiring orthodontic treatment. Unfortunately, owing to the length of waiting lists, the orthodontic specialist has been unable to accept more new cases since June. 48 One of the chief causes of irregularity is the too early loss of temporary teeth because of decay. To minimise this, every effort is being made, consistent with keeping enough time for dealing with permanent teeth, to preserve these teeth until the natural time of shedding. From the latter part of this year increasing use has been made of the treatment, after suitable preparation, with silver nitrate for teeth, unsuitable for actual fillings. This, of course, takes time, though a greater number of teeth per visit can be dealt with so that there is less danger of encroaching on time devoted to the conservation of the permanent dentition. Dental Report. Maternity and Child Welfare (1946). No.
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Mothers Examined 258 No. Mothers Referred 255 No. Children Examined 75 No. Children Referred 70 No. Mothers Treated 160 No. Children Treated 87 No. Attendances-Mothers 677 Children 150 Permanent Teeth-Fillings 454 Extractions 361 Temporary Teeth-Fillings 72 Extractions 19 Anaesthetics-General (a) Mothers 99 (b) Children 19 Local 29 Dressings-Mothers 182 Children 22 Scale and Polish-Mothers 133 Children 1 No. Dental Plates supplied 54 49 SPEECH THERAPY REPORT (1946). During 1946 a total of 48 children have attended for Speech Therapy. Of these:β€” 11 have been discharged cured, the follow-up after 3 months having shown, in each case, that progress had been maintained. 2 were given a provisional discharge, but the follow-up showed that a further period of treatment is desirable.
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7 have been provisionally discharged cured, but the necessary period for ratification has not yet elapsed. 4 left school, much improved. 3 were discharged, improved. 4 were discharged for irregular attendance. 1 left the district. 1 left at parent's request. The remaining 15 who require a further period of treatment are all making satisfactory progress. The 2, who, after the provisional discharge are found to require further treatment will be re-admitted in January. The 3 on the waiting list will also receive treatment. In the course of the year, 4 parents have, failed to attend for preliminary interviews. 2 others attended for interviews, but stated that they did not wish their children to receive regular treatment. Eileen Richnell. SPECIAL SCHOOL. The School for the educationally retarded *was open for the whole of 1946, and at the end of, the year 21 children were on the roll. During the year 11 new cases were admitted.
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50 EXCEPTIONAL CHILDREN. Defect. In spital. Residential Special or O.A. School. Ordinary Elementary School. Evacuated. At Home. Total Tuberculosis l - 10 - 2 13 Delicate - 2 20 - 2 24 Asthma - 1 25 - β€” 26 Rheumatism l β€” 15 - β€” 16 Perthe's Disease 2 β€” 2 - β€” 4 Crippled 1 β€” 5 - 3 9 Epilepsy - 3 3 - 2 8 Cretinism - β€” 1 - β€” 1 Partially Deaf and Deaf & Dumb - 9 - - - 9 Blind and Partially Blind - 3 - 1 4 Imbecile - 5 - - 7 12 Maladjusted - 4 1 β€” β€” 5 VISITS PAID BY SCHOOL NURSES.
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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 62 Beaumont Park 55 Berrymede 66 Derwentwater 51 John Perryn 110 Priory 90 Roman Catholic 8 Rothschild 10 Southfield 72 West Acton 3 Special 6 County 3 Other Schools 23 559 51 MEDICAL INSPECTION RETURNS. TABLE I. A.- Routine Medical Inspections. Number of inspections in the prescribed groups:β€” Entrants 963 Second Age Group 784 Third Age Group 895 Total 2,642 Number of other routine inspections β€” Grand Total 9,642 B.β€”Other Inspections. Number of Special Inspections and Re-Inspections 1,545 TABLE II. Classification of the Nutrition of Children Inspected during the year in the Routine Age Groups. Age Groups.
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Number o Children Inspected A. B. C. D. f (Excellent) (Normal) (Slightly subnormal) (Bad) . No, % No. % No. % No. % Entrants 903 229 23.8 622 64.6 112 11.6 - Second Age Group 784 173 22.1 510 65.1 101 12.8 β€” - Leavers 895 208 23.2 621 69.4 65 7.3 1 1 TABLE III. Group I.β€”Treatment of Minor Ailments (excluding uncleanliness). Total number of defects treated or under treatment during the year under the Authority's Scheme 2,684 Group II.β€”Treatment of Defective Vision and Squint. Errors of refraction, including Squint. (Under the Authority's Scheme) 380 Other defect or disease of the eyes, excluding those recorded in Group I.
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1 Total 381 Numbers of children for whom spectacles were (a) Prescribed 243 (b) Obtained 243 52 Group III.-Treatment of Defects of Nose and Throat. Received Operative Treatment 35 Received other forms of Treatment 196 Total number treated 231 Annual Dental Report, 1946 School Children. TABLE IV. No. Inspectedβ€” Routine age groups 2,471 Specials 784 3,255 No. referred for Treatment 2,477 No. Treated 1,634 No.
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Attendances for Treatment 4,237 Half-days devoted to:β€” Inspection 33 Treatment 717 Total 750 Fillings:β€” Permanent Teeth 2,349 Temporary Teeth 1,134 Total 3,483 Extractions:β€” Permanent Teeth 259 Temporary Teeth 1,615 Total 1,874 General Anaesthetics for extractions 841 Other Operations:β€” Permanent Teeth 832 Temporary Teeth 548 I Total 1,380 TABLE V. Verminous Conditions. (1). Total number of examinations of pupils in the Schools by School Nurses or other authorised persons 14,873 (2) Number of individual pupils found unclean 524 53 AVERAGE HEIGHTS AND WEIGHTSβ€”ENTRANTS. School. BOYS. Total No. Seen. 2 YEARS 3 YEARS 4 YEARS 5 YEARS 6 YEARS 7 YEARS No. seen H. ins. W. lbs. No. seen H. ins. W. lbs. No. seen H. ins.
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W. lbs. No. seen H. ins. W. lbs. No. seen H. ins. W. lbs. No. seen H. ins. W. lbs. Acton Wells 32 1 45 43.75 16 44.29 43.01 6 46.84 49.5 9 49.44 04.91 Beaumont Park 35 13 39.55 36.69 8 40.46 37.37 8 43.53 42.28 4 46.31 46.25 2 47 52.5 Berrymede 64 19 38 35.42 16 40.4 38.53 21 42.75 42.9 6 46.91 49.62 2 45 50.37 Derwentwater 44 1 37.5 34 4 41 37.
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87 26 43.59 44.26 10 45.5 47.9 3 46.83 51.58 John Perryn 87 23 39.06 36.01 28 41.55 39.69 15 43.36 41.63 12 45.93 48.18 9 47.67 51.66 Priory 66 7 38.25 36.03 15 41.35 39.61 31 43.19 42.16 11 46.34 48.89 2 47.75 55.25 Maples 23 10 34.42 29.5 9 38.08 33.3 4 41.12 38.25 Roman Catholic 11 4 40.93 39.06 2 43.75 41 3 47.41 53.41 2 50.75 52.
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87 Rothschild 37 12 37.87 36.5 6 40.66 39.33 12 42.79 42.25 5 44.6 47.35 2 46.25 47.87 Southfield 51 4 38.12 34.87 11 42.77 41.43 27 43.92 42.89 3 45.91 45.08 6 48.92 54.88 West Acton 42 1 39.25 34.5 12 43.56 43.2 14 44.67 44.78 6 46 46.79 9 50.03 56.55 492 10 34.42 29.5 89 38.52 35.68 109 41.54 39.77 172 43.54 12.93 66 46.1 48.
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6 46 48.52 53.77 GIRLS. Acton Wells 29 2 42.65 40.12 18 43.73 41.82 6 47.6 49.91 3 49.66 60.58 Beaumont Park 28 4 39 36 7 42.21 39.85 13 43 40.94 2 46 49.25 2 49.62 55.19 Berrvmede f9 15 37.66 34.37 19 40.01 37.63 23 41.61 38.75 9 46.08 46.13 3 47.66 54.41 Derwentwater 54 1 41 39.75 31 43.46 43.05 15 44.31 45.43 7 46.89 51.57 John Perryn 83 21 37.
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97 33.51 23 41.33 39.76 23 43.41 4-2.73 9 47.13 49.44 7 46.78 52.5 Priory 75 4 39 33.62 23 40.77 39.25 34 42.75 41.46 10 45.07 45.57 4 46.81 49.31 Maples 15 4 34.68 29.75 5 38.55 33.65 6 42.33 41.91 Roman Catholic 10 1 40.25 34 4 43.18 38.43 1 45.5 43.25 4 46.56 44.62 Rothschild 25 3 38.16 36.41 8 39.28 36.46 12 42.06 40.2 2 44.87 47.
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37 Southfield 46 2 39.83 37.75 13 42.21 40.55 18 43.72 42.12 9 46.38 48.05 3 47.41 47.25 West Acton 37 9 41.61 38.41 15 43.53 41.05 4 45.5 47 9 48.62 52.97 471 4 34.68 29.75 55 38.2 34.33 112 41.09 39.12 191 43.04 41.43 67 45.73 47.07 42 47.62 51.85 54 AVERAGE HEIGHTS AND WEIGHTSβ€”INTERMEDIATES. School. BOYS. Total No. Seen. 8 Yrs. 9 Yrs. 10 Yrs. 11 Yrs. No. seen.
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Htβ€ž ins. Wt. lbs. No. seen. Ht. ins. Wt. lbs. No. seen. Ht. ins. Wt. lbs. No. seen. Ht. ins. Wt. lbs. Acton Wells 58 45 50.07 56.47 1 54.75 64.75 9 55.5 71.11 3 52.16 70.41 Berrymede 03 00 40.44 57.13 3 51.66 61.58 Derwentwater 70 66 50.18 57.54 4 52.31 65.12 John Perryn 44 4 2 50.36 58.9 1 51.5 56.9 1 51.25 57 Rothschild 60 54 49.54 57.
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4'2 4 51.56 72 2 53.25 61.87 Southfield 50 55 49.9 58.3 2 50.12 56.5 1 51 65.5 1 53 68.5 Roman Catholic 17 17 51.07 57.64 401 369 49.91 57.55 15 51.8 64.5 13 54.4 68.17 4 52.37 69.93 GIRLS. Acton Wells 40 35 50.39 57.41 3 51.16 58.75 8 55.18 70.93 3 56.5 79 Beaumont Park 40 36 49.79 56.15 4 53 66.31 Berrymede 99 93 49.51 56.66 3 50.08 58.08 3 55.
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25 74.33 Derwentwater 60 67 49.76 56.23 2 49.37 49.25 John Perryn 61 57 50.02 56.22 4 50.82 61.87 Southfield 48 43 49.41 59.36 3 49.41 57 1 52 72 1 53 71.5 Roman Catholic 17 17 50.66 55.79 383 348 49.8 56.82 19 50.84 59.61 12 54.93 71.87 4 55.62 77.12 55 AVERAGE HEIGHTS AND WEIGHTSβ€”LEAVERS. School. BOYS Total No. Seen. 12 YEARS. 13 YEARS. 14 YEARS. No. seen. Ht. ins. Wt. lbs. No. seen. Ht.
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ins. Wt. lbs. No. seen. Ht. ins. Wt. lbs. Acton Wells 36 1 58 81.5 34 60.24 92.18 1 57. 93.5 Central 33 29 62.26 101.79 4 60.87 96.75 John Perryn 27 27 60.67 93.39 Priory 137 127 60.26 96.4 10 61.75 96.68 Turnham Gn. R.C.
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11 9 61.75 101.97 2 62.12 100.5 244 1 58 81.5 226 60.62 96.92 17 61.31 96.95 GIRLS 22 21 61.04 99.47 1 61.75 99.75 Central 64 60 62.04 103.66 4 61.5 94.43 John Perryn 22 21 60.75 103.2 1 62.25 92 Priory 115 2 55.5 77.12 106 60.91 101.6 7 61.46 100.1 Turnham Gn. R.C. 13 11 60.11 93.15 2 60.75 95.75 236 2 55.5 77.12 219 61.18 101.69 15 61.48 98.8 /
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ACTON AC 439 ACT 50 Borough of Acton ANNUAL REPORT OF THE Medical Officer of Health TOGETHER WITH THE Report on the Medical Inspection of Schools FOR THE YEAR 1947 , β–  Borough of Acton ANNUAL REPORT of the Medical Officer of Health together with the Report on the Medical Inspection of Schools FOR THE YEAR 1947 ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH FOR THE YEAR 1947. 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 of the health of the Borough of Acton for the year 1947, together with the report of the School Health Service. This year marks an epoch in the Health Service of this country, for, with the National Health Service Act becoming law on the Appointed Day, July 5th, 1948, there will be a great transition of services to another authority.
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The transferred services, having been controlled by Acton, will now be controlled by the Middlesex County Council. It is to early yet to describe the new method of administration, but in due course the Middlesex County Council will formulate its requirements. Briefly, the Ambulance Service, the Maternity and Child Welfare Service, and Home and Domestic Help Service will be administered by the Middlesex County Council. It is, of course, of interest to know that since 1877, Acton has had a series of Medical Officers of Health who have built up the health services, and perusal of their Annual Reports is of great interest and could well be a subject of a report in itself at a later date. But let me draw your attention by comparing some statements of the past. The infant mortality rate in 1897 was 198.3 per 1,000; in 1946 it was 27.9.
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This low rate for 1946 is something of which to be proud, but in 1947 infant mortality rate rose to 33,8. 4 The 1897 death rate was 15.9 and in 1947 was 10.5; the 1897 birth rate was 30.7, and in 1947 was 20.08. These figures justify the work which has been done. I would draw your attention to the contents of the Annual Report itself for your own deliberations, but I would say that there is a field for research in many matters, but unfortunately the staff is not large enough to carry out any work of this character. For instance, the large number of early deaths due to prematurity, congenital defects and stillbirths. Of the deaths due to prematurity and stillbirth, I am of opinion that each should be throughly investigated and the cause ascertained and advice given in the future to the parents.
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At present it is a case of doing the best at the time. The position cannot be improved until more beds are available to carry out such an intensive investigation. During the year, Dr. Madeley resigned to take up a post with the Islington Borough Council, and the work was carried on by means of part-time medical officers. Dr. Heller was appointed to the vacancy and the Council are considering the appointment of an Assistant Medical Officer. It was found necessary to appoint three additional Sanitary Inspectors but these posts have not yet been filled because of the unsettled state brought about by so many local authorities offering higher grades of the National Charter than this Council regarded as appropriate. The Avenue Road Clinic consists of two houses, and one looks forward to the time when a new Health Clinic will be erected to cope with the work. In 1939 plans were prepared for a new clinic but building was not carried out during the period 1939-1945.
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The Maternity and Child Welfare Committee has rented Palmerston Road Mission Hall for clinic purposes, and the Ministry of Health have approved the plan, and it is hoped to use the building early in 1948. I would like to thank all members of the Health Department and School Health Service for their loyal co-operation during the year. In particular I wish to place on record my appreciation of the outstanding service rendered to the Borough by Dr. E. J. Madeley who has worked in the department for 12 years as Deputy Medical Officer, and for 3 years of this period had carried out my duties during my absence on war service. Your obedient servant, G. E. B. PAYNE. 5 STAFF. George E. B. Payne, m.d., b.s., m.r.c.s., l.r.c.p., d.p.h., Medical Officer of Health and School Medical Officer. Margaret Heller, m.d., Vienna, l.r.c.p., m.r.c.s.
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Edinburgh, Deputy Medical Officer of Health and Deputy School Medical Officer. P. H. Slater, l.d.s. School Dentist. H. Barnett, l.d.s., r.c.s., School Dentist. J. J. Matthews, 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). M. Dowie, m.r.san.i. Cert, of Royal Sanitary Institute, holds Meat Certificate; Deputy Chief Sanitary Inspector. G. W. Burdon Cert, of Royal Sanitaiy Institute, holds Meat Certificate; Sanitary Inspector. C. Codrington, Cert, of Royal Sanitary Institute, holds Meat Certificate; Temporary Sanitaiy Inspector. W. G. Collam, Cert, of Royal Sanitary Institute, holds Meat Certificate, Sanitary Inspector.
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A. H. G. Johnson, m.r.san.i., Cert. of Royal Sanitary Institute, holds Meat Certificate; Meat Inspector. D. G. Paterson, m.r.san.i., Cert. of Royal Sanitary Institute, holds Meat Certificate, Sanitaiy Inspector. E. G. Wren, Cert. of Royal Sanitaiy Institute; Sanitary Inspector. Mrs. D. M. Lewis, s.R.n., Pt. I. c.m.b., Cert. of Royal Sanitary Institute; Health Visitor and School Nurse. Miss W. L. Orfeur, s.r.n., Certificate of Royal Sanitary Institute, s.c.m., Health Visitor and School Nurse. Miss M. Percival, s.r.n., Certificate of Royal Sanitary Institute, s.c.m., Health Visitor and School Nurse. Miss L. S. Pickering, s.r.n., Certificate of Royal Sanitary Institute, s.c.m., Health Visitor and School Nurse.
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6 Miss D. B. Sfringall, s.r.n., Pt. i c.m.b., Cert, of Royal Sanitary Institute, Health Visitor and School Nurse. Mrs. E. Walsh, s.r.n., Cert, of Royal Sanitary Institute, s.c.m., Health Visitor and School Nurse. Miss A. J. Woosnam, s.r.n., s.c.m., Health Visitor and School Nurse. Mrs. M. Ford, s.r.n., s.c.m., Clinic Nurse. A. S. M. Pratt, Barrister at Law, Chief Clerk. Miss M. F. Willy Senior Clerk. Miss J. Dobbs Senior Clerkβ€”Sanitary Section. Miss K. M. Beer Clerk Typist. Miss L. G. Bevan, Clerk Typist. Miss F. Dougall, Clerk Typist. Mrs. A. R. Ferguson Clerk Typist. Miss G. M. Gundersen Clerk Typist.
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Miss M. J. Pearce Clerk Typist. Mrs. E. Underwood Accounts and Stores Clerk. Miss E. Woods Clerk Typist. Mrs. H. Flood Matron, Bollo Bridge Road Day Nursery. Mrs. B. E. Bone Matron, Horn Lane Day Nursery. Mrs. E. J. Hainstock Matron, Friars Place Lane Day Nursery. Mrs. M. Berry Matron, "Longcot" Day Nursery. SECTION A. General Statistics. Area 2,317 acres. Population Census, 1931 70,510 Population, Registrar General's Estimate, 1947 67,920 Rateable Value at 31.12.47 Β£894,290 Sum represented by the product of a penny rate at 1.4.47 .Β£3,525 General Rate in the Β£ 17/- 7 VITAL STATISTICS. (Comparable figures for 1946 given in brackets).
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Live Births: total males females Legitimate 1287 (1205) (585 (629) 602 (576) Illegitimate 77 (83) 42 (43) 35 (40) Totals 1364 (1288) 727 (672) 637 (616) Birth rate per 1,000 estimated population is 20.08 (19.76). Still Births: total males females Legitimate 31 (21) 15 (13) 17 (8) Illegitimate 1 (2) 1 (2) β€” (β€”) Totals 32 (23) 16 (15) 17 (8) Deaths: 720 (720). Death Rate per 1,000 inhabitants 10.5 (11.05). Deaths from Puerperal Causes (Registrar General's short list for England & Wales, Headings 29 and 30): Rate per 1,000 Deaths. Live & Still Births. No. 29.
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Puerperal Sepsis β€” (β€”) β€” (β€”) No. 30. Other Puerperal Causes β€” (β€”) β€” (β€”) Death Rate of Infants under 1 year of age: All infants per 1,000 live births (E. & W.β€”41) 33.8 (27.9) Legitimate infants per 1,000 live births 34.1 (27.4) Illegitimate infants per 1,000 live births 51.6 (34.09) Deaths.
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Deaths from Cancer (all ages) 114 (125) Deaths from Measles (all ages) β€” (1) Deaths from Whooping Cough (all ages) β€” (β€”) Deaths from Diphtheria (all ages) β€” (β€”) Deaths from Diarrhoea (under 2 years of age) 6 (8) Death rate from Diarrhoea (under 2 years of age) 2.2 (4.4) 8 AGES AT DEATH AND WARD DISTRIBUTION OF DEATHS IN 1947. Causes of Death Total Under 1 year 1β€”2 2β€”5 5β€”15 15β€”25 25β€”45 45β€”65 65 + Ward Distribution. N.E. N.W. S.E. s.w. Bronchitis 51 2 β€” β€” β€” β€” β€” 13 36 18 10 13 10 Cerebro-spinal meningitis 2 β€” β€” β€” β€” β€” 1 β€” 1
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2 β€” β€” β€” Cancer 114 β€” β€”: 7 40 67 40 25 22 27 Cerebral Haemorrhage & Thrombosis 64 β€” β€” β€” β€” β€” β€” 12 52 17 23 11 13 Circulatory Disease 131 1 β€” β€” β€” β€” 4 32 94 43 41 19 28 Cirrhosis of the Liver β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Congenital Deformity 29 29 β€” β€” β€” β€” β€” β€” β€” 16 5 β€” 8 Diphtheria β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Diabetes 5 β€” β€” β€” β€” β€” β€” 1 4 2 1 β€” 2 Digestive Tract Disease 8 1 β€” β€” β€” β€” β€” 3 4 3 β€” 2 3 Gastro-Enteritis 6 5 1 β€” β€” β€” β€” β€” β€” 3 β€” β€” 3 Gall Bladder β€” β€” β€” β€”
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β€” β€” β€” β€” β€” β€” β€” β€” β€” Heart Disease 73 β€” β€” 1 β€” β€” 4 20 48 25 20 9 19 Influenza 1 β€” β€” β€” β€” β€” β€” β€” 1 β€” β€” β€” 1 Liver Disease 1 β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” 1 Leukaemia and Anaemia 10 2 1 1 β€” β€” 1 1 4 1 2 4 3 Measles β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Meningitis (not C.S.M. or T.B.)
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2 β€” 1 β€” β€” 1 β€” β€” β€” β€” 2 β€” β€” Nervous Disease 7 β€” 1 β€” β€” 1 1 2 2 1 3 β€” 3 Carried forward 504 39 4 2 β€” 2 18 124 314 171 132 80 121 9 AGES AT DEATH AND WARD DISTRIBUTION OF DEATHS IN 1947. -contd. Causes of Death Total Under 1 year 1β€”2 2β€”5 5β€”15 15β€”25 25β€”45 45β€”65 65 + Ward Distribution. N.E. N.W. S.E. S.W. Brought forward 504 39 4 2 β€” 2 18 124 314 171 132 80 121 Nephritis 13 β€” β€” 1 β€” 1 1 3 7 7 2 1 3 Parturition Disease β€” β€” β€” β€” β€” β€” β€”
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β€” β€” β€” β€” β€” Puerperal Pyrexia β€” β€” β€” β€” β€” β€” β€”β€” β€” β€” β€” β€” β€” β€” Peptic Ulcer 12 β€” β€” β€” β€” β€” β€” 4 8 2 4 1 5 Pneumonia 4-2 β€” 2 β€” β€” β€” 12 25 13 10 9 10 Prostatic Enlargement 5 β€” β€” β€” β€” β€” β€” β€” 5 4 β€” 1 β€” Pulmonary Tuberculosis 34 β€” 1 β€” β€” 6 11 13 3 11 14 2 7 Respiratory Disease 25 5 β€” β€” β€” β€” 7 4 9 12 2 5 6 Rheumatism 1 β€” β€” β€” β€” β€” β€” β€” 1 β€” 1 β€” β€” Sarcoma 4 β€” β€” β€” β€” β€” β€” β€”2 2 β€” 3 1 β€” Scarlet Fever β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Senility 48 β€” β€” β€” β€” β€” β€” β€”β€”
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48 16 12 10 10 Suicide 2 β€” β€” β€” β€” β€” β€” 1 1 β€” 1 1 β€” T.B. (other than Pulmonary) 7 1 1 1 β€” 2 2 β€” β€” 3 β€” 1 3 Undefined Disease 2 1 β€” β€” β€” β€” 1 β€” β€” β€” β€” 2 β€” Violent Deaths 20 β€” β€” 2 1 2 8 3 4 7 8 4 1 Whooping Cough 1 β€” 1 β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” TOTALS 720 50 7 8 1 13 48 166 427 247 189 118 166 10 Cause of Death in Children under one yearβ€”1947. 30 Males. 20 Females. Under 1 wk. 1β€”2 wks. 2β€”3 wks. 3β€”4 wks. Total under ! 1 month.
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1β€”3 mths. 3β€”6 mths. 6β€”9 mths. 9β€”12 mths. Total 1β€”12 months.
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Atelactasis 2 β€” β€” β€” 2 β€” β€” β€” β€” β€” Asphyxia 2 β€” β€” β€” 2 β€” 1 β€” β€” 1 Bronchitis β€” β€” i β€” 1 β€” β€” β€” β€” 1 Circulatory Disease β€” β€” β€” β€” β€” β€” β€” β€” 1 I Congenital Defects 7 β€” β€” β€” 7 β€” β€” β€” β€” β€” Digestive Tract Disease 1 β€” β€” β€” 1 β€” β€” β€” β€” β€” Gastro Enteritis β€” β€” β€” β€” β€” 2 1 2 β€” 5 Intercranial Haemorrhage & Thrombosis 1 β€” β€” β€” 1 β€” β€” β€” β€” β€” Leukaemia and Anaemia 2 β€” β€” β€” 2 β€” β€” β€” β€” β€” Marasmus β€” β€” β€” β€” β€” β€” β€” 1 β€” 1 Pneumonia β€” β€” β€” β€” β€” β€” 2 β€” 1 3 Prematurity 15 2 1 1 19 1 β€” β€” β€” 1 T.B.
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Meningitis β€” β€” β€” β€” β€” β€” β€” 1 β€” 1 Undefined Disease (neglect at birth) 1 β€” β€” β€” 1 β€” β€” β€” β€” β€” Total 31 2 2 1 36 4 4 4 2 14 62% died during the first week of life. 72% died during the first month of life. Percentage of Deaths under one year. Percentage of total deaths under 45. 6.9% 17.6% Comparative figures of Infant Mortality in last seven years. Acton. England & Wales. 1941 47.8 59 1942 71.2 49 1943 62.4 49 1944 42.8 46 1945 40.4 46 1946 27.9 46 1947 33.8 41 11 Maternal Mortality. There were no maternal deaths during the year. Inquests.
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Asphyxia 12 Other respiratory conditions 1 Associated with Birth 1 Cancer 3 Peptic Ulcer 1 Accidents on the roads and at home 15 Poisoning due to drugs 2 Electrocution 1 Beach Mine 1 Hanging 1 Total 38 Post Mortems without Inquest. Respiratory Causes 16 Circulatory Causes 52 Peptic Ulcer 4 Senility 4 Septicaemia 2 Cancer 2 Concussion 2 Secretory Systemβ€”Kidneys 3 Bilestone 1 Total 86 SECTION B. General Provision of Health Services in the Area. Laboratory Facilities. The Ministry of Health Emergency Medical Service, Section 6, provides a Pathological Service at the King Edward Memorial Hospital Laboratory at Ealing. 12 Having this laboratory so close to Acton is a great asset as not only can our specimens for diphtheria, tuberculosis, etc., be dealt with readily, but also samples of milk can be taken for the methylene blue test and phosphatase test.
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Specimens for Chemical Test are sent elsewhere. Ambulance Facilities. During the year, the Health Committee decided that the twenty-four hour shift system should be discontinued and an eighthour shift system inaugurated. This change involved the appointment of an officer-in-charge, three shift leaders and ten men acting as Ambulance Driver/Attendants. Three ambulances are maintained and there is a system of mutual aid for neighbouring boroughs. During the year, the three ambulances travelled a total of 10,008 miles. 1,691 calls were dealt within the following categories:- Street Accidents 470 Works Accidents 168 Home Accidents 90 Other Accidents 16 Removals in 24 hrs 71 Maternity 256 Private Removals 611 Malicious Calls 9 Of these calls, 383 were carried out as follows for the neighbouring authorities named Brentford & Chiswick 15 Ealing 201 L.C.C. 3 Willesden 31 Wembley 2 Cent. Middx.
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Hosp 131 Total 383 Assistance was asked for from other authorities on only five occasions, i.e., one from Brentford and Chiswick, two from Ealing, and two from Willesden Councils. 13 The premature-baby outfit, which is maintained for day and night emergency use by the ambulance was called for in one case during the year. No ambulance for infectious disease was maintained by the Town Council, all removals being carried out by ambulances from South Middlesex and Richmond Joint Fever Hospital, Twickenham. Nursing in the Home. The same facilities exist as in previous years. The number of sick persons under care was 508 necessitating 15,832 visits. As a matter of interest, this service was commenced in 1900, and has been continuous to the present time. Hospital Provision. The Acton Voluntary Hospital treats both surgical and medical cases, as does the Central Middlesex County Hospital, which is maintained by the Middlesex County Council.
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In common with other districts, Acton feels the effect of the shortage of beds, both for acute and chronic sick. It is Realized that the hospital authorities are doing as highly efficient a job as possible, but the shortage of beds due to the lack of personnel to maintain the wards is very apparent as is shown by the number of persons who come to the Health Department for advice. Institutional care for aged persons is a major requirement, but again the shortage of personnel to maintain wards is the cause of a long waiting list. Maternity and Child Welfare. The same four Centres operated in 1947 as Infant Welfare Clinics: (1) The School Clinic, Avenue Road (Three Health Visitors' districts served by this Centre). (2) Steele Road Mission Hall, Acton Green. (3) John Perryn School. (4) St. Gabriel's Church Hall, Noel Road. It is intended to open Palmerston Road Mission Hall as a Clinic for Welfare and Maternity purposes.
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The plans have been approved and the building will be in use early in 1948. 14 As in the previous year, two weekly sessions were held for each Health Visitor's district, one with a doctor in attendance, and one without, with the exception of the shared clinic at Avenue Road where three of the Health Visitors and their districts share the two sessions and a doctor is in attendance at each. Average weekly attendances (last year's figures in brackets): - Central district 90.2 (70,5) South East 81.3 (66.5) South West 70 (68.6) North East 75.3 (67.8) North West 60.5 (71.5) West district 77.7 (53.2) Attached is a Table showing the attendances at all Clinics and the visits paid by the Health Visitors to the homes. The numbers of mothers and children seen and treated at the Ophthalmic and Dental Clinics are given in the School Medical Report. Health Visiting.
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Number of visits paid during the year by all Health Visitors working in this area: To expectant mothers First visits 451 Total visits 570 To children under one year of age First visits 1269 Total visits 3915 To children between the ages of one and five years Total visits 3374 Infant Welfare Centres. Total number of children who first attended the Centres during the year, and who, on the date of their first attendance were : Under one year of age 1168 Between the ages of one and five 55 15 Total number of children under 5 years of age who attended at the Centres during the year and who, at the end of the year were:β€” Under one year of, age 1022 Over one year 1990 Total number of attendances at Centres, during the year:β€” By children under one year of age 18421 By children between one and five years 5240 A total of 839 Toddlers attended the Welfare Centres during 1947 for a yearly examination.
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Midwifery Service. Domiciliary Midwifery was performed as in previous years by the Midwives of Queen Charlotte's Hospital. During 1947, 398 women were recommended for admission to Central Middlesex County Hospital for their confinements and of these 350 were accepted. , A fourth Ante-Natal clinic was opened at the beginning of, the year, but by the late Autumn pressure on the sessions was again so heavy that a fifth session was started in December, 1947.
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Number of new cases attending Clinics during year 1091 Total number of attendances made 5294 Average number attending weekly (4 clinics) 101 The following Table gives the stage of pregnancy at which the new cases reported for examination:β€” 1st month 77 6th month 47 2nd month 334 7th month 39 3rd month 293 8th month 6 4th month 161 9th month 4 5th month 100 1091 16 The arrangements made by women for their confinements are tabulated below:β€” % Confined in Central Middlesex County Hospital 83.2 Confined in Queen Charlotte's Hospital 13.8 Confined in other Hospitals 4.85 Confined in Nursing Homes 7.3 Confined at home (Queen Charlotte's Midwives attending) 39.8 Evacuated to Emergency Maternity Hostels Private Doctors and Midwives 1.05 Post Natal Clinics.
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The majority of women had their post-natal examination at the hospital where they were confined, those confined at home being examined at Queen Charlotte's Hospital. 23 women attended our clinic for their examination. Birth Control Clinics. As in previous years, arrangements for this purpose with the North Kensington Women's Welfare were continued, 8 patients being sent there for advice in 1947. Sterility Clinic. During the year, 3 patients were referred to this clinic at North Kensington Women's Welfare. Exercises Class for Mothers. The classes for expectant mothers were again a feature of the ante-natal work, although a slight decrease was noted in the numbers attending, the total for 1947 being 140 as against 160 for 1946. The total number of attendances was 1149 as compared with 1212 for 1946. Food Sales. During the year, the Maternity and Child Welfare Centres' supplied the following quantities of, milk foods:β€” For Sale 21,039 packages.
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Free 257 packages. 17 Home Help Scheme. At the end of the year there were 3 full time Home Helps. The following Table shows the number of cases booked and those actually attended:β€” Number of Cases booked 122 (88 last year). Number of Cases attended 97 (68 ,, ,, ). Number of Cases cancelled 25 (25 ,, ,, ). Domestic Help Scheme. By the end of the year there was a staff of 11 full time and 2 part time Domestic Helps. 120 cases were attended as against 88 for the previous year. Day Nurseries. The routine of the Day Nurseries was maintained during 1947, along the same lines as in previous years. Apart from some minor staff changes, the position at December, 1947 was very much the same as had characterised 1946.
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The same four Nurseries were in being, namely, Bollo Bridge Road, Horn Lane, Friars Place Lane, Longcot, the accommodation at these being as follows:β€” Under 2 Over 2 Total Bollo Bridge Road 17 18 35 Horn Lane 25 35 60 Friars Place Lane 20 25 45 'Longcot' Newton Grove 19 25 44 The numbers on the registers at 31st December, 1947, were as follows:β€” Bollo Bridge Road 35 Horn Lane 63 Friars Place Lane 47 'Longcot' 47 Analysis of the numbers on the waiting list shows age distribution of those awaiting admission. The demand for nursery accommodation is. greater than at the end of the previous year and the problem of providing further accommodation is a pressing one.
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18 The following were the numbers on the waiting list:β€” Under 2 Over 2 Total Bollo Bridge Road 67 58 125 Horn Lane 68 88 156 Friars Place Lane 29 69 98 'Longcot'β€”Acton children 23 66 186 Chiswick ,, 22 75 209 356 565 As far as is possible, children are admitted in strict order of their position on the waiting list, but account also has to be taken of cases of special need and these are often given an over-riding priority.