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1943 62.4 49 1944 42.6 46 1945 40.4 46 1946 27.9 46 1947 33.8 41 1948 24.4 41 1949 24.0 32 Maternal Mortality. There was one maternal death during the year, this being due to Yellow Atrophy. 11 Inquests. Respiratory causes 3 Asphyxia 2 Drowning 3 Disease associated with Hypertension 2 Cerebal Thrombosis β€” Falls at work or at home _ _ 8 Accidents in the street 4 Operations β€” Burns β€” Suicides _ 11 Other illness 3 TOTAL 36 Post Mortems, without Inquest.
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Respiratory causes 13 Heart diseases 11 Disease associated with Hypertension: Cerebral Thrombosis 7 Circulatory causes 35 Cancer 4 Senility 6 Burns Intestinal 3 Other causes 4 TOTAL 83 SECTION 8 General Provision of Health Services in the Area. Laboratory Facilities : These continue as in previous years. The Ministry of Health Emergency Medical Service, Section 6, are providing a Pathological Service at the King Edward Memorial Hospital Laboratory at Ealing. 12 The following Table gives the types, and number, of specimens submitted for examination. Type No. of specimens examined Throat and Nose swabs 307 Sputum for T.B. 17 Faeces 54 Methylene Blue Reductase Tests on Milk and Ice-Cream 216 Ambulance Facilities. The Middlesex County Council are now responsible for this service. Nursing in the Home. This service has been taken over and is administered locally by the Middlesex County Council.
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The number of sick persons under care in Acton during the year was 564, necessitating 20,186 visits. Hospital Provisions. The Regional Hospital Boards of the N.W. Metropolitan Area which includes Acton is responsible for hospital treatment of the sick. The most difficult cases for which to obtain treatment are old persons,, or chronic sick who become acutely ill or who are in the terminal stage of, their illness. These types of cases need continuous care and treatment, and this cannot be given in the home. National Assistance Act, 1948. No cases have been dealt with under Section 47 of the National Assistance Act, 1948, but in those cases which have come to our notice it has been possible, by co-operating with the local hospital, to arrange for these persons to be admitted. The Borough of Acton carries out its obligations under Section 50 of this Act. 13 Maternity and Child Welfare.
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Palmerston Road Mission Hall was opened as a Clinic for Welfare and Maternity purposes on the 8th March, 1948. There are therefore now five Centres accommodating six Health Visitors' districts. (1) The School Clinic, Avenue Road (two Health Visitors' districts served by this Centre). (2) Steele Road Mission Hall, Acton Green. (3) John Perryn School, East Acton. (4) St. Gabriel's Church Hall, Noel Road, North West Acton. (5) Palmerston Road Hall, South Acton. 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.
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Average weekly attendances (last year's figures in brackets): β€” Central district 98.5 (99.1) South East 70.2 (82.3) South West 81.5 (88.8) North East 78.4 (94.2) North West 52. (52.3) West district 90. (86.1) 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. Number of visits paid during the year by all Health Visitors working in this area: To expectant mothers First visits 243 Total visits 362 To children under one year of age First visits 964 Total visits 2885 To children between the ages of one and five years Total visits 3320 14 Infant Welfare Centres.
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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 950 Between the ages of one and five 96, 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: Under one year of age 1015 Over one year 2016 Total number of attendances at Centres during the year: By children under one year of age 15550 By children between one and five years 7357 A total of 1,009 Toddlers attended the Welfare Centres during 1949 for a yearly examination. Midwifery Service. Domiciliary Midwifery was performed as in previous years by the Midwives of Queen Charlotte's Hospital. During 1949, 330 women were recommended for admission to Central Middlesex County Hospital for their confinements and the bulk of these were accepted.
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Ante-Natal Clinics. Four Ante-Natal clinics were held weekly at Avenue Road and a fifth session was held at the new Palmerston Road clinic. Number of new cases attending Clinics during year 1066 Total number of attendances made 3849 Average number attending weekly (5 clinics) 74 The arrangements made by women for their confinements are tabulated below: β€” % Confined in Central Middlesex County Hospital 38.8 Confined in Queen Charlotte's Hospital 17.3 Confined in other Hospitals 5.6 Confined in Nursing Homes 5.6 Confined at home (Queen Charlotte's Midwives attending) 32.1 Private Doctors and Midwives 5 | 15 Poif-Natal Clinics. The majority of women had their post-natal examination at hospital where they were confined, those confined at home being Examined at Queen Charlotte's Hospital. 9 women attended our cjjnic for their examination. Exercises Class for Mothers.
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The classes for expectant mothers were again a feature of the jinte-natal work, the total number of women attending in 1949 being 105 (the same figure as 1948). The total number of attendances was 1195 as compared with 2,756 for 194S. Birth Control Clinic. As in previous years, arrangements for this purpose with the North Kensington Women's. Welfare Association were continued, but as from the 26th May one clinic weekly was held at the Palmerston Road Hall, South Acton, a nominal fee being paid to the County Council for the use of, the premises. 10 patients were referred for advice in 1949. Home Help Scheme. At the end of the year there were 17 Full-time Domestic and Home Helps, and 24 Part-time Staff.
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The following Table shows the number of cases booked and those actually attended:β€” Maternity: Total number of Cases Booked 100 Number of Cases attended 74 Number of Cases cancelled 16 (Other arrangements made without notification to Town Hall) 10 T.B. Cases attended 24 Other Cases attended 282 Day Nurseries. The routine of the Day Nurseries was maintained during 1949 along the same lines as in previous years.
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The same four Nurseries 16 were in being, namely Bollo Bridge Road, Horn Lane, Friars Place Lane and ' Longcot ' the accommodation at these being as follows: 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 register at 31st December, 1949, were as follows: β€” Bollo Bridge Road Horn Lane 66 Friars Place Lane 49 ' Longcot' 49 The waiting list shows a decrease on the previous year's figure.
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The following were the numbers on the waiting list: β€” Total Bollo Bridge Road 79 Horn Lane 79 Friars Place Lane 69 ' Longcot'β€”Acton children 40 ' Longcot'β€”Chiswick children 37 304 The average daily attendances were: β€” Under 2 Over 2 Total Bollo Bridge Road 11.1 20.3 31.4 Horn Lane 17.2 37.3 54.5 Friars Place Lane 6.1 33.5 39.6 ' Longcot ' 13.4 25.6 39.0 17 Diphtheria Immunisation. Immunisation was carried out along the lines indicated in previous reports. Advertisements were placed monthly in the local papers giving time and places of inoculaton clinics, and posters were displayed in prominent places.
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In addition to this, the following routine was practised: (1) A notice was sent to the parent of each 6 months' old child. (2) All infant Welfare attenders were approached. (3) All children admitted to Day Nurseries were offered protection (4) Health Visitors combed their districts for children who did not attend Welfares, and urged their protection (5) Head Teachers gave forms of consent to new school entrants. (6) Prior to school medical inspections, questionnaires were sent to each parent asking, inter alia, whether the child had been inoculated,. If the answer were in the negative a form of consent was sent to the parent. All immunised cases are followed up and, at the end of three years, each child is offered a boost dose. At the age of 11 years or over, this is preceded by a Schick test.
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All children under 5 who have not had the disease, are inoculated against Whooping Cough at the same time as they are inoculated against Diphtheria, i.e., they have three doses of protective material at monthly intervals. 56.3% of the population under 5 years of age is now protected, and 82.1% of the population aged 5 to 14. Diphtheria Immunisation, 1949. Total number of under 5's inoculated 733 Total number of over 5's inoculated 258 Re-inoculations after 3 years 1096 Schick tests after 3 yearsβ€”negative 232 positive 141 Primary Schick test β€”negative 20 positive 24 18 CASES OF INFECTIOUS DISEASB NOTIFIED DURING THE YBAR 1949 Notifiable Disease. Cases notified in whole District. At Agesβ€”Years. Ward Distribution. At Ages Under 1 1 to 2 3
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to 4 5 to 9 10 to 14 15 to 24 25 to 44 45 to 64 Over 64 North East North West Central South East South West South West East Scarlet Fever 62 2 9 9 39 2 1 β€” β€” β€” 8 6 10 7 5 10 7 9 Diphtheria 4 β€” 2 1 β€” 1 β€” β€” β€” β€” β€” β€” 1 1 β€” β€” β€” 2 Pneumonia 35 3 β€” β€’2 β€” 1 6 11 9 5 2 3 5 6 5 4 5 Erysipelas 9 β€” β€” β€” β€” 1 β€” 4 4 β€” β€” 1 4 β€” 1 β€” 2 1 Puerperal Pyrexia 1 β€” β€” β€”β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Dysentery 1 β€” β€” β€” 1 β€”
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β€” β€” β€” β€” 1 β€” β€” β€” β€” β€” β€” β€” Tuberculosis (resp.) 105 1 1 1 2 β€” 27 51 19 3 13 19 16 10 11 13 14 9 Tuberculosis (non-resp.) 5 β€” β€” β€” 1 β€” 2 2 β€” β€” β€” 1 1 1 β€” β€” 2 β€” Measles 138 13 115 126 173 5 1 4 1 β€” 80 41 52 54 43 60 43 05 Whooping Cough 71 4 24 18 22 1 β€” 1 1 β€” 14 8 13 11 1 10 5 9 Ophthalmia Neonatorum β€” β€” β€” β€” β€” β€”β€’ β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Meningitis 6 β€” 1 1 2 β€” 1 1 β€” β€” 3 β€” β€”
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β€” β€” 2 1 β€” Typhoid β€” β€” β€” β€” β€” β€” - β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Poliomyelitis 16 2 4 4 3 β€” 2 1 β€” β€” β€” 3 1 2 4 5 1 β€” Food Poisoning 2 β€” β€” β€” 1 β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” 1 1 TOTALS 755 25 159 160 240 10 35 72 36 12 125 81 101 91 71 105 80 101 19 Infectious Disease. Four cases of Diphtheria were notified during the year. Two in children 1-2 years; one between 3 and 4 years and one between 10 and 14 years. Of these cases, the last only was considered to be Diphtheria and it occurred in a boy who had been immunised but was due for a boost dose.
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There were no deaths from Diphtheria in immunised or non-immunised persons.. The number of cases of measles notified were 439, with two deaths, one in a child who was mentally backward (imbecile) and the other in a child who died under an operation for appendicitis,. and measles was considered a contributory cause of death. The case notified as Dysentery was on arrival at hospital diagnosed as enteritis, and salmonella typhi murium was isolated. Sixteen cases of Poliomyelitis were notified and three others were admitted to hospital as suspected Poliomyelitis,, but the diagnosis was not confirmed.. There were four deaths at ages 4 years a months, 4 years, 6 months, and 11 months. The four-year-old child was at school the day before he died, and the brother, six days after his brother was taken ill, was notified as suffering from Poliomyelitis.
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The brother, who was aged 6 years 4 months recovered. The ages of those who were affected but recovered were one under a year, one 11/4 years old, three 2 years old, one 3i years old, three 4 years old, one 6 years, old and one 9 years old. There were two adultsβ€”one female who worked at a hospital suffered a mild attack and the remaining case is interesting, being an adult male whose wife was working in the "Polio" ward of a large fever hospital. Another interesting case is that of a child who was taken ill at a holiday camp, saw the Camp Doctor who prescribed a tonic, and a few days after arriving home became weak in her limbs. The first case occurred in September and the last case on the 27th December. The majority of cases (10) were in the months of October. 3 in November and 3 in December.
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Two cases of food poisoning were notified in two separate families in which infection was not due to association. One boy came home ill from holiday camp and the salmonella typhi murium was isolated from the stool. 21 Year of Birth No. of Children Known Contact F. A. U.
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Neighbour Contact Patch + Test TYPE OF INFECTION: Primary Complex Meningitis Pulmonary Tuberculosis 1039 1942 1943 1944 1945 1946 1947 1948 TOTALS 1 1 1 7 7 15 17 7 56 - - - 1 1 1 4 1 8 - - 1 - 1 4 9 2 17 - - - 1 1 2 1 1 - - - - 1 4 - 1 6 1 1 - 5 3 5 4 3 22 - - 1 1 2 - 3 1 8 - - - 1 - 4 4 1 10 - - - 2 - 3 4 - 9 - - - - - - - - - - - - - - - 1 20 Tuberculosis.
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Particulars of new cases and of deaths from the disease during 1949 are given below: 102 new cases of Pulmonary Tuberculosis and 5 cases of NonPulmonary Tuberculosis occurred during the year. There were 14 deaths from Pulmonary, and 2 deaths from Non-Pulmonary Tuberculosis duing the year. The following Table gives the age incidence of new cases of the disease in 1949, and of deaths from the same cause. During 1949 I investigated the number of children who attended the Clinic whose parents or guardians were concerned about their child's health for such reasons as that a child was an intimate contact of a case of Pulmonary Tuberculosis or because the parents suspected the child had been in contact with a case of Pulmonary Tuberculosis. I included cases which the Clinic Medical Officers had referred to the Ealing Chest Clinic. I have tabulated the number of cases under the year of birth with the results of the investigation, and have traced the known contacts.
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The Patch Test is a method of ascertaining a person's reaction to tuberculosis, and employs a jelly which contains Tuberculin. This jelly is applied on a plaster to the skin for twenty-four hours. If a reddening of the skin occurs it is apparent that the person has, or has had, a Primary Complex. The ' Primary Complex' is a term used to denote that a young person has acquired a first infection due to the tubercle bacillus. It is believed that nearly all persons have such an infection and with treatment this condition should become quiescent or heal. But at a later date ill health associated with a further respiratory infection may cause this condition to flare up and cause Pulmonary Tuberculosis. 21 Year of Birth No. of Children Known Contact Neighbour Contact TYPE OF -INFECTION : Patch + Test Primary Complex Meningitis Pulmonary Tuberculosis M. F. A. U. 1039 1 β€” β€” β€”.
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- - 1 β€” β€” β€” β€” β€” β€” 1942 1 β€” β€” β€” β€” 1 β€” β€” β€” β€” β€” β€” 1943 1 1 - 1 1 - - - β€” 1 β€” β€” β€” β€” β€” 1944 7 1 β€” 1 β€” β€” 5 1 1 2 β€” β€” β€” 1945 7 1 1 1 β€” 1 3 2 β€” β€” β€” β€” β€” 1946 15 1 4 β€” 1 4 0 β€” 4 3 β€” β€” β€” 1947 17 4 9 β€” β€” β€” 4 3 4 4 β€” 1 β€” 1948 7 1 2 β€” β€” 1 3 1 1 ~ β€” β€” β€” TOTALS 56 8 17 2 1 6 22 8 10 9 β€” 1 β€” NOTE : M = Mother. F = Farther. A = Aunt.
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U = Uncle. All known contacts suffered from Pulmonary Tuberculosis. Two cases of children not included had Surgical Tuberculosis (infection of a joint by tubercle bacilli). 22 From these figures one notices that of the 56 cases, nine developed a Primary Complex and one case had acute Meningitis, and the remainder were at the time free from infection. Eight had positive Patch Test and ten Were negative, and of the remaining thirty-eight no observations were made. Analysis of the Contacts shows that the source of the infection might arise in eight mothers, seventeen fathers, two aunts and one uncle, and six neighbours who were in the same house. Twentytwo contacts are named, but in several of these during the examination of the child the parent suspected, or vaguely suspected that the child had been in contact with a case of Pulmonary Tuberculosis.
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As the parent was not sure it was impossible to follow-up the contact, but the child was examined clinically and referred either to the Chest Clinic or kept under observation at the Clinic. I think these figures will illustrate the dangers of children in a house in which one of the members suffers from Pulmonary Tuberculosis. The dangers are greater if all the members sleep in the same room and this should be avoided. I then followed this investigation by Patch Testing a series of children known to be healthy and although six reacted positively, one was able to arrange for these to be examined at the Chest Clinic although three of the positive reactors were attending the Clinic and were considered non-infectious. Year of Birth No.
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of Children Total + β€” 1949 0 8 8 1948 0 22 22 1947 1 39 40 1946 4 43 47 1945 1 35 36 1944 0 2 2 TOTALS 6 149 155 This gave a percentage of positive reactors of 3.
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8% 23 TUBERCULOSIS Age Periods NEW CASES DEATHS Respiratory Non-Respiratory Respiratory Non-Respiratory Male Female Male Female Male Female Male Female 0 β€” - 1 - - - - - - 1 β€” 2 β€” 5 β€” 2 - 1 - - _ 15 β€” 13 14 1 1 1 2 - 25 β€” 92 14 - 1 2 1 - 35 β€” 12 2 - 1 1 - 1 45 β€” 7 4 - - 3 - 1 β€” 55 β€” 0 β€” 2 - β€” β€” 65 upwards 2 1 - - 1 1 - - 67 38 2 8 10 4 1 i 24 Statement of particulars appearing on the Register of cases of Tuberculosis for the year ending 1948 Pulmonary NonPulmonary Total (a) Number of cases of T.B.
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on the Register at the commencement of the year 981 463 males 87 males 348 females 83 females (b) Number of cases notified for the first time during the year 59 males 1 male 96 33 females 3 females (c) Number of cases previously removed from the Register which have been restored thereto during the year - males males females females (d) Number of cases added, to the Register other than by notification 5 males 1 male 11 5 females females (e) Number of cases removed from the Register during the year 34 males 1 male 51 13 females 3 females (f) Number of cases remaining on the Register at the end of the year 493 males 88 males 1,037 373 females 83 females Month PERSONS TREATED FOR SCABIES. 1949. No. of] Families Central N.E. N.W. S.E. s.w. s. w. E. F.W.
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Total January β€” β€” β€” β€” 2 β€” β€” β€” β€” 2 1 February - - - - - - - 6 β€” 6 1 March β€” 4 β€” β€” 2 β€” β€” β€” β€” 6 3 April - 1 - - - - - - - 1 1 May - - - - - - - - - - - June - - - - 1 - - - - 1 1 July - - - - - - - - - β€” β€” August - - - - 2 - - - - 2 2 September - - - - - - - - - - - October β€” - β€” β€” 1 β€” β€” -- β€” 1 1 November 1 - β€” β€” 3 β€” 1 β€” β€” 5 3 December β€” - β€” β€” 1 β€” β€” β€” 1 2 1 TOTALS 1 5 β€” β€” 12 β€” 1 6 1 26 14 25 PERSONS TREATED WITH DIRTY HEADS,
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1919. Month Central N.E. N.W. S.E. s.w. s. w. E. F.W. Total No. of Families January 2 β€” β€” β€” 6 1 2 β€” β€” 11 4 February β€” β€” β€” β€” β€” β€” β€” β€” 1 1 β€” March β€” β€” β€” β€” β€” β€” β€” β€” 2 2 β€” April β€” β€” β€” β€” β€” β€” β€” β€” 1 1 β€” May β€” β€” β€” β€” β€” β€” β€” β€” β€” 2 2 June 1 β€” .
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1 β€” 13 1 2 β€” β€” 18 17 July 1 β€” 3 β€” β€” β€” 1 β€” 3 8 3 August β€” β€” β€” β€” β€” β€” β€” β€” 1 1 1 September β€” β€” β€” β€” 3 β€” 1 β€” 1 5 3 October 1 2 β€” β€” β€” β€” 3 1 4 11 6 November β€” 2 β€” β€” β€” β€” β€” β€” 1 3 1 December β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” TOTALS 5 4 5 β€” 22 2 10 1 14 63 37 PERSONS TREATED FOR BODY LICE, 1949. Month Central N.E. N.W. S.E. S.W. s. w. E. F.W. Total No.
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of Families April β€” 1 β€” β€” β€” β€” β€” β€” β€” 1 1 TOTALS β€” 1 β€” β€” β€” β€” β€” β€” β€” 1 1 Premature Infants. The total number of premature births notified during 1949 was 50. 7 of these were born at home, and 43 in hospital. Of those born at home, 7 were nursed entirely at home, one died between the 8th and 28th day, and 6 survived the first month. 26 HOUSING. Since the Annual Report of 1948, set out below is the number of Permanent Dwellings completed and occupied on the 31.12.49, together with the number of War-Destroyed Dwellings rebuilt by the Council and under private licence. Temporary Prefabricated Houses. Completed and occupied 31.12.49 250 New Permanent Dwellings.
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(a) Within the Borough: Completed and occupied 31.12.49:β€” The Vale 224 Bromley Lodge 18 St. Margarets Lodge 12 Esmond Road 30 Oakley House 18 Cumberland Road 4 306 Contracts let or under construction 31.12.49:β€” The Vale (balance) 94 Horn Lane 24 Creswick Court 20 Glendun Court 38 Bollo Court 32 Hartley Court 8 Southfield Road 18 234 Schemes in Preparation:β€” Oldfield Estate 54 Heathfield Road 6 Carlton Road 42 Rosemont Road 6 Avenue Crescent 6 Hereford Road 6 Avenue Road 6 West Lodge Avenue 8 134 27 (b) Outside the Borough: Completed and occupied 31.12.
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49:β€” Northolt Junction 128 Ruislip Gardens 12 140 Under construction:β€” Northolt Junction 30 Ruislip Gardens 115 145 Schemes in Preparation:β€” Northolt Junction 3 Ruislip Gardens 134 Hart Grove, Ealing 12 149 1,358 The erection of the dwellings mentioned above will complete the Council's programme for building outside the borough, with the exception of their share of those dwellings to be erected on the Yeading Green Estate. Rebuilt War-destroyed Dwellings. Rebuilt War-destroyed Dwellings: (a) By the Council. Completed and occupied 31.12.49: β€” Council Houses. 8 Private Dwellings 36 44 (b) Under Private Licence.
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Completed and occupied 31.12.49 212 Under construction 17 229 273 Houses found to be overcrowded as a result of Health Inspections by Sanitary Inspectors or Health Visitors are referred to the Housing Department with appropriate recommendation for action. 28 FOOD AND DRUGS ACT, 1938. The Middlesex County Council are the sampling authority in this area, and the Chief Officer of the Public Control Department has supplied the figures appended below of samples taken during the year:β€” Article Taken Adulterated Milk 170 2 Antipain tablets 1 β€” Aspirin 1 β€” Black pudding 1 β€” Chewing gum 1 1 Coffee and chicory essence 1 β€” Cooked sausage 4 β€” Cream fancies 7 β€” Gelatine 1 β€” Gin 7 Goats Cheese 1 β€” Haddock smoked 6 β€” Ice-cream 1 β€” Lemon sole 1 β€” Liquorice,
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menthol and violet pellets 1 β€” Liver sausage 1 β€” Meat paste 1 β€” Meat savouries 2 β€” Meats cooked 2 Pork sandwich 2 Rum 2 Salad Cream 3 1 Sausage and sausage meat 1 β€” Sherbert 2 1 Sulphur tablets 1 β€” Whiskey 12 β€” 233 5 Two informal samples of milk were deficient in fat but subsequent follow-up samples were genuine. A sample of chewing gum was found to contain 95% of paraffin wax, but it was not possible to take any action under the Food and Drugs or Merchandise Marks Acts. No action was taken in the cases of a Salad Cream deficient in egg yolk solids and Sherbet deficient in sucrose. 29 SECTION C. SANITARY CIRCUMSTANCES OF THE AREA. Water Supply. The Borough is supplied with water by the Metropolitan Water Board.
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The whole of the population is supplied from the public water mains direct to each house and the supply has been satisfactory. In addition to the public supply, there are three deep wells in the district, two at factory premises, and one at the Public Baths. Samples of water from these wells have been taken from time to time and on submission to bacteriological and chemical examinations have proved satisfactory. Drainage and Sewerage. All the dwelling houses are provided with water closets and are connected to the sewerage system which discharges,, by an arrangement with the L.C.C., into the London sewers. Stormwater is filtered and emptied into the Thames Public Cleansing. The amount of house refuse collected by the Council in 1949 was 16,527 tons and trade refuse collected amounted to 1,175 tons. A total weight of 10,463 tons was destroyed by destructor and 7,239 tons was removed to controlled shoots.
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In addition to the foregoing, 2,527 tons of Salvage was sold. Rodent Control. Treatment of the public sewers by the methods approved by the Ministry of Agriculture and Fisheries, Infestation Control Division, and the consequent reduction of the rat population in the sewers, has undoubtly resulted in a lessened surface infestation. Maintenance treatment of factory and business premises by arrangements with the occupiers at the Council's approved charges has also reduced the need for intensive work on large infestations. More time has been devoted to investigation and treatment necessary in dwelling houses. 30 While complaints have been less frequent than hitherto, any reported nuisance has been the occasion for survey in the immediate area, and for treatment in accordance with block control as advocated by the Ministry.
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Investigations, destruction and maintenance have entailed a total of 2,213 visits by Rodent operatives, 1,631 to business premises and 582 to dwellings in addition to inspections by the Sanitary Inspectors as noted elsewhere. Inspection of Factories. There are 655 premises within the borough in connection with which the Sanitary Inspectors make inspection from time to time to ascertain that the provisions of the Factories Act, 1937, and the Sanitary Accommodation Regulations are complied with. In addition to this routine work, hygiene of canteens, etc., has received attention, and advice as to the fitness of food for human consumption given as necessary. The home addresses of 71 outworkers engaged in work at home for Factories within and outside the Borough, have been visited to ascertain hygienic.conditions and freedom from infectious disease. Sanitary Inspection of the Area.
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The following table includes the tabular statement by the Chief Sanitary Inspector under article 27 (18) of the Sanitary Officers (Outside London) regulations, 1935. Tabulated Statement of Inspections and Details of Work carried out by the Sanitary Inspectors. Number of Inspections made and Action taken:β€” Total number of dwelling houses inspected for housing defects (under Public Health or Housing Acts) 3,187 (1) Dealt with by service of Informal Notice 1,222 (2) Dealt with by service of Statutory Notice under Section 9 Housing Act, 1936 505 31 (3) Dealt with by service of Statutory Notice under Public Health Acts 133 (4) No defects found 76 Premises (other than defective dwelling houses) inspected for nuisances and miscellaneous defects 2,841 (1) Dealt with by service of informal notice 112 (2) Dealt with by service of Statutory Notice under Public Health Acts, etc.
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5 Reinspections subsequent to service of Notice 15,611 Inspections after notification of Infectious Disease 167 Premises inspected under Rats and, Mice (Destruction) Act, 1919, and Infestation Order, 1943 599 Details of Work carried out. The policy of requiring every possible house, flat or tenement to be rendered fit for human habitation in accordance with Section 9 of the Housing Act, '1936, has been maintained, and its effect is seen in the clearing up of many dilapidations and war damage repairs. In the course of normal procedure, 145 Statutory Notices were passed to the Town Clerk in default of the Owners not complying with the Council's requirements in due time. Delay has been attributed to a number of reasons.
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One common cause is the high cost of necessary repairs in relation to the income from property, while quite frequently a job cannot be proceeded with expeditiously on account of a claim by the owner awaiting decision by the War Damage Commission. The upper part of one house was closed under Section 12 of the Housing Act, 1936, being unfit for human habitation, and as it appeared that it could not be rendered fit at a reasonable cost. Subsequently the Owner carried out the necessary repairs and the closing order was determined The following table indicates the extensive and varied nature of the defects and dilapidations which have been made good following inspection by the Sanitary Inspectors.
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Sanitary dusbins provided 228 Yards paved or yard paving repaired __ 71 Insanitary forecourts remedied 6 32 Defective drains repaired or reconstructed 137 Defective soil pipes and ventilating shafts, repaired or renewed 27 Defective fresh air inlets repaired or renewed 16 Defective gullies removed and replaced by new 35 Rainwater downpipes disconnected from drain 3 Dishings or curb gully repaired or new gratings fixed 40 Defective W.C. pans and traps removed and, replaced by 79 Defective W.C. flushing apparatus repaired or new fixed 93 Defective W.C.
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seats repaired or new fixed 47 Defective flush pipe connections repaired 30 Insanitary sinks removed or new fixed 71 Sink waste pipes repaired or trapped 7/7 Insanitary wall surface over sinks remedied 47 Ventilated food cupboards provided rr < Drinking water cisterns cleansed 17 Defective covers to drinking water cisterns repaired or new fixed 24 Insanitary sites beneath floors concreted 8 Spaces beneath floors ventilated 46 Dampness in walls from defective damp proof course remedied 306 Dampness from defective roof, rainwater gutterings, etc.
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remedied 1,613 Defective plastering repaired (number of rooms) 1,675 Rooms where dirty walls and ceilings have been cleansed and redecorated 2,097 Defective floors repaired 362 Defective or dangerous stairs repaired 69 Defective doors and windows repaired 2,094 Defective kitchen ranges and firegrates repaired 478 Defective washing coppers repaired 19 Coal cupboards provided or repaired 19 Accumulations of offensive matter removed 35 Drains unstopped and cleansed 61 Drains tested, exposed for examination, etc 459 Smoke observations taken 41 Smoke nuisances abated on service of notice 11 Miscellaneous nuisances abated 208 Notifications of waste of water sent to Metropolitan Water Board 57 New W.C. apartments 3 33 Rent Restrictions Act. Certificate granted to an occupier 1 Certificate granted to an owner 1 Premises under Periodical Inspection.
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Factories and Workshops 655 Piggeries 3 Rag Dealers 2 Mews 4 Public House Urinals 31 Hairdressers 43 School Buildings:β€” Grammar 1: Primary and Secondary 11; Technical 18 2; Special 1; Private 3: Total Butchers' Shops 38 Fish Shops 39 Fish and Chip Shops 15 Greengrocers' Shops 89 Premises where food is manufactured or prepared 43 Grocery and Provision Shops 138 Dairies 12 Bakehouses 25 Slaughter Houses 2 Restaurants, Cafes etc. 325 Premises where ice-cream is manufactured 11 Premises where ice-cream is sold 68 Food Inspection. The amount of foodstuffs surrendered owing to deterioration or damage is related to the extensive work of food manufacture and distribution in the Borough.
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Under the direction of the various Departments of the Ministry of Food, much inferior food material is received into the Borough for manufacturing purposes subject to control by the Local Authority, and the Sanitary Inspectors carry out necessary examinations to ensure that only sound material is used; this accounts generally for the bulk surrenders. Two large wholesale Grocery Depots are within the Borough, and hence surrenders of canned and packeted goods is to this Authority; these surrenders constitute the major part of such foodstuff noted. 34 The following list collated for convenience of record shews some details of the surrenders: β€” 5,217 containers milk 820 ,, preserves 2,420 β€ž fish 255 ,, beans and spaghetti 1,087 ,, savouries β€” soup, pickles, etc.
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5,639 ,, fruit 75 packets suet 147 ,, barley flour 456 ,, Cereals, various 5 ,, Sweet fat 6 β€ž Dried egg 23 boxes French Cheese 4 tins Bacon 31 casks Condensed Milk 154 puddings (savoury or sweet) 5Β½ lbs. Tea 70 boxes dates 40 lbs. Rabbit 63 Chickens 192 shell eggs 10 pork pies 195 lbs. sausages 163 stone 5 lbs. fish 560 lbs. Mashed potato powder 2,649 lbs. Corned beef 461Β½ lbs. dried fruit 6 stones chitterlings 3 cwt. 2 qrs. 23 lbs. Strawberry pulp 9 cwt. 2 qrs. 24 lbs. Meat (misc.) 4 cwt. 2qrs. 20 lbs. Macaroni /spaghetti 5 cwt.
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Mixed cereals Apart from the foregoing list of surrendered food materials, there were 54 complaints with reference to various foods which were alleged to be contaminated. unsound, out of condition, or unfit for human consumption. All cases were dealt with by-way of special examination of (analysis, and where necessary, premises where manufacture, deposit or sale took place were inspected and circumstances applying to each case investigated, in order to prevent repetition of the cause for complaint. In three cases, the Council prosecuted the firms, or persons responsible for contravention of the Food and Drugs Act, 1938, and fines were imposed by the local Magistrates and costs awarded. 35 The Council. The food comprised three loaves of bread in which found a cigarette end, a piece of wire, and a rusty nail respectively. Milk.
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In the course of frequent visitation by the Sanitary Inspectors &tothe eleven dairies in the Borough, they have been observed to be kept in good condition, and processes of bottling and distribution satisfactory. No complaints have been received as to any Dairy, and of 140 samples of Milk taken, only one failed in the Methylene Blue test; all Phosphatase tests proved satisfactory. The large wholesale pasteurising and bottling centre in Bollo Lane has been maintained in a highly satisfactory condition, and is subject to frequent visitation by Professional and Technical bodies account of the modem plant installation, working arrangements. for milk testing and bacteriological examination. During the year, 50 empty bottles taken from the filling lines of this centre, after cleansing in the mechanical bottle washers, were examined in the Pathological Laboratory of the Ministry of Health and all were found to be sterile.
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These results together with the invariably satisfactory reports of Methylene Blue and Phosphates tests, of the milk processing and bottling, indicate the high standard of efficiency maintained in the Centre. Ice Cream. There was no change during the year in the number of manufacturers of Ice Cream in the Borough, but the number of vendors at registered premises was increased to 68 This increase was due largely to the taking up of Agencies for manufacturers who distribute Ice Cream wrapped as briquettes or inclosed cups or cartons. The sale of Ice Cream in this way is an eminent improvement on the old time method of serving the commodity in cornets, cones or wafers from large containers of cream, though there may be no objection to the latter method under well controlled conditions. Samples of Ice Cream from all sources totalled 57, and confirmed a generally satisfactory state of manufacture and trading. Water.
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Samples of water for drinking and domestic purposes numbing 34 taken from various sources in the Borough were submitted 10 bacteriological examination and. all results indicated satisfactory supply. D'sease of Animals Act. An outbreak of Foot and Mouth Disease involved the Borough, '"d restriction placed on the movement of cattle and pigs 36 sioned the granting of 274 Movement Licences for animals to be received into a slaughter house at Atlas Road. Slaughterhouses The Slaughterhouses in Adas 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. There was a reduction in the number of horses slaughtered for human food but it may be said that the quality of the flesh was superior to that from killings in previous years. The supply of bacon and pork was almost twice that of the previous year, and the table below indicates a much lower incidence of tuberculosis.
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No case of tuberculosis was recorded in respect of horseflesh. Pigs Horses 1.β€”Number killed 94,198 6,285 2.β€”Number dead on arrival or died in pens 63 β€” 3.β€”Number inspected 94,261 6,285 4.β€”All diseases except T.B :β€” (a) Whole carcases condemned 89 1 (b) Carcases of which some part or organ was condemned 10,339 807 (c) Percentage of number inspected affected with disease other than T.B. 11.06% 12.8% 5.β€”T.B. only:β€” (a) Whole carcases condemned 163 β€” (b) Carcases of which some part or organ was condemned 3,373 - (c) Percentage of number inspected affected with T.B. 3.75% The total weights of meat and offal surrendered was:β€” PORK. Tons. Cwt. Qrs. Lbs.
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252 Carcases 19 9 3 9 13.712 Parts 37 7 β€” 21 56 17 β€” 2 HORSEFLESH. Tons. Cwt. Qrs. Lbs. 1 Carcase 6 β€” 807 Parts 5 5 3 19 5 11 3 19 37 NUMBER OF PIGS' CARCASES INSPECTED DURING 1949 WITH ANALYSIS OF SURRENDERS ON ACCOUNT OF DISEASE. Date Pigs Slaughtered PARTS CONDEMNED. Carcases Heads Collars Fore Qtrs. Hind Qtrs. Legs Skins Hocks Flares Pieces of Pork Plucks (Lungs, Livers, Hearts, Lights). Wt. of Mesenteries, Stomachs & Intestines January 4,507 11 114 6 - - 39 1 - 2 17 lbs.
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380 640 lbs. February 4,940 8 124 3 - - 47 3 - β€” 31 lbs. 363 800 lbs. March 6,499 7 118 13 - 24 1 - β€”- 22 lbs. 481 990 lbs. April 9,966 36 274 6 2 - 60 4 - 3 125 lbs. 1,005 2,130 lbs. May 13,824 27 429 34 7 4 63 2 - β€” 27 lbs. 1,815 3,040 lbs. June 12,340 39 276 8 β€” 1 46 4 - 1 109 lbs. 1,093 2,540 lbs. July 10,427 41 252 11 β€” β€” 53 2 - β€” 17 lbs. 1,217 1,980 lbs.
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August 7,555 19 105 15 β€” β€” 54 5 - 1 32 lbs. 1,017 1,300 lbs. September 6,195 20 130 4 β€” β€” 76 3 - 5 5 lbs. 578 1,270 lbs. October 5,654 17 114 2 β€” β€” 48 7 - 1 19 lbs. 544 1 ,680 lbs. November 6,188 11 166 5 β€” 1 56 2 - 3 9 lbs. 647 1,360 lbs. December 6,157 16 150 4 β€” β€” 65 4 - 4 7 lbs.. 840 1,440 lbs Totals 94,198 252 2,312 111 9 6 631 38 β€” 20 420 lbs, 10,610 19,170 lbs.
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38 FACTORIES ACT, 1937. PART 1 OF THE ACT. 1.β€”INSPECTIONS for the purposes of provisions as to health (including inspections made by Sanitary Inspectors). Premises Number on Register Number of Inspections Number of Written Notices Occupiers Prosecuted (i) Factories in which Sections 1, 2, 3, 4 and 6 are to be enforced by Local Authorities 49 25 - - (ii) Factories not included in (i) in which Section 7 is enforced by the Local Authority .... 595 446 2 (iii) Other Premises in which Section 7 is enforced by the Local Authority (excluding out-workers' premises) 11 3 - - TOTAL 655 474 2 β€” 2.β€”CASES IN WHICH DEFECTS WERE FOUND. Particulars Number of cases in which defects were found Number of cases in which prosecutions were instituted Found Remedied Referred to H.M.
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Inspector Referred by H.M. Inspector Want of cleanliness (S.I.) 2 3 β€” Inadequate ventilation 1 1 β€” β€” β€” Conveniences (S.7.) (a) Insufficient β€” β€” (b) Unsuitable or defective 3 3 β€” 3 β€” TOTAL 6 7 β€” 3 β€” PART VIII OF THE ACT. OUTWORKβ€”(Section 110). No. of out-workers in August list required by Sect. 110 (1) (c) β€” Wearing apparel β€” Making, etc 46 Fancy Goods 1 Hair Curlers 1 Plastic Bags 2 Paper boxes etc. 3 Bootmakers 1 Stuffed Toys 10 Games and toys 3 Handbag repairs 1 Textile weaving 1 Lampshades 2 TOTAL 71 39 ANNUAL REPORT OF THE SCHOOL MEDICAL OFFICER FOR THE YEAR 1949.
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The following is a report upon the schools and health of the schoolchildren of Acton for 1949. All existing clinics were open during the year. Furthermore, the services of a chiropodist were made available to the children during 1949 and weekly sessions were opened at Palmerston Road Mission Hall for that purpose. One case of Diphtheria was notified during the year, occuring in a child who had not had his boost dose. The percentage of schoolchildren inoculated against diphtheria was well maintained and on the whole showed a slight rise. Further details will be found in the report of the Medical Officer of Health. The School Meals Service showed considerable increase throughout the year. During 1942 an Acton expectant mother evacuated to Suffolk gave birth in May to triplets girls, and returned to Acton in November of the same year. All three children lived and were seen at School Inspection as Entrants in 1946, and again in 1949.
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The parents have cared for the children both in regard to body and mind, so that the children do not realise that being triplets is abnormal. I feel that placing on written record the observations made at the Welfare Clinic and School Inspections is of interest in view of the fact that the three children are strong and healthy. Twin births are common (one in 89) but triplet births are rare 40 (One in 7,910). From the notes I append the table showing weight of the triplets at various stages: Date First Child's weight. Second Child's weight. Third child's weight. At Birth 4 lbs. 15 oz. 4 lbs. 6 oz. 3 lbs. 10 oz. 9.11.42 14 lbs. β€” 13 lbs. 15 oz. 11 lbs. 4Β½ oz. 12.11.46. Height 42.6 inches 42.5 inches 42.25 inches Weight .
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41 lbs. 9 oz. 41 lbs. 4 oz. 38 lbs. 4 oz. July 1949 Height 49.25 inches 49.25 inches 48.5 inches Weight 52 lbs. 8 oz. 50 lbs. 8 oz. 47 lbs. 8 oz. On the 9th November, 1942, the family had returned from Suffolk and it is reported that the two elder triplets were on feeds of Ostermilk and that the youngest one was being breast fed, with Ostermilk as supplementary feeds. At this time the eldest triplet was attempting to sit up in her cot. To all three halibut oil and orange juice were recommended. All the trio had been vaccinated. On the 27th January, 1943 the triplets were on National Dried Milk, and were having broth, Farex and rusks. The second of the triplets had swollen gums (teething).
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During 1944 the family returned to Suffolk but were in Acton on 14th September 1945 when the Health Visitor reported the children were on a mixed diet; their nutrition satisfactory and all three had 20 teeth. Their habits were clean and they were making normal progress both mentally and in their speech. They had been immunised against diphtheria. On the 23rd March 1946 it was reported that they were on a progressive mixed diet; all were very active physically but the two youngest were "rather thin" and the eldest was thin and pale. They attended nursery class at 4Β½ yrs. of age. When seen at medical inspection their nutrition was graded as 'B' and the mental condition was noted as " Good". No congenital defects were noted and all three were physically fit. They had received a 'boost dose' against diphtheria and had suffered only from Rubella and measles.
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41 The dental card shows that in 1948 the two elder triplets had no dental caries whilst the youngest needed dressings to her teeth in 1948 and 1949. As will be noted, this is a very fine effort on the parents part have reared such fine and healthy triplets during the difficult period of 1939 to 1945. SCHOOL MEALS AND MILK Ordinary Schools. 1949 Total number of paid meals supplied 741156 Total number of free meals supplied 54250 INFECTIOUS DISEASES. Scarlet Fever. 41 cases were reported during 1949 in the school population, the distribution being as follows:β€” Acton Wells 1 Berrymede 2 Derwentwater 10 John Perryn 6 Priory 3 Rothschild 6 Southfield 7 Other Schools 6 Diphtheria. 1 case occurred during 1949 of. a pupil at the County Grammar School. Special Schools.
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Total number of paid meals supplied 5376 Total number of free meals supplied 1500 Average number of children supplied daily with milk 6039 42 Percentages of Children Inoculated in School. Acton Wells Primary 87.22 Berrymede Boys' Primary 72.54 Berrymede Girls' Primaiy 76.62 Berrymede Infants' Acton Central Secondary 87.91 Derwentwater Primaiy 82.12 Derwentwater Infants 85.10 John Perryn Secondary Modem 83.20 John Perryn Primary 88.43 John Perryn Infants' 85.45 . Priory Boys' Secondary Modern 83.09 Priory Girls Secondary Modern 80.64 Priory Infants' 81.79 Rothschild Primary 81.37 Rothschild Infants' 78.25 Southfield Primary 84.58 Southfield Infants' 91.18 St. Marys R.C.
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Turnham Green 82.12 West Acton 92.86 DISTRIBUTION OF SCABIES, 1949. Acton Wells. Leamington Court Baths Treatment 1 child Berrymede. Acton Lane Baths Treatment 1 child Stanley Road Baths ,, 2 children Stirling Road Baths ,, 3 children John Perryn. Beech Avenue Baths Treatment 1 child Priory. Birkbeck Grove Home Treatment 1 child Petersfield Road Home 1 child 43 Rothschild. Hardwick Road - Baths Treatment 1 child Roman Catholic. Richards Cottages - Home Treatment 1 child EAR AND NOSE CLINIC. Ear Treatment only.
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Number attending with Otorrhoea 14 ,, Boils β€” ,, ,, β€ž Mastoid Swellin β€” ,, ,, β€ž Earache 5 ,, ,, β€ž Wax 22 ,, ,, β€ž other Ear disease 3 ,, referred, but did not attend 4 ,, referred to Specialist 2 ,, treated by own doctor 2 ,, who failed to complete treatment 7 59 (Number cured: 26 Number improved: 4) Nose Treatment. Nasal and postnasal catarrh. Number cured 40 ,, improved 15 ,, complicated by other conditions 1 ,, referred to Hospital 7 ,, who did not report for examination after treatment 11 ,, referred but did not attend 9 ,, who failed to complete treatment 15 ,, continuing treatment β€” 98 44 Nose and Ear Treatment simultaneously. Cases suffering from Otorrhoea and post-nasal catarrh. Number cured 1 ,, referred to Specialist ,, ceased to attend Cases suffering from Wax and post-natal catarrh.
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Number cured 2 ,, ceased to attend 1 4 Number of children sent for Audiometic examination: 8 REPORT OF THE SCHOOL OCULIST. 428 children were examined during the year. Glasses wore prescribed for 314 and of these 210 were obtained. . Two children were referred for squint operations and two for orthoptic treatment. Attendances at the clinic have been very good and there has been a distinct improvment in the time taken for frames to be made up. There is a growing need for facilities for orthoptic training in Acton or district as parents at present have to take their children up to a London hospital. DENTAL REPORT. MATERNITY AND CHILD WELFARE, (1949).
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Number of Mothers Examined 275 β€ž Mothers Referred 251 Children Examined 325 ,, Children Referred 267 β€ž Mothers Treated _ 239 ,, Children Treated 217 ,, Attendancesβ€” \ Mothers 835 Children 336 45 Permanent leethβ€” Fillings 436 Extractions 390 Temporary1 Teethβ€” Fillings 83 Extractions 270 Anaestheticsβ€” General 227 Local 36 Other Operationsβ€” Permanent Teeth 195 Temporary Teeth 342 Number of Radiographs 8 Number of Denture Dressings 236 Number of Dentures supplied 83 Number of appointments not kept 203 SPEECH THERAPY REPORT, 1949. Five sessions have been held weekly at 43, Avenue Road, W.3. 7(7 New Cases were referred. Of these 16 failed to attend for interviews, the remaining 61 were classified as follows:β€” 19 referred for Stammering. 30 ,, β€ž Diplalia. 7 ,, ,, Sigmatism.
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3 β€ž ,, Dysphonia. 1 ,, β€ž Partial deafness. 1 ,, β€ž Retarded speech. 15 cases were found to be very slight and no immediate treatment was recommended but they will be kept under observation. In addition 17 follow-up interviews were arranged of. which:β€” 10 attended. 7 failed. 46 The total number who received treatment during the year was 70. Of these:β€” 16 were discharged cured. 7 were discharged much improved. 1 left school much improved. 5 were temporarily discharged, but will have further treatment at a later date. 3 left the district. 4 failed attendance. β€’ There are 34 who require further treatment. There are 19 on the waiting list. Number of vacancies for 1950 is 11. 34 visits were made to schools throughout the year. SPECIAL SCHOOL.
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The School for Educationally Sub-normal Children was open for the whole of 1949, and at the end of the year 40 children were on the roll. During the year 5 new cases were admitted. 47 RETIRM OF HANDICAPPED PUPILS-31st DECEMBER , 1949 Category No. of ascertained cases known last day of year. In Special day Schools. In Special Residential Schools. In maintained Primary & Secondary Schools. In Indepen- dant Schools. Not at School. TOTAL. Blind Pupils B G B G B G B G B G B G B G 1 1 β€” β€” 1 1 β€” β€” β€” β€” β€” β€” 1 1 Partially Sighted Pupils 6 9 β€” 3 β€” 1 6 5 β€” β€” β€” β€” 6 9 Deaf Pupils 4 5 1 2 2 1 β€” β€” β€” β€” 1
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2 4 5 Partially Deaf Pupils 1 β€” β€” β€” β€” β€” 1 β€” β€” β€” β€” β€” 1 β€” Delicate Pupils 12 13 β€” 1 1 2 8 7 β€” β€” 3 3 12 13 Diabetic Pupils 1 β€” β€” β€” β€” β€” 1 β€” β€” β€” β€” 1 Educationally Sub-normal Pupils 26 14 17 9 4 1 1 2 β€” 1 1 1 20 14 Epileptic Pupils 3 3 β€” β€” β€” β€” 3 2 β€” β€” β€” 1 3 3 Maladjusted Pupils S 6 5 3 β€” 3 _ _ 5 6 Physically Handicapped Pupils 8 7 2 β€” 1 1 5 6 β€” β€” β€” β€” 8 7 Pupils with Speech Defects 35 15 2 2 β€” β€”
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33 13 β€” β€” β€” β€” 35 15 Pupils with Multiple Defects β€” 2 β€” 1 β€” β€” β€” β€” β€” β€” β€” 1 β€” 2 TOTAL 101 76 22 18 14 10 57 39 β€” 1 8 8 101 76 48 VISITS PAID BY SCHOOL NURSES. The following axe the number of home visits paid by the Nurses during the year. The visits have been divided into school distribution. Acton Wells 31 Berrymede 66 Central 1 Derwentwater 22 John Perryn 48 Priory 24 Roman Catholic 2 Rothschild 39 Southfield 16 West Acton 63 Special 1 County 1 Other Schools 10 324 MEDICAL INSPECTION RETURNS TABLE I. Medical Inspection of pupils attending Maintained Primary and Secondary Schools (including Special Schools.).
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Periodic Medical Inspections Other periodic inspections Special inspections Re- inspection Entrants Second age group Third age group Total 976 604 376 1956 196 1 48 2260 49 classification of the General Condition of Pupils. Age Groups Number of Pupils inspected A. (Good) B. (Fair) C. (Poor) No. % of col. 2 No. of col. 2 No. of col.
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2 (1) (2) (3) (4) (5) (6) (7) (8) Entrants 976 723 74.08 230 23.56 23 2.36 Second age group 604 459 75.99 130 21.53 15 2.48 Third age group 376 281 74.73 87 23.14 8 2.13 Other periodic inspections 196 127 64.80 67 34.18 2 1.02 TOTAL 2152 1590 73.88 514 23.88 48 2.24 NOTES ON TABLE I. (a) The return refers to a complete calendar year. (b) The age groups subjected to periodic Medical Inspection are those prescribed by Regulation 49 (2) (a), (b) and (c) of the Handicapped Pupils and School Health Service Regulations, 1945.
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Those subjected to periodic Medical Inspection under 49 (2) (d), should be included as "other periodic Inspections". The age group or groups inspected under Regulation 49 (2) (d), should be specified in the body of the School Medical Officer's Report.
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Regulation 49 (2) reads as follows:β€” " Subject as in these Regulations provided, the arrangements as to the medical inspection of pupils shall be such that:β€” (a) every pupil who is admitted for the first time to a maintained school shall be inspected as, soon as possible after the date of his admission; (b) every pupil attending a maintained Primary School shall be inspected during the last year of his attendance at such a school; (c) every pupil attending a maintained Secondary School shall be inspected during the last year of his attendance at such a school; and 50 (d) every pupil attending a maintained school or County College shall be inspected on such other occasion as the Minister may from time to time direct or the Authority with the approval of the Minister may determine. TABLE II. Defects found by Medical Inspection. Defect or Disease Periodic Inspections Special Inspections No. of defects No.
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of defects 1 2 1 2 Skin 9 4 3 β€” Eyesβ€”a. Vision 242 142 53 β€” b. Squint 70 16 _ c. Other 7 1 β€” β€” Earsβ€”a.
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Hearing 4 6 1 β€” b. Otitis Media 11 β€” β€” β€” c. Other 2 β€” β€” β€” Nose or Throat 173 70 10 1 Speech 26 8 10 β€” Cervical glands β€” 3 β€” β€” Heart and Circulation β€” 63 β€” 1 Longs β€” 72 β€” 2 Developmentalβ€” a. Hernia 1 β€” β€” b. Other 2 β€” β€” β€” Orthopaedicβ€” a. Posture 15 26 1 β€” b. Flat foot 6 16 β€” β€” c. Other β€’21 8 β€” β€” 1 Nervous systemβ€” a. Epilepsy β€” β€” β€” β€” b. Other 3 9 β€” β€” Psychologicalβ€” a. Development β€” 2 β€” β€” b. Stability 11 14 β€” β€” Other 69 169 4 5 1.β€”.Requiring treatment.
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2.β€” Requiring to be kept under observation but not requiring treatment 51 Pupils found to require treatment. Number of individual pupils found at periodic medical inspection to require treatment (excluding dental disease and infestation with vermin). Group. For defective vision (excluding squint). For any of the other conditions recorded in Table 11.a. Total individual pupils. (1) (2) (3) (4) Entrants 10 280 287 2nd Age Group 115 79 190 3rd Age Group 108 65 171 Total (prescribed group) 233 424 648 Other periodic inspections 9 5 14 Grand Total 242 429 662 TABLE HI. TREATMENT TABLES. NOTES. (a) The tables should deal with all defects treated, or under treatment, during the year however, they were brought to the Authority's notice, i.e.
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whether by periodic inspection, special inspection, or otherwise, during the year in question or previously. (b) Owing to the difficulty of distinguishing between cases treated under the Authority's schemes and those treated otherwise. the treatment tables (excluding dental) should include all cases known to the Authority to have received treatment. whether at their own clinics or elsewhere. Group I.: MINOR AILMENTS (excluding Uncleanliness, for which see Table V) Number of defects treated, or under treatment during the year. Skin. Ringwormβ€”Scalp : (1) X-Ray treatment β€” (2) Other treatment β€” Ringwormβ€”Body: 3 Scabies 10 Impetigo 34 Other Skin Diseases 302 52 Eye Disease. (External and other, but excluding errors of refraction, squint and cases admitted to hospital) 249 Ear defects. (Treatment for serious diseases of the ear (e.g.
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operative treatment in hospital) should not be recorded here but in the body of the School Medical Officer's Annual Report) 107 Miscellaneous. (e.g. minor injuries, bruises, sores, chilblains, etc: 1046 1751 (b) Total number of attendances at Authority's Minor Ailment Clinics 30% Group II.β€”Defective Vision and Squint (excluding Eye Disease treated as Minor Ailmentsβ€”Group I). No. of defects dealt with. Errors of Refraction (including squint) Operations for squint should be recorded separately in the body of the School Medical Officer's Report 448 Other defect or disease of the eyes (excluding those recorded on Group I). β€” Total 448 No. of Pupils for whom spectacles were (a) Prescribed 314 (b) Obtained 210 Group III.β€”Treatment of defects of Nose and Throat. Total number treated.
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Received operative treatmentβ€” (a) for adenoids and chronic tonsillitis 43 (b) for other nose and throat conditions β€” Received other forms of treatment 109 Total 152 Group IV.β€”Orthopaedic and Postural Defects. (a) No. treated as in-patients in hospital or hospital schools 6 (b) No. treated otherwise, e.g. in clinics or out-patient department 18 24 53 Group V.β€”Child Guidance Treatment and Speech Therapy. No. of pupils treatedβ€” (a) under Child Guidance arrangements 10 (b) under Speech Therapy arrangements 70 21 DENTAL INSPECTIONS AND TREATMENT Age Groups 1. 2.
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Number Inspected Number found to require treatment Age 5 245 125 β€ž 6 199 115 β€ž 7 157 103 β€ž 8 168 105 β€ž 9 205 140 β€ž 10 168 97 β€ž 11 129 136 β€ž12 187 119 β€ž13 206 145 β€ž 14 280 223 ,
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15 214 165 β€ž 16 & + 107 72 Specials 1741 1568 TOTAL 4006 3113 Number of pupils commenced treatment 2120 Number of attendances made for treatment 5226 N'umber of half days devoted to (a) Inspecton 28 (b) Treatment 724 TOTAL 752 Fillings : Permanent teeth 2202 Temporary teeth 430 TOTAL 2632 Extractions : Permanent teeth 393 Permanent teeth for Orthodonture 30 Temporary teeth 3559 TOTAL 3988 54 Administrations of general anaesthetics for extractions 1460 Other operations : (a) Permanent teeth 534 (b) Temporary teeth 1796 TOTAL 2330 EMPLOYMENT OF CHILDREN AND YOUNG CHILDREN.
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(1) Number of children medically examined in order to ascertain whether they were physically fit to undertake employment of a light nature outside school hours 35 (2) Number of instances in which the state of health was found to be such that certificates were withheld - (3) Number of children examined as to fitness to take part in entertainments 5 (4) Number of cases in which certificates to take part in entertainments were withheld - EDUCATION ACT, 1944 β€” SECTIONS 57 (3) AND 57 (5) Cases notified under Section 57, Education Act, 1944 : Sub-section 3 4 Sub-section 5 4 Cases de-notified under Section 8, Education (Miscellaneous Provisions) Act, 1948 - MEDICAL EXAMINATION OF TEACHERS. (a) Number of Teachers examined as to fitness for appointment 30 (b) Number of Students examined as to fitness for first appointment - TABLE V. INFESTATION WITH VERMIN. NOTES.
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A statement as to the arrangements made by the Local Education Authority for the examination and cleansing of infested pupils shoud appear in the body of the School Medical Officer's Report. All cases of infestation, however slight, should be recorded. The return should relate to individual pupils and not to instanees of infestation. (i) Total number of examinations in the schools by the school nurses or other authorised persons 1890 (ii) Total number of individual pupils found to be infested 460 (iii) Number of individual pupils in respect of whom cleansing orders were issued (Section 54 (2), Education Act, 1944) (iv) Number of individual pupils in respect of whom cleansing orders were issued (Section 54 (3), Educaton Act, 1944) 55 AVERAGE HEOGHTS AND WEIGHTS-EBTRABTS. School. BOYS. Total No. Seen.
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2 YEARS 3 YEARS 4 YEARS 5 YEARS 0 YEARS 7 YEARS No. seen lit. ins. Wt. lbs. No. seen Ht. ins. Wt. lbs. No. seen Ht. ins. Wt. lbs. No. seen Ht. ins. Wt. lbs. No. seen Ht. ins. Wt. lbs. No. seeN Ht. ins. Wt. lbs. Acton Wells 8 4 42.06 40.06 4 42.81 43.31 Berrymede 76 1 38 34.5 46 41.10 40.55 21 42.86 43.54 7 46.14 48.53 1 48,5 61.
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5 Derwentwater 87 3 42.33 45.16 78 43.16 44.45 6 45.33 48.95 John Perryn 66 62 43.49 44.96 2 45.62 46.62 2 47.12 50.37 Priory 51 6 35.7 32.95 7 38.39 39.14 12 40.18 39.27 24 42.68 42.59 2 46.25 50.87 Roman Catholic 27 22 43.23 44.45 3 46.66 48 2 45.37 14.87 Rothschild 78 7 38.78 34.71 46 41.42 40.17 24 42.76 43.16 1 42.5 45.5 Southfield 87 14 43.
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14 42.05 65 44.03 43.64 6 46.12 49.2 2 49.37 56.75 Special 1 1 46 51. West Acton 63 544 7 36.03 33.18 14 38.58 36.92 24 149 42.56 41.6 41.55 40.71 35 335 43.37 43.33 43.35 43.98 3 29 45.83 15.96 47.16 48.59 1 10 45.75 46.65 45.25 50.72 GIRLS. Acton Wells 13 6 42.66 41.83 6 43.41 43.25 1 47.5 61.5 Berrymede ' 77 56 40.93 39.
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76 19 42.57 42.25 1 40 48.5 1 47.5 52.5 Derwentwater 55 6 41.08 39.37 47 43.13 44.22 2 46.75 47.75 John Perryn 53 49 13.26 42.69 2 44.25 48.12 2 51.12 55.25 Priory 39 2 37 37.25 3 36.66 36.5 9 40.72 41.02 25 42.21 41.33 Roman Catholic . -20 1 4'2 41.75 13 43.07 42.8 4 44.25 48.5 2 47.62 51.75 Rothschild 72 7 |37.92 33.71 33 10.37 37.
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99 29 41.83 40.97 2 46 48.25 1 48.25 48.5 Southfield 69 1 14 43.44 44.14 52 43.64 43.12 3 44 42.25 West Acton 43 14 42.91 41.6 24 43.76 44.19 4 46.12 47.12 1 51.5 50.5 441 2 37 37.25 10 37.55 34.55 139 41.32 40.13 264 43.04 42.85 19 45.31 47.76 7 49.25 52.21 56 AVERAGE HEIGHTS AND WEIGHTSβ€”INTERMEDIATES School. BOYS. Total No. Seen. 7 Yrs. 8 Yrs. 9 Yrs.
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10 Yrs. 11 Yrs. No. seen Ht. ins. Wt. lbs. No. ;een Ht.. ins. Wt. lbs. No. seen Ht.. ins. Wt. lbs. No. seen Ht. ins. Wt. lbs. No. seen Ht. ins. Wt. lbs. Acton Wells 21 1 51 55.5 6 54.95 70.87 14 56.39 75.3 Berrymede 69 3 51 53.08 1 51 55.5 51 54.66 73.85 14 55.3 77.44 Derwentwater 63 3 49.41 58 3 50 60.41 5 51 64.5 45 55.
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86 75.56 7 55.71 71.42 John Perryn 43 2 49.5 57.5 1 52 64.5 2 64.02 72.25 16 56.48 76.98 22 56.04 78.75 Roman Catholic 14 1 51.5 69 5 52.9 65.8 8 53.48 67.71 Rothschild 50 2 52.75 07.75 2 51.12 64.62 38 55.57 75.59 14 55.57 74.19 Southfield 44 3 53.16 72.5 2 50.87 67 35 54.74 75.43 4 53.43 79.95 Special 10 4 51.02 70.75 1 56 69.
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5 5 55 72.65 320 5 49.45 57.8 17 51.58 05.91 14 51.9 66.01 190 55.24 74.74 88 55.46 75.01 GIRLS. Acton Wells 20 1 48.5 52.25 8 53.21 64.18 11 56.09 77.63 Berrymede 85 4 49.08 55.93 2 52.62 61.02 55 55.2 73.5 24 56.51 70.09 Derwentwater 51 5 50.55 55.85 2 50 05.75 29 55.43 75.45 15 54.9 73.8 John Perryn 40 1 45.25 52 3 49.75 54.
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58 1 64.5 72 14 54.40 75.19 21 55.53 75 Roman Catholic 6 1 56 72.5 5 55.6 75.95 Rothschild 39 4 49.62 58.02 20 55.2 75.07 15 56.43 79.06 Southfield 38 3 50.58 60.91 27 54 74.59 8 54.31 74.'17 Special 5 2 46.5 47.5 2 52.25 59.5 1 55.5 93 281 0 49.66 55.2 15 49.41 56.6 7 51.17 61.39 156 51.83 73.74 100 55.77 76.
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16 57 AVERAGE HEIGHTS AND WEIGHTS-LEAVERS School.
BOYS. Total No. Seen. . 11 YEARS. 12 YEARS. 13 YEARS. 14 YEARS. 15 YEARS. No seen Ht. ins. Wt. lbs. No. seen Ht. ins. Wt. lbs. No seen . Ht. ins. Wt. lbs. No. seen Ht. ins. Wt. lbs. NO. SEEN HT. INS. WT. LBS. Central 11 10 64.32 117.42 1 68.5 129.5 John Perryn 36 1 54.5 78 35 62 06 103.42 Priory 106 1 55.5 82.5 1 57.27 85.
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27 3 60.75 96.16 93 61.9 102.21 Roman Catholic 8 2 57.12 78.37 5 64 95 121.5 1 64.5 127.5 Special 8 1 55 74 2 62.75 102.5 3 62.16 109.66 2 60 82.5 169 1 55.5 82.5 18 56.86 82.78 5 61.55 98.7 146 62.2 104.35 4 63.25 105.5 GIRLS Central 41 8 58.41 93 3 62 101 33 63.13 111.75 2 64 114 John perryn 33 3 60.5 94.5 29 63.91 115.22 1 63.
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5 166 Priory 117 4 57.81 101.75 8 56.18 77.21 2 61.37 94.25 98 62.14 111.31 5 63.55 115.65 Roman Catholic 5 1 55. 66.5 4 61.87 108.87 Special 11 6 57.16 83.82 3 60.16 89.16 2 58 91.25 207 4 57.81 101.75 17 56.92 82.33 12 60.47 92.41 166 62.59 111.78 8 63.65 121.58
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ACT53 439(1)ACTON BOROUGH OF ACTON ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH TOGETHER WITH THE REPORT ON THE MEDICAL INSPECTION OF SCHOOLS FOR THE YEAR 1950 BOROUGH OF ACTON ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH TOGETHER WITH THE REPORT ON THE MEDICAL INSPECTION OF SCHOOLS FOR THE YEAR 1950 ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1950 Public Health Department, Town Hall, Acton, W.3 To the Mayor, Aldermen and Councillors of the Borough of Acton. Ladies and Gentlemen, I submit the annual report of the Health of the Borough of Acton for 1950. I have included such figures relevant to work which is of interest to you although transferred to the County Council.
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The statistics of the Borough show that of 1,000 children born, 25.1died before attaining the age of 1 year. For England and wales the figure is '29.8. One feels that this figure will not fall lower than this for some time. Of the 25 children who died under 1 year of age, 17 were diagnosed as being premature and did not survive for a week. By " prematurity " is meant the physical condition of a child born before full term, whereby the child has some weakness which lessens its chance of survival. The birth rate is 14.6 and the death rate 11.3 per 1,000 of the Population ; in 1949 these figures were 15.4 and 10.8 respectively. 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.