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Legs Skins Hocks Flares Pieces of Pork January ... ... ... 11,170 7 200 2 β€” β€” 72 4 β€” 5 56 lbs. 1,281 750 lbs. February ... ... ... 10,544 8 144 β€” β€” β€” 29 6 β€” 4 30 lbs. 1,133 870 lbs. March ... ... ... 12,728 14 222 1 β€” β€” 34 β€” 2 6 90 lbs. 1,480 660 lbs. April ... ... ... 11,261 14 238 β€” β€” β€” 47 3 1 6 186 lbs. 1,454 1,280 lbs. May ... ... ... 9,619 12 206 1 1 β€” 30 7 β€” 4 51 lbs. 1,139 550 lbs.
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June ... ... ... 7,784 5 168 β€” β€” β€” 29 11 β€” 6 88 lbs. 940 1,220 lbs. July ... ... ... 12,127 18 340 2 3 1 47 4 1 16 39 lbs. 1,735 2,060 lbs. August .... ... ... ... 14,100 52 435 β€” 4 β€” 99 10 β€” 6 72 lbs. 2,469 1,980 lbs. September ... ... ... 16,266 50 570 2 8 2 61 5 β€” 6 136 lbs. 2,951 2,470 lbs October ... ... ... ... 17,473 40 534 4 3 2 88 6 β€” 9 315 lbs. 3,856 3,370 lbs.
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November ... ... ... 18,578 49 556 16 4 2 121 13 β€” 4 226 lbs. 3,917 2,800 lbs. December ... ... ... 16,460 48 480 5 5 1 88 4 1 10 265 lbs. 3,951 3,130 lbs. TOTALS 158,110 317 4,093 33 28 8 745 73 5 82 1,554 lbs. 26,306 21,140 lbs. 42 The total weights of meat and offal surrendered were:β€” BEEF Tons cwts. qrs. lbs. 6 CARCASES 1 9 1 14 504 PARTS 3 10 1 12 4 19 2 26 VEAL Tons cwts. qrs. lbs.
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6 CARCASES β€” 2 1 18 28 PARTS β€” β€” 2 20 β€” 3 0 10 MUTTON AND LAMB Tons cwts. qrs. lbs. β€” CARCASES β€” β€” β€” β€” G29 PARTS β€” 14 3 17 β€” 14 3 17 HORSEFLESH Tons cwts. qrs. lbs. CARCASES β€” β€” β€” β€” 452 PARTS β€” 17 0 6 β€” 17 0 6 PORK Tons cwts. qrs. lbs.
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317 CARCASES 34 7 1 21 33,938 PARTS 85 5 3 153 119 13 1 88 43 FOOD AND DRUGS The Middlesex County Council are the Food and Drugs Authority in this area, and the Chief Officer of the Public Control Department has supplied the following figures and notes:β€” List of samples procured in the Borough of Acton during the year. Article Total samples procured Unsatisfactory Milk (various) 87 β€” Milk (new) 102 3 Arrowroot 2 β€” Cakes 11 β€” Cheese 1 β€” Coconut 1 β€” Coffee 2 β€” Cooked Meats 23 β€” Cream 6 β€” Drugs 23 β€” Fruit Drinks & Squash 7 β€” Fish 19 1 Fish Cake 1 β€” Ice Cream 16 β€” Jam 1 β€” Liver 6 2 Marzipan 2 β€” Meat Paste 1 β€” Meat Pie 4 β€” Minced Meat 2 β€” Mustard 1 β€” Oranges 4
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β€” Peanut Butter 1 β€” Pepper 1 β€” Piccalilli 1 β€” Sausages 14 β€” Sausage Meat 4 β€” Self Raising Flour 1 β€” Suet 3 β€” Sweets _ 3 β€” Tea Tablets _ 1 β€” Tomato Ketchup 1 β€” Vinegar 12 2 Wafers 1 β€” Wines & Spirits 11 β€” 376 8 44 β€œOf the eight irregular samples, three were samples of β€œnew milk” which were deficient in fat. Two farmers were involved but no further action was taken with regard to these samples since, in each case, samples of milk from accompanying churns were found to be satisfactory. "The one irregular sample of fish was the sale of smoked 'rock salmon' for smoked haddock. Proceedings were taken but the summons was dismissed. "Two samples of liver both proved to be pigs' liver which was sold when calves liver and lambs' liver respectively had been demanded.
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One of the vendors responsible received an official caution whilst the other was prosecuted and fined Β£3 with one guinea costs. β€œTwo samples of vinegar procured from one vendor were both non-brewed condiment sold for vinegar, and in this case an official caution was issued. β€œThe following brief notes relate to other activities by my Council by virtue of their duties as Food and Drugs Authority in your Borough during the same period. Milkβ€”Inspection and Sampling Special Designated Milk: "The premises of the one dealer/ processor of 'pasteuriesed' mik in your area received nine inspections and fifty-two samples of 'pasteurised' milk from that source were submitted for examination and found to be satisfactory. Tuberculosis Examination: "Forty-eight samples were submitted for such examination by animal inoculation. No adverse report was received. Merchandise Marks Act, 1887-1953 "Attention has been paid in particular to compliance with the Imported Food Orders made under the Merchandise Marks Act, 1926.
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In this connection the marking of origin of meat, apples, tomatoes, poultry and dried fruit was checked by 187 inspections; during which 1,018 displays or articles were examined. The only, infringements detected were of a minor nature and these were dealt with on the premises. Labelling of Food Order, 1953 "To ensure compliance with this Order, eighty-five premisess were visited and 318 articles of food were examined. No infringe- ment of substance was discovered". 45 SECTION H DISEASES OF ANIMALS Throughout the year, the Borough remained free from any outbreaks of notifiable disease. There was an outbreak of foot and mouth disease at Bedfont, Middlesex, on 7th March and the Borough was included in the infected area which was made round the infected place. This inclusion automatically imposed restrictions on the movement of animals into the Borough and all movements had to be licenced.
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The restrictions were removed on 22nd March by which date a total of 4,850 animals had been moved into the Borough on licence. SECTION J ATMOSPHERIC POLLUTION There has been no change in the siting or in respect of the recording of the three deposit gauge and seven lead peroxide stations and analyses have been maintained throughout the year. ESTIMATION OF ATMOSPHERIC SULPHUR BY THE LEAD PEROXIDE METHOD The monthly figures for each station for the years 1953 and 1954 are shown statistically and graphically on pages 46 and 47. Again the yearly average figureβ€”2.2β€”shows an increase over that of the previous year. The station with the highest monthly figureβ€”4.53β€”and the highest average figureβ€”2.58β€”was that at Bashley Road. The station with the lowest monthly figureβ€”1.90β€”and the lowest average figureβ€”0.68β€”was that at Acacia Road.
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DEPOSIT GAUGES The monthly figures for each station are shown statistically and graphically on pages 48 and 47. The average monthly rainfall is shown in the table on page 48. The yearly average figureβ€”22.74 tons/square mileβ€”shows a further slight increase over that of the previous year but there was a very slight reductio in the amount of combustible matter in the deposit. The station with the highest monthly figureβ€”45.36 tons/sq. mileβ€”and the highest average figureβ€”28,26 tons/sq. mileβ€”was Bashley Road. The lowest monthly figureβ€”9.13 tons/sq. mileβ€” and the lowest average figureβ€”19.47 tons/sq. mileβ€”was that at Kendal Avenue, 46 ESTIMATION OF ATMOSPHERIC SULPHUR BY LEAD PEROXIDE INSTRUMENTS Weight of S03 in Milligrams per 100 Square Centimetres per day.
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Station Town Hall Canham Road Wells Hse. Road Bashley Road Wesley Road Kendal Avenue Acacia Road Borough Average Month & Year 1953 1954 1953 1954 1953 1954 1953 1954 1953 1954 1953 1954 1953 1954 1953 1954 January 3.23 3.50 3.38 3.52 3.05 3.26 3.73 3.61 3.07 2.94 300 3.30 2.55 2.53 3.14 3.24 February 2.97 3.68 3.85 3.37 2.77 3.29 2.65 3.38 301 3.86 2.49 304 2.91 312 2.95 3.53 March 3.61 3.06 3.86 3.
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47 3.15 2.49 319 2.49 3.18 2.37 3.59 3.05 2.67 2.65 3.32 2.80 Winter (Nov.Mar.) 3.42 3.34 3.73 3.24 3.14 2.91 3.30 315 317 3.08 3.19 2.90 2.87 2.74 3.26 3.05 April 1.81 1.87 1.58 1.78 1.71 1.69 203 2.06 1.60 1.59 1.76 1.73 1.59 1.49 1.73 1.74 May 1.36 1.51 1.44 1.40 1.30 1.44 1.57 1.85 1.
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44 1.44 1.22 1.45 112 1.23 1.35 1.47 June 1.06 1.12 0.89 0.77 1.14 1.00 1.25 1.20 0.94 105 0.91 0.69 0.87 0.75 101 0.94 July 1.00 1.00 0.60 0.73 1.00 0.95 1.02 1.22 1.20 0.98 0.65 0.70 0.64 0.68 0.87 0.89 August 1.18 1.62 0.77 1.28 1.03 1.59 1.25 1.75 108 1.57 0.72 1.15 0.74 1.21 0.
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97 1.45 September 1.73 1.99 1.32 1.56 1.47 1.85 1.60 2.27 1.62 2.26 112 1.18 116 1.34 1.43 1.78 Summer (May. Sep.) 1.27 1.45 1.00 1.15 1.19 1.36 1.34 1.66 1.26 1.46 0.92 103 0.91 1.04 1.13 1.31 October 3.09 2.47 2.45 1.53 2.35 2.36 2.93 2.56 2.50 2.32 2.58 1.33 2.81 1.59 2.67 2.02 November 2.75 4.09 2.
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33 3.06 2.40 3.13 3.02 405 2.91 4.34 1.94 2.74 2.22 3.14 2.51 3.51 December 3.70 3.64 3.49 2.98 3.12 3.03 3.24 4.53 3.32 3.58 319 2.62 3.18 2.82 3.32 3.31 Monthly Average 2.29 2.46 2.16 2.12 2.04 2.17 2.2 9 2.58 2.16 2.36 1.92 1.91 1.87 1.90 2.10 2.22 47 48 DEPOSIT GAUGES MONTHLY DEPOSIT IN TONS PER SQUARE MILE Station Town Hall Bashley Rd.
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Kendal Ave. Borough Average Month & Year 1953 1954 1953 1954 1953 1954 1953 1954 January 14.78 23.69 37.35 40.95 10.13 17.01 20.75 27.22 February 21.18 21.04 43.69 35.55 20.90 24.09 28.59 26.89 March 30.85 44.77 27.98 26.87 25.37 18.26 28.07 29.93 Winter (Nov-Mar) 23.88 24.55 35.42 31.62 19.23 18.35 26.18 24.84 April 25.88 13.59 28.65 19.74 18.86 9.13 24.46 14.15 May 18.95 23.
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10 28.81 45.36 22.04 27.71 23.27 32.06 June 15.47 15.51 29.84 28.84 11.81 16.21 19.04 20.19 July 12.26 11.33 20.84 15.21 12.85 13.73 15.32 13.42 August 17.66 16.47 16.04 24.67 12.95 19.83 15.55 20.32 September 15.08 17.63 22.94 19.37 15.40 15.63 17.81 17.54 Summer(May-Sep) 15.88 16.81 23.69 26.69 15.01 18.62 18.19 20.71 October 26.81 17.13 34.68 22.24 18.
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96 21.88 26.82 20.42 November 13.72 23.63 20.31 38.79 14.09 35.37 16.04 32.59 December 19.52 18.09 34.41 21.51 18.32 14.77 24.08 18.12 Total Deposit 232.16 245.97 345.54 339.10 201.68 233.62 259.80 272.89 Monthly Average 19.35 20.49 28.79 28.26 16.81 19.47 21.65 22.74 RAINFALL AVERAGE OF THREE DEPOSIT GAUGE STATIONS IN INCHES Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sep. Oct. Nov. Dec Total 1953 0.85 1.13 0.
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41 2.43 1.26 1.57 3.36 2.06 1.83 3.56 0.49 0.55 l9.69 1954 0.97 1.94 1.96 0.23 2.15 3.61 2.55 3.55 2.01 2.02 3.07 1.64 25.70 49 ANNUAL REPORT OF THE SCHOOL MEDICAL OFFICER FOR THE YEAR 1954 The Statistics of the School Health Services are set out below: DIPHTHERIA IMMUNISATION Percentages of School Children Inoculated: Acton Wells Primary 86.64 Berrymede Boys' Primary 75.69 Berrymede Girls' Primary 76.62 Berrymede Infants' 76.47 Acton Central Secondary 90.95 Derwentwater Primary 87.24 Derwentwater Infants' 81.
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37 East Acton Infants' 83.44 John Perryn Secondary Modern 82.86 John Perryn Primary 87.44 John Perryn Infants' 80.10 Priory Boys' Secondary Modern 79.20 Priory Girls' Secondary Modern 79.35 Priory Infants' 83.53 Rothschild Primary 84.66 Rothschild Infants' 83.97 South field Primary 87.77 South field Infants' 90.12 St. Mary's R. C., Turnham Green 85.37 West Acton 91.63 50 REPORT OF THE SCHOOL OCULIST Attendances at the Clinic were very satisfactory during the year. 491 children were refracted. Glasses were prescribed for 429 and of those 400 obtained their glasses. Sixteen children were refer red for orthoptic treatment.
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DENTAL REPORTβ€”MATERNITY AND CHILD WELFARE Expectant Mothers Nursing Mothers Children under Number examined by Dental Officer 77 22 264 Number needing treatment 74 22 230 Number of cases made dentally fit 40 29 175 Forms of dental treatment provided: β€” Teeth extracted β€” 111 45 226 Anaesthetics:β€” (a) Local 34 4 β€” (b) General 19 9 101 No. of fillings 158 50 317 Scaling or scaling and gum treatment 88 12 β€” Silver nitrate treatment β€” β€” 168 Dressings 44 13 87 Radiographs 31 2 β€” Other operations 6 10 4 Denture Dressings 41 72 β€” Dentures provided: β€” (a),
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full 73 5 β€” (b) Partial 37 23 β€” Number of attendances 286 139 398 Number of appointments not kept β€” 77 34 80 51 SPEECH THERAPY REPORT Number of sessions:β€” Cloister Road 70Β½ Avenue Road 203 Acton Day Special School 25Β½ Total 299 Number of cases treated: β€” Cloister Road 43 Avenue Road 128 Acton Day Special School 30 Total 201 Total attendances: β€” Cloister Road 259 Avenue Road 832 Acton Day Special School 177 Total 1,268 On waiting list 26 Vacancies for 1955:β€” Cloister Road 17 Avenue Road 7 Total 24 At the two centres:β€” New cases admitted 58 Cases discharged 34 SPECIAL SCHOOL The School for Educationally Sub-normal Children was open for the whole of 1954 and at the end of the year 40 Children were on the roll. During the year 9 new cases were admitted.
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52 TUBERCULOSIS-SPECIAL SURVEYS During the year the Tuberculin Patch Test was applied to all new entrants in the Infants' Schools. All known contacts and children who had a primary infection prior to school entry were not included in this survey. Total number patch tested 728. Total number negative 715β€”6 were not read. Total number found to be positive 7. Four of the cases found to be positive had been in contact with persons in the family who suffered from pulmonary tuberculosis. Of these persons, two were unaware of their illness and hospital treatment has now been arranged for them. In the case of the other two, the parents knew that their children were in contact with a tubercular parent or grand parent. If only they had realised the danger of close contact to a young child with a person suffering from pulmonary tuberculosis and avoided it, infection of the child might have been prevented. In the three other cases the cause was unknown.
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Two special surveys were carried out on children who had been in contact with a classmate who developed primary tuberculosis. Ninety-six children were involved, of these 87 were negative, 7 were not tested for various reasons, one refused and one was positive. The latter case was referred to the Ealing Chest Clinic. Arrangements were also made for mass X-ray of the staff and helpers. This was carried out with satisfactory results. 53 AUDIOMETRY SCHEME The following table shows the number of children tested by Gramophone Audiometer with details of failures. All children who fail the test are examined by the Ear, Nose and Throat Specialist, who recommends the appropriate treatment. 1 2 3 FAILURES 7 4 5 6 Total of School Population in Area Total tested by Gramophone Audiometer Absentees. Both ears One ear Total Failures (Cols. 4β€”6).
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R L 8,615 3,221 369 11 10 8 29 % of number tested β€” β€” .34 .31 .24 .9 N.B. Absentees includes those who, for any reason, did not complete their 3 testings by Gramophone Audiometer. 54 VISITS PAID BY SCHOOL NURSES The following is the number of home visits paid by the Nurse: during the year. The visits have been divided into school distribution. Acton Wells 35 Berrymede 127 Central 1 Derwentwater 20 East Acton 58 John Perryn 58 Priory 41 Roman Catholic 14 Rothschild m 33 Southfield 31 West Acton 17 Special School 8 Other Schools 74 TOTAL 517 MEDICAL INSPECTION 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 He inspections Entrants Second age group Third age group Total 926 702 458 2,086 390 1,748 1,532 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. (1) (2) (3) (4) (5) (6) (7) (8) Entrants 926 618 66.74 300 32.40 8 .86 Second age group 702 496 70.66 204 29.06 2.
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.28 Third age group 458 299 65.28 158 34.50 1 .22 Other Periodic Inspections 390 179 45.90 208 53.33 3 .77 TOTAL 2,476 1,592 64.30 870 35.18 14 .52 55 Defects found by Medical Inspection during the Year Defect or Disease Periodic Inspections Special Inspections No. of defects No. of defects Requiring treatment Requiring to be kept under observation but not requiring treatment. Requiring treatment Requiring to be kept under observation but not requiring treatment. (1) (2) (3) (4) (5) Skin 2 β€” 57 16 Eyesβ€”a. Vision 156 139 167 50 b. Squint 21 14 99 3 c. Other β€” 4 51 25 Earsβ€”a.
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Hearing 9 6 13 18 b. Otitis Media 2 β€” 13 12 c. Other 1 β€” 4 3 Nose and Throat 61 30 26 32 Speech 20 1 7 4 Cervical glands β€” 3 β€” 6 Heart and Circulation β€” 29 1 22 Lungs β€” 14 β€” 9 Developmentalβ€” a. Hernia β€” 5 β€” β€” b. Other β€” 1 β€” 3 Orthopaedicβ€”.
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a. Posture 4 24 2 4 b. Flat foot 3 12 2 3 c. Other 9 14 5 10 Nervous systemβ€” a. Epilepsy 3 b. Other β€” 1 β€” 2 Psychologicalβ€” a. Development β€” β€” β€” 6 b. Stability 1 10 4 10 Other 71 104 316 324 56 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 other conditions Total individual pupils.
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Entrants 6 105 112 2nd Age Group 81 59 135 3rd Age Group 38 37 74 Total (prescribed group) 127 201 321 Other periodic inspections 29 4 29 TOTALS 156 205 350 TREATMENT TABLES MINOR AILMENTS (a) Diseases of the Skin. Number of cases treated or under treatment during the year By the Authority Otherwise Ringwormβ€”.(i) Scalp 2 (ii) Body 4 β€” ( Scabies 5 β€” Impetigo 42 β€” Other skin diseases 260 β€” TOTAL 319 β€” (b) Other treatment. Number of cases treated By the Authority Otherwise Miscellaneous minor ailment 633 β€” 57 DEFECTIVE VISION AND SQUINT.
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Number of cases dealt with By the Authority Otherwise External and other, excluding errors of refraction and squint 135 β€” Errors of refraction (including squint) β€” 491 TOTAL 135 491 Number of pupils for whom spectacles were : i (a) Prescribed* β€” 429 I (b) Obtained β€” 400 * Including cases dealt with under arrangements with the Supplementary Ophthalmic Services. TREATMENT OF DEFECTS OF EAR, NOSE AND THROAT. Number of cases treated By the Authority Otherwise Received operative treatment : (a) for diseases of the ear β€” β€” (b) for adenoids and chronic tonsillitis β€” 131 (c) for other nose and throat conditions β€” β€” Received other forms of treatment 237 β€” TOTAL 237 131 ORTHOPAEDIC AND POSTURAL DEFECTS.
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Number of pupils treated By the Authority Otherwise 1 (a) Number treated as in-patients in hospital β€” 1 I (b) Number treated otherwise β€” 32 SPEECH THERAPY. Number of pupils treated By the Authority Otherwise Speech Therapy 68 6 58 DENTAL INSPECTIONS AND TREATMENT Age Groups No. inspected No. found to require treatment No. referred for treatment under Local Authority arrangements to County Council Clinics Specials 1,523 1,473 1,470 Under 5 β€” β€” β€” 5 β€” 16+ 2,938 2,117 1,985 TOTALS 4,461 3,590 3,455 Number of pupils actually treated 2,525 Number of attendances made for treatment 7,045 Number of half days devoted to (a) Inspections 29 (b) Treatment 916 TOTAL 945 Killings :β€” Permanent Teeth 4,481 Temporary Teeth 1,720: TOTAL 6,
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201 Number of teeth filled:β€” Permanent Teeth 3,759 Temporary Teeth 1,546 TOTAL 5,305 Extractions:β€” Permanent Teeth 477 Permanent Teeth for Orthondonture 163 Temporary Teeth 2,732 TOTAL 3,372 59 Anaesthetics :β€” (a) General 1,218 (b) Local 513 (c) Regional 238 TOTAL 1,969 Other Operations:β€” (a) Permanent Teeth 882 (b) Temporary Teeth 1,03a TOTAL 1,815 Number of impressions, etc 41 Number of dentures fitted 16 Number of radiographs:β€” (a) Dental Clinics 211 (b) Hospitals β€” Number of appointments not kept 1,509 ORTHODONTIC EXAMINATION AND TREATMENT Age Groups No. of pupils examined No. of pupils selected for treatment Age 5 1 1 , 6 2 2 , 7 10 10 ,
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8 23 23 9 50 48 , 10 37 37 , 11 51 45 , 12 37 37 , 13 22 20 , 14 + 27 20 TOTAL 260 243 60 Number of pupils commenced treatment (first attendance) 243 Number of attendances made for treatment 1,564 Number of impressions, etc 1,
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716 Number of fixed appliances 9 Number of appliances removed 157 Number of pupils treatment completed 93 Number of radiographs:β€” (a) at Dental Clinics 391 (b) at Hospitals β€” Number of Orthodontic sessions (Β½ day) '205 EMPLOYMENT OF CHILDREN AND YOUNG PERSONS (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 123 (β€’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 8 (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 8 Cases de-notified under Section 8,
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Education (Miscellaneous Provisions) Act, 1948 β€” MEDICAL EXAMINATION OF TEACHERS (a) Number of Teachers examined as to fitness for appointment 29 (b) Number of Students examined as to fitness for first appointment 19 INFESTATION WITH VERMIN (i) Total number of examinations 23,153 (ii) Total number of pupils found to be infested 635 (iii) Total number of individual pupils found to be infested for the first time during the year 195 (iv) Number of individual pupils in respect of whom cleansing orders were issued (Section 54 (2), Education Act, 1944) 41 (v) Number of individual pupils in respect of whom cleansing orders were issued (Section 54 (3), Education Act, 1944) 13 61 HANDICAPPED PUPILS. Category No. ot new cases ascertained during the year 1NO. Ot Ascertained cases known last day of year In Special day Schools In Special Residential Schools in
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maintained Primary & Secondary Schools in Independent Schools Not at School TOTAL B G B G B G B G B G B G B G B G Blind Pupils β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Partially-sighted Pupils β€” β€” 10 9 β€” 2 1 2 9 5 β€” β€” β€” β€” 10 9 Deaf Pupils β€” β€” 4 3 1 2 3 1 β€” β€” β€” β€” β€” β€” 4 3 Partially Deaf Pupils β€” 1 β€” β€” β€” β€” β€” β€” β€” 1 β€” β€” β€” β€” β€” 1 Delicate Pupils 7 1 22 9 2 2 9 β€” 9 7 β€” β€” 2 β€” 22 9 Educationally Subnormal Pupils 9 2 18 17 13 14 3 3 2 β€” β€” β€” β€” β€” 18 17 Epileptic Pupils 1 β€” 4 β€”
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β€” β€” 2 β€” 2 β€” β€” β€” β€” β€” 4 β€” Maladjusted Pupils 5 2 11 6 β€” 9 5 2 1 β€” β€” β€” β€” 11 6 Physically Handicapped Pupils 2 2 14 12 9 6 2 3 4 2 β€” β€” β€” 14 12 Pupils with Multiple Defects 2 β€” 2 1 2 β€” β€” β€” β€” β€” β€” β€” β€” 1 2 1 TOTAL 26 8 85 58 27 26 27 13 27 18 2 β€” 2 1 85 58 62 AVERAGE HEIGHTS AND WEIGHTS.INFANTS School BOYS Total No. Seen. 2 YEARS 3 YEARS 4 YEARS 5 YEARS 6 YEARS 7 YEARS No seen Ht. ins. Wt. lbs. No. seen . Ht. ins Wt.
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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 24 2 39.25 36.75 17 39.87 38.51 5 44.1 4;.,.Of) Berrymede 55 29 41.91 40.07 23 44.07 42.91 2 48.25 55.25 1 52. 71.
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Derwentwater 70 35 41.36 40.48 31 42.83 41.56 4 43.94 41.81 East Acton 66 34 41.28 40.24 30 43.28 42.14 2 42.75 44. John Perryn 34 16 41.84 40.45 17 43.26 44.22 1 45. 47. Priory 69 1 36. 32. 8 37.72 34.34 34 41.68 39.99 21 43.44 43.29 4 46.94 54.25 1 49.
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49.5 Roman Catholic 16 14 43.39 44.55 2 45.75 49.5 Rothschild 39 1 41.5 41.5 20 41.18 38.65 16 44.41 45.11 2 48.25 57.88 Southfield 70 35 42.77 42.46 32 43.91 43.88 3 46.58 48.92 Special 1 1 47.5 50.25 West Acton 35 22 42.02 39.67 12 43.88 43.75 1 47.75 52. TOTAL 479 1 36. 32. 11 38.34 34.43 242 41.64 40.25 201 43.57 43.29 21 46.
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49.68 3 49.50 56.92 GIRLS Acton Wells 19 2 38.88 35.25 13 42.08 41.25 4 43.25 41.13 Berrymede 53 29 42.12 40.21 19 43.79 43.21 2 46. 46.75 3 48.33 52. Derwentwater 44 22 41.77 38.58 20 43.11 40.15 2 49. 46.5 East Acton 65 27 41.96 39.69 34 43.46 41.84 3 44.67 40.5 1 48. 48.5 John Perryn 32 9 42.68 43.
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20 42.8 41.56 3 47.33 53.33 Priory 51 4 35.94 30.56 4 37. ; 33.88 23 41.48 38.80 19 43.51 44.32 1 41. 33.75 Roman Catholic 29 29 42.99 43.26 Rothschild 32 4 39.63 33.88 16 40.97 38.20 11 41.70 39.82 1 49.
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60.5 Southfield 69 24 41.52 40.56 38 43.68 43.30 6 45.42 45.71 1 48.5 62 Special 2 2 48.25 63.75 West Acton 51 33 41.67 39.24 16 43.55 45.17 1 48. 53.75 1 48.5 53. TOTAL 447 35.94 30.56 10 38.43 34.15 196 41.74 39.70 210 43.28 42.59 18 45.97 46.10 9 48.61 56.39 G5 CO AVERAGE HEIGHTS AND WEIGHTS β€” INTERMEDIATES School BOYS Total No. Seen. 7 YEARS 8 YEARS 9 YEARS 10 YEARS 11 YEARS 12 YEARS No. seen Ht.
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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 38 1 52.5 65.5 i 52.5 63. 8 56.88 81.31 28 56.71 80.04 Berry mede 77 2 47.75 47.25 2 51.5 67. 51 54.69 55.07 21 55.58 70.14 1 56.75 80. Derwentwater 44 3 55.17 67.
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30 56.19 74.41 11 57.27 74.39 John Perryn 67 1 48.5 66. 1 52.5 65. 32 55.70 74.06 23 55.65 75.70 Roman Catholic 13 1 49. 59.5 6 55.08 77.67 6 56.50 77.67 Rothschild 37 1 52. 59.5 17 55.16 73.90 19 56.16 73.76 South field 69 2 47.25 54. 2 52.5 79.75 40 55. 75.64 25 55.19 75.48 Special 6 3 50.67 71.42 2 52.
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68.5 1 59.5 109.5 TOTAL 341 2 47.75 47.25 6 49.42 59.75 12 52.54 69.73 186 55.29 69.60 134 56.05 75.65 1 56.75 80. GIRLS Acton Wells 54 1 56. 64.5 18 56.13 76.31 35 56.22 73.68 Berrymede 74 6 48.83 57.08 1 50. 54. 22 55.25 73.44 45 55.37 76.18 Derwentwater 43 3 50.33 59.92 22 57.43 69.38 18 57.56 75.39 J ohn Perryn 68 2 48.5 52. 1 49.
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49. 2 54. 63. 31 55.24 73.24 32 56.34 72.78 Roman Catholic 15 1 49. 53.5 1 54.5 60. 2 54.5 66.75 11 55.39 74.32 Rothschild .... 32 1 si. 50.75 1 52. 58.75 9 55.42 74.50 20 57.20 83.54 1 57.
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94.25 Southfield .... 67 3 46.67 51.33 2 so.so 57.75 3 51.33 64.33 34 55.47 71.03 25 55.74 77.15 Special 8 4 47.94 63 06 2 52.88 86.63 2 54.75 78.13 TOTAL 361 5 47.4 51.6 14 49.57 56.50 13 51.25 62.19 140 55.72 72.70 188 56.14 75.88 1 57. 94.25 64 AVERAGE HEIGHTS AND WEIGHTSβ€”LEAVERS. SCHOOL BOYS Total No. Seen 11 YEARS 12 YEARS 13 YEARS 14 YEARS 15 YEARS 16 YEARS No. seen Ht. ins. Wt. lbs. No.
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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 Central 35 4 60.25 79.31 1 58.5 75.75 26 66.54 115.53 4 67. 115. John Perryn 49 I 56. 67. 47 62.87 106.35 1 68.25 98.
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Priory 127 4 55.38 80.63 2 56.50 74.5 2 57.38 84.5 119 63.50 111.27 Roman Catholic 11 1 61.5 84. 10 63.98 115.50 Special 3 1 62.5 107.5 1 54.5 82.25 1 65. 117.5 Total 225 4 55.38 80.63 9 59.33 80.53 4 56.94 81.75 202 63.77 110.88 5 67.27 111.6 1 65. 117.5 GIRLS Acton Central 41 2 58. 80. 31 64.2S 113.03 1 61. 88. John Perryn 45 1 63.
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84.5 1 62.75 97. 41 61.95 106.8C 2 63. 115. Priory 126 1 55. 78.5 3 59.00 108.08 2 59.75 95.25 103 62.44 113.63 16 62.23 122.28 1 65.50 124.50 Roman Catholic 15 1 61.5 94. 14 63.82 110.41 Special 6 1 54. 116.25 2 118. 185.5 1 58.5 104.25 1 59.5 117.5 1 69.5 134.75 Total 233 1 55.
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78.5 8 59.31 97.38 5 60.05 94.60 197 62.77 111.82 20 62.11 119.6 2 67.5 129.63
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ACT 58 BOROUGH OF ACTON ANNUAL REPORT OF THE MEDICALS-OFFICER OF HEALTH TOGETHER WITH THE REPORT ON THE MEDICAL INSPECTION OF SCHOOLS FOR THE YEAR 1955 BOROUGH OF ACTON ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH TOGETHER WITH THE REPORT ON THE MEDICAL INSPECTION OF SCHOOLS FOR THE YEAR 1955 2 ANNUAL REPORT of the MEDICAL OFFICER OF HEALTH FOR THE YEAR 1955 Public Health Department, Town Hall, Acton, W.3. To the Mayor, Aldermen and Councillors of the Borough of Acton. In submitting the Annual Report for 1955 I should like to draw attention to the low death rate of children under one year of age. Seventeen children died giving a mortality rate of 20.0 per 1,000 live births, compared with 24.9 for England and Wales.
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In 1900 for every 1,000 children born 168 died, and this drop in the death rate over a period of 55 years, although slow, has probably been due to the use of clinics and to health propaganda. With regard to infectious diseases, there were 28 confirmed; cases of poliomyelitis with no deaths. A small outbreak of typhoid fever occurred in eight residents of the Borough and five residents in other Boroughs. One person died. The number of deaths from cancer of the lung or bronchus is still increasing as may be seen from the table below. 3 DEATHS FROM CANCER OF THE LUNG AND BRONCHUSβ€” 1952 to 1955 Year Total 25β€”45 45β€”65 65 + Bronchus Lung Bronchus Lung Bronchus Lung M. F. M. F. M. F. M. F. M. F. M. F.
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1952 28 1 1 1 _ 10 1 3 - 8 _ 3 _ 1953 23 1 - - - 10 2 4 2 2 _ 2 - 1954 26 3 - - 1 7 4 1 1 6 2 _ 1 1955 37 1 - 1 β€” 9 - 6 3 8 2 6 1 I should like to take this opportunity of expressing to the staff of the Public Health Department my appreciation of their cooperation and loyalty throughout the year. I remain, Your obedient servant, George E. B. Payne.
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4 LIST OF CONTENTS Introduction 2 List of Staff 5 Section A.β€”Statistics and Social Conditions 6 Section B.β€”General Provision of Health Services in the Area 12 Section C.β€”Health Services Provided by Middlesex County Council 15 Section D.β€”Infectious and other Diseases, Scabies and other Conditions 20 Section E.β€”Housing 26 Section F.β€”Sanitary Circumstances of the Area 26 Section G.β€”Inspection and Supervision of Food 33 Section H.β€”Diseases of Animals 42 Section J.β€”Atmospheric Pollution 42 Annual Report of the School Medical Officer 49 5 STAFF Medical Officer of Health George E. B. Payne, m.d., m.r.c.s., l.r.c.p., d.p.h. Deputy Medical Officer of Health Margaret Heller, m.d. (Vienna), l.r.c.p. & s., (Edin.), d.c.h.
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Chief Sanitary Inspector (Inspector under Diseases of Animals Acts, Rag Flock and Other Filling Materials Act, and Fabrics Misdescription Act). J. J. Matthews, M.r.san.i. (a) (c) (d). Deputy Chief Sanitary Inspector M. Dowie. (b) (c) (d). Sanitary Inspectors A. W. Buchan. (b) (c) (Resigned 13-7-55) G. W. Burden, (b) (c) C. Codrington. (Temporary) (a) (c) W. G. Collam. (b) (c) A. C. Jenkins, (b) (c) D. A. Parker, (b) F. H. Piggott.
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(b) (c) (Resigned 3-4-55) J. P. Smith, (b) (Appointed 1-12-55) Pupil Sanitary Inspector J. P. Smith. (Until 30-11-55) Clerical Staff * A. S. M. Pratt, Barrister-at-Law, Chief Clerk. J. Burrows, Senior Clerk. Mrs. D. Armstrong. (Resigned 30-4-55) Mrs. M. E. Jones. Mrs. I. P. Lee. (Appointed 16-5-55) Mrs. G. D. Macdonald. Miss J. A. Robertson. 'Transferred to Middlesex County Council under the National Health Service Act, 1946. Part-time officer to the Acton Town Council. 6 (a) Certificate, Royal Sanitary Institute.
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(b) Certificate, Royal Sanitary Institute and Sanitary Inspec- j tors Examination Joint Board. (c) Certificate, Royal Sanitary Institute for Inspectors of Meat j and other Foods. (d) Certificate, Royal Sanitary Institute for Smoke Inspectors. : SECTION A STATISTICS GENERAL STATISTICS Area (acres) 2,319 Population: Census, 1931 70,008 1951 67,424 Registrar General's Estimate Mid.β€”1955 Home Population 66,729 Rateable Value at 31st March, 1955 Β£883,336.
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Product of a penny rate for year ending 31st March, 1955 Β£3,612 General Rate in the Β£ at 31st March, 1955 22/2 Number of Inhabited Houses at 31st March, 1955 19,148 VITAL STATISTICS (Comparable figures for 1954 in brackets) Live Births: total males females: Legitimate 808 (920) 413 (447) 395 (473) Illegitimate 42 (56) 17 (27) 25 (29)) Totals 850 (976) 430 (474) 420 (502) Birth rate per 1,000 estimated populationβ€”12.75 (14.53). Corrected birth rate per 1,000 estimated populationβ€” 11.85 (13.52).
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7 Still Births: total males females Legitimate 14 (18) 5 (7) 9 (11) Illegitimate 1 (2) - (-) 1 (2) Totals 15 (20) 5 (7) 10 (13) Deaths: total males females 694 (646) 388 (334) 306 (312) Death rate per 1,000 inhabitants 10.40 (9.62). Corrected death rate 10.19 (9.42) Deaths from Puerperal Causes Deaths Rate per 1,000 Live & Still Births Puerperal Sepsis -(-) -(-) Other Puerperal Causes -(-) -(-) Death Rate of Infants under 1 year of age: All infants per 1,000 live births (E. & W.β€”24.9) 20.0 (16.4) Legitimate infants per 1,000 legitimate live births 21.
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0 (16.3) Illegitimate infants per 1,000 illegitimate live births 0.0 (17.8) Deaths from selected causes Deaths from Cancer (all ages) 151 (141) Deaths from Measles (all ages) β€” (β€”) Deaths from Whooping Cough (all ages) β€” (β€”) Deaths from Diphtheria (all ages) β€” (β€”) Deaths from Gastro-Enteritis (under 2 years of age) β€” (2) Death rate from Gastro-Enteritis (under 2 years of age) per 1,000 live births 0.0 (2.0) 8 AGES AT DEATH AND WARD DISTRIBUTION OF DEATHS IN 1993 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. C. S.E.
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S.W. S. W. E. Bronchitis 22 - - - - - - 5 17 1 4 3 3 5 1 3 2 Cancer 151 - - - - - 5 56 90 22 13 23 21 12 16 25 19 Cerebral Haemorrhage & Thrombosis 87 - - - - - 1 15 71 14 14 8 16 10 11 10 4 Circulatory Disease 133 - - - - 1 - 3 24 105 19 17 14 18 18 19 17 11 Cirrhosis 7 - - - - - 1 5 1 1 2 2 1 1 Congenital Debility & Prematurity 16 13 3 - - - - - - 2 1 β€” β€” 2 1 8 2 Diabetes 4 - -
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- - - - - 4 1 1 β€” β€” β€” 1 1 Digestive Tract Disease 6 1 β€” - β€” β€” β€” β€” 5 β€” 1 β€” β€” 1 1 3 β€” Gastro-Enteritis 1 1 β€” β€” β€” β€” β€” 1 β€” β€” β€” β€” Heart Disease 71 β€” β€” β€” 1 3 14 53 9 11 7 4 9 10 11 10 Leukaemia & Diseases of Blood Forming Organs 5 - - - - 1 3 1 - - 1 1 2 - 1 - - Meningococcal Septicaemia 1 - 1 - - - - - - - - - - - - 1 β€” Nervous Diseases 10 - - - - - 1 2 7 3 β€” 2 β€” β€” 2 2 1 Nephritis 9 - - - - - - 4 5 1 1
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3 1 β€” 3 β€” β€” Peptic Ulcer 12 - - - - - - 2 10 2 β€” 1 3 1 3 1 1 Carried forward 535 14 4 - 2 2 17 128 368 75 66 64 69 58 69 83 51 6 AGES AT DEATH AND WARD DISTRIBUTION OF DEATHS IN 1955 β€”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. C. S.E. S.W. S. W. E. Brought forward 535 14 4 β€” 2 2 17 128 368 75 66 64 69 58 69 83 51 Pneumonia 54 3 1 2
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8 40 7 5 3 5 10 6 12 6 Prostatic Hypertrophy 9 β€” β€” β€” β€” β€” β€” β€” 9 2 β€” β€” 1 2 1 3 β€” Pulmonary Tuberculosis 12 β€” β€” β€” β€” β€” β€” 6 6 1 β€” 1 β€” 1 4 1 4 Other forms of Tuberculosis 1 β€” β€” β€” β€” β€” β€” 1 β€” 1 β€” Other Respiratory Diseases 26 β€” β€” β€” β€” β€” 3 4 19 3 2 2 9 3 1 3 3 Sarcoma 2 β€” β€” β€” β€” β€” 1 β€” 1 1 β€” β€” β€” 1 β€” β€” β€” Skin Diseases 1 β€” β€” β€” β€” β€” β€” 1 1 β€” Senility 28 β€” β€” β€” β€” β€” β€” β€” 28 5 3 5 2 4 2 4 3 Suicides 4 β€” β€” β€” β€” β€” 1
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1 2 1 1 1 β€” β€” 1 β€” Typhoid Fever 1 β€” β€” β€” β€” 1 β€” β€” β€” 1 β€” Violent Deathsβ€”Accidents 21 β€” β€” β€” β€” 4 5 6 6 4 2 2 2 1 3 3 4 TOTALS 694 17 4 1 2 7 29 154 480 99 79 78 89 81 86 111 71 10 CAUSES OF DEATH IN CHILDREN UNDER ONE YEAR 11 Males 6 Females Disease Under 1 wk. 1β€”2 wks. 2β€”3 wks. 3β€”1 wks. Total under 1 month. 1β€”3 mths. 3β€”6 mths. 6β€”9 mths. 9β€”12 mths. Total 1β€”12 m'ths.
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Congenital Heart β€” β€” β€” β€” β€” β€” 1 β€” 1 2 Prematurity 7 β€” β€” β€” 7 β€” β€” β€” β€” β€” Respiratory Causes β€” β€” β€” β€” β€” 1 1 1 β€” 3 Digestive Tract β€” β€” β€” β€” β€” 1 β€” β€” β€” 1 Other Causes β€” 1 β€” β€” 1 2 β€” 1 β€” 3 TOTALS 7 1 β€” β€” 8 4 2 2 1 9 MATERNAL MORTALITY There were no maternal deaths during the year. INQUESTS Suicides 4 Carbon Monoxide Poisoning 2 Drowning 2 Accidental Falls 6 Road Accidents 16 Other Causes 7 TOTAL 37 POST MORTEMS, WITHOUT INQUEST Respiratory causes 15 Heart and Circulatory Disease 41 Cerebral Disease 7 Cancer 4 Intestinal Complaints 1 Old Age 9 Other Causes 3 .
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TOTAL 80 11 SUMMARY OF STATISTICS The following table shows the birth rates and death rates for Acton as compared with England and Wales since 1946. Year Live Birth Rate Still Birth Rate Death Rate Maternal Mortality Rate Infantile Mortality Rate Acton E. & W. Acton E. & W. Acton E. & W. Acton E. & W. Acton E. & W. 1946 19.76* 19.1 17.5 27.2 11.05* 11.5 0.00 1.43 27.9 43 1947 20.08* 20.5 22.9 24.1 10.5* 12.0 0.00 1.17 33.8 41 1948 16.7* 17.9 16.3 23.2 9.4* 10.8 0.
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00 1.02 24.4 34 1949 15.4* 16.7 19.8 22.7 10.9 11.7 0.00 0.98 23.04 32 1950 13.6 15.8 28.3 22.7 11.4 11.6 0.00 0.86 25.1 29.8 1951 13.7 15.5 28.9 23.0 11.4 12.5 0.00 0.79 23.7 29.6 1952 13.2 15.3 23.2 22.7 10.08 11.3 0.00 0.72 18.6 27.6 1953 12.3 15.5 21.8 22.5 10.14 11.
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4 0.00 0.76 25.7 26.8 1954 13.5 15.2 20.0 23.5 9.42 11.3 0.00 0.69 16.4 25.4 1955 11.8 15.0 17.4 23.2 10.19 11.7 0.00 0.64 20.0 24.9 * Birth and death comparability factors were not available during these years. Consequently it is not strictly possible to compare the birth and death rates for Acton with those for England and Wales. 12 SECTION B GENERAL PROVISION OF HEALTH SERVICES IN THE AREA LABORATORY FACILITIES These continue as in previous years. The Ministry of Health Emergency Medical Service provides a Pathological Service at the King Edward VII Memorial Hospital Laboratory at Ealing. The following Table gives the types, and number, of specimens submitted for examination.
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Type No. of specimens examined Throat and Nose Swabs 225 Sputum 6 Faeces 264 Hair, Widals, etc 10 Milk 16 Milk Bottles 8 Water 13 Ice-Cream 32 Miscellaneous Foods 5 HOSPITAL PROVISION The Regional Hospital Board of the N.W. Metropolitan Area, which includes Acton, is responsible for hospital treatment of the 13 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 it is just these requirements which cannot be met in the home.
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NATIONAL ASSISTANCE ACT, 1948 Under Section 47 of this Act power is given to the Councils of County Boroughs and County Districts to apply to a Court of Summary Jurisdiction for an Order for removal and detention, in a suitable hospital or other place, of persons who (a) are suffering from grave chronic disease, or, being aged, infirm or physically incapacitated, are living in insanitary conditions; and (b) are unable to devote to themselves, and are not receiving from other persons, proper care and attention. Application is made to the Court only as a last resort, and in the several cases which came to my notice during the year it was possible, either to persuade the persons concerned to enter a hospital or home voluntarily, or to provide home help, nursing and other local services so that they could remain in their own homes.
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It is noteworthy that some of the services (e.g., home helping or home nursing) which contribute to enabling the compulsory powers of the Section to be avoided, are available from County Council sources which, happily, are accessible in the same offices. Under Section 50 of this Act the Borough Council arranged for the burial of 6 persons where no other provision was being made. PUBLIC HEALTH LAUNDRY SERVICE The Public Health Act 1936, Section 84, dealing with the cleansing of filthy articles gives power to a Local Authority "to cleanse 14 at the Authority's expense any article which upon a certificate of the Medical Officer of Health or Sanitary Inspector require to be cleansed, in order to prevent injury or danger of injury to the health of any person on the premises". Under this section the Council decided to organise a laundry service to assist incontinent old persons and to relieve their relatives of the burden of washing soiled linen, often with inadequate facilities.
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Enquiries were made from a number of Local Authorities where schemes were already in operation and the information so obtained was of great assistance in preparing a service. By arrangement with the Central Middlesex Group Hospital Management Committee, the soiled articles are sent to Neasden Hospital, where they are washed, dried and ironed at a cost of 4Β½d. per lb. Collection and delivery are made twice weekly, the transport being provided by the Department's van. The service commenced on 17th November and seven cases were dealt with up to the end of the year. The number of articles laundered was 138. MASS X-RAY The North West Regional Hospital Board Mass X-Ray Unit visited Acton during the year. Surveys were carried out amongst personnel of factories and other establishments and sessions were also arranged for members of the general public. A total of 9,619 persons were X-rayed as compared with 18,229 in the previous survey carried out in 1953.
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These figures do not necessarily relate to persons residing in Acton, as the facilities were available to all, whether they resided in the Borough or not. 15 SECTION C HEALTH SERVICES PROVIDED BY MIDDLESEX COUNTY COUNCIL AMBULANCE FACILITIES The Middlesex County Council is responsible for this service. NURSING IN THE HOME This service is administered locally by the Middlesex County Council. The number of sick persons under care in Acton during the year was 954 necessitating 31,402 visits. MATERNITY AND CHILD WELFARE During the late Autumn of 1955, the boiler at Palmerston Road Clinic which had already given a great deal of trouble, was declared to be beyond repair. The entire heating system of the Clinic was thus out of commission as, except for one small gas fire, there was no alternative means of providing warmth.
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Discussions were entered into with the owners of the property, but they were unwilling to commit themselves to the very heavy expediture involved. In view of the relatively short period of the lease it was not thought possible to insist on this, neither was the County Council disposed to accept full responsibility for providing a new boiler to a building with such a comparatively short life, for the Clinic would ultimately be swallowed up in the South Acton Redevelopment Scheme. After very full consideration of the needs of the district, and the facilities available at the nearby Avenue Road Clinic, it was decided to relinquish the County Council's tenancy of the building, and consequently the last clinics were held there in the week ending 3rd December. The Child Welfare and Ante-Natal clinics were transferred to Avenue Road, as was the fortnightly chiropody session.
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16 The Palmerston Road premises had been made available to the North Kensington branch of the Family Planning Association and it was found possible to offer alternative accommodation to this body at the Trinity Way Clinic at East Acton. CHILD WELFARE CLINICS The average attendances per session for the six Child Welfare Clinics are given below, last year's figures being shown in brackets. Avenue Road 3 sessions weekly 25.8 (27.3) Trinity Way 2 sessions weekly 36.9 (37.4) Cloister Road 2 sessions weekly 27.0 (27.0) Palmerston Road 2 sessions weekly 28.2 (30.2) Steele Road 2 sessions weekly 28.5 (29.2) Pierrepoint Road 3 sessions weekly 30.8 (32.8) Total number of children who first attended the clinics during the year, and who,
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on the date of their first attendance were: Under one year of age 779 Between the ages of one and five 64 Total number of children who attended during the year, and who, at the end of the year were:β€” Under one year of age 703 Over one year 2,140 Total number of attendances at Centres during the year: By children under one year of age 13,779 By children between one and five years 6,785 17 health visiting Number of visits during the year by all Health Visitors working in this area:β€” To expectant mothersβ€”First visits 297 Total visits 452 To children under one year of ageβ€”First visits 859 Total visits 3,991 To children between the age of one and five yearsβ€”Total visits 5,340 midwifery service Domiciliary Midwifery was performed as in previous years by the Midwives of Queen Charlotte's Hospital. Only 12.6% of the total births were home confinements.
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The bulk of the hospital confinements were accepted at Central Middlesex and Queen Charlotte's Hospitals, the table below giving the distribution:β€” Central Middlesex Hospital 33.0% Queen Charlotte's Hospital 34.7% Hammersmith Hospital 9.7% Other Hospitals 9.8% Nursing Homes 0.2% Confined at home (Queen Charlotte's midwives attending) 12.6% 18 ANTE-NATAL CLINIC Avenue Road Wednesday afternoon Cloister Road Alternate Friday mornings Palmerston Road Wednesday morning Pierrepoint Road Alternate Thursday mornings Trinity Way Alternate Thursday mornings The following table shows the number of attendances made throughout the year: Number of new cases attending during the year 512 Total number who attended during the year 623 Total number of attendances made 2,209 Average number who attended per session 13.0 POST-NATAL CLINICS There were no specific post-natal clinics as the majority of patients return to hospital for this examination.
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The domiciliary cases who had been attended by Queen Charlotte's Midwives also attended the post-natal clinic at the hospital. Only six women attended the local ante-natal clinic for their post-natal examination. ANTE-NATAL EXERCISES Avenue Road One session weekly. Pierrepoint Road One session weekly. 78 new patients were taken on during the year and there was a total of 656 attendances, an average of 6.8 per session. PREMATURE INFANTS Number of Premature Live Births (a) In Hospital 49 (b) At Home 3 (c) In Private Nursing Homes - 52 19 Number of Premature Stillbirths (a) In Hospital 3 (b) At Home β€” (c) In Private Nursing Homes β€” 3 Live Premature Births TOTAL Died within 24 hrs. Died between 1st day and.
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28th day Surviving at end of 28 days Born in Hospital 49 4 1 44 Born at Home 3 β€” β€” 3 Born in Nursing Home - - - - BIRTH CONTROL CLINIC As in previous years, arrangements for this purpose with the North Kensington Women's Welfare Association were continued. 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. Two new patients were referred for advice in 1955. HOME HELP SCHEME [ At the end of the year there were 5 full-time Home Helps, and 59 part-time Staff.
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The following table shows the number of cases actually attended:β€” Maternity 22 Tuberculosis 17 Chronic Sick 301 Other cases 113 20 SECTION D INFECTIOUS AND OTHER DISEASES, SCABIES AND OTHER CONDITIONS DIPHTHERIA IMMUNISATION Immunisation was carried out along the lines indicated in previous reports, the following routine being practised:β€” (1) All infant welfare attenders were approached at 6 months. (2) A notice was sent to the parent of each 8 months old child. (3) All children admitted to Day Nurseries were given protection. (4) Health Visitors combed their districts for children who did not attend Welfare Centres, 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.
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If the answer was in the negative a form of consent was sent to the parent. All immunised cases were followed up and, at the end of three years, each child was offered a boost dose. At the age of 11 years or over, this was preceded by a Schick test. All children under 5 who had not had the disease, were inoculated against Whooping Cough at the same time as they were inoculated against Diphtheria, i.e. they had three doses of protective material at monthly intervals.
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21 Owing to the fact that estimates of child population are no longer supplied by the Registrar General, it is not possible to give the proportion of children immunised against Diphtheria, but the actual number at 31st December, is as follows: Children under 5 years of age 2,656 Children 5 to 15 years of age 8,616 The figures of work carried out during 1955 are given below: β€” DIPHTHERIA IMMUNISATION, 1955 Total number of under 5s inoculated 461 Total number of over 5s inoculated 28 Boost dose after 3 years 803 Schick Test after 3 yearsβ€”Negative 254 Positive 3 Primary Schick Test β€”Negative 12 Positive 2 22 CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR (Corrected).
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Notifiable Disease Cases notified in whole District At Agesβ€”Years Ward Distribution Hospital Cases At all ages Under 1 year 1β€”2 3β€”4 5β€”9 10β€”14 15β€”24 25β€”44 45β€”64 Over 64 N.E. N.W. S. S.E. S.W. E. W. C. Scarlet Fever 83 β€” 3 23 50 3 3 1 β€” β€” 9 4 6 9 9 8 28 10 13 Whooping;
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Cough 55 9 9 17 16 3 β€” β€” 1 β€” 9 1 5 4 8 7 17 4 2 Measles 647 13 114 160 343 11 3 2 1 β€” 100 80 99 81 38 87 77 85 6 Acute Poliomyelitis (Paralytic) 12 β€” 1 2 3 3 1 2 β€” β€” 3 β€” 1 β€” 4 1 1 2 11 Acute Poliomyelitis (Non- 16 1 β€” β€” 4 3 β€” 6 2 β€” 1 β€” β€” 1 3 1 6 4 14 Tuberculosis (Pulmonary) 36 β€” β€” β€” β€” β€” 10 11 11 4 4 2 8 2,
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8 3 3 6 Tuberculosis (Meninges & C.N.S.) 3 β€” β€” β€” 2 β€” 1 β€” β€” β€” 1 β€” 1 β€” β€” β€” β€” 1 Diphtheria β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Smallpox β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Tuberculosis (other forms) 8 β€” β€” β€” 1 β€” β€” 3 4 β€” 1 1 1 β€” 2 1 β€” 9 Meningococcal Infection 3 2 1 β€” β€” β€” β€” β€” β€” β€” β€” 1 β€” β€” β€” β€” 1 1 3 Acute Encephalitis β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Dysentery 5 β€” 3 β€” β€” β€” 1 β€” 1 β€” 3 1 β€” β€” β€” 1 β€” β€”
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3 Ophthalmia Neonatorum 8 8 β€” β€” β€” β€” β€” β€” β€” β€” β€” 1 β€” 1 1 3 2 β€” β€” Puerperal Pyrexia 4 β€” β€” β€” β€” β€” 1 2 1 β€” 1 β€” β€” β€” 1 β€” β€” 2 β€” Pneumonia 28 1 β€” β€” β€” β€” β€” 6 12 9 4 3 2 4 7 1 2 5 6 Paratyphoid β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Typhoid Fever 8 β€” β€” β€” β€” β€” 3 3 2 β€” β€” 1 β€” β€” β€” β€” 6 1 8 Food Poisoning 37 β€” 3 β€” 2 5 6 12 9 β€” 4 8 4 β€” 2 3 5 11 3 Erysipelas 3 β€” β€” β€” β€” β€” β€” 2 1
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β€” β€” 1 1 β€” 1 β€” β€” β€” 1 TOTALS 956 34 134 202 421 28 29 50 45 13 140 104 128 102 84 116 148 134 70 23 INFECTIOUS DISEASES During the year 956 cases of infectious diseases were notified compared with the exceptionally low number of 327 during 1954. Of the total notification 647 were in respect of measles, compared with only 87 last year. Food Poisoning Thirty seven cases of Food Poisoning were notified none of them being associated with an outbreak. In 4 cases Salmonella TyphiMurium was responsible for the illness, the causitive agent not being discovered in the remainder. Typhoid Fever A small outbreak of Typhoid Fever comprising 13 cases occurred in a Polish community. Eight cases resided in Acton and 5 cases were confirmed in other Boroughs in the Metropolitan area.
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There was one death; a male aged 24. The infection occurred after a meal prepared for a party at a house in the Borough. The hostess who prepared the meal was found to be a 'carrier' and it was elicited that she had had Typhoid 26 years ago in Poland. Eight of the cases had eaten a meal at the party on the 15th or 16th October and four had eaten meals as boarders on other days. In the remaining case the only contact with the 'carrier' occurred during the passing of money. The first case sickened on the 21st October and the last on the 14th November. No secondary cases came to my notice. One of the cases had no constitutional illness and was considered to be a carrier. He was admitted to hospital after Salmonella Typhi had been isolated from his second specimen. All the strains of Salmonella Typhi isolated were untypeable by the Vi-phage method.
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Poliomytlitis Twenty eight cases of poliomyelitis were confirmed during the year, 12 of which had some paralysis. Cases of poliomyelitis are notified as "paralytic" when there are, or have been, signs of weakness or paralysis, either permanent or transient. Nine of the paralytic cases and 8 of the non-paralytic occurred in children under 15 years of age. I am pleased to report that there were no deaths from this disease. It is of interest to note that the neighbouring Borough of Willesden had 126 cases of Poliomyelitis, of which only 22 were paralytic, at the same time as Acton's outbreak. 24 TUBERCULOSIS Age Periods NEW CASES DEATHS Respiratory Non-Respiratory Respiratory Non-Respiratory Male Female Male Female Male Female Male Female 0 β€” β€” β€” β€” β€” β€” β€” β€” β€” 1 β€” β€” β€” β€” β€” β€” β€” β€”
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β€” 5 β€” β€” β€” 1 2 β€” β€” β€” β€” 15 β€” 5 5 1 1 β€” β€” β€” β€” 25 β€” 2 4 β€” 2 β€” β€” β€” β€” 35 β€” 5 1 β€” β€” β€” β€” β€” β€” 45 β€” 3 3 1 1 2 1 β€” 1 55 β€” 3 1 1 1 4 β€” β€” β€” 65 upwards 3 1 β€” β€” 2 3 β€” 21 15 4 7 8 4 β€” 1 25 STATEMENT OF PARTICULARS APPEARING ON THE REGISTER OF CASES OF TUBERCULOSISβ€”1955 Pulmonary NonPulmonary Total (a) Number of cases of tuberculosis on the Register at the commencement of the year 622 males 89 males 426 females 109 females 1,
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246 (b) Number of cases notified for the first time during the year 21 males 4 males 15 females 7 females 47 (c) Number of cases previously removed from the Register which have been restored thereto during the year β€” males β€” males 1 female β€” females 1 (d) Number of cases added to the Register other than by notification during the year 11 males β€” males 22 females 2 females 35 (e) Number of cases removed from the Register during the year 39 males 1 male 25 females 7 females 72 (f) Number of cases remaining on the Register at the end of the year 615 males 92 males 439 females 111 females 1,257 SCABIES AND VERMINOUS CONDITIONS As in previous years, cases suffering from the above conditions have been referred to the Kensington Medicinal Baths for cleansing treatment. During the year 11 persons were treated for dirty heads.
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Seven of these were referred for treatment by the medical staff of factories within the Borough. Nine persons were treated for scabies, and one person for body lice. 26 SECTION E HOUSING I am indebted to the Borough Engineer for the following information showing the progress made since the end of the war. Temporary Prefabricated Dwellings. 208 Occupied 31.12.55 New Permanent Dwellings. (1) Within the Borough: (a) Completed and occupied 31.12.55 930 (b) Contracts let or under construction 31.12.55 83 (c) Schemes in preparation 360 (2) Outside the Borough: Completed and occupied 31.12.55 435 SECTION F SANITARY CIRCUMSTANCES OF THE AREA WATER SUPPLY The Borough is supplied with water by the Metropolitan Water Board. The whole of the population is supplied from the public water mains direct to each house and the supply has been satisfactory.
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Waste of water has been notified to the Metropolitan Water Board on 61 occasions and, in addition to saving a measure of water supply, these notifications have been the means of preventing nuisance from dampness in many cases. 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. In the course of the year a total of 13 samples of water were submitted to the Council's analyst or pathologist for examination as to chemical or bacteriological content. 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.
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27 PUBLIC CLEANSING The amount of house refuse collected by the Council in 1955 was 19,486 tons and trade refuse collected amounted to 2,225 tons. All was removed to controlled shoots. In addition to the foregoing, 2,161 tons of salvage were sold. RODENT CONTROL Test baiting of public sewers and treatment as necessary have been continued in accordance with the recommendation of the Ministry of Agriculture and Fisheries. The services of the Council's Rodent Destruction staff have been divided as occasion has demanded between destruction of newly discovered rats and mice by intensive treatment, and the regular visiting, examination and treatment of business premises to prevent infestation. There is no serious infestation of rats or mice in the Borough, and there can be no doubt that this is largely due to the Council's policy and practice of maintenance treatment in business premises, particularly those where food for human consumption is manufactured or stored.
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Investigation, destruction and maintenance have entailed a total of 4,884 visits by the Rodent Operatives, 2,064 to business premises and 2,820 to dwellings, in addition to inspections by the Sanitary Inspectors as noted elsewhere. RAG FLOCK AND OTHER FILLING MATERIALS ACT, 1951 Under the above Act, sixteen premises are registered for the manufacture of articles of upholstery, toys, etc., and two premises were licensed for the storing of rag flock. In the course of inspections it has been noted that rag flock and other filling materials are stored and used so as to be maintained in hygienic condition. COMPLAINTS The number of complaints registered at the counter was 1,583, and by letter 205.
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INSPECTION OF FACTORIES The number of factories in the Borough is 634 and these have been subject to inspection by the Sanitary Inspectors to ascertain that the provisions of the Factories Act, 1937, and regulations as to sanitary accommodation are complied with. The usual work of inspection of factory canteens has been maintained, and advice given as necessary as to fitness or otherwise of food for human consumption. The home addresses of 62 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. With regard to sweet-wrapping by outworkers, the difficulty of securing home conditions considered satisfactory by the Sanitary 28 Inspector, together with other circumstances, resulted in a reduction in the number of such outworkers in the Borough, and accordingly a large diminution in the quantity of sweets wrapped in homes. FACTORIES ACT, 1937 PART I OF THE ACT 1.