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Brought forward 524 17 1 β€” β€” 2 22 133 349 72 58 60 62 61 72 91 48 Nephritis 17 β€” β€” β€” β€” β€” 7 10 4 4 1 2 2 β€” 2 2 Nervous System 9 β€” β€” β€” β€” β€” β€” 3 6 β€” 3 β€” 3 1 2 β€” β€” Peptic Ulcer 8 β€” β€” β€” β€” β€” 1 1 6 1 1 β€” 1 1 3 1 β€” Pneumonia 55 β€” β€” β€” β€” β€” 1 4 50 5 5 10 4 4 10 8 9 Poisoning 4 β€” β€” β€” β€” β€” 1 2 1 β€” β€” 2 β€” 1 β€” 1 β€” Poliomyelitis 1 β€” β€” β€” β€” 1 β€” β€” β€” β€” I β€” β€” β€” β€” β€” β€” Prostatic Hypertrophy 5 β€” β€” β€”
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β€” β€” β€” 1 4 β€” 1 β€” β€” β€” 3 β€” 1 Pulmonary Tuberculosis 7 β€” β€” β€” β€” β€” 1 1 5 β€” β€” β€” β€” 1 2 4 β€” Other Forms of Tuberculosis 2 β€” β€” β€” β€” β€” β€” 1 1 β€” β€”β€” β€” β€” 1 β€” 1 β€” Other Respiratory Diseases 20 1 β€” β€” β€” β€” β€” 5 14 2 5 β€” 1 3 2 3 4 Sarcoma 3 β€” β€” β€” β€” 1 β€” β€” 2 1 β€” β€” β€” 1 β€” β€” 1 Senility 17 β€” β€” β€” β€” β€” β€” 17 5 9 3 3 1 β€” 3 Suicides 7 β€” β€” β€” β€” β€” 3 4 β€” 3 2 1 1 β€” β€” Violent Deaths 7 β€” β€” β€” β€” 1 2 4 β€” 1 2 1 β€” 1 1 1 β€” TOTALS 686 18
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1 β€” β€” β€’ 5 31 166 465 91 85 79 73 81 97 112 68 10 CAUSES OF DEATH IN CHILDREN UNDER ONE YEAR 13 Males 5 Females Disease Under 1 wk. 1β€”2 wks. 2β€”3 wks. 3β€”4 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 1 1 β€” β€” β€” β€” Prematurity 4 β€” β€” β€” 4 β€” β€” β€” β€” β€” Respiratory Causes 5 β€” β€” β€” 5 -t- 1 1 β€” 2 Mongolism and Congenital Brain Defects β€” 1 I β€” 2 β€” 1 β€” β€” 1 Other Causes β€” β€” I β€” 1 β€” 1 1 β€” 2 TOTALS 9 2 2 β€” 13 β€” 3 2 β€” 5 MATERNAL MORTALITY There were no maternal deaths during the year.
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INQUESTS Suicides 6 Carbon Monoxide Poisoning 3 Poisoning 1 Accidental Falls at home 5 Road Accidents 10 Other Causes 1 TOTAL 26 POST MORTEMS, WITHOUT INQUEST Respiratory causes 15 Heart and Circulatory Disease 55 Cerebral Disease 15 Cancer 2 Intestinal Complaints 5 TOTAL 92 11 SUMMARY OF STATISTICS The following table shows the birth rates and death rates for Acton as compared with England and Wales since 1948. Year Live Birth Rate Still Birth Rate i Death Rate Maternal Mortality Rate Infantile Mortality Rate Acton E. & W. Acton E. & W. Acton E. & W. Acton E. & W. Acton E. & W. 1948 16.7* 17.9 16.3 23.2 9.4* 10.8 0.00 1.02 24.4 34 1949 15.
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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 11.4 0.00 0.76 25.7 26.8 1954 13.
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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 1956 12.8 15.7 24.5 23.0 11.33 11.7 0.00 0.56 23.0 23.8 1957 13.3 16.1 22.9 22.4 10.49 11.5 0.00 0.47 19.2 23.0 * 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.
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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. Type No. of specimens examined Throat and Nose Swabs 60 Sputum 30 Faeces 336 Hair, Widals, etc. 19 Milk 112 Milk Bottles 21 Water 66 Ice-Cream 229 Miscellaneous Foods 3 HOSPITAL PROVISION The Regional Hospital Board 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 it is just these requirements which cannot be met in the home.
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13 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 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. However, in one case it was found necessary to take action under Section 47.
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This case concerned a woman aged 90 years who was senile and had a high blood pressure condition. Her relatives refused to help in any way and it became increasingly difficult to get Home Helps to attend her due to her bad habits, behaviour and abusiveness. As she was not receiving the care and attention she needed I decided that it would be in the woman's interest if she was removed to hospital. An order was obtained authorising her detention for three months and this period was extended as her physical condition did not improve. She was still in hospital at the end of the year. 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 Laundry Service was commenced in November 1955 under the powers of Section 84 of the Public Health Act 1936, to assist incontinent old persons and to relieve them or their relatives of the burden of washing soiled linen.
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The service is running smoothly and the number of cases dealt with weekly continue to fluctuate between 10 and 15. There is no doubt that a service of this kind is of great value to the community. Commercial launderies will not accept articles 14 in the condition dealt with under the Council scheme, and the relief is greatly welcomed by patients and relatives. It is certain that in some cases relatives would be unable to cope with these incontinent old people and removal to hospital would be necessary. I give below details of the cases dealt with during 1957. Number of cases dealt with 44 Number of cases died 11 Number of cases removed to hospital 15 Number of cases where other arrangements made 1 Number of collections 737 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.
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The number of sick persons under care in Acton during the year was 937 necessitating 34,246 visits. MATERNITY AND CHILD WELFARE In October the five weekly Child Welfare sessions at Avenue Road were reduced to four by reason of the shortage of Health Visiting staff and the two ante-natal sessions at this clinic were also compressed into a single weekly session. CHILD WELFARE CLINICS The average attendances per session for the five Child Welfare Clinics are given below, last year's figures being shown in brackets. Avenue Road 4 sessions weekly 26.3 (23.6) Trinity Way 2 sessions weekly 34.3 (38.3) Cloister Road 2 sessions weekly 26.6 (27.5) Steele Road 2 sessions weekly 26.3 (27.4) Pierrepoint Road 3 sessions weekly 32.9 (32.5) 15 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: β€” Under one year of age 890 Between the ages of one and five 80 Total number of children who attended during the year, and who, at the end of the year were: β€” Under one year of age 821 Over one year 1,886 Total number of attendances at Clinics during the year: β€” By children under one year of age 13,575 By children between one and five years 6,748 HEALTH VISITING Number of visits during the year by all Health Visitors working in this area: β€” To expectant mothersβ€”First visits 367 Total visits 542 To children under one year of ageβ€”First visits 981 Total visits 3,435 To children between the age of one and five yearsβ€”Total visits 3,383 MIDWIFERY SERVICE Domiciliary Midwifery was performed as in previous years by the Midwives of Queen Charlotte's Hospital. Only 19.1% 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 39.1% Queen Charlotte's Hospital 28.4% Hammersmith Hospital 2.3% Other Hospitals 10.7% Nursing Homes 0.4% 16 Confined at home (Queen Charlotte's midwives attending) 19.1% ANTE-NATAL CLINIC Avenue Road Wednesday afternoons. Cloister Road Alternate Friday mornings. Pierrepoint Road Alternate Wednesday mornings. Trinity Way Alternate Wednesday mornings. The following table shows the number of attendances made throughout the year: β€” Number of new cases attending during the year 507 Total number who attended during the year 601 Total number of attendances made 2,336 Average number who attended per session 14.1 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 five women attended the local ante-natal clinic for their post-natal examination. ANTE-NATAL EXERCISES Avenue Road One session weekly. Pierrepoint Road Two sessions weekly. 109 new patients were taken on during the year and there was a total of 826 attendances, an average of 6.5 per session. PREMATURE INFANTS Number of Premature Live Births (a) In Hospital 54 (b) At Home 5 (c) In Private Nursing Homes β€” 59 17 Number of Premature Stillbirths (a) In Hospital 7 (b) At Home 2 (c) In Private Nursing Homes β€” 9 Live Premature Births TOTAL Died with- Died between Surviving in 24 hrs. 1st day and.
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at end of 28th day 28 days Born in Hospital 54 3 4 47 Born at Home 5 β€” β€” 5 Born in Nursing Home β€” β€” β€” β€” BIRTH CONTROL CLINIC As in previous years, arrangements for this purpose with the North Kensington Women's Welfare Association were continued. One afternoon and one evening clinic weekly were held at Trinity Way, East Acton. No new patients were referred for advice in 1957. HOME HELP SCHEME At the end of the year there were 4 full-time Home Helps, and 63 part-time Staff.
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The following table shows the number of cases actually attended: β€” Maternity T_ 36 Tuberculosis 12 Chronic Sick ...... ...... 457 Other cases 47 18 SECTION D INFECTIOUS AND OTHER DISEASES, SCABIES AND OTHER CONDITIONS DIPHTHERIA IMMUNISATION The extension of the Poliomyelitis vaccination scheme to the younger age groups caused some temporary dislocation of the Diphtheria immunisation programme, but it is expected that this will re-adjust itself as the new techniques of inoculation fall into regular sequence. Following a report of the Medical Research Council, the use of combined Diphtheria and Whooping Cough vaccine was discontinued in July 1957 on the advice of the Central Health Services Council, and an alum-free diphtheria toxoid and a plain whooping cough vaccine given singly, were adopted at our clinics and recommended to the general practitioners for their use.
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The report, based on statistical evidence, showed that there is a risk of provoking poliomyelitis in using antigens in combination, and that this risk is minimal when non alum precipitated antigens are used singly. The change in material of course means more frequent injections but these can be spread over the first 12 months of life so that protection against Diphtheria, Smallpox, Whooping Cough and Poliomyelitis can be completed before the first birthday, with reinforcing or booster doses of Diphtheria toxoid in the fifth and tenth years. This explains the striking reduction in the number of " boost " doses and Schick tests which were formerly given 'every three years.
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The protected child population at the end of 1957 is as follows : Children under 5 years of age 2,541 Children 5-15 years 8,721 and the figures of work carried out during 1957 are given below: DIPHTHERIA IMMUNISATION, 1957 Total number of under 5s inoculated 587 Total number of over 5s inoculated 23 Boost dose after 3 years 614 Schick Test after 3 yearsβ€”Negative 119 Positive 3 Primary Schick Testβ€”Negative 8 Positive 2 19 POLIOMYELITIS IMMUNISATION Inoculation against Poliomyelitis proceeded more or less regularly throughout the year, though supplies of vaccine were small and there were frequent delays in delivery. From January 1957 onwards, general practitioners were given the opportunity to take part in the arrangements, and parents who had already registered their children for vaccination by the local authority were able to transfer to their own doctor if they so desired.
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In May, the scheme, which up to then had been limited to those children born in the years 1947 to 1954 inclusive, was extended to those born in 1955 and 1956, but although parents were invited to register these children it was not possible to commence their injections until November. In December the further extension of the scheme to include expectant mothers, and children born in the years 1943-46, was being formulated and the decision to import American and Canadian Salk vaccine made this a reality early in the New Year. The number of children who had completed the course of immunisation against Poliomyelitis at 31st December, 1957, was only 1,884 whilst a further 300 had received their first injection. The delays in delivery of vaccine had resulted in there being a waiting list of 2,034 but with the advent of the Salk vaccine this figure was speedily reduced by January and February of 1958.
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20 CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR (Corrected), 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 20 2 3 14 1 __ 4 5 4 1 1 2 3 1 Whooping Cough 87 13 13 15 32 9 2 3 β€” β€” 8 1 19 23 12 4 16 4 1 Measles 919 24 178 245 456 11 2 3 β€” β€” 46 77 117 109 242 119 130 79 15 Acute Poliomyelitis
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(Paralytic) 6 β€” 1 _ 1 2 β€” 2 β€” β€” β€” 2 1 β€” β€” 1 2 β€” 6 Acute Poliomyelitis (NonParalytic) 6 β€” β€” 2 3 β€” β€” 1 β€” β€” 3 β€” β€” β€” β€” 1 2 β€” 5 Tuberculosis (Pulmonary) 38 β€” β€” β€” β€” β€” 6 12 14 6 8 3 3 3 5 5 6 5 Tuberculosis (Meninges & C.N.S.) β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” 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€” 1 β€” β€” 1 1 3 2 β€” 1 β€”
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1 2 1 2 1 β€” β€” Meningococcal Infection β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Acute Encephalitis β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Dysentery 24 β€” 2 6 7 1 2 3 2 1 3 3 3 2 β€” 4 7 2 4 Ophthalmia Neonatorum β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Pneumonia 14 β€” β€” 2 β€” 1 1 4 2 4 3 β€” 2 β€” 2 1 6 β€” 4 Puerperal Pyrexia 3 β€” β€” β€” β€” β€” 2 1 β€” β€” β€” β€” β€” β€” 2 1 β€” β€” β€” Paratyphoid β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€”
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β€” Typhoid Fever β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Food Poisoning 47 2 5 1 1 1 10 12 12 3 15 6 4 β€” β€” 2 8 12 5 Erysipelas 5 β€” β€” β€” β€” 2 3 β€” 1 1 1 β€” 1 β€” β€” 1 β€” TOTALS 1177 39 202 274 514 27 26 46 35 14 92 98 151 143 266 141 180 106 41 21 INFECTIOUS DISEASES During the year 1,177 cases of infectious diseases were notified compared with 337 cases during 1956. Of the total notifications 919 were in respect of measles compared with 97 last year. Poliomyelitis Twelve cases of poliomyelitis were confirmed during the year, 6 of which had some paralysis.
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Cases of poliomyelitis are notified as paralytic when there are or have been, signs of weakness or paralysis either permanent or transient. Four of the paralytic and five of the non-paralytic cases occurred in children under 15 years of age. Unfortunately a girl aged 6Β£ years died from bulbar poliomyelitis. None of the cases had been vaccinated against the disease. Food Poisoning Forty-seven cases of food poisoning or suspected food poisoning were notified, none of them being associated with an outbreak. In four cases salmonella organisms were responsible for the illness, the causative agent not being discovered in the remainder.
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22 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€” 1 β€” β€” β€” β€” 5 β€” β€” β€” β€” 1 β€” β€” β€” β€” 15 β€” 3 1 β€” β€” β€” β€” β€” β€” 25 β€” 4 4 2 2 β€” 1 1 β€”* 35 β€” 4 1 β€” β€” β€” β€” β€” β€”.
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45 β€” 5 2 1 1 β€” 1 β€” 55 β€” 7 1 β€” β€” 1 β€” β€” β€” 65 upwards 3 3 β€” β€” 4 1 β€” 1 26 12 3 5 5 2 2 β€” 23 STATEMENT OF PARTICULARS APPEARING ON THE REGISTER OF CASES OF TUBERCULOSISβ€”1957 Pulmonary NonPulmonary Total (a) Number of cases of tuberculosis on the Register at the commencement of the year 638 males 451 females 93 males 107 females 1,289 (b) Number of cases notified for the first time during the year 26 males 12 females 3 males 5 females 46 (c) Number of cases previously removed from the Register which have been restored thereto during the year 1 males β€” females β€” males β€” females 1 (d) Number of cases added,
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to the Register other than by notification during the year 23 males 23 females β€” males β€” females 46 (e) Number of cases removed from the Register during the year 33 males 33 females 3 males 8 females 77 (f) Number of cases remaining on the Register at the end of the year 655 males 453 females 93 males 104 females 1,305 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 12 persons were treated for dirty heads. Seven of these were referred for treatment by the medical staff of factories within the Borough. Eleven persons were treated for scabies. 24 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. Occupied 31.12.57 208 New Permanent Dwellings.
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(1) Within the Borough: Completed and occupied 31.12.57 1,031 (2) Outside the Borough: Completed and occupied 31.12.57 435 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. Waste of water has been notified to the Metropolitan Water Board on 28 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.
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Samples of water from these wells have been taken from time to time and in the course of the year a total of 64 samples were submitted to the Council's analyst or pathologist for examination as to chemical or bacteriological content, and the results generally indicated a satisfactory supply. 25 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 1957 was 19,945 tons and trade refuse collected amounted to 3,371 tons. All was removed to controlled shoots. In addition to the foregoing, 1,804 tons of salvage were sold. RODENT CONTROL Test baiting of public sewers and treatment as necessary have been maintained and this work contributes largely to the improved conditions in the matter of infestation on the surface.
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The services of the Council's Rodent Destruction staff continue to be divided between work of destruction of newly discovered rats and mice by intensive treatment and regular visitation and examination of business premises to prevent infestation. The Borough is free from serious infestation. Investigation, destruction and maintenance have entailed a total of 5,538 visits by the Rodent Operatives, 1,742 to business premises and 3,796 to dwellings, in addition to inspections by the Public Health Inspectors as noted elsewhere. RAG FLOCK AND OTHER FILLING MATERIALS ACT, 1991 Under the above Act, seventeen premises are registered for the manufacture of articles of upholstery, toys, etc., and three 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 under hygienic conditions. COMPLAINTS The number of complaints registered at the counter was 987 and by letter 238.
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26 INSPECTION OF FACTORIES The number of factories in the Borough is 703 and these have been subject to inspection by the Public Health 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 61 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. 27 FACTORIES ACT, 1937 PART I OF THE ACT 1. INSPECTIONS for the purpose of provisions as to health (including inspections made by Public Health Inspectors).
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Premises Number on Register Number of Inspections Number of Written Notices Occupiers Prosecuted Factories without mechanical power 39 11 - - Factories with mechanical power 657 190 8 - Other premises under the Act (including works of building and engineering construction but not including outworkers' premises) 7 3 - - TOTAL 703 204 8 - 2. CASES IN WHICH DEFECTS WERE FOUND. Particulars Number of Defects Found Remedied Referred to H.M. Inspector Referred by H.M. Inspector Prosecutions Want of cleanliness (S.l.) - - - - - Unreasonable Temperature (S.3.) - - - - - Inadequate Ventilation (S.4.) - - - - - Conveniences (S.7.)
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(a) Insufficient 1 3 - 1 β€” (b) Unsuitable or defective 19 23 - 17 - TOTAL 20 26 - 18 - 28 PART VIII OF THE ACT OUTWORKβ€”(Section 110) No. of out-workers in August list required by Sect. 110 (1) (c):β€” Stuffed Toys 61 SANITARY INSPECTION OF THE AREA The following table includes the tabular statements by the Chief Public Health Inspector under article 27 (18) of the Sanitary Officers (Outside London) Regulations, 1935.
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Tabulated Statement of Inspections and Details of work carried out by the Public Health Inspectors : Number of Inspections made and Action taken:β€” Total number of dwelling houses inspected for housing defects (under Public Health or Housing Acts) 2,107 (1) Dealt with by service of informal notice 466 (2) Dealt with by service of Statutory Notice under Section -9 Housing Act, 1936 135 (3) Dealt with by service of Statutory Notice under Public Health Acts 53 (4) No defects found 400 Premises (other than defective dwelling houses) inspected for nuisances and miscellaneous defects 2,417 (1) Dealt with by service of informal notice 29 (2) Dealt with by service of Statutory Notice under Public Health Acts, etc.
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Re-inspections subsequent to Service of Notice 6,787 Inspections after notifications of Infectious Disease 112 Premises inspected under Prevention of Damage by Pests Act, 1949 and Infestation Order, 1943 101 The general improvement and condition of occupied houses has been maintained by requirements of repairs and the compliance by owners under Section 9 of the Housing Act, 1936. During the year 57 Notices were passed to the Town Clerk for work to be done in default of owners. 29 The following table indicates the extensive and varied nature of the defects and dilapidations which have been made good following inspection by the Public Health Inspectors.
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Sanitary dustbins provided 91 Yards paved or yard paving repaired 37 Insanitary forecourts remedied 3 Defective drains repaired or reconstructed 47 Defective soil pipes and ventilating shafts repaired or renewed 17 Defective fresh air inlets repaired or renewed 30 Defective gullies removed and replaced by new 16 Rainwater downpipes disconnected from drain β€” Dishings or curbs to gully repaired or new gratings fixed 13 Defective W.C. pans and traps removed and replaced by new 22 Defective W.C. flushing apparatus repaired or new fixed 35 Defective W.C.
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seats repaired or new fixed 9 Defective flush pipe connections repaired 13 Insanitary sinks removed or new fixed 9 Sink waste pipes repaired or trapped 20 Insanitary wall surface over sinks remedied 11 Ventilated food cupboards provided 1 Drinking water cisterns cleansed 8 Defective covers to drinking water cisterns repaired or new fixed 7 Insanitary sites beneath floors concreted β€” Spaces beneath floors ventilated 16 Dampness in walls from defective damp proof coursing remedied 199 Dampness from defective roof, rainwater gutterings, etc.
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remedied 584 Defective plastering repaired (number of rooms) 388 30 Rooms where dirty walls and ceiling have been cleansed and redecorated 424 Defective floors repaired 86 Defective or dangerous stairs repaired 28 Defective doors and windows repaired 811 Defective kitchen ranges and firegrates repaired 125 Defective washing coppers repaired 1 Coal cupboards provided or repaired β€” Accumulations of offensive matter removed 4 Drains unstopped and cleansed 42 Drains tested, exposed for examination, etc. 77 Smoke observations and inspections made 83 Smoke nuisance abated on service of notice 8 Miscellaneous nuisances abated 23 New W.C. apartments β€” Verminous rooms disinfested 74 HOUSING REPAIRS AND RENTS ACT 1954 Applications received 6 Applications withdrawn β€” Applications refused β€” Certificates granted to occupiers 6 Applications for certificates of revocation 16 Applications refused 2 Certificates granted to owners 14 RENT ACT 1957 Applications for certificates of disrepair
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105 Decisions not to issue certificates 2 Decisions to issue certificates 94 (a) in respect of some defects 70 (b) in respect of all defects 24 Undertakings given by landlords 39 Undertakings refused β€” Certificates of disrepair issued 19 31 Applications for cancellation of certificates 6 Objections by tenants to cancellation of certificates β€” Decision by Council to cancel in spite of tenant's objection β€” Certificates cancelled 3 PREMISES UNDER PERIODICAL INSPECTION Factories and Workshops 703 Piggeries 1 Rag Dealers 5 Mews 4 Public House Urinals 34 Hairdressers 45 School Buildings:β€” Grammar 1; Primary and Secondary 11; nical 2 ; Special 1; Private 3 ; Total 18 Butchers' Shops 40 Fish Shops 24 Fish and Chip Shops 16 Greengrocers' Shops 89 Grocery and Provision Shops 154 Milk Shops 42 Bakehouses 20 Slaughterhouses 1 Restaurants, Cafes, etc.
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129 Industrial Canteens 203 Horseflesh (human consumption) shops 2 Premises where ice-cream is manufactured 5 Premises where ice-cream is sold 140 Premises registered under Section 16, Food & Drugs Act, 1955 (other than Ice-Cream premises):β€” Manufacture of sausages 30 Manufacture of sausage casings 1 32 Manufacture of pies 2 Manufacture of brawn 1 Preparation of pickles 2 Preparation of preserves 2 Preparation of lard 1 Preparation of dripping 1 Curing of bacon 2 Cooking of ham 1 Smoking of fish 1 Preserving of meat 7 Potting of meat 2 Canning of fruit 1 - Total 54 Dairies registered under the Milk & Dairies Regulations, 1949:β€” 2 33 SECTION G INSPECTION AND SUPERVISION OF FOOD PREMISES AND FOOD HANDLING The numbers and types of food premises in the area are noted under Section "F" of the report,
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as are the numbers of food premises by type registered under Section 16 of the Food & Drugs Act, 1955 and the number of dairies registered under the Milk & Dairies Regulations, 1949. Inspections of registered food premises are carried out from time to time and further action taken as necessary to ensure the premises and method of production being maintained at a satisfactory standard. Members of the Public Health Inspectors staff from time to time give lectures with film strip displays to stimulate and maintain interest in food hygiene and the general work of the Public Health Department. FOOD INSPECTION Reference to special examinations of consignments of food follow in this section of the report and while details of the quantity condemned are noted, it is not practicable to collate total quantities. The amount of food-stuffs surrendered owing to deterioration or damage is largely related to the extensive work of food manufacture and distribution in the Borough.
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There are two large wholesale grocery Depots within the Borough, and hence surrenders of canned and packeted goods are made to this Authority; these surrenders constitute the major part of such foodstuff noted. The following list collated for convenience shows some details of the surrendered food-stuffs: Bacon 691 lbs. Cream 176 tins Fish, wet 3 stone ,, tinned 823 tins 34 Flour and Flour Products 53 pkts. Fruit, tinned 23,512 tins Ham, tinned 86 lbs. ,, fresh 116 lbs. Meat: β€” Fresh 14,306 lbs. Tinned 1,869 tins Corned beef 278 tins Offal 540 tins Milk, Condensed 1,108 tins Pastes, Pickles, etc. 78 jars Poultry: β€” Chickens 15 ,, 9 pkts.
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Preserves 513 tins Puddings, sweet and savoury 346 tins Soup, Strained Foods, etc. 693 tins Vegetables 3,759 tins Miscellaneous 201 jars, etc. DISPOSAL OF CONDEMNED FOOD There has been no change in the methods of disposing of condemned and surrendered food noted in the report. At the large slaughterhouse and bacon factory in the Borough all diseased or infected carcases, and parts of carcases, are destroyed in special plant producing inedible materialβ€”bone meal, fertiliser, etc.β€” under supervision of the Council's Meat Inspectors. Apart from condemned food material dealt with at these slaughterhouse premises all surrendered diseased, or unsound, food is disposed of for animal feeding purposes, or otherwise as appropriate. 35 FOOD COMPLAINTS There were 26 complaints as to unsound food, etc., and in 3 cases the Council instituted legal proceedings.
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Details are as follows:β€” Date of Hearing Offence Result 25- 9-57 Mould in wrapped bread Fined Β£10 Costs Β£10-10-0 25- 9-57 Nail in bread Fined Β£10 Costs Β£ 3- 3-0 20-11-57 Nail in bread Fined Β£10 Costs Β£15-15-0 MILK There are only two dairies in the Borough and the practice of distributing milk wholesale in bottles from large bottling depots to local depots, for delivery by roundsmen, or over the counter in milk shops remains. 112 samples of milk were taken throughout the Borough and following submission to the Pathological Laboratory of the Ministry of Health, the results of the bacteriological examinations indicated that generally satisfactory conditions of processing and storage were maintained. The wholesale, pasteurising and bottling centre in Bollo Lane has continued in operation without cause for complaint, and 21 empty bottles taken from the filling lines for examination as to sterility, were found to be sterile.
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The following licences were granted under the Milk (Special Designation) (Pasturised and Sterilised Milk) Regulations 1949 to 1953, and the Milk (Special Designation) (Raw Milk) Regulations 1949 to 1954. Dealers' Licences:β€” Tuberculin Tested Milk 19 Pasteurised Milk 3ft Sterilised Milk supplementary Licences:β€” 31 Tuberculin Tested Milk 11 Pasteurised Milk 12 Sterilised Milk 12 123 \ 36 ICE-CREAM The number of manufacturers of ice-cream in the Borough is now 4. Each of them is equipped to produce pasteurised ice-cream, and production is in every way in accord with the Ice-Cream (Heat Treatment etc.,) Regulations, 1947/1952. There are 140 premises where ice-cream is not manufactured, but where the commodity is sold in the main from pre-packed stocks.
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During the year 229 samples were taken, 155 of ice-cream manufactured in the Borough, and 74 from shops or itinerant vendors trading in icecream manufactured outside the Borough. The high bacteriological standard reflected in the results of examination of samples of ice-cream, together with inspection of plant and premises, has shown that processing and storage conditions are satisfactory and well maintained. MEAT INSPECTION AT SLAUGHTERHOUSES Regular slaughtering of pigs at the slaughterhouse of T. Wall and Sons has grown during the year and has necessitated the permanent attendance of a larger staff of the Local Authority in the course of meat inspection, with increased hours of overtime duty. CARCASES AND OFFAL INSPECTED AND CONDEMNED IN WHOLE OR IN PART β€” 1957 Pigs 1. Number killed 215,774 2. Number inspected 215,991 3. Dead on arrival or died in pens 217 4.
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All diseases EXCEPT TUBERCULOSIS Whole carcases condemned 241 Carcases of which some part or organ was condemned 25,337 Percentage of the number inspected affected with disease other than Tuberculosis 11.85 37 5. TUBERCULOSIS ONLY Whole carcases condemned 42 Carcases of which some part or organ was condemned 6,091 Percentage of the number inspected affected with Tuberculosis 2.84 6. CYSTICERCOSIS Carcases of which some part or organ was condemned β€” Carcases submitted to treatment by refrigeration β€” Generalised and totally condemned β€” The total weights of meat and offal surrendered were:β€” PORK 283 CARCASES Tons .29 cwts. 2 qrs. 1 lbs.
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20 34,998 PARTS 90 19 1 13 120 1 3 5 FOOD AND DRUGS The Middlesex County Council is 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€” Samples procured, in the Borough of Acton during the year. Article Total samples procured Unsatisfactory Milk (new) 64 14 Milk (various) 61 2 Butter 17 β€” Cakes 3 1 Cream 19 β€” 38 NUMBER OF PIGS' CARCASES INSPECTED AT T. WALL & SONS LTD. SLAUGHTERHOUSE DURING 1957 WITH ANALYSIS OF SURRENDERS ON ACCOUNT OF DISEASE Month PARTS CONDEMNED Pigs Inspected Carcases Heads Collars Fore Qtrs. Hind Qtrs. Legs Skins Hocks Flares Pieces of Pork Plucks (Lungs, Livers, Hearts, Lights).
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Wt. of Mesenteries, Stomachs & Intestines. January 13,140 21 221 1 2 β€” 62 14 β€” 5 267 lbs. 2,012 2,410 lbs. February 12,139 11 205 2 β€” β€” 50 4 4 10 181 lbs. 1,651 2,370 lbs. March 12,796 14 207 1 β€” 1 52 1 β€” 6 266 lbs. 1,883 2,390 lbs. April 15,067 20 288 2 1 β€” 51 6 3 1 504 lbs. 2,049 2,780 lbs. May 19,375 29 350 2 1 2 73 20 2 7 319 lbs. 2,478 2,840 lbs.
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June 15,755 41 229 1 1 β€” 41 204 β€” 2 246 lbs. 1,792 2,900 lbs. July 19,790 37 229 1 β€” β€” 46 32 β€” 6 129 lbs. 2,277 2,790 lbs. August 17,900 29 328 5 1 β€” 78 13 1 8 236 lbs. 2,251 2,570 lbs. September 19,841 25 285 β€” β€” β€” 77 23 β€” 8 175 lbs. 2,087 2.530 lbs. October 25,701 23 434 2 1 1 75 15 2 7 183 lbs. 2,683 3.030 lbs. November 22,595 16 434 1 1 β€” 82 25 4 8 213 lbs.
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2,955 2.920 lbs. December 21,892 17 365 1 3 β€” 117 17 β€” 6 183 lbs. 2,355 2,800 lbs. TOTALS 215,991 283 3,575 19 11 4 804 374 16 74 2,902 lbs. 26,473 32,330 lbs. 39 Drugs 26 1 Fish and fish products 6 β€” Fruitβ€”fresh, canned and dried 6 1 Fruit Squash, etc. 3 β€” Ice Cream 13 β€” Liver 3 β€” Margarine 15 β€” Meat and meat products 19 1 Sausages, etc. 10 β€” Sweets 3 β€” Vinegar 12 β€” Wine and Spirits 5 β€” Miscellaneous 13 β€” TOTALS 298 20 Milk " Samples of new milk were taken from chums consigned by a dairy farmer to a milk processing depot in your district.
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14 of these samples were slightly below the presumptive standard for composition, some having a slight deficiency of milk fat, some of milk solids not fat, and some deficient in both respects. As these deficiencies were slight and as samples taken from other churns of milk from this same source were quite satisfactory no further action was taken. " The two samples of hot milk shown as unsatisfactory were both obtained from a cafe in your area; each was slightly deficient in milk solids other than fat and an official caution was sent to the vendor. / 40 Drugs \ " A sample of tincture of iodine was found to contain iodine slightly in excess of the maximum permitted by the British Pharmacopoeia. Attempts were made to purchase a follow-up sample but the shopkeeper in question had no further stock. Cakes " Flour confectionery was exposed for sale by a retailer and labelled " Coffee Butter Cream Gateau ".A sample was purchased and the Public Analyst certified that the filling consisted of imitation cream.
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The retailer received official cautions in respect of the false labelling and of the sale of this food. Fruit (Fresh, Canned and Dried) " A retailer who supplied Packham's Triumph pears when William pears were demanded was cautioned for his offence. Meat and Meat Products " A retail butcher in your area was found to be selling fresh meat containing 301 parts per million of the preservative sulphur dioxide; preservatives of any kind are prohibited in fresh meat. This shokpeeker was prosecuted and fined Β£10 and ordered to pay Β£5-13-0d. costs. Merchandise Marks Acts, 1887-1953. " 126 inspections of shops were undertaken to ensure that the Marking Orders relating to certain imported foodstuffs made under the Merchandise Marks Act, 1926, were complied with. 460 separate displays of meat, apples, tomatoes, poultry, honey and dried fruit, were examined, and in addition a number of test purchases were made.
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At one greengrocer's shop imported raw tomatoes from the Canary Islands and apples imported from America were found, neither of which were marked with the necessary indication of origin. Proceedings were instituted against the retailer concerned and he was fined Β£1 in respect of each offence and ordered to pay Β£2 2s. Od. costs. 41 Labelling of Food Order "At 31 premises 115 articles of pre-packed food were examined to see that they bore a label which gave a clear statement of the designation of the food and, in the case of compound foods, the ingredients, and also the name and address of the packer or labeller. No infringement of this Order was detected. False or Misleading Descriptions " As in previous years a considerable amount of work has been done in the detailed scrutiny of advertisements and the labels on pre-packed foods, and taking suitable action in those cases where a label or advertisement contains a false or misleading description of the food to which it relates.
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This work is of benefit to the whole County irrespective of where within the County offences may be detected. During the year under review corrective action has been secured in respect of salmon with potato salad, crystallized jelly, pineapple slices, pure egg mundelech, cherry juice, lime juice, imitation cream, cream filled biscuits, cream filled Easter eggs and cheese. In every case the person responsible agreed to make necessary suitable amendments to labels as a result of my representations. In no case was it necessary to institute proceedings. Special Designated Milk " During the year in question one licence was issued by my Council in respect of the use of the special designation " pasteurised " for milk processed within your area. These premises were regularly inspected, and compliance with the requirements of the Act and of the appropriate Regulations was maintained. 29 samples of pasteurised milk were taken, all of which were certified as being satisfactory.
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Safe Milk " In addition to the foregoing, 13 samples of raw milk were procured within your Borough and submitted to test for the presence of tubercle bacilli. None was found contaminated." 42 SECTION H DISEASES OF ANIMALS Throughout the year, the Borough remained free from any outbreak of notifiable disease, although there were numerous outbreaks throughout the country which necessitated exercising the utmost vigilance to see that no animals were moved into the Borough from infected areas. SECTION J ATMOSPHERIC POLLUTION There has been no major change in the siting or 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 1956 and 1957 are shown on page 43 and the 1957 figures are illustrated graphically on page 44.
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The station with the highest monthly figureβ€”4.5β€”was Wesley Road and that with the highest average figureβ€”2.6β€”was Bashley Road. The station with the lowest monthly figureβ€”0.38β€”and with the lowest average figureβ€”1.1β€”was Acacia Road. The average of all stations for the year was 1.9 which is below that of the previous year. DEPOSIT GAUGES The monthly figures for each station are shown statistically on page 45 and graphically on page 44. The yearly average figureβ€”15.55 tons/sq. mileβ€”has fallen below that of the previous year although the amount of combustible material in the deposit has again increased by a small amount. Once again the station with the greatest monthly depositβ€” 26.20 tons/sq. mile β€” and the greatest average deposit β€” 18.19 tons/sq. mile β€” was Bashley Road.
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The Kendal Avenue gauge showed the lowest monthly deposit of 10.68 tons/sq. mile and the lowest average deposit of 13.97 tons/sq. mile. 43 ESTIMATION OF ATMOSPHERIC SULPHUR BY LEAD PEROXIDE INSTRUMENTS Weight of S03 in Milligrams per 100 Square Centimetres per day. Station Town Hall Canham Road Wells Hse. Road Bashley Road Wesley Road Acacia Road Kendal Avenue Borough Average Month & Year 1956 1957 1956 1957 1956 1957 1956 1957 1956 1957 1956 1957 1956 1957 1956 1957 January 5.02 2.5 4.85 1.9 4.53 2.6 5.53 3.0 5.0 2.6 3.9 1.8 4.2 1.5 4.
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72 2.3 February 4.26 2.9 4.42 3.0 4.34 2.9 3.97 3.9 3.84 4.5 4.5 1.6 4.6 1.4 4.27 2.9 March 4.56 2.5 4.87 2.7 4.23 2.5 5.44 3.6 4.7 3.0 4.8 2.3 3.6 1.6 4.59 2.6 Winter (Oct.Mar.) 4.32 2.8 4.02 2.5 3.83 2. 6 4.79 3.2 4.03 2.8 3.8 1.8 3.7 1.5 4.07 2.5 April 2.80 1.
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7 3.37 1.5 2.94 1.8 3.76 1.7 2.97 1.6 3.4 1.7 2.2 1.1 3.06 1.6 May 1.30 1.5 1.1 1.2 1.4 1.6 1.8 1.8 1.0 1.6 0.86 1.3 0.67 0.66 1.16 1.4 June 1.03 1.7 0.94 1.1 1.4 1.4 1.45 1.9 0.87 1.6 0.76 0.76 0.76 0.67 1.03 1.3 July 1.2 0.99 0.8 0.83 1.1 1.1 1.
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6 1.6 0.9 1.1 0.8 0.57 0.6 0.42 1.00 0.94 August 0.9 11 0.8 0.97 1.0 1.1 1.4 1.3 0.8 1.3 0.6 0.80 0.5 0.66 0.86 1.0 September 1.6 M 1.4 1.1 1.4 1.6 1.0 1.8 1.5 1.3 1.4 0.89 0.9 0.38 1.3 1.2 Summer (Apr. Sep.) 1.26 1.3 1.2 1.1 13 1.4 1.6 1.7 1.15 1.4 1.1 1.
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0 0.81 0.67 1.2 1.2 October 2.1 2.8 2.0 2.0 21 2.5 2.5 3.4 1.6 2.5 1.4 1.8 1.0 1.3 1.8 2.3 November 3.1 2.6 2.8 2.4 2.5 2.6 3.2 3.0 2.6 2.5 2.0 2.4 1.6 1.6 2.54 2.4 December 3.5 3.8 2.8 3.6 2.9 3.4 3.3 3.8 2.6 3.8 1.9 31 1.7 1.9 2.7 3.3 Monthly Average 2.
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61 2.1 2.51 1.9 2.49 2.1 2.91 2.6 2.36 2.3 2.2 1.6 1.8 1.1 2.42 1.9 44 45 DEPOSIT GAUGES MONTHLY DEPOSIT IN TONS PER SQUARE MILE Station Town Hall Bashley Rd. Kendal Ave. Borough Average Month & Year 1956 1957 1956 1957 1956 1957 1956 1957 January 25.35 13.08 33.95 16.20 22.94 11.89 27.41 13.72 February 19.38 23.23 41.45 19.74 18.65 15.74 26.49 19.57 March 29.13 13.56 29.44 16.07 29.06 12.
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23 29.21 13.95 Winter (Oct-Mar) 22.10 15.38 34.31 18.74 21.94 13.95 26.12 16.02 April 16.57 11.17 21.01 15.47 15.20 12.19 17.59 12.94 May 3.31 13.68 9.37 18.73 9.35 12.77 7.34 15.06 June 12.79 11.27 17.20 13.18 17.22 10.68 15.77 11.71 July 17.82 19.10 22.47 17.07 22.73 18.92 21.01 18.36 August 12.62 12.26 14.60 18.88 14.25 12.93 13.82 14.69 September 14.
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61 13.22 18.00 20.94 15.37 18.05 15.99 17.70 Summer(Apr-Sep) 12.95 13.45 17.11 17.38 15.69 14.62 15.25 15.03 October 15.60 13.55 20.57 16.00 16.11 14.93 17.43 14.83 November 10.24 15.01 17.00 19.78 10.34 13.78 12.53 16.19 December 16.56 14.61 22.84 26.20 17.40 __ 13.50 18.93 18.10 Total Deposit 193.85 173.74 267.90 218.26 208.62 167.60 223.52 186.60 Monthly Average 16.17 14.48 22.
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32 18.19 17.39 13.97 18.63 15.55 RAINFALL AVERAGE OF THREE DEPOSIT GAUGE STATIONS IN INCHES Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sep. Oct. Nov. Dec. Total 1956 3.43 0.11 0.88 1.00 0.16 2.03 4.45 3.41 2.76 1.89 0.30 2.44 22.86 1957 1.14 2.60 0.93 0.21 1.02 0.55 3.38 2.30 2.20 1 86 [2.18 1.85 20.
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22 47 ANNUAL REPORT OF THE SCHOOL MEDICAL OFFICER FOR THE YEAR 1957 The Statistics of the School Health Services are set out below: DIPHTHERIA IMMUNISATION Percentages of School Children Inoculated: Acton Wells Junior 84.52 Berrymede Boys' Junior 78.55 Berrymede Girls' Junior 78.26 Berrymede Infants' 74.48 Bromyard Secondary 82.99 Derwentwater Junior 88.86 Derwentwater Infants' 82.88 East Acton Infants' 77.21 The Elms Secondary Modern 87.29 John Perryn Junior 90.26 John Perryn Infants' 82.88 Priory Boys' Secondary Modern 77.38 Priory Girls' Secondary Modern 77.67 Priory Infants' 82.72 Rothschild Junior 84.55 Rothschild Infants' 78.55 South field Junior 86.64 Southfield Infants' 87.
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21 St. Mary's R.C., Turnham Green 90.32 West Acton Infants' 91.63 48 REPORT OF THE SCHOOL OCULIST Attendances at the Clinic were very satisfactory during the year. 203 children were refracted. Glasses were prescribed for 240 and of those 222 obtained their glasses. 922 children were seen by the Ophthalmologist, of these 174 were new cases. Fifty-one children were referred for orthoptic treatment. DENTAL REPORTβ€”MATERNITY AND CHILD WELFARE Expectant Mothers Nursing Mothers Children under 5 Number examined by Dental Officer 60 7 183 Number needing treatment 60 7 165 Number of cases made dentally fit 43 9 168 Forms of dental treatment provided: β€” Teeth extracted 38 3 108 Anaesthetics:β€” (a) Local 68 5 1 (b) General 14 β€” 54 No.
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of fillings 161 8 269 Scaling or scaling and gum treatment 59 3 β€” Silver nitrate treatment β€” β€” 138 Dressing 29 5 84 Radiographs 1 β€” β€” Other operations 2 β€” 10 Denture Dressings 23 17 β€” Dentures provided:β€” (a) full β€” 1 β€” (b) partial 8 5 β€” Number of attendances 214 37 387 Number of appointments not kept 79 5 64 49 SPEECH THERAPY REPORT No. of children treated 125 No. of children discharged 36 No. of children new 43 No. of sessions 321 Total attendances 1,168 The figures generally are down on last year as 45 sessions were lost due to staff changes and leave. Schools Four school departments have been visited and case discussions have taken place with Head Teachers. Attendance I Attendances have been good at all clinical sessions except during school holidays when a considerable drop was noticed.
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More parents are attending with their children and taking a practical part in their training. SPECIAL SCHOOL The School for Educationally Sub-normal Children was open for the whole of 1957 and at the end of the year 40 children were on the roll. During the year 7 new cases were admitted. TUBERCULOSIS β€” 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 805 Total number negative 803 Total number found to be positive 2 One of the cases found to be positive had already been vaccinated with B.C.G. but the mother did not mention this at the routine medical inspection when the patch testing was done. The other case was sent to the Ealing Chest Clinic, it was confirmed that his T.B. test was positive but no significant abnormality in the chest x-ray was found.
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He is still under observation. Four special surveys were carried out on school children. In an infants' school a case of miliary tuberculosis occurred. 50 The class mates were patch tested, these numbered 36. One was positive and was referred to the Ealing Chest Clinic, one was not patch tested as she already had had B.C.G. (her mother was the patient). Five of the children had left the school, but in each case the respective Area Medical Officer was notified. In two senior schools, special surveys were carried out on children who had been in contact with a classmate who had developed pulmonary tuberculosis. Sixty-four children and fifteen staff were involved. Arrangements were made for the staff to be x-rayed, also for one girl who had left school (overage). This was done with satisfactory results. Of the fifty-four children who were mantoux tested, fourteen were positive reactors and attended the Ealing Chest Clinic for x-ray. All x-rays were within nromal limits.
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Four absentees of the mantoux testing were sent to the Ealing Chest Clinic for investigation. All had satisfactory results. Three girls had recently attended hospital. The parents of two boys refused treatment, these were followed up by home visits. The fourth special survey was carried out in a senior school as a student teacher was found to be suffering from pulmonary tuberculosis. It was found that there were one hundred and thirtythree class and nine staff contacts. The staff attended Central Middlesex Hospital for x-ray and all with satisfactory results. Of the 133 class contacts, 57 had previously been included in the B.C.G. scheme. Of the remaining 76, 55 had a mantoux test, 52 of these were negative, but only one of the 3 positive was sent for x-ray (this was negative). 18 children were sent for mass x-rays and these were all negative.
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One parent preferred to take her daughter to see her own doctor, one child's parents were abroad and the guardian did not feel free to give consent to a skin test and one already attended the Ealing Chest Clinic. HEALTH EDUCATION In several schools regular health talks and demonstrations were given by the School Health Staff. AUDIOMETRY SCHEME Number of Schools visited 8 Number of Children tested 1,884 Gramophone 651 Amplivox 1,233 Number of children with hearing loss 70 Number of children referred to Ear, Nose & Throat list 22 51 VISITS PAID BY SCHOOL NURSES The following is the number of home visits paid by the Nurses during the year. The visits have been divided into school distribution.
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Acton Wells 20 Berrymede 148 Bromyard 42 Derwentwater 21 East Acton 130 Elms Secondary 5 John Perryn 134 Priory 74 Roman Catholic 20 Rothschild 96 Southneld 152 West Acton 68 Special School 9 Other Schools 75 TOTAL 994 MEDICAL INSPECTION Medical Inspection of pupils attending Maintained Primary and Secondary Schools (including Special Schools). Periodic Medical Inspections Other periodic inspections Entrants Second age group Third age group Total Special inspections Re inspections 723 850 488 2,061 354 1,717 1,485 Classification of the General Condition of Pupils Periodic age groups inspected Numbers of Pupils inspected Satisfactory Unsatisfactory No. % of Col. 2 No. % of Col.
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2 Entrants 723 717 99.17 6 .83 Age 10 & 11 years 850 848 99.76 2 .24 Leavers 488 488 100. β€” β€” Additional periodic inspections 354 350 98.87 4 1.13 TOTAL 2,415 2,403 99.50 12 .50 52 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 80 36 288 10 Eyesβ€”a. Vision 162 221 101 58 b. Squint 21 20 14 5 c. Other 6 8 33 20 Earsβ€”a.
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Hearing 4 10 25 8 b. Otitis Media β€” 6 9 1 c. Other 13 4 12 1 Nose and Throat 12 β€’ 15 23 22 Speech 9 9 22 11 Lymphatic glands β€” 1 β€” 5 Heart and Circulation β€” 33 β€” 18 Lungs β€” 5 β€” 34 Developmentalβ€” a. Hernia β€” 1 2 3 b. Other 17 16 19 20 Orthopaedics a. Posture 3 5 3 2 b. Flat foot 19 2 5 c. Other 7 41 8 21 Nervous systemβ€” a. Epilepsy β€” 1 β€” β€” b. Other β€” 1 β€” β€” Psychologicalβ€” a. Development β€” 4 1 β€” b.
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Stability 3 21 5 35 Abdomen β€” 4 1 29 Other 2 106 17 114 53 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. Entrants 15 46 58 10 and 11 years 68 72 119 Leavers 57 45 100 Total (prescribed group) 140 163 277 Other periodic inspections 22 17 39 TOTALS 162 180 316 TREATMENT TABLES MINOR AILMENTS (a) Diseases of the Skin.
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Number of cases treated or under treatment during the year By the Authority Otherwise Ringwormβ€” (i) Scalp β€” β€” (ii) Body 2 β€” Scabies 2 β€” Impetigo 33 β€” Other skin diseases 123 β€” TOTAL 160 β€” (b) Other treatment. Number of cases treated By the Authority Otherwise Miscellaneous minor ailment 544 β€” 54 DEFECTIVE VISION AND SQUINT. Number of cases dealt with By the Authority Otherwise External and other, excluding errors of refraction and squint 39 β€” Errors of refraction (including squint) β€” 203 TOTAL 39 203 Number of pupils for whom spectacles were prescribed β€” 240 DISEASES AND DEFECTS OF EAR, NOSE AND THROAT.
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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€” 63 (c) for other nose and throat conditions β€” β€” Received other forms of treatment 56 β€” TOTAL 56 63 ORTHOPAEDIC AND POSTURAL DEFECTS. Number of pupils treated By the Authority Otherwise Number of Pupils known to have been treated at Clinics or at out-patients departments β€” 15 SPEECH THERAPY.
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Number of pupils treated By the Authority Otherwise Speech Therapy 72 β€” 55 PUPILS FOUND AT PERIODIC MEDICAL INSPECTION WHO HAVE UNDERGONE TONSILLECTOMY Periodic age group inspected Number of pupils inspected Number who have undergone tonsillectomy at any time Percentage of those inspected found to have had tonsillectomy Boys Girls Boys Girls Boys Girls (1) (2) (3) (4) (5) (6) (7) Entrants 374 349 10 16 2.67 4.58 Age 10 and 11 years 408 442 86 93 21.08 21.04 Leavers 234 254 62 57 26.50 22.44 Other Periodic Inspections 5 yrs. β€” 1 β€” β€” β€” β€” 6 yrs. 1 β€” β€” β€” β€” β€” 7 yrs. 2 β€” 1 β€” 50. β€” 8 yrs. β€” 4 β€” .
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β€” β€” β€” 9 yrs. 5 2 1 β€” 20. β€” 10 yrs. 2 4 1 1 50. 25. 11 yrs. 44 43 11 3 25. 6.98 12 yrs. 28 24 1 β€” 3.57 β€” 13 yrs. 8 3 4 β€” 50. β€” 14 yrs. 2 4 β€” β€” β€” β€” 15 yrs. 44 β€” 3 β€” 68.18 β€” 16 yrs. 118 β€” 43 β€” 36.44 β€” 17 yrs. 5 β€” 2 β€” 40. β€” 18 yrs. 10 β€” 1 β€” 10. β€” TOTAL 1,285 1,130 226 170 17.59 15.04 56 DENTAL INSPECTIONS AND TREATMENT Age Groups No. inspected No. found to require treatment No.
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referred for treatment under Local Authority arrangements to County Council Clinics Specials 1,043 1,013 981 Under 5 β€” β€” β€” 5 β€” 16+ 4,398 2,833 2,613 TOTALS 5,441 3,846 3,594 Number of pupils actually treated 2,800 Number of attendances made for treatment 6,941 Number of half days devoted to (a) Inspections 42 (b) Treatment 951 Fillings:β€” Permanent Teeth 4,779 Temporary Teeth 1,125 TOTAL 5,904 Number of teeth filled:β€” Permanent Teeth 3,984 Temporary Teeth 1,042 TOTAL 5.026 Extractions:β€” Permanent Teeth 371 Permanent Teeth for Orthodonture 127 Temporary Teeth 1,636 TOTAL 2,134 57 Anaesthetics:β€” (a) General 897 (b) Local 492 (c) Regional 128 TOTAL 1,
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517 Other Operations:β€” (a) Permanent Teeth 783 (b) Temporary Teeth 1,094 TOTAL 1,877 Number of impressions, etc. 50 Number of dentures fitted 15 Number of radiographs:β€” (a) Dental Clinics 75 (b) Hospitals β€” Number of appointments not kept 1,726 ORTHODONTIC EXAMINATION AND TREATMENT Age Groups No. of pupils examined No. of pupils selected for treatment Age 5 3 2 ,, 6 2 2 7 17 17 β€ž 8 38 38 9 30 30 ,, 10 34 34 ,, 11 29 29 β€ž 12 16 15 13 16 16 ,, 14 + 19 19 TOTAL 204 202 58 Number of pupils commenced treatment (first attendance) 199 Number of attendances made for treatment 2,845 Number of impressions, etc. 2,
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766 Number of fixed appliances 10 Number of appliances removed 178 Number of pupils treatment completed 89 Number of radiographs:β€” (a) at Dental Clinics 627 (b) at Hospitals β€” Number of Orthodontic sessions (1 day) 360 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 135 (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 4 (4) Number of cases in which certificates to take part in entertainments were withheld EDUCATION ACT, 1944 β€” SECTIONS 87 (3) AND 87 (8) Cases notified under Section 57, Education Act, 1944 : Sub-section 3 2 Sub-section 5 Cases de-notified under Section 8, Education (Miscellaneous 1 visions) Act,
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1948 β€” INFESTATION WITH VERMIN (i) Total number of examinations 22,617 (ii) Total number of pupils found to be infested 142 (iii) Number of individual pupils in respect of whom cleansing orders were issued (Section 54 (2), Education Act, 1944) 117 (iv) Number of individual pupils in respect of whom cleansing orders were issued (Section 54 (3), Education Act, 1944) β€” 59 HANDICAPPED PUPILS. Category No. of new cases ascertained during the year No. of Ascertained cases known last day of year In Special day Schools In Special Residential Schools In 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€” 5 4 β€” 1 β€” β€” 5 3 β€” β€” β€” β€”
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5 4 Deaf Pupils β€” β€” 4 3 1 2 3 1 β€” β€” β€” β€” β€” β€” 4 3 Partially Deaf Pupils β€” β€” 2 2 2 β€” β€” β€” β€” 2 β€” β€” β€” β€” 2 2 Delicate Pupils β€” 4 14 11 1 4 4 2 8 5 1 β€” β€” β€” 14 11 Educationally Subnormal Pupils 5 2 23 22 20 17 3 5 β€” β€” β€” β€” β€” β€” 23 22 Epileptic Pupils 2 β€” Maladjusted Pupils 3 1 15 9 β€” β€” 13 2 5 5 7 2 β€” β€” 15 9 Physically Handicapped Pupils 3 β€” 18 11 10 6 β€” 1 6 3 1 1 1 β€” 18 11 Pupils with Speech Defects
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Pupils with Multiple Defects 3 β€” 4 1 1 1 1 β€” β€” β€” 2 β€” β€” β€” 4 1 TOTAL 14 7 87 63 35 31 15 11 25 18 11 3 1 β€” 87 63 60 AVERAGE HEIGHTS AND WEIGHTSβ€”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. 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.
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Acton Wells 16 4 40.13 36.94 10 40.83 39. 2 44.25 48.38 Berrymede 55 1 41. 34. 32 41.13 39.96 19 42.3 40.11 1 48. 50.25 2 49. 54. Derwentwater 55 25 43.24 41.62 25 44.69 45.04 3 46.17 46.08 2 49.75 54.13 East Acton 45 2 39.25 37.75 31 41.58 38.75 11 43.09 43. 1 45.5 46.
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John Perryn 27 12 39.29 36.5 10 41.3 37.55 5 40.9 39.5 Priory 45 1 37.5 34.25 12 37.06 38.71 27 40.74 39.02 4 42.75 44.38 1 48.25 53.5 Roman Catholic 18 16 43.66 45.72 2 48.5 53.75 Rothschild 37 25 42.41 40.15 11 43.89 42.75 1 42.75 38.
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Southfield 33 22 42.19 41.51 6 44.25 44.16 5 47.4 48.7 Special 1 1 42.5 38.5 West Acton 44 8 39.78 36.34 28 41.72 39.3 5 42.65 42.1 2 46.88 45.75 1 49. 58.5 TOTAL 376 1 37.5 34.25 39 38.83 37.19 210 41.73 39.8 104 43.45 43.37 15 46.82 47.7 7 48.21 52.32 GIRLS Acton Wells 10 3 39.42 34.75 5 40.
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37.5 1 40.5 39.5 1 44.5 43.5 Berrymede 59 1 41.5 42. 38 41.05 39.58 18 42.22 41.96 2 42.75 42.5 Derwentwater 46 21 45.01 42.43 22 43.42 41.05 3 42.5 36.75 East Acton 41 27 41.31 37.93 11 43.05 40. 2 48.25 52.38 1 51. 54.
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John Perryn 22 4 39.75 36.88 15 41.2 38.2 3 42.83 39.17 Priory 39 10 37.03 33.88 27 41.39 39.75 2 48.75 44.25 Roman Catholic 19 1 41.5 40. 17 43.35 41.71 1 46. 42. Rothschild 31 1 40.25 36. 18 40.42 37.15 9 43.13 41. 3 46.09 49.92 Southfield 46 24 41.03 39.28 18 43.69 42.75 3 46.5 48. 1 51.
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59.5 Special 1 1 40.25 34.75 West Acton 35 12 38.96 34.81 17 41.28 36.91 4 42.19 37.44 2 45.13 41.5 TOTAL 349 31 38.6 35.04 193 41.51 39.02 106 43.17 41.28 17 45.18 44.84 2 51. 56.75 61 AVERAGE HEIGHTS AMD 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.
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lbs. No seen . Ht. ins. Wt. lbs. The Elms 34 4 54.75 80.44 ? 59 80.13 11 64.5 120.68 17 63 91 110.65 Bromyard 83 3 73.33 99.08 2 75.75 91. 1 58. 91.5 74 63.69 114.95 3 63.5 114.83 Priory 127 11 57.36 81. 1 64. 133.5 3 61. 97.5 109 63.11 113.11 3 67.42 130.33 Roman Catholic 17 2 62.75 113. 13 62.62 109.15 7 58 84.
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Special 8 2 59.13 112.63 4 60.5 108.38 I 62.5 114.5 1 54.5 71. Total 269 18 59.44 83.89 7 59.39 100.14 10 60.85 104.35 208 64.22 113.93 26 63.49 109.06 GIRLS The Elms 32 6 56. 76.42 24 64. 126.52 2 64.75 112.25 Bromyard 93 5 55. 78 1 4 59.31 83.88 1 63.
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101.5 79 62.62 112.77 4 62.88 115.81 Priory 135 4 58.75 93.56 3 57.75 83.58 124 54.66 111.74 4 63.31 116.94 Roman Catholic 19 2 60. 93. 3 58.17 83.67 14 63.05 107.11 Special 12 5 59.2 93.8 3 59.58 121.58 4 60.88 119.13 Total 291 15 56.4 81.55 14 59.04 88.66 7 59.46 102.46 245 58.72 113.38 10 63.43 115.55 62 AVERAGE HEIGHTS AND WEIGHTS β€” INTERMEDIATES School BOYS Total No. Seen.
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7 YEARS 8 YEARS 9 YEARS 10 YEARS 11 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. Acton Wells 42 9 55.58 73.89 33 56.36 81.31 Berrymede 69 1 50. 57.5 1 51. 56.
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26 55.65 75.41 41 55.32 78.73 Derwentwater 54 24 57.73 71.2 30 56.39 75.88 John Perryn 76 41 55.79 76.03 35 56.19 78.21 Roman Catholic v28 9 55.11 70.94 19 55.26 76.76 Rothschild 50 1 52.5 64.25 13 55.98 73.67 36 55.78 73.49 Southfield 72 1 52.5 58. 3 54.33 67.17 24 56.06 79.48 44 56.58 80.77 Special 3 2 55.63 81.5 1 57.5 79.
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TOTAL 394 2 51.25 57.75 5 53.3 64.35 148 56.08 71.08 239 56.03 78.23 GIRLS Acton Wells 41 1 56.5 67.25 12 55.98 82.4 28 56.91 79.75 Berrymede 104 2 53. 57.5 45 55.33 81.56 57 55.36 83.24 Derwentwater 65 2 49. 49.25 2 50.75 57.75 30 55.96 73.24 31 57.39 78.31 John Perryn 95 1 48.25 52.