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Ilford with its new scheme will not, I trust, cause us so much annoyance during the ensuing year as in the past. (b) The more frequent opening of the gates at the mill, not only the miller's gates, but the gates owned by the Essex hewers Commission, so that the dammed up sewage may get away with every tide, and not as now be kept behind to decompose and send forth the most abominable emanations. (b) The working of the disused water-wheels at the mill. 2. Permanent. Several schemes have been proposed all having the same end in view, viz :β€”The construction of an intercepting sewer of sufficient size to allow the sewage to be received from most, if not all of the districts now draining into the Roding, carrying it by this means to an outfall station situated on the banks of the River Thames.
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One of these 12 schemes is to form part of the Lea and Boding Valley scheme, promoted by the Lea Conservancy Board; another which would bo confined to the Roiling Valley alone. The Barking Urban District Council have expressed their disapprobation of any plan having ita outfall within their jurisdiction. Neither of these, in my opinion, have much chance of success. The Present Condition of the River. Of course the reduction of temperature and the heavy gales, accompanied bv rain, have all combined to improve matters considerably; in spite of these modifying factors however, on several dates during November and December I found the water in as bad a condition, if not worse, than during the summer months. I do most earnestly hope that the measures that are now being taken by the Essex County Council and the Barking District Council, may result in a better state of things above the Town Quay.
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The vigilance of the Thames Conservancy Board should guarantee a pure river wherever that river comes within their sphere. East Ham Sewerage Worksβ€”Outfall. I am distinctly of opinion that the present condition of things at the point where this effluent is discharged, needs attention. Several times during the past year I visited this locality, and the emanations arising from the mud exposed at low water were foetid in the extreme. The watercourses on the marshes over the gates during the summer months were very foul, and I repeat what I have already stated in former years, that milk derived from cattle partaking of this liquid, cannot be wholesome. In connection with the outlying district special attention has been paid during the year to the water supply of houses not supplied by the Water Company, and where possible the public supply has been laid on. Wherever infectious diseases have broken out the premises have been visited and the necessary alterations (if any) ordered to be made.
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Other inspections have been made at intervals by the request of the Council or individual ratepayers. The insanitary condition of the Kennedy Estate has been a source of great trouble and anxiety during the year. The condition of things at the present moment is most serious. As soon as a cesspool is dry it is at once almost filled by the drainage into it of surrounding subsoil water so that every week or two they need emptying. In my judgment these cesspools should be impervious to sub-soil water and large enough to take a sufficient amount of slop water so as to only need emptying at long intervals. Particulars of the scheme as sanctioned by the Local Government Board will be found under the head of Sewerage System. 13 Over-the-Gates. The drainage of this part of the town now passes into the river without any treatment. Under the present condition the sewers get tide-locked and are apt to overflow.
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A new scheme has been sanctioned for this district also. HOUSING OF THE WORKING CLASSES. Several schemes have been before the Council during the year with a view to improve the housing of the working classes in the town. Two descriptions of dwelling houses were under discussion, viz :β€”the two or three tenement houses and the single cottage system. The latter type has been decided upon and plans have been drawn up by the district surveyor which have received the provisional sanction of the architect to the Local Government Board. The contractor having failed to satisfy the Council as to his suitability, permission has been requested of that Board for the Council to put the work in hand at once on their own account. It is hoped that by this action of the Council, a four-roomed cottago will be provided at a rent of about 6s. or 6s. 6d. per week inclusive.
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An excellent site has been purchased, at a reasonable cost, on the Ripple Road, and it seems probable that the work will be put in hand during the present year. My opinion is that it would be a great boon to the town if more double tenement houses, having separate front and back entrances, and separate back yards, were erected. It seems to me that by this means the average size of living and sleeping rooms could be increased, without adding proportionately to the rental. SEWERAGE SYSTEMS. No alteration has been made in the treatment of the town sewage during the year. I am glad to say that the offensive gases from the sewers, which have so long been a nuisance in the town, have been greatly lessened. I am of opinion that many more ventilating shafts might be added to the existing ones with advantage. About a dozen have been erected by the surveyor's department during the past year. Kennedy Estate Sewerage Scheme.
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Owing to the low level of this Estate, it was found that it was impracticable to drain it by gravitation with the existing main outfall sewer in the Ripple Road. In order therefore, to bring the sewage matter to the required level, some method of lifting it has to be adopted. After thoroughly discussing the various methods by which this could be done, it was finally decided to adopt Shone's ejectors. The same difficulty was met with in dealing with the drainage of " Over the Gates." Here, not only was the district situated at a low level, but the "Creek" had to be crossed before the Over-the-Gates system could discharge into the general sewerage system of the town. These difficulties have also been surmounted by the adoption of thΒ© svstem mentioned above. 14 By this means it is hoped that not only these districts but other parts of the locality still undrained. may be easily connected with the outfall works when occasion requires.
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During the past year flushing cisterns have been added to w.c.s in the town. I think the efforts of the Sanitary Committee on this point have been most successful. SANITARY IMPROVEMENTS EFFECTED IN 1898. The following properties have been re-sewered and the sewers ventilated :β€” 1. Wellington Buildings (w.c. accommodation increased also). 2. Parson's Buildings ,, 3. Garden Place ,, 4. Arthur's Cottages, East Street. 5. Collier Place. Fisher Street. 6. Alma Place, North Street. 7. Part of Back Lane, Broadway. 8. Westbury Terrace, Ripple Road. 9. St. John's Retreat. 10. Braintree Terrace. 11. Alma Place. The following improvements have also be effected :β€” 12.
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Making up of Glenny Road. 13. Making up of part of Morley Road. 14. Closing of White's Court. CHIEF INDUSTRIES OF DISTRICT. (1) Beckton Gas Worksβ€”This includes all kinds of labour; coal porters, general labourers, stokers, engineers, &c. (2) Lawes' Chemical Manure Worksβ€”There are several departments here also. (a) Manufacture of Manures and Disinfectants. (b) Manufacture of Sheep Dip. In connection with which I have received no further complaints since my last report. (c) The manufacture of Strong Acids. (d) Brick manufacture. (3) Agriculture give employment to many. (4) Warne's India Rubber Factoryβ€”Many more hands yet to be added. (5) Tar Works and several Factories of a similar nature.
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(6) According to the last census return some 70 hands were employed in the Deep Se-x Fishery. (7) A large and increasing number of the population are workers from the Metropolis. 15 INFECTIOUS DISEASE. No. of Infectious cases during the year, 209. In 1897, 167. In 1896, 165. In 1895, 117. Action taken to Prevent the Spread of Infectious Disease, General: (1) House visited by Sanitary Official as soon as practicable after the receipt of notification. (2) Isolation of Patient. (3) Disinfectants supplied gratis. (4) Bedding, &c., disinfected by steam (Washington Lyon's patent) wherever necessary, or in certain cases, burnt. (5) Houses examined with a view of detecting defects in drainage, or any other sanitary imperfection.
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(6) Printed precautions circulated, and verbal instruction given, (7) Fumigating, whitewashing, re-papering, and cleansing of premises, whenever considered necessary. (8) List of notified cases sent weekly to the managers of schools, laundries, pawnshops, etc. (9) Notice at once sent to head masters and managers of schools (Form of notice in preparation). Scarlet Fever During 1898. No. of Cases. Deaths. No. Treated. in Hospital. Per Centage treated in Hospital. 1898 69 none 44 637 1897 39 none 26 66.6 1896 59 2 48 81-3 Causation and Distribution.β€”Several minor outbreaks of this disease have taken place during the past year. The cases have been strictly isolated, for the most part at the hospital, and the remainder in their own homes, as will be seen by the preceding table.
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Several cases were discovered in a peeling state at school. On one occasion, by the courtesy of the Chairman of the School Board, I was permitted to examine the rest of the class, to discover, if possible, any others in a similar condition. The cases have throughout been of a very mild character, and frequently the greatest difficulty has been experienced in diagnosis Enteric Fever During 1898. No. of cases notified during the year, 31. Treated in Hospital, 23. No. of deaths, 2. Mortality % 6.2. Causation and Distribution.β€”From the subjoined list it will be seen in what locality the disease occurred and its probable cause. 17 cases were associated with defective drains; 1 was connected with the eating of shell fish, and in 12 cases no cause was discovered. One case was probably due to working at cleansing ditches.
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16 Notified Cases of Enteric Fever for the Year 1898, SHOWING CAUSATION AND DISTRIBUTION. No. Date. Address. Where treated. Result. Supposed Cause. Remarks. 1 March 23 14 Heath Street At Home Recovered Drains defective Employed at fish shop in East Street, drains defective 2 April 26 69 St. Margarets Road Upney Hospital β€ž β€ž β€ž 3 β€ž 26 β€ž β€ž β€ž β€ž β€ž β€ž β€ž 4 β€ž 28 8 Barking Place β€ž β€ž β€ž β€ž β€ž 5 May 4 10 Cobham Road At Home β€ž β€ž β€ž Friend of children, 69 St. Margarets Road 6 June 6 69 St. Margarets Road Upney Hospital β€ž β€ž β€ž 7 July 18 1 Emily Coβ€žages β€ž β€ž β€ž β€ž 8 β€ž 27 73 St.
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Margarets Road β€ž β€ž β€ž No cause discovered Drains tested & found perfect 9 Sept. 6 10 Church Road β€ž β€ž β€ž β€ž β€ž 10 β€ž 7 13 Nelson Street At Home Died Drains defective Complained of bad smells when going to work 11 β€ž 7 β€ž β€ž β€ž β€ž β€ž β€ž 12 ,, 21 72 Ripple Road Upney Hospital Recovered β€ž β€ž 13 Oct. 5 108 East Street At Home β€ž No cause discovered 14 8 18 Romford Street Upney Hospital β€ž β€ž β€ž 15 β€ž 10 59 Wakering Road β€ž β€ž β€ž β€ž β€ž 16 β€ž 19 10 Gas Yard β€ž β€ž β€ž β€ž β€ž 17 ,, 20 Broadway At Home Recovered No cause discovered Drains tested & found perfect 18 ,, 25 129 Glenny Road Upney Hospital β€ž β€ž β€ž β€ž β€ž β€ž 19 β€ž 25 2 Smith's Coβ€žages β€ž β€ž β€ž Drains defective and house damp 20 β€ž 26 4 St.
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Johns Retreat β€ž β€ž β€ž Drains defective and bell trap 21 β€ž 28 2 Eldred Road London Hospital β€ž Drains found blocked 22 β€ž 29 3 Braintree Terrace Upney Hospital β€ž No cause discovered 23 β€ž 31 3 Bifron Street β€ž β€ž β€ž Eating shell fish Defective drains in addition 24 β€ž 31 16 Battery Terrace β€ž β€ž β€ž No cause discovered 25 Nov. 1 101 Glenny Road β€ž β€ž β€ž β€ž β€ž 26. β€ž 2 3 Braintree Terrace St. Bartholomew's β€ž β€ž 27 β€ž 7 4 St. Johns Road Upney Hospital Drains blocked, cesspool full 28 β€ž 14 24 Boundary Road At Home Recovered Defective connection under w.c. 29 β€ž 29 1 West Bank β€ž β€ž Works at cleaning ditches 30 Dec. 10 38 Boundary Road β€ž β€ž Defective connection under w.c.
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31 β€ž 19 28 Back Lane Upney Hospital Died Drains defective 17 Diphtheria and membranous croup. No. of cases. Deaths. Death rate per cent. 1898 74 7 9.4 1897 91 9 9.1 1896 48 6 12.5 Of these deaths 3 were due to Membranous Croup. Out of this number 39 were treated at the Upney Isolation Hospital, which is 52.7 per cent. of the total number. I have again to remark after another year's treatment of the disease with the Anti-Diphtheritic Serum, I am convinced of its specific value. The death rate at the Hospital 12 per cent. of total number of casea treated including Croup cases. The monthly returns for the disease are as follows:β€” No. of cases. Deaths. 1897. 1898.
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1897. 1898. January 6 5 β€” 1 February 5 9 β€” 3 March 7 4 2 1 April 2 5 β€” β€” May 3 1 β€” β€” June 16 1 β€” β€” July 15 5 β€” β€” August 5 3 β€” 1 September 11 13 β€” β€” October 11 11 2 November 6 6 1 2 December 4 11 1 β€” 91 74 6 8 Diphtheria & School Attendance. (The numbers refer to children between 4 and 14 years of age.) No. of Cases. January 3 Schools opened, January February 7 March 3 April β€” Part Holiday. May 1 June β€” Part Holiday. July 9th 3 August 1 All Holiday. September 6 October 3 November 3 December 4 18 In 1897, June was the heaviest month with 13.
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In 1898 there were no cases at all at that age. The heaviest months in the year (1898), were, February, 7; September, 6; and December 4; as against July, 9, and October, 7, in the preceding year. I am therefore unable to detect any definite connection between School Attendance and Diphtheria. I regret to say that I am unable to add a spot map, shewing the distribution of infectious diseases in the town, as there is no such map at Present available. Diphtheria, 1898. 2, Grace Cottages, Hart Street 100, Ripple Road 67, Hardwicke Street (2 cases) No cover to cistern in Wash-house. 62, North Street Defective drains 47, Westbury Road 43, St.
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Margaret's Road (2 cases) Ventilating pipe defective 58, North Street (5 cases) Defective drains and bell trap 20, Roden Cottage Defective drains 14, Church Road 72, Glenny Road Upney Hospital (3 cases) 84, Ripple Road Defective drains 123, Glenny Road 33, Hardwick Street 25, George Street (2 cases) 6, Cobham Road Defective drains 1, Ripple Terrace, Eldred Road (3 cases) 126, Howard Road 1, Eldred Road 22, St. Margaret's Road 69, St. Anns Road 50, Linton Road (4 cases) 6, St. John's Retreat (2 cases) 55, Morley Road 198, Gascoigne Road Dad smells from manhole in yard 91, Cooke Street 24, New Street 43, Wakering Road 22, New Road 19 Diphtheriaβ€” Continued.
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7, Maybells Cottages 100, Linton Road 10, Kings Road 14, Arthur Cottages Drains defective 6, Coverdale Road 82, Glenny Road (3 cases) Drains defective Dampness and open drain 113, Boundary Road 4, George Street North Street, Leftley, (3 cases) 13, New Road 6, Park Terrace 11, Battery Terrace 73, St. Margaret's Road 1, Eussell Cottages (2 cases) Drain defective 119, Glenny Road (2 cases) 49, St. Margaret's Road Hazel Villa, St. Mary's Road Drain defective, &c. 209, North Street Drain defective 85a Axe Street 14, King's Road Cistern in a very dirty condition 17. St. Ann's Road, (2 cases) 78, Glenny Road Membranous Croup.
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4, New Street 8, Over-the-Gates 6, Coverdale Road 79 cases. 26 cases to Sanitary Defects = 33Β°/, Whooping Cough. No death has occurred from this disease during the past year. The notifications given to the District Council through the courtesy of the School-Board of cases occurring amongst school children, have proved of the greatest utility in arresting the spread of this disease. 20 Measles. There have been eight deaths from this disease in all, six out of this number were the result of the epidemic of 1897, the remaining two were imported from a neighbouring district. A rather smart epidemic took place in the early summer at Eippleside. Forty cases were reported to me by the School Board. Caution papers were distributed to each house wherein infection was said to be, and instructions given as to isolation and disinfection.
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The remaining children, if any, in the house, were prevented from attendance at school, and in most cases not allowed to return until any possible infection was unlikely. These measures were exceedingly successful, as without tho closing of the Eippleside School the epidemic passed away. There were no deaths. Small Pox. No case has occurred in the District since 1894. It is satisfactory to note that the Dagenliam Hospital is fast approaching completion, and will be probably opened for patients in the early Spring. Erysipelas. Cases. Deaths. 1898 21 1 1897 20 1 Typhus Fever. One case of this disease occurred, the cause was not discovered. The patient was isolated at the Hospital, and made a good recovery. Puerperal Fever. Cases. Deaths.
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1898 1 1 1897 4 1 In the fatal case, I was unable to discover any cause in the house or surroundings to account for it. 21 Phthisis. Deaths. 1898 11 1897 20 1896 18 The sudden drop in the number of deaths from this disease is remarkable. Possibly the lessened hours of labour and the increased facilities for exercise in the fresh air, may have had some influence in producing this result. Influenza. Deaths. 1898 5 1897 4 1896 5 The annual Poll of deaths resulting from Influenza is remarkably constant. Cancer. Deaths. 1898 7 1897 7 1896 8 Further Sanitary Requirements of District. 1.
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Much still remains to be done in re laying and ventilation of drains and sewers in many parts of the town, in rendering many houses more habitable by paving around them, &c. 2. More ventilation to the public sewers and more stringent regulations as to the efficient ventilation of private house drains and construction of manholes. Revision of Bye-laws on these matters. 3. Sanitary houses at a moderate rent for the labouring classes. 4. Fresh Water Supply for Creeksmouth. 5. The question of a Permanent Isolation Hospital has been discussed during the year. My own opinion is that as many additions are urgently needed in the present building, it would be wise to make these additions in connection with a Permanent Scheme. 22 6. The Baths, shortly to be opened, are urgently required. 7. Public Sanitary Conveniences for both sexes are urgently needed in the centre of the town. 8.
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Arrangements should be made so that suspected cases of Diphtheria may be examined, and Anti-diphtheritic Serum supplied by the Local Authority. GENERAL STATISTICS. General Death Rate:β€” 1898 16 per 1,000 of estimated population. 1897 21.2 β€ž β€ž β€ž 1896 17.1 β€ž β€ž β€ž 1895 19.5 β€ž β€ž β€ž These rates include persons belonging to the District who died elsewhere, viz.: at the Romford Union Infirmary and the London Hospitals. Infantile Mortalityβ€”Rate per 1,000 Births registered : Barking. England and Wales. 1898 178 161 1897 178 156 1896 148.99 148 From the Reports on the various Infectious Diseases it will be seen that most of the Infantile Deaths were due to 1898. 1897. 1. Diarrhoea 62 50 2.
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Whooping Cough .. 0 20 3. Measles 8 45 4. Bronchitis, etc 18 31 Totals 78 154 The Birth Rate per 1,000 of the Estimated Population: β€” Barking. England and Wales. 1898 36.2 29.4 1897 41.6 29.7 1896 43.3 29.7 23 Zymotic Disease :β€” Deaths. Cases Notified. DiarrhΕ“a 52 – Measles 8 – Diphtheria and Croup 7 74 Fever 3 34 Whooping Cough 0 0 Scarlet Fever 0 69 Smallpox 0 0 Erysipelas 1 21 Annual Rate Per 1,000 persons, 1898,3.55; 1897, 6.8. Pauperism during the year 1898.
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β€”For the half-year ending September 29th, 1898, there has been 243 persons receiving in-door, and 243 receiving out-door relief, or 24 per 1,000 of estimated population. Marriage Rate per 1,000 of Estimated Population.β€” 1898. 1897. Barking 6.75 β€” England & Wales β€” 16 That for 1898 is not yet available Note.β€”This being the first time this return has been made out. I have no comparative figures to give. Rainfall for the Year, 16.08 inches; 1897, 21.53 inches. HOSPITAL REPORT. The following cases have been treated in the Upney Hospital during the past year β€” Cases.
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Scarlet Fever 46 Diphtheria and Membranous Croup 43 Enteric Fever 21 Typhus β€ž 1 111 Cases from outside the district 25 Giving a total of 136 Average time each patient was under treatment 5 weeks 2 days. Number of deaths, 7, which is equal to a death rate of 5 per cent. of cases admitted. 24 No. of Deaths were as follows β€” Scarlet Fever nil. Enteric ,, 1 Diphtheria and Croup 6 The anti-Toxin treatment of Diphtheria has been adopted as the routine treatment in all cases of Diphtheria admitted. I amconvinced that both from clinical observation and the statistics given, that, in it we have a remedy of the greatest efficacy in dealing with this disease.
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Lastly,β€”I am glad to be able to testify to the courtesy I have received from the various officers of this Council and other Authorities, in compiling these returns, without which, I should have been unable to arrive at many of the results given in the foregoing Report. I am, Gentlemen, Your obedient servant, C. F. FENTON. March, 1899 Table of DEATHS during the year 1898, in the Balking Town Urban District, Classified according to Diseases. Ages, and Localities. At all ages 288 Under 1 year 129 1 and under 5 64 5 and under 15 13 15 and under 25 6 25 and under 65 j 63 65 and upwards 23 25 Mortality from subjoined causes, distinguishing Deaths of Children Under Five Years or Age. Diphtheria. Membranous Croup FEVERS. Erysipelas. Measles.
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DiarrhΕ“a and Dysentery. Rheumatic Fever. Phthisis. Bronchitis Pneumonia, and Pleurisy. Heart Disease. Influenza. | Injuries. AH other Diseases. TOTAL. Enteric or Typhoid. Puerperal. Under 5 6 3 7 52 21 1 1 6 99 193 5 Upwards 1 2 1 1 1 11 1 11 13 10 4 2 47 95 New cases of Infectious Sickness in each Locality, coming to the knowledge of the medical officer of health. Scarlatina. Diphtheria. Membranous Croup. Typhus. Enteric or Typhoid. Puerperal. Erysipelas. Removed to Isolation Hospital. Scarlatina.
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Diphtheria. Membranous Croup. Typhus. Enteric or Typhoid Under 5 21 12 4 1 1 12 9 3 1 5 Upwards 48 57 1 1 31 1 20 32 30 1 1 20 Annual Death-Rates for 1,000 from all Causes, and from several Zymotic Diseases, during the year 1898. All Causes. Principal Zymotic Diseases (Cols. 3-9) Smallpox. Measles. Scarlet Fever. Diphtheria. Whooping cough. Fever. Diarrhoea. Deaths under 1 year per 1,000 Births. Cols. 1. 2 3. 4. 5. 6. 7. 8. 9. 10. England and Wales 17.6 2.
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22 0.01 0.41 0.11 0.24 0.31 0.18 0.96 161 33 Great Towns 19.0 2.85 0.00 0.56 0.14 0.31 0.42 0.20 1.22 178 67 Other Large Towns 17.2 2.41 0.05 0.41 0.10 0.28 0.27 0.21 1.09 173 England and Wales less the 100 Towns 16.7 1.75 0.00 0.31 0.09 018 0.25 0.17 0.75 145 Barking 160 3.55 0.00 .4 0.00 0.2 0.00 0.15 2.65 178 Number of inquests, 20.
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26 Sanitary Inspector's Office, Barking, March 7 th, 1899. To the Chairman and Members of the Barking Town Urban District Council. Gentlemen, ANNUAL REPORT. I have pleasure in submitting my Annual Report for the year 1898. During the year, I have served 1,146 notices for the abatement of nuisances, the major part being preliminary; the number of compliances was 964; the number of complaints which I received was 162, which were attended to forthwith; 9 cases of overcrowding were dealt with and the nuisance abated; 105 cases of infectious disease were removed to the Isolation Hospitals at Upney. In 53 cases, beds, bedding, and articles likely to retain infection have been taken from private houses, and disinfected in one of Washington Lyon's Steam Disinfectors.
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During the year 201 houses were disinfected; notices have been served to whitewash and cleanse such houses, and compliance therewith insisted upon. Special disinfectants have been prepared and supplied in cases of Typhoid Fever, and ordinary disinfectants in other cases twice weekly, according to instructions. 591 flushing cisterns were fixed in w.c.'s attached to old properties. Printed forms cautioning persons suffering with, or having charge of persons suffering with an infectious disease were served. Lists of cases of persons suffering with an infectious disease were supplied to the Head Teachers of the various Public, Elementary, and Sunday Schools, aud the Pawnbrokers, Laundresses, Ministers, and House Agents, in the town. The whole of the Slaughter Houses, Chopping Houses, Cooking Houses, &c., in the district, were limewhited four times during the year, and the Bakehouses, Cow Sheds, Dairies, and one Common Lodging House, twice.
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Blockages of drains and sewers were reported to the Surveyor's department for attention. The drains in connection with 191 houses were tested, and 102 found defective. I am, Gentlemen, Your obedient servant, F. MARTIN, Inspector of Nuisances 27 Summary of Work done through the Sanitary Inspector in the Urban Sanitary District of Barking, During the year ending December 31st, 1898. Total Number for Year. Results of Inspection, &c. 1. Complaints received 160 2. Nuisances detected 1,146 3. Nuisances abated 954 4. Notices served 1,146 5. Summonses taken out 1 6. Convictions 1 7. Cottages inspected. 1,072 8. Lodging-houses inspected .. 1 9. Slaughter-houses inspected .. 4 10.
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Bakehouses inspected 18 11. Dairies and Milk Shops inspected 38 12. Cowsheds inspected 5 13. Workshops inspected 14. Filthy houses cleansed, sec. 46 Public Health Act, 1875 38 15. Houses disinfected 203 16. Overcrowding abated 9 17. Houses placed in habitable repair 18. Houses closed 4 19. Houses erected or re-built, for which "Certificates" were applied 20. " Certificates " granted 21. β€ž deferred 22. Wells sunk or improved supplies of water afforded 4 23. Wells cleansed or repaired 24. Wells closed 25. Houses connected with sewers 125 26. β€ž β€ž with water mains 152 27. Earth, pail, or improved Privies constructed or existing Privies altered 28.
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Privies and W.C.'s repaired; W.C.'s supplied with water 649 28 Summary of Work β€” Continued. Total Number for Year. Results of Inspection, &c. 29. Cisterns cleansed, repaired, or covered 52 30. Animals improperly kept removed 9 31. Samples of water taken for Analysis See M.O.H.'s Report. 32 Compensation paid for destruction of infected bedding 14/6 33. Seizures of unsound Meat, &c. 2 (Signed) F. MARTIN.
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BARK 4 ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH, FOR THE YEAR 1901. HEALTH OF THE TOWN DURING 1901. March 4th, 1902. To the Chairman and Members of the Sanitary Committee. Gentlemen, The principal feature from a health point of view, of the year that has lately come to a close, was, that while the figures of sickness shewed a decided increase, the mortality returns are the lowest since 1896. The number of cases of Notifiable Infectious Diseases being 303, against 210 the year before.
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The total number of Deaths from all causes during the same period, being 347, against 384 the year before, or with the necessary additions of persons belonging to the District dying in Institutions outside, 383, against 399 ; the rate per 1,000 of the former being 15 9 and 17.6, and of the latter 17 8 and 18.5. The different age periods give results as follows:β€” Under 1 year 159 1 year and under 5 62 or 221 under 5 years The remaining 162 occurring in the remaining age periods : 36 only living over 65. Thus it is very clear that the height of our death rate is largely due to the infant mortality, the death rate of persons over 5 years of age only working out at 7.4 of the estimated population. There is, however, some improvement this year on this head also.
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The infantile mortality rate which in 1900 was 203 per 1,000 births registered, has dropped in 1901 to 161. With regard to causation, Diarrhoea again heads the list with 58 deaths, against 75 last year. Bronchitis 29, against 44; Phthisis 27 ; other Tubercular Diseases 24; making a total ascribed to Tubercular Diseases of 51, against 33. Pneumonia 25, against 37; Meales 16, against 3. 3 With respect to Infectious Diseases, the results are encouraging: Scarlet Fever, 3 deaths or .13 per 1,000. Diphtheria 3 β€ž .13 β€ž Enteric Fever 3 β€ž .13 β€ž In 1900 the rates were .04, 22, and .84 respectively.
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I think the foregoing figures indicate only that in the present year every effort should he made to combat the spread of Tubercular Disease, the fact that such diseases are most infectious being absolutely ignored. I intend to make some suggestions to you on the subject in the near future. Diarrhoea also, in summer months, calls for a strict watch on milk supplies. The birth rate has again risen, being 41.3 against 36.4 last year. For details, I must refer you to my annual report shortly to be laid before you. I am, Gentlemen, Your obedient servant, C. F. FENTON, Medical Officer of Health. THE ANNUAL REPORT of the Medical Officer of Health of the District of Barking Town for the year ending December 31st, 1901. To the Chairman and Members of the Barking Town Urban District Council. Gentlemen, The population estimated up to the middle of the year was 21,730.
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Population as per census of 1891, 14,301; 1901, 21,547. Showing a decennial increase of 7,5^46. Area in acres 3,184; 3,809 land; 5 water; 219 acres tidal water; 87 foreshore. Persons per acre, average for the whole District 5'6 on the above population. Numbers of houses in the Town, March, 1901 (census):β€” Inhabited Uninhabited Houses. In occupation Not in occupation Building. North Ward 783 27 34 4 South Ward 9.31 9 38 24 East Ward 1,110 4 17 66 West Ward 1,027 26 70 2 3,851 66 159 96 6 Total number of inhabited houses in the Town as per census of 1901, 3,851; 1891, 2,561.
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This compared with 1891, gives the following increase: 1,290. Number of persons per inhabited house is given in the 1891 census returns as 5.5 ; in 1901, 5.6. In 1900 there were 398 deaths, and 783 births. The figures for 1901 were 383 and 799 respectively. The natural increase of the population by excess of births over deaths was therefore 416, as against 385 in 1900. Water Supply. The Public Water Supply has been derived from the same source as in previous years. The new Act obtained by the South Essex Water Company comes into force on January 1st, 1902. By the provisions of this Act the chargcs of the Company have been in many instances revised with great benefit to the consumer. I regret that in many of the most recently constructed houses in the Town, it is allowable for the domestic water supply to be derived from a storage cistern only.
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I think the Council should obtaiu power to stop this arrangement. No advance has been made in extending the public supply to Creeksmonth or Choats Lane. Negotiations are still in hand as regards Crceksmouth. For list of property not supplied by town water, see my report for 1900. Food and Milk Supply. Frequent inspections are made wherever food is exposed for human consumption. Large quantities of food of all kinds, rabbits frozen and fresh, fish, vegetables, &c., are brought down and sold in the Broadway on Friday and Saturday evenings. Several seizures have been made, but on the whole the quality of the articles sold have greatly improved. Both myself and the Sanitary Inspector visit the market regularly Twenty-nine samples of Milk, and 19 of Butter have been submitted to the Public Analyst during the year. All the samples were genuine. (For other articles see Sanitary Inspectors report).
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The prevalence of Enteric Fever in the town towards the close of the year led me to make a special investigation into the condition 7 of the Dairies and Cowsheds in the Town. In one instance the condition was most unsatisfactory, and the necessary alterations are not yet completed. Bakehouses. Number 20. These come under the Factory and Workshops Act, and special regulations are in force dealing with these conditions, &c. Slaughterhouses. Registered 3 Licensed 1 Special Bye-laws under Section 169, Public Health Act 1875, are in force with respect to these. Bye=laws in Force in District. 1. Nuisances, 2. Houses let in Lodgings. 3. Slaughterhouses 4. Common Lodging Houses. 5. Buildings. 6. Paving of Yards and Open Spaces. 7. Mortuary.
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Regulations under Dairies, Cowsheds, and Milkshops Order, and Bakehouses. The building bye-laws need extension. There appears to be no power given therein to insist on new houses being built in a sanitary manner. Several instances of this have occurred lately. Burial Grounds. Cemetery.β€”This burying ground continue- in excellent order Churchyard.β€”The condition of this ground is much more satisfactory than formerly. I much regret that no steps have as yet been taken to lay out the principal walks for the use of the public. Inspection of District. This is divided into two parts:β€” 1. Town. 2. Country Districts 8 TOWN. Table of various Courts and Alleys in the Town of Barking, shewing their present condition and requirements. Sanitary Improvements Required. Holly Square, Tanner street Paving needed at rear of houses. Drains need examining and ventilating.
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Tanner Square, β€ž ,, Paving required round the houses, More conveniences for slop-water and better water supply. Drains have been relaid and ventilated. St. Johns Retreat, North street The main drains have been re-laid and ventilated. The Court also requires paving. Braintree Terrace Drains have been re-constrncted and ventilated. Concrete should be laid round the houses. Red Lion Place Paving required. Northbury Cottages Main drain requires to be re-laid and ventilated. Alma Place Main drains having been found defective, and have been re-laid and ventilated, but probably the house connections require inspection. The unpaved portion of this Court should be dealt with. Back Reform Place The drains have been re-laid and ventilated. Nelson Street Main drains have been re-laid and ventilated.
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Trafalgar Street Trafalgar Square Trafalgar Place Crookes Court, East Street These houses have been reported as unfit for human habitation, and have been voluntarily closed, but no order had been obtained from the Court to this effect. Morgan's Court, East street This Court has been partly paved, the drains have been re-laid and ventilated, and most of the houses put into habitable repair. It would be better if the court were completely paved. 9 Inspection of Districtβ€”continned. Sanitary Improvements required. Back Lane The main sewer needs ventilating. The defects in some of this property have been rectified. In conjunction with the Surveyor I reported on the condition of this property(see printed minutes page 463, 1899-1900). White's Court All the houses here except one have been re-constructed so as to form a Mission Room. The drains have been re-laid and ventilated.
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Bifron's Square More sanitary accommodation (this work is in hand). Garden Place The drains to these properties have been re-laid and ventilated. Extra w.c. accommodation has been provided, and flushing cisterns attached. The yards still urgently need to be proproperly paved. Suffolk Place Wellington Buildings Parson's Buildings Pad nell Place Lindsell's Court This has been made up under the 150th section of the Public Health Act, 1875. Orchard Avenue Gas Yard I am glad to be able to report this Court has been paved throughout, and its condition is therefore much improved thereby. It has lately been taken over by the Council as a street repairable by the inhabitants at large. The condition of some of the houses is far from satisfactory. This road has been made up and paved. Morgan's Yard The sewers have been re-laid and ventilated, and the Court paved.
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Factory Road and Emily Cottages Drains having been examined, need relaying and ventilating. The back yards to this property should be concreted. Park Terrace Drains need re-laying and ventilating. Albert Terrace ” ” ” 10 Inspection of Districtβ€”continued. Sanitary Improvements required. Collier Row Drains need re-laying and ventilating. Collier Place Drains belonging to this property have been re-constructed and ventilated. Arthur Cottages, East street Drains belonging to this property have been re-constructed and ventilated, and the property put in good repair. Note.β€”In all the foregoing in which the house connections have not been inspected, I recommend this be proceeded with forthwith, and re-paving of yards uuder new Bye-laws. Barking Place : The drain here has been re-laid and ventilated by the Counoil. Back Lane : The main sewer needs more ventilation. Inspection of Rural parts of District.
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(a) River Roding. An intolerable nuisance was again caused by the condition of this river during the summer and autumn. Towards the close of the year the new effluent sewer of the Ilford Urban District Council was ready for use, and so the contribution of Ilford to the contamination of the stream was stopped. One important point was established by myself and the County Medical Officer, viz. : the pollution of the tidal portion of tbe river by the London County Council effluent on a flood tide. This is a very serious factor in dealing with this question, as the effluent from both Northern and Southern Outfalls during the summer was very foul. The facts gleaned by myself and the Medical Officer of Health for the County, were confirmed by a deputation of this Council, who visited the portion of the River Thames in question. The yacht belonging to the Thames Conservanoy, being kindly lent for the occasion.
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11 Now that Hford is eliminated, it will be easier to determine how far the up river and down river authorities contribute to the pollution. (b) Handtrough River. Upper Portionβ€”1 am not aware of any nuisance being caused by this stream during the year. Lower Portion.β€”This portion still receives the East Ham effluent, which is by no means a good one. Until the East Ham Council decide upon a new Drainage and Sewage Disposal Soheme, its condition will remain the same. (c) Loxford Brook. Until the Ilford Council discontinued using this watercourse as an effluent discharge, an abominable nuisance was the result, but since the construction of their effluent sewer into the Thames, I have not had any cause to complain.
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I have had occasion to complain of the deposition of pressed and treated sludge along the banks of the brook, and it has been discontinued (d) Other Watercourses, &c. I have not had reason to complain of these watercourses recently, and the method now adopted of covering the " rough dust " with excavation material, or " blue billy," has decidedly improved the condition of the Dust Shoots. Housing of the Working Classes. The Artisans Dwellings lately erected by the Council, 85 in number, are now all in occupation. It has been found possible to let them at a rental of 6/9 per week, which includes rates. The houses are fitted with the electric light, and which is paid for through a slot meter. I understand it is the intention of the Sanitary Committee to go into the question oftenemcnt houses, to determine the practicability of providing a separate tenement (really a house) for a rental of 3s. and 5s.
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a week. There is a tendency for cottage rents in the town to decrease. 12 Sanitary Improvements Effected in 1900. The Surveyor reports that the drains to the following properties have been re-laid :β€” 45 to 47 Romford Street. Back Reform Place (part). 72, 74, and 76, East Street. No. 6 Axe Street. 1 to 3, Bifrons Place. 6 and 8, Heath Street. While in addition all the houses on the Kennedy Estate have been connected up to the sewerage system. Inspection, in addition to above, of almost all the West Ward. Special inspection and examination in connection with Infectious Disease. Chief Industries of the District. 1. Beckton Gas Worksβ€”This includes all kinds of labour; coal porters, general labourers, stokers, engineers, &e.
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2. hawes' Chemioal Manure Worksβ€”There are several ments here also. (a) Manufacture of Manures and Disinfectants. (b) Manufacture of Sheep Dip. In connection with which I have received no further complaints since my last report. (e) The manufacture of Strong Acids. 3. Agriculture gives employment to many. 4. Warne's India Rubber Factoryβ€”More hands yet to be added. 5. Tar Works and several Factories of a similar nature. 6. A large and increasing number of the population, are workers from the Metropolis. 13 Offensive Trades. Several trades coming under this heading, viz.: sausage skin making, fish skin curing, are now being carried on in the district. No complaint has been brought to me during the past year of nuisance arising therefrom. Scavenging. This is in my opinion very well carried out Collection of House Refuse.
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This is undertaken by the Council and is fairly well carried out. The accumulation of rough dust at the Council's sboot is not in my opinion a proper method for its disposal. I think there is little doubt that these accumulations of rubbish are decidedly damaging to the infantile health of the town. The dust shoot belonging to the East Ham Council on the Beckton Marshes is also much to be condemned, and I hope very soon that a destructor will be provided by both Councils. Fish Offal Collection. The Fishmongers of the town are provided with properly constructed iron pails, which are removed by the Council's men, and emptied outside the town. Sewerage of the District. The method of precipitation adopted is still the same as formerly; 1 think some modification of the present system might be adopted with advantage. Over-the-Oates. All the houses have now been connected to the new sewer. Kennedy Estate.
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The main sewerage work here is also completed, the private house drains'are nearly all connected, Ventilation of Sewers. In my opinion, the method of ventilating the public sewers, by means of the private house drain ventilator, is open to serious objection. INFECTIOUS DISEASE. 15 Number of cases notified during 1901, 303. The case rate for the whole of the town 13.9, this is excluding Diarrhoea oases. The distribution of Infectious Disease in the several Wards is follows :β€” 1900 North 48 Rate 10 per 1,000 persons living South 51 β€ž 9 β€ž β€ž East 49 β€ž 7.8 β€ž β€ž West 62 β€ž 9.1 β€ž β€ž 210 1901.
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North 51 Rate 12'0 per 1,000 persons living South 84 β€ž 16.6 β€ž β€ž East 80 β€ž 13.1 β€ž β€ž West 88 β€ž 14.2 β€ž β€ž 303 Action taken to Prevent the Spread of Infectious Disease, General : 1. House visited by Sanitary Official as soon as practicable after the receipt of notification. 2. Isolation of Patient or removal to Infectious Disease Hospital. 3. Disinfectants supplied gratis (whenever needed). 4. Bedding, &c., disinfected by steam (Washington Lyon's Patent), wherever necessary, or in certain cases burnt. 5. Houses examined with a view of detecting; defects in drainage, or any other sanitary imperfection. 6. Printed precautions circulated, and verbal instructions given. 7. Fumigating, whitewashing, repapering, and cleansing of premises, whenever considered neoessary. 8.
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Notice at once sent to the Clerk of the School Board, and School Attendance Officer. 9. Notice sent privately to Pawnshops. 16 Scarlet Fever, No. of Cases. Deaths. No. treated in Hospital. Percentage treated in Hospital. Death rate per cent. 1901 134 3 92 68 2.2 1900 67 1 51 76 1.4 1899 55 2 33 60 3.6 1898 69 none 44 63.7 0 1897 39 none 26 66.6 0 Wards. No. of Cases. North Ward 21 South Ward 31 East Ward 48 West Ward 34 134 Remarks. This disease was very prevalent during the autumn months. The cases for the most part were mild, only one death occurring in those removed to Ho-pial.
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I am not aware of any return cases arising from convalescents returning home. I was not able to trace how the disease was introduced into the town. It was fairly evenly distributed in the four Wards into which the District is divided. Enteric Fever. No. of Cases. Deaths. No. treated in Hospital. Percentage treated in Hospital. Death rate per cent. 1901 68 3 35 51 4.4 1900 50 7 38 76 14 1899 52 3 33 63.4 5.7 1898 51 2 23 74.1 6.2 17 Wards. No. of Cases North Ward 11 South Ward 20 East Ward 11 West Ward 26 68 Remarks. From the above distribution it will be seen that the South and West Wards are responsible for 67 per cent. of the cases.
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In 17 cases only was I able to trace serious defects in the house drainage. Investigations were made in every case as to milk supply, water, butter, meat, vegetables, fish, &c., with results which were somewhat confusing. Some of the cases appeared to originate from milk from a source which was certainly nut above suspicion, though the report of the Bacteriologist reads :β€”" I find nothing to indicate that this milk was sewage polluted, or that it contained the Thyphoid Bacillus." The water that the cows were drinking containedβ€” 1. " The Bacill Coli Communis." 2. " Bacillus Enteritis Sporogenes." " It was impossible to detect the Bacillus Typhonus in the water." The conditions under which the above samples were taken have been greatly improved. The most striking feature in the cases this year appeared to be the readiness with which other members of the same family contracted the disease from one another.
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In no less than 26 cases this appeared to be the cause. Among the small houses inhabited by the working classes, in which isolation is impos???ible and the precautions necessary to be observed in order to prevent the spread of such disease, but understood removal to hospital is imperative if an epedemic is to be avoided. 18 Seasonal Influence. 1899 1900 1901 No. of Cases. No. of Cases. No. of Cases.
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January 7 6 3 February 3 3 0 March 0 5 3 April 0 3 1 May 0 5 5 June 8 2 3 July 1 3 2 August 1 2 5 September 5 3 8 October 7 6 10 November 17 8 20 December 3 4 8 52 50 68 This is very marked ; 51 cases out of 68 occurring from August to December, and 30 in October and November. Diphtheria. No. of Cases. Deaths. No. treated in Hospital. Percentage treated in Hospital. Death rate per cent.
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1901 80 3 41 51.2 3.7 1900 75 5 33 44.4 6.5 1899 49 4 14 28.5 8.1 1898 74 7 39 52.7 9.4 1897 91 9 β€” β€” 9.1 Wards. No. of Cases. North Ward 18 South Ward 22 East Ward 15 Wast Ward 25 80 19 Remarks. The low mortality is remarkable. Some of the cases treated in Hospital were very severe, but for the most part the cases were of a mild type. It would be of the greate-t assistance in dealing with this malady, if some arrangement could be made to have a bacterial diagnosis in every doubtful case. Anti toxin serum proved most invaluable, especially in the laryngeal form of the disease. Diphtheria and School Attendance.
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(The numbers refer to children between 4 and 14 years of age). No of cases 1898. No. of cases 1899. No. of cases 1900. No. of cases 1901. January 3 5 4 2 Schools opened February 7 2 3 7 March 3 β€” 5 4 April β€” 2 4 2 Part Holiday May 1 2 β€” 4 June β€” 1 6 4 July 3 1 2 6 August 1 β€” 4 3 All Holiday September 6 2 5 1 October 3 1 6 2 November 3 4 9 u 2 Deocmber 4 6 3 5 34 26 45 42 Perhaps the numbers as given above are not sufficiently large, but the figures in the years given do not seem to indicate any constant rise in the number of cases on the opening of the Schools.
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Whooping Cough. Three deaths have been registered from Whooping Cough. The Schools were not closed. 20 Erysipelas. Cases. Deaths. 1901 16 3 1900 16 0 1899 16 1 1898 21 1 1897 20 1 Typhus Fever. No case of this disease occurred during the year. Puerperal Fever. Cases. Deaths. 1901 β€” β€” 1900 2 0 1899 1 β€” 1898 1 1 1897 4 1 Phthisis. Deaths. 1901 22 1900 24 1899 16 1898 11 1897 20 The death rate from Tubercular diseases during the year was 23 per cent. per 10OO of estimated population. Small Pox.
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During the autumn months, with many cases in the Metropolitan area, and in several Districts near at hand, it was considered advisable to anticipate the occurrence of the disease in this town. Up to the end of the year (Dec. 31st, four casus only were notified, and all these of a mild character. 21 The first two cases were contracted, without doubt on a visit to London about a fortnight previously, and the third and fourth from contact with cases in a neighbouring district. They had all been vaccinated in infancy, and in one case, aged 9 months, vaccination had only been performed 5 months before the Small Pox attack- The precautionary measures adopted in this district are:β€” 1. Isolation of Patient by removal to Hospital. 2. Disinfection of room, bed, bedding, and furniture. 3. Disinfection of contacts, persons, and clothing, and other parts of house if considered advisable. 4.
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If unable to carry out above with contacts in house, they are removed to shelter, whilst house or rooms are stripped, &c. 5. Notification of case to School Board or other School Managers, and Pawn Shops. 6. Notification of contacts to" Medical Officer of Health of other Districts, if residing or working out of the Town. 7. Notification to Vaccination Officer for attendance of Public Vaccinator at house or houses where contacts reside. 8. Observation of contacts during quarantine period 9. Removal of house refuse by special cart and burning of same. I may add that during the 3 months that have elapsed since the close of the past year the disease has appeared many times, but has not so far assumed epidemic character. I intend to issue a full detailed report late in the year (1902). Influenza. Deaths.
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1901 4 1900 2 1899 6 1898 5 1897 4 22 Cancer. Deaths. 1901 11 1900 12 1899 8 1898 7 1897 7 Further Sanitary Requirements of District. 1. Much still remains to be done in the relaying and ventilation of drains and sewers in many parts of the town, in rendering many houses more habitable by paving round them. 2. More ventilation to the public sewers. 8. Sanitary tenements at low rental for the labouring classes. 4. Fresh water supply for Creeksmouth and other parts of District not yet connected with public supply. 5. Hospital.β€”Site plans for a permanent Hospital are in course of preparation. It is intended to begin the new Hospital by erecting first of all a Nursing Home and Administrative Block, with Caretaker's cottage. 6.
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Public Sanitary Conveniences for both sexes are urgently needed in several parts of the town. 7. The erection of a Destructor for house refuse, &c. 8. The remodelling of the Sewage Works. Statistics. The death rates for the past ten years are set out fully in the tables at the end of the book. The nett rate for the current \ear works out at at 17.6 per 1,000 of the estimated population, and the crude rate, i.e., the rate without the necessary deductions and additions, works out at 15.9, which is the lowest for the past ten years, with the single exception of 1894. 23 The populations, number of deaths, and death rates of the various Wards, are as follows.β€”(The populations are from the census returns).β€” Population. No. of Deaths. Death Rate.
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North Ward 4215 71 16 South Ward 5073 83 15 East Ward 6063 83 13 West Ward 6196 111 17 21,547 348 15 For the year 1900 the West Ward was very much higher than all the rest; the figures were:β€” North 13 South 13 East 14 West 22 During 1901 house to house inspection of the Ward has been carried out, and many improvements have been effected. The older parts of the town, much of which is in the West Ward, requires constant attention, the house connections with the sewer being especially suspicious. On February 25th, a resolution was adopted by the Council, " directing the Surveyor to give attention to the house connections to the sewer." DiarrhΕ“a, 1901. The number of cases notified during the year 1901, was 189, as against 185 in the previous year.
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Every case has been investigated as to the probable cause, and the result of these inquiries are found tabulated below. Overcrowding. β€”4. Site of House.β€”Not concreted, 118 out of 189, or 62 per cent., as against 75 per cent. the year before ; Back Yards not paved or defective, 19 or 10 per cent., 1900 11.7 per cent. Miscellaneous Sanitary Defects, 54 or 28 per cent., as against 23 per cent. 24 Mother goes out to work, 26 cases, or 13 per cent. as against 11 per cent. Comparing the two years in which the disease has been notifiable, we find the results very similar. Uncoecreted sites head the list with 64 per cent., and only 13 per cent of the cases occur in connection with the mothers going out to work, and therefore possible neglect to the infant.
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Classify the deaths only in the same way we findβ€” Per Cent. Site of house, 26 cases 58 Badly paved and defective yards, 3 6 Sanitary defects, 17 38 Mother goes out to work, 8 18 Seasonal Influence. Cases Notified. Deaths. Per cent. 1900. 1901. 1900. 1901. 1900. 1901. July 89 113 6 17 6.7 151 August 80 61 31 20 38.7 32.7 Sept. 16 15 11 7 68.7 46.6 In both years the death rate went up in September, but this may not be entirely due to the season, as many cases attacked in August or July drug on and die from sheer exhaustion in September.
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The mean temperature of the air in July, 1901, was 64 8; in August, 62.3; and September, 57.9. The July temperature was above the average 3., and 2.5 bring above the average of 130, and 60 years respectively, but 2. and 0.9 lower than in 1900 and 1899, and 3.3 higher than in 98. So that in July the mean temperature was lower and the rainfall below the average of 86 years. The number of cases notified in July was 24 in excess of 1900. The prevailing direction of the wind was N., N.E., E., S.E. In only 9 days was the wind from S., S.W, and W. In July, 1900, S.W. winds were prevalent. I have not been able at present to determine any connection between the temperature and humidity of the air, and the disease.
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25 The question of earth temperature has been exhaustively investigated by others. Localities Affected. 1900. 1901. Cases. Deaths. Cases. Deaths. North 23 7 28 6 South 85 22 75 19 East 44 14 37 7 West 52 24 49 12 204 67 189 44 As to locality the West Ward again shews the most severe mortality, and the South the largest number of cases. Food. Number of cases investigated 189, which includes 11 not notified, taken from the death returns. Nursed by Mother 56 Condensed Milk 55 Goats Milk 1 Cows Milk 24 Patent Foods 32 Nursed by Mother and hand fed 34 Deaths only number 44. Nursed by Mother 6 Condensed Milk 20 Goats Milk 1 Cows Milk 8 Patent Foods 10 Nursed by Mother and hand fed 10 or 1900.
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1901. Nursed by Mother 41 per cent. 30 per cent. nearly Artificially Fed 19 β€ž 58 β€ž Mixed . . .. 40 β€ž 18 β€ž 26 These figures are somewhat conflicting. In 1900 I was inclined to think that the balance of evidence was in favour of some specific organism, not necessarily connected with artificial feeding, but in 1901 the figures seem to favour the hypothesis that artificial feeding is favourable to the growth of such organism, if such there be.
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The annual mortality rate of 1,000 persons living for diarrhΕ“a in this District during the past three year have been:β€” 1899 2.09 1900 3.1 (This year should be higher on corrected population) 1901 2.61 Every effort is being made to remedy all sanitary defects, such as ill paved yards, leaky or blocked drains, accumulations of rubbish, &c., to store cows milk after boiling in stoppered vessels, &c., &c., and yet I am bound to confess the results so far are not very encouraging. The objection to parents allowing their children to enter hospital until in a moribund condition has rendered that method of treatment up to the present abortive. The question of providing a sterilizer or pasteurizing milk supply during July, August, and September, is now having consideration, and I intend to personally inspect the cowsheds and milkshops during the coming season.
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Notification I believe to be the only means of dealing with the disease, as the milk supply condition of premises is discovered and remedied sooner than any other way that I know of. For financial reasons it will not be proposed this year. The question is worthy of the strictest investigation, especially from a bacteriological point of view, and it seems to me by far the most serious item with which the Health Authority of this District has to deal. Infantile Mortality. Rate per 1000 Births registered:β€” Barking. England & Wales. 1901 177 151 1900 203 154 1899 172 163 1898 178 161 1897 178 156 27 From the Reports of the various Infectious Diseases it will be seen that most of the Infantile Deaths were due toβ€” 1901. 1900. 1899. 1898. 1897. 1.
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DiarrhΕ“a 43 70 45 52 50 2. Whooping Cough 3 19 1 0 20 3. Measles 16 3 7 8 45 4. Bronchitis, &c. 13 44 25 18 31 75 136 78 78 146 The Birth Rate Per 1000 of the Estimated Population:β€” Barking. England & Wales.
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1901 41.3 28.5 1900 34 28.9 1899 37.0 29.3 1898 36.2 29.4 1897 41.6 29.7 Zymotic Death Rate Per 1000 of the Estimated Population:β€” 1901 3.18 1900 4.52 1899 2.9 1898 3.50 1897 6.8 Zymotic Case Rate Per 1000 of the Estimated Population:β€” 1901 13 1900 9.1 28 Annual Death-rates per 1000 from All Causes, and from certain Zymotic Diseases, during the year 1901. All Causes. Principal Zymotic Diseases (Cols. 3-9) Small-Pox. Measles. Scarlet Fever. Diphtheria. Whooping Cough. Fever. DiarrhΕ“a.
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Deaths under 1 year per 1000 Births. Cols.
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1 2 3 4 5 6 7 8 9 10 England & Wales 16.9 2.05 0.01 0.27 0.13 0.27 0.30 0.16 0.91 151 33 Great Towns 18.6 2.68 0.02 0.43 0.17 0.30 0.36 0.17 1.23 168 67 other large Towns 17.1 2.24 0.00 0.25 0.14 0.28 0.30 0.18 1.09 163 England & Wales less the 100 Towns 15.7 1.56 0.01 0.17 0.10 0.24 0.25 0.14 1.65 137 Barking (1901) 17.6 3.18 0.
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00 0.73 0.13 0.13 0.09 0.13 1.97 177 ,, (1900) 17.7 4.52 0.00 0.01 0.04 0.22 0.84 0.31 3.1 203 ,, (1899) 17.5 2.9 0.00 0.32 0.09 1.18 0.04 0.18 2. 09 172 Vaccination. This will be gone into in detail when reporting on Small Pox. Rainfall. Observer Mr. T. Booton.
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Rainfall for the year 1901, which was as follows:β€” January .71 February 1.03 March 1.77 April 1.54 May 1.25 June .74 July 2.40 August 1.33 September 1.15 October 2.82 November .76 December 2.80 18.30 29 Rainfall for 1900 22.33 β€ž 1899 22.90 β€ž 1898 16.08 β€ž 1897 21.53 Marriages. The number of marriages solemnized in the Barking District wasβ€”1901, 111; 1900, 130. Isolation hospital. The accommodation both for nurses and patients remains the same as in my last report. No further beds have been reserved for Diphtheria; fortunately during the past few months there has been a great diminution in the number of cases notified.
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In the near future better accommodation will have to be provided for the Caretaker, as the cottages are old and damp, in fact scarcely habitable. The old laundry was destroyed by fire in September, and a new and far more commodious building has been erected in its stead. Negotiations for the purchase of some acres of the adjoining land are still in progress. During the past year the following patients have been treated in the Wards:β€” 1901. 1900. 1899. DiarrhΕ“a β€” 2 β€” Scarlet Fever 103 63 33 Diphtheria 15 32 17 Enteric Fever 26 33 23 144 130 73 The number of deaths have been 4, or a death rate of 2.7 per cent. Death rate in 1900 = 6.l per cent. 30 Scarlet Fever. In the autumn months the admission from this disease were heavy.
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The maximum number of cases of this disease accommodated the Wards, was 42. I do not know of any case (except the fatal one) in which there were any sequelae, and only 3 which suffered from Albuminuria. A Discharging Ward is greatly needed. Diphtheria. The Diphtheria Wards in the later months of the year being utilized for Scarlet Fever cases, Diphtheria patients had to be accommodated elsewhere, or isolated as well as possible at home. Another Ward is wanted at the Hospital for this disease. Enteric Fever. Abundant evidence was forthcoming as to the necessity for removal of these cases. Great difficulty was experienced in finding room for them anywhere, consequently the disease spread from one to another. No less than 23 cases were traceable to infection in this way.
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In the autumn the Electric Light was laid on to the Ward, Nurses Rooms, and the oil lamps in Grounds were also done away with and electric light substituted. This has been a great benefit. Hospital Sewage Disposal.β€”The amount being small some difficulty is found in getting the coke filters to act. A fresh arrangement is now being tried, which is likely to prove more successful. General Remarks. I need hardly say that the year 1901 has been a most arduous one for the whole of the Sanitary Staff. In the autumn the notifications of Scarlet Fever and Enteric Fever were abnormally heavy, and with a Small Pox Epidemic in London, the outlook was anything but cheerful. On the other hand there is evidence of progress in the healthiness of the town. The death rate is lower, and whilst there have been a good number of cases the fatality has been remarkably low, thus shewing that the type of disease has been mild.
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31 I am glad to own my obligations to the Sanitary Inspector and every one of his staff. Their cheerful devotion to the extra labour that has been necessary deserves all praise. I am, Gentlemen, Your obedient servant, C. F. FENTON. TABLE OF DEATHS during the year 1901, in the Barking Town Urban District:β€” Year. Population estimated to middle of each year. Births. Death under one year of age. Deaths of all ages. Totals. Deaths of Non-residents registered in District Deaths of residents registered beyond District. Deaths at all ages. Nett. Number. Rata.* Number. Rate per 1,000 births registered Number. Rate per 1,000 births registered Number. Rate.
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* 1891 14301 640 44.7 96 150 282 19.7 1892 15115 652 43.1 99 151.8 281 18.5 1893 15829 629 39.1 98 156.6 288 18.1 1894 16000 693 43.3 85 122.4 207 13.0 1895 .. 16000 693 43.3 112 162.6 312 19.5 1896 .. 16500 698 43.3 104 148.9 250 17.1 1897 .. 18500 771 41.6 138 178. 360 21.2 1898 .. 20000 724 36.2 129 178. 321 16. 1899 .. 21500 798 37. 137 172.
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389 17.5 1900 .. 21500 783 36.4 159 203. 384 17.8 399 18.5 Averages for years 1891-00 17527 708 40.8 115 162. 307 17.8 1901 21730 899 41.3 155 172. 347 15. 9 36 383 17.6 *Rates calculated per 1,000 of estimated population. Area of District in acres (exclusive of area covered by water) 3,809 Total population of all ages 21,547 Number of inhabited houses 3,851 Average number of persons per house 5.5 At Census of 1901. 32 Cases of Infectious Disease notified during the Year 1900. Notifiable Disease. At all ages. Cases Notified in the Whole District. 25 to 65. 65 and upwds. No.
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of cases removed to hospital. Under 1. 1 to 5. 5 to 15. 15 to 25. Small-pox 4 1 β€” β€” 3 β€” β€” 4 Diphtheria 80 1 24 35 11 9 β€” 41 Membraneous croup 1 β€” 1 β€” β€” β€” β€” 1 Erysipelas 16 2 β€” 2 2 8 β€” β€” Scarlet Fever 134 2 34 87 10 β€” 1 92 Enteric Fever 68 β€” 8 37 9 14 β€” 35 DiarrhΕ“a in July Aug. and Sept. 195 β€” β€” β€” β€” β€” β€” β€” Totals 498 6 67 161 35 31 3 173 Causes of, and Ages at, Death during Year 1901. All ages. Deaths in whole District at Subjoined Ages. Under 1. 1 and under 5.
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5 and under 15. 15 and under 25. 25 and under 65. 65 and upwards.
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Measles 16 3 13 β€” β€” β€” β€” Scarlet Fever 3 1 β€” 2 β€” β€” β€” Whooping Cough 2 1 1 β€” β€” β€” β€” Diphtheria and Membraneous Croup 3 1 2 β€” β€” β€” β€” Croup 1 β€” 1 β€” β€” β€” β€” Enteric Fever 3 β€” β€” 1 1 1 β€” Epidemic Influenza 4 1 β€” β€” I 2 β€” DiarrhΕ“a 43 40 3 β€” β€” β€” β€” Enteritis 15 10 4 β€” β€” β€” β€” Erysipelas 3 β€” β€” β€” β€” 2 1 Other septic diseases 1 1 β€” β€” β€” β€” β€” Phthisis 22 3 3 1 3 11 1 Other tubercular diseases 28 4 10 6 3 5 β€” Cancer,
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malignant disease 11 1 β€” β€” β€” 6 4 Bronchitis 29 10 3 β€” 3 4 9 Pneumonia 25 8 5 β€” 1 9 2 Pleurisy 3 1 β€” β€” β€” 2 β€” Other diseases of RespiratoryOrgans 4 1 2 β€” β€” 1 β€” Alcoholism, Cirrhosis of liver 2 β€” β€” β€” β€” 2 β€” Premature Birth 14 14 β€” β€” β€” β€” β€” Diseases and accidents of parturition 1 β€” β€” β€” 1 β€” β€” Heart diseases 14 β€” β€” 2 1 10 1 Accidents 9 3 1 1 1 3 β€” Suicides 5 β€” 1 1 1 2 β€” All other causes 122 56 13 β€” 6 30 17 All causes 383 159 62 15 21 90 36 ANNUAL REPORT OF THE INSPECTOR OF NUISANCES,
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FOR THE YEAR 1901. 34 PUBLIC HEALTH DEPARTMENT. To the Chairman and Members of the Barking Town Urban District Council. Gentlemen, I have the honour to present the following report of work done in the Public Health Department during the year 1901. Inspection has been made of 1,741 houses, and works of sanitary improvements carried out in 1,004 these.
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The following list of Streets, Courts, &c., have been inspected under systematic house to house inspection:β€” North Street (part of) Alma Place Cowbridge Lane Back Reform Place Union Street Romford Street Braintree Terrace Bridge Street Back Lane Heath Street Fisher Street Morgan's Quay Factory Road Emily Cottages Collier Row Collier Place Albert Terrace Park Terrace Hart Street Hardwicke Street Orchard Avenue Bifron Street Gascorgne Road (part of) Boundary Road (part of) The number of preliminary notices served during the year were 1,004, and only in 71 cases was it requisite to serve statutory notices, and in no case was it necessary to take any further legal steps. 35 Infectious disease has occurred in 228 houses, which have been subsequently fumigated. Each house was immediately inspected on receipt of notification, and in a number of cases defects were found, mostly defective drains, uncovered storage cisterns, and dirty houses.
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270 lots of bedding, clothing, &c., have been disinfected in the Council's apparatus, and 76 rooms were stripped and limewhited after cases of Scarlet Fever. Sale of Food and Drugs Act. β€”73 samples were taken during the year and submitted to the Public Analyst for analysis, consisting of:β€” Milk 29 Butter 19 Ale 4 Flour 15 Syrup 4 It is satisfactory to note that in no case was it necessary to take proceedings against the Vendors. Margarine.β€”Two samples were taken for exposing margarine without a label. In one case proceedings were not ordered, and in the other summons was taken out but could not be served, as the Vendor had left the town and his whereabouts not traced. Dairies and Cowsheds.β€”There are 5 Cowsheds and 40 Milkshops on the register, all of which have been frequently inspected.
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The Cowsheds require many improvements in the way of paving, ventilating, lighting, &c., to bring them in conformity with the new regulations. One Cowshed has been drained and connected with the sewer. Slaughter-houses.β€”I Licensed, and 3 Registered Slaughterhouses in the District, all of which have been inspected at intervals and found to be kept in accordance with the Bye-laws. Regular visits have been paid to the Markets, Shops, and Stalls throughout the year. Mortuary.β€”During the year 32 bodies have been received into the Mortuary, and 8 post mortem examinations were made. 36 I beg in conclusion to append a summary of the work carried out in the abatement of nuisances. I am, Gentlemen, Your obedient servant, H. WOOD, Inspector of Nuisances. SUMMARY.
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Premises inspected 1741 House to house inspections 863 Preliminary notices 1004 Statutory notices 71 Drains cleared 178 Drains tested 269 Drains repaired 106 Water closetβ€”flush reinstated 241 ,, β€ž new provided 23 ,, pans, new fixed 50 β€ž trap repaired 25 Yards paved 41 ,, paving repaired 33 ,, cleansed 6 Roofs repaired 34 Eave's guttering and downspouts repaired 73 R.W.
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pipes disconnected from drain 15 Ventilating pipes repaired 12 β€ž ,, new ones fixed 15 37 Overcrowding abated 6 Animals improperly keptβ€”removed 5 Dustbins provided 50 β€ž newβ€”provided 107 Cesspools abolished 36 Walls and ceilings repaired 91 Rooms stripped and cleaned after infectious disease 76 Sink waste pipes repaired 26 Sinks repaired 5 Gully traps repaired 40 Offensive accumulations removed 13 Floors repaired 19 Domestic water supply disconnected from cistern and taken direct from rising main 36 Smoke nuisance abated 5 Window frames repaired 9