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9e242b78-580c-4e80-9fa0-555a6a8d66c8 | Then there is the contamination in retailing, and lastly in the consumer's house—open milk jugs exposed to all kinds of contamination, flies, etc.—so that dirty milk is not all the cowkeeper's fault, but has to be apportioned between the producer, the retailer, and the consumer. To my mind the only method of any value is: (a) Milk produced clean. (b) Bottled clean. (c) Kept in the bottle until used. Of course this means a little more expense, which will be readily paid I think when the public become educated up to realizing the absolute necessity for it. COWSHEDS IN THE DISTRICT. Number in Register. Amount of cubic space allotted to each cow. Condition as to light when doors are closed. Ventilation, whether adequate or not. General cleanliness of shed and cows. 6 1000 Good Good Very Clean 7 495 Good Improved Fair (Improved) 361 Fair do. do. |
abdfd11b-fe93-4a1c-a65a-d20dcee62235 | 409 Fair do. do. 360 Fair do. do. 8 850 Fair Good 1 Clean DAIRIES IN THE DISTRICT. Number in Register Position and condition of Premises where Milk is stored. Are the Vessels containing the Milk covered ? What are the methods adop'ed for cleaning churns and cans ? 6 Dairy, specially fitted Covered with muslin Copper for cleaning utensils 7 Ground floor of house, paved and ventilated Do. Boiling water from copper 8 At rear of shop Special metal cover to shop pail Do. 20 Dairy at rear of shop Covered with muslin Do. 21 Shop Special metal cover Do. 22 Shed in yard paved and ventilated Muslin cover Do. 23 Do. do. Special cover in shop for pail Do. 24 Do. do. Kept in churn Do. 27 Shed in yard Muslin cover Do. 28 Stored at No. 27 Do. |
349baadc-25c0-4346-bb04-fc5895133c60 | 29 Dairy at rear, paved and ventilated Special metal cover in shop Do. 31 Dairy at rear of shop Ordinary churns Special apparatus for boiling water and washing cans 32 Shed in yard paved and ventilated. Muslin cover Boiling water from copper 48 Special premises at rear of shop Shop pail, metal cover Special apparatus as 31 MILKSH0PS IN THE DISTRICT. (No Milk stored on premises except on the counters.) Number in Register. Description of the Vessel in which the Milk is stored. Description of covering to the Vessel. Other articles sold in the Shop. 1 Milk can Lid of can Oil and general goods 2 White earthenware pan Muslin Grocery 9 Milk can Lid of can Do. 10 Do. Do. Do. 11 White earthenware pan Muslin cover General 12 Milk can Lid of can Do. 14 Do. Muslin cover General 17 Do. |
da4b7e0e-eecc-4036-bd7f-5a784406c6b1 | Muslin cover Bread 19 Enamelled jug Muslin cover General 35 Enamelled pan Do. 36 Do. Do. 37 Do. Do. Do. 38 Do. Do. Do. 41 Do. Do. Do. 44 Enamelled pail Metal cover Grocery 45 Do. do. General 46 Do. Muslin cover Grocery 49 Enamelled pan Metal cover Dairy produce Grocery do. 14 Bakehouses. There are 19 bakehouses now registered in the district. These have been inspected during the year, and the regulations adopted by the Council under the Factory and Workshops Act enforced. These regulations relate to:— (a) Overcrowding. (b) Ventilation. (c) Light. (d) Communication with bedroom. (e) Communication with w.c, ashpit, or privy. (f) Cleanliness and whitewashing. (g) Drain openings. (h) Water supply. |
fa6a3aa7-9a58-4251-bdcc-c0539f890ef0 | There are no underground bakehouses in the district for which certificates of suitability have been given. There were several in occupation on January 1st, 1904, and as the requirements of the Council were not carried out they were all closed. Slaughter Houses. Two registered slaughter houses now remain, and one of these will probably be closed shortly. There is no regular supervision of the animals killed in these places. The only supervision is in respect of the cleanliness and suitability or otherwise of the premises. This is a great defect in our Sanitary administration, 15 The licensed house is in good order. Knacker's Yard, Creeksmouth.— This has been systematically and frequently inspected during the year, and generally has been found in fairly good order. Rivers and Streams of District. Several times during the year the Roding river and the Loxford water have been in a very grossly polluted condition, but generally there has not been nearly so much nuisance as in former years. |
59642a25-6620-4f6d-8911-0ed2dbc8c619 | Owing to the coolness and amount of rainfall during the summer the water courses intersecting the marshes have not been complained of. Chief Industries of District. 1. Beckton Gas Works.—This includes all kinds of labour, skilled and unskilled, coal porters, general labourers, stokers, engineers, etc. 2. Chemical Manure Works.—Including— (a) Manufacture of Manure and Disinfectants. (b) Manufacture of Sheep Dip. (No complaint of arsenical poisoning). 16 3. Tar "Works, Muriatic Acid Works, Varnish and Paints Works and other manufactories of a similiar nature. 4. Glass Bottle Manufacture. 5. India Rubber Mills. 6. Agriculture. 7. Iron Foundry Works. 8. All classes of workers, male and female, employed in London. 9. Various manufactories of light goods. |
0223977a-1462-4e55-87e8-a05de7ac4f0b | General Inspection of District. A house to house inspection has been made during the year as the work in the department will allow. A summary of the work done in the sanitary department and nuisances detected will be found by reference to the Sanitary Inspector's report. I append a list as usual of those courts and alleys of the town which require special and constant attention. In all cases of Infectious disease special Inspections are made, and in connection with all complaints. 17 Name of Property. Sanitary Improvements required. St. John's Retreat The drain 1 to 4 needs re-laying. Partially re-drained These houses are now undergoing repair. The surface of the court has been improved. Red Lion Place Has been re-drained. Requires paving in front of houses. Alma Place Has been re-drained. The surface of the court should be drained and repaired where necessary. It has been suggested to cut up the surface of the court with gardens for the houses. |
5c85bdb4-447c-41a2-8cee-5acb59302d17 | Back Reform Place The main drain which receives the drainage from these houses, and also from Reform Place, North Street, has been relaid and ventilated. The house connections have been partially attended to. Back Lane The drains of Nos. 1 to 22 need re-laying Bifron's Square The drains belonging to this property have been reconstructed and ventilated. A w.c. has been provided for each house. The surface of the square has been made up with a road, curbed and channelled. The houses themselves have been modernised in appearance, and thoroughly renovated inside, and are let at a rental of 4s. 6d. per week inclusive. Several of the houses are needing attention. 18 Name of Property. Sanitary Improvements required. Linsdell's Court The surface of the court has been made up under the 150th section of the Public Health Act, 1875, and the houses are now let at a rental of 4s. |
942215a7-0443-4e30-b3c6-b0181f9a2fe9 | per week inclusive. This property has again become most insanitary. Orchard Avenue The houses have been put in good repair and are now all occupied. Morgan's Yard The sewer has been relaid and ventilated And the court paved. Houses require cleaning. Morgan's Quay The main sewer has been relaid and ventilated, and the road made up. The paving at the back of the houses has been laid. The yard needs scavenging. The back ways have been separated with good effect. Factory Road and Emily Cottages These drains have been re-constructed and ventilated. The houses have been modernised, thoroughly cleansed and renovated. The back yards have been concreted and divided off in Factory Road. In Emily Cottages the back yards have been concreted but not divided. Park Terrace New water service has been laid on. Property in good order. |
5dbbdd4b-52ec-436e-bc7a-7a34a2af62ab | Albert Terrace The sewers belonging to these properties need ventilating and re-construcing. It would probably prove a great advantage if the backs ways to these properlies were abolished. Collier Row 19 Name of Property. Sanitary Improvements required. Collier Place The drains belonging to this property have been re-constructed and ventilated. The hack ways have been done away which has been a great improvement. Barking Place The sewer has been relaid and ventilated. The Council do the scavenging. Garden Place These properties, all situated in Axe Street, have been re-sewered, fresh w.c. accommodation, and flushing cisterns provided. The yards are now partially paved. They need scavenging badly. New water service by arrangement with owner has been laid on for Suffolk place. Wellington Buildings Parson's Buildings Padnell Place Suffolk Place Arthur Cottages, East Street This property is now in the possession of the Railway Company. |
45222298-e5db-4869-be39-49a6079b2941 | In fairly good order. Bridge Street, London Road Lands repaved, curbed, and channelled. Roofs attended to. Houses now in fair condition. The road is now being made up afresh. Over-the-Gates This property have been thoroughly inspected, and any defect fouud remedied, except in a few instances. Holly Square Fair condition. Main drain defective. Tanner Square Drain not ventilated, probably defective. 20 Drains found to be defective but not yet dealt with. Northbury Cottages— Defective, and should he relaid. 70-76, North Street, need relaying and ventilating 90-92, require ventilating and repairing 109-119, need relaying 85-103, need ventilating 105-7-8, need relaying (? |
55799a18-2de4-4658-bd37-fba70a0b961c | private drain) 4-6, need relaying 14-16, need relaying 52-60, need relaying Broadway— 29-31, need ventilating, etc. 10-12, need ventilating and relaying 41-43, need relaying and ventilating 45, needs relaying. (? private drain) 33, needs ventilating, etc. Heath Street— 5, needs relaying 1-3, need relaying. Axe Street— 49-59, need ventilating and possibly relaying Fish Offal Collection. No complaint has come to hand duiing the year. 21 Scavenging. This is undertaken by the Council, and in my opinion is done very well. As I have pointed out before, the courts abutting on Axe Street and Fisher Street should come within the scope of their operations. At present they are suffering badly for the want of it. Collection of House Refuse. |
42adf69e-15ee-4e59-b2d2-dda7ce69ad18 | The Council's men visit every house in the distriot once a week. This means about 800 calls per diem. The responsibility for tho proper carrying out of this item is in the hands of the Public Health Department. The only complaints of noncollection which have been received have been due to unavoidable delay through holidays. The gross cost of the work for the year ending March 31st, 1907, was £1,209, which means that the cost per house per week was just one penny. Sewerage and Sewage Disposal. The disposal of the sludge at the works has occupied a good deal of attention during the year, and some quantity has been removed by barge. The same method as in former years is adopted for sewage treatment, viz., the precipitation of the sludge by means of alumina salts. A very fair effluent is thus obtained. The Shone elevators are still working well. |
e64558e9-09a8-4001-b42b-4122065620d0 | 22 The emptying of cesspools has been greatly facilitated by the purchase of an exhauster, by which means the work is done in much less time and at about half the cost, and as there is no smell the work may be carried on in the daytime without contravening police regulations. The question of the extension of the public sewer to Creeksmouth has been discussed, but no scheme has been adopted. Offensive Trades. No offensive trade has yet been licensed in the district, but bye-laws have been adopted by the Council, and confirmed by the Local Government Board, with respect to these trades. Houses of the Working Classes. Houses of the smfll cottage type are still greatly in demand. Four rooms and a wash-house are the usual size, but I am sure a fair number with a bedroom extra are greatly needed. The rent, usually obtained is 5s. 6d. |
0f5c6687-bd23-45db-804f-602a06feb918 | per weak, inclusive, for the smaller The houses belonging to the Council let well, and just about pay for themselves. It is thought that the extension of the District trains to Barking will create more demand for these houses, though even at the present time there are only 218 houses empty in the town, or just 4 per cent. 23 In the section of this report devoted to inspection will he found a table shewing briefly the condition of the slum propertyremaining in the town. There are only one or two slums left which cause much trouble, and to a very large extent their condition is due to the habits of the people themselves. Factory and Workshop Act, 1901. Annual Report of the Medical Officer of Health for the year 1907, for the Urban District of Barking Town, on the administration of the Factory and Workshop Act, 1901, in connection with Factories, Workshops, Laundries, Workplaces and Homework. 1.—INSPECTION. |
7b836c8f-c2c0-40b3-a495-67305d57a314 | Including Inspections made by Sanitary Inspectors or Inspectors oe Nuisances. Number of Written Inspections. Notices. Workshops (including Workshop Laundries) 104 10 Workplaces 22 126 10 2.—DEFECTS FOUND. Number of Dafects. Found. Remedied. Nuisances under the Public Health Acts- Want of cleanliness 10 10 W ant of ventilation 1 1 Sanitary accommodation insufficient 1 1 12 12 24 3.—HOME WORK. Nature of Work. Lists received from Employers. Addresses of Outworkers. Twice in the year. Outworkers. Once in the year. Outworkers. Received from Forwarded to other Inspections of Outworkers' Lists. Workmen Lists. Workmen. other Councils Councils. premises Wearing apparel— (1) making, etc. |
7d97a861-7895-4f3f-90ca-8fa1220a4650 | 6 3 10 11 14 9 17 Sacks — — 1 8 — — 8 Paper Bags and Boxes — — 1 1 1 — 1 Brush Making 2 1 — — 1 — 2 Total 8 4 12 20 16 9 28 25 4.—REGISTERED WORKSHOPS. Workshops on the Register at the end of 1907— Workshops 48 Workplaces 11 Bakehouses 18 77 5.—OTHER MATTERS. Matters notified to H.M. Inspector of Factories— Action taken in matters notified by H.M. Inspector 8 Reports (of action taken) sent to H.M. Inspector 8 16 Council's Schools. The following table shews the distribution and number of infectious diseases during the year iu the Public Elementary Schools of the district:— School. Scarlet Fever. Diphtheria. Total. |
a09e74c2-617d-419c-8774-956be588f096 | North Street 25 8 33 Gascoigne Road 17 8 25 Westbury 17 6 23 Church of England 12 4 16 Roman Catholic 3 3 6 Creeksmouth 1 — 1 Castle 3 — 3 78 29 107 26 The percentage of scholars attacked with Scarlet Fever and Diphtheria respectively to the number of scholars attending school is as follows— School. Scarlet Fever. Diphtheria. |
7a7dfbef-de4c-45b2-aaeb-797f3f0d9cdd | Total North Street 1.6 .5 1.5 Gascoigne Road 1.05 .4 1.45 Westbury 1.1 .4 1.5 Church of England 1.07 .3 1.37 Roman Catholic .8 .8 1.6 Creeksmouth 1.1 .0 1.1 Castle 2.0 .0 2.0 The total number of children attending the Public Elementary Schools of the Council was on January 30th, 1908, 6,338; which gives a total percentage of scholars attacked by Scarlet Fever during the year of l.2 per cent., by Diphtheria .4 per cent., or a total of 1.6 per cent. attacked by notifiable Infectious Disease during the year. This seems to me to be a most excellent record. |
3b72a0ae-e70a-4236-9917-5ce41284a614 | On several occasions on the occurrence of cases of Scarlet Fever in one class I have examined the whole, but during this year have not discovered any undetected case. A large number of dirty and verminous children have been visited and cleansed, and rendered fit to attend school. I regret very much to add that in my opinion there is a great lack of cleanliness in our midst, which is sadly apparent in the condition of the children and the Lome. I am quite sure too that it is on the increase. No real progress either in sanitation or education will ever be made without the insistence of parental responsibility to a much larger extent than has been done up to the present. In my judgment the Act for providing needy children with food 27 and medical inspection both work in that direction. In the work of examining and cleansing of the children the services of the Lady Health Visitor have been invaluable. |
be78664e-d0b9-4637-9495-c0b647707382 | During the year there has not been any epidemic of either Measles or Whooping Cough, nor has it been found necessary to close any school or class for the occurrence of infectious disease. Infantile Mortality, 1907. Early in the year the position of Barking Town in relation to this question was discussed by the Council, and several recommendations were adopted, and subsequently carried into effect. These recommendations were: (a) That a register of all births be kept in the Public Health Department, giving particulars as to parentage, environment, food, number in family, etc. This was begun on April 1st, and all the registered births were visited and generally looked after. This item is now working more efficiently by the adoption of the Notification of Births, Act, 1907, which came into force in the district on January 1st, 1908. (b) The appointment of a Lady Health Visitor. |
7e89bf3a-f307-4b72-aedd-2fb549c5e04e | This appointment was made on 9th April, and the lady commenced her duties on the 27th of May. I am of opinion that her services have been of the greatest possible value to the district, and especially in the poorest 28 localities. Mothers of all classes accorded her a hearty welcome, except a very few who refused her admittance into their house, and contemned any suggestions she might have to make. Every house, with very few exceptions, in which a birth has been registered since April 1st, 1907, has been visited, and in many cases re-visited, the number up to December 31st, totalling 415 primary visits, but not including re-visits. |
7b8f0e0c-ea09-41ad-b0fa-ec954b5bedf7 | On October 23rd I was allowed by the Council to obtain the services of a Probationer Health Visitor to assist in the work of visiting and re-visiting, to which latter I attach very great importance, as it is only by frequent observation and encouragement that one can hope in the poorest districts to get much success. (c) A pure milk supply. I was partially able to solve this difficulty by supplying a special modified preparation of dried milk. To those who were able to provide it for themselves I recommended its adoption through the ordinary business channels. The poorest (those who were absolutely destitute) got it free, and others paid what they could. The Council had no power to help financially in this, so that I had to rely on the generosity of the Councillors individually, and others, including the manufacturers of the food, to come to the rescue. The results were far beyond my most sanguine expectations. When systematically and properly given I had no failure. |
4ca3775e-e689-4462-904d-cadc498f33af | The children were weighed regularly every fortnight, and in most instances increased in weight, and developed very satisfactorily. See following table — 29 Age of Child. Date and Weight at commencement. and Weight when discontinued. 4 months 26th June, 11lbs. 8oz. 2nd Dec., 161bs. 8oz. 9 „ 22nd Aug., 141bs. 19th Nov., 151bs. 8oz. 3 „ 21st Aug., 11lbs. 4oz. 3rd Dec., 131bs 8oz. 1 month 20th Aug., 81bs. 6oz. 9th Dec., 14lbs 6oz. 1 „ 1st July, 8lbs. 2nd Dec., lllbs. 4oz. Twins. „ 9lbs. „ l3lbs. 11oz. |
86f0289f-fd79-4392-8790-ab849f7c582b | 6 weeks 30th Dec., 7lbs. 12oz. 2nd Dec., l0lbs. 8oz. 10 months 9th Oct., 10lbs. 12oz. 2nd Dec., 13lbs. 3oz. 3 „ 16th Sept., 11lbs. 5th Dec., 151bs. 10oz. 2 „ 14th Oct., 91bs. 14oz. 9th Dec., 11lbs. 8oz. 10 weeks 21st Oct, 7lbs. 10oz. 9th Dec., 91bs. 14oz. 6 „ 23rd Oct., 91bs. 4oz. 18th Nov., l0lbs. 12oz. 1 month 23rd Oct., 14lbs. 8oz. 18th Nov., 161bs. 2oz. 3 mouths 28th Oct., 8lbs. 8oz. |
7aadef8e-03af-4dde-9a59-2f9d7fca5273 | 25th Nov., 91bs. 6oz. 3 „ 28th Sept., 9lbs. 8oz. 30th Dec , l0lbs 6oz. 2 „ 24th Aug., 8lbs. 14oz. 3Cth Nov., 11lbs. 2oz. In connection with food supply, one of the most satisfactory discoveries has been the number of breast-fed infants. We found that out of 415 enquires, 336 were breast-fed, 53 partially breastfed and hand-fed, and only 26 entirely hand-fed. |
22a6c988-5ad6-46e1-849a-8b19eacf1b51 | I consider these figures very good indeed, and I am confident if I can assure proper food for the hand-feds and partially hand-feds, and by visiting and instructing the mothers so that the milk for the breast-feds is kept up to the standard necessary for the nourishment and development of the infant (and this is not always the case), we shall find that the mortality in infants from diarrhœa, malassimilation, and other wasting diseases, will permanently lessen. The circulation of leaflets with instructions as to feeding and the general care of infants has been, I am sure, useful, 30 I have been compelled through lack of funds to stop the distribution of milk at the Public Offices, and with it the ystematic weighing and inspection of infants has greatly diminished, but I am hoping to begin again shortly and encourage mothers to bring their children to be weighed, and so to be quite sure of the proper assimilation of their food. |
70761ceb-c714-49e7-952c-971d529487b1 | The question of infantile mortality is admittedly a very complex one, and it will probably necessitate years of patient i nvestigation and labour to permanently reduce it in a population such as we have to deal with at Barking. The following are the principal causes of infantile death during 1906-07:— 1907. 1906. Diarrhoeal Diseases 11 41 Wasting Diseases— Premature Birth 19 12 Congential Defects 7 3 Atrophy, Debility, Marasmus 18 21 Tuberculous Diseases 8 7 Convulsions 7 16 Bronchitis and Pneumonia 14 7 Overlying 2 6 86 113 The average infantile mortality rate for the past 10 years was 162 per 1,000 births registered, and the rate for the year 1907 was 112. |
43bee0ce-64dd-4e5f-9ded-ce354f0d7d06 | This low rate I believe to be almost entirely due to the cool summer which brought with it a low mortality from epidemic diarrhoea. The number of deaths from this disease in 1906 being 56, and for 1907, 15. 31 The infantile mortality rate for the first six months of 1907 was 117, and for the second six months 108, thus shewing that a very considerable waste is going on continually, quite apart from the heavy mortality usually coming on in the third quarter from diarrhoea. In 1907 the Diarrhœa rate was almost nil, but in 1906 the mortality was very heavy from that disease. The infantile mortality rate for the first six months of 1906 was 110, and for the second six months 210, but this latter includes 41 deaths from diarrhoea, which if excluded gives a rate of 120, which is about the average or a little above it. |
ade70c26-9b12-4f13-8ec5-969ada065bc6 | Therefore, apart from diarrhœl diseases, the infantile mortality rate in Barking is too high. Infectious disease is responsible for a variable number depending to a large extent upon whether there has been or has not been an epidemic of Measles or Whooping Cough during the year. Tuberculous diseases caused 8 deaths in 1907, and 7 in 1906, or a rate of about .9 per 1,000 births registered. With regard to Wasting Diseases (Premature Birth, Atrophy, Debility and Marasmus are the chief names under which this condition is registered) a rate per 1,000 births registered of 50.7 is obtained. Out of this number premature birth and congenital defects account for 29.9, and premature births alone for 21.8. How many deaths among these is due to congenital weakness only I think it very difficult to say, but in my opinion in Barking very few. |
b0bfb43f-b35a-4b29-9064-969836a2946b | Probably if the premature births were properly looked after and properly fed most would live, and the same 32 remark applies to those certified as dying from atrophy, debility, and marasmus. It is on these lines that our efforts will be directed during the coming year, giving special attention to those infants apparently belonging to the class just referred to. As to Ante-Natal causes, and the effect on the child of maternal weakness or disease, we find reliable information is difficult to obtain without great tact and care, but most valuable. From semi-official returns I know of about 30 still-births, and as many abortions occurring during the year, and if we add to these numbers 19 deaths from premature birth, 7 from congenital defect, and 18 from atrophy, etc, we get a total of 104 losses at least, which may be due and probably are due primarily to maternal influence. |
3cefa870-9116-4f44-90c7-a3623ce920c3 | As regards ante-natal causes of infantile deaths, I do not think I can do better than quote the words of Dr. J. W. Ballantyne at the Infantile Mortality Congress last year in a most able paper on the subject. He says "most of the causes of infantile deaths are post-natal in operation; but ante-natal causes are not a negligible quantity and must be kept in mind." In conclusion, one feels that to pull down the infantile mortality rate a tough piece of work has been undertaken, but if we are on the right road, and I believe we are, we shall in time be rewarded by some measure, perhaps a large measure of success. Accident Ambulance. At the beginning of the year a fund was started with the object of providing the town with an accident ambulance. The 33 Urban Council, through their Clerk, solicited subscriptions, to which such a generous reponse was made that in a very short time about £120 was collected. |
333da5b9-d5b1-492b-af9c-cbd43ee88179 | The selection and equipment of the ambulance was left in the hands of a sub-committee, and during the month of July the ambulance was delivered and started work. In my opinion it has been of the greatest possible benefit in the town. Cases of accident and acute disease have been removed to hospital without injury, and with a minimum of inconvenience. To the poorest no charge is made, and the remainder pay as much as they can towards the cost of removal. PART II. INFECTIOUS DISEASES, ETC. 35 Infectious Disease. STEPS TAKEN TO PREVENT INFECTION. On the receipt of a notification of infectious disease the residence of the sufferer is at once visited by a member of the sanitary staff with a view to obtain particulars as to means of isolation, cause of infection, condition of the premises, overcrowding, cleanliness, &c. If necessary the case is then removed to the Isolation Hospital and the bed, bedding and room disinfected. |
e960f82a-ccc6-4641-893f-9fc5ddf68adb | If the patient remains at home the necessary instructions are given and disinfectants supplied. A postcard is left at the house to be filled up by the doctor attending when the case is ready for disinfection. Notices are sent from the Public Health Department to the schools at which the patient was attending, or those who may have been in contact with infection. The Attendance Officers, the Librarian and Pawnshops are also notified. In cases of Scarlet Fever, in addition to the disinfoction by means of formalin spray, the rooms are stripped, re-papered and whitewashed where necessary. The following tables show the distribution, age, and place of treatment of the cases notified during 1907:— Disease. North. South. East. West. Total. |
4168041b-f540-4007-9874-006d4dd5369e | Scarlet Fever 18 25 53 31 127 Diphtheria 2 17 15 17 51 Enteric Fever 4 18 4 2 28 Erysipelas 6 3 6 6 21 Membranous Croup — — 2 2 4 Puerperal Fever — 1 1 1 3 Totals 30 64 81 59 234 36 Table shewing ages at which notified cases of Infectious Disease occurred during the year 1907:— Disease, All ages. Under 1. 1 to 5. 5 to 15. 15 to 25. 25 to 65. Go and upward. |
70644533-235f-4cb0-8f3b-76203ccb1703 | Scarlet Fever 127 — 32 79 11 5 — Diphtheria 51 1 24 20 4 2 — Enteric Fever 28 — 3 13 3 9 — Erysipelas 21 — — — 5 13 3 Membranous Croup 4 — 4 — — — — Puerperal Fever 3 — — — — 3 — Totals 234 1 63 112 23 32 3 Table shewing where the notified cases of Infectious Disease occurring in the year 1907 were treated:— Scarlet Fever. Diphtheria Enteric Fever Erysipelas. Membranous Croup. Puerperal Fever. . Total. Upney Hospital [ 108 42 13 — 2 — 165 London „ — — 5 — — — 5 Middlesex „ — — 1 — — — 1 St. Barts. |
773b2c53-6aee-4e55-85fd-848370747c73 | „ — — 2 — — — 2 Eastern „ 2 — 1 — — — 3 Home 17 9 6 21 2 3 58 Totals 127 51 28 21 4 3 234 The total number of notified cases during 1907 was 234, as compared with 242 in 1906. This gives zymotic case rate of 7.9 which is the lowest for which I have any record. The zymotic death rate was 1.2 which is the lowest since 37 The total number of deaths from notified Infectious Disease during 1907 was 10, or a death rate per cent. of 4.2. Out of the total number of notified cases, 107 occurred in the children attending school, or 45 per cent. Scarlet Fever. The following table thews the number of eases with percentages of deaths and removals to Hospital since 1900:— Year. No. |
a294ff16-64cb-44bb-9a8a-e7db69faae22 | of Cases. No. treated in Hospital. Percentage treated in Hospital, Deaths. Death Rate per 1,000 of population. 1900 67 51 76 1 .04 1901 134 92 68 3 .13 1902 96 82 85 0 .00 1903 73 57 81 1 .00 1904 94 71 75 3 .1 1905 98 77 78.5 0 0.00 1906 136 110 80 4 0.14 1907 127 110 86.6 1 0.03 The number of cases was slightly less than the year before, and the number of deaths dropped to one only, giving a death rate of .7 per cent. The number of cases treated in the hospital was 110 or a percentage of 86.6. The number treated at home was 17 only. |
06f6ab88-7fde-4e86-aeac-e6e3e41ea46b | Four cases out of the total were return cases. 38 Diphtheria. The Diphtheria cases occurring in the district again shewed a decrease as compared with the preceding year, in tact it was the lowest number recorded in any year since 1899. The number of deaths was 6, or a death rate of 11.7 per cent., or of .2 per 1,000 persons living. 82.3 per cent. of the cases were treated in the Hospital, where the death rate was 9.5 per cent. that is nearly 2 per cent. less than outside. The age period between one year and under five was the most fatal, no less than 83 per cent. of the cases occurring then. |
3aae8aa6-4a06-482f-9fd4-a181aaf47368 | I should like again to draw the attention of the Council to the following resolution passed by the London County Council with regard to the prevention of Diphtheria in Schools:— "That the Education Committee be authorised to refuse during the presence of Diphtheria in any district re-admission to school of children excluded on account of Diphtheria or Sore Throat until such children shall have obtained a medical certificate of freedom from infection, based on a bacteriological examination." I also recommend that a further resolution be passed that no child should be allowed to return to school until two weeks have elapsed after he or she has been discharged from Hospital, or certified as " clear " when treated at home. I append the following table for comparison with former years:— 39 Year. No. of Cases. Deaths. No. treated in Hospital. Percentage treated in Hospital. Death Rate per cent. Death Rate per 1,000 of population. |
75ea1972-6d1d-4ce5-8f71-002c6c787ad2 | 1907 37 6 42 82.3 11.7 .2 1906 69 9 56 81 13 .31 1905 116 14 91 78.4 12.0 .5 1904 145 9 113 77 6.2 .33 1903 194 19 149 76.8 9.7 0.76 1902 75 6 20 28.0 8.0 0.25 1901 80 3 41 61.2 3.7 0.13 1900 75 5 33 44.4 6.5 0.23 Enteric Fever. The number of notified eases during the year was 28 with 3 deaths. This is a larger number than last year, when the number was very small indeed. In the first six months of the year only 9 cases occurred. |
35fa466d-dced-440c-ad95-487d535f03f7 | The number in the latter part of the year was greatly increased by a small outbreak in and around Morley Road. Seven cases were found in one house, and apart from this the amount of infection was about the same as the year before, I found it exceedingly difficult to assign a cause. The milk and water supplies were carefully overhauled, and a bacteriological examination made of the suspicious ones. No Bacillus Typhosus were found, but the milk was found to be very dircy. The chief point against the milk being the cause of infection was the fact that large numbers of persons partook of the same milk all over the town, but the only people who got it were those living in that particular locality, therefore I think we were justified in assuming 40 that there was some local influence at work. |
4ce35a6d-7e96-4989-9d19-227695ee20bb | In that particular group of houses in which most of the cases occurred the drains were thoroughly tested with the smoke test, and also opened up and examined, but no serious defect was found, except that the ventilation was, in my opinion, insufficient. The cases ceased as quickly as they came and all recovered. I append a list of the cases shewing the different localities in which they occurred. All the defects in the sewers and drains were remedied, and further ventilation shafts are to be provided in that locality therefore. List of Enteric Fever cases during 1907, shewing the different localities in which they resided:— Cambridge Road 2 cases Axe Street 1 case Morley Road 12 cases Howard Road 4 cases Fanshawe Avenue 1 case Sparsholt Road 1 „ Ripple Road 1 „ Westbury Road 1 „ Back Lane 1 „ Kings Road 1 „ Boundary Road 1 „ St. |
62892636-2961-4a6d-84d3-29387fb486ec | Margaret's Road 1 „ Somerby Road 1 „ Total of cases 28 41 19 cases occurred in the South Ward. 4 cases occurred in the North Ward. 4 cases occurred in the East Ward. 1 case occurred in the West Ward. I add the usual list for comparison with former years:— Year. No. of Cases. Treated in Hospital. Percentage treated in Hospital. Death Rate. Per cent. of Notification. |
bbaec43a-5c4b-416c-a310-d3720ed65602 | 1907 28 3 22 78 10 .10 1906 11 1 8 73 9 .03 1905 14 0 9 64.2 0 .00 1904 18 5 12 65 27 .18 1903 16 4 7 43.7 25.0 .16 1902 42 6 30 71 14.2 .. 1901 68 3 35 51 4.4 .. 1900 50 7 38 76 14.0 .. 1899 52 3 33 63.4 5.7 .. 1898 31 2 23 74.1 6.2 .. Phthisis. The number of deaths registered from this disease during the year 1907 was 39, which gives a death rate from this disease of 13 per thousand of the estimated population. |
7d9fa031-b428-41db-b232-239b48c4c204 | In 1906 the rate was .6 per thousand or a little less than half. This year was the first in which the voluntary notifications of phthisis was adopted in the district and it is very curious that in that year the number of cases should go up to double the normal or very nearly so. I have no facts at present available to propound any theory to account for it, possibly it is merely coincidental, but be the reason for it what 42 it may the figures are very curious 39 deaths and 45 notifications. The number of deaths to notifications is accounted for I think by the fact that many of the notifications were cases which were in the last stage; this discrepancy will of course right itself this year. In the first year of notification a number of the old chronic cases were swept in. As to the usefulness or not of voluntary notification it is early to give an opinion, but as far as we have gone in Barking I think it is likely to prove most beneficial. |
65d3b525-7dd0-4cf7-9df7-171c40bb2f58 | The treatment of the disease among the poor from which most of our cases are drawn is admittedly most unsatisfactory. In a fair number I succeeded after a very great deal of difficulty in getting in-patients letters for them for one or other of the consumptiv e hospitals. I found that in all cases there was benefit and in many cases great benefit, but on their discharge from hospital and the return to the old surroundings the old symptoms returned, and in a few months the sufferer was as bad as ever. A great many (some of them the poorest) after struggling along for varying periods find their way into the Union Infirmary. Cancer. The number of cases dying from this disease during the year was 8, as against 12 for the year before. This gives a crude rate per 1,000 persons living of .27. Seven of these took place in the age period 25 to 65, and only one in the age period 65 upwards. 43 Measles. |
69395434-0e95-4af2-a26b-b047bb7fa37c | This disease has been singularly absent during the year. No Schools or Classes have been closed. The death rate per 1,000 persons living works out at .13. Whooping Cough. There were a large number of cases of this disease in the earlier months of the year, though only eight deaths were recorded. This gives a death rate per 1,000 persons living of .27. Erysipelas. No death occurred during the year from this disease. Twenty-one cases were notified. Puerperal Fever. Three cases were notified, and one died. Disinfection was in every case thoroughly carried out, especially as regards the nurse in attendance. Small Pox. No case has been notified during the year. 44 Vaccination. The total number of Primary Vaccinations performed during the past four years is as follows Vaccinations. No. of Primary No. of Births. |
cb78fdf3-e9f1-48cf-9758-9d241f8f51b1 | 1907 786 868 1906 768 873 1905 761 900 1904 769 896 1903 907 856 Rainfall in 1907. Observer: Mr. T. Booton. January .80 inches February .86 „ March .93 „ April 3.07 „ May 2.31 „ June 1.45 „ July 1.79 „ August 1.60 „ September .78 „ October 2.85 „ November 2.03 „ December 2.64 „ Total rainfall 21.11 inches. The rainfall for the year 1906 was 22.94 inches. 45 Pauperism during 1907. I am assured by the Relieving Officer that there has not been an excessive amount of pauperism in the town during the past year. Further Sanitary Requirements of the District. 1. An improved method of dealing with the sludge at the Sewerage Works. 2. |
0c360e59-7aa8-4874-a295-07f0b5be6faf | New Nursing Home and administration block at Hospital. 3. Suitable means of sewage disposal at the Hospital. Vital Statistics. THE DEATH RATE. The nett death rate for the year is 10.8 of the estimated population (June 1907). This is the lowest rate for which I have any record. The average nett rate for the past 10 years works out at 16.5 per 1,000 The uncorrected rate for 10 years (1897-1806) =15.0. The uncorrected rate for 1907=9.1. 16 The total number of deaths was 320, against 360 last year. Ten years ago the total number was 360, and the population was estimated at 18,500. |
b080882b-decb-4d77-9e1a-475bbb4512ee | The deaths divided according to the different age periods are as follows:— Under 1 year 98 143 One year and under 5 year 46 68 Total under 5 years 144 211 Five years and under 15 years 14 14 Fifteen and under 25 years 11 15 Twenty-five years and under 65 years 108 70 Sixty-five year3 and upwards 43 50 Total 320 360 In comparing these figures with those of last year the decrease in the proportion of deaths under five is noticeable and encouraging. In 1906 the deaths under five years were in the proportion of 53 per cent. to the total number, and in 1907 only 45 per cent. |
eed843c1-b335-43d9-a5f4-3fc87202de36 | The only other noticeable features I think in regard to the numbers in the particular age periods are the larger number of deaths from Phthisis in 1907, viz., 22 iu the age period 25 to 65, as against 13 in the same age period in 1906, and Heart Disease which gives 7 in 1903, and 15 in 1907. The Birth Rate. The number of births registered in 1907 was 868, which gives a birth rate for the district of 29.4 This is the lowest for which there is any record. 47 The following list shews the gradual and steady decline of the rate in the district. Ten years ago the birth rate was 41.6 per 1,000. |
0585d107-1508-4496-b3cb-ca6634e21b05 | 1900 36.4 1901 36.7 1902 34.7 1903 34.2 1904 33.8 1905 32.1 1906 30 1907 29.4 ZYMOTIC DEATH RATE Per 1,000 persons living 1.2 1906 3.22 1905 2.7 1904 3.66 1903 2.24 1902 2.55 ZYMOTIC CASE RATE Per thousand persons living 7.9 1906 8.19 1905 9.2 1904 10.7 1903 13.6 1902 14.5 Marriages. Number 144. Rate per 1,000 persons living, 18.4. 48 Isolation Hospital. The number of cases removed to Hospital during the year was 176, viz. |
aa139ece-6129-4dd7-9ce9-b96bc2c27fe0 | :— Membranous Croup 2 Enteric Fever 15 Diphtheria 52 Scarlet Fever 107 Outside Cases 14 Cases remaining in the Hospital on January, 1907 29 Total 219 The total number of deaths out of this was 7, which give a nett death rate if 31 of the total cases admitted, or a rate of 3.6 excluding the cases remaining in at the beginning of the year. Diphtheria.—These cases as regards severity have been much the same as in former years, I cannot see any diminution in the virulence of the poison as has been alleged, but I find they are brought under treatment sooner and so the serum injected can operate benefically. The mortality rate works out at 7.6 per cent., as against 7.1 per cent. last year. |
74522a57-5710-4c96-9b9e-8eac0d911965 | Cases of marked paralysis seem to have disappeared, I have not observed one during the year, nor have I seen one case of collapse in the second week, a condition which 15 years ago was very common. Cases of the Laryngeal variety have been very common, and I am glad to say most successful in result. Scarlet Fever.—These cases have been numbered the same as last year. Only one case died, though many more were very serious cases of the disease. The mortality rate was .8 per cent 49 The number of return cases was very small, only three times during the year did we get eases returned after a patient had been discharged. There had not been any post Scarletinal Diphtheria cases or any return eases of Diphtheria. Enteric Fever.—Fifteen cases have been treated during the year and all have recovered. There has been accommodation for all cases requiring admission during the year, though I could wish that the wards were more up-to-date. |
6aa762a7-6a43-419b-8b0d-0163b7e99be0 | The results, however, shew a record which leaves little to be desired. The Staff consists of:— Matron Staff Nurse Three Assistant Nurses Three Probationers Three Ward Maids Cook Laundry Maid (with Assistant) Caretaker The cost for the year ending December 31st, 1906, was £1,436 inclusive of everything, or at the rate of £6 10s. per patient, or 3/6 per diem whilst in the Hospital. The average number of days each patient was detained was 37. I think these figures are most satisfactory. I regret very much indeed, that the accommodation for nurses, and the kitchen, and food storing accommodation remain as they were, and trust that the Council may see their way to consider these matters at the very earliest opportunity. 50 The year under survey has been in many respects a very active one with respect to Public Health administration. The voluntary notification of Phthisis has also been adopted with the greatest benefit, especially to the poor. |
e5e03ea1-3e3d-4b3c-b206-a65fe36aebe9 | The subject of Infantile Mortality has been well to the fore, and with the appointment of a Health Visitor and instructions to mothers as to proper food for the infant, not forgetting the attempt to supply the very poorest with that food, I think we ought in time to see some good result. The Notification of Births Act, 1907, has also come into force and should prove of very great value. No one who has watched the growth and development of infants when fed and mothered as they should be will have the slightest doubt as to the physical soundness of our population. Under the auspices of the Philanthropic Society a Baby Show was held in the summer and a more creditable display of infant life could not possibly be found anywhere. I am, Gentlemen, Your Obedient Servant, C. F. FENTON. VITAL STATISTICS OF WHOLE DISTRICT DURING 1907 AND PREVIOUS YEARS Year. Population estimated to diddle of each Year. Births. |
cc5ba991-805a-4ef1-a71f-0686da9f2f26 | Total Deaths Registered in District. the Total Deaths in Public Institutions in the District. Deathn of Nonresidents registered in Public Institutions in the District Deaths of Residents registered in Public Institutions beyond the ;. District. Nett Deaths at all Ages belonging to the District. Number. Rate.* Under 1 year of Age. At all Apes. Nnmber Hate per 1.000 Births registered Number- Rate.* Number Hate.- 1 2 3 4 5 6 7 8 9 10 11 12 13 1897 18,500 771 41.6 138 178 360 21.2 5 - - - - 1898 20.000 724 36.2 129 178 321 16.0 6 - - - - 1899 21,500 798 37.0 137 172 389 17. |
af71ad8d-1b13-40f8-8e12-f569d9f6c0f8 | 5 2 - - - - 1900 21,500 783 36.4 159 203 384 17.8 8 - - 399 18.5 1901 21,730 799 36.7 150 198 347 15.9 6 - 36 383 17.6 1902 23,500 817 34.7 110 134 299 12.6 7 - 38 336 14.2 1903 25,000 856 34.2 97 113 322 12.8 18 - 35 357 14.2 1904 26,500 896 33.8 129 143 3)6 13.0 11 - 29 385 14.5 1905 28,000 900 32.1 128 142 337 12.0 18 - 42 397 13. |
bc6e2a95-4ae8-4e43-8689-ca0ef350eba8 | 5 1906 28,500 873 30.6 143 162 322 11.2 7 - 38 360 12.7 Averages for years 1897-1906 23,473 821 35.3 132 162 343 15.0 8 - — — — 1907 29,500 868 29.4 98 112 271 9.1 7 - 49 320 10.8 * Rates in Columns 4, 8, and 13 calculated per 1,000 of estimated population. Ar a of District in acres . Total population at all ages 21,547 (exclusive of area 3,797 Number of inhabited houses 3,851 At Census of 1901. covered by water). Average number of persons per house 5.6 52 CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1907. Notifiable Diseases. |
6cadddfa-b215-4426-94b1-e7cd50ee7d5e | At all Ages. Under 1. 1 to 5. 5 to 15. 15 to 25. 25 to 65. 65 and upwards No. of Cases removed to Hospital Diphtheria (including Membranous Croup) 55 1 28 20 4 2 — 44 Erysipelas 21 — — — 5 13 3 — Scarlet Fever 127 — 32 79 11 5 — 110 Enteric Fever 28 — 3 13 3 9 — 22 Puerperal Fever 3 — — — — 3 — — Phthisis (voluntary) 45 1 3 4 10 27 — 18 Totals 279 2 66 116 33 59 3 194 53 CAUSES OF, AND AGES AT, DEATH DURING YEAR 1907. |
ac470c60-e1cf-4fa1-ac21-d412f31ae108 | Death at the subjoined ages of " Residents " whether occurring in on beyond the District. Total deaths whether of Residents or Non ''Residents" in Public Institutions in the District. Causes of death All ages Under 1 year 1 and under 5 5 and under 15 15 and under 25 25 and under 65 65 and upwards Measles 4 1 3 .. .. .. .. .. Scarlet Fever 1 . . 1 .. .. .. .. .. Whooping Cough 8 4 3 1 .. .. .. .. Diphtheria and membranous croup 6 .. 5 .. 1 .. .. 4 Enteric Fever 3 .. .. 1 .. 2 .. .. Epidemic Influenza 2 .. . . .. 1 1 .. .. Diarrhoea 15 11 4 .. .. .. .. .. Puerperal fever 1 . . |
5d3b1ab6-db21-4238-bac5-7b90f9fe85b3 | .. .. .. 1 .. .. Other septic diseases 1 . . .. .. .. 1 .. .. Phthisis (Pulmonary .. .. .. .. .. .. .. .. Tuberculosis 39 3 4 8 6 22 l .. Other tubercular .. .. .. .. .. .. .. .. diseases 14 5 1 4 .. 4 .. 1 Cancer, malignant diseases 8 .. .. .. .. 7 l .. Bronchitis 18 5 1 .. .. 6 6 .. Pneumonia 30 9 14 .. 1 5 1 .. Other diseases of Respiratory organs 2 .. 1 .. .. 1 .. .. Alcoholism, Cirrhosis of liver 1 .. .. .. .. 1 .. .. Venereal diseases 1 1 .. .. .. .. .. .. Premature birth 20 19 1 .. .. .. .. .. Diseases & accidents of parturition 1 .. .. .. .. .. .. Heart diseases 21 . . |
5eea6195-ce33-4ac7-acc2-df4e67728aae | .. . . 2 15 4 .. Accidents 7 2 1 .. .. 3 .. .. Suicides 2 .. .. . . .. .. 2 .. All other causes 115 48 7 4 1 37 28 1 All causes 320 98 46 14 11 108 43 7 INFANTILE MORTALITY DURING THE YEAR 1907. Deaths from stated Causes in Weeks and Months under One Year of Age. Cause of Death under 1 Week 1-2 Wcelcs 2-3 Weeks 3-4 Weeks Total under 1 month 1-2 months 2-3 months 3-4 months 4-5 months 5-6 months 6;-7 months 7-8 months 8-9 months 9-10 months 10-11 months ,11-12 months Total Deaths under One Year. |
971441c4-219a-4540-9313-076e817c752c | All Causes—Certified 22 9 4 2 37 14 9 3 8 1 7 3 9 3 4 98 Common Infectious Diseases— Measles — - — — — — — — - 1 — — — — — 1 Whooping Cough — — — — — — 2 1 — — 1 — — — — — 4 Diarrheal -Diarrhoea, allfora - - - - - - 2 1 2 - 2 1 1 — — 2 11 Wasting Diseases—Premature Birth 15 2 2 — 19 — — — — - - — — - — — 19 Congential Defects 2 3 1 — 6 1 - - - - - - - - - - 7 Atrophy, Debility, Marasmus 1 2 1 — 4 6 2 — 2 1 — — 2 - |
5c365236-c03f-4cdb-98d9-085645619a00 | 1 — 18 Tuberculous Diseases— Tuberculous Meningitis - - - - - - - - - - - -- - - 1 1 2 Tuberculous Peritonitis :Tabes Mesenterica - - - - - - - 1 - - - - - - — — 1 Other Tuberculous Diseases — — — — — 1 2 — — - — 1 1 — — — 5 Other Causes— Syphilis - - - - - 1 - - - - - - - - - 1 Convulsions 2 1 — 1 4 1 — — — - — — 2 — —r — 7 Bronchitis — — — — — 1 1 — 1 — — — 1 — — 1 5 Pneumonia — — — — — 2 — — 8 - 1 1 1 - 1 — 9 Suffocation, |
efea00ad-9725-4567-a5c4-3f7929ea253a | overlying 1 — — — 1 1 — — — - — — — — — — 2 Other causes 1 1 — 1 3 — — — — - 2 — ■ 1 — — — 6 22 9 4 2 37 14 9 3 8 1 7 3 9 — 3 4 98 Births in the year, legitimate 850, illegitimate 18. Deaths in the year of legitimate infanta, 97 illegitimate infants 1. Population, estimated to middle of 1907, 29,500. Deaths from all Causes at all ages 320. 55 Annual Report . . OF THE . . SANITARY INSPECTOR. Public Health Department, Public Offices, Barkings March, 1908. To the Chairman and Members of the Barking Town Urban District Council. |
e71ce688-8e40-4c31-9e4e-d7a7e9607728 | Gentlemen, I have the honour to present to you my Annual Report dealing with the sanitary work carried out during the year 1907. Inspections. The number of Inspections made during the year was 2,009, these include house to house inspections, houses in which Infectious Disease occurred, houses which have been the subject of complaint, and miscellaneous inspections. In 1,460 of the houses inspected sanitary defects were discovered, and to effect the remedying of these defects it was necessary to serve 732 preliminary and 92 statutory notices and it also involved the writing of a number of letters. In a number of instances defects wore remedied alter personal interview with 56 the owner, and it is satisfactory to note that in no case was it necessary to have recourse to legal proceedings. House to House Inspections. |
a152a6ee-7004-42a3-9851-bf00cf10516a | The following streets, roads, etc., have been inspected under systematic house to house inspection:— Hardwicke Street Axe Street (part) Bifron Street Ripple Road (part) Shaftesbury Road Back Lane (part) Fisher Street (part) Cooke Street (part) Church Road Kings Road (part) Tanner Square Hart Street (part) North Street (part) Wakering Road (part) North Terrace Eldred Road (part) Linsdells Court Morley road (part) Morgan's Quay Boundary Road Parsons Row Howard Road Romford Street (part) The number of inspections under this head was 474, and in 379 of these houses sanitary defects were discovered. Complaints. |
9f4d79d6-15c5-4073-82eb-872893b27da2 | The number of complaints received aud entered in the register were as follows:— 57 Choked drains 58 Drains defective 5 No water to W.C's 13 Premises dirty 6 Roofs and guttering defective 4 Cesspools overflowing 9 Animals improperly kept 4 Gipsies 2 Accumulation of refuse and manure 6 Non-removal of dust 6 Dirty yards 2 Dirty and foul urinals 3 Sundry 6 123 All were immediately inspected and steps taken to remedy or abate any nuisance discovered. House Drainage. The number of drains tested with smoke or chemicals was 108, and when found defective, notices were served on the owners to remedy same. In 5 instances the main-combined drains were found in a defective condition, and on reporting the matter to the Public Health Committee instructions were given to the Surveyor to deal with them under Section 41 of the Public Health Act. |
1cfb32e3-a2c7-4624-aabc-7985d7b53a17 | The main drain at the rear of premises was found, in 78 cases, to be choked; these were reported to the Surveyor's Department and immediately cleared by the Council's workmen. 58 Common Lodging Houses. The following are the registered houses in the district:— Situation of Premises. No. of Rooms. No. of Lodgers. 8 to 12 Fisher Street 13 44 29 7 34 50 Heath Street 5 13 14 Back Lane 7 20 32 111 All have been visited and inspected from time to time, and on a midnight inspection, several contraventions of the bye-laws were discovered which were at once remedied. Otherwise the houses have been kept in a clean and satisfactory condition. No case of infectious disease occurred in any of the houses. Infectious Disease. Enquiries into 234 cages of infectious disease notified to the Medical Officer of Health have been made during the year. |
c03495f3-0d89-4373-b849-b52574771c96 | The sanitary arrangements and surroundings were carefully inspected and enquiries made in each case as to the probable source of infection, to the milk and water supply, schools attended, etc., and all particulars entered in the Infectious Disease Register. After the removal of a patient to Hospital the bedding, etc, is taken to the steam disinfeator, the walls and furniture sprayed with a solution of Formalin, aud the room sealed up. 244 59 rooms have been fumigated, 269 lots of bedding, clothing, etc., disinfected, and 56 rooms stripped, stopped aud ceilings limewhiteil after cases of Scarlet Fever. The Head Teachers of Day Schools, the Superintendent of Sunday Schools, the School Attendance Officer, tire Librarian and the Pawnbrokers are advised of all cases of infectious disease. Mortuary. During the year 33 bodies have been received into the Mortuary, viz., 19 Males, 14 Females. |
05be8cee-708e-4e1e-a081-349b4ee08b87 | Inquests were held on 30 of the bodies and the remaining 3 were admitted on sanitary grounds. Post mortem examinations were made in 14 cases. Petroleum. Five Licences have been renewed, aud the premises inspected to ascertain if the provisions of the Petroleum Act are carried out. Sale of Food and Drugs Act. The number of samples purchased and submitted to the Public Analyst are as follows: — 60 Milk 23 Separated Milk 1 Butter 26 50 Only in one case was the article purchased found to be adulterated, viz., Butter containing 35 per cent. fats foreign to butter, and the vendor was fined £3 and 14s. 6d. costs. Workshops. There are 77 Workshops including laundries and bakehouses on the register. All have at different times been inspected and found in a satisfactory condition. Eight notices have been received from H.M. |
80ae90f9-4064-40f1-b241-aa3f2ae2f129 | Inspector of Factories respecting cleansing of premises, these were immediately complied with. One notice referred to an overcrowded workshop, and on inspection no evidence was found that the premises were overcrowded. Gipsies. We have again bad trouble with these people, but with the assistance of the police, in order to prevent a breach of the peace, we have been able to clear them out of the district, and only in one instance was it necessary to use force. We shall always be troubled with these undesirable visitors until the vacant land is fenced in or built upon. 61 Dairies, Cowsheds, and Milkshops. There are now three Cowsheds in the district, one having been closed during the latter part of the year. All have been frequently visited, and the cleansing and lime-wbiting regularly carried out, but to enforce compliance with the regulations requires constant attention. Slaughter Houses. |
c62039a8-55fb-4ba7-9908-903cd6376a6f | The four Slaughter Houses (including the Knacker's, Yard) in the district have been visited at intervals, the premises kept in good and clean condition, and the bye-laws complied with. Disinfectants. For the convenience of the inhabitants, disinfectants are given out daily between the hours of 9 and 10 a.m., and during the year 3 tons of carbolic powder, and 720 gallons of disinfectant fluid have been distributed. In conclusion, I append summary of work carried out. I am, Gentlemen, Your obedient Servant, H. WOOD. Assoc. R. San. I. 62 Summary of Nuisances detected and Work done during the year 1907. |
f407b88e-aba6-4a74-b032-3c8b49a67ead | Total Inspections 2009 House to House 474 Complaints 118 Infectious Disease 234 Miscellaneous 1183 Re inspections of all kinds 2890 Preliminary notices served 732 Statutory notices served 92 Drains, main choked 78 „ „ tested 108 „ branch defective 83 „ „ choked 136 Water closet, defective flushing apparatus 316 „ „ connections 131 „ „ and foul pans 96 „ „ walls, floors, and seats 54 Sink waste pipes stopped and defective 66 Dustbins, none 158 „ dilapidated 210 Yard gullies defective, etc. |
8e7f3f39-080d-4153-b5b4-5cbfcec79f74 | 12 "Walls stripped after Infectious Disease 56 "Walls and ceilings defective and dirty 237 Eaves guttering and downspouts choked and defective 151 Yard» not paved and defective 186 63 Roofs defective 83 Floors defective 55 Ventilation pipes and soil pipes defective 11 Drinking water improperly stored and cisterns foul 122 Storage cisterns defective 79 Gipsy vans removed 11 Offensive accumulations 25 Overcrowding 17 Animals improperly kept 5 "Water service pipes and draw taps defective 41 Cesspools overflowing 11 Insufficient supply of water to bouse 60 Yards and passages filthy 96 Water samples 3 Other nuisances 110 |
7eeb6498-3c9e-4507-9d37-72356aa5acf5 | BARK 67 Urban District of Barking Town. THE ANNUAL REPORT OF THE Medical Officer of Health AND SANITARY INSPECTOR For the Year 1908. BARKING. Wilson & Whitworth Ltd., Printers, 5, Linton Road. BARK 67 PART I. GENERAL SUMMARY OF HEALTH STATISTICS. 1908 1907. Average for Ten years 1898—1907. The Birth Rate 30.8 29.4 34.1 The Death Rate 12.4 10.8 14.5 Zymotic Death Rate 2.1 1.2 2.5† Zymotic Case Rate 8.2 7.9 8.8† Marriage Rate 10.8 9.8 Infantile Mortality Rate 117 112 155* Infectious cases treated in Hospital 198 190 163 *Per 1000 Births registered. †Average for 5 years only. |
05a85675-8254-4ec6-a097-d0943ccb15b4 | 5 THE Annual Report of the MEDICAL OFFICER OF HEALTH FOR THE URBAN DISTRICT OF BARKING TOWN, For the Year Ended December 31st, 1908. To the Chairman and Members of the Barking Town Urban District Council. Gentlemen, The population of the Urban District of Barking Town, estimated up to the middle of 1908, was 30,000 persons. This number, compared with the population as given by the census of 1901, shews an increase of 8,473 persons. The number of inhabited houses at the end of 1908 was 5,380 and the number of empties 203, leaving the nett number of inhabited houses as 5,177. The number of inhabited houses in March, 1901 (census), was 3,851, which shews therefore an increase of 1,326 houses. 6 Natural Increase of Population. Deaths. Births. Increase. |
53b8daad-bc66-4b2a-95e7-01702ef46690 | 1900 398 783 385 1901 383 799 416 1902 336 817 481 1903 357 856 499 1904 385 896 511 1905 397 900 503 1906 360 873 513 1907 320 868 548 1908 376 924 548 It seems to me that since 1900 the steady increase in the natural increase of the population is worthy of remark. In 1900 the nett gain was 385, in 1906 513, and in 1907 and 1908 548. Water Supply. I insert here a recent chemical analysis of the water supply of the town. data " Respecting a sample of water from Barking Urban District Council, Labelled : From tap at No. 54, Harpour Road, Barking. Taken by H. Long. Physical Examination. Turbidity : Clear and bright. |
05462b5c-56c4-4d51-9862-dee60a1d3ce8 | A mere trace of deposit of sand and vegetable debris. Colour : Greenish yellow tint. Odour: None. 7 Results in Determinations. Grains. per Gallon Parts. per 100,000 Total Solid Matter dried at 180° C 33.6 48.0 Chlorine 2.8 4.0 Equivalent to Chlorides (60 % Cl.) 4.7 6.7 Nitric Nitrogen 0.23 0.33 Equivalent to Nitrates (17 % N) 1.38 l.98 Nitrites Absent Hardness : Permanent 4 (leg.; Temporary 2.5 deg. |
d686dda4-dfc1-41ab-a03f-31c537266595 | ; Total 65 9.8 Lead, Copper, Zinc, Iron Absent Free Ammonia 0.0006 0.0008 Organic Ammonia 0.0022 0.0032 Oxygen absorbed at 98° in 3 hours 0.0238 0.0340 The water is evidently derived from a deep source as it resembles the waters from deep Essex wells. It is of great organic purity, and there is nothing to indicate any contamination. The trace of fine sand and vegetable debris is doubtless derived from the mains. December 10th, 1908. John C. Thresh." Bacteriological Examination. Report on the examination of two samples of water from Barking Urban District Council, by John C. Thresh. No. 1. From main at 24, King Edward Road. No. 2. From main at 69, Morley Road. |
508c0c51-94a3-4b1f-bd3d-043fbaa08f33 | 8 The bacteriological examination of the above waters shows the absence of the Bacillus Coli and the Bacillus Enteritidis. A special search was also made for the Bacillus Typhosus, but in neither sample was its presence detected. The number of organisms in the sample No.1 is very excessive, otherwise both samples are of a satisfactory character. PUBLIC HEALTH LABORATORIES. " Report on the Bacteriological Examination of a sample of water received on September 11, 1908, from Barking Urban District Council. Source i., from main at 24, King Edwards Road, 2.30 p.m., September 11. ii., from Main at 69, Morley Road, 2 p.m., September 11. Number of organisms per cubic centimetre capable of growing on alkaline nutrient jelly at 20°C. in 4 days. Counted by aid of pocket lens; No. |
292df445-e020-4499-8750-afb2ade2a975 | i., 16,000 in 3 days, liquified 4th day; No. ii., 510 Smallest quantity of water in which growth occurred, with production of acid and gas in bile-salt glucose broth. (1, 5, 10, or 20cc); No. i., acid in 1 cc, gas in 1 cc; No. ii., Acid in 5 cc, gas in 5 cc. Nature of organisms found in this growth : No Bacillus Coli, or Bacillus Typhosus found in either sample. Reaction of the bacillus enteritidis sporogones; No. i., in 250 cc., negative; No. ii., in 250 cc., negative. 9 I am glad to say that no case of disease has been definitely traced to drinking water during the year. I am doing all I can to get the supply of drinking water to every house from the rising main and not through a cistern. |
44f3a03e-f4ca-4518-b635-c8d5d979e39b | Many domestic supplies have been altered during the year from a cistern, to a direct, constant supply. I again urge that the Council should not allow houses to be erected without this provision. In 1900 there were 198 houses in the Town not connected with the main water supply— at the present time there are only . 6 remaining unconnected. Property. Source & Condition. Two Cottages adjoining Longbridge Farm Shallow well Bush Grove Farm „ Parsloes Lodge „ Scratton's Farm „ Starling's Hall „ Nos. 1, 2, 3, Lodge Lane „ Lodge Farm House „ Cottage adjoining „ Parsloes Farm House „ Two Cottages in Gale Street „ Great Porters „ Mogg's Farm „ Nos. 1 to 6, Ripple Hall Cottages „ Alpha Cottage „ Magazine Cottage No supply. |
a89bb229-fea5-43dd-995a-a6d25f74f092 | Magazine Cottage, Ripple Marsh „ Davey's Tar Works (Cottage) „ 10 Bacteriological Analyses were made of Water from several shallow wells but no specific germ was discovered. Food Supply. Several parcels of fish and fruit have been condemned by me, but as they were not exposed for sale or intended for the food of man no prosecution could follow. I am quite sure small allotment holders could find a ready market for their surplus goods if a little more accommodation were offered them for this purpose, in the Broadway. Milk Supply. The condition of this important industry has occupied a large amount of my attention during the year. It seems almost impossible to impress, as one would wish, upon the producers and vendors of this article the absolute necessity for cleanliness in the minutest details, and care in preventing pollution. Still, as public opinion advances, so will the methods of the trade advance to meet its demands. |
d9db9306-effc-4971-aa06-ee123f3c6ac8 | The condition of the cowsheds has improved, but we have not at present any power in this district to enforce adequate examination of cows as to their fitness, or otherwise, to be milk suppliers. The resolutions passed at the recent Conference of Health Authorities would meet this difficulty, and have my cordial approval. Taken as a whole the dairies have improved, though in this 11 case, as in the cow-sheds, I find the greatest difficulty in getting any structural improvement carried out. The dairyman is usually poor, and only rents his premises for a short period so that the owner is not disposed to lay out capital to render the premises suitable for the storage of milk, especially necessary in the summer months. The churns are usually kept uncovered, and all kinds of dirt and germs are freely accessible. |
4f49bed0-d8b6-49a9-bc27-7abe5059c30f | The rail-borne milk is subjected also to storage in hot ill-ventilated vans, and is often allowed to stand on a dusty station platform in the sun, and is thoroughly well shaken up several times during the journey from the producer to the consumer. No real reform in our milk supply will be effected until this " go as you please " style is abolished, and uniform methods insisted upon all over the country for the carriage and handling of milk. With regard to the milk shops I have succeeded, with the co-operation of the Public Health Committee, in enforcing covered receptacles in every case. This is some advance, but I fear this precaution is very much on a par with the shutting of the stable door when the horse has gone. The already grossly contaminated milk is carefully shielded from less harm than it has already received. Another serious defect in the local dealing with the milk supplies is the inability of the local authority to protect its own milk supply. |
0d92a151-4bee-45fe-8356-05c3092ff180 | I estimate that only about one quarter of the milk supplied in the town is produced therein, so that although we may exercise the most careful supervision over the milk produced in the district this supervision is rendered almost useless by the rail-borne milk imported from elsewhere. I am quite sure the control of our milk supplies should he in the hands of a central authority so as to insure uniformity of aotion all over the country. I reproduce here the resolutions, above referred to, passed at a reoent Conference of Health Authorities, and adopted by the Council:— 12 Resolutions with regard to Milk Supply and Bovine Tuberculosis. 1. That the adoption and enforcement of the regulations under the Dairies, Cowsheds and Milkshops Orders should be made compulsory on all Sanitary Authorities throughout the Kingdom, and that in the event of any Urban or Rural District Authority failing to carry out the Order or Regulations made under it, the County Councils be empowered to act. 2. |
b3b9fda7-d5db-424a-9844-2b66c7a40a9a | That instead of the present system of Registration of Cowkeepers, a system of annual licenses should be substituted, renewable only if the premises are kept in sanitary condition—as in the case of slaughterhouses—and as provided in the Liverpool Improvement Act, 1867, and the Public Health (London) Act, 1891. 3. That throughout the Dairies, Cowsheds and Milkshops Orders and the Regulations made under them the responsibility of carrying out all structural alterations should be placed upon the owner. 4. That similar powers to those given to the large towns with regard to Tuberculosis and the milk supply be extended to the whole country, and that a national scheme should be undertaken for the purpose of reducing the prevalence of Bovine Tuberculosis. ft 5. That a copy of the foregoing resolutions be forwarded to the Prime Minister, the President of the Local Government Board, and the President of the Board of Agriculture. COWSHEDS IN THE DISTRICT. Number in Register. |
7b1ac4f2-d574-4b7a-8bae-8f61512e7c96 | Amount of cubic space allotted to each cow. Condition as to light when doors are closed Ventilation, whether adequate or not. General cleanliness of shed and cows. 1 495 Good Improved Improved 360 Fair do. do. 410 Fair do. do. 360 Fair do. do 3 850 Fair Good Very Clean 600 Good do do. 84 1000 Good Good Very Clean DAIRIES IN THE DISTRICT. Number in Register Position and condition of Premises where Milk is stored. Are the Vessels containing the Milk covered ? What are the methods adopted for cleaning churns and cans ? 1 Ground floor of house, paved and ventilated Covered with muslin Boiling water from copper 2 Dairy, specially fitted Do. Copper for cleaning utensils 4 At rear of shop Metal cover in shop Boiling water from copper 11 Shed in yard paved and ventilated Do. Do. |
4cc8e5e2-5315-40b5-a324-ac56fb26ba2d | 15 Dairy at rear of shop Ordinary churns Special apparatus for boiling water and washing cans 17 Shop Muslin cover Cleaned at No. 31. 22 Do. Metal cover Boiling water from copper 26 Shed in yard paved and ventilated. Muslin cover Do. 26 Do. do. Do. Do. 27 Do. do. Kept in churn 29 Dairy at rear of shop Shop pail, metal cover Portable copper for washing cans. 31 Do. Do. Special apparatus as at No. 15 32 Shed in yard paved and ventilated Muslin cover Boiling water from copper 33 Dairy at rear of shop Do. Do. MILKSHOPS IN THE DISTRICT. (No Milk stored on premises except on the counters.) Number in Register. Description of the Vessel in which the Milk is stored. Description of covering to the Vessel. Other articles sold in the Shop. |
da2ed414-e49f-4b03-99c1-7ffc4efb6617 | 6 Enamelled pan Metal cover Grocery 7 Jug Muslin cover General 8 Enamelled pan Do. Do. 9 Do. Do. Do. 10 Milk jug Do. Do. 12 Enamelled pan Do. Grocery 13 Do. Do. General 14 Do. Do. Grocery 16 Do. Do. Bread 18 Enamelled jug Do. General 19 Do. Do. Do. 20 Enamelled pan Do. Do. 21 Do. Do. Do. 23 Do. Do. Grocery 24 Do. Do. General 28 Do. Do. Do. 30 Do. Metal cover Grocery. 16 Bakehouses. There are now 18 bakehouses registered in the district. These have been kept under observation during the year and the regulations adopted by the Council under the Factory and Workshop Acts enforced. |
9773425d-a837-4ccc-9562-ac8650afc09a | These regulations relate to:— a. Overcrowding (amount of cubic space per head required.) b. Ventilation. c. Light (in several instances the amount of light is not satisfactory.) d. Communication with bedroom. e. Communication with w.o., ashpit, or privy. t. Cleanliness and whitewashing. g. Drain openings. h. Water supply. There are no underground bakehouses in the district. Slaughter Houses. Only one registered slaughter house now remains. This is kept in very fair condition and all the requirement of the bye-laws are complied with. There are two licensed houses both of which are kept in excellent order. 17 As I have pointed out many times, there is no obligation on butchers and others to notify when killing is proposed to take place, so that the public may be safeguarded as to the condition of animals killed. The bye-laws have respect to the premises only. |
cd989b83-efe4-40b8-960d-3e60e1c505dd | Knacker's Yard, Creeksmouth.—I have received complaints as to smells arising from these premises. Other and absolutely up-to-date premises close at hard are in course of erection, when the nuisances complained of will cease as all the work hitherto carried on in the premises complained of will be transferred to the new erection. Offensive Trade. Several manufactories of this description have been established during the year where fat extracting and blood drying are carried on. A good deal of nuisance has arisen from one factory but new plant is now in course of erection which will effectively stop all complaint. Other nuisances, arising from offensive smells in the course of various manufactures have been successfully dealt with during the year. Bye-Laws with regard to these trades are now in force. Rivers and Streams. Neither the Roding River nor the Loxford water have been the cause of much complaint during the year. 18 The water courses 011 the Marshes, with one exception, have not been complained of. |
3c409b4f-ec80-42fc-8d75-ee9ed68b301e | Scavenging. This is carried out by the Council's men. Their operations have lately been extended, by arrangement with the owners, to localities which have not yet been taken over by the Local Authority. There are still several courts which should be attended to. General Inspection of District. A house to house inspection has been made during the year, as the work in the department will allow. A summary of the work done in the sanitary department, and nuisances detected, will he found hy reference to the Sanitary Inspector's report. I append a list, as usual, of those courts and alleys of the town which require speoial and constant attention. In all cases of Infectious disease special inspections are made, and in connection with all complaints. 19 Name of Property. Sanitary Improvements required. St. John's Retreat The drain 1 to 4 needs re-laying. Partially re-drained The surface of the court has been improved. |
8147318e-4fb6-4301-98b0-628331fa5fdd | Red Lion Place Has been re-drained. Requires paving in front of houses. Houses empty, owner promises to pave when let Alma Place Has been re-drained. The surface of the court should be drained and repaired where necessary. It has been suggested to cut up the surface of the court with gardens for the houses. Back Reform Place ... The main drain which receives the drain age from these houses, and also from Reform Place, North Street, has been re-laid and ventilated. The house connections have been attended to. Back Lane The drains of Nos. 1 to 11 and 15 to 17 need re-laying Bifron's Square The drains belonging to this property have been re-constructed and ventilated. A w.c. has been provided for each house. The surface of the square has been made up with a road, curbed and channelled. |
a609bc8b-2941-423f-a40e-d5bdaedcfb5a | The houses themselves have been modernised in appearance, and thoroughly renovated inside, and are let at a rental of 4s. 6d. per week inclusive. 20 Name of Property. Sanitary Improvements required. Linsdell's Court The surface of the court has been made up under the 150th section of the Public Health Act, 1875, and the houses are now let at a rental of 4s. per week inclusive. Orchard Avenue The houses have been put in good repair and are now all occupied. Morgan's Yard The sewer has been relaid and ventilated and the court paved. Morgan's Quay The main sewer has been relaid and ventilated, and the road made up. The paving at the back of the houses has been laid. The road and footways need scavenging. The back ways have been separated with good effect. Factory Road and Emily Cottages These drains have been re-constructed and ventilated. |
cc13e3fb-ef4c-4c4f-97a0-59cf35b687e4 | The houses have been modernised, thoroughly cleansed and renovated. The back yards have been concreted and divided off in Factory Road. In Emily Cottages the back yards have been concreted but not divided. Park Terrace New water service has been laid on. Property in good order. Albert Terrace Collier Row The sewers belonging to these properties need ventilating and re-constructing. It would probably prove a great advantage if the back ways to these properties were abolished. 21 Name of Property. Sanitary Improvements required. Collier Place The drains belonging to this property have been re-constructed and ventilated. The back ways have been done away with, which has been a great improvement. Barking Place The sewer has been relaid and ventilated. The Council do the scavenging by special arrangement- Garden Place These properties, all situated in Axe Wellington Buildings Street, have been re-sewered, fresh w.c. |
0f8d26dc-c189-4c05-9c05-d718b2168b2d | Parson's Row accommodation, and flushing cisterns Padnell Place provided. The yards are now partially Suffolk Place I paved. They need scavenging badly. New water service laid on for Suffolk place. Arthur Cottages, This property is now in the possession of East Street the Railway Company. In fairly good order. Bridge Street. Streets repaved, curbed, and channelled. London Road Roofs attended to. Houses now in fair condition. Over-the-Gates This property have been thoroughly inspected, and any defect found remedied. Holly Square Fair condition. Main drain defective. Tanner Square Drain not ventilated, probably defective. 22 Drains found to be defective but not yet dealt with Northbury Cottages— Defective and should be relaid North Street— 90-92, require ventilating and repairing 109-119, need relaying 85-103, need ventilating 105-7-9 need relaying (? |
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