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e8937264-46c7-46b9-a57a-00c690bab716 | 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, need relaying ( ? private drain) 33, need ventilating, etc. Heath Street— 5, need relaying 1-3, need relaying Axe Street— 49-59, need ventilating and possibly relaying 23 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). 3. |
d54d04e1-7adb-4497-bb33-f04488954d0a | Tar Works, Muriatic Acid Works, Varnish and Paint Works and other manufactories of a similar 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. Manufacture of various light goods. 10. Various offensive trades and manufactures. 24 Collection of House Refuse. Very few complaints have been received during the year as to the non-collection of house refuse once weekly. This means that about 800 houses are visited daily, or 400 for each gang. The arranging of the work is in the hands of the Public Health Department. The cost of the work up to the year ending March 31st was £1201 6s. 4d. |
0888ea57-e393-44e2-8287-963196faf72f | The number of houses from which dust is now collected is about 5,300, therefore the cost per house is just one penny per week. In my opinion the price is very reasonable. Sewerage and Sewage Disposal. No further steps have bean taken during the year with respect to linking up Creeksmouth with the main sewerage system. In my opinion the question should be dealt with at the very earliest opportunity. A small portion of the district (London Road) has been added to the main sewerage system, and the Upney Valley sewer, which is intended to drain the Faircross Estate now being developed, is now completed and ready for use. The same process of chemical precipitation is in use at the Sewage works, and no complaint has been received during the year as to the effluent. A good deal of the sludge has been removed from the works both by barge and by carting, but there is still a large quantity remaining. |
76840a8b-47d8-4d9d-9a4e-972346ad53a1 | 25 The emptying of cesspools by means of an exhauster is a great advance on the old method, and the cost is much more reasonable. Fish Otfal Collection. The contractor still does the Work without any complaints coming to hand. Housing of the Working Classes. Never to my knowledge has house accommodation been so cheap in the town. The rent at which a good house can be obtained is 5s. 6d. per week, which is inclusive of rates. That is the sum for which a man can get a sanitary cottage, which includes of course education fees and all the usual sanitary advantages of a modern township These houses contain 4 rooms and a washhouee, and the rooms are somewhat small. There is a back garden 70ft. long and small forecourt. The roads are 40ft. in width with paved footways. I know of no district where houses of this description can be obtained at the price. |
dd9033ca-5874-4037-a677-ada192127792 | I should like to see more facilities for obtaining small parcels of land at a reasonable cost, where fowls, pigs, etc., may be kept, and vegetables and fruit cultivated. The cottages owned by the Council continue to let fairly well, and are practically self supporting. On the whole I think the accommodation for the working class was never so good as it is now. The number of houses now letting in the town at 5s. 6d. per week, and under, is 2,326. 26 Infantile Mortality, 1908 (INCLUDING INFANTILE DIARRHŒA). This period is interesting as being the first complete year of working of the Notification of Births Act, 1907. The Notification began on January 1st, and up to December 31st 757 births were notified out of 924 registrations. The Notification Act was exceptionally well received by the general public. |
552eddbb-5e1f-42dc-99a0-31a0fa3275f1 | As far as I know, no objections have been raised to the notification of the births, and no one has refused admission to the Lady Inspector though, in several instances, as there appeared to be some hesitation, it was not pressed. With regard to the Midwives and Nurses in the district I have received the heartiest co-operation, and only one or two of the Medical profession have omitted to notify cases occurring in their practice. I feel sure, however, that when they see that in practice the objections that have been raised vanish into nothing they will also assist the Public Health Authority by notifying. The number of illegitimate births registered during the year was 21, and out of their number 16 were notified. I think the first visit after notification might be usually preliminary. It is not always wise or necessary to see either the mother or the child, unless there is some special reason for doing so, such as neglect, starvation or filthy surroundings. |
4ee78963-6e90-4c4b-8d38-1da2951738e2 | Later on, after the doctor in attendance and the monthly nurse have finished, a visit is most useful, and, in many instances, essential, as it is then that the breast milk may fail and the mother is looking about for some suitable substitute. Revisiting is often required so 27 that the mother may be encouraged and instructed with regard to cleanliness of bottles and teats, and warned against continually changing the food at the suggestion of kindly, but often ignorant, friends and relations. It is in this connection that I have found the instituting of some sort of milk depot most valuable. Most of the children can be brought to the depot and are weighed and inspected from time to time, and supplied with a preparation of pure fresh waterless milk. The particular form I have been using is called "Glaxo," and my results have been very satisfactory indeed. I append a list of cases which have been fed npon it, giving ages, reasons for feeding and results. Age of Infant. |
8d538974-f272-4cf1-8e80-fec4b6dd06b9 | How Fed, Reasons for hand Feeding. First Weighing. Last Weighing 10 wks. No breast milk. Tried in succession cow's milk and barley water, and various patent foods At 10 wks. put on dried milk 7th Sept. 6lbs. 8ozs. 4th Jan. 10lbs. 3oz. 9 wks. Breast fed till 9th week, progress unsatisfactory; put on dried milk to supplement breast milk, from 3 months dried milk only 31st Aug. 8lbs. 12ozs. 1st Feb. 12lbs. 4oz. 3 wks. Hand fed (dried milk) entirely owing to condition of mother's health 15th Oct. 7lbs. 8oz. 18th Jan. 11lbs. 6oz. 5 mths. |
0e64b2c8-2b14-4160-ad5b-186dd733455a | Breast fed, unsatisfactory progress; put on dried milk to supplement breast milk 14th Nov. 8lbs. 80z. 2nd Jan. 9lbs. 12oz. 28 Age of Infant. How Fed, Reasons for Hand Feeding. First Weighing. Last Weighing. 3 mths. Breast fed first two months, various patent foods, not thriving, put on dried milk at 3rd month 20th Oct. 7lbs. 13oz. 1st. Feb. 10lb. 2oz. 5 mths. A twin; under hospital treatment, on cow's milk and barley water, and condensed milk, no progress; put on dried milk at 5th month 21st Nov. 7lbs. 12oz. 1st. Feb. 10lbs. 2oz. 9 mths. 7 months' child. Under hospital treatment for heart disease. |
211a3c04-c2cd-47b9-8f71-874ded9a271a | Breast fed first 6 weeks, subsequently cow's milk & barley water, at 9th month on dried milk 14th Sept. 10lb. 4oz. 25th Jan. 14lbs. 2oz. wks. No breast milk, 9th child, none having previously survived infancy. Put on dried milk from birth 14th Feb. 11lbs. 2oz. 30th Dec. 21lbs. 4oz. 3 mths. No breast milk, cow's milk and barley water, at 3 months put on dried milk 23rd March 61bs. l4oz. 4th Jan. 13;lbs. 12oz. 6 wks. Hand fed entirely from 6 months, since mother's death 4th Mar. 1llbs. 7oz. 2nd Dec. 16lbs. 6oz. 5 mths. |
2913dac1-c876-4fc6-8618-f93fdf1c3bf4 | Breast fed entirely first 6 weeks, condensed milk and barley water 4 months, wasting; put on dried milk at 5th month 1st Oct. 8lbs. 10oz. 3rd Feb. 12lbs. 4oz. 29 Age of Infant. How Fed, Reasons for Hand Feeding. First Weighing. Last Weighing. 1 mth. Breast feeding but no progress, put on dried milk at 1 month to supplement breast milk 2nd Dec. 6lbs 8oz. 1st Feb. 8lbs. 3oz. 6 mths. Breast fed entirely 7 weeks, cow's milk and barley water, patent food till 6 months, unsatisfactory progress, put on dried milk 17th June 13lbs. 4oz. 15th Dec. 21lbs. 12 mths. |
b1fe2b94-2459-46df-9f75-2511017239f8 | Breast fed 11 months, wasting, put on dried milk in addition to ordinary diet 19th Oct. 13lbs. 14oz. 15th Dec. 15lbs. 8oz 12 mths. Breast fed 11 mths., no progress, on Nestle's and sops, put on dried milk 7th Dec. 14lbs. 12oz. 1st Feb. 16lbs. 8oz 12 mths. Breast fed and patent foods, wasting, put on dried milk 8th Oct. 10lbs. 8oz. 16th Dec. 13lbs. 3 mths. Insufficient breast milk, using various patent foods, put on dried milk at 3 months 24th June 9lb. 10oz. 24th Nov. 14lb. 10oz. 2 mths. |
ded2e83f-6785-4ec9-b1f8-3480f4d08af8 | Breast fed entirely first mouth, supplemented with cow's milk, 2nd month lost breast milk, entirely hand fed on dried milk 8th Dec. 11lbs. 2oz. 5th Feb. 14lbs. 3 mths. Put on patent food first 3 months, progress very slow, if any, symptoms of rickets, put on dried milk 17th June 8lbs. 23rd Oct 11lb. 8oz. 30 Age of Infant. How Fed, Reasons for Hand Feeding. First Weighing. Last Weighing. 2 mths. Breast fed first 6 weeks, cow's milk to supplement breast milk. At 2 months, put on dried milk in place of cow's milk, after 3 months no breast milk 22nd Sept 9lbs. 2nd Feb. 15lbs. 7oz. 12 mths. |
f9d4c9c0-01c3-4ce9-a244-59b7e6304513 | Breast milk and cows' milk 12 months, wasting, put on dried milk with ordinary diet for two months 8th Oct. 10lbs 8oz. 16th Dec. 13lbs. 3 mths. Breast fed 6 weeks, condensed milk and barley water 4 weeks, since using dried milk entirely 26th Mar. 7lb. 14th Sept. 9lbs. 6oz. 3 mths. Breast milk failed after 3 months, put on dried milk entirely 23rd Mar. 11lbs 2oz. 19th Oct. 22lbs. 4oz. 9 mths. A twin. Breast fed 1 month, condensed milk, progress unsatisfactory, put on dried milk at 9 mths. 6th April 13lbs. 8oz. 6th Oct18lb. 12oz. 4 mths. |
91a819c4-3d6f-42bc-a161-5f341ab0c9c2 | No breast milk after 6 weeks, tried various patent foods, put on dried milk at 4 months 19th May 7lbs. 1oz. 5th Oct. 9lbs. 11oz 10 wks. Insufficient breast milk 20th May 8lbs. 6th Aug. 13lb. 8oz. 6 wks. No breast milk after 5 weeks, hand fed entirely on dried milk 25th May 9lbs 2oz. 9th Sept. 15lbs. 8oz. 10 wks Insufficient breast milk, 3 feedings of dried milk daily 17th May 9lbs. 9th Oct. 13lbs. 8oz. 31 Age of Infant. How Fed, Reasons for Hand Feeding. First Weighing. Last Weighing. 10 wks. Breast feeding and patent food, dried milk to replace it 24th June 9lbs. |
cbbb47e9-ca18-43b7-b49a-f47a25526811 | 2oz. 5th Oct. 12lbs. 12oz. 6 wks. No progress on breast milk, dried milk to supplement 14th June 6lbs. 2oz. 4th Sept. 8lbs. 4ozs. 2 mths. Breast fed first three weeks, in hospital 2 weeks, since hand fed entirely on dried milk 21st June 8lbs. 4oz. 21st Sept. 11lbs. In regard to the deaths among infants fed entirely upon "Glaxo" we had 2 in 42 cases, or 4.7 per cent. I am rather doubtful whether I ought really to count one of the deaths as the food was only given as a remedial measure when the case was practically hopeless. The death rate among the whole of the infants of the town is about 11.7 per cent. Of course the numbers are rather small for comparison, but under the peculiar circumstances, viz. |
548f8e80-238b-4c05-875d-d6252d914c67 | : that all these children were brought to the depot suffering from some defect, either in themselves or. the mother, or were weakly, or the natural food was not available, the result is prima facie a good one. The following tables will show the number and character of the principal infantile deaths from various causes during the year, and two previous years. 32 This result is the more encouraging as Epidemic Diarrhœa was very prevalent, and very fatal, during the summer quarter of the year. 1906 1907 1908 Premature Birth 12 19 9 Atrophy, etc. |
b3d17bad-6d03-431c-a2ef-8b2572bd7fd0 | 21 18 24 Bronchitis and Pneumonia 7 14 17 Diarrhœa 41 11 25 Enteritis and Gastritis 9 — — Convulsions 16 7 4 The Infantile Mortality rate for the year 1908 was 117, and the rate for the 10 years 1908 to 1907 was 155 per 1000 births registered. In 1907 the rate was 112, and that in a very cool summer, whereas in 1908 the summer was hot and the deaths from epidemic diarrhoea were more than double, but in spite of this the rate only rose 5 points. This is, to my mind, most encouraging. Half the infantile mortality appears to be due to premature birth, atrophy, bronchitis and convulsions, and most of these deaths are admittedly caused by the inability of the infant to digest and assimilate its food. |
e546ea46-82d0-4970-a57e-ddb3ad0b3dd9 | Another third of the deaths were registered as due to diarrhoea in all its forms, so that improper food, want of care, &c., account for a large proportion of the mortality rate. The work of the Lady Health Visitor and the provision of sound, healthy, food is, I feel convinced, making a difference already in the town, and in a few years the infantile mortality rate which has been for so long the one bad item in our mortality returns will have been reduced to a normal and reasonable level. INFANTILE MORTALITY DURING THE YEAR 1908. Death from. stated Cauas In Weeks and Months under One Year of Age. |
e42d848f-7af8-4a2f-8142-ea38b75599f1 | Cause of Death Under 1 Week 1-2 Weeks 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. All Causes—Certified 19 4 2 2 27 12 9 10 5 7 8 7 6 4 9 6 110 Common Infectious Diseases— • Measles — — — — — — — — — — — — — — 1 1 2 Whooping Cough — — — — — — — 1 — — — — — — — — 1 Diarrhœal Diseases-Diarrhœa, |
90d4df51-db1d-4866-88d3-8aa36ad80917 | all forms– — — — 1 1 — 2 — 2 4 2 5 1 3 3 2 25 Wasting Diseases—Premature Birth 7 1 — — 8 1 — — — — — — — — — — 9 Congenital Defects 2 1 — — 3 — — l — 1 — — — — — — 5 Atrophy, Debility, Marasmus 7 2 — — 9 9 2 — 1 — 1 — 1 — — 1 24 Tubercular Diseases— Tubercular Meningitis — — — — — — — l 1 — 1 — 2 — — — 5 Tubercular Peritonitis: Tabes Mesenterica — — — — — — — — — 1 — — — — — — 1 Other Tubercular Diseases — — — — — — 1 — — — 1 — — — — — 2 Other Causes— |
ca7e44d4-2fc4-4bb6-8c36-1a57cce74840 | Syphilis — — — 1 1 1 — l — — — — — — — — 3 Meningitis (not Tubercular) — — — — — — — — — — 1 — 1 1 — 1 4 Convulsions 2 — — — 2 — 1 1 — — — — — — — — 4 Bronchitis — — 1 — 1 — — 2 — — — 1 — — 1 1 6 Pneumonia — — — — — — — 2 1 1 2 — 1 — 4 — 11 Suffocation, |
4460dfe5-31f4-4252-9c25-648dd39aa997 | overlying 1 — — — 1 1 1 — — — — — — — — — 3 Other causes — — 1 — 1 — 2 1 — — — 1 — — — — 5 19 4 2 2 27 12 9 10 5 7 8 7 6 4 9 6 110 Births in the year, legitimate 903, illegitimate 21. Deaths in the year of legitimate infants 100, illegitimate infants 10. Population, estimated to middle of 1908, 30,000. Deaths from all Causes at all ages 376. 34 Factory and Workshop Act, 1901, Annual Report of the Medical Officer of Health for the year 1908, on the administration of the Factory and Workshop Act, 1901, in connection with Factories, Workshops, Workplaces, and Homework in the District. 1.—INSPECTION. |
55c7c949-1d2d-4e5b-8dd2-dd027248ebb1 | Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances. Number of Written Premises Inspections Notices. Factories (including Factory Laundries) 16 4 Workshops (including Workshop Laundries) 109 7 Workplaces (other than Outworker's premises included in part 3 of this report) 14 2 Total 139 13 2.—DEFECTS FOUND. Number of Defects. Found. Remedied. Nuisances under the Public Health Acts— Want of Cleanliness 6 6 Want of drainage of floors 2 2 Sanitary accommodation insufficient 3 3 Sanitary accommodation unsuitable or defective 3 3 Total 14 14 3.—HOME WORK. Nature of Work. Lists received from Employers. Addresses of Outworkers. Twice in the year. Once in the year. Received from other Councils. Forwarded to other Councils. |
1562af82-dce4-4326-b2f6-e8939288b9ff | Inspections of Outworkers' premises. Lists. Outworkers. Workmen. Lists. Outworkers. Workmen. Wearing apparel— (1) making, etc. 16 16 10 11 19 6 30 Sacks 2 8 l 5 9 — 17 Paper Bags and Boxes — — 2 2 2 — 2 Brush Making 2 2 — — 1 — 2 Total 20 26 13 18 31 — 51 35 36 4.—REGISTERED WORKSHOPS. Workshops on the Register at the end of 1908— Workshops 50 Workplaces 11 Bakehouses 16 77 5.—OTHER MATTERS. Matters notified to H.M. Inspector of Factories— Failure to affix abstract of the Factory and Workshop Act 5 Action taken in matters notified by H.M. Inspector 7 Reports (of action taken) sent to H.M. |
9a74a551-2b4b-407d-bec1-409c7c04dfc7 | Inspector 7 19 Common Lodging Houses. I have paid a good deal of attention to these during the year. The ventilation of the rooms at night needs some attention, otherwise all the houses are kept in an orderly and clean condition. The following resolutions with regard to Houses-let-in-lodgings and Common Lodging Houses were passed at a Conference of Public Health Authorities, held on November 8th, 1908, and subsequently affirmed by the Council:— 1. That owing to the fact that Houses-let-in-Lodgings in our great towns are as a rule inhabited by the poorest class of the community, and that the present 37 bye-laws give no facilities for the night inspection of such houses, it is urgently necessary that means for the better supervision of Houses-let-in-lodgings be provided. 2. |
0b637d92-c45e-4515-bfda-98c7e20e3c17 | That owing to the fact that the keeper of what is virtually a Common Lodging House may escape supervision and have his house registered as a "House-let-inlodgings," provided that his lodgers pay by the week, it is urgently necessary that a proper definition of a "Common Lodging House" be provided by law. 3. That copies of the foregoing resolutions be forwarded to the Prime Minister and the President of the Local Government Board. Mortuary. I think the time has arrived for some attention in the arrangement at the Mortuary so that better accommodation might be offered for the performing of post-mortem examinations. Receptacles should be placed at the end of each of the slabs to catch the drainings, and suitable overalls and washing basins should be provided. Accident Ambulance. This has proved a very great boon to many. Fifty cases of accident and disease have been removed during the year. 38 Medical Inspection of School Children. |
901cc1e6-e199-4f1c-afd6-fbc8bc41dab0 | The following is a copy of my report as submitted to the Education Committe on the medical inspection of school children during the year:— "To the Chairman and Members ot the Education Committee of the Barking Town Urban District Council. Gentlemen, As far as practicable, I have medically inspected all children in the Public Elementary Schools of your district who were admitted during the period beginning January 1st and ending December 31st, 1908, and also those leaving up to the same date. Altogether I have inspected 949 infants, 197 girls and 140 boys; and in submitting the tables of the various schools, which have been obtained from the cards used at the time of inspection. I venture to point out a few items which I think are worthy of your immediate attention. With regard to regularity of attendance, of course if the exact figures and percentages were required it would be necessary to make a digest of the attendance registers. This is not required for purposes of medical inspection. |
881f0013-96cd-49bf-9dcc-2e3c27d9c6fa | INFANTS I found that about 576 infants attended well, and 376 only fairly. I divided the clothing and footgear into three divisions, and I found 641 were good, 235 fair, and only 73 were bad. 39 I will not go into details as to the heights and weights, which are all set out in the tables, but will just remark that they work out very satisfactorily indeed. These statistics are most valuable as indicating year by year the physical development, or otherwise, of the rising generation. With regard to nutrition, I found 633 well nourished, 300 were fair, and only 16 showed signs of decided mal-nutrition. Many of these cases were investigated and dealt with—some provided with tickets for the free meals, and others visited at their own homes. I found much less want of cleanliness than perhaps one expected—741 were clean, 166 fair, 42 bad. |
2fc11794-d61f-4c3f-a2a6-828753cdeb51 | As far as possible, the worst of these were visited at their own homes and the cause of their condition investigated. The question whether it is necessary to pay much attention to the condition of the teeth in the infants' department is, to my mind so obviously in the affirmative that I will not discuss it here— 322 needed attention out of 949. Cases of Tonsillar and Glandular enlargements were numerous, and open up a wide field for further elucidation. Adenoids were probable in 187 cases. Sections dealing with external eye disease, vision, ear disease and hearing, call for no particular remark, except that the figures are very low. Probably the low sickness rate of scarlet fever of late years has had something to do with the comparative absence of serious ear disease. |
f421141f-f02f-451e-9dd0-b706af876bc8 | 40 Section 21 (Rickets) reflects, I think, the condition of infant life as it exists in the modern urban population, and the numbers n the column will probably diminish if the efforts now going on all over the country, and in Barking too, with regard to infant feeding and management are persisted in. Home surroundings total up fairly well—only 67 out of the total are said to be unsatisfactory. BOYS AND GIRLS. With regard to the boys and girls I do not propose to weary you with details—they are set out fully in the tables both as to age and schools. I will refer only to the question of the teeth and eyes. Out of 140 boys examined I find 29 had abnormal vision. This does not mean that of necessity these 29 need spectacles; that point and the spectacles required can only be settled by a qualified oculist—not optician. |
d7813729-60b3-46de-a58b-787e79e2a806 | I have myself attended to some of the worst cases and procured the spectacles, and a few have gone to the Hospital. The number remaining for attention should be ascertained. I found 53 cases amongst the girls, and what I have said with respect to the boys applies equally to the girls. They were all tested with Snellen's types at 6 metres, and my own glasses were used. The condition of the teeth in many cases was bad, but I feel bound to say not nearly so bad as I expected. 77 boys out of 140, and 116 girls out of 197, needed attention. 41 Whenever possible, I showed the parents the condition, and urged upon them the necessity for some action being taken. It is for the Committee to decide what further action should be taken in this important matter. SANITAEY AND GENERAL CONDITION OF THE SCHOOLS. The Schools have been inspected during the year and any sanitary defects discovered have been reported to the Committee. |
cba2b0d8-f943-4398-abe0-1d9f6704e77b | I think the question of sweeping the schools nightly is fraught with danger, especially in epidemic seasons, unless the floors are thoroughly wetted. Personally, I should prefer a different system altogether The lighting arrangements I found most inadequate—luckily artificial light is not often required. INFECTIOUS DISEASE Scarlet Fever has caused some trouble during the year. On many occasions I have examined whole classes to detect, if possible, any mild uurecognised case. This year I have not discovered any. The School Attendance Officer was suspicious that there was a case where the parents had not called in medical advice. He asked me to visit, and I found it was well marked Scarlet Fever. 42 The following table shows the distribution and number of infectious diseases during the year in the Public Elementary Schools of the district. Schools. Scarlet Fever. Diphtheria. Total. |
f9b70536-4b1f-4fb5-8239-4aed6bf6590c | North School 56 4 60 Gascoigne Road 8 6 14 Westbury 16 5 21 Church of England 12 5 17 Roman Catholic 0 1 1 Creeksmouth 0 0 0 Castle 1 0 1 93 21 114 In concluding my first report to you I cannot forget the cordial support I have received from all the Head Teachers, without exception. Their assistance and co-operation has been most ungrudgingly given. The parents of the children have responded in a way most unexpected by me, and have given all information asked for, I think only one case objected, to which objection I made no demur. I am confident that, if tactfully and conscientiously carried out, medical inspection of school children will prove of the greatest utility in advancing the physical well-being of the nation. I am, Gentlemen, Your obedient Servant, (Signed) C. F. Fenton. |
68aed3f8-9563-427c-8369-6e34c1032880 | P.S.—In dealing with defects discovered—(a) If the parent was present the conditions were explained and the proper course indicated; (b) If the parent was not present, either the Head Teacher sent for one of the parents to attend at some future time and explained my opinion, or the Lady Inspector visited the home for the same purpose.—C.F.F." PART II. INFECTIOUS DISEASE, STEPS TAKEN TO PREVENT INFECTION, ETC. 44 Infectious Disease. STEPS TAKEN TO PREVENT INFECTION. On the receipt of a notification of infeotious 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 considered advisable the case is then removed to the Isolation Hospital, and the bed, bedding and room disinfected. |
5fe21c1f-86fb-4584-8c1b-0119db0dbea1 | If the patient remains at home 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 case of Scarlet Fever, in addition to the disinfection by means of formalin spray, the rooms are stripped, re-papered and whitewashed where essential. The following tables show the distribution, age, and place of treatment of the cases notified during 1908:— Disease North Ward. South Ward. East Ward. |
deda0504-df0e-4fab-a6cb-c18ab834f5c5 | WestWard Total Scarlet Fever 29 14 79 23 145 Diphtheria 5 11 15 13 44 Enteric Fever 4 1 10 7 22 Erysipelas 1 11 11 6 29 Membranous Croup 2 0 0 3 5 Puerperal Fever r 0 0 1 0 1 Totals 41 3 116 52 246 45 Table showing ages at which notified cases of Infectious Disease occurred during the year 1908:— Disease. All ages. Under 1. l to 5. 5 to 15. 15 to 25. 25 to 65. 65 and upward. |
1307ee1c-df09-4712-968c-e0a7f21c4c44 | Scarlet Fever 145 0 32 101 11 1 0 Diphtheria 44 0 19 18 3 4 0 Enteric Fever 22 0 2 3 11 6 0 Erysipelas 29 2 1 3 2 17 4 Membranous Croup 5 0 3 2 0 0 0 Puerperal Fever 1 0 0 0 0 1 0 Totals 246 2 57 127 27 29 4 Table showing where the notified cases of Infectious Disease occurring in the year 1903 were treated:— Scarlet Fever. Diphtheria. Enteric Fever. Erysipelas. Membranous Croup. Puerperal Fever. Total. |
00a7a74b-ca38-4846-a742-5fd580435b4c | Upney Hospital 114 36 11 0 3 0 164 London „ 0 0 2 0 0 0 2 St. Barts. „ 0 0 1 0 0 0 1 Romford Infirmary 0 0 0 l 0 0 1 Home 31 8 8 28 2 1 78 Totals 145 44 22 29 5 1 246 The total number of notified eases of Infectious Disease (excluding Phthisis) during 1908 was 246 against 234 in 1907, and 242 in 1906. 1908. 1907. |
7ea961e5-3a3b-49e5-98ce-7b3e45be4119 | Zymotic Case Rate 8.2 7.9 Zymotic Death Rate 2.1 1.2 46 The case rate is about the same for Notifiable Diseases, but the death rate is higher on account of an increased mortality in Epidemic Diarrhœa in the summer months. The deaths from Notifiable Infectious Diseases numbered II, or a rate per cent. of 4.4. Out of the total number of notified cases 114 occurred in children attending school or 46 per cent. against 45 per cent. last year. Scarlet Fever. Year. No. of Cases No. treated in Hospital. Percentage treated in Hospital. |
d9e9b73a-4989-456d-add9-2d2dff4b0e8e | 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 1908 145 114 78.6 0 0.00 The number of cases were more than the year before, indeed more than in any year since 1900. On the other hand there were no deaths to record either in or out of the Hospital. 47 Diphtheria. INCLUDING MEMBRANOUS CROUP. I append the following table for comparison with former years:— Year No. |
c24ec789-2a1e-4c4f-ada9-69849b68dad0 | of Cases. Deaths. No. treated in Hospital. Percentage treated in Hospital. Death Rate per cent. |
61156770-78dc-45d0-8d39-355fb9dfacac | Death Rate per 1,000 of population 1908 49 11 39 79 22 .26 1907 51 6 42 82.3 11.17 .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 51.2 3.7 0.13 1900 75 5 33 44.4 6.5 0.23 The number of cases again shews a decrease. |
a883a8e6-59f7-4a0f-a436-da4d18d70120 | The deaths are heavy, 8 having occurred during the year, which is equal to an annual death rate of the estimated population of 3, which is 1 per 1,000 more than for 1907. The death rate per cent of those attacked was 22 Seventy-nine per cent. of the cases were treated at the Hospital where the death rate was 20 per cent. This high death rate was due to two causes: 1. Small number of cases. 2. Several cases brought to Hospital in extremis, and others died in:— (1) 15 minutes in Hospital (2) 2½ hours „ (3) 36 hours „ (4) 48 hours „ 48 Deducting these cases the death rate in Hospital works out about 10 per cent., and of course the outside rate proportionately higher. |
6bb46d1f-71f9-455f-bba5-1b33cdbec836 | 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. Enteric Fever. The number of notified cases dropped this year to 22, 6 less than last year. As in last year I found it difficult in many cases to assign the exact means of infection. |
5bac97f6-abd9-446c-ac28-626013f5cf8b | The water in every case being examined chemically and in several cases bacteriologically as well, but in no instance was there any sign of the Bacillus Typhosus. The milk supplies were numerous, viz.: 6 from one milkman. 9 condensed. 7 various. 49 The water supplies were:— 19 main supply. 2 main supply per covered cistern. 1 shallow well (water analysed, no Bacillus Coli or Typhosus found) (See Report on Water Supply.) As far as I was able to get at the causation I have classified the probable causes as follows:— Employed at Sewage Works 1 Employed at Dust Shoot 1 Eating Shell Fish 2 Probably Contracted out of District 8 Drinking Water from a Polluted Ditch 1 Unascertained 9 22 All defects to house drains were remedied. The sewer ventilators in Morley and Howard Roads were erected early in the year. |
77405680-956c-495b-9efd-76326ae1b10a | There have been no fresh cases in that locality during the year. I should recommend very strongly that more of these ventilators be erected. I append a list of Enteric Fever cases occurring during 1908, shewiug the localities in which they reside. West Ward. Bennington Avenue 2 Back Reform Place 2 Morley Road 1 Park Terrace 1 Gascoigne Road 1 Total West Ward 7 d 50 I add the usual list for comparison with former years :— No. Treated in Percentage treated in Death Rate Per cent, of Death rate per 1000 of Year of Cases. Death. Hospital Hospital. Notification. tion. 1908 22 3 14 63 13 1 1907 28 3 22 78 10 •10 North Ward. Linton Road 2 William Street 1 Broadway 1 Total North Ward 4 South Ward. |
6db4c130-2060-4cc3-a6c9-e43e4f767c5a | Morley Road 1 There were 19 cases in the South Ward last year, against one this year. East Ward. Ripple Road 2 Victoria Road 1 Harpour Road 1 Fanshawe Avenue 1 St. Awdry's Road 1 King Edward's Road 1 Gordon Road 1 Priory Road 1 Lodge Farm 1 Total East Ward 10 51 Year. No. of cases. Treated in Hospital. Percentage treated in Hospital. Death Rate per cet of Notification Death Rate per 1000 of Population. |
4cd1602f-6788-4b01-8407-93fff67aeba2 | 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 4.1 — 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 from this disease, during the year 1908, was 36, which is equal to an annual death rate of 1.2 per 1,000 of the estimated population. In 1907 the rate was 1.3. |
43255953-5499-40a6-852b-4300f0a8a3dc | Voluntary notification is still in force, and 41 cases have been notified during the year, as against 45 notifications in 1907 All the cases have been visited and instructed as to ventilation, infection, method of dealing with sputum, &c. Ten were receiving out-patient treatment at one of the London Hospitals, or had been doing so. Six were removed to Romford Union Infirmary. 52 The weakness of the notification system is the inability to relieve the cases when they come to light. Out-patient letters for one of the London Hospitals are sometimes obtained—a course which, in my opinion, does more harm than good. In some cases an in-patient letter is obtained, the patient improves—comes out, gradually gets worse, goes into the Union Infirmary and dies. |
6730b4b3-99da-4976-994f-d30f9454cce0 | I have no doubt a local dispensary for Tuberculosis—a small Hospital for the advanced cases—combined with systematic visiting, on the same lines as the Children's depot, would soon make a great reduction in the Phthisis case rate and mortality rate. Age of persons at which the cases occurred. Under one 1 1 and under 5 6 5 „ 15 1 15 „ 25 8 25 „ 65 25 41 Cancer. The number of deaths registered from this disease during 1908 was 16; 1907, 8; 1906, 12. This gives a crude death rate for the year of .53, as against .27 for the previous year. The number varies much from year to year. 53 Measles. No serious epidemic has visited the town for several years. No Schools or portion thereof have been closed. |
dc25bf67-9b31-40bc-a618-f5d9a19a1483 | I am more than ever convinced that it is unnecessary to exclude children in the upper standards from school where their younger brothers or sisters have contracted the disease. Number of deaths, 9. Rate per 1,000 of the estimated population, 3. Whooping Cough. Very little of this disease has been notified during the year. Four deaths only have been registered. Death rate per 1,000 of the estimated population, 13. Erysipelas. One death has been registered from this disease and 29 cases notified. Puerperal Fever. One case only has been notified, and not one death. Considering there were over 900 births this record seems to me very good indeed. 54 Small Pox. No case has been notified. Vaccination. The total number of Primary Vaccinations performed during the past four years is as follows:— No. of Primary. Vaccinations. No. of Births. |
8f86ad9d-999d-4506-aea9-5175151c3ddb | 1908 716 925 1907 786 868 1906 768 873 1905 761 900 1904 769 896 1903 907 866 Rainfall in 1908. Observer: Mr. T. Booton. January 1.09 inches February 1.35 „ March 2.09 „ April 2.31 „ May l.64 „ June 1.21 „ 55 July 4.59 inches August 2.75 „ September 1.28 „ October 1.91 „ November 0.69 „ December 1.75 „ Total rainfall 22.66 inches The rainfall for the year 1907 was 21.11. Pauperism and Unemployed in 1908. There can be no doubt that there was a large amount of genuine unemployment in the town during the year. This by producing poverty no doubt re-acts on the mortality and sickness returns—especially the infantile mortality rate. |
0f2cec49-e980-427e-9e77-43abc0757108 | The amount of ordinary pauperism does not appear to increase. Further Sanitary Requirements of the District. 1. An improved method of dealing with the sludge at the Sewerage Works. 56 2. New Nursing Home and administration block at Hospital. 3. Suitable means of sewage disposal at the Hospital. 4. More sanitary conveniences should be erected in various parts of the town, e.g. at the back of the Public Offices, and at Loxford Tram Terminus. Vital Statistics. THE DEATH RATE. The nett death rate for the year is 12.4 of the estimated population. This rate is not so low as last year, but taking the various items which have combined to make the year under review less healthy than the preceding one, I think the result is excellent. The gradual increase in persons dying out of the district on account of illness is worth remark. There were 53 during the year. |
d64c07f0-3240-4ae1-9677-ba8814f72b00 | The total number of deaths was 376, the average number for the 10 years, 1898—1907, being between 370 and 380. Divided according to the different age periods the number of deaths is as follows: 1908 1907 Under 1 year 110 98 1 year and under 5 years 65 46 Total under 5 years 175 144 57 1908 1907 5 years and under 15 years 17 14 15 years and under 25 years 16 11 25 years and under 65 years 109 108 65 years and upwards 59 43 Total 376 320 AS TO CAUSATION, The largest items are Infantile Diarrhœa, with 38; Phthisis, 36; Respiratory Diseases, 64; Heart Disease, 25; Accidents and Suicides, 18. |
317a161b-846c-4754-b52b-52f97ef01013 | I trust no effort will be spared to lower the summer diarrhœa, and I feel sure the remedy lies in clean milk for the infant. The number of Phthisis cases should be reduced considerably, and in time obliterated altogether. Probably heart disease will increase. Cancer accounts for 16, which is a heavy increase. It will probably decrease next year. The Birth Rate. The number of births registered in 1908 was 924, which is equal to an annual birth rate of 30.8 of the estimated population. Last year it was 29.4. This is the first time for many years when the birth rate has shewn any appreciable increase. I do not think that it is likely to continue. |
c6176024-f294-4d18-82cc-666d8cd9e4fb | 1900 36.4 1901 36.7 1902 34.7 1903 34.2 1904 33.8 1905 32.1 1906 30 1907 29.4 1908 30.8 58 ZYMOTIC DEATH RATE. 1908 Per 1.000 persons living 2.1 1907 1.2 1006 3.22 1905 2.7 1904 3.66 1903 2.24 1902 2,55 The increase this year is due to Epidemic Diarrhœa. ZYMOTIC CASE RATE. |
7c129321-8377-4b22-bba9-e255a020e09b | 1908 Per 1000 persons living 8.2 1907 7.9 1906 8.19 1205 9.2 1904 10.7 1903 13.6 1902 14.5 The small rise here is due to a few more cases of Scarlet Fever. Marriages. 1908 1907 Church of England 133 Otherwise 30 Total Number 163 144 Rate per 1,000 persons living 10.9 9.8 VITAL STATISTICS OF WHOLE DISTRICT DURING 1908 AND PREVIOUS YEARS Year. Population estimated to middle of each Year. Births. Total Death Registered in the District. Total Deaths in Public Institutions in the District. Deaths 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. |
f0a9a753-6da9-4bcb-92e0-aa3276ae8955 | At all Ages. Number Rate per 1,000 Births registered Number Rate. Number Rate. 1 2 3 4 5 6 7 8 9 10 11 12 13 1898 20,000 724 36.2 129 178 321 16.0 6 — — — — 1899 21,500 798 37.0 137 172 389 17.5 2 — 15 — — 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, |
9e5839c2-0020-4cbf-8186-989a4764df98 | 000 856 34.2 97 113 322 12.8 18 — 35 357 14.2 1904 26,500 896 33.8 129 143 356 13.0 11 — 29 385 14.5 1905 28,000 900 32.1 128 142 337 12.0 18 — 42 397 13.5 1906 28,500 873 30.6 143 162 322 11.2 7 — 38 360 12.7 1907 29,500 868 29.4 98 112 271 9.1 7 — 49 320 10.8 Averages for years 1898-1907 24,573 831 34.1 128 155 334 13.7 9 — 35 367 14.5 1908 30, |
8b53f2ba-4b53-466a-91c4-83405828934a | 000 924 30.8 110 117 323 10.7 11 — 53 376 12.4 *Rates in Columns 4, 8, and 13 calculated per 1,000 of estimated population Area of District in acres (exclusive of area covered by water). 3,797. Total population at all ages 21,547 Number of inhabited houses. 3,851 Average number of persons per house 5.6 At Census of 1901 CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1908. Notifiable Diseases. At all Ages, Under 1. 1 to 5. 5 to 15. 15 to 25. 25 to 65 65 and upwards. No. |
96bb70ec-22af-492f-9c95-3fbf1d01ba10 | of Cases removed to Hospital Diphtheria (including Membranous Croup) 49 — 22 20 3 4 — 39 Erysipelas 29 2 1 3 2 17 4 1 Scarlet Fever 145 — 32 101 11 1 — 114 Enteric Fever 22 — 2 3 11 6 — 14 Puerperal Fever 1 — — — — 1 — — Phthisis (voluntary) 41 1 6 1 8 25 — 13 Totals 287 3 63 128 35 54 4 181 60 61 CAUSES OF, AND AGES AT, DEATH DURING YEAR 1908. Causes of death Death at the subjoined ages of "Residents" whether occurring in or beyond the District. Total deaths whether of Residents or Non "Residents" in Public Institutions in the District. |
777b2edb-dc32-4c63-8178-891f74e1a651 | 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 9 2 7 .. .. .. .. .. Whooping Cough 4 1 3 .. .. .. .. .. Diphtheria including membranous croup 11 .. 10 1 .. .. .. 8 Enteric Fever 3 .. 1 . . . . 2 . . |
909ebbe1-9df6-4e90-9905-379f05882662 | 3 Epidemic Influenza 7 .. .. 1 .. 3 3 .. Diarrhœa 38 25 13 .. .. .. .. .. Enteritis 1 .. .. 1 .. .. .. .. Erysipelas 1 .. .. .. .. 1 • • .. Phthisis (Pulmonary Tubercular) 36 2 2 1 7 23 1 .. Other tubercular diseases 13 6 2 3 .. 2 .. .. Cancer, malignant disease 16 .. .. .. 1 11 4 .. Bronchitis 27 6 6 .. .. 6 9 .. Pneumonia 35 11 9 .. 2 13 .. .. Pleurisy 1 .. 1 .. .. .. .. .. Other diseases of Respiratory organs 1 .. 1 .. .. .. .. .. Alcoholism, Cirrhosis of liver 5 .. .. .. .. 4 1 .. Venereal diseases. |
f607617d-75f0-4881-a642-2fb5313ae22a | 4 3 1 .. .. .. .. .. Premature birth 9 9 .. .. .. .. .. .. Diseases & accidents of parturition 1 .. .. .. .. 1 .. .. Heart diseases 25 2 .. 4 .. 12 7 .. Accidents 11 2 3 1 1 3 1 .. Suicides 7 .. .. .. 2 5 .. .. All other causes 111 41 6 5 3 23 33 .. All causes 376 110 65 17 16 109 59 11 62 Isolation Hospital. The number of cases receiving attention at the Hospital during the year 1908 was as follows:- Diphtheria and Croup 41 Scarlet Fever 114 Enteric Fever 14 169 Cases remaining in Hospital from 1907 29 198 The total number of deaths was 11, which is equal to a death rate per cent. of 5.5 of the number of cases admitted. |
eb35d7c9-2cb5-4bd7-a3bf-ab41b41999c7 | This is very low, but I hardly think it fair to include one case whioh lived 15 minutes, one case which lived 2 hours, and another 5 hours. Deducting these a death rate of 4 per cent. remains. As regards Diphtheria I have not seen a well marked case of paralysis during the year. The death rate comes out at about 11 per cent., much higher than last year, when it was only 7.6 Scarlet Fever—114 cases have been admitted without one fatal case. Some have been very severe, but eventually all recovered. 63 Four examples of return eases have oocurred. Enteric Fever.—Fourteen cases of this disease have been admitted with 2 deaths. There has been sufficient accommodation for all cases requiring isolation in all three diseases during the year. A Convalescent Home has been erected so that the recovering cases will not be mixed with those in the acute stage. The present staff consists of— Matron. |
0155827c-63f6-41a7-a8a4-279ef7739603 | Staff Nurse. Two Assistant Nurses. Three Probationers. Three Ward Maids. Cook. Laundry Maid (with part time Assistant). Caretaker. The total cost of the Hospital from March, 1907 to March 1908 was £1474 17s. 5d., or about £7 per patient. The cost per patient per diem was 3s 2½d. The matter of accommodation for the Nursing Staff, kitchen and food storing accommodation are receiving the attention of the 64 Council, and during the coming year no doubt .some action will be taken on the basis of a permanent hospital. I take this opportunity to thank all my colleagues very heartily for the co-operation and support they have always afforded me whilst holding the office of Medical Officer of Health. I am, Gentlemen, Your Obedient Servant, C. F. FENTON. 65 Annual Report OF THE SANITARY INSPECTOR. Public Health Department, Barking. |
5b319755-90cc-49cc-a1da-f4943762868c | To the Chairman and Members of the Barking Town Urban District Council. Gentlemen, I have pleasure in presenting my Annual Report of the work carried out in the Public Health Department for the year ended December 31st, 1908. Inspections. Tha number of inspections made during the year was 2592, these include house to house inspections, houses in which Infectious disease occurred, workshops, houses which have been the subject of complaint, and miscellaneous inspections. In 1864 of the houses inspected, sanitary defects were discovered, and to effect the remedying of these defects it was necessary E 66 to serve 869 preliminary notices and 105 statutory notices, but in no case was it necessary to have recourse to legal proceedings. These figures do not include the reinspection of premises which takes up a great deal of time in supervising work in progress. House to House Inspections. |
b41294c0-0233-4b2c-803b-52269ada5706 | During the year a systematic inspection was made of the following streets, roads, etc.— Over the Gates James Street Barking Place Emily Cottages Union Street Bennington Avenue Back Reform Place St. John's Retreat Harpour Road Fanshawe Avenue Priory Road Rosslyn Road Kennedy Road St. John's Road Gascoigne Road Devon Road Eldred Road Sparsholt Road Rippleside Morgan Yard Lindell's Court Holly Square Suffolk Place Parson's Row The number of premises inspected under this head was 901, and in 551 of the houses sanitary defects were discovered. 67 Complaints. The number of complaints received and entered in the register are as follows:— Main drains choked 37 W.C. |
1b2811b7-d262-4923-a5d9-ec8aaad70cd6 | and branch drains choked & defective 31 No water to closet 15 Cesspools full 12 Animals improperly kept 4 Overcrowding 6 Non-removal of dust 4 Gripsy vans 3 Offensive accumulations 8 Defective cisterns 7 Dirty and defective premises 8 Sundry 7 142 All were immediately investigated and steps taken to remedy or abate the nuisance discovered. 68 House Drainage. The number of drains tested with smoke or chemical was 131. In 6 instances the main combined drains were found in a defective condition, and on reporting to the Public Health Committee, instructions were given to the Surveyor to deal with them under Section 41 of the Public Health Act. The main drain at the rear of premises was found in 87 cases to be choked; these were reported to the Surveyor's Department and immediately cleared by the Council's workmen. Common Lodging Houses. The following are the registered houses in the district:— Situation of Premises. No. |
55c0eeb5-2045-4d53-95ca-5b86976b1ee5 | of Rooms. No. of Lodgers. 8 to 12 Fisher Street 13 44 29, Fisher Street 7 34 18, Fisher Street 2 12 14, Back Lane 7 20 50, Heath Street 6 13 27, Heath Street 3 19 15-17 Heath Street 8 36 46 178 Three new premises were registered during the past year. 69 All have been periodically inspected, and found to be generally well kept, and the cleansing and limewashing carried out in conformity with the bye-laws. No case of infectious disease occurred in any of the houses. Infectious Disease. During the year 261 cases of Infectious Disease were notified to the Medical Officer of Health. Each house was at once visited and enquiries made respecting the milk and water supply, schools attended, the sanitary arrangements, etc., with a view to ascertaining any possible source of infection, and measures taken to remedy any insanitary condition discovered. |
e2ec1b32-f417-45ec-a966-a4ceb4d353c3 | After the removal or recovery of the patient the room is fumigated and closed for six hours, and all bedding, clothing, etc. likely to retain infection removed to the disinfecting chamber. 281 rooms have been fumigated, 322 lots of bedding, etc., disinfected, and 55 rooms stripped, stopped, etc., after cases of Scarlet Fever. The Head Teachers of day-schools, Superintendent of Sunday Schools, and School Attendance Officers are notified of all cases occurring in houses in which scholars reside who are attending school, and requested not to allow children from infected houses to attend school for a stated period. Notice is also sent to the Public Library and Pawnbrokers. 70 Mortuary. The number of bodies received into the Mortuary was 31, viz: 18 males, and 13 females. Inquests were held on 30 of the bodies, and one was admitted on sanitary grounds. 7 post-mortem examinations were made. Petroleum. |
ab4f59e2-d3b1-410d-b008-79621fe4dd4a | The premises licensed by the Council for the storage of Petroleum have all been visited, 5 licenses have been renewed, and 2 new ones granted. Factory and Workshop Act. There are 77 Workshops on the Register, and during the year 139 inspections have been made in order to secure observances of the provisions of the law in regard to cleanliness, ventilation, etc. On 5 occasions breach of regulations were discovered which were reported to the Home Office. Seven notices were received from H.M. Inspector of Factories as to unsuitability, and no proper closet accommodation in factories 71 Outworkers. Lists of outworkers residing in this district have been received in 31 instances from other authorities. A record is kept of their addresses, these lists are referred to upon rcceipt of a notification of infectious disease in order to stop any work being sent to an infected house, but in no instance has a case occurred in the house of an outworker. All the premises have been inspected and found in a satisfactory condition. |
03deb9ef-cb79-4742-966b-81951f72b6c8 | Van Dwellers. Van Dwellers have again given considerable trouble during the year. As many as 81 vans had to be removed and on several occasions I had to forcibly remove them with the assistance of the police. These people will always annoy us until the vacant land is built upon, or fenced in. The Council have, I believe, power, under the Act which came into force on the 1st January, 1909, to call upon the owners to fence in vacant building land. Dairies, Cowsheds, and Milkshops. There are now only three Cowsheds in the district, accommodating about 80 cows, they have been frequently visited ; 72 improvements effected from time to time, and the cleansing and lime-washing regularly carried out. There are 32 Milksellers on the register, all have been constantly visited and attention given to the arrangements for storing the milk, the cleanliness of the utensils and the protection of the milk from dust, etc. |
053bba1b-3e59-4ba2-b122-9f65659e9bb0 | Sale of Food and Drugs Act. During the first two months of the year 15 samples of Butter were taken, and submitted to the Public Analyst for analysis, who reported that all were genuine. Early in March the Council decided to discontinue the taking of samples under the above Acts, and forwarded a request to the Essex County Council that they should instruct their Inspectors to take a certain number of samples per annum, (not to be less than in the ratio of 3 samples per 1,000 of the estimated population) within the district of Barking. This the County Council agreed to do. At this point it may be of interest to record the number of samples taken by me and submitted to the Analyst since my appointment in 1901, as Inspector under the before-mentioned Acts, which were as follows:— 73 No. of Samples submitted. Found genuine. Found adulterated. |
11ac727c-5be8-4605-82ea-c84b11d8ccf8 | Butter 182 172 10 Milk 191 175 16 Margarine 4 2 2 Cheese 5 5 — Vinegar 5 5 — Lard 5 4 1 Coffee 4 4 — Pepper 3 3 — 399 370 29 As a result of proceedings taken in the eases of those samples found to he adulterated, fines and costs amounting in the aggregate to £56 2s. Od. were imposed. Bakehouses. There are in the district 18 bakehouses. All have been systematically inspected, and found on the whole to be kept in a satisfactory condition, and the cleansing required by the regulations properly carried out. f 74 Slaughter Houses. The 4 slaughter houses (3 licensed and 1 registered 1 have been frequently inspected, the cleansing and limewashing carried out in accordance with the bye-laws. Removal of Refuse. |
13a4c223-ba9f-444c-95e5-7a2690f26e06 | The number of loads of refuse removed during the year was 3,878, which averages 3.17 loads per cart per day. The capacity of the cart is about 3½ cubic yards, and on an average a load of refuse weighs 30cwt. The total number of loads represent in weight about 5,817 tons. Disinfectants. For the convenience of the inhabitants disinfectants are given out daily between the hours of 9 and 10 a.m. During the year 6 tons of carbolic powder and 850 gallons of disinfecting fluid have been distributed In conclusion I append summary of work carried out during the year. 1 am, Gentlemen, Your obedient servant, H. WOOD, Sanitary Inspector. 75 Summary of Nuisances Detected and Work done during the year 1908. Number of Inspections, 2,592. House to House 901 Complaints 142 Infectious Disease 246 Workshops, &c. |
c88f62e7-d4c9-4ee1-9655-0f9978102597 | 123 Miscellaneous 1,180 Re-inspections of all kinds 3,371 Preliminary notices served 869 Statutory notices served 105 Drains, main choked 87 „ tested „ 131 „ branch defective 55 ,, „ choked 123 Water closet, defective flushing apparatus 337 „ defective connections 152 „ defective and dirty walls, floors, etc. |
2fcdbd66-e4b5-48d6-afbc-95861e03f7e1 | 52 Insufficient water supply to houses 49 Dustbins, none 134 „ dilapidated 174 Sink waste pipes stopped and defective 81 Yard gullies defective and choked 40 Walls stripped after cases of Scarlet Fever 58 Eaves guttering and downspouts defective and choked 166 Draw taps a nd service pipes defective 64 76 Downspouts direct with drains 5 Yards not paved and defective 219 Roofs defective 74 Vent pipes defective 16 Walls and ceilings defective and dirty 122 Floors defective, dirty, and damp 77 Drinking water improperly stored and cisterns foul 135 Storage cisterns defective 67 Gipsy Vans removed 81 Accumulation of manure 30 Overcrowding 10 Animals improperly kept 10 Offensive accumulations 14 Samples of water 11 Cesspools full 22 Yards and passages dirty 24 Privies altered to water closets 5 Other nuisances 95 |
82116a0b-5e07-452c-9095-19ea9fdca849 | BARK 9 Urban District of Barking Town. THE Annual Report OF THE Medical Officer of Health, SCHOOL MEDICAL OFFICER, and INSPECTOR OF NUISANCES For the Year 1912. stratford: Wilson & Whitworth, Ltd., Broadway. PUBLIC HEALTH COMMITTEE. Chairman: Councillor A. Edwards. Councillor H. Berry. „ A. J. Blake. ,, R. H. Carter. „ S. Cooper. ,, J. W. Garland. ,, W. Gibbard. ,, A. E. Martin. ,, J. Ransom. ,, W. B. Reidie. ,, A. Whiting. ,, J. Wilson. ,, T. Young. ,, W. A. Thomas. STAFF OF THE PUBLIC HEALTH DEPARTMENT. Medical Officer of Health and School Medical Officer: R. J. Ewart, M.D., F.R.C.S., D.P.H. |
3784b1f1-48ad-4648-ba94-26e837bc6f28 | Sanitary Inspector: H. Wood, Certified Sanitary Inspector, Meat Inspector and other Foods. Assistant Sanitary Inspector: W. Clayden, Certified Sanitary Inspector, Meat Inspector and other Foods. Female Assistant Sanitary Inspector and School Nurse: Miss M. C. Atkinson, Certified Sanitary Inspector and Midwife. Matron Isolation Hospital: Miss Taylor. SUMMARY FOR 1912. Population.—Calculated to the middle of the year— 32,521 Increase during year 1,008 No. of inhabitants per occupied house 5.1 Marriages 295 Annual rate of persons married per 1,000 of Population 9.0, Males 502 Births Females 462 Total 964 Annual Rate of Births per 1,000 of Population 29.0. Deaths Males 187 Females 139 Total 326 Annual rate of Mortality per 1,000 10.0. |
0dd6f834-3279-4b5f-ad04-5dcdc3de6d89 | Total deaths from Zymotic Diseases 30 Annual Rate of Mortality from Zymotic Diseases 0.9 Infantile Mortality Rate per 1,000 born 93.3 Area of Urban District 3,803 acres land, 303 tidal waters. Population per acre 8.3 Houses „ „ 1.74 ANNUAL REPORT of the Medical Officer of Health for the Urban District of Barking Town, in the County of Essex. For the Year ended December 31st, 1912. To the Chairman and Members of the Urban District Council of Barking Town. Gentlemen, I have the honour to submit to you the Annual Report upon the Sanitary condition of your district for the year 1912. Viewing the year as a whole. I am glad to be able to state that the prevalence of all epidemic and other diseases was below the average, except in the case of whooping cough. The general death-rate was extremely low, only on one previous occasion has the figure been so low. |
5e1ebe20-3206-4c09-bada-4e15fd9110b0 | The birthrate, whilst showing a fall when compared with the previous year, tends to become a fixed rate when a group and not single years are considered. The most pleasing feature is, however, the fact that the rate of Infantile Mortality is the lowest on record. The meteorological conditions to some extent no doubt were favourable, as the winter and autumn were mild, the summer wet and somewhat cold, and hence these diseases of infantile life peculiar to these times show a low rate of mortality. It will be seen in the following: table that the rainfall in the month of August established a record. 6 Rainfall. Year. Jan. Feb. Mar. |
6b473d64-d891-4ef2-88ad-2f84d9c3df47 | April May June 1909 .71 .74 2.77 1.56 1.36 2.55 1910 1.44 2.26 .87 1.45 2.01 1.92 1911 1.07 .99 1.37 1.40 .80 1.90 1912 3.16 1.46 2.09 .05 .90 249 Year. July Aug. Sep. Oct. Nov. Dec. |
783d65be-7b4b-460f-b9c4-177e32df2dc6 | 1909 2.94 1.66 1.90 3.86 .84 2.58 1910 2.37 1.93 .82 1.92 3.00 2.77 1911 .39 .62 1.39 3.16 3.03 3.47 1912 1.16 3.88 2.01 1.55 1.43 2.19 Total 1909, 23.47 ; 1910, 26.76; 1911, 19.59 ; 1912, 22.37. The economic position was, however, very unsettled. The Coal Strike which occurred during the spring does not seem, however, to have caused as much disturbance as might have been expected. |
b9741ae4-087d-46c6-9910-d755cae6836d | The Dock Strike, which lasted over the months of July and August, was the cause of much distress, though little, if any, effect can be detected either in the rate of Infantile Mortality or increase in number plying from causes either directly or indirectly associated with insufficient and unsuitable food. The cost of living has increased during the year, and though the improved rates of wages, in what may be termed the middle and upper strata of the working classes, more than compensate this, it is to be feared that the lowest strata is in much the same position if not actually worse off, though there is reason to believe that this section of our population is a relatively smaller proportion of the whole than of former years. The most important economic feature of the year, bearing on the national health, was the inauguration of the Insurance Act with its ancillary schemes for the control of Tuberculosis, 7 maternity and unemployment benefits. Considerable improvement in the National stamina is to be expected from these causes. |
fc9e3b24-6886-490a-994b-d98a2c4d1e1d | The facilities for communication with London have been much improved, both by means of rail and car, with the result that the type of population tends to change in character. The most noticable features which seem in some measure to be associated with this cause are a shrinkage in the birth and death rates. In order to foster the increase of this section of our population, a high ideal of sanitation should be maintained, and care taken in laying out of new districts so as to achieve some degree of architectural beauty not only in the houses themselves, but also in the way they are arranged. It is of great importance in every district that is likely to grow to any extent, that every facility should be used to direct this growth along such channels as will avoid the errors of the past. The Housing and Town Planning Act m some measure meets this need, and use should be made of its provisions. |
70451073-a178-4fe0-b076-458c6ee84389 | The ratable value has increased from £179,599 to £190,330 which is due partly to an increase in the number of houses built and partly to a re-assessment of existing properties. Vital Statistics. The population at the last census taken at the end of the first quarter in 1911, was 31,294, an increase of 9,647 on that taken in 1901. Assuming that the rate of increase has been maintained, the population at the middle of the year ought to be 32,521. The distribution in the various wards is given in the following table. The full particulars with respect to age distribution are not yet obtainable. CENSUS, 1911. Urban and Rural Districts, Municipal Wards and Civil Parishes. Area in Statute Acres (Land and Inland Water). Families of Separate Occupiers. Population. Institutions. Large Establishments, Vessels, &c., 1911, (included in Cols. |
a21d00b6-3ae5-427d-87e3-4ad3b85bb8ba | 4 and 6). 1901. 1911. 1901. 1911. Persons. Persons. Males. Females. No. Population. Cols. 1. 2 3. 4. 5. 6. 7. 8. 9. 10. BARKING TOWN U. D. |
4543aea7-c323-4385-aacb-e5de7ce33241 | * (191 : 3) 3,805 4,260 6,291 21,547 31,294 15,686 15,608 30 319 Civil Parish : Barking Wards : East 2,560 12,210 6,052 6,158 22 114 North 830 4,181 2,082 2,099 1 26 South 1,479 7,049 3,514 3,535 — West 1,422 7,854 4,038 3,816 7 179 * By the East Ham, Barking Town and Ilford Order. |
8deabd48-04e3-4738-a2ac-862c2380239f | 1907, which came into operation on the 9th November, 1907, Part of Barking Town Urban District was transferred to East Ham Municipal Borough and part of East Ham Municipal Borough to Barking Town Urban District, 8 9 The history of the district for the last 22 years is given in the following table, and shows a steady and rapid growth of the population, a marked decline in the birth and death rates, and an improvement in the rate of Infantile Mortality since 1907. Year. Population estimated to middle of each Year. Births. Deaths under 1 year. Deaths all ages. Natural increase of population. No. Rate. No. Rate. No. Rate. |
400c4e5b-d432-454e-b480-4dff13f6d447 | *1891 14,301 640 44.7 96 150 282 17.7 358 1892 15,115 652 43.1 99 151.8 281 18.5 371 1893 15,829 629 39.1 98 156.6 288 18.1 331 1894 16,000 693 43.3 85 122.4 207 13.0 486 1895 16,000 693 43.3 112 162.6 312 19.5 381 1896 16,500 698 43.3 104 148.9 250 17.1 448 1897 18,500 771 41.6 138 178. 360 21.2 411 1898 20,000 724 36.2 129 178. 321 16. |
ea03a4bb-6a22-4771-88d1-83b3b3cc307d | 423 1899 21,500 798 37. 137 172. 389 17.5 409 1900 21,500 783 36.4 159 203. 384 17.8 399 *1901 21,730 899 41.3 155 172. 347 15.9 552 1902 23,500 817 34.7 — 134. 336 14.2 481 1903 25,100 856 34.1 — — 357 14.2 499 1904 26,500 896 33.8 129 143. 385 14.5 511 1905 28,000 900 32.1 128 142. 397 14.1 503 1906 28,500 873 30.6 143 162. |
9413b05f-a6da-4f9f-9b9a-800cae7789bb | 360 12.6 513 1907 29,500 868 29.4 98 112. 320 10.8 548 1908 30,000 924 30.8 110 117. 376 12.5 548 1909 33,136 865 28.5 93 107. 339 12.8 526 1910 32,502 900 27.6 88 97.7 325 9.9 475 *1911 31,513 1,005 31.8 158 157. 508 16.1 497 1912 32,521 964 29.6 90 95.1 326 10. 638 * Census years. Note.. Population up to 1911, for intercensus years is estimated on number of occupied house. That for 1912 is calculated on the decennial rate of increase. |
4e692a5f-55ac-4260-bacc-57138c6bd9b1 | The figures from 1907 to 1910 probably considerably overestimate the number of persons resident in the district, 10 hence the corrected birth and death rates are larger than those given for these years, for example: the rate of 9 9 for 1910 should be 111. The number of inhabited houses as returned by the overseers was 6,277 in 1911 and 6,342 for 1912, which gives a mean of 4 9 inhabitants per bouse for the former year and 5.1 for the latter. The return made in the year 1901 was 5.6, so that, although the number of occupants per house had decreased in the 1901-11 period, still the suggestion from the figures would be, that a scarcity existed in 1912, or that the earning power of the population had decreased. The latter consideration for obvious reasons is not the correct explanation. |
9f6e308c-0e99-4006-87c8-cceb41bcde88 | It is a point of interest to note, that except for the census year, the population in the above table was calculated on the number of houses occupied, and not on the basis of a rate of increase. At the beginning of the 1901-11 period, the number per house was 5 6 and 4.9 at the end, so that the populations for those years have been over-estimated, hence the birth and death rates should be bigger by 12 per cent. from 1906 onwards. If this correction is applicable then the death-rate for the year 1912 becomes the lowest on record for the district. Certain other possible sources of error have already been referred to in the report for 1911. The following figures would seem to show the demand for house accommodation is more pressing in the West Ward than in the other districts. The populations are calculated on the decennial rate of increase as given by the census for the whole district. 1912. North. South. East. West. |
f80bc358-c8fc-4e08-bf4b-2f94fc6ff767 | Total. Inhabited houses 857 1,508 2,655 1,322 6,342 Population 4,348 7,331 12,671 8,171 32,521 Density per house 5.0 4.8 4.7 6.1 5.1 11 1911. North. South. East. West. Total. Inhabited houses 830 1,479 2,546 1,422 6,277 Population 4,181 7,050 12,182 7,856 31,513 Density per house 5 4.7 4.7 5.5 4.9 The natural increase—that is access of births over deaths— for the year is 638, and for the 21 previous years is 10,208. The increase of population in the corresponding period is 18,220, so that practically half of our increase must have arisen through immigration. |
07573af7-8145-402a-b0bf-a5b3bda5f3e8 | Births. 946 births were registered, and 18 were returned as of mothers ordinarily resident in Barking and registered in other districts. The total number was 964, and of these 31 were illegitimate, 15 being males and 16 females. The relative number of the sexes was 502 males and 462 females, and the rate per 1,000 population was 29 0. The births were distributed in the various wards as follows:— North. South. East. West. Outside. No. births 138 256 295 257 18 Population 4,348 7,331 12,671 8,171 — Rate per 1,000 31.2 33.4 21.3 30.0 — In the table previously given of the history of the last 25 years it is seen that the district is no exception to the general rule, in fact, the fall in the birth-rate is even greater than has occurred in the country generally. |
59193dbd-a061-4946-8e3f-fe231706dfa0 | The decrease equals approximately 35 per cent. of the rate registered for the decade 1891-1901, though it is of some moment to note that the rate of fall as previously mentioned does not seem to be maintained. 12 The following table gives the birth-rates in the various wards of the district, which show fairly clearly what is now a well appreciated fact, namely, that the size of family varies in inverse proportion to the ability of the parents to maintain them :— Birth Rates for four preceding years. North. South. East. West. |
9e66bf49-6f45-4647-83b6-310082bc9cac | 1912 31.2 33.4 21.3 30.0 1911 29.1 38.6 27.1 32.3 1910 21.9 25.4 23.2 41.6 1909 19.3 24.5 24.7 39.4 Average for four years 25,37 5 30.47 24.07 35.82 Marriages. There were 295 marriages registered in the district. Of these 270 were solemnised in the Church of England. The rate per 1.000 was nine as compared with 15 for the previous year. Deaths. There were 260 deaths registered in the district, but to these must be added 66 reported from other districts as belonging to Barking, giving a total of 326. The death-rate worked out at 10 per 1,000. |
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