ids
stringlengths
36
36
texts
stringlengths
1
1.43k
990e2ef1-9f3b-4f6a-b397-c11d3c89af5e
5 years 41.5 42.1 39.3 41.1 8 years 48.1 49.05 52.4 54.1 12 years 56.7 56.5 78.2 78.8 (e) Minor Ailments.β€”Minor ailments are seen daily at 9 a.m., excepting Sundays, at the Clinic premises in East Street the staffing of this Clinic being provided by nurses of the Plaistow Maternity Charity. For particulars of cases treated, see Table IV, Group I. Instances of uncleanliness found amongst children seen at this Clinic were those excluded by teachers, school nurses, or attendance officers prior to being re-admitted to school. (f) Skin Disease.β€”Apart from two cases of psoriasis, the remaining affections belonged to and were dealt with as minor ailments. (g) Eye Diseases.β€”Apart from errors of refraction, there were few cases of. external eye disease, as the figures in Table II show.
82fbae54-ec81-44c9-8e50-e3530e0ff644
Disorders of vision, however, were again prevalent, 97 children, or 4.1 percent., of those seen at routine inspection being found suffering Irom vision so defective as to require treatment, f his is a national as well as a local disaster, and is receiving the attention at present of the Board of Education as well as that of School Medical Officers throughout the country. 9 (h) Ear Disease.β€”Ten children, or 0.4 per cent., were found to he deaf, while 34, or 1.4 per cent., suffered from ear disease, the latter generally having discharging ears and a certain amount of deafness in consequence. Running ears still remain the most intractable condition found amongst children at the Minor Ailments Clinic, the condition being complicated in many cases with a degree of deafness liable to piove of serious consequence in afterlife. (i) Tonsils and Adenoids.β€”246 children, or 10.4 per cent.
aa492614-6a73-4304-9c1b-c34f9f8ac610
of those examined, were found suffering from enlarged tonsils or adenoids, or both, with such symptoms that it was found necessary to refer them for treatment or further observation. Of cases referred for treatment, 176 were found on re-inspection to have been treated. As in former years arrangements existed for the operative treatment of post-nasal growths at the Throat Departments of St. Mary's Hospital, Plaistow, and Queen Mary's Hospital, Stratford, parents contributing to the cost of such treatment according to means. The defects of the existing scheme as outlined in my report for the previous year still remain except that home visits by the school nurses to children operated upon are now paid on the patient's return home. In certain cases children have been brought home by ambulance after operation. (j) Tuberculosis.β€”The total number of cases of tuberculosis in school children notified to the Medical Officer of Health during the year was 14.
40f1391c-1997-49a7-bdbf-ac0327981335
During the year 46 cases were referred to the Tuberculosis Officer, of whom 3 were subsequently notified as tuberculous. The total number of attendances by children of school age at the Dispensary amounted to 484, while during the year 5 children were recommended through the Essex County Council for hospital or sanatorium treatment. Quiescent cases of the disease were as in previous years admitted to the Open-air School, Faircross, and numbered 32. 10 (6) INFECTIOUS DISEASE. As the School Medical Officers are also the Public Health Medical Officers, the occurrence of infectious disease is known to them at once and steps taken accordingly. Code : Articles 45 (b), 53 (b) and 57.β€”No schools were closed during 1923 for infectious disease, nor was the School Medical Officer required to submit any certificate under the Board of Education Amending Regulations, No. 2 (a), 1924, for purposes of apportioning grant.
9fb6f72f-3943-4d88-af2b-09f18d8121ce
(a) Scarlet Fever.β€”35 cases were reported in 1925, compared with 31 in 1924. (b) Diphtheria.β€”37 cases were reported in 1925, compared with 23 in 1924. (c) Measles and German Measles.β€”61 cases were reported from schools during the year, compared with 192 in 1924. (d) Chicken-pox and Whooping Cough.β€”160 cases of chicken-pox and whooping cough were reported during the year. 318 home visits were paid by the school nurses in connection with infectious disease during the year, whilst 144 visits were made by the sanitary inspectors in connection with notifiable cases. (7) FOLLOWING UP. Arrangements for following up cases of defect are ns follows: Children subjects of defects other than minor ailments are seen at their own homes, and advice offered the parents by the school nurses as how best whatever treatment may be necessary can be obtained.
7a2f1eb1-dc09-4455-bbaa-00d32ca9d9a5
Following-up cards are kept in respect of all children referred for treatment from routine or special examination, and on subsequent visits of the medical officer to the school such children are re-inspected as to whether treatment has been carried out and its results. 11 It is gratifying to notice that of the number of children referred for treatment during- the year, 56.79 were found to have been -treated, compared with 16.38 in 1924. A summary of work of the two school nurses during the year is as follows :β€” No. of visits to schools 241 No. of visits to schools for medical inspection 114 No. of home visits in connection with :β€” (a) Routine Inspection 2837 (b) Infectious Disease 318 (c) Non-attendance for treatment, etc., 628 No of children cleansed at cleansing stations 169 (8) MEDICAL AND SURGICAL TREATMENT.
50a57eab-ec6c-433a-bc22-842866cae4d4
The presence of defects having been ascertained, provision is made for treatment as follows :β€” Parents are notified as to what has been found, and requested to make arrangements for medical attention either locally, if possible, or with neighbouring hospitals or institutions. There are numerous conditions, minor ailments especially, which would escape attention altogether unless the authority arranged for their official attention. The number of cases referred for treatment will be found in the sub-divisions of Table IV, while the numbers treated, and whether by the authority's scheme or not are there set forth. These tables refer to treatment as result of inspection. The methods adopted to secure treatment are the consistent following up of cases; the provision of clinics (set forth as under), and other items referred to in this Report such as transference to the Open-air School, etc. In regard to dental work, there were as usual too many refusals. Parents do not yet appreciate the necessity of proper 12 attention to teeth.
71f0a191-dc68-4c31-bbdc-9eb2d120508f
It has not been necessary to institute anv legal proceedings in 1925, but much pressure has been necessary in some cases to secure that treatment is received even when offered free. In 1925 the various clinics established included :β€” 1. Minor Ailments Clinic, East Street.β€”Mornings on days at S.30 o'clock. 2. Ophthalmic Clinic (mainly for refractions), Central Clinic, East Street.β€”Half-day, Saturday mornings. 3. Throat and Xose.β€”Operations for tonsils and adenoids are carried out by arrangement with neighbouring institutions, no facilities for the purpose being available in the district. 4. Examination Clinic, East Street.β€”For the further nation of special cases and cases referred from routine inspections which are seen at the closc of the Minor Ailments Clinic.
202f4658-5967-4b9c-9596-557c624775e7
Examination of backward children and the subjects of suspected mental or physical defect are carried out by the School Medical Officer at the Public Offices, where arrangements are made to suit the convenience of parents and others. 5. Dental Clinic, East Street.β€”Held twice daily except one session per week employed on dental inspections at school. 6. Tuberculosis.β€”By arrangements with the Essex County Council, the Medical Officer of Health is Tuberculosis Officer for the district. Suspected cases of tuberculosis are referred from routine inspections or from any of the special clinics to the Tuberculosis Dispensary at 37. Linton Road. The Tuberculosis Dispensary is run in close touch with the open-air classes of the Special School, while arrangements are made through the County Council for necessary cases being admitted to hospital or sanatorium. 13 7. Ring-worm Clinic.- Attendance at the rooms in Ilford of the X-ray operator by arrangement. 8.
ed8f2842-0640-4864-9152-c05920054633
Orthopaidic clinic.β€”Massage, electricity, radiant heat, remedial exercises, etc., are provided for cripples and others at the Orthopaedic clinic of the Special School during three sessions per week, when a masseuse is in attendance. Artificial sunlight treatment is being installed as part of the now recognised treatment for rickets, surgical tuberculosis, and various other debilitating states. Advantage is taken of the facilities provided at this clinic by the Public Health Committee for children under school age by arrangement with the Education Committee. Monthly visits to the clinic-are paid by the orthopaidic surgeon for purposes of examining fresh cases and those undergoing treatment. Where necessary children from the Orthopaidic Clinic are admitted to Brookfield Orthopaedic Hospital, Walthamstovv, and Queen's Hospital, Hackney, for operation or other special surgical treatment.
1172a1f1-7d39-473c-8689-c47c90e35560
Payment for Clinic Treatment.β€”By instruction of the Board of Education, the following scale of charges has been made :β€” (a) Spectaclesβ€”2/9 per pair. (b) Tonsils and Adenoids operations-β€”5/- per operation. (c) X-ray Treatmentβ€”Xo charge. (d) Minor Ailmentsβ€”1 /- per 3 months after 14 days free treatment. (e) Dentistryβ€”6d. per extraction, and 1/- fillings or wiring. (f) Orthopeedic Treatmentβ€”Xo charge. Free medical treatment will continue to be given where parents cannot afford to pay. During 1925 payments made in accordance with scale amounted to ,Β£.77 Gs. Gd. Without careful enquiry into circumstances the process of charging is difficult, but it might be that 14 such enquiry might be more costly than results would warrant. The arrangement will probably give better results as it becomes less new.
8f35baef-0ad8-4d44-aa81-8b3f673a6552
CLINICS.β€”Numbers attending in 1925 were as follows:β€” Clinic. No, of children seen. Total No. of attendances. Minor Ailments 1865 7489 Ophthalmic 131 434 Dental 2461 3211 Ringworm 1 2 Orthopaedic 84 854 Minor Ailments Clinic. No. of days clinic was open 302 Total No. of attendances 7489 Daily average attendance 247 No. of cases treated 1865 In the absence of local hospital facilities, this clinic has supplied among school children an undoubted need within recent years. Three nurses on the staff of the Plaistow Maternity Charity attend daily from a.m. to 11.30 a.m. The work of the practitioner is encroached upon as little as possible, although cases do at times arise which must under certain circumstance he relieved.
27705b53-1623-4ba6-83a2-856f4091ca68
There car be little doubt, I think, that the ultimate utility of the various medical and surgical measures prosecuted is impaired to an appreciable extent by the faulty arrangement and structural condition of the premises. The building, which is of a temporary character, is disposed Court-wise, forming three sides of a square, efficient lighting and ventilation of the different rooms being in consequence almost impossible. Added to this 15 premises overlook the town yard, and arc in consequence exposed to dust and other objections connected therewith. An up-to-date clinic on a suitable site is a pressing need of the School Medical Service. Skin Diseases.β€”Most skin diseases fall within the group of Minor. Ailment, the following being under treatment during the year:β€” Ringworm. Scabies. Impetigo. Other Skin Diseases. injuries. Hefld Body. 10 20 34 347 123 1001 As previously, the cleansing; station proved a valuable adjunct in the treatment of scabies.
59c468fe-5471-46ab-a01e-d5b03e871fa2
Dental Defects.—Statistics dealing with the year's work will be found under Table IV, Group IV, of the Appendix, while the Dental Surgeon's Report appears separately on pages 27 and 23. Crippling Defects and Orthopædics.—This subject has been specially dealt with by Mr. Whitchurch Howell, F.R.C.S., Orthopædic Surgeon, whose report appears separately on pages 25 and 26. Eleven monthly visits were paid by Mr. Howell luring the year, while 110 sessions of 2½ hours were attended by the masseuse. 8 children were treated by massage, 7 by electricity, 20 by re-educational exercises, while 4 children were admitted to Brookfield Orthopædic Hospital or Queen's Hospital Hackney, for special surgical treatment. Total attendances at this clinic during the year numbered 854. 16 Particulars of work done in connection with Orthopædic Clinic.
c2c7c5fd-2803-4aba-8710-83ece06b3941
No of Visits tby . Orthopædic Surgeon No. of visits by Masseuse ATTENDANCES Primary Examination Re-Examinatlion For Treatment Total School i Children Under School Age School Children Under School Age School Children Under School Age 11 110 49 11 108 3 683 — 854 TREATMENTS Massage Electricity Remedial Exercises Other No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No of Treatments School Children ... 8 115 7 190 20 632 5 47 Undc School Age — — — — — — — — Admission to Orthopædic Hospitals On waiting List for Admission 31/12/25.
c87970ef-8216-47be-b73d-7dce7a95cf2a
School Children Under School Age Total School Children Under School Age Total 2 2 4 4 1 5 17 Children on the Physically Detective Register may be classified under the following groups - Atrophic and paralyse. Spastic. Tuberculosis (Surgical) Injuries. Congenital defects. Severe heart affections. Others (including marked postural defects. 12 8 10 1 4 5 1 A further advance in orthopaedic treatment is being made in the equipment of this clinic with apparatus for the provision of artificial sunlight treatment available for children of and under school age. The use of ultra-violet radiation in the treatment of rickets, surgical tuberculosis, and certain chronic inflammatory slates is now generally recognised as a most valuable adjuent. (9) OPEN-AIR EDUCATION. (a) Playground Classes.β€”All schools including the Openair School have playground classes during the summer months when weather is suitable.
b6a10743-7084-42a5-8b74-ffaa9a391bd6
It is in connection with open-air classes in summer that future steps may confidently be taken for securing the healing and stimulant properties of natural sunlight, while ultra-violet radiation will be available at times when natural sunlight cannot be utilised for therapeutic purposes. (b) School Journeys.β€”No school journeys were undertaken, although educational visits were paid, and much appreciated, to the National Exhibition at Wembley, the South Kensington Museum, The Tower of London, etc. (c) School Camps.β€”No school camps were held, but four holiday camps were again held at Hainault for necessitous children where short holidays of two weeks were followed by improvement in general health and physique.
65c19ae7-f058-4e3a-877b-4dd3c4fbd15f
18 (d) Open-air Class-rooms in Public Elementary Schools.β€” Apart from the class-rooms of the Special School which belong to the type of open-air rooms, none of the elementary schools of the district possesses open-air class-rooms, a defect which it is hoped will be anticipated in the near future when the Authority may be expected to add to the existing school accommodation of the district. (e) The Authority possesses an Open-air School at Faircross, situated centrally and upon probably what is the highest ground of the district. During the year 119 children were on the register, 32 were admitted, and 22 sufficiently improved to permit of their return to ordinary elementary school. The school combines separate departments for delicate children and mentally and physically defectives, such cases being found from routine and special inspections at school, besides those referred from the inspection clinic and tuberculosis dispensary. The general routine of the school was described in my last Report. (f) Residential Open-air Schools. The Authority possesses no residential open-air schools.
4c351bd1-7d78-4ae4-b725-75a491a0e85e
(10) PHYSICAL TRAINING. Since the resignation of Mr. Hoare, in 1921, no area organiser of physical training has yet been appointed. Physical training, which forms an important item in the child's school life is but at present represented in exercises on the Swedish drill principle which are given by teachers, no other satisfactory means existing for dealing with the minor pastoral defects met with during school life and remediable by simple appropriate exercises by a competent instructor. (11) PROVISION OF MEALS. Extra feeding in the form of milk, cocoa, etc., is supplied to the children attending the open-air classes of the Special School throughout the year, while all children at this school receive a hot mid-day meal. 19 Under the provisions of the Meals Act, 1906-14, the feeding of necessitous school children was continued as heretofore at the Municipal Restuarant. Dinners and breakfasts were provided at a cost of 5d. and 2Β½d.
78f40430-d684-42d7-9b74-a7f3d308e87c
each respectively, and during the year 22,347 dinners and 909 breakfasts were supplied to 362 children, suitable cases therefor being selected by the medical officers, school teachers, nurses and attendance officers. The menues in use are from time to time submitted for the approval of the School Medical Officer, and the various arrangements continue suitable and adequate for the purpose. (12) SCHOOL BATHS. With the exception of the Special School which is provided [ with spray baths, no baths exist in any of the other schools. In connection with verminous conditions and scabies, baths and disinfestation are provided at the cleansing station. Public swimming baths in East Street, belonging to the Council, are available for children attending the elementary schools on certain week-days during part of the year, when suitable instruction is given. (13), (14), (15) & (16).
98dec461-12c4-4be7-bf7b-707dff3fa575
CO-OPE RATION OF PARENTS, TEACHERS, SCHOOL ATTENDANCE OFFICERS, AND VOLUNTARY BODIES. The attendance of parents at the medical inspections throughout the year was 65.5 per cent., compared with 53.47 per cent. in 1924. The teachers take a kindly interest in the work of medical inspections in spite of the educational interruption in the course of duties, and their help is most valuable, while communication and mutual assistance are constant between the medical staff and the school attendance department. 20 The following- is a brief resume of the work done by the Society for the Prevention of Cruelty to Children in the district during the year :β€” Total number of cases investigated 16 (a) neglect 16 (b) ill-treatment β€” (c) proceedings instituted β€” There are no Children's Care Committees, but the additional duties which are usually carried out by such voluntary bodies, are carried out as far as possible by appropriate Sub-Committees of the Education Authority.
e64e363c-7090-4540-bb43-4683a3522f31
(17) BLIND, DEAF, DEFECTIVE AND EPILEPTIC CHILDREN. (a) Children subjects of the above defects are ascertained through routine medical inspection or in more severe cases necessitating school absence through the activities of the attendance officers, the information so acquired being passed to the school medical officer, when any subsequent arrangements necessary for the child's disposal are made. Arrangements exist whereby exceptional children may, if necessary, attend non-residential certified schools or classes outside the district, and 7 deaf and dumb children so attended at Frederick Road Centre, Custom House during the year. The number of blind and deaf children maintained at residential institutions during the year was 4. The number of blind and deaf children in this district is insufficient to justify the provision of special classes for these defects locally. The number of known epileptics of all grades is 13.
d774137c-b95b-44c8-b8e7-d0012210ba66
Unless the defect is of quite a minor character (when the child may attend an ordinary elementary school), epileptic children can only be satisfactorily educated in special residential schools or colonies Where epilepsy is combined with mental defect, the disposal of 21 such cases is difficult, sincc few institutions throughout the country are prepared to receive them. The number of epileptic children examined during the year was 3, and the recommendations made for their disposal as follows :β€” Residential school for epileptic children 2 Unsuitable for special school (epileptic imbecile) 1 The question of mentally sub-normal and mentally and physically defective children was considered at length in my lastyear's Report, further detailed reference to the subject being at present unnecessary. During the year, suspected mentally sub-normal and backward children were referred from various elementary schools to a temporary class at the Special School, and after a few months' observation submitted for more detailed examination by the School Medical Officer.
c628aa50-891f-405a-a912-1f98cd26154a
During the year 12 such children came before the School Medical Officer, out of which number, and including those whose period of observation expired during the year, 7 were certified mentally deficient, and arrangements made for their admission to the special class for such children. Mentally Defective Children.β€”15 children were examined as to mental condition during the year, out of which number 7 were certified educable and arrangements made for their admission to the special class, 2 were certified ineducable and submitted under the Notification of Children Regulri:ons, Section 2, for confirmation to the Board of Education, while 6 were found to be idiots or imbeciles within the meaning of the Act, and accordingly notified to the Local Control Authority. During the year no children attending the Special School were notified to the Local Control Authority as having attained the age of 16 years, one was excluded from further attendance at the class on the grounds of ineducability, while 2 cases left school on attaining the age of 16 years.
b17b41ad-2ea8-4a33-aa1d-9bd3d08342ab
22 The number of physically defective children in attendance at the cripple class was 41; 9 cases left the class on attaining the age of 16 years. The School Medical Officer examined and certified 18 cases suitable for admission to the cripple class, in addition to one case certified and allowed to continue at ordinary elementary school. (b) There are no educable mentally defective children in the district for whom the Education Authority is responsible and who are not either at the Special School or in residential institutions. Ineducable mentally defective children of school age come within the responsibility of the Essex County Council, who through the Essex Voluntary Association have begun in a small way an occupation centre for these children in this district. (c) The question of the after-care of mentally defective children, i.e., after attaining the age of 16 years becomes the statutory duty of the Local Control Authority, and is carried out by the Essex County Council who arrange for guardianship or institutional care in necessary cases.
23521708-0848-4fd6-b793-3ee41af7ffd2
No provision up to the present has been made for the after-care of blind or deaf children or cripples, although in the case of the two latter, an occupation centre might with advantage be formed with the object of their being employed at certain periods during the week, either in order to learn the rudiments of a trade, such as boot-mending or basket-making, or merely finding them a form of temporary employment which would ensure some small monetary return. (18) NURSERY SCHOOLS. There are no nursery schools in the district. (19) SECONDARY SCHOOLS. The only secondary school in the district is the Abbey School, under the Essex County Council. Arrangements exist wherein routine inspection is carried out by the School Medical Officer of 23 the district. No arrangement exists with this authority either for " following up " or treatment of necessary cases. Details of inspections carried out are supplied from the following table :β€” Entrants. Intermediates. (12 years old.)
0d56f2f0-1178-40a3-8ac7-d6c39e91ab47
Leavers. (10 years old.) Boys. Girls. Boys. Girls. Boys. Girls. No. examined... 32 23 2!) 13 20 22 No. referred for Treatment... 4 7 9 3 3 9 No. referred for observation... . 4 - ! 1 1 Re-Inspections. Number re-inspected. Number found to have been treated. Boys 12 9 Girls 31 24 (20) CONTINUATION* SCHOOLS. There are 110 Continuation Schools in the district. (21) EMPLOYMENT OF CHILDREN AND YOUNG PERSONS. Milk and newspaper deliveries, general errands, hawking and newspaper selling are the usual forms of employment of children and young persons.
a5e77d28-8a1d-4596-8d56-a4b875272382
In accordance with the Bye-laws of the Education Authority, 10 applicants of school age submitted themselves for examination prior to employment, of which number it was unnecessary to refuse any applicant on medical grounds. Street trading is permissible to boys of 15 years, although licence is refused girls under 16 years, no prior medical examination being required of applicants. Certain conditions, however, such as mental defect, prevent street trading being engaged in. 24 Legal proceedings during the year were instituted in one case for infringement of Bye-laws in respect of the employment of children, and one_ in respect of the employment of young persons in street trading. (22) SPECIAL ENQUIRIES. Owing to the pressure of other work, it was found impossible during the year to devote time to the prosecution of any special enquiries in connection with the School Medical Service. (23) MISCELLANEOUS.
fa896630-c54b-47ff-8be5-168817c9d6f5
Six young persons, who desired to become bursars and student teachers, were medically examined during the year, out of which number no one was rejected on medical grounds. 25 REPORT OF THE ORTHOPAEDIC SURGEON. Orthopaedic Clinic, Faircross School, Barking, Essex. February, 1926. I'o the School Medical Officer. The year 1925 has shown that' the establishment of the Orthopaedic Clinic was a wise step on the part of the authorities. During the period 60 new cases were examined, and 111 reexamined. All types of cripples and potential cripples were seen. The following will give some idea of the greal variety of cases dealt with :β€” Infantile Paralysis. Spastic Paralysis. Tuberculous Joints. Injuries to Bones and Joints. Lateral Curvature of the Spine. Rickets. Congenital and other deformities.
1e58e7a9-7a53-4c60-b5c8-98ede1eb675a
The majority of the patients are under my direct charge, and, when in-patient treatment is necessary, are admitted into my beds at the Queen's Hospital for Children, Hackneyβ€”where I am Senior Surgeonβ€”or into the Brookfield Orthopaedic Hospital. If into the latter, education continues during in-patient treatment, as Brookfield is a Hospital School and recognised as such by the Hoard of Education and Ministry of Health. Amongst children so admitted have been cases of congenital clubfoot, rickets, etc. Another, a serious dislocation of the elbow, is still under treatment. The rest of the cases are under the care of various London surgeons, with whom I communicate from time to time over questions of treatment or supervision. 26 It would perhaps be wise to emphasise the importance of the early treatment of rickets, clubfoot, etc., as it is in the Infant Welfare Centres that these cases are first seen.
7e0e8a6a-c8ec-429a-b5b5-12e9a370a3d4
Deformities can be thus prevented or cured, and every facility should be given the medical officers of the centres and general practitioners of the neighbourhood to see this work carried out at the Orthopaedic Clinic. Consultations are held on the morning of the first Wednesday in each month. The equipment of the clinic will be made complete within the next few weeks by the installation of an Ultra-Violet Light Apparatus Cases of Rickets, Anterior Poliomyelitis, Surgical Tuberculosis. etc., will be very carefully selected by myself in close cooperation with Dr. Simpson, Medical Officer of Health, for this line of treatment which is still under trial. It cannot be emphasised too strongly that such treatment cannot take the place of true sun-light and fresh air, and that these two essentials to life must be available more than heretofore during the coming summer months.
c1e24418-5541-456c-8a8d-015d1b5d1eff
In my opinion, therefore, Faircross Open-air School is an ideal one for the cripples and physically defective children of the district, in that in winter they will have the benefit of ultra-violet light treatment, and in summer, education in the open air and in direct sun-light. (Signed) B. Whitchurch Howell, F.R.C.S. 27 report of school dental surgeon. To the School Medical Officer. I beg to present my report for the year ended December 31st, 1925. The whole of the schools in the area were visited during the year, and children in the various age groups inspected. It was found that from a total of 6,765 children inspected, 4,700, or 69.17 per cent., were found to require treatment, and of these 2,I6I, or 52.36 per cent., made 3,211 attendances for treatment. The latter figure compares favourably with that of 38.69 per cent.
a733d3cb-4626-4ca9-8cca-7699332d7805
for 1924, and is due among other reasons to the " following up " of cases by the Denial Nurse who, since her appointment in April, 1 925, made 1,291 primary and 298 secondary home visits. There is, however, still a considerable amount of prejudice to be broken down before ideal conditions can be established, a fact now recognised by the Dental Board of the United Kingdom who propose a widespread campaign of Dental Health propaganda during 1926, in order to impress the importance of the care of the teeth upon the population generally, and especially upon parents of children attending elementary schools, only 55 per cent of whom accepted treatment for their children throughout the British Isles in 1924. An encouraging feature of the year was the sale of 1,152 tooth-brushes at cost price, and the free distribution of samples of tooth-paste and literature.
2251715e-ecc0-4d16-b16c-85e96a28b6b2
This indicates an enlightenment of many parents on the need of the prevention of dental disease, and should result in effects even more encouraging than those of actual treatment. It will be noticed with regard to treatment at the Dental Clinic, that an increase of permanent as opposed to temporary fillings has been undertaken. This has been done with the object of saving as many of the all-important permanent teeth as Possible rather than patching up temporary teeth, a process now regarded as unsatisfactory by many of the best authorities. A decrease in the number of general anaesthetics and a consequent increase in the number of local anæsthetics given will be noted 28 by reference to Table IV., page 37. This is more satisfactory, and is besides more favoured by parents and children, leaving little or no effect and being less of an ordeal to younger children. Unfortunately, the dental clinic premises leave much to be desired as a treatment centre.
60e1a4e2-8f22-4ba1-afb7-52d4cc8b22f7
It is especially inconvenient for the administration of general anaesthetics for both mothers and children, being too restricted, far from sound-proof and possessing only one common waiting-recovery room. The Ante- and Post-Natal side of the work is very encouraging, attendances on the part of mothers having steadily increased throughout the year. This result may be accounted for by the provision of dentures at cost price subsequent to extraction, and the resulting benefit to the general health of mothers accepting treatment. Unfortunately, the neglect of the care of the mouth and teeth in the majority of cases renders the conservation of teeth by filling, etc., impossible, and the extraction of large numbers of teeth has had to be undertaken in the best interests of the patient's health. Particulars of the work done on behalf of expectant and nursing mothers and children of pre-school age are furnished by the subjoined table :β€” New cases (children) 39 Old cases (do.) β€” New cases (mothers) 118 Old cases (do.)
b2b38342-a97c-4e49-b94e-c4bc0d251cd3
400 Extractions 971 Fillings 22 Scaling 23 No. of sessions 60 No. of dentures supplied 18 W. W. F. Dawe, L.D.S., R.C.S.(Eng.), Dental Surgeon. 29 ABLE 1.β€”RETURN OF MEDICAL INSPECTIONS. A.β€”Routine Medical Inspections. Number of Code Group Inspections: Entrants 1,015 Intermediates 437 Leavers 640 Total 2,092 Number of other Routine Inspections 205 B.β€”Other Inspections. Number of Special Inspections 49 Number of Re-inspections 1,162 Total 1,211 30 TABLE II.β€”A. RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31ST DECEMBER, 1925. Defect or Disease. Routine Inspections. Special Inspection . No. of Defects. No. of Defects. Requiring Treatment.
126533ce-9729-4515-9afd-6bce6d0fa11b
Requiring to be kept under observation, but not requiring Treatment. Requiring Treatment. Requiring to be kept under observation, but not requiring Treatment. (1) (2) (3) (4) (5) Malnutrition 20 23 1 β€” Uncleanliness β€” β€” β€” β€” Skin Ringwormβ€”Scalp 1 β€” β€” β€” Body β€” β€” β€” β€” Scabies 4 β€” β€” β€” Impetigo 10 β€” β€” β€” Other Diseases (NonTuberculosis) 1 β€” 1 β€” Eye Blepheritis 12 β€” β€” β€” Conjunctivitis 1 β€” β€” β€” Keratitis β€” β€” β€” β€” Corneal Opacities β€” β€” β€” β€” Defective Vision (excluding Squint) 82 6 15 1 Squint 10 β€” β€” β€” Other Conditions 1 β€” β€” β€” Ear Defective Hearing 7 β€” 3 β€” Otitis Media 31 β€” 3 β€” Other Ear Disease β€” β€” β€” β€” Nose and Throat Enlarged Tonsils only 78
39f192d3-7eef-408d-8f1c-036b914cc1d3
30 — — Adenoids only 21 7 — 1 Enlarged Tonsils and Adenoids 104 3 2 — Other Conditions 40 5 4 — Enlarged Cervical Glands (NonT.B.) 3 11 — — Defective Speech — — — — Teeth—Denial Diseases (See Table IV., Group IV.) Heart and Circulation. Heart Disease : Organic — 21 — 2 Functional — 7 — — Anæmia 22 3 — — Lungs Bronchitis 48 12 — — Other Non-Tuberculous Diseases 4 4 — — 31 TABLE II.—Continued. Defect or Disease. Routine Inspections. Special Inspection. No. of Defects. No. of Defects. Requiring Treatment Requiring to be kept under observation, but not requiring Treatment Requiring Treatment. Requiring to be kept under observation, but not requiring Treatment.
a1f7683a-8c86-41f0-8ea1-23226350542e
(1) (2) (3) (4) (5) Tu berculosis Pulmonary : Definite 2 2 β€” β€” Suspected 5 7 β€” β€” Non-Pulmonary : Glands 2 6 β€” 1 Spine β€” β€” β€” β€” Hip β€” β€” β€” β€” Other Bones and Joints β€” β€” β€” Skin β€” β€” β€” β€” Other Forms β€” β€” β€” β€” Nervous System Epilepsy 1 β€” β€” β€” Chorea 1 1 2 β€” Other Conditions 2 β€” β€” β€” mities- Rickets 1 β€” β€” β€” Spinal 24 2 β€” β€” Other Forms 38 6 β€” 2 Other Defects and Diseases 28 8 3 4 32 B.β€”Number of Individual Children FOUND AT Routine MEDICAL INSPECTION TO REQUIRE TREATMENT (EXCLUDING UNCLEAN LINESS AND DENTAL DISEASES). Group. Number of Children. Percentage of Children found to require treatment. Inspected.
8f941f3d-8300-46f2-8ae9-f2b075c2753d
Found to require treatment CODE GROUPS: Entrants 1015 265 26.108 Intermediates 437 124 28.37 Leavers 640 141 22.03 Total (Code Groups) 2,002 530 25.33 Other Routine Inspections 205 27 1317 33 TABLE III-RETURN OF ALL EXCEPTIONAL CHILDREN IN THE AREA. Boys. Girls. Total. Blind including partially blind.) (I.) Suitable for training in a School or Class for the totally blind. Attending Certified Schools or Classes for the Blind 1 1 2 Attending Public Elementary Schools – – At other Institutions β€” – β€” At no School or Institution β€” β€” β€” (II.) Suitable for training in a School or Class for the partially blind.
f702624e-0b15-4757-8d30-2c7840877305
Attending Certified Schools or Classes for the Blind – 1 1 Attending Public Elementary Schools – 1 1 At other Institutions β€” – β€” At no School or Institution – β€” Deaf (including deaf and dumb and partially deaf.) (I.) Suitable for training in a School or Class for the totally deaf or deaf and dumb. Attending Certified Schools or Classes for the Deaf 2 6 8 Attending Public Elementary Schools – – – At other Institutions β€” – β€” At no School or Institution... β€” – – (II.) Suitable for training in a School or Class for partially deaf. Attending Certified Schools or Classes for the Deaf – – – Attending Public Elementary Schools – – – At other Institutions – – – At no School or Institution – – – Mentally Defective Feeble Minded (cases not notifiable to the Local Control Authority.
5f6398a9-d58c-449a-b039-8e1af601249b
Attending Certified Schools for Mentally Defective Children 16 19 35 Attending Public Elementary Schools – – – At other Institutions β€” β€” β€” At no School or Institution β€” β€” β€” Notified to the Local Control Authority during the year. Feebleminded – 1 1 Imbeciles 2 1 3 Idiots 2 – 2 Epilepsy. Suffering from severe Epilepsy. Attending Certified Special Schools for Epileptics β€” – – In Institutions other than Certified Special Schools 1 – 1 Attending Public Elementary Schools – – At no School or Institution β€” 1 1 Suffering from Epilepsy which is not severe. Attending Public Elementary Schools 1 5 6 At no School or Institution – – – 34 TABLE III.β€”continued. Boys. Girls. Total Infectious pulmonary and glandular Tuberculosis.
e85dccf3-a805-4330-9a22-76843135cf18
At Sanatoria or Sanatorium Schools approved by the Ministry of Health or the Board – 1 1 At other Institutions β€” β€” At no School or Institution β€” β€” β€” Non-infectious, but active pulmonary and glandular tuberculosis. At Sanatoria or Sanatorium Schools approved by the Ministry of Health or the Board – – – At Certified Residential Open Air Schools – – – At Certified Day Open Air Schools – – – At Public Elementary Schools – – – At other Institutions β€” – – At no School or Institution – – – Physically Defective. Delicate children (e.g., preor latent tuberculosis, malnutrition debility, auΓ¦mia, etc.) At Certified Residential Open Air Schools – – – At Certified Day Open Air Schools 07 52 119 At Public Elementary Schools 1 – 1 At other Institutions β€” β€” β€” At no School or Institution β€” – β€” Active non-pulmonary tuberculosis.
a43bc2df-dfad-4c02-b4c4-33105728e829
At Sanatoria or Hospital Schools approved by the Ministry of Health or the Board 1 1 2 At Public Elementary Schools – – – At other Institutions β€” β€” – At no School or Institution β€” β€” – Crippled Children (other than those with active tuberculous disease), e.g., children suffering from paralysis, etc. and including those with severe heart disease. At Certified Hospital Schools, – 1 I At Certified Residential Cripple Schools – – – At Certified Day CrippleSchools 21 19 40 At Public Elementary Schools – – – At other Institutions – β€” – At no School or Institution 2 – 2 35 TABLE IV.β€”TREATMENT TABLE. (Group I.β€”Minor Ailments (excluding Uncleanliness, for which see Group V). Disease or Defect. Number of Defects treated, or under treatment during the year. Under the Authority's Scheme. Otherwise. Total.
930992ce-35b6-4726-991f-a6992a7237f4
Skin Ringwormβ€”Scalp 10 β€” 10 Body 20 β€” 20 Scabies 34 1 35 Impetigo 347 1 348 Other Skin Diseases 123 β€” 123 Minor Eye Defects (External and other, but excluding cases falling in Group II.) 137 7 144 Minor Ear Defects 193 22 215 Miscellaneous (e.g., minor injuries, bruises, sores, chilblains, etc. 1001 1 1002 Total 1,865 32 1,897 36 Group II.β€”Defective Vision and Squint (excluding Minor Eve Defects Treated as Minor Ailmentsβ€”Group I.β€”.) Defect or Disease. Under Authority s Scheme. Xumber of defects dealt with. Submitted to refraction by private practitioner or at hospital apart from the Authority's Scheme. Otherwise Total.
e33622dd-53cf-4e59-b2a8-279b5ea15682
(1) (2) (3) (4) (5) Errors of Refraction (including Squint) 131 36 – 167 Other Defects or Diseases of the eyes (excluding those recorded in Group I.) β€” β€” – β€” Total 131 36 – 167 Total number of children for whom spectacles were prescribed :β€” (a) Under the Authority's Scheme 113 (b) Otherwise 30 Total number of children who obtained or received spectacles :β€” (a) Under the Authority's Scheme 113 (b) Otherwise 30 Group III.β€”Treatment of Defects of Nose and Throat. NUMBER OF DEFECTS. Received Operative Treatment. Under the Authority's Scheme in. Clinic or Hospital. By Private Practitioner or Hospital, apart from the Authority's Scheme. Total. Received other forms of treatment.
ce59d400-8cb0-408c-a9c1-9c79cbe3da05
Total number treated (1) (2) (3) (4) (5) 154 47 201 28 220 37 Group IV Dental Defects. (1) Number of Children who were :β€” (a) Inspected by the Dentist Routine Age Groups.
71dcff14-44b4-481b-be13-a6d272b2746c
Age 3 — 4 12 5 636 6 665 7 621 8 691 9 686 10 841 11 829 12 811 13 773 14 192 15 8 Total 6,765 (b) Found to require treatment 4,700 (c) Actually treated 2,461 (2) Half-days devoted to Inspection 41 Treatment 340 Total 381 (3) Attendances made by children for Treatment 3,211 (4) Fillings—Permanent Teeth 1,515 Temporary Teeth 36 Total 1,551 (5) Extractions—Permanent Teeth 462 Temporary Teeth 3,137 Total 3,599 (6) Administrations of general anæsthetics for extractions 579 (7) Other operations—Permanent Teeth Total 119 Temporary Teeth 38 GROUP V.—UNCLEANLINESS AND VERMINOUS CONDITIONS.
6a622f39-1066-44ee-b683-97cec77821a6
(i) Average number of visits per school made during the year by the School Nurse 3 (ii) Total number of examinations of children in the schools by School Nurses 17,501 (iii) Number of individual children found unclean (iv) Number of children cleansed under ments made by the Local Education Authority 169 (v) Number of cases in which legal proceedings were taken :β€” (a) Under the Education Act, 1921 (b) Under School Attendance Bye - laws
19219aa5-dacd-4620-b522-056880944ce2
2 TABLE OF CONTENTS SECTION 1β€”GENERAL. FAC[ Staff 4 Statistical Summary 7 Comparative Statistical Table 8 Table of \ ital Statistics from 1921 to 1926 'j Summary of Nuising Arrangements 10 Clinic and Treatment Centres 11 Ambulance Facilities 12 Laboratory Work 12 Local flve-Laws, Regulations and Adoptive Acts 13 Deaths 14 Inquests 16 Causes of Death (Table) 17 Causes of Death at Various Ages under 1 year 1* Marriages I'' Births I!' SECTION 2 SANITARY CIRCUMSTANCES OF THE DISTRICT.
25ec24ff-1cbb-4b53-af77-1f55153a5c96
Water Supply 20 Rivers and Streams 20 Rainfall 20 Sewerage 20 Scavenging 21 Housing Statistics 21 Sanitary Inspection of the Area 23 Summary of Sanitary Work carried out 24 Notices Served 26 S;noke Abatement 27 Offensive Trades 27 Common Lodging Houses 28 Tents, Vans, Sheds, ctc 28 Houses Let in T.odgings 28 Inspection and Supervision of Food :β€” (a) Milk 29 (b) Meat 30 (c) Unsound Food 31 3 SECTION 2β€”Continued. page Sale of Food and Drugs Act 32 Overcrowding 32 Improvement of Existing Housing Conditions 32 The (Parsons Row) Improvement Scheme 33 Schools 33 Factories, Workshops, Workplaces, etc. 34 Health Propaganda 38 SECTION 3β€”NOTIFIABLE INFECTIOUS DISEASES.
8586bbfc-cf9e-446f-b2f0-109df8054a5a
Table of Cases of Infectious Diseases notified and removed to Hospital 40 Cases Classified According to Age Groups and Wards 42 Monthly Summary of Rcceipt of Notifications 43 Scarlet Fever 44 Smallpox and Vaccination 44 Diptheria 45 Puerperal Fever 46 Acute Primary and Acute Influenzal Pneumonia 46 Pneumonia Supervening upon Measles 46 Non-notifiable Diseases 47 Table of Admissions and Discharges from Hospital 47 Tuberculosis 48 Tuberculosis After-care 52 SECTION 4β€”MATERNITY AND CHILD WELFARE. Notification of Births Acts.
4c1380ae-e302-4cd2-b475-fa1ef9f4ce41
1907-1915 55 Ante-Natal Clinic 55 Post-Natal Cases 57 Maternity Ward 57 Puerperal Fever and Puerperal Pyrexia 59 Maternal Mortality 59 Neonatal Mortality 60 Still Mirths 61 Opthalmia Neonatorum 61 Work of Health Visitors and Infant Welfare Centres 62 The Pre-School Child 64 Foster Children 65 Infantile Mortality 66 Breast Feeding 68 Dental Clinic 68 Orthopaedic Clinic 69 Artificial Sunlight Clinic 69 Provision of Meals and Fresh and Dried Milk 70 4 STAFF, 1926. * Medical Officer of Health, School Medical Officer, Medical Superintendent. Isolation Hospital, and District Tuberculosis Officer. *K. SIMPSON. M.D., Ch.B., M.R.C.P., D.P.H. Asst. Medical Officer of Health and Asst.
57277e0e-b676-4024-9d23-40d8d3734dc0
School Medical Officer : *MURIEL J. LOUGH, M B., B.S., B.Sc.. M.R.C.S., L.R.C.P., D.P.H Orthopaedic Surgeon (Part Time) : *B. WHITCHURCH HOWELL, M B., B.S., F.R.C.S. School Dentist : *W. W. F. DAWE, L.D.S., R.C.S (Eng.). Sanitary Inspectors : *N. BASTABLE (Chief Sanitary Inspector) (b, c and f). *H. WOOD (Sanitary Inspector) (b and c). *H. CARR (Sanitary Inspector (b, c and e). Health Visitors : *MRS. G. STOKES (i). *MRS. M. W. WALION (a, h. and 1). *MISS G. ELLIOTT (a, h and 1).
6b28b2e3-52ad-41dd-92b8-3b5f6e102fdf
Matron, Isolation Hospital : MISS M. J. HEDGCOCK (h, i and j). Masseuse, Orthopaedic Clinic (Part Time) : *MISS A. E. FINDLAY, C.S.M.M.G. (k). Clerical Staff. E. W. WINCHESTER (Chief Clerk) (a, c and d). MISS A. SHAW. MISS V. SHEAD. MISS B. INGHAM. Disinfector and Mortuary Keeper: H. LONG. (a) Sanitary Inspector's certificate of Sanitary Inspectors' Examination Board. (b) Sanitary Inspector's certificate of Royal Sanitary Institute. (c) Meat, etc., Inspector's certificate of Royal Sanitary Institute (d) Meat, etc., Inspector's certificate of Sanitary Inspectors' Examination Board.
8c78d378-847c-479b-ba96-c2cf1a21b0fa
(e) Building Inspector's certificate of Worshipful Company of Carpenters (f) Sanitary Science Certificate of Royal Sanitary Institute (g) Health Visitor's certificate of Royal Sanitary Institute. (h) Certificate of Central Midwives' Board. (i) General Hospital Training. (j) General Fever Training. (k) Certificate M.E. ar.'l S.R.E. (i) Health Visitor's Diploma of Boanl of Education. *Proportion of salary contributed under I'ublic Health Acta or by Exchequer grants. 5 ANNUAL REPORT OF THE Medical Officer of Health for the Urban District of Barking Town, in the County of Essex, for the Year ended 31st December, 1926. PUBLIC HEALTH OFFICES, BARKING, ESSEX. To the Chairman and Members of the Urban District Council of Barking Town. Mr.
b1764200-1cb2-4878-8df3-afeb1cc4e879
Chairman and Gentlemen, I beg to submit my Annual Report on the Public Health Services of the District for the year ended 31st December, 1926, in accordance with the requirements of the Ministry of Health. A report on the work of the School Medical Service has already been issued. The estimated population in June, 1920, was 3S.920, giving an increase of 470 over 38,450 in 1925, while the excess of births over deaths was 452. The birth rate for the year was 21.01 while the death rate was 9.4.
caedd919-b80f-4834-a034-29e914749b38
In connection with the general death rate of the district it is noteworthy that a decline since 1924 has taken place in the mortality of those diseases which more particularly depend upon the efficiency of the Health services, the death rate, e.g., from Tuberculosis, and the Infantile and Zymotic Mortalities being 1.2, 85.1 and 0.95 respectively in 1924 compared with the figures for 1926 which were ' 6 0.8, 59.9 and 0.66. This improvement, without further comment, has unquestionably resulted from a more efficient Public Health Service. It is unnecessary to review the old ground which has been elaborated upon during the past three years. Suffice it to repeat that personal and municipal cleanliness, better hygienic conditions in the home and workshop, and cleaner food, form the lines generally along which further progress should be made.
c686a7b9-2e7d-4661-8d22-415dfa07d7cc
It is of interest to note that the percentage of patients admitted to hospital suffering from scarlet fever who developed complications was 64.3, a figure generally accepted as affording a useful index of the efficiency or otherwise of the isolation accommodation of any district. Unfortunately a proportion of those complications are of a more permanent character which may seriously handicap the sufferer in after-life. Attention was directed in my Report of last year, inter alia. to the question of the sanitary collection and disposal of municipal refuse, the facilities, etc., for the more efficient segregation and treatment cf infectious disease, and, in connection with the School Medical Service, more suitable premises for the work of the Jlinor Ailments and other clinics, which need not be further dilated upon now.
39ed9be3-c0a5-42d1-91c2-f6b028c680ed
Much has been done since the end of 1923 to create a Public Health and School Medical Service better fitted for the due preserve tion of the life and health of the district, and, (although that effort is still imperfect), some of it as may be seen has already begun to bear fruit; and, personally, I shall feel that my labours have not been altogether in vain if they have but the effect of affording my successor a less arduous and difficult course than lias been mint to follow. I am, Mr. Chairman and Gentlemen, Your obedient Servant, KERR SIMPSON, Medical Officer of Health 7 SUMMARY Of PARTICULARS REQUIRED BY CIRCULAR 743 OF THE MINISTRY OF HEALTH, DATED 20th DECEMBER. 1026. 1. General Statistics. Area (acres) 4,106 Ward areas 3,806 Tidal Water H.W.M.
fab91986-2a87-4a91-9b89-4e5f5939a41d
Thames 240 Rodiug 58 Loxford Water 2 - - 300 4,106 Population (Census, 1921) 35,523 Population (June, 1926) (Registrar General's estimate) 38,920 Number of inhabited houses (1921) 6,762 Number of Families or separate occupiers (1921) 7,594 Population Density, i.e., No. of persons per acre 9.4 Rateable Valueβ€”Houses. Buildings, etc. Β£26S,258 0 0 Lands Β£3.008 10 0 Sum represented by a penny rate Β£1,082 0 0 Education rates :β€” Elementary 3 1Β½ Secondary 1Β½ Assessable Value Β£248,663 5 0 General District Rate 8 0 Poor Rate 9 2. Extracts from Vital Statistics lor the Year. Births :β€” Males. Females. Total. Birth Rate.
77731687-1c0b-4e78-841b-a8eeb1d45100
Legitimate 409 383 792 20.349 Illegitimate 15 11 26 0.668 Total 424 394 818 21.017 Deaths:β€” Male. Female. Total. Death Rate. Standard Death Rate (Factor 1,049 205 161 366 9.4 9.8 Number of deaths of women during, or in consequence of, childbirth :β€” From Sepsis. From other causes. Total. β€” 1 1 Number of deaths of infants under one year of age : β€” Total Infantile Death Death Males. Females. Total. Rate. Rate. Legitimate 30 15 45 56.8 59.9 "legitimate 3 1 4 153.8 Number of deaths from Measles (ail ages) 7 .
98e86a5e-8bfe-4703-b89f-d02014854a25
,, Whooping Cougli (all ages) 1 Diarrhoea (under 2 years of age 15 8 3. BIRTH RATE, DEATH RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR. Birth Rate per 1,000 Total Population. Annual Death Rate per 1,000 Population. Rate per 1,000 Births. Percentage of Total Deaths. All Causes. Entcric Fever. Small Pox Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Violence. Diarrhoea and Enteritis (under Two years). ; Total Deaths under One year. Causes of Deaths Cer. tified by Registered Medical Practitioners Inquest Cases. Uncertified Causes of Death. England and Wales 17.8 11.6 0.01 0.00 0.09 0.02 0.
9fa266d0-2168-471d-aaaa-1e242511611f
10 0.07 0.22 0.47 8.7 70 91.8 7.2 1.0 105 County Eorougha and Great Towns including Loudon 18.2 11.6 0.01 0.00 0.12 0,02 0.10 0.10 0.22 0.43 11.8 73 92.0 7.5 05 † 158 Smaller Towns (1921 Adjusted Populations 20,000 50 000) 17.6 10.6 0.01 0.00 0.07 0.02 0.11 0.06 0.23 0.40 6.6 67 92.6 6.3 1.1 London 17.1 11.6 0.01 0.00 0.20 0.02 0.05 0.
d5913687-7152-48fe-9ae6-e831516b8edd
12 0.17 0.48 11.8 64 SO.f. 9.4 . 0.0 BARKING 21.01 9.4 0.02 β€” 0.17 - 0.02 0.05 0.41 0.41 18.3 59 91.8 8.2 β€” Hanwe.l U. 1. having been added to Ealing M. B. on the 1st October. 1926. the figures relate to 158 towns for the first nine months, and to 157 towns for the rest of the year. β–  9 VITAL STATISTICS OF WHOLE DISTRICT FROM 1921 to 1926. Year. 1 Population estimated to Middle of each Year. Births. Total Deaths Registered in the District. Transferable Deaths Nett Deaths bejoiiging to the District. Nett. Number. P.ate.
c76baec4-f04b-4ae5-b5ae-44f48623bea5
Of Nonresidents registered in the District. Of residents registered out of the District. Under One year , of age. At all Ages. Number. Rate. Number. Ratf per 1.000 Nett Births. Number Kate. 1 2 3 4 5 6 7 8 9 10 11 12 1921 36 250 968 26.0 297 7.1 β€” 97 74 74.1 394 10.8 1922 36,680 882 24.0 308 8.1 β€” 56 49 55.5 364 9.9 1923 37,210 862 23 1 234 6.2 5 86 *43 *49.8 *318 *8.5 1924 37,890 846 22.3 273 7.2 3 109 72 85.
c46228f9-c84b-49de-8728-0fca321f8e1c
1 379 10.0 1925 38,450 825 21.4 287 7.4 8 107 66 80.0 386 10.0 1926 38,920 818 21.0 259 6.6 11 118 49 59.9 36ti 9.4 *Registrar General's Figures. 10 5. CAUSES OF SICKNESS. No special causes of sickness fall to be discussed. 6. SUMMARY (FOR REFERENCE) OF NURSING ARRANGEMENTS, HOSPITALS, AND OTHER INSTITUTIONS AVAILABLE FOR THE DISTRICT. (a) Nursing in the Home. (i) The Plaistow Maternity Charity provide a staff of nurses, who attend at the homes of the sick once or twice a day, carry out such skilled nursing as is required, and offer instructions where advisable in hygienic heme practices in relation to the sick.
6fb26b11-150b-4502-b81e-a40a7c9c5197
(ii) For infectious diseases. In the event of an epidemic, the Council can provide nurses for such cases as ma\ require to be nursed in their own homes. Of late year* this has not been necessary. No other provision of home nursing is carried out by the Department, but Health Visitors and School Nurses regularly advise parents as to the nursing and general care of children (b) District Midwifery Provision. By agreement dated January 1st, 1924 with the Plaistow Maternity Charity, the Council annually subsidise the Charity on any deficit from Β£300 in respect of '$0 District Midwifery cases attended b\' the Charity reckoned at the rate of /I per case. The takings of the Charity for the financial year endw 31st March, 1927, amounted to Β£230, leaving a balance due to the charity from the Council of Β£70, such sum ranking for grant.
7680666a-416b-4379-b07f-34eb6c36f4ea
The number of cases attended 233, but in three instances it was impossible to col!*t the fees. (c) CLINIC AND TREATMENT CENTRES. Name and Situation. Nature of Accommodation. By Whom Provided. I. Maternity and Child Welfare :β€” (a) Centres Clinic premises, East Street. Accommodation for consultations, weighing of babies, waiting room, etc Local Authority. Greatfields Centre, Movers Lane. β€ž β€ž .. Alexandra Centre St. Pauls Road. β€ž β€ž (b) Ante-natal clinic Clinic promises, Kast Street. Accommodation for consultations. " " (c) School Nurseries Nil. Nil. Nil. (d) Day Nurseries Nil. Nil. Nil. II. School Medical Service :β€” (a) Inspection Clinic and treatment of minor ailments Clinic premises, East Street. Three rooms. Local Authority. (b) Eye Clime β€ž β€ž One room.
63793898-5c85-4720-82cc-2e2c11d63cb8
β€ž β€ž (c) Dental Clinic β€ž β€ž Two rooms. β€ž β€ž (d) Orthopa-Uic Clinic Faircross School. One room. β€ž β€ž III. Tuberculosis 37, Linton Road. Three rooms. Essex County Council. IV. Venereal Diseases London Hospitals, etc. - By arrangement with Essex County Council. 12 (d) Hospitals provided or subsidised by the Local Authority : (i) Smallpox.β€”An arrangement exists with the neighbouring County Borough of West Ham whereby an unlimited number of beds are available at Dagenham for the reception and treatment of cases of smallpox which may occur in the Barking area. (ii) The only hospital provided by the Local Authority is that for the isolation and treatment of infectious diseases situated in Upney Lane, where 40 beds are available for such cases. Twelve additional beds are available for maternity cases in a separate portion of the hospital buildings.
a45db777-648d-4912-a471-ef50ee01ae73
(e) Ambulance Facilities :β€” (i) A horse ambulance is provided for the removal of infectious cases to the Isolation Hospital, Upney Lane. (ii) For non-infectious and accident cases, two motor ambulances are kept at the Fire Station, the ambulance and fire services being run in conjunction under the Chief Fire Officer. 7. LABORATORY WORK. The necessary laboratory work of the district is carried out by arrangement with the Essex County Council at the Counties' Laboratory, situated in Queen Victoria Street, London, E.C.4. particulars of the number of specimens submitted for examination being supplied by the following table :β€” Specimen Number examined Diphtheria 365 Sputa 227 Typhoid 7 Ringworm 4 MisceUancous 2 8. List of Adoptive Acts, Bye-laws, and Local Regulations relating to Public Health in force within the district.
ecb6b94c-6473-4c59-a4f9-f2a5d9797be3
(i) Local Acts: Barking Town Wharf Act, 1893, Barking Parish Act, 1888. 13 (ii) General Adoptive Acts : Local Government and other Officers' Superannuation Act, 1922. Public Health Acts Amendment Act, 1890, Parts 2, 3 and 5. Public Health Act, 1925. Baths and Washhouses Acts, 1847, etc. Infectious Diseases (Prevention) Act, 1S90. Public Health Acts Amendment Act, 1907, Parts 2, 3, 4, 5, 6 and 9, and Section 95 of Part 10. (iii) Regulations : Regulations as to Dairies, Cowsheds and Milkshops, 1900 (revised 1924). Regulations as to Cemetery, 1902. Barking Town (Pneumonia) Regulations, 1924.
e9154184-4c4d-4eec-ae14-d56da9d249e4
(iv) Bye-laws with respect to : Nuisances, 1884. Common Lodging Houses, 18S4. Offensive Trades, 1907 (revised 1924). Houses let in lodgings, or occupied by members of more than one family, 1924. Public Baths, 1900. Tents, Vans, Sheds and similar structures, 1909. Paving of Open Spaces, 1901. Nuisances in connection with the removal of offensive matter, 1908. Employment of Children and Young Persons, 1921 revised (1924).
052919c3-5bc6-41e1-8a76-727f4e8910ef
(v) Among the Special Acts and Orders in force within the district, and important from a Public Health Standpoint, are :β€” 1910.β€”Orders declaring the trades of fish-skin scraper, fish fryer, dealer by retail in rags, bones., skins, fat or other like articles in an offensive condition, blood drier, tanner, leather dresser, fat melter or fat extractor, glue maker, size maker, gut scraper, and oil boiler to be offensive trades, the last being so declared in 1925. 14 9. DEATHS. There were 259 deaths registered in Barking in 1926. Of these 11 were deaths of non-residents. Barking residents to the number of 118 died elsewhere during the year. Including the latter and excluding the deaths of visitors, the net number of deaths were as follows :β€” Males.
ce59e25a-2a80-4a0c-9b89-c0782df0d9ff
Females Total 205 161 366 The death rate for 1926 was 9.4 per 1,000, compared with 10.0 in 1925, calculated on the Registrar-General's estimated population and number of deaths, compared with 11.6 for England and Wales, 11.6 for the hundred and five Great Towns, 10.6 for the hundred and fifty eight Smaller Towns, and 11.6 for London. Sex Mortality. β€”The 366 deaths of 1926 were divided as follows :- 205 males, equal to a death rate of 5.26 per 1,000 population. 161 Female, equal to a death rate of 4.13 per 1,000 population. Age Mortality.β€”The deaths in various age groups, according to the figures obtained locally, were as follows:β€” Age Group. No. of Deaths. Death Rate per 1,000 Population.
c8bfb1ab-d969-4d7d-931c-39736a8f1a8f
Under 1 year 49 1.25 1 to 2 years 17 0.43 2 to 5 years 9 0.23 5 to 15 years 8 0.20 15 to 25 years 13 0.33 25 to 45 years 41 1.05 45 to 60 years 102 2.62 Over 60 years 127 3.26 Causes of death in 1926.β€”The table on page 17 shows the principal Causes of death at various ages. Those diseases, etc., 15 causing most deaths or important from a public Health aspect were as follows :β€” Disease. No. of Deaths. Percentage of total net deaths registered.
b5901f94-ca60-4348-abad-b8eaf446e49b
Cardio vascular system 47 12.84 Cancer 64 17.48 Tuberculosis (all forms) 35 9.83 Pulmonary affections, (exclusive of tuberculosis), viz., Bronchitis 28 7.65 Pneumonia 27 7.37 Other respiratory disease 4 1.09 Zymotic Diseases 26 7.10 Of the total deaths, tuberculosis caused one in every 10.4, heart diseases one in every 7.7, bronchitis one in every 13.0, cancer one in every 5.7, pneumonia one in every 13.5, suicide and violence one in every 22.8, other respiratory diseases one in every 91.5, and zymotic diseases one in every 14.0.
fc905298-82f3-46d0-908f-536d4523f26b
Deaths from Zymotic Diseases.—These diseases caused 7.1 per cent, of the total deaths, such deaths being caused in the following proportions :— Enteric Fever 0.27 Measles 1.91 Whooping Cough 0.27 Scarlet Fever — Diphtheria 0.54 Diarrhæa 4.09 Smallpox — 16 INQUESTS.—Coroner's inquests were held on 30 deaths. The ages at death and causes assigned were as follows:— Causes of Death. Under one year. 1-2 years. 2—5 years. 5-15 years. 15-25 years. 25-45 years. 45-65 years. Over 65 years. Total. Accident 2 — 1 3 1 2 3 l 13 Suicide — — — — — — 2 — 2 Cirrhosis of Liver — — — — — — 1 — 1 Status Lymphaticus
be1226d5-ecae-47c5-93fc-d3ae19a16461
— l — — — — — — 1 Heart Disease — — — — _ — 3 2 5 Hemorrhage from Carcinoma of Gullet — — — — — — — 1 1 Cerebral Hæmorrhage — — — — — — 1 — 1 Lobar Pneumonia — — — — — — 1 — 1 Chronic Bright's Disease — — — — — — 1 — 1 Cancer of Rectum — — — — — — — 1 1 Atelectasis 2 — — — — — — — 2 Atheroma of Aortic Valves of Heart — — — — — — 1 — 1 Totals 4 l 1 3 1 2 13 5 30 18 INFANT MORTALITY DURING THE YEAR 1926. The following table gives the actual causes of death of children dying under one year of age.
2eb31136-1bbb-4c8c-a952-f1ffc2b073fb
Net deaths from stated causes at various ages under one year : Causes of Death. (All causas certified.) Under 1 week. 1β€”2 weeks. 2β€”3 weeks. 3β€”4 weeks. Total under 4 weeks. 4 weeks and under 3 months. 3 months and under 6 months. 6 months and under 9 months. 9 months and under 12 months. Total under one year. Small Pox β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Chicken Pox β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Measles β€” β€” β€” β€” β€” β€” β€” β€” 1 1 Scarlet Fever β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Whooping Cough β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Diphtheria and Croup β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Erysipelas β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Tubercular Meningitis β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Other Tubercular
43983913-9e94-4081-92f2-0854209a25a7
diseases — — — — — — — — — — Meningitis (not tubercular) — — — — — — — — 2 2 Convulsions 1 — — — 1 — — — — 1 Laryngitis — — — — — — — — — — Bronchitis — 1 — — 1 — 1 1 — 3 Pneumonia (all forms) — — — — — 1 2 1 3 7 Diarrhæa — — — — — 1 6 5 3 15 Gastritis — — — — — — — — — — Syphilis — — — — — — — — — — Rickets — — — — — — — — — — Suffocation,
97670b6c-0d4d-4fd7-b9b4-1a9617aa06d0
overlaying β€” β€” 1 β€” 1 β€” β€” β€” β€” 1 Injury at birth β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Atelectasis 4 β€” β€” β€” 4 β€” β€” β€” β€” 4 Congenital malformation β€” 1 β€” β€” 1 β€” 2 β€” β€” 3 Premature Birth 3 β€” 1 β€” 4 1 β€” β€” 6 Atrcphy debility and Marasmus 2 β€” 1 β€” 3 2 β€” β€” β€” 5 Other causes β€” β€” β€” β€” β€” β€” 2 β€” β€” 2 Totals 10 2 3 β€” 15 5 13 7 9 49 Nett Births in the year :β€” Legitimate 792 Illegitimate 26 Nett Deaths in the year :β€” Legitimate 46 Illegitimate 4 19 10. MARRIAGES. There were 249 marriages registered in the district in 1926.
3c27a597-6bb9-4598-b166-1bbf9c35f0ed
This is equal to a marriage rate of 6.3 per 1,000 population. In 1922, there were 208 marriages, equal to a rate of 5.6, in 1923, 219 marriages, equal to a rate of 5.9 per 1,000, in 1924, 208 marriages, equal to a rate of 5.4, and in 1925, 258 marriages equal to a rate of 6.7. 11. BIRTHS. The net number of births registered in 1926 was 818, affording an annual birth rate of 21.01 per 1,000 population, compared with 21.4 in 1925 and 22.3 in 1924. Of all births, 26 were illegitimate, or a proportion to total births of 3.1 per cent.
56580cb3-f8b2-455a-a48a-2029ee4dd96d
Notification of Births Act, 1907-1915.β€”Of the total births recorded in the district during 1926, all except 33 or 4.1 per cent, of the total, were notified to the Medical Officer of Health. 529 being notified by midwives and 241 by parents and doctors. 22 still-births were notified, 14 being notified by midwives and 8 by doctors and others. 20 SECTION 2. SANITARY CIRCUMSTANCES OF THE DISTRICT. i WATER SUPPLY. Water is supplied by the South Essex Water Company from deep wells in the chalk at Dagenham, Chadwell Heath, Ilford and Barkingside. Analytical particulars of a sample appeared in my Report for 1923. RIVERS AND STREAMS.
d12a20e7-3bcd-43fe-ad3c-b343697178ba
The Rivers and Streams of the district come within the jurisdic tion of the Essex Sewers Commissioners (who are the Tidal Flush and Flood Water Drainage Authority), and the Port of London Authority, who are the recognised Navigation Authority for the Thames, as defined by the Port of London Consolidation Act, 1920 and who have also certain powers as to the fouling of streams, etc. RAINFALL. The rainfall for the year ended December 31st was 28.97 inches Rain fell on 174 days throughout the period in question. SEWAGE. A water-carriage system is general, except at Rippleside, Over the greater part of the area there is a separate sewage and storm water system. 21 Sewage is treated within the district by precipitation and sedimentation. the resulting effluent being discharged into the River Roding. During the year, 18 premises were sewered, leaving 104 premises -till unconnected. SCAVENGING.
489ddbfa-0a71-434b-b88e-052a0987a400
The question of scavenging (which is closely linked with that of sewage disposal in several respects) comes under the control of the Engineer. Domestic and trade refuse is collected weekly in horsedrawn two-wheeled vehicles, and deposited on low-lying land. CESSPOOLS, PRIVYMIDDENS AND PAIL-CLOSETS. For cesspool emptying, a tank vehicle is employed, the contents being pumped out and afterwards discharged into the sewers. 1'rivymiddens are emptied into tumbrils and the contents buried ; the same remark being applicable to pail-closets. Housing Statistics for the year 192G 1. GENERAL. Number of new houses erected during the year :β€” (i) Total 289 (ii) As part of a municipal housing scheme 47 (iii) Others (including private enterprise and subsidy houses) 242 2. UNFIT DWELLING HOUSES. I.β€”Inspection.
69e7af21-a183-481b-ab09-a81e081e15c7
(i) Total number of dwelling houses inspected for housing defects (under Public Health or Housing Acts) 3,896 . 22 (ii) Number of dwelling houses which were inspected and recorded under the Housing (Inspection of District) Regulations, 1910 771 (iii) Number of dwelling houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 3 (iv) Number of dwelling houses (exclusive of those referred to under the preceding sub-heading) found not to be in all respects reasonably fit for human habitation 2,080 II.β€”Remedy of Defects without Service of Formal Notices Number of defective dwelling houses rendered fit in consequence of informal action by the Local Authority or their officers 1,409 III.β€”Action under Statutory Powers. A.β€”Proceedings under Section 3 of the Housing Act, 1925.
880ffcc2-fc75-4952-8d3a-eb3e10b7ee81
(i) Number of dwelling houses in respect of which notices were served requiring repairs 197 (ii) Number of dwelling houses which were rendered fitβ€” (a) by owners 194 (b) by Local Authority in default of owners 3 (iii) Number of dwelling houses in respect of which Closing Orders became operative in pursuance of declarations of owners of intention to close Nil B.β€”Proceedings under Public Health Act.
727ca013-a516-44f2-8389-4be2f5189c3d
(i) Number of dwelling houses in respect of which notices were served requiring defects to be remedied 474 23 (ii) Number of dwelling houses in which defects were remedied :β€” (a) by owners 460 (b) by local Authority in default of owners 14 C.β€”Proceedings under Sections 11, 14 and 15 of the Housing Act, 1925 :β€” (i) Number of representations made with a view to the making of Closing Orders 3 (ii) Number of dwelling houses in respect of which Closing Orders were made 2 (iii) Number of dwelling houses in respect of which Closing Orders were determined, the dwelling houses having been rendered fit 1 (iv) Number of dwelling houses in respect of which Demolition Orders were made .. β€” (v) Number of dwelling houses demolished in pursuance of Demolition Orders β€” SANITARY INSPECTION OF THE AREA. (Work of Sanitary Inspectors.) 1. Inspection of Dwelling Houses.
635c6213-30be-4946-98cc-0c3394e8ab7b
Total under Public Health or Housing Aces 3,896 Housing (Inspection of District) Regulations 771 After Infectious Disease 462 Defects Found 6,324 Notices Served (Preliminary) 2,080 Re-inspections re Notices Served 3,275 24 2. Premises Controlled, by Bye-Laws and Regulations. Houses Let in Lodgings 60 Comrron Lodging Houses 95 Offensive Trades 297 Tents, Vans and Sheds l55 Dairies, Cowsheds and Milkshops 299 Slaughterhouses 155 3. Factories, Workshops and Workplaces. Factories 142 Laundries 11 Bakehouses 84 Other Workshops 132 Other Workplaces 203 Outworkers' Rooms 62 Butchers'Premises 616 Fishmongers 73 Restaurants and Dining Rooms 136 Markets 79 Stables and Stable Yards 100 Piggeries 90 4. Miscellaneous.
ed633a0c-e97e-4817-bbf4-2242eaf278d3
Smoke Observations 50 Rats and Mice (Destruction) Act, 1919 71 Vacant Land and Refuse Dumps 82 Public Lavatories 65 Schools 72 Petroleum Stores 85 SUMMARY OF SANITARY WORK CARRIED OUT. (a) Drainage. Choked drains, opened, repaired, and cleansed 275 Drains reconstructed 26 New Drains 12 Ventilation Shafts repaired or new fixed 26 New Inspection Covers 14 25 (4) Closet Accommodation. Roofs W.C. structures repaired 107 Floors Doors Seats Fixed 46 New Pans Fixed or Cleansed 107 Flushing Apparatus Repaired or Relieved 336 Privies to Water Closets 7 Privies to Pail Closets 14 Additional W.C. Provided 1 (c) Sinks. New Fixed 79 New Sink Wastepipes 133 New Gullies 46 (d) Dampness.
7e315ce5-c030-42a1-b149-8800d1de53e5
Roofs 686 Eavesgutters 449 Rainwater Pipes 157 Damp Walls Remedied 109 (e) Water Supply. Storage Cisterns Abo'ished 65 Defective Water Fittings Repaired and Supply Reinstated 1ll Supply provided inside houses 21 (f) Yard Paving. Yard paving repaired or relaid 157 (g) Dustbins. New ones provided 536 26 (A) General Repairs. House floors repaired 254 Windows repaired or renewed 214 Window sills repaired or renewed 103 Fixed windows made to open 14 Sashcords renewed 265 Stoves or coppers repaired or renewed 254 House doors repaired or renewed 107 Stairs repaired 37 Chimney stacks rebuilt 3 Chimney pots renewed 38 Dirty or defective rooms repaired, cleansed and redecorated 1,263 External walls repaired 43 (i) Miscellaneous.
c445715d-1d68-41f0-9bec-d9d9954a533f
Offensive accumulations removed 112 Animals kept so as to be a nuisance 26 Verminous rooms and persons disinfected 20 Stables cleansed 9 NOTICES SERVED. Informal Notices 2,080 Statutory Notices 704 Section 36, Public Health Act, 1875 92 Section 94, Public Health Act, 1875 373 Section 41, Public Health Act, 1875 6 Section 5, Infectious Disease (Prevention) Act, 1890 28 Section 3, Housing Act, 1925 197 Section 46, Public Health Act, 1875 3 Section 22, Public Health Act (A) Act 1890 4 Rats and Mice (Destruction) Act. 1919 1 704 27 SMOKE ABATEMENT. Owing to the coal strike, when factory boilers were heated with all qualities of fuel, no satisfactory control could be exercised over smoke emission.
060930ad-ee22-401f-aa30-4f3718d7b00d
With the advent of the new Smoke Abatement Act, I am hopeful of an improvement. During the year under review fifty observations were recorded, and in seven instances, where there was an aggregate emission of black smoke exceeding six minutes in the hour, appropriate action was taken. It is interesting to note that the chief offenders are smaller factories where the economic production of steam receives the least consideration. OFFENSIVE TRADES. The following shows the nature of trades carried on and the number of premises registered:β€” Fish Fryers 19 19 Fish-skin Scrapers 2 Dealers in Rags and Bones 10 Fat Melters and Extractors 2 Gut Scrapers 1 Oil Boilers 1 These premises received 297 visits. Fourteen notices were served for various breaches of the bye-laws. Two fish-fryers and one dealer in rags and bones were newly registered during the year. 28 COMMON LODGING HOUSES. The two common lodging houses in the district received 95 visits.
61a44869-fd2b-480a-b580-3a5e15a88750
Notices were served for sanitary defects found and in respect of three breaches of the bye-laws. It was necessary during the year to secure the disinfestation of one of the houses. TENTS, VANS, SHEDS. Owing to house shortage there are still 16 such premises occupied in the district, and even in some of these temporary dwellings serious overcrowding exists. Constant visits are paid by the sanitary inspectors to enforce the bye-laws and to secure the best possible conditions as far as possible. HOUSES LET IN LODGINGS. These continue to be a source of anxiety. The houses so used were originally intended for one family and are now so worn out that any adaptation to meet the needs of the several families in occupation would be impracticable and unreasonable. As a result we find:β€” (1) Insufficient water-closet accommodation. (2) Insufficient accommodation for cleanliness, i.e., domestic or personal. (3) Lack of sink accommodation.
e2fb9d4a-9875-45d4-a42f-0b3f4f8586f4
(4) Lack of proper cooking accommodation. Further, the moral aspect, not necessarily a matter for the health officer, cannot be entirely ignored. I am satisfied that private enterprise will never provide for these, the poorest of our homeless families, and that their satisfactory housing will only be achieved by the erection of modern tenement 29 dwellings. Failing such provision by the Local Authority, it may be passible to form a Housing Improvement Society whose funds would be raised voluntarily. I commend the suggestion to the various religious bodies in the district in the hope that such a society might be formed with this object in view. INSPECTION AND SUPERVISION OF FOOD. MILK SUPPLY. With the exception of one cowshed still in occupation in Rippleside, where conditions are generally satisfactory, no milk is produced within the district. Of the total the bulk is pasteurised, being received from large wholesale factories and distributed by retail dairymen.
d41f9e02-affc-4e89-a375-243f6d4e707d
Including three whose premises are situated outside the district, there are 32 registered retail purveyors. These are frequently inspected, particular attention being paid to facilities for the cleansing of utensils. There continues an improvement in the methods of distribution, unsatisfactory metal cans previously used by householders being gradually withdrawn, and the glass bottle fitted with cap, proving more satisfactory both for service and storage. No action was taken under the tuberculosis clause: of the Milk and Dairies (Consolidation) Act, 1915. The following table shows the number of licences granted for the sale of graded milk under the Milk (Special Designations) Order, 1923, during the year:β€” (a) "Certified " Milk 1 (b) "Grade A (Tuberculin Tested) " Milk 2 (c) "Grade A" Milk 2 (d) "Pasteurised " Milk 1 30 A licence was granted to a local firm for the bottling of "Grade A" milk.
0e9547b8-11be-49b9-92f8-c3b03a19777e
During the year 5 samples of "Grade A" milk were submitted for examination, four of which were satisfactory. I communicated with the County Medical Officer in respect of one unsatisfactory sample, who later informed me that matters had been remedied. The one sample of "Grade A" (Tuberculin Tested) milk was found to be satisfactory. MEAT INSPECTION. Owing to proximity to the Central Meat Markets, the district receives almost entirely the whole of its supply from this source. The inspectors visit the two slaughter-houses in use when carcases and viscera are examined for evidence of disease. During the year 109 notifications to slaughter were received, and 3 beasts, 86 pigs, 611 sheep and 156 calves examined. Diseased meat weighing 9 cwt. 25 lbs. as set out in the table below was condemned and destroyed :β€” DISEASED MEAT. Description. Weight. Disease.
fb54f6eb-6af3-4c87-9a0e-354c21ec7335
2 Beef Briskets 52 lbs. Tuberculosis 2 Beasts' Heads 56 β€ž Tuberculosis 9 Beasts' Lungs 72 β€ž Tuberculosis 6 Beasts' Livers 84 β€ž Distoma Hepaticum 1 Beast Liver 14 β€ž Tuberculosis 2 Beasts' Plucks 46 β€ž Tuberculosis 150 Sheeps' Lungs 450 β€ž Parasites 50 Sheeps' Livers 200 β€ž Distoma Hepaticum 3 Pigs' Plucks 21 β€ž Tuberculosis 2 Pigs' Heads 26 β€ž Tuberculosis 4 Pigs' Lungs 12 β€ž Parasites 31 ADMINISTRATION OF THE PUBLIC HEALTH (MEAT) REGULATIONS, 1924, AS REGARDS STALLS, SHOPS, STORES AND VEHICLES. Experience has shown how increasingly difficult the administration of these Regulations has become since the issue of Circular 604.
cbb4b31d-7c07-433d-a516-11fb74b5dcc4
The inspectors have persistently endeavoured to get butchers to conform with the spirit of the Regulations, but in the absence of compulsion, the result has been unsatisfactory. After continual warnings, one prosecution in respect of dirty meat exposed for sale at a lock-up shop, which had an open front extending from floor to ceiling and occupying a position in narrow, dusty and busy street, was instituted. At the local police court a fine of Β£5 was imposed. On appeal to Quarter Sessions the conviction was upheld with costs. The principle involved was the provision of a glass front, and this was strenuously contested by the London Retail Meat Traders' Federation. UNSOUND FOOD. The following is a list of unsound food destroyed dur 'ng the year:β€” Commodity Quantity. Condition. Result of Action taken. Meat 28 lbs.