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fb91e945-fda4-43c5-a7ae-4022aab3c01d | 1 month and under 3 months. 3 months and under 6 months. 6 months and under 9 months. 9 months and under 12 months. Total deaths under 1 year. Measles - - - - - - 2 1 1 4 Scarlet Fever - - - - - - - - - - Whooping Cough - - - - - 1 - 1 1 3 Diphtheria and Croup - - - - - - - 1 1 1 Meningococcal Meningitis - - - - - - - - - - Tuberculous Meningitis - - - - - - - 1 - - Abdominal Tuberculosis - - - - - 1 - - - 1 Other Tuberculous Diseases - - - - - - - - - - Syphilis - - - - - - - 1 - 1 Bronchitis - - - - - 2 1 - 1 l Pneumonia - |
62cd910d-5d7c-4b9a-a462-a40dedeff9be | 1 - 1 2 10 10 8 2 4 Laryngitis - - - - - - - - - 32 Diarrhoea - - - - - 5 2 2 - 9 Injury at Birth 5 - - - 5 - - - - 5 Atelectasis 7 - - - 7 - - - - 7 Congenital Malformation 1 1 1 1 4 3 - 2 - 9 Premature Birth 24 5 3 2 34 1 1 - - 36 Atrophy, |
ba858e72-52f2-4506-862f-ef36159323aa | Debility and Marasmus - - - 1 1 2 1 - - 4 Erysipelas - - - - - - - 1 - 1 Convulsions - - - - - - - - - - Other Causes 2 - - - 2 2 4 1 - 9 39 7 4 5 55 27 21 19 5 127 Nett Births registered during the calendar year Legitimate, 1,927; Illegitimate, 73. Nett Deaths registered during the calendar year Legitimate, 113; Illegitimate, 14. 143 TABLE No. 82. Nett Infant Deaths, Classified by Sex and Wards. Causes of Death. The Borough. Woolwich. Plumstead. Eltham. Males. Females. Dockyard. St. Mary's. River. St. George's. Burrage. |
e2abcb65-f026-4eae-8032-9bf8b303a6ed | Herbert. Glyndon. St. Margaret's. Central. St. Nicholas. Abbey Wood. Well Hall. Avery Hill. Sherard. Measles 2 2 - - - - - - - - - 3 1 - - - Scarlet Fever - - - - - - - - - - - - - - - - Whooping Cough - 3 - - - - - 1 - - 1 - - - - - Diphtheria and Croup 1 - - - - - - - - - 1 - - - - - Meningococcal Meningitis - - - - - - - - - - - - - - - - Tuberculous Meningitis - 1 - - - - - - - - - - - - 1 - Abdominal Tuberculosis - 1 - - - - - - - - - - - 1 - - Other Tuberculous Diseases - - - - |
f1a784e4-1127-428a-934a-fa0ae393afa9 | - - - - - - - - - - - - Syphilis - 1 1 - - - - - - - - - - - - - Bronchitis 2 2 - 1 1 - - - 1 - - 1 - - - - Pneumonia 17 15 2 1 4 2 2 - 2 2 1 5 1 3 1 6 Diarrhoea 6 3 1 - 1 - - - 1 - - 1 1 - - 4 Injury at Birth 2 3 1 1 - - - - 1 - 1 - 1 - - - Atelectasis 2 5 - - - 1 - - - 2 - - - - - 4 Congenital Malformation 2 7 1 - 1 9 - - - - 1 2 - 1 - 1 Premature Birth 19 17 1 1 |
2edc3b46-adfb-4de0-9452-2f70ff96f32f | 3 4 1 1 1 3 2 5 1 4 1 8 Atrophy,Debility and Marasmus 2 2 - - 1 - - - - 1 1 1 - - - - Erysipelas - 1 - - - - - - - 1 - - - - - - Convulsions - - - - - - - - - - - - - - - - Other Causes 5 4 2 - 2 - 1 - 1 - - 3 - - - - 60 67 9 4 13 9 4 2 7 9 8 22 5 9 3 23 143 APPENDIX. METEOROLOGICAL OBSERVATIONS TAKEN AT THE ROYAL OBSERVATORY, GREENWICH, DURING THE YEAR 1934. Week ending. Temperature of the Air. |
2d15f670-1e1a-4661-8b61-bd707376f9ec | Departure from average mean air temperature for 65 years. Average temperature 4 feet below ground. Number of days on which rain fell. Rainfall in inches. Highest during week. Lowest during week. Mean temperature. Jan. 6 50.4 27.3 39.1 + 0.8 43.9 3 0.14 „ 13 49.7 27.8 41.4 + 3.5 43.9 5 0.37 „ 20 55.0 26.6 43.6 + 51 440 6 0.64 „ 27 50.0 23.8 34.8 - 4.2 43.1 2 0.11 Feb. |
5bde3df2-987e-4e0d-b02b-d31de559e2d0 | 3 42.9 22.5 36.2 — 3.5 42.0 4 0.19 „ 10 49.5 31.9 41.4 + 20 41 .7 - - „ 17 51.2 30.6 38.1 - 11 41.6 - - „ 24 49.8 27.5 38.3 -1.4 41.3 - - Mar. |
7980ed66-cd70-4a6c-a0b0-038d2017ef77 | 3 49.5 28.1 37.6 -2.8 41.3 4 0.22 „ 10 54.8 30.8 42.0 + 1.1 41.5 3 0.55 „ 17 52.0 36.9 42.5 + 1.1 42.0 6 1.05 „ 24 53.5 31.5 41 .8 -0.3 42.4 3 0.42 „ 31 57.5 30.7 42.6 -11 42.9 2 0.03 Apr. 7 58.4 32.4 42.5 -3.5 43.4 3 0.24 „ 14 66.2 29.3 47.8 + 1.8 43.9 3 0.15 „ 21 77.6 41. |
0bba5557-c92f-44b7-9ce3-4a95d1cd15e4 | 9 53.2 + 5.3 45.7 4 0.47 „ 28 60.8 37.1 46.9 -1.7 46.7 6 1 .29 May 5 697 36.6 52.9 + 3.3 47.5 1 0.04 „ 12 79.1 39.3 55.7 + 4.3 48.7 4 0.29 „ 19 68.9 35.7 51 .6 -1.4 50.3 2 0.07 „ 26 72.8 40.7 56.7 + 1.8 51.3 - — June 2 77.6 41.9 58.1 + 1.3 52.3 - - , 9 75.6 44.1 55.8 -2.4 53. |
36fb91fa-fde3-4502-9f03-08d56b534aed | 2 3 0.12 „ 16 87.3 42.6 63.2 + 4.7 54.2 - - „ 23 90.6 49.8 64.2 + 4.3 55.7 3 0.26 „ 30 78.1 48.2 60.9 -0.6 56.2 5 1.11 July 7 82.4 48.8 66.3 + 4.3 57.2 - - „ 14 84.0 50.5 66.4 + 3.6 58.5 2 0.32 „ 21 88.4 51.4 67.7 + 4.4 50.6 2 0.22 „ 28 83.6 51 .7 65.4 + 2.7 59.6 1 0.32 Aug. |
33a045ce-ecde-4f90-8b97-8416273ac470 | 4 82.0 47.6 64.8 + 2.6 59.9 4 0.26 ,, 11 77.8 49.9 62.9 + 0.7 59.8 3 0.17 ,, 18 81.6 48.9 62.7 + 0.4 59.4 2 0.36 ,, 25 76.8 48.1 62.3 + 1.2 59.5 2 0.26 Sept. |
0004e1be-85ca-4c86-b520-29995da8beab | 1 77.2 411 57.9 -2.4 59.4 3 0.67 ,, 8 82.7 43.1 62.4 + 3.1 58.8 3 0.64 ,, 15 82.4 43.9 63.7 + 5.7 59.0 2 0 05 22 74.7 41.9 58.9 + 2.4 59.1 2 0.27 ,, 29 81.3 44.0 58.1 + 3.0 58.4 3 0.23 144 APPENDIX—continued. Week ending. Temperature of the Air. Departure from average mean air temperature for 65 years. Average temperature 4 feet below ground. Number of days on which rain fell. Rainfall in inches. Highest during week. Lowest during week. |
38303529-e49c-492d-817d-2819a5cbc6db | Mean temperature. Oct. 6 69.0 44.1 55.4 + 2.0 57.9 5 0.62 „ 13 66.9 42.9 56.9 + 5.6 57.2 4 0.23 „ 20 61.2 36.0 50.4 + 0.9 56.4 3 0.11 ,, 27 65.3 40.2 54.2 + 6.3 55.6 2 0.11 Nov. |
4d1864f6-d10d-4238-8bb5-2db431aa6f24 | 3 55.9 28.2 42.1 - 50 54.5 1 0.07 „ 10 51.7 31.1 42.5 -2.9 52.4 5 1.74 ,, 17 511 32.0 44.2 + 0.9 51.2 4 0.39 ,, 24 51.3 32 .0 43.3 + 1.1 50.5 — — Dec. |
2efda917-c49c-49fa-9e80-eef6f249df19 | 1 55.0 38.0 48.0 + 6.6 50.1 2 0.06 ,, 8 56.9 45.6 52.1 + 10.9 50.4 6 1.67 ,, 15 53.8 40.1 47.3 + 6.8 50.4 7 1.24 ,, 22 53.6 32.3 44.7 + 5.1 49.6 5 0.62 „ 29 51.4 36.0 44.6 + 6.0 48.5 7 0.83 |
810ed524-cfa2-456e-8acb-9272aa955777 | WOO 35 Metropolitan Borough of Woolwich ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR WOOLWICH 1935 BY J. MACMILLAN, D.S.O., M.C., M B., D.P.H. Medical Officer of Health WOOLWICH: The Kentish Independent Printing Works, (T.U.) 41 Wellington Street, S.E. 18. PUBLIC HEALTH AND HOUSING COMMITTEE. At 31st December, 1935. His Worship the Mayor (Councillor H. Berry, J.P., L.C.C.). Councillor Miss M. Crout, J.P. (Chairman). Councillor Mrs. L. E. Driver (Vice-Chairman). Aldermen: Mrs. E. Brooks E. H. Kemp, J.P. |
6920943e-d47e-42c6-8726-8c4d74918564 | Councillors: E. Brown C. J. Keedy C. H. Darby F. R. Moore J. B. Fyson Mrs. E. L. Reeves A. H. Gilder H. Vaughan G. E. Greenwood Miss G. E. Walters, J.P. W. J. Wood MATERNITY AND CHILD WELFARE COMMITTEE Comprising the Members of the Public Health and Housing Committee. Councillor Miss G. E. Walters, J.P. (Chairman). Alderman Mrs. E. Brooks (Vice-Chairman). 3 TABLE OF CONTENTS. page Public Health and Housing Committee 2 Maternity and Child Welfare Committee 2 Preface 6 I.—GENERAL PROVISION OF HEALTH SERVICES. |
fe47eb27-f745-425b-828f-d096d0d93543 | Public Health Officers 10 Laboratory Facilities 13 Ambulance Facilities 14 Professional Nursing in the Home 14 Clinics and Treatment Centres 15 Hospitals 16 Midwifery and Maternity Services 17 Institutional Provision for Mothers and Children 17 Health Visiting 17 Infant Life Protection 18 Orthopaedic Treatment 18 Supply of Insulin 18 Vaccination 18 Adoptive Acts, By-laws and Regulations in Force in the District 20 School Medical Service (L.C.C.) 20 Survey of Health Services 23 II.—HEALTH PROPAGANDA. General Reference 24 Health Services Booklet 24 Health Week 24 Silver Jubilee Celebrations 24 School Children 25 Informal Talks 25 Films 25 Cookery Classes 25 Central Council for Health Education 26 "Better Health" 26 Posters 26 III.—MATERNITY AND CHILD WELFARE. |
cfb08e93-0d65-4849-968c-1f05fcf28553 | Staff 28 Notification of Births Acts 28 The Work of the Health Visitors 28 Infant Life Protection 29 The Work of the Welfare Centres 31 Artificial Sunlight Clinic 34 Toddlers' Clinic 35 Provision of Maternity Outfits 41 Compensation to Midwives 41 Payment of Midwives' Fees 41 Public Health (Puerperal Fever and Puerperal Pyrexia) Regulations, 1926 42 obstetric Complications in Private Practice 42 Home Helps 42 Treatment of Minor Ailments 42 Dental Treatment 43 Orthopaedic Treatment for Children under Five Years of Age 43 Provision of Nursing Assistance 44 Day Ambulance 44 Children's Beds 45 Institutional Midwifery 45 Ante-natal Treatment and Emergencies 46 4 PAGE Convalescent Home Treatment for Children 46 Convalescent Home Treatment for Mothers 46 Assisted Milk Scheme 47 Blind Persons Act, 1920 47 Widows', Orphans', and Old Age Contributory Pensions Act, |
c1812acb-4334-4a88-b180-b7c21043a5b2 | 1925 47 IV.—SANITARY ADMINISTRATION. Staff 48 Water Supply 48 Drainage 48 Condition of the River Thames 48 Removal and Disposal of Refuse 49 Complaints 50 Sanitary Inspection of the Area 50 Shops Act, 1934 52 Smoke Abatement 52 Public Baths and Washhouses 52 Factory and Workshop Acts 53 The Rats and Mice (Destruction) Act, 1919 54 Fouling of Footways by Dogs—By-law 55 Nuisance from Pigeons 55 Rag and Bone By-laws 55 Rag Flock Act 55 Mortuaries 56 Cemeteries 56 Offensive Trades 57 Removal of Infirm and Diseased Persons 57 Children's Sandpits 57 Pharmacy and Poisons Act, 1933 57 Legal Proceedings 58 V.—HOUSING. |
a25cf48b-401e-463c-bcf4-316895555401 | Statistics 59 Inspection of Houses 60 Clearance Areas 61 Re-housing of Old People Living Alone 66 Hutment Dwellings 67 Council's Housing Schemes 68 Overcrowding Survey 69 Bug Infestation of Houses 86 Common Lodging Houses 89 Increase of Rent and Mortgage Interest (Restrictions) Acts 89 Tents and Vans 89 Houses Let in Lodgings 89 New Houses 89 VI.—INSPECTION AND SUPERVISION OF FOOD. General Reference 90 Milk Supply 90 Meat Supply 94 Other Food Premises 95 Unsound Food 96 Merchandise Marks Act, 1926 96 Agricultural Produce (Grading and Marking) Acts 97 Sophistication of Food 98 Adulterated Samples—Action taken 106 Food Poisoning 107 Chemical and Bacteriological Examination of Food 110 Nutrition 110 By-laws 110 5 VII.—PREVALENCE AND CONTROL OF INFECTIOUS DISEASE. |
991ef463-f37d-4d75-96af-ff6d326e15c9 | page General Reference 111 Notifications 111 Diphtheria 117 Scarlet Fever 118 Smallpox 120 Erysipelas, Malaria and Dysentery 120 Enteric Fever 121 Anterior Poliomyelitis 121 Encephalitis Lethargica 121 Cerebro-Spinal Meningitis 121 Puerperal Fever and Puerperal pyrexia 122 Zymotic Enteritis 122 Whooping Cough 122 Ophthalmia Neonatorum 123 Measles 123 Pneumonia 124 Tuberculosis 125 Arrangements for Disinfection and Disinfestation 139 VIII.—GENERAL STATISTICS. Physical Features of the Area 141 Population 141 Social Conditions 143 Sickness and Invalidity 143 IX.—VITAL STATISTICS. |
727900ac-3b75-42cf-ad2a-1294adee0705 | Annual Statistics (including those of Wards) 144 Births 146 Marriages 148 Deaths 148 Deaths from Cancer 152 Maternal Mortality 153 Child Mortality 154 Infant Mortality 155 APPENDIX. Meteorological Table 159 6 PREFACE. To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. Mr. Mayor, Ladies and Gentlemen, I have the honour to submit the Thirty-fifth Annual Report on the Health of the Metropolitan Borough of Woolwich. This Annual Report is an "Ordinary Report" and not a "Survey Report," and it follows the outline indicated by the Ministry of Health in Circular 1492 in order to obtain uniformity in the presentation of Annual Reports of Medical Officers of Health throughout England and Wales. |
d668d9c2-e18f-481a-a74f-a0b18f5233c5 | In the first section will be found a precis of the Health Services of the Borough, and at the end of the section will be found the official letter of the Minister of Health, setting forth his observations on the report of the Survey of the Health Services in the Borough made by his Officers at the end of 1934 and the beginning of 1935. All who have taken part in their development, or watched with interest their progress will note with pleasure and gratification that the opening runs as follows:—"The report indicates that so far as can be judged from a general survey, a reasonable, and in most respects a high standard of efficiency and progress is being maintained by the Council in the discharge of their functions relating to Public Health." The Council's scheme of Health Propaganda is fully described in the second section of the Report, and of special interest is the success which is attending the cookery classes organised in connection with the Tuberculosis Dispensary. |
cba382b3-7e7b-4c63-9c7a-b717f9f733bb | Great interest has been taken by the wives and mothers of the tuberculous in these demonstrations which show how to make the best use, so far as food value is concerned, of the diminished income which this disease so often entails. In the third Section is recorded progress in connection with Maternity and Child Welfare during the year. The maternity services of the Borough form a comprehensive scheme whereby complete facilities are provided for hospital and domiciliary care, and no woman need be without the services of a trained midwife at her confinement. They comprise:— (a) Home visits to expectant mothers. (b) Establishment of ante-natal and post-natal clinics. (c) Provision of maternity outfits. (d) Payment of compensation to midwives. (e) Payment of midwives' fees in suitable cases. (f) The services of a Consultant in exceptional cases of obstetric or ante-natal abnormality at home. (g) The services of a Consultant in cases of puerperal fever and puerperal pyrexia. |
3e01b576-a266-4480-aeb5-175801f20c70 | (h) Provision of home helps in maternity cases. 7 (i) An arrangement with the School Medical Treatment Committee for the provision of dental treatment to expectant and nursing mothers. (j) Provision of nursing assistance for young children suffering from ophthalmia neonatorum and for mothers suffering from puerperal fever or puerperal pyrexia. (k) Provision of beds for the institutional treatment of midwifery for 144 cases per annum in the British Hospital for Mothers and Babies, and for 66 cases in the War Memorial Hospital. (l) Reservation of beds for ante-natal treatment and emergencies of midwifery at the War Memorial Hospital, equivalent to 18 weeks' treatment per annum. (m) Convalescent Home Treatment for expectant and nursing mothers. (n) Arrangements for the supply and distribution to expectant and nursing mothers of milk and food drugs at cost price, half cost or free, according to economic circumstances. |
16bcd8ac-5da9-482a-aea2-72fb094db0ea | To-day all authorities regard ante-natal care as the basis of an adequate maternity service, and in this Borough there are ample ante-natal arrangements. At four Centres the Council have ante-natal clinics, and there are others in all the hospitals of this Borough with maternity beds. There is a large excess of midwives in Woolwich—sixty-one gave notice of their intention to practise. Every one of these can send her cases to the Council's ante-natal clinics for opinion and advice, and most of them do so. Their fees can be paid in necessitous cases and compensation is made to them if it is found that their cases ought to be confined in hospital. A Consultant is available to assist doctors called in by midwives in emergencies at home. There are many ancillary services and post-natal examinations are arranged for. |
8e4f56d0-3666-427b-b7c9-d8bed9bc81c0 | Moreover, there are arrangements whereby cases seen at the non-hospital clinics can be referred to the hospital clinics for specialist opinion and if necessary, for treatment, and in this way the ante-natal services of the Council are fully linked up with hospital practice. The number of maternity beds in Woolwich hospitals is 84. In brief the local maternity arrangements are as complete as present day knowledge and practice can make them. At the present time a Midwives' Bill, providing for a salaried midwife serivce, is going through Parliament. It seems to me, however, in view of the increased public demand for maternity beds in London, that there is reason to doubt the necessity for a domiciliary salaried midwifery service in London. There has been a great increase in the percentage of women going into hospital for their confinements since 1919. In that year one birth in fourteen in Woolwich took place in institutions, to-day three out of every five do so. |
e5f02490-42bf-4930-b426-dfdb027e6c21 | Many authorities believe that if sufficient beds were provided very few expectant mothers would refuse to use them. The hospitals are evidently providing something which the women want and believe in—whatever the obstetricians may say. The chief argument used against hospitals is the story of occasional disaster—mostly years ago. In the development of any other services disaster is the spur to greater development in safety procedure, and midwifery should be no exception. When the Bill becomes law it will be interesting to see whether the salaried midwife will change the present 8 trend towards hospital confinements in London, or whether she will find her main work in the domiciliary ante-natal and post-natal care of the hospital patient. Some six years ago the Council's Toddler Medical Inspection Scheme was started. |
15c9795a-7712-4716-8102-7f0da013c3d5 | It has now established itself in the eyes of the public as a valuable part of the Council's Child Welfare Scheme, and it would appear that the time is now ripe for its extension along present lines, but providing for more home visiting and for additional facilities for eye and dental treatment. The year has been an extremely busy one for the sanitary section of the Department, not only in routine sanitary administration, the supervision of food supplies, and control of infectious disease, but also in the matter of slum clearance. At the end of the year, 22 areas included in the five year programme had been represented as unhealthy areas and Clearance Orders had been made by the Council. The Orders have all been confirmed by the Minister, either in 1935 or early in 1936. They deal with 213 houses in all, details of which will be found in the Housing Section of the Report. The provision of re-housing accommodation is in process, and 343 persons had been re-housed in new houses by the end of the year. |
c24d3d8f-457f-4edb-9967-fe7313362653 | Officers of the London County Council have made inspections of four large areas in this Borough, but no official representations had been made by the County Medical Officer by the end of the year. It is quite clear, however, that such representations will be made in the near future. A new epoch in housing matters is foreshadowed by the recent housing survey, the first stage of which—the ascertainment of the amount of overcrowding—was completed during the year. It is dealt with in detail in the fifth section of the Report. Compared with 1934 the incidence of infectious disease showed a marked decrease, due mainly to the absence of a measles epidemic. There were fewer cases of diphtheria (313 as against 416), of scarlet fever (634 against 989), of pneumonia (255 as against 280), or erysipelas (78 as against 119). |
4c8d081c-672c-48ec-9f9b-c1cb6d787a1f | There was an increase in the number of cases of puerperal pyrexia and puerperal fever (45 as against 35), and of ophthalmia neonatorum (17 as against 7). The number of cases of measles fell from 2,392 to 656. The number of notifications of tuberculosis received during the year was 242, compared with 269 in 1934. At the end of the year there were 798 persons suffering from pulmonary tuberculosis, and 177 persons suffering from other forms of tuberculosis, that is in all 975 persons (1,048 in 1934), living in the Borough. The number of deaths from tuberculosis during the year was 136, compared with 146 in 1934. The principal vital statistics for the year are as follows: The birth rate was 14.0, an increase of 0.3 on that of 1934. |
d03213ee-0364-4b2b-849e-58cc814eba18 | The infantile mortality rate was 44 compared with 63 in the previous year, and the neo-natal mortality rate (deaths under four weeks per thousand births) was 19.5 as against 27.5. The number of maternal deaths was three, the same as in 1934, the rate for the year per thousand births being 1.46. 9 The population of the Borough is estimated by the Registrar-General to be 146,400 at the middle of the year, an increase of 880 on 1934. This is the total population and includes non-civilians. It is on this figure that the rates of the Borough are calculated, and so when any comparison of this report is made with those during the period 1915 to 1931 (when civilians only were included) allowance must be made for this alteration in method. Since my last Report the following staff changes have taken place:— Miss I Grant was appointed to a temporary clerkship from the 13th February. |
95ba92bc-30f5-4625-9853-a0644be352cf | Miss M. Campbell, who joined the staff as a health visitor in 1920, was appointed as a sanitary inspector and health visitor from the 1st April. Mr. T. H. Prescott, Grade B. Clerk, was promoted to Grade C from the 1st April. Miss A. Bryant, Temporary Clerk, was appointed to Grade A from the 1st April. Mr. G. R. Sumner, Sanitary Inspector, commenced duty on the 8th April. Mr. W. F. R. Wheal, Sanitary Inspector, commenced duty on the 1st May. Miss E. M. Little, who joined the staff on the 1st January, 1934, as a Tuberculosis Visitor, was appointed as a Health Visitor from the 1st May. Miss E. M. Plummer, who joined the staff as a Temporary Health Visitor on the 18th February, was appointed a Tuberculosis Visitor from the 28th July. Mrs. |
52c703a7-7e29-452c-bf14-a0bdc30810d8 | A. M. Farrugia, Sanitary Inspector, retired on superannuation on the 31st August. Miss M. F. Tyers, who joined the staff as a temporary Health Visitor on the 2nd September, was appointed as a Health Visitor from the 1st November. In conclusion, I desire to thank the Chairmen and members of the Health Committees, and indeed all the members of the Council for their continued confidence and support, and for the kindly and sympathetic way they have dealt with the many problems it has been my duty to bring before them. It is an additional pleasure to express my appreciation of the assistance given to me by every member of the staff without whose loyalty and co-operation it would not be possible to deal with the ever increasing duties and responsibilities placed upon the Department as the years roll on. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, J. MACMILLAN, Medical Officer of Health. |
c6a63fb4-3e72-40a2-a0fc-8e0500fcfec5 | 10 SECTION I. GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. i. Public Health Officers of the Authority. (a) In tabular form are shown below the names, qualifications and appointments of all Medical Officers employed by, or discharging duties for the Council, either whole or part time, or in a consultative capacity, at the 31st December. TABLE No. 1. Year appointed. Name. Qualifications. Appointment. 1921 Blackmore, F. J. C. M.R.C.S., L.R.C.P Assistant Medical Officer of Health and Tuberculosis Officer. 1931 Proudfoot, M. E. M.B., Ch.B. Assistant Medical Officer (General Purposes). 1931 Saunders-Jacobs, E. V. M.A., M.B., B.S., M.R.C.S., L.R.C.P., B.Sc., D.P.H. Assistant Medical Officer (General Purposes). 1934 Smith, F. E. |
a286d476-5186-404d-8e60-2e7e99aa4bf0 | M.B., Ch.B., D.P.H. Assistant Medical Officer (General Purposes). 1927 Lynham, J. E. A. B.A., M.D., D.M.R.E. Consultant, Artificial Sunlight. 1927 Taylor, H. G. F.R.C.S. Consultant under Puerperal Fever Regulations, Obstetric Consultant (1931). 1930 Emslie, M. M.B., Ch. B. Medical Officer, Toddlers' Clinic (part-time). 1934 Smith, W. M.A., M.D., B.Ch. Medical Officer, Schick Testing Clinic. (Part-time). 1930 Brews, R. V. L . R . C . P . I. and L . M ., L.R.C.S.I. and L.M. Public Vaccinator (Parttime). 1930 Cowie, W. M.A., M.B., C.M. do. |
96c495e0-841b-4af0-bd26-93dc4375fe08 | 1930 Wise, H. M. M.B., M.R.C.S., L.R.C.P. do. 1930 Milton, E. F. M.D., B.S. do. 1930 Blackall, G. M.B., B.A.O., D.P.H. do. 1930 Power, F. J. L.R.C.P.I. and L.M., L.R.C.S.I. and L.M. do. 1934 Mair, A. M.D., D.P.H. do. The deputies for the above Public Vaccinators are respectively: Dr. N. E. Sampey, Dr. D. Wilson, Dr. E. C. Wise, Dr. W. T. Milton, Dr. R. W. Wood, Dr. R. Lewys-Lloyd, Dr. H. M. Wise. |
2be77dec-c804-4c83-b391-1adf854dbd34 | 11 (b) In tabular form are shown below the dates of appointment, names and qualifications of the Public Analyst, Sanitary Inspectors, Health Visitors, Vaccination Officer, Tuberculosis Staff and Clerical Staff employed by the Council on 31st December. The Public Analyst, whose appointment previously had been from year to year, was appointed on a permanent basis from 1st April, 1935. Mr. H. G. Harrison, the Public Analyst for Deptford and Shoreditch, was appointed in March, 1935, to act as Public Analyst for this Borough during the temporary absence of Mr. H. Amphlett Williams, for so long a period as Mr. Williams is Public Analyst. TABLE No. 2. Year appointed. Name. Qualifications. Appointment. 1933 Williams, H. Amphlett A.C.G.F.C., F.I.C. Public Analyst (part time). 1909 Shaw, H. Cert. Royal San. Inst. |
c53413bb-8b2c-4b4c-a4c0-f34bb4b9ffb8 | ; Cert. San. Insp., Exam. Board; Cert. San. Insp. Assocn.; Cert. Meat and other foods; Cert. San. Science, R.S.I. Chief Sanitary Inspector. (1928) 1901 Tedham, W. Cert. Royal San. Inst., Cert. Meat and other foods. Sanitary Inspector. 1920 Pendrill, H. W. Cert. San. Insp., Exam. Board; Cert. Advanced Inspectors, R.S.I., Cert. Meat and other foods; Cert. Smoke Insp., R.S.I. Sanitary Inspector. 1921 Harris, C. V. Cert. San. Insp., Exam. Board; Cert. Royal San. Inst.; Cert. Meat and other foods. Sanitary Inspector. 1922 Couch, C. J. Cert. San. Insp., Exam. |
0342f039-533f-4a23-9015-c62cab4646e3 | Board; Cert. Royal San. Inst.; Cert. Meat and other foods; Cert. Smoke Insp., R.S.I.; Cert. Advanced Inspectors, R.S.I. Sanitary Inspector. 1925 Pindar, E. B. Cert. San. Insp., Exam. Board; Cert. Royal San. Inst.; Cert. Meat and other foods. Sanitary Inspector. 1928 Andrew, F. A. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods. Sanitary Inspector. 1929 Hemingway, F. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods. Sanitary Inspector. 1930 Kersey, H. M. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods ; Cert. Smoke Insp., R.S.I. |
5cae4719-808a-4821-888d-9d2035965ac9 | Sanitary Inspector. 12 TABLE No. 2—continued. Year appointed. Name. Qualifications. Appointment. 1931 Hoines, F. J. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods. Sanitary Inspector. 1933 Lewis, E. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods; Cert. Smoke Insp., R.S.I.; Cert. San. Science, R.S.I. Sanitary Inspector. 1935 Sumner, G. R. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other Foods. Sanitary Inspector. 1935 Wheal, W. F. R. Cert. San. Insp., Exam. Joint Board; Cert. Meat and other foods. Sanitary Inspector. — One vacancy — Woman Sanitary Inspector. |
258eb6ea-b01e-4afe-82fe-8ab9475b5de5 | 1918 Garside, Mrs. M. Cert. San. Insp., Exam. Board; C.M.B.; Health Visitors' Cert. Health Visitor and Sanitary Inspector. 1919 Burnett, Miss W. Cert. San. Insp. Exam. Board; C.M.B.; Health Visitors' Cert., Board of Education. Health Visitor. 1919 Tibbits, Miss E. Cert. San. Insp., Exam. Board; Health Visitors' Cert., Board of Education. Health Visitor. 1919 Ware, Miss C. Cert. San. Insp., Exam. Board; C.M.B.; Health Visitors' Cert., Board of Education. Health Visitor and Sanitary Inspector. 1920 Campbell, Miss M. Cert. General Hospital Training; C.M.B.; Cert. San. Insp., Exam. Board ; Health Visitors' Cert., Royal San. Inst. Health Visitor and Sanitary Inspector. |
7747c0bf-e634-45e0-a89b-add7a471c768 | (1934). 1920 Morgan, Miss F. Cert. General Hospital Training; C.M.B. ; Health Visitors' Cert.; Maternity and Child Welfare Cert. Health Visitor. 1922 Seccombe, Miss W. Cert. General Hospital Training; C.M.B.; Health Visitors' Cert. Health Visitor. 1927 Farrell, Miss E. V. Cert. General Hospital Training; C.M.B.; Heliotherapy Cert.; Health Visitors' Cert., Board of Education. Health Visitor and Artificial Sunlight Nurse. 1930 Frederick, Miss F. E. Cert. General Hospital Training; C.M.B.; Health Visitors' Cert. Health Visitor. 1933 Carey, Miss A. Cert. General Hospital Training; Cert. Fever Training; C.M.B.; Health Visitors' Cert. Health Visitor. 13 TABLE No. 2—continued. Year appointed. Name. Qualifications. Appointment. |
aa662435-e604-46d0-9976-9f04d66117d7 | 1933 Adams, Miss W. Cert. General Hospital Training; C.M.B.; Health Visitor's Cert; Diploma in Nursing, University of London. Health Visitor. 1934 Little, Miss E. Cert. General Hospital Training; Cert. Fever Training; C.M.B.; Tuberculosis Cert.; Health Visitors' Cert. Health Visitor. (1935). 1935 Tyers, Miss M. F. Cert. General Hospital Training; C.M.B.; Health Visitors' Cert.; Massage. Health Visitor. 1921 Castledine, Mrs. L. Cert. General Hospital Training Tuberculosis Visitor. 1921 Mahony, Miss N. Cert. General Hospital Training; Health Visitors' Cert. Tuberculosis Visitor. 1935 Plummer, Miss E. M. Cert. General Hospital Training; C.M.B.; Cert. Fever Training; Health Visitors' Cert. Tuberculosis Visitor. 1923 Smith, Mrs. |
1880f38c-8f69-4dd6-8743-770079b9fe14 | M. Dispensing Certificate Dispenser and Secretary of Care Committee. Clerks: 1901 Smith, H. S Chief Clerk. 1906 Collyer, H. M. Committee Clerk. 1913 Prescott, T. H. Clerk, Grade C. 1920 Taylor, S. G. Vaccination Officer and Clerk, Grade B. 1920 Pike, L. Clerk, Grade B. 1920 Stephenson, Miss D. Maternity and Child Welfare Clerk. 1922 Edwards, Mrs. N. Maternity and Child Welfare Clerk. 1930 Crawford, Miss I. Clerk, Grade A. 1931 Allen, L. Clerk, Grade A. 1933 Biswell, Miss V. Tuberculosis Clerk. 1933 Bryant, Miss A. Clerk, Grade A. 1934 Goad, A. Temporary Clerk. 1935 Grant, Miss I. Temporary Clerk. |
aa07dbc7-0ad8-44cd-8f04-c3d647bed3ee | The Medical Officer of Health is Administrative Tuberculosis Officer and Executive Officer under the Council's Maternity and Child Welfare Scheme. ii. Laboratory Facilities. The bacteriological work of the Council rendered necessary by investigations into infectious diseases, food poisoning, etc., is carried out at the Woolwich War Memorial Hospital. The bacteriological examination of milk samples is carried out partly at the Woolwich War Memorial Hospital and partly at the Clinical Research Laboratory. A minimum of 500 samples is purchased annually in accordance with the provisions of the Food and Drugs (Adulteration) Act, 1928, and the various Regulations and Orders in which are laid down the standards for food. They are submitted for chemical analysis to the Public Analyst whose Laboratory is situated at 1, Southwark Street, London, S.E. 1. 14 iii. Ambulance Facilities. |
d5a36eae-57d7-4606-877c-4d82fef99c10 | The London County Council's ambulance service is available:— (а) For the removal to hospital, free of charge, of persons suffering from infectious disease; (b) For the removal, on payment, of persons suffering from non-infectious diseases to hospitals or other places; (c) For the removal, free of charge, of cases of accident and sudden illness arising in the streets or public buildings, to hospitals or home. (d) For the removal, free of charge, of maternity cases throughout the day and night, but urgent maternity cases must be accompanied by a doctor or nurse. iv. Professional Nursing in the Home. During the year nursing assistance was available in all parts of the Borough. Such assistance is provided by four Nursing Associations, as follows:— Woolwich and Plumstead District Nursing Association: All Woolwich (except North Woolwich) and Plumstead. Silvertown and North Woolwich District Nursing Association: North Woolwich. |
3319ce7c-e369-45fe-a036-36660804286e | Eltham Provident Nursing Association: All Eltham (except New Eltham). New Eltham District Nursing Association: New Eltham. All these Associations insist that the patient shall be under the care of a medical practitioner, and, in ordinary circumstances, only nurse non-infectious cases. On the recommendation of the Medical Officer of Health, however, they provide nursing assistance for cases of measles, whooping cough, zymotic enteritis, ophthalmia neonatorum, pneumonia, anterior poliomyelitis, tuberculosis, puerperal fever and puerperal pyrexia. For nursing assistance the Borough Council pay, in necessitous cases, in accordance with the following schedule:— Disease. Rate of Payment. Measles Ophthalmia Neonatorum Zymotic Enteritis Whooping Cough Poliomyelitis 1s. 0d. per visit for one case ; 6d. |
bd60236c-def2-4dbf-90a3-0731071d7fef | per visit, per case, for more than one case in the house at the same time. 15 Acute Primary Pneumonia Influenzal Pneumonia Puerperal Fever Puerperal Pyrexia Tuberculosis 1s. 3d. per visit. An additional grant is made yearly in respect of the nursing treatment of children suffering from threadworms. v. Clinics and Treatment Centres. In tabular form is shown below a list of clinics and treatment centres in the Borough:— TABLE No. 3. Clinics and Treatment Centres. Situation. Nature of Accommodation. By Whom Provided. Sessions Weekly. Maternity and Child Welfare Centers. Old Town Hall, Woolwich .. Doctor's Room, Weighing Rooms, Waiting Rooms, etc. Woolwich Borough Council. |
cc961809-95a8-4583-a1ea-18bd5ebcebf8 | 9 236, Plumstead High Street Doctor's Room, Ante-Natal Room, Ante-room, Weighing Room, Waiting Room, Dental Rooms. do. 7 Westhorne Avenue, Eltham Doctor's Room, Ante-Natal Room, Ante-room, Weighing Room, Waiting Room, Lecture Hall, Dental Rooms. do. 6 Elizabeth Street, North Woolwich Doctor's Room, Weighing Room do. 1* Wesley Hall, Timbercroft Lane, Plumstead. do. do. do. 2 All Saints' Church Hall, New Eltham. do. do. do. 2 Holy Trinity Church Hall, Beresford Street, Woolwich. do. do. do. 1 St. Luke's Hall, Westmount Road, Eltham. do. do. do. 1 Sunlight Clinic. Old Town Hall, Woolwich Treatment and Waiting Rooms, etc. do. |
a6762bff-0aae-4ccb-ad83-3ce737ea11db | 9 * An Ante-Natal Clinic is held here once a month. 16 TABLE No. 3—continutd. Clinics and Treatment Centres. Situation. Nature of Accommodation By Whom Provided. Sessions Weekly. Day Nurseries. Nil. School Clinics. Brewer Street, Woolwich Doctors' Rooms, Treatment Rooms, Waiting Rooms. Local Medical Association. Daily 236, Plumstead High Street, Plumstead. Doctor's Room, Treatment Room, Waiting Rooms, Dental Rooms. do. Daily Westhorne Avenue, Eltham Doctor's Room, Dental Rooms, Waiting Room, Treatment Rooms. do. Daily Cyril Henry Treatment Centre, St. Mary's Street, Woolwich, Accommodation for operating on, and detention of, cases of enlarged tonsils and adenoids London County Council Daily Borough Disinfecting Station, Whitehart Road, Plumstead. |
5a638d6a-61e1-48f5-9ac6-7cd0f84e15d7 | Accommodation for cleansing of verminous Children Woolwich Borough Council Daily Tuberculosis Dispensaries. Maxey Road, Plumstead Doctor's Rooms, Waiting Rooms, Dressing Rooms, Dispensary, etc. do. Daily 179, Well Hall Road Doctor's Room, Waiting Room do. 3 Venereal Diseases. Nil. Orthopaedic Clinic. 8, Thomas Street, Woolwich Clinic, Waiting Room, Dressing Room Woolwich Invalid Children's Aid Association Daily vi. Hospitals. The Medical Officer of Health is asked to report under this heading on the hospitals belonging to the local authority and hospitals with which the local authority have made arrangements for the admission of patients. There are no hospitals belonging to this local authority, but arrangements for the admission of patients have been made with two local hospitals:— 17 (a) War Memorial Hospital. (b) British Hospital for Mothers and Babies. |
9a768d9c-a9e2-4948-84e0-5e16d7754809 | The Council's arrangements with these hospitals were fully reported on in the Annual Report for 1930, but it may be convenient to refer to them briefly here:— At the War Memorial Hospital the Council reserve twelve beds for children under five years, and sufficient accommodation as may be necessary for 66 maternity cases per annum. In addition the hospital authorities are under contract to provide emergency treatment as occasion arises for such cases of midwifery as require it. At the British Hospital for Mothers and Babies, such accommodation as may be necessary for 144 confinements per annum, and for their ante-natal treatment, is reserved for cases sent by the Borough Council. vii. Midwifery and Maternity Services. There are no whole-time midwives employed by the Council. By the courtesy of the County Medical Officer of Health I have been able to ascertain that 61 midwives residing in the Borough gave notice during the year of their intention to practise. |
5433bd9e-be7a-4180-a3a3-6c1bfb88a516 | The services of a Consultant Surgeon are available for cases of obstetric emergencies and difficulties occurring at home, and for consultation and treatment in cases of puerperal fever or puerperal pyrexia. Arrangements have also been made for the home nursing of such cases and for such bacteriological investigations as are necessary. The Council's Maternity Services are fully described in the Maternity and Child Welfare Section of the report. viii. Institutional Provision for Mothers or Children. There are no special provisions for the institutional treatment of unmarried mothers, illegitimate infants or homeless children in the Borough, but in February 1934, the Council agreed to make a grant towards the cost of maintenance of Woolwich cases admitted to Stretton House Home, Grove Park, a home maintained by the Southwark Diocesan Preventive and Rescue Work Organisation for unmarried mothers. No grant, however, has yet been made. ix. Health Visiting. |
234616cf-7c52-41e2-b539-917fb2f363c9 | The arrangements made for the visiting of children between the ages of one and five years are described in the Maternity and Child Welfare Section. 18 x. Infant Life Protection. A note on the administration of this service will be found in the Maternity and Child Welfare Section of the report. xi. Orthopaedic Treatment. Arrangements for orthopaedic treatment of children under five years of age, were made with the local branch of the Invalid Children's Aid Association in 1925. This body has for many years maintained a remedial clinic in Thomas Street where all children requiring such treatment may be sent. The London County Council make an annual grant in respect of children over five years of age. In the Maternity and Child Welfare Section of the Report there is an account of the year's working so far as children under five are concerned. xii. Supply of Insulin to Persons Suffering from Diabetes. |
4caf5514-fa32-4f9d-b8a1-4ea32aecc850 | In May, 1930, the Council obtained the approval of the Ministry of Health to supply Insulin to diabetic patients, who were necessitous and unable to obtain it under the National Health Insurance Acts. A continuing approval is obtained yearly. A supply of Insulin was given under this scheme to nine patients during the year, the total cost being £17 4s. 9d. Insulin is supplied to medical practitioners under the following conditions:— (1) The application must state the name, age, address, and sex of the patient for whom it is required. (2) A quarterly report must be furnished in respect of each patient treated, giving the following information:— (а) The number of doses of Insulin administered; (b) Stating whether any tests were made of the urine or of the blood of the patient, and, if so, by whom and with what results ; (c) A report on the progress of the patient. xiii. Vaccination. |
fda7c4b7-ecae-4f27-a834-b411b2d187f5 | I submit a return by the Vaccination Officer on the work carried out under the Vaccination Acts for the year 1934. 19 TABLE No. 4. RETURN to be made on or before the 9th of February, 1936, by Mr. S. G. Taylor, Vaccination Officer of all Sub-Districts of the Metropolitan Borough of Woolwich Registration District, respecting the Vaccination of Children whose Births were registered from 1st January to 31st December, 1934, inclusive:— Registration Sub-Districts comprised in Vaccination Officer's District. Number of Births returned in the "Birth List Sheets" as registered from 1st January to 31st December, 1934. Number of these Births duly entered by 31st January, 1936, in Columns I., II., IV., and V. of the "Vaccination Register" (Birth List Sheets), viz.:— Col. I. Successfully Vaccinated. Col. II. |
615e6621-57a5-4156-a981-390c981908ae | Col. IV. Number in respect of whom Statutory Declaration of Conscientious Objection has been received. Col. V. Died Unvaccinated. Insusceptible of Vaccination. Had Small Pox. 1. 2. 3. 4. 5. 6. 7. 1. Plumstead 563 200 - - 249 46 2. Woolwich † 1321 656 11 - 496 47 3. |
46ba514d-9523-488a-ada7-449e1f7f1a3d | Eltham 463 227 - - 177 18 Total 2347 1083 11 - 922 111 Number of these Births which on 31st January, 1936, remained unentered in the "Vaccination Register" on account (as shown by "Report Book'') of:— Number of these Births remaining on 31st January, 1936, neither duly entered in the "Vaccination Register" (Columns 3, 4, 5, 6, and 7 of this Return) nor temporarily accounted for in the "Report Book" (Columns 8, 9 and 10 of this Return). *Total Number of Certificates of Successful Primary Vaccination of Children under 14 received during the Calendar Year 1935. Number of Statutory Declarations of Conscientious Objection actually received by the Vaccination officer irrespective of the dates of birth of the children to which they relate, during the Calendar Year 1935. Postponement by Medical Certificate. |
d34e54ad-2f98-440f-850d-3bcd803ecf6d | Removal to Districts the Vaccination Officers of which have been duly apprised. Removal to places unknown or which cannot be reached; and cases not having been found. 8. 9. 10. 11. 12. 13. 11 12 37 8 These figures are to be obtained from columns 2 and 6 of the Summary (Form N.) 16 45 42 8 4 15 14 8 31 72 93 24 1171 927 Notes on Table No. 4. NOTE.—(a) The total of the figures in columns 3 to 11 should agree with the figures in column 2. Any cases of children successfully vaccinated after the declaration of conscientious objection had been made should be included in column 6 above and not in column 3. The number of such cases should be inserted here:—1. |
a261af66-7fc7-451c-80be-18385a95cead | (b) The figures in columns 2 to 11 should not include re-registered births or cases of children born in other districts. 20 *The total in this column should be the number of Certificates of successful primary vaccination of children under 14, actually received during the year, including any relating to births registered in previous years. The total thus given should include the Certificates of successful primary vaccination of which copies have been sent to the Vaccination Officers of other Districts. The total number of Certificates for the year 1935 sent to other Vaccination Officers should be stated here:—110. *Includes the Burrage and Herbert Wards in Plumstead Parish. (Signature) S. G. TAYLOR, Date—10th February, 1936. Vaccination Officer. During the year ended 30th September, 1935, the number of persons successfully vaccinated or re-vaccinated at the cost of the rates was 2,061. |
73f1f1cc-6b0d-4dcc-b4c3-28be12286050 | This figure includes 704 primary vaccinations of persons under one year of age; 403 over one year of age, and 954 re-vaccinations. xiv. Adoptive Acts, By-Laws and Regulations Relating to Public Health in Force in the District. Adoptive Acts.—The Small Dwellings Acquisition Acts, 1899-1923, have been adopted by the Council. During the year, the Borough Treasurer tells me, the Council made 410 advances to purchasers of houses in accordance with the provisions of these Acts. |
0e957fd1-5273-4c4f-831d-6413a704d9c3 | Transfer of Powers Order, 1933.—This Order came into operation on the 1st April, 1933, and transferred certain duties to the Borough Council from the London County Council in respect of (a) Building Lines; (b) Disused Burial Grounds; (c) Seamen's Lodging Houses; (d) Thames and other Embankments; (e) Common Lodging Houses; (f) Cowhouses and Places for the Keeping of Cows; (g) Infant Life Protection; (h) Offensive Trades; (i) Slaughterhouses and Knackers' Yards. By-Laws and Regulations.—A complete list of the various By-laws and Regulations in force in the Borough was given in the Annual Report for 1934. One additional one, dealing with the fouling of public footways by dogs came into force during the year. xv. School Medical Service (London County Council). |
0a80567c-3875-4e77-8f47-1f9b5af41baf | Through the courtesy of Sir Frederick Menzies, the School Medical Officer, I am able to give the following particulars of the routine medical examination of elementary school children in Woolwich in 1935:— 21 TABLE No. 5 (Part I.). Examination of Elementary School Children in Woolwich, 1935. Numbers Examined and Defects Found. Boys. Girls. Entrants. Age 7. Age 11. Age 14. Entrants. Age 7. Age 11. Age 14. Number examined 1,302 572 1,004 1,117 1,241 635 896 1,032 Cases * Cases * i Cases * Cases * Cases * Cases * Cases * Cases * Malnutrition 10 2 10 4 13 2 3 2 8 5 5 1 14 1 3 2 Skin Disease 6 5 5 4 6 5 |
4c26b471-6e9c-40c2-9474-43d8bbac85b1 | 6 3 11 9 2 2 4 1 9 5 Defective Teeth — 522 — 135 — 231 — 260 — 508 — 198 — 172 — 255 Enlarged Tonsils 127 36 43 10 40 11 11 6 122 33 61 10 39 13 28 14 Adenoids 29 21 6 4 3 3 2 2 37 15 8 3 4 1 1 1 Enlarged Tonsils and Adenoids 68 52 12 12 5 5 6 5 58 42 14 12 2 2 6 6 Other Nose and Throat defects 9 3 4 2 5 1 6 2 5 1 7 2 4 3 4 3 Enlarged Glands 11 1 3 — 3 — — |
4e581b11-4fd3-497c-871f-e7e61a09bd9a | — 9 1 2 — 3 1 — — Eye Disease 25 17 6 2 8 5 7 5 32 19 12 7 8 7 7 4 Vision defect — — — 18 — 57 — 83 — — — 28 — 63 — 73 Otorrhoea 6 3 5 2 3 — 3 3 13 5 — — 5 4 2 2 Other ear disease 2 1 1 — — — 1 1 1 — — — 2 1 — — Defective hearing 1 1 3 2 1 1 2 1 — — 1 1 1 — 3 3 Speech defects 4 — 2 1 4 — — — 2 — 3 — 1 1 — — Heart defects 15 — 6 — 5 — 9 3 16 2 8 — 16 |
1c26e159-e3a8-4211-a0b2-6532db7105f1 | 2 14 3 Anaemia 13 4 6 — 13 2 3 1 20 7 10 1 4 — 5 2 Lung defects 24 9 5 — 6 — 7 7 15 6 8 1 5 3 3 1 Nervous defects 5 1 5 3 4 — 1 — 4 1 3 1 7 2 3 — Phthisis — — — — 1 — — — — — — — — — — — Other T.B. |
ad051584-4585-4c22-b674-6178fe24147d | disease — — — — — — — — — — — — — — — Rickets 2 1 — — — — 1 — 1 — — — 1 — — — Spinal deformities — — — — 7 4 2 2 3 — 1 1 5 3 15 10 Other deformities 23 7 6 3 17 9 6 5 23 7 9 2 18 7 13 7 Other defects 43 22 21 10 31 15 10 5 42 29 28 11 34 14 16 8 Number of Children noted for treatment. . — 638 — 189 — 318 — 363 — 615 — 255 — 277 — 358 * Defects, however slight, are included under "Cases" ; those severe enough to require treatment are shown under *. 22 TABLE No. 5 (Part II.). Age Groups. |
791759cc-e4a9-4794-ae14-b2167ee805a6 | Number examined. Clothing and Boots. Nutrition. Cleanliness of Head. Cleanliness of Body. Teeth. Vision. Good Fair Poor Good Average Below normal Bad Clean Nits Pediculi Clean Dirty Pediculi All sound Less than 4 decayed. 4 or more decayed. 6/6 in both eyes. 6/9 in either or both eyes. 6/12 or worse in either or both eyes. Entrants— Boys 1302 1020 279 3 218 1035 49 — 1293 9 — 1302 — — 745 455 102 — — — Girls 1241 932 303 6 281 918 42 — 1225 10 6 1236 5 — 694 451 96 — — — Age 7— Boys 572 439 131 2 97 443 32 — 566 6 — 570 2 — 426 131 15 |
08749ef0-b84b-4d8c-a76d-5e442983ee00 | 355 159 52 Girls 635 504 131 — 120 485 30 — 624 9 2 633 2 — 425 191 19 363 213 55 Age 11— Boys 1004 654 343 7 137 820 47 — 994 10 — 999 4 1 761 232 11 725 172 103 Girls 896 554 341 1 166 672 58 — 875 20 1 895 1 — 719 172 5 645 138 112 Age 14— Boys 1117 731 380 6 202 880 35 — 1105 12 — 1108 9 — 856 259 2 851 139 126 Girls 1032 736 295 1 221 777 34 — 1008 21 3 1027 5 — 774 250 8 739 165 128 Total |
0172dbc5-39cc-4d22-ae1a-3a3f417bac7d | 7799 5570 2203 26 1442 6030 327 — 7690 97 12 7770 28 1 5400 2141 258 3678 986 576 Percentage 71.4 28.3 0.3 18.5 77.3 4.2 0.0 98.6 1.2 0.2 99.6 0.4 0.0 69.3 27.4 3.3 70.2 18.8 11.0 London 54.2 45.3 0.5 17.4 76.9 5.7 97.2 2.5 0.3 99.0 0.9 0.1 68.9 27.0 4.1 66.4 19.0 14.6 23 xvi. Survey of Health Services. |
b7cd0fb4-3107-4986-8db5-a2889c840127 | A general inspection of Public Health Services in the Borough was begun by Medical Officers of the Ministry of Health at the end of 1934, and was completed at the beginning of 1935. This survey is required in order that the Ministry may be satisfied from time to time that the local authority is maintaining a reasonable standard of efficiency and progress in discharging its duties relating to public health, regard being paid to the standards in other areas whose financial and other circumstances are substantially similar. In connection with the survey, the following letter was received from the Minister of Health:— "I am directed by the Minister of Health to state that he has had under consideration the report made by his officers after their recent survey of the public health services of the Borough Council. The report indicates that, so far as can be judged from a general survey, a reasonable, and in most respects, a high standard of efficiency and progress is being maintained by the Council in the discharge of their functions relating to public health. |
d2ff5c4b-26cb-4750-9f10-42341bb56fc7 | Amongst a number of satisfactory features exhibited by the services, the Minister has noted in particular the comprehensive character of the Council's maternity and child welfare service and of their anti-tuberculosis work in so far as it comes within the functions of the Borough Council; the excellent work which is being done at the 'toddlers' clinic'; the attention given to the prevention and control of infectious disease; the commendable degree of co-operation between the Council's health services and the school medical service of the London County Council; the active interest taken by the Council and their officers in health publicity and health education, and the measures promoted for the disinfestation of houses in the Borough. |
2623a209-a1ea-4122-a91b-b6d98cd032c2 | The following are matters connected with particular services to which the Minister thinks he may usefully direct the Borough Council's attention:— Public Cleansing.—In view of the importance of this service and the heavy annual expenditure upon it, it is considered that its supervision by a special cleansing officer would tend to the greater efficiency of the service and leave the Borough Engineer free to devote more time to other duties. In this connection attention is drawn to the section dealing with the organisation of cleansing work on page 25 of the Ministry's Annual Report for 1931-32 (issued as a separate publication with the title ' Public Cleansing—Extracts from the Annual Report of the Ministry of Health for 1931-32'). Maternity and Child Welfare.—At the War Memorial Hospital the maternity unit, although excellent in many respects, is inadequate in size for the number of patients treated, with consequent deficiency in certain arrangements, particularly in the accommodation for babies. In conclusion, I am to express the Minister's appreciation of the assistance afforded to his officers during the survey." |
d3220ce8-589b-4e5a-a32f-b12d6d37ab10 | 24 SECTION II. HEALTH PROPAGANDA. In health propaganda work there are two main objects:— (a) the broadcasting of information about the health activities of the Council, and (b) the stimulation and maintenance of public interest in matters of health. Excluding the day-byday work of the sanitary inspectors, health visitors, and tuberculosis visitors in the home and in clinics, the activities of the Council in these respects may be classified as follows:— (a) Health Services Booklet.—A booklet of twenty pages giving information regarding the Council's Health Services has been prepared and advantage is taken of every opportunity of distributing it to householders in the Borough. It can be obtained free on application at the Health Department, or at any of the Council's Welfare Centres, Dispensaries and Public Libraries. It is sent as a matter of routine to every new tenant on the Council's estates. It is now in its fourth edition. This booklet is in addition to the leaflets dealing with specific matters. |
f9f15271-f96f-47a1-a60b-7960e6020e11 | (b) Health Week.—As a house-to-house distribution of the maternity services booklet had been made in connection with the Silver Jubilee Celebrations earlier in the year no Health Week was organised in the Autumn. (c) Silver Jubilee Celebrations.—The Council as a body took part in the Silver Jubilee Celebrations and the individual Committees of the Council each contributed. The Maternity and Child Welfare Committee published a booklet placing on record in a permanent form the activities of the Borough Council in maternity and child welfare work, in order that the inhabitants of the Borough might realise and appreciate what had been done and accomplished during the last 25 years The booklet which was entitled "The care of the Mother and Child during the reign of King George V." set out in full the development of the service from its start in 1906 and directed special attention in the closing paragraphs to the need for further efforts to reduce maternal mortality and the need for development of additional services for the care of the toddler. |
0b52f0b5-8b54-45d7-9e06-f30661b360b2 | A copy of the booklet was sent by post to every house in the Borough. A feature of the Celebrations was a procession of decorated vehicles, serious and otherwise, which traversed the principal streets of Plumstead, Woolwich and Eltham and aroused much public interest. The Public Health Committee entered an exhibit in this procession. It consisted of a Welfare Centre tableau, arranged on a horse-drawn float, and attention was drawn in a simple way to the importance of prevention in the fight against disease. 25 (d) School Children.—The practice, adopted in 1932, of co-operating with the Libraries Committee in the presentation of educational films to school children was continued during 1935. On one Monday each month during the Winter, three displays of films are given to different groups of school children. On each occasion four films are shown, three being selected by the Libraries Committee and one by the Public Health Committee. The average attendance at each session is 500. |
8696935b-b10e-453f-8903-f63a2758afad | The health films shown were as follows:— January 21st "Dr. Wise on Influenza." February 18th "Tommy Tucker's Tooth." March 18th "Bottled Health." October 21st "Beware of the Demons." November 18th "Swimming." December 9th "Dirty Bertie." (e) Informal Talks.—It is a matter of common knowledge that a keen public interest is taken in health matters in this Borough. Requests for health talks at meetings of organisations are frequent and are complied with when this is possible. Certain societies and guilds apply regularly each year for such lecturettes and every year applications are received from fresh sources. The subject matter of the talks varies ; sometimes it is about the Council's health services, sometimes on preventive medicine and sometimes on disease. The lecturers are members of the staff— medical officers, sanitary inspectors, health visitors or tuberculosis visitors. |
13a767f3-5d75-49c7-b662-f7e840f37558 | At all meetings it is the practice to show films or lecture slides, or to give a practical demonstration. (f) Films.—It is difficult now-a-days to procure suitable silent 35 mm. films, the only size possible to show on the Council's full size projector, and many of the older ones are old and worn. The newer health films are of smaller size (16 mm.) and are few in number. Such films are now being made however in increasing numbers, and will be available at no distant date, but many of these have sound accompaniments. Health films are an attractive feature of our informal health talks, many of which deal with the Council's health services. It was felt that it would be useful if a film illustrating the Council's work in health services was available, and so it was decided to make one, which was partly completed at the end of the year. Consideration is being given also to the purchase of a 16 mm. cinematograph sound film projector. |
1e4ca8a9-0930-4100-a861-3784e650a24a | The provision of such apparatus is essential to-day owing to the preference of most people for this type of film. Health propaganda must always be changing and must be presented in an attractive form. (g) Cookery Classes.—Demonstrations in cookery were started at the 1 ubereulosis Dispensary in April, 1934, in order to provide instruction for the wives and mothers of the tuberculous in the buying and cooking of simple, cheap 26 and nutritious articles of food and the preparation of them in an appetising, tempting and palatable way. The demonstrator is loaned by the South Metropolitan Gas Company and a demonstration meter shows how much the actual cooking has cost, in terms of pence. The cooked dishes are sold at about half cost to those attending the classes. A cup of tea and biscuits are provided by the Care Committee at each meeting. The nett cost to the Council for food for the year was £3 10s. 0d. |
e7380c9b-b1fc-4b8d-880c-4f28e152840a | The number attending was 41, the number of attendances was 577 and there were 48 meetings. (h) The Central Council For Health Education.—This organisation consisting of representatives of health authorities, educational authorities, insurance committees, friendly societies, etc., exists for the systematic development of methods of health education, and the cultivation of health mindedness in the community. It is, in the words of the Minister of Health, "a clearing house of information and experience in the best methods of stimulating general interest in making widely known the facilities which exist in the prevention and treatment of disease and in fostering a knowledge of the part which individuals can play in promoting the health of the nation." The Council provides a poster service and an exhibition service ; it publishes literature on health matters and it sends weekly articles to the press on health subjects ; it has provided a permanent exhibition of health propaganda material in London and it holds a Conference each year on health matters ; it is in short a co-ordinating central agent of great value to local authorities in their work for health education. |
1effc89f-8b39-4540-aab0-9f490c4cfcf9 | The Council makes an annual contribution of £3 3s. Od. to its funds. (i) Better Health.—This is the official journal of the Central Council for Health Education. It is published monthly and the total monthly issue is over 200,000 copies. In it are to be found popular descriptions of standards of personal hygiene, and of advances in modern preventive medicine. The journal thus provides a simple, inexpensive and regular medium of arousing and stimulating public interest in health. The Council purchase each month 2,000 copies of this journal and these are distributed free through the Welfare Centres, Libraries, and Schools. In an endeavour to interest a wider public in health matters a small number of copies are posted each month to residents in the Borough, selected at random. "Better Health" has met with the full approval of the general public and school teachers. (j) Posters.—Posters produced by professional advertising agents are outstanding in character, variety and design. |
ecf212d0-9e0f-4c95-8682-14441dd4098d | Business firms are convinced of the value of these if one judges by the space occupied by such posters on the hoardings of this country. Such displays must have a value in health propaganda work, but until recently there were few health posters which were suitable for display on public hoardings. The position is now changed and posters are available. Many of the voluntary health associations have undertaken the responsibility of producing these in accordance with a scheme organised by the Central Council for 27 Health Education. This body issues these posters at a reasonable cost to those local authorities who can display them on the wooden poster frames originally erected by the Empire Marketing Board. These posters have been widely praised both for their educational value and for the high standard of design. The Public Health Committee have arranged for the display of two sets of posters each month. The posters shown during the year were as follows;— January "Building a healthy people" (C.C.H.E.) February "Do you use the Health Services ?" (C.C.H.E.) |
1dc94f0e-57f9-4610-a413-92c80d903778 | March British Social Hygiene Council April British Red Cross Society May National Milk Publicity Council June Anti-Noise League July National Council for Maternity and Child Welfare August Dental Board of the United Kingdom September National Safety First Council October Health and Cleanliness Council November National Society for the Prevention of Tuberculosis December National Smoke Abatement Society Smaller posters—crown and double-crown-prepared by the health organisations and associations have been used extensively in the Council's Welfare Centres and Dispensaries. 28 SECTION III. MATERNITY AND CHILD WELFARE. The Council's Maternity and Child Welfare scheme is comprehensive in its arrangements for the care and comfort of expectant and nursing mothers and for children under 5 years of age. It has included since 1933 infant life protection. Staff.—Three whole-time medical officers are in medical charge of the clinics, each of whom devotes eight half-days per week to Maternity and Child Welfare, and three half-days to Tuberculosis. |
173faeb0-71f4-4eaa-81c9-0fef13207e66 | One part-time medical officer takes charge of the Toddlers' examination clinic, and two consultants have been appointed— one for the Artificial Sunlight Clinic and one for consultation in connection with cases of puerperal sepsis and difficult obstetric conditions occurring at home. The dental staff—two dentists and an anaesthetist—are part-time and are appointed by the School Treatment Committee subject to the approval of the Council. The health visiting staff now consists of thirteen whole-time health visitors: three of these are part-time sanitary inspectors, four are part-time Infant Life Protection Visitors, and one is the Artificial Sunlight Clinic nurse. Notification of Births Acts, 1907-15.—Every birth occurring in the Borough requires to be notified to the Medical Officer of Health within thirty-six hours of birth. As a matter of fact, only a very small percentage of births are not notified. As soon as a notification is received pamphlets dealing with the care and comfort of mothers and infants are sent by post to every mother. |
1c423724-17e1-49cc-83b9-d2d3aa7d6e0d | Subsequently, between the tenth and fourteenth day, a visit is paid to the home by the health visitor who decides on her first visit the necessity for subsequent visits. The Work of the Health Visitors.—The work performed by these officers during the year with regard to maternity and child welfare is summarised in the following Table:— TABLE No. 6. |
e652ae8c-c3b6-4b8b-a84a-f0eaacc39f48 | Births—First visits 2,042 „ Revisits 16,802 Infant deaths investigated 28 Still-births investigated 24 Expectant mothers—home visits 761 29 Infectious diseases:— Ophthalmia Neonatorum—First visits 18 „ „ Revisits 15 Measles—First visits 469 „ Revisits 118 Puerperal fever—First visits 11 „ „ Revisits 1 Puerperal Pyrexia—First visits 25 „ „ Revisits 7 Zymotic Enteritis—First visits 4 „ „ Revisits 1 Pneumonia 75 Anterior Poliomyelitis 1 Encephalitis Lethargica 1 Infant Life Protection 1,086 Visits unclassified 509 Visits unsuccessful 3,292 25,290 The Council paid the class fees and expenses in connection with the visits to approved institutions of two health visitors who attended refresher courses for health visitors. |
80fbc617-03ee-48d2-8bc4-313ace2c5948 | Infant Life Protection.—The Council became responsible on the 1st April, 1933, for Infant Life Protection work in Woolwich, and have appointed four of their health visitors as Infant Life Protection Visitors (part-time). When evasion of the law is suspected the necessary investigations are made by one of the male sanitary inspectors. The houses of all new foster-mothers are inspected by the district sanitary inspectors, who furnish in each case, a sanitary report. At the end of 1934 there were 93 foster children and 68 foster mothers on the Council's register, and a year later the numbers were 92 and 69, respectively. It is the custom to report on all homes where women indicate their desire to become foster mothers and in addition to the number of foster mothers shown above, another 77 were either temporarily without nurse children or had been noted as suitable persons. |
dd445c63-d7ea-4198-92de-2c1f007e7706 | 30 These figures do not, however, tell the whole story, as 185 foster children were added to the register and 186 foster children were removed during the year. The following Table shows the ages of the children under supervision on the 31st December, 1935:— TABLE No. 7. Under 1 Year. 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 28 6 8 8 8 12 7 10 5 The number of visits paid by the Infant Life Protection Visitors was 1,086. The number of visits made by the male inspector, in connection with infringements and kindred matters was 78, while the number of visits paid by the district sanitary inspectors was 61. The number of, and nature of the various legal infringements discovered during the year were as follows:— TABLE No. 8. Nature of Infringement. No. |
defc8863-cbe3-49d1-8893-30dd183e3ff7 | Keeping a nurse child without giving timeous notice 11 Change of address by foster mother without giving timeous notice 1 Infant removed from care of foster-mother without giving timeous notice 7 Cautionary letters were sent in 19 cases. There were no prosecutions. In 7 instances insanitary conditions were discovered; in 4 instances there was overcrowding, and in 5 instances verminous conditions existed. In all cases appropriate action was taken to secure the abatement of the nuisances. Nurse infants who are kept under unsatisfactory conditions may be removed to a place of safety, but it was not necessary to remove any such during the year. All foster mothers are urged to attend the Council's welfare centres with the children under five years of age in their charge, and it is pleasing to record, that, with very few exceptions, these children now regularly attend an infant welfare centre. Special care is taken to see that children who are weak and ailing attend the centres. |
a2a2994b-cd6c-48ed-ae39-c1091203cb5e | During the year five nurse infants died—two from pneumonia, one from enteritis, one from marasmus, and one from osteomyelitis. The only institution in the Borough holding a certificate of exemption is the Woolwich War Memorial Hospital. 31 The Work of the Welfare Centres.—These are eight in number and are now all municipal. Infant welfare sessions are held at all of them; ante-natal sessions are held at four in three instances twice weekly and in one instance once a month. With the inclusion of the monthly ante-natal session at North Woolwich, at the end of the year 6.25 ante-natal sessions and 23 infant consultation and weighing sessions were being held each week. In tabular form below are shown detailed statistics for 1935 and the con solidated statistics for the previous year:- TABLE No. 9. Centre. Number on Roll of Centre. Number of Attendances. Mothers. Children. Mothers. Children. Expectant. |
884099a9-9560-44f3-b2c4-1afc8f27c508 | Nursing. Expectant. Nursing. Town Hall 322 225 1,515 816 336 10,530 Plumstead 270 314 1,271 711 774 9,795 Eltham 397 179 1,019 1,048 260 6,849 Slade — 73 441 — 84 4,320 New Eltham 3 67 435 3 95 4,809 St. |
84998a2d-08eb-48fa-8622-4a2957a0caf9 | Luke's — 52 241 — 81 2,183 North Woolwich 14 34 160 32 47 1,411 Beresford Street 13 39 177 15 82 1,426 Totals, 1935 1,019 983 5,259 2,625 1,759 41,323 Totals, 1934 1,131 1,266 5,164 2,812 2,535 37,494 The next Table, No. 10, shows the number of children and the number of attendances made by them during the year. It should be noted that children are classified in the table by year of birth, so that the figures cannot be read as under one year, under two years and so on. They illustrate, however, quite definitely the fact that the toddler does not attend such clinics in large numbers and that as he gets older he attends still less. |
fd99dab1-0d8a-4836-a4b4-95e3397377a6 | It was because of this and because there are no day nurseries or nursery schools in Woolwich that the toddler medical inspection scheme, reported on later, was started. If toddlers are found at the special examination clinic to require further observation most of them are brought to the infant welfare clinics for this purpose. 32 TABLE No. 10. Children in Attendance at Each Centre. Year of Birth. Town Hall. Beresford St. N. Woolwich. Plumstead. Slade. Eltham. St. Luke's. New Eltham. Totals. |
7275af4f-d687-4c9d-a191-beed007d3fd9 | 1935 454 36 43 434 120 273 67 113 1,540 1934 500 55 54 378 129 256 68 123 1,563 1933 234 29 22 199 80 197 40 71 872 1932 171 29 19 141 67 137 22 61 647 1931 114 22 17 73 29 124 26 45 450 1930 42 6 5 46 16 32 18 22 187 1,515 177 160 1,271 441 1,019 241 435 5,259 Attendances Year of Birth. Town Hall. Beresford St. N. Woolwich Plumstead. Slade Eltham St. Luke's New Eltham Totals 1935 3,511 300 476 3,946 1, |
cf2e883e-f06c-45f6-ae21-564cb8969f24 | 148 2,624 780 1,348 14,133 1934 4,458 557 522 3,761 2,032 2,291 799 2,144 16,564 1933 1,270 247 236 1,108 573 911 326 677 5,348 1932 728 186 82 622 411 503 111 404 3,047 1931 431 102 83 220 111 392 134 159 1,632 1930 132 34 12 138 45 128 33 77 599 10,530 1,426 1,411 9,795 4,320 6,849 2,183 4,809 41,323 The attendances, which do not include attendances at the Toddlers' Clinic or the Sunlight Clinic, and the number on the roll, |
f225e0b4-73ec-463a-b277-b8494973f11c | are the highest recorded since this service commenced. Feeding of Infants in Woolwich.—In midsummer the usual enquiry was made, as in previous years, as to the type of feeding adopted in the case of infants attending the welfare centres. The method used was as follows:— (а) On the card of every child under one year of age attending a welfare centre between the 1st May and the 30th June, was inserted once, and once only, the terms "Breast," or "Breast and Hand," or "Hand Fed." (b) The child's age was taken on the day on which this note was made. (c) At the end of the period the results were summarised for the whole Borough and the appropriate percentages worked out. The results of the enquiry are shown in Table 11 on the adjoining page. 33 TABLE No. 11. Feeding of Infants attending Welfare Centres—1st May to 30th June, 1935. Method of Feeding. |
dfbfb6b7-bacc-4a9f-8e68-fdd4dc88601e | AGE IN MONTHS. 0-1 1-2 2-3 3-4 4-5 5-6 6-7 7-8 8-9 Total. 9-10 10-11 11-12 Grand Total. Breast 80 98 52 37 27 29 25 15 17 380 — — — 380 Breast and Hand 6 17 21 24 17 9 7 6 20 127 19 3 2 151 Hand 11 26 25 18 51 45 48 59 39 322 47 63 73 505 97 141 98 79 95 83 80 80 76 829 66 66 75 1,036 PERCENTAGES. |