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5650c21c-cb17-4a26-8feb-2f71e9b14aee | To these have been added by carefully designed layouts, that beauty of ever-changing pictures of form, colour and shade, which nature gives us by trees, shrubs, flowers, and pools, and the restful atmosphere which is to be found in such pleasing surroundings. Space has been reserved in each of them for active physical recreation. St. Mary's Churchyard, Woolwich, should be included in this series. Over three acres in extent, its walks, lawns, flower beds and rock gardens in the midst of Old Woolwich provide a welcome and refreshing change of great charm from the mat'ter-of-fact atmosphere of work-a-day Woolwich in the adjoining factories and wharves. (b) Shrubberies and Greens. There are many examples of these throughout the Borough, varying in size from a few square yards to an acre and a half. In their design no routine plan has been followed, but each has been developed as the site permitted. |
47f4dcc9-6ff1-49b6-8314-78a0b0bbf1a7 | Often special features such as rock gardens, or rose gardens, or ornamental flower beds, have been introduced. There are over a hundred such sites, and they form pleasing and attractive interludes in our network of streets and roads, providing in a simple way glimpses of natural beauty and charm. Rockcliff Gardens. The Tarn. Children's Playground, Gough Street. Well Hall Pleasaunce. 9 (c) Natural Park. The acquisition of the Tarn, at Eltham, gives Woolwich a natural park— small it may be, but one which will prove a never-ending source of delight to nature lovers. It consists of nine acres, one-third of which is water. The adjoining slopes are thickly wooded. The whole lends itself to preservation in its wild state, with fish in the lake and a bird sanctuary around. |
d1e27c4d-6176-43a8-b965-f1c8222480d7 | When paths have been made, resting places provided and wild flowers introduced, one more beauty spot will be available for nature study, for rest and for recreation. (d) Playing Fields. Over 90 acres of playing fields have been provided on the Council's Estates at Eltham. (e) Children's Recreation Grounds. Fifteen in all have been provided; some equipped with open-air gymnasiums ; some in open areas, some small and tucked away amidst crowded buildings, but all providing delight and exercise for active healthy youngsters, and diminishing the risk of road accidents. The beautification of the Borough is not however confined to open spaces only. In the streets, trees have been planted, the species varying from street to street. Roadside verges are to be found in the new wide roads. The unkempt appearance so often seen there has been eliminated with a fair measure of success by careful grouping of shrubs of various types. |
ada7bcc2-6e58-4bd8-a904-b3e55a6bbe26 | The open spaces under the control of the London County Council are larger and they are retained in their natural state as a rule, but in places formal gardens have been developed. Woolwich is fortunate in its open spaces, in possessing a Council who recognise the value of beauty, of natural calm, and of exercise in the open air amidst pleasant surroundings, in the mental and physical well-being of its citizens, and an engineer who is capable of giving practical interpretation and expression to this outlook, with such marked success, in so able, so varied, and so pleasing a fashion, and perhaps what is more important, a public deeply appreciative of the advantages they now enjoy. 10 Since my last report the following staff changes have taken place:— Miss M. F. Tyers, who joined the health visiting staff in September, 1935, was appointed as a sanitary inspector from the 27th May. Mr. A. Goad, temporary clerk, was appointed to Grade "A" from the 1st April. |
968797c6-fe8f-47a5-af24-1f08d0b55538 | Miss I. Grant, temporary clerk, was appointed to Grade "A" from the 1st April. Miss J. Walters was appointed to a temporary clerkship from 20th July. It is pleasing to place on record that the following additional qualifications were obtained during the year by members of the staff :— Diploma of Nursing, University of London, with Distinction—Miss M. F. Tyers. Certificate of the Sanitary Inspectors' Examination Board—Miss W. Adams, Miss A. Carey and Miss M. F. Tyers. In conclusion, I desire to express my gratitude to the Chairmen and members of the Health Committees, and indeed, to all the members of the Council, for their continued confidence and support, for the interest they have taken in the work of the Department and for their sympathetic approach to the many problems it has been my duty to bring before them. |
094c1e2c-1a7c-4dc3-be67-3564be8dd64a | I thank sincerely also every member of the staff for the valuable work they have done during the year, and for the help they have given to me personally. I am, Madam Mayor, Ladies and Gentlemen, Your obedient Servant, J. MACMILLAN, Medical Officer of Health. 11 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. |
b7e5bc06-28e7-4bdf-8cc4-54392e608ecf | 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.Se., D.P.H. Assistant Medical Officer (General Purposes). 1934 Smith, F. E. 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). |
e7622750-72bf-4fec-888d-9c134ddca9ee | 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. 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, 6. 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. |
7dca53cc-2786-4898-850e-5223d3865b15 | D. Wilson, Dr. E. C. Wise, Dr. W. T. Milton, Dr. R. W. Wood. Dr. R. Lewys-Lloyd, Dr. H. M. Wise. 12 (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's appointment is now on a permanent basis. Mr. H. G. Harrison, the Public Analyst for Deptford and Shoreditch, acts as Public Analyst for this Borough during the temporary absence of Mr. H. Amphlett Williams. TABLE No. 2. Year appointed. Name. Qualifications. Appointment. 1933 Williams, H. Amphlett A.C.G.F.C., F.I.C. Public Analyst (part time). |
351380f4-00df-4392-ac8f-41ba2c66aa56 | 1909 Shaw, H. Cert. Royal San. Inst.; 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 Pondrill, 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. |
47a558b6-6a56-47bb-bdf7-f2adc515fd5a | Sanitary Inspector. 1922 Couch, C. J. Cert. San. Insp., Exam. 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. |
2ddb9add-368b-450d-82ab-a4533228099f | Insp., Exam. Joint Board; Cert. Meat and other foods; Cert. Smoke Insp., R.S.I. Sanitary Inspector. 13 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, £r.. 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. |
d0c656b0-6779-43ec-830c-52c909ef174e | Insp., Exam. Joint Board; Cert. Meat and other foods. Sanitary Inspector. 1935 Tyers, Miss M. F. Cert. San. Insp.,Exam Joint Board; Cert. General Hospital Training; C.M.B.; Health Visitors' Cert.; Massage; Diploma in Nursing, University of London. Woman Sanitary Inspector (1936). 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. |
0759338e-0253-449e-adb5-d0d2f6afa1f6 | 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. (1934). 1920 Morgan, Miss F. Cert. General Hospital Training; C.M.B. ; Health Visitors' Cert.; Maternity and Child Welfare Cert. Health Visitor. 1922 Seocombe, 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. |
e3bc9a6c-3133-4757-948d-2c5c02fca976 | 1930 Frederick, Miss F. E. Cert. General Hospital Training; C.M.B. ; Health Visitors' Cert. Health Visitor. 14 TABLE No. 2—continued. Year appointed. Name. Qualifications. Appointment. 1933 Carey, Miss A. Cert. General Hospital Training ; Cert. Fever Training ; C.M.B. ; Health Visitors' Cert. ; Cert. San. Insp. Exam. Joint Board. Health Visitor. 1933 Adams, Miss W. Cert. General Hospital Training; C.M.B.; Health Visitor's Cert; Diploma in Nursing, University of London.; Cert. San. Insp., Exam. Joint Board. Health Visitor. 1934 Little, Miss E. Cert. General Hospital Training; Cert. Fever Training; C.M.B.; Tuberculosis Cert.; Health Visitors' Cert. Health Visitor. (1935). |
3c56a1a1-73cc-45d0-a784-7247fa8c3f12 | 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. 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. |
cd7ebd6f-bef1-40d3-9884-47505d39d3e7 | 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. Clerk, Grade A. 1935 Grant, Miss I. Clerk, Grade A. 1936 Walters, Miss J. Temporary Clerk. A temporary staff of 19 measurers and clerks were employed for approximately five months in connection with the survey of working-class houses rendered necessary by the overcrowding provisions of the Housing Act, 1936. The Medical Officer of Health is Administrative Tuberculosis Officer and Executive Officer under the Council's Maternity and Child Welfare Scheme. 15 ii. Laboratory Facilities. The bacteriological work of the Council rendered necessary by investigations into infectious diesases, food poisoning, etc., is carried out at the Woolwich War Memorial Hospital. |
c263e5d8-8807-4f95-870e-9ed7c091029b | 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 800 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.I. iii. 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 Centres. Old Town Hall, Woolwich Doctor's Room, Weighing Rooms, Waiting Rooms, etc. Woolwich Borough Council. |
9b3ca70c-d18b-4f13-ae7f-24df61d45fa2 | 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, Boresford Street, Woolwich. do. do. do. 1 Luke's Hall, Westraount Road, Eltham. do. do. do. 1 Sunlight Clinic. Old Town Hall, Woolwich Treatment and Waiting Rooms, etc. do. |
c8f66f2e-b4dd-4d7a-aaa2-807138743ce5 | 9 * An Ante-Natal Clinic is held here once a month. 16 TABLE No. 3—continued. 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. Accommodation for cleansing verminous children. |
3671fab4-c106-4c24-ae8b-0bef1127057d | Woolwich Borough Council Daily Tuberculosis Dispensaries. Maxey Road, Plumstead Doctor's Rooms, Waiting Rooms, Dressing Rooms, Dispensary, etc. do. Daily 11, Carnecke Gardens Doctor's Room, Waiting Room etc. do. 3 Venereal Diseases. Nil. Orthopaedic Clinics. 8, Thomas Street, Woolwich Clinic, Waiting Room, Dressing Room Woolwich Invalid Children's Aid Association Daily Christchurch Church Hall, Eltham High Street. Waiting Room do. 2 iv. Ambulance Facilities. The London County Council provide ambulances free of cost at any hour of the day or night, including Sundays and public holidays, for the conveyance to hospitals or private residences of:— (a) Persons meeting with accidents or suffering from sudden illnesses in the streets, public places, places of employment, etc. |
589582f6-67c0-446e-90b4-06fe3845b665 | ; 17 (b) Persons meeting with accidents in their homes ; (c) Persons suffering from illnesses in their homes if a medical practitioner certifies that the case is one of life or death, and that arrangements have been made for the reception of the patient in a hospital; (d) Parturient women, if the case is one of urgency whether from the home, place of business or elsewhere, on the application of a qualified medical practitioner or certified midwife, provided that either a doctor or midwife accompanies the case ; and (e) Non-urgent cases of parturition. In such cases admission to a maternity bed must have previously been arranged and a card (issued by the County Council to hospitals, maternity homes, etc.) for such admission obtained. The card must be handed to the ambulance attendant at the time of removal. The husband or a female friend must accompany the patient. (/) To the Council's hospitals and institutions. |
997b3032-e2d9-40c3-ad10-70eebce4627c | Ambulances are supplied on payment of prescribed charges for the conveyance of cases between private houses, hospitals (other than the Council's hospitals, etc.), nursing homes, and for examinations, consultations and treatment by specialists or at special establishments. The standard charge for the removal of one patient from one place to another within the County of London is 12s. 6d. This charge includes, if necessary, the services of a male attendant. A doctor and one friend is allowed to accompany the patient. For journeys extending outside the County for one or two persons in addition to the Council's staff, 1s. 6d. a mile up to 50 miles and thereafter Is. 3d. a mile is charged. v. Professional Nursing in the Home. During the year, nursing assistance was available in all parts of the Borough. Such assistance is provided by six Nursing Associations, as follows :— Woolwich and Plumstead District Nursing Association. |
1a0e215e-a52d-4cc2-9737-7c8237283f54 | Silvertown and North Woolwich District Nursing Association. Eltham Provident Nursing Association. New Eltham District Nursing Association. Horn Park District Nursing Association. Mottingham District Nursing Association. 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 18 puerperal pyrexia. For nursing assistance the Borough Council pay, in necessitous cases, in accordance with the following schedule :— Disease. Rate of Payment. |
9d0a7e83-8167-4bf7-8dd0-c4228c1f6dda | Measles Ophthalmia Neonatorum Zymotic Enteritis Whooping Cough Poliomyelitis Acute Primary Pneumonia Influenzal Pneumonia Puerperal Fever Puerperal Pyrexia Tuberculosis An additional grant is made yearly in respect of the nursing treatment of children suffering from threadworms. 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 :— (a) War Memorial Hospital. (b) British Hospital for Mothers and Babies. |
75b93ed6-ff19-4bee-ad41-6ee9943edd66 | 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. Proposals to provide additional maternity accommodation at both of the above hospitals were under consideration at the end of the year. Is. Od. per visit for one case ; 6d. per visit, per case, for more than one case in the house at the same time. 1s. 3d. per visit. |
d3e1d5a3-127a-4135-8278-b601369a13e1 | 19 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 68 midwives residing in the Borough gave notice during the year of their intention to practise. 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. Maternity in-patients beds are provided in ; (a) The British Hospital for Mothers and Babies ; (6) The War Memorial Hospital ; (c) The Eltham Cottage Hospital; (d) The Military Families Hospital; (e) St. Nicholas Hospital (London County Council) and (/) a few in midwives' homes. |
1c4c602c-c36c-4c8f-9c75-7f4a6ac683e3 | District midwifery services are maintained by the British Hospital for Mothers and Babies in the district adjacent to the Hospital and by the Plaistow Maternity Hospital in North Woolwich. 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. 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. x. Infant Life Protection. |
7c752714-de23-4848-9d56-69810adcac68 | A note on the administration of this service will be found in the Maternity and Child Welfare Section of the report. xi. Supply of Insulin to Persons Suffering from Diabetes. 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. 20 Insulin was supplied under this scheme to nine patients during the year, the total cost being £13 18s. 3d. 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. |
a0e675af-1cfc-4e17-b78e-383e06e599ba | (2) A quarterly report must be furnished in respect of each patient treated, giving the following information :— (a) 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. xii. Vaccination. I submit a return by the Vaccination Officer on the work carried out under the Vaccination Acts for the year 1935. TABLE No. 4. RETURN to be made on or before the 13th of February, 1937, by Mr. |
c0a0c610-e39b-47fc-962d-da9cfe6a34a4 | 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, 1935, 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, 1935. Number of these Births duly entered by 31st January, 1^37, in Columns I., II., IV., and V. of the " Vaccination Register (Birth List Sheets), viz. :—- Col. I. Col. II. Col. IV. Number in respect of whom Statutory Declaration of Conscientious Objection has been received. Col. V. Successfully Vaccinated. Insusceptible of Vaccination. Had Small Pox. |
22808fbc-992c-4d1a-80d3-ab289e4ac5e3 | Died Un vaccina ted. 1. 2. 3. 4. 6. 6. 7. 1. Plum stead 677 291 1 - 274 37 2. Woolwich 1239 597 6 - 458 35 3. Eltham 497 238 1 - 195 14 Total 2413 1126 8 - 927 86 21 TABLE No. 4—continued. |
c34d0e5f-6ba5-416a-aff3-93246345eb63 | Number of these Births which on 31st January, 1937, remained unentered in the " Vaccination Register " on account (as shown by " Report Book ") of :— Number of these Births remaining on 31st January, 1937, 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 1936. 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 1936. Postponement by Medical Certificate. Removal to Districts the Vaccination Officers of which have been duly apprised. |
c2a3a1b8-406b-48c3-a8a6-b477b618a89a | Removal to places unknown or which cannot be reached; and cases not having been found. 8. 9. 10. 11. 12. 13. 6 16 42 10 These figures are to be obtained from colum ns 2 and 6 of the Summar y (Form N.) 16 66 48 13 8 20 17 4 30 102 107 27 1249 952 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 :—4. (b) The figures in columns 2 to 11 should not include re-registered births or cases of children born in other districts. |
20a8bc1e-4e0f-423a-8c80-cec7f44923d3 | "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 :—131. fIncludes the Burrage and Herbert Wards in Plumstead Parish. (.Signature) S. G. TAYLOR, Vaccination Officer. Date—13th February, 1937. During the year ended 30th September, 1936, the number of persons successfully vaccinated or re-vaccinated at the cost of the rates was 2,570. This figure includes 753 primary vaccinations of persons under one year of age ; 610 over one year of age, and 1,217 re-vaccinations. |
d33f9256-1384-48b6-ba8c-6772e049ccfc | xiii. 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 22 Council made 212 advances to purchasers of houses in accordance with the provisions of these Acts. 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 1935. xiv. 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. |
c82613d1-00a4-45b6-aa45-fc1ef534c272 | This body has for many years maintained a remedial clinic in Thomas Street where all children requiring such treatment may be sent. A branch clinic was opened at the Christchurch Church Hall, Eltham High Street, on the 1st April, 1936. 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. xv. School Medical Service (London County Council). 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 1936 :— 23 TABLE No. 5 (Part I.). Examination of Elementary School Children in Woolwich, 1936. Numbers Examined and Defects Found. Boys. Girls. Entrants. Age 7. |
69b0e3cc-d365-4750-b2af-47d26b7bc07f | Age 11. Age 14. Entrants. Age 7. Age 11. Age 14. Number examined 989 831 1,176 971 1,027 819 1,115 1,106 Cases * Cases * Cases * Cases * Cases * Cases * Cases * Cases * Malnutrition 17 17 1 13 1 3 19 1 10 1 17 1 2 1 Skin Disease 8 7 3 3 5 5 7 5 9 7 12 11 5 3 6 3 Defective Teeth — 361 — 198 — 194 227 359 187 192 240 Enlarged Tonsils 117 56 68 22 34 26 25 17 99 55 64 34 50 31 26 16 Adenoids 17 9 4 3 5 2 |
eab4aa2c-e1dd-4f30-a62d-ae5d48e64477 | 26 9 8 4 Enlarged Tonsils and Adenoids 58 42 28 21 4 3 4 4 63 47 32 24 9 7 6 6 Other Nose and Throat defects 9 — 4 — 3 2 3 13 5 1 1 3 1 4 3 Enlarged Glands 5 — 5 — 1 — 1 1 4 — 3 — 5 1 — — Eye Disease 13 9 10 6 6 4 6 4 24 15 9 4 12 11 6 4 Vision defect — — — 32 74 80 _ 27 66 — 66 Otorrhoea 3 2 4 2 4 2 4 4 5 5 6 2 2 1 Other ear disease 1 1 2 1 |
4e64299a-d863-4883-aac9-8cac22e21328 | 1 1 2 . 2 1 1 Defective hearing 1 1 1 — 1 — 2 1 3 1 4 1 Speech defects 1 — 4 1 5 4 2 2 1 — 1 Heart defects 2 — 3 — 8 1 4 4 1 8 2 7 5 7 4 Anaemia 6 5 9 5 10 3 4 1 16 8 14 5 8 2 3 1 Lung defects 13 5 14 4 5 4 5 4 16 4 5 1 4 2 1 Nervous defects 3 1 3 2 5 2 3 2 8 4 5 2 3 2 3 1 Phthisis 1 — — — — — — — — — — — — — — |
38b1db51-5445-4aff-82ec-4a068964e897 | — — — — — — — — — — — — — Rickets 1 1 1 — — — — — — — Spinal deformities — — 3 3 2 2 3 3 1 1 1 1 7 7 7 6 Other deformities 25 9 11 3 7 2 6 3 10 3 10 4 12 5 12 6 Other defects 17 9 19 12 19 12 7 6 19 11 22 11 30 20 20 8 Number of Children noted for treatment. . — 443 — 269 — 303 — 322 451 — 277 — 318 332 * Defects, however slight, are included under " Cases " ; those severe enough to require treatment are shown under *. 24 TABLE No. 5 (Part II.). Age Groups. Number examined. |
29fc4a8c-8cd4-4e43-b890-3c5d1b408c71 | Clothing and Boots. Nutrition. Cleanliness of Head. Cleanliness op 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 989 899 89 1 103 849 37 — 985 3 1 986 1 2 616 347 26 — — — Girls 1027 920 107 — 105 869 53 — 1018 8 1 1023 2 2 653 346 28 — — — Age 7— Boys 831 717 112 2 87 693 51 — 830 1 — 831 — — 612 209 10 597 |
77e6e432-7337-49e0-b32c-adb49ce805a9 | 173 59 Girls 819 712 105 2 120 670 29 — 800 19 — 812 7 621 190 8 596 171 49 Age 11— Boys 1176 968 207 1 121 1018 36 1 1172 4 — 1171 4 1 953 223 864 179 132 Girls 1115 1003 111 1 122 951 42 — 1103 11 1 1109 6 — 893 217 5 843 165 107 Age 14— Boys 971 860 110 1 165 787 19 — 970 1 — 970 1 — 741 227 3 719 123 126 Girls 1106 1018 88 — 162 910 34 — 1098 6 2 1105 1 — 845 260 1 849 |
a840cedd-cac0-4d85-a89a-a7c56d4c18c5 | 139 114 Total 8034 7097 929 8 985 6747 301 1 7976 53 5 8007 22 5 5934 2019 81 4468 950 587 Percentage 88.3 11.6 0.1 12.2 84.0 3.8 3.8 99.2 0.7 0.1 99.6 0.3 0.1 73.9 25.1 1.0 74.4 15.8 9.8 London 56.4 43.2 0.4 16.6 77.4 6.0 6.0 97.5 2.2 0.3 99.2 0.7 0.1 70.5 26.1 3.4 66.2 19.3 14. |
d5c1d162-2425-4569-a84d-06c15f323bbd | 5 25 SECTION II. HEALTH PROPAGANDA. The Council place the greatest importance on health propaganda and health education, as these mean much in progressing towards a healthier race. They cost but little—only a fraction of what health services cost—and yet no part of the services is likely to give better value for money spent. It goes without saying that the health services provided by the municipality should be used by its citizens, and little will be accomplished if the citizens know not of them, and do not appreciate how helpful they can be. |
3b403daf-e55a-4af6-8949-16e0a6710f63 | Increased co-operation by the public will ensure a better environmental health service ; a more extensive use of the health clinics for laying the foundations of a healthy life ; a more efficient school medical service, which suffers much from the want of publicity—for example there are too few parents who realise how necessary dental treatment is for children with dental defects—and a better tuberculosis service, when the public appreciate that delay in securing treatment is dangerous, and that the best thing a contact of tuberculosis can do is to submit himself for medical examination. There is need for development in all these and kindred matters and much of that development will come through greater publicity and greater knowledge of the health services. The activities during 1936 can be classified as follows :— (а) Health Services Booklet.—A booklet of twenty pages giving full information regarding the Council's health services can be obtained free of charge on application at the Health Department, or at any of the Council's health centres, dispensaries and public libraries. |
5a951f5c-1ca7-4596-a93e-965264fa98d1 | It is sent as a matter of routine to every new tenant on the Council's estates ; copies are distributed by post from time to time to residents in the Borough, selected at random, and copies are offered at each informal talk, referred to in heading (d), to all members of the audience. It was distributed in large numbers at the Eltham Health Exhibition. In every way possible it is brought to the notice of the public so that the Council's health services may be widely known. It is now in its fifth edition and is in addition to the leaflets issued on special subjects. (б) Health Week.—The Council, as has been their practice since 1925, arranged a health week in the autumn. Despite the discouraging experience at Eltham in 1932, when a small exhibition was arranged at the Eltham Health Centre, it was decided to arrange another at the Arcade Hall. This was highly successful, as the following report of the Public Health Committee to the Council shows. |
ebcdab2b-5b3d-48b3-a9e7-9e58ab05f5a4 | It was generally recognised that it was unfortunate that it was not possible, owing to the lack of a suitable hall, to organise a larger exhibition. 26 "In accordance with the Council's resolution a Health Exhibition was held in the Arcade Hall, Eltham, from September 28th to October 3rd, 1936. The exhibition was organised by the Central Council for Health Education and consisted of exhibits arranged by the following national organisations :— The National Council for Maternity and Child Welfare ; the Dental Board of the United Kingdom ; the National Association for the Prevention of Tuberculosis ; the Eugenics Society ; the Cremation Society ; the Health and Cleanliness Council, and the British Social Hygiene Council. The Electricity Department of the Council arranged a stand and had special cookery demonstrations, etc., at their showrooms, and the Works Department attractively set out the stage as a miniature pleasaunce. Stands dealing with sanitary inspection and household pests were arranged by the Health Department. |
0fb41ce6-32e0-4715-8faf-01f5f0df99c3 | We are indebted to the following for the loan of models, pictures and articles :—The Ministry of Agriculture and Fisheries ; the Royal Sanitary Institute ; Messrs. Accles and Shelvoke, and the London Fumigation Company. The attendances during the week are estimated at 9,180, including 310 school children in conducted parties. We take this opportunity of expressing our thanks to all those who helped to make the Exhibition such a success." (c) The Cinema and Health Education of School Children.—Once a month during the winter months a combined programme of educational and health films is shown to school children. The programme is arranged by the Libraries Committee and the Public Health Committee co-operate. The average attendance at each showing is about 500, so that, with three displays in one day, some 1,500 children are interested each month. The programme lasts just under one hour and usually four films are shown, one of which, occasionally two, is a health film. |
d39cf7c3-d2b5-49d1-831a-c170f1cd48d2 | The health films shown were :— January 20th February 17th March 16 th November 9th October 12th December 7th " Our Food Supply." " Trapeze Man Talks." " How we Breathe." " New Ways for Old." " The Red Army." " Breathing." " The Eyes have it." " Stand up and Breathe." 27 (d) Talks to Selected Audiences.—An extremely popular part of the Council's service is the giving of talks to selected audiences at their own place of meeting. At the beginning of each winter notices offering talks on health subjects, with or without suitable health films, are sent to Guilds, Friendly Societies, Church Societies, Clubs and other organisations of this nature. In recent years there has been an increasing demand, particularly in the number of talks to Friendly Societies, whose members are anxious and keen to be educated in health matters, in accordance with their aims. |
8836a6f9-9080-4d1c-b54c-333f2646a5b3 | The subject matter of the talk varies. Sometimes it is about the Council's health services, sometimes it is on preventive medicine and sometimes it is on disease. The talks are given by the members of the staff-—the Medical Officers, Sanitary Inspectors, Health Visitors and Tuberculosis Visitors. (e) Cinema Projector.—The 16 mm. film is now, for all practical purposes, the standard film for education. As such health propaganda films are now available in increasing numbers, the Council decided to buy a Gaumont-British machine for showing silent and sound films of this size. It has been used on many occasions during the year and is proving a valuable addition to the Council's equipment for health education. (/) Films.—A silent 16mm. film of the Council's health services was completed during the year by the Eltham Amateur Cinematograph Society. It is in four parts and deals with Maternity and Child Welfare, Tuberculosis, Housing, and Environmental Services. |
e88fc455-88f5-41b7-9831-b79d1a75bbfa | It is used to illustrate talks on the Council's health services to selected audiences and has proved of great value in this respect. Two other 16 mm. films were purchased—" The Red Army," a sound film dealing with the bed bug problem, and " The Empty Bed," a silent film on Diphtheria Immunisation. Other films have been hired from time to time to illustrate lectures and talks. (g) Cookery Classes.—Cookery classes, first started in the year 1934, in connection with the Tuberculosis Dispensary, were continued during the year. To the wives and mothers of the tuberculous the provision of cheap yet nutritious meals is one of the most difficult problems they have to face, and in order to assist them m this matter demonstrations are held at the Tuberculosis Dispensary at Maxey Road every week. A demonstrator is loaned by the South Metropolitan Gas Company. A demonstration meter shows how much the actual cooking has cost in terms of pence. |
c61c1d35-3522-4a33-a616-5c402da2a895 | Advice as to the actual purchase of food, how to prepare it, cook it and serve it, is given at these meetings, and in these ways it is shown that it is unnecessary to buy expensive food in order to obtain appetising, tempting and palatable dishes. The cooked dishes are sold at about half-cost to those attending the classes. The Tuberculosis Care Committee provide cups of tea and biscuits at each meeting. The nett cost to the Council for food provided during the year was £3 4s. 2d. The number attending was 20 and the number of attendances was 272. There were 44 meetings. |
22dbb9d3-4799-4445-a451-19b88921bebd | (h) Central Council for Health Education.—This Council exist in their own words, to " (a) promote and encourage education and research in the science 28 and art of healthy living and to promote the principles of hygiene and encourage the teaching thereof ; and (6) assist and co-ordinate the work of all statutory bodies in carrying out their powers and duties under the Public Health Acts and other statutes relating to the promotion or safeguarding of Public Health or the prevention or cure of disease in so far as such work comprises health education and propaganda." The Central Council is an incorporated body composed of representatives of Government Departments, of Local Government, of National Health Insurance, of Professional Organisations and of Voluntary Societies engaged in health propaganda work. It is able to furnish expert advice on the best methods of health education. |
524b51f2-99cf-4e56-b9c8-44f6d7d6aea3 | It organises health weeks ; it provides posters for display ; it distributes films and leaflets ; it prepares press articles ; it provides an official journal, " Better Health " ; it issues a Year Book collating information relating to health propaganda ; it holds an Annual Health Education Conference and it maintains a permanent propaganda exhibition. In short it co-ordinates the work of all Bodies whose propaganda is a matter of public health. The Borough Council makes an annual contribution of three guineas to its funds. (i) Better Health.—This is the official journal of the Central Council for Health Education. It contains popular articles and memoranda on personal and public health. The Borough Council purchase each month 2,000 copies and distribute them through the welfare centres, tuberculosis dispensaries, public libraries and schools. A number are posted to residents in the Borough, selected at random. It is pleasing to note the demand each month for this medium for arousing and maintaining interest in public health news. |
6d366fef-7892-41d1-8df9-679db56589ec | (j) Posters.—The immense amount of space devoted to poster advertising on hoardings is a sign of the value placed thereon by commercial undertakings. The same value presumably may be placed on this type of display in connection with health propaganda work. The Council therefore have made use of the poster service of the Central Council for Health Education and arranged for the display of two sets of posters each month on wooden poster frames previously used by the Empire Marketing Board. In June and July four such sets were posted, the London County Council having given permission to the Council to use the Boards outside Plumstead Central and Plumstead High Street Schools, during these two months. The posters shown during the year were as follows :— January .. " Don't Take Chances with your Child's Life (Diphtheria) (C.C.H.E.) February .. " Building a Healthy People " (C.C.H.E.) March .. " Do you use the Health Services ? " (C.C.H.E.) |
39eec6e5-c661-4ad2-9f29-988120ade006 | 29 April " Balance your Meal." (C.C.H.E.) May Dental Board of the United Kingdom. June National Council for Maternity and Child Welfare. June Dental Board of the United Kingdom. July Eugenics Society. July " Do you use the Health Services." (C.C.H.E.) August British Social Hygiene Council. September Health and Cleanliness Council. October National Ophthalmic Treatment Board. November National Association for the Prevention of Tuberculosis December National Association for the Prevention of Tuberculosis. In order to assist the Tuberculosis Care Committee with their Christmas Seal Sale it was arranged that the poster of the National Association for the Prevention of Tuberculosis should remain on the board during December, with the small posters of the Christmas Seal Appeal over-pasted. |
92abb94a-d97c-4d13-89e7-bc8bb4a49fc0 | Smaller posters, crown and double crown, prepared by voluntary health organisations and associations, and by the Central Council, have been used extensively in the Council's welfare centres and dispensaries, as have been washable show-cards of health leaflets from the same sources. 30 SECTION III. MATERNITY AND CHILD WELFARE. The Council's Maternity and Child Welfare Scheme embraces the following services :— (a) Administration of Part XII of the Public Health (London) Act, 1936. (b) Home visits to mothers and children. (c) Infant Life Protection. (d) Establishment of Welfare Centres. (e) Establishment of an Artificial Sunlight Clinic. (/) The systematic medical inspection of toddlers at stated ages. (g) Provision of maternity outfits. (h) Payment of compensation to midwives. (i) Payment of midwives' fees. (j) The services of a Consultant in cases of Puerperal Fever and Puerperal Pyrexia. |
dc2b7e7a-2840-4b22-9cc4-ebf802de0496 | (k) The services of a Consultant in exceptional cases of obstetric or ante-natal abnormality at home. (l) Provision of Home Helps in maternity cases. (m) Boarding-out of children while expectant or nursing mother is in hospital- (n) An arrangement with the School Medical Treatment Committee for the treatment of minor ailments in young children. (o) An arrangement with the School Medical Treatment Committee for the provision of dental treatment to young children and to expectant and nursing mothers. (p) An arrangement with the Woolwich Invalid Children's Aid Association for orthopaedic treatment for children requiring such treatment. |
2240c523-3c73-4d98-8038-6bcd8dac2554 | (q) Provision of nursing assistance for young children suffering from Measles, Ophthalmia Neonatorum, Zymotic Enteritis, Whooping Cough, Poliomyelitis, Pneumonia and Influenzal Pneumonia, and for mothers suffering from Puerperal Fever, Puerperal Pyrexia, Pneumonia and Influenzal Pneumonia. 31 (r) Reservation of twelve beds for children under 5 years of age who are suffering from such conditions as are usually treated in a general hospital, at the War Memorial Hospital. (s) Provision of beds for the institutional treatment of midwifery for 144 cases per annum at the British Hospital for Mothers and Babies, and for 66 cases at the War Memorial Hospital. (t) Reservation of beds, for ante-natal treatment and emergencies of midwifery, at the War Memorial Hospital, equivalent to 18 weeks' treatment per annum. |
414eccd6-6ff8-495d-a4f3-7c16a15bd2ba | (u) An arrangement with the Woolwich Invalid Children's Aid Association for the Convalescent Home treatment of children requiring such treatment. (v) Convalescent Home treatment for expectant and nursing mothers. (w) Arrangements for the supply and distribution to young children, expectant and nursing mothers, of milk and food drugs at cost price, half cost or free, according to economic circumstances. In addition to these services the Council have, at the request of the London County Council, undertaken to do such work as is necessary in the case of children under five years of age :—- (x) Under the Blind Persons Act, 1920. (,y) Under Section 6 of the Widows', Orphans' and Old Age Contributory Pensions Act, 1925. 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. |
be9894ad-884c-45cf-a703-b1609b730062 | 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 twelve whole-time health visitors : three of these are part-time sanitary inspectors and all but one, who is the Artificial Sunlight Clinic Nurse, are Infant Life Protection Visitors. It is the practice of the Council to appoint additional temporary health visitors during epidemics of measles. Public Health (London) Act, Part XII.—Every birth occurring in the Borough requires to be notified to the Medical Officer of Health within thirty-six hours of birth and only a very small percentage of births are not notified. |
78fd9646-28b5-4f9d-9926-dfd3027c10ef | 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. 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. 32 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. |
5a56b6c5-87ba-40a9-ba58-afcc2c067bd5 | Births—First visits 1,986 ,, Revisits 16,321 Infant deaths investigated 40 Still-births investigated 6 Expectant mothers—home visits 908 Infectious diseases :— Ophthalmia Neonatorum—First visits 26 ,, Revisits 11 Measles—First visits 2,281 „ Revisits 1,153 Puerperal fever—First visits .. 5 ,, „ Revisits 4 Puerperal Pyrexia—First visits 21 ,, ,, Revisits 4 Zymotic Enteritis— First visits 38 ,, ,, Revisits 11 Pneumonia 76 Anterior Poliomyelitis 1 Encephalitis Lethargica 1 Infant Life Protection 921 Visits unclassified 480 Visits unsuccessful 2,890 27,184 Following their usual practice the Council gave the necessary facilities to two health visitors to attend refresher courses, and paid their expenses. |
601d1d48-ba91-4f85-9b91-56cf5cb52830 | Infant Life Protection.—The Council became responsible on the 1st April, 1933, for Infant Life Protection work in Woolwich. At the beginning of the year, four of their Health Visitors acted as Infant Life Protection Visitors (part-time), but in September, all the Health Visitors were appointed Infant Life Protection Visitors for their particular districts. 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. 33 At the end of 1935 there were 92 nurse children and 69 foster mothers on the Council's register, and a year later the numbers were 75 and 59 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 12 were either temporarily without nurse children or had been noted as suitable persons. |
a93bd2a1-6de6-4e94-a292-3a0968b4605b | These figures do not, however, tell the whole story, as 162 nurse children were added to the register and 179 nurse children were removed during the year. The following Table No. 7 shows the ages of the children under supervision on the 31st December, 1936 :— TABLE No. 7. Under 1 Year. 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 17 10 6 8 3 5 8 7 11 The number of visits paid by the Infant Life Protection Visitors was 921. The number of visits made by the male inspector in connection with infringements and kindred matters was 91, while the number of visits paid by the district sanitary inspectors was 45. The number, and nature, of the various legal infringements discovered during the year, were as follows :— TABLE No. 8. Nature of Infringement. No. |
4dfad463-7094-429b-8318-67a55c994f57 | Keeping a nurse child without giving timeous notice 12 Change of address by foster mother without giving timeous notice 2 Infant removed from care of foster mother without giving timeous notice 7 Keeping nurse children in excess of permitted number 1 Cautionary letters were sent in all cases. There were no prosecutions. In nine instances insanitary conditions were discovered ; in five instances there was overcrowding, and in one instance verminous conditions existed. In all cases appropriate action was taken to secure the abatement of the nuisances. Nurse children who are kept under unsatisfactory conditions may be removed to a place of safety, but it was not necessary to take this action 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, those children who are under five regularly attend an infant welfare centre. |
18a3926e-869e-4eb4-8ac6-5c391fabc157 | Special care is taken to see that children who are weak and ailing attend. During the year, five nurse children died—one from pneumonia and four from enteritis. 34 The only institution in the Borough holding a certificate of exemption is the Woolwich War Memorial Hospital. The Work or the Welfare Centres.—These are eight in number and are 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 sessions 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 1936 and the consolidated statistics for the previous year :—- TABLE No. 9. Centre. Number on Roll of Centre. Number of Attendances. Mothers. Children. Mothers. |
28a976d4-c3c6-404d-84b0-b23d73a0b932 | Children. Expectant. Nursing. Expectant. Nursing. Town Hall 321 205 1,429 833 299 9,701 Plumstead 238 302 1,104 649 681 7,981 Eltham 457 172 1,087 1,327 307 6,976 Slade 3 75 457 1 111 4,456 New Eltham 3 80 452 1 137 5,187 St. |
b1c025ce-75a0-47f5-bfab-c50a07e3ebda | Luke's — 61 265 — 89 2,459 North Woolwich 16 48 136 32 91 1,365 Beresford Street 15 42 169 14 70 1,079 Totals, 1936 1,053 985 5,099 2,857 1,785 39,204 Totals, 1935 1,019 983 5,259 2,625 1,759 41,323 The next Table No. 10 shows the number of children attending each centre 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 less. |
7c9e6e58-c23d-415b-bd08-bb7d713ce50a | The figures in this table do not include those of the Toddlers Clinics or of the Sunlight Clinic. 35 TABLE No. 10. Children in Attendance at Each Centre. Year of Birth. Town Hall. Plumstead. Eltham. New Eltham. Slade. St. Luke's. N. Woolwich. Beresford St. Totals. |
8453324a-a6bc-43a8-9e0d-2fc7da88f23d | 1936 409 348 278 Ill 118 66 35 33 1,398 1935 465 380 291 125 132 79 39 49 1,560 1934 270 183 187 84 84 38 32 32 910 1933 133 86 143 58 56 40 10 24 550 1932 104 74 123 48 51 29 13 18 460 1931 48 33 65 26 16 13 7 13 221 1,429 1,104 1,087 452 457 265 136 169 5,099 Attendances. Year of Birth. Town Hall. Plumstead. Eltham New Eltham Slade St. Luke's N. Woolwich Beresford St. Totals 1936 3,129 3, |
f1e5444f-365c-4045-ac08-a410b3a8ef09 | 085 2,272 1,547 1,193 805 451 269 12,751 1935 3,985 3,440 2,710 2,342 1,783 1,087 463 363 16,173 1934 1,475 865 967 703 781 207 288 212 5,498 1933 642 287 525 336 347 230 99 103 2,569 1932 323 247 344 199 304 94 37 106 1,654 1931 147 57 158 60 48 36 27 26 559 9,701 7,981 6,976 5,187 4,456 2,459 1,365 1,079 39,204 Feeding of Infants in Woolwich.—In midsummer the usual enquiry was made, as in previous years, |
75a6a1e7-2c84-4086-8418-e7ae7434e79a | as to the type of feeding adopted in the ease of infants attending the welfare centres. The method used was as follows :— (a) On the card of every child under one year of age attending a welfare centre between the 18th May and the 1st July 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 No. 11 on the adjoining page. 36 TABLE No. 11. Feeding of Infants attending Welfare Centres—18th May to 1st July, 1936. Method of Feeding. AGE IN MONTHS. |
7951a532-8e8d-4f75-8e32-3ebfdbc7633f | 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 67 90 54 30 36 32 23 10 10 352 — — 1 353 Breast and Hand 9 16 13 11 11 18 6 12 14 110 8 6 1 125 Hand 13 26 26 30 46 40 62 50 55 348 49 61 93 551 89 132 93 71 93 90 91 72 79 810 57 67 95 1,029 PERCENTAGES. |
9c2e3651-e360-4bcd-b663-cef994a36749 | Breast 75.2 68.2 58.1 42.3 38.7 35.5 25.4 13.9 12.7 43.4 — — 1.0 34.3 Breast and hand 10.1 12.1 14.0 15.4 11.8 20.0 6.5 16.6 17.7 13.6 14.0 9.0 1.0 12.1 Hand 14.5 19.7 27.9 42.3 49.5 44.4 68.1 69.5 69.6 43.0 86.0 91.0 98.0 53.6 37 Artificial Sunlight Clinic.—The artificial sunlight clinic is held in part of the Town Hall Infant Welfare Centre. |
1cf4b19b-88a3-4b35-917a-1c4d5b8d7799 | The total number of patients treated during the year, including 116 whose course of treatment was not completed at the end of 1935, was 350. The total number of treatments given was 9,479 : of these, 7,829 were by carbon arc, 945 by mercury vapour lamp, 659 by radiant heat lamp, and 46 by infra-red lamp. The infra-red lamp was purchased in June at a cost of £15 15s. Od. The clinic is open every morning and on three afternoons each week. Treatment is by appointment only and no charge is made. Patients as a rule attend twice a week. Each whole-time assistant medical officer attends on one half day each week. The clinic is under the medical supervision of Dr. J. E. A. Lynham, who has furnished the following report on the year's work :— " The total number of cases attending the Clinic in the past year is appreciably down. |
2d3acdfa-f7a0-41da-95f6-930fa27c0600 | This can be explained partly by the smaller number carried on from the previous year, and partly, it is hoped, by the steadily increasing influence of the Public Health Department. The number presented under the heading Debility is relatively high, and it is to be noted that the more severe cases of this kind are becoming steadily fewer in number, and that the percentage of cases much improved or cured is the highest yet obtained. A majority of those with enlarged glands did extremely well with general light baths, and reported afterwards periodically for observation. The " ' nervous " cases were not so satisfactory, but in nearly all these the home influences were obviously not the best. Many of the cases marked ceased treatment had moved out of the district ; some were considered by the parents to be cured, and some had to withdraw because of cases of epidemic disease in their homes. An infra-red lamp was introduced to assist in the treatment of rheumatic pains, and has fully justified its adoption. |
5209bc42-9ec4-4202-bf49-608c6fd25e3b | Much of the time the Clinic is run to its full capacity, and all the staff are looking forward to a time when accommodation may be increased. The system of referring the little patients at intervals to the doctors of the Clinic who first saw them has worked excellently." Mothers living in Eltham find it difficult to attend regularly with their children at the clinic and to keep up attendance for the time considered necessary by the medical officers. From them a course of treatment demands much time in travelling and consequential expense. Because of this, the Maternity and Child Welfare Committee have accepted in principle the establishment of an artificial sunlight clinic at Eltham, and at the end of the year negotiations for the purchase of a suitable site were in progress. 38 The following Table No. 12, shows the number of cases and conditions treated during the year :— TABLE No. 12. Cases treated at Sunlight Clinic, 1936. Brought forward from 1935. New Cases. Total. |
e22645cc-069f-436e-88f3-2a5aab5dd856 | Much Improved or Cured. Improved. I.S.Q. Ceased Treatment. Treatment not yet complete Rickets 23 51 74 24 24 26 31 Anaemia, |
a23e89dd-dbf5-43fa-adf3-e77bde447181 | Debility and Malnutrition 69 131 200 76 57 4 63 68 Catarrhal Children 11 18 29 9 7 3 10 6 Septic Conditions — 1 1 — — — 1 1 Nervous Children 1 2 3 1 1 — 1 1 Enlarged Glands 4 7 11 7 — — 4 13 Miscellaneous Nervous Conditions 4 4 2 2 1 Miscellaneous Skin Conditions 5 5 4 1 5 Other Conditions 5 9 14 4 4 1 5 5 Mothers 3 6 9 9 — — 4 116 234 350 134 96 8 112 135 The Care and Comfort of the Pre-School Child.—In May the Ministry of Health issued a circular dealing with the arrangements to be made for the Care and Comfort of Children under School Age. |
d21e1bf1-1cb9-4e60-938e-6d2acddbf2e9 | The Ministry drew attention to the fact that excluding children suffering from uncleanliness and dental defects, 16 per cent. of children entering school are found to require treatment for some disease or defect which could, in many cases, have been prevented from developing, or could have been quickly cured if adequate supervision of the health of the children had been exercised throughout the pre-school period. Exclusive of nursery school provision which is in London the province of the London County Council, the Ministry suggested by way of remedy :— (а) Systematic periodical health visiting to be increased ; (б) The holding of Toddlers Clinics ; 39 (c) The use of the school clinics for the treatment of minor ailments and special defects in young children ; (d) The establishment of day nurseries in areas where a considerable number of mothers are regularly employed. In London, the corresponding percentage of school entrants found to require treatment in 1935 was 13.8. |
1c52259d-5390-4e25-bec6-cd9dd5cd0dd9 | The bulk of these children were suffering from enlarged tonsils and adenoids. Diseases of the eye, diseases of the skin, defects of the lung, anaemia, or discharging ears, accounted for most of the remainder. After receipt of this circular, the arrangements for the care of the toddler in Woolwich were reviewed by the Council, and from this review it appeared that in 1935 (a) The estimated number of children aged 1-5 years was 7,502 and that 3,940 of these were in attendance or on the roll of public elementary schools. (b) The average number of visits paid per annum to children aged 1-5 years was 1.6, but all children whether suitable for visiting or not, and whether or not they were in attendance at school, were included in this calculation. (c) The total average number of visits paid to children who were visited regularly during the first five years of life was 11.3 in the first five years. |
bdd2b760-d539-4e01-a408-26e8477ddbeb | (d) A toddlers clinic for the routine medical inspection of toddlers aged 2, 3 and 4 years had been established in Woolwich for six years and in 1935,1,314 children were examined at this clinic. (e) Forty-seven per cent. of all children over one year attended an ordinary infant welfare centre at least once during the year. (/) The attendances of children at the ordinary infant welfare centres falls after they are one year old. This was measured in the following way. The cards of 508 children taken at random from the permanent files, were examined in order to ascertain at what period the attendances at infant welfare centres ceased. |
30bfb7f1-c1b4-4ca7-a726-86fb5e4f5848 | At the end of the first year the number of children had been reduced to 421 ; at 18 months to 378 ; at 2 years to 360 ; at 3 years to 270 ; at 4 years to 158, and to 48 at 5 years, and these 48 actually made attendances in their sixth year. These figures relate of course to children who have been attending the centres and one attendance in a year was regarded as attendance during the period. (g) The treatment of toddlers defects at the school clinics has been for many years an important feature of the Woolwich infant welfare scheme. In 1935, 309 children were so treated for minor ailments and 382 for dental defects. (h) Arrangements have been in force for many years with the Woolwich Invalid Children's Aid Association for orthopaedic treatment and convalescent home treatment ; with the local nursing associations for nursing assistance and the War Memorial Hospital for hospital treatment. |
ce6d08e4-b996-4fd7-8d7a-6e0c883ae865 | 40 (i) The Council already have an artificial sunlight clinic, provide additional nourishment, provide facilities for diphtheria immunisation and engage additional health visiting staff during measles epidemics. After consideration of the report the Council resolved :— (а) To appoint two additional health visitors. (b) To increase the number of toddler sessions per week from three to six. (c) To appoint three part-time medical officers on a sessional basis so that the assistant medical officers would be able to carry out routine medical inspection at these additional toddlers sessions. (d) To appoint two junior clerks. (e) To establish a special ear, nose and throat clinic, under the medical charge of one of the assistant medical officers. (f) To appoint a consultant for the above clinic who would see such cases as were referred to him by the assistant medical officer and all cases in which the question of operation was raised. (g) To make increased provision for the treatment of minor ailments cases. |
00c6225e-549b-48e8-93c3-d11ece2d11bb | (h) To make increased provision for the treatment of orthopaedic cases. (i) To make increased provision for the treatment of dental cases. It was decided also that all the Council's Health Visitors should be appointed as infant life protection visitors for their own districts, and to accept in principle the establishment of an artificial sunlight clinic and orthopaedic clinic in new premises to be built in Eltham. These proposals were submitted to the Minister of Health, and in reply, a letter was received stating " that the Minister notes with satisfaction that as a result of the Council's consideration of Circular 1550, it has been decided to extend the scope of the existing facilities in the manner indicated in your letter." These new services are to come into operation at the beginning of April, 1937. Toddlers' Clinic.—The routine medical examination of toddlers is now an integral part of the Council's Maternity and Child Welfare Scheme. |
7cf14c21-51a6-4e2d-b48a-571ec31b3523 | Children are examined in their birthday month, aged 2 years, 3 years and 4 years. Those requiring observation are called up for review at intervals of a few months and those requiring treatment are told how to obtain it. All those who require further observation or treatment are " followed up " by the Health Visitors. Dr. Margaret Emslie, who is in charge of these clinics attends three times weekly —once at the Old Town Hall, Woolwich, once at Plumstead Health Centre, and once at Eltham Health Centre. It was possible in addition to examine a few toddlers at morning sessions at other centres, and this was developed as much as possible during the year. 41 The examinations follow the lines of the school medical examinations and are recorded in a similar way. The record cards, however, have been slightly modified in order to deal with special points of importance in the care and comfort of the toddler. The findings are summarised in the following Table No. |
77dbf946-87c2-4a1d-b842-dd36f45e1679 | 13 :—• TABLE No. 13. Medical Inspection of Toddlers, 1936. Disease, Defect or Condition. BOYS. Age last Birthday. GIRLS. Age last Birthday. 2 3 4 2 3 4 Total. Total Children Examined 280 209 192 257 206 214 1, |
6558cebf-eea0-40c1-9b5c-6418a116bc3a | 358 Nutrition— (a) Excellent 206 115 71 207 144 117 860 (6) Normal 65 73 81 42 45 79 385 (c) Sub-normal 9 21 40 8 17 18 113 (d) Bad — — — — — — — Muscular Tone— (a) Excellent 131 141 143 141 150 175 881 (6) Good 135 65 46 110 53 39 448 (c) Poor 14 3 3 6 3 — 29 Clothing and Footgear— (a) Good 273 205 185 251 206 208 1,328 (b) Fair 7 4 7 6 — 6 30 Cleanliness— (a) Excellent 254 201 185 246 192 210 1,288 (b) Fair 26 8 7 11 13 4 69 |
d62b4edf-5455-4226-a5bb-ec69f157027e | (c) Dirty — — — — 1 — 1 Heart and Circulation— (a) " Functional " Conditions 58 42 65 40 34 44 283 (b) Organic Congenital Heart Disease — - — 1 — — 1 Anaemia 18 27 22 25 26 24 142 Respiratory System — Bronchitis 9 2 8 2 6 11 38 Asthma - 2 1 — — 1 4 Nervous System— Behaviour Symptoms 81 54 34 73 43 25 310 Minor Retardation 43 7 3 20 3 5 81 Organic Nervous Disease 1 — — 1 2 Mental Deficiency or Mongolism 2 — — — — 2 4 Alimentary System— Worms 1 3 2 6 Acidosis Attacks 1 1 2 3 2 2 11 Gastritis, |
d76ebf03-c8a8-4e8e-9899-a635ec3890dd | Enteritis, etc 1 2 - - - - 3 Constipation 1 2 — 6 4 2 15 ''En-ito-Urinary System— Enuresis and Frequency 22 17 12 21 8 9 79 Other Conditions 11 6 1 — 1 1 20 42 Medical Inspection of Toddlers, 1936—continued. Disease, Defect or Condition. BOYS. Age last Birthday. GIRLS. Age last Birthday 2 3 4 2 3 4 Total Skin Conditions— Infective Skin Conditions 2 4 4 — 8 3 21 Urticaria, Eczema, etc. |
e18a0b3e-63cc-4dc0-99e9-afbedc93ec33 | 10 6 4 8 7 8 43 Ichthyosis, Alopecia, or Erythema Nodosum 1 1 — — — 1 3 Eye Defects and Infections— Slight Squint 7 8 12 6 11 8 52 Blepharitis 2 4 5 — 2 2 15 Conjunctivitis 1 — 1 — 3 1 6 Ear Conditions— Otorrhoea, etc. |
77997705-86f8-4c3b-8ce3-19587a2f37c4 | 3 4 6 5 2 2 22 Teeth— Caries 10 52 71 4 49 84 270 Hypoplasia 3 2 — 1 3 1 10 Malocclusion 20 8 3 16 16 — 63 Rickets— (Cases clinically considered as showing definite evidence of Rachitis) 69 58 34 34 24 33 252 Nose and Throat— Enlarged Tonsils Enlarged Tonsils and Adenoids y Adenoids . |
8387eccc-3d01-49e0-a8c7-1a676eb04adb | J 112 104 67 98 73 76 530 Enlarged Glands— Tonsillar 38 37 48 25 41 47 237 Posterior Cervical 20 9 13 10 17 18 87 Other Diseases and Defects Rheumatism — — 1 — 1 5 7 Hypothyroidism - - - - - 1 1 Hypopituitarism —- — — 1 -— - 1 Developmental Conditions— Umbilical Hernia 1 2 1 6 1 — 11 Inguinal Hernia — — 1 — — — 1 Naevus 1 — 1 1 2 — 5 Others 1 1 — — 1 - 3 43 30 cases was the clothing considered sub-standard and only one child was put down as in a really dirty or neglected condition. |
7ad45b40-4856-4625-a347-9890a8f62704 | The whole of the results are closely consistent with those in past years—except the figure for anaemia, which shows a diminution-—that is somewhat astonishing in view of the remarkably sunless summer last year and rainy weather generally. Functional heart conditions, however, have not diminished (20 per cent.) but it should be noted that we include all murmurs and irregularities amongst our records for purposes of information and observation, though obviously in the great majority of cases no symptoms whatever are attached. Figures for school examinations of children have never shown anything like the percentage of murmurs we have shown each year, but it is probably useful to know that a murmur of some kind may be expected to be present in something like one child out of five in the pre-school age period, without tangible disability, in order that the murmur accidentally discovered in a single child may not be given undeserved importance. The difficulty of associating these murmurs with clinical anaemia (i.e. |
47d9a944-9ddc-4683-85b6-86da795bf550 | calling the functional murmur, as it used to be called,' haemic ') is very noticeable this year when anaemia considered clinically, has so far declined ; but it is not inconsistent with the findings published in our report of the year 1932, when we examined in detail that year's records for anaemia, pallor, functional heart conditions and their mutual bearings on each other, and found that anaemia and heart conditions did not necessarily go together. Such findings tend to increase, not diminish, the interest and possible importance of the functional heart murmur as an " original " sign with, maybe, directional significances of its own that we will appreciate better at a later date. So far as heart murmurs and rheumatism are concerned, in only seven of the total children seen were symptoms found that might be called early rheumatism, as compared with 284 " hearts " and of these seven, six cases were girls—a, sex distribution which is consistent with findings in other places. |
bce8d0dd-5b2e-48dc-8609-a92fe5915e29 | The figures for tonsil enlargement again reaches 40 per cent. (It was 45 per cent. last year) but of the total, only 4 per cent were recommended for tonsil or adenoid operation. In view of the possible bearing of unhealthy tonsils on infections of the respiratory tract, and of the high toll which respiratory disease takes on young child life (in comparison nowadays with other illness) it is interesting to find that only 3 per cent. of the 1,385 children examined showed traces of chest trouble present, of whom four were cases of asthma. The figure for behaviour symptoms has not dimished this year (23 per cent. compared with 18 per cent. in 1935), to which might be added G per cent. of cases of minor retardation and less than 3 per cent. of enuresis cases, excluding cases 44 of night enuresis present at the age of 2 years. |
78c630e0-83fa-4ee3-8093-b9f1ddec2e0d | The retardation here mentioned is not in any sense organic, merely a question of training and possibly lack of the stimulating companionship of other children. (Mental deficiency is recorded separately). The behaviour symptoms were practically always such as to yield to simple treatment, and in particular to the salutary change of circumstance which results from a child being able to go to school at the age of 3 years— a privilege which the mother of a lonely, difficult, or unduly clever child is coming more and more to appreciate and voluntarily to accept. With a view to comparison with adult conditions a really careful note was kept of all alimentary symptoms this year and it is perhaps astonishing to find that only 11 out of 1,385 children were credited with symptoms referable to acidosis, once much written up as a children's complaint, and only 15 were constipated, some of the cases very markedly so, but yielding rapidly to treatment in the form of dietary measures and improved regime. Six children only showed worms. |
0cc7719f-5aee-4461-b559-5158333a78a3 | It is obvious that the gastro-enteritis discomforts prevalent in adult life in this century have not yet punctuated the pre-school age period. The problem of rickets, past, present, or imaginary, remains with us as it will till we can submit all questionable cases for X-ray confirmation and biochemical verdict. Cases considered to be showing undoubted rickety stigmata on external appearances once more amount to 18 per cent.—a similar figure to last year—but there were a number of other cases in which a careful record of groups of deformities was kept, in which the diagnosis might well have been made, though the stage for clinical symptoms was long past. |