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bf86fd22-4b99-4d10-a828-ac5e20bb9019 | The Minister directed a payment to be made in respect of one house in the confirmed order as being a well-maintained house. (46) Spray Street.βThis area consisting of 2 houses was represented by me to the Council as an unhealthy area on the 8th July, 1937. The Council made a Clearance Order on the 28th September, 1937. A Ministry of Health Inquiry was held on the 14th December, 1937, and the Clearance Order was confirmed by the Minister without modification on the 27th June, 1938. At the end of 1938 both houses had been demolished. (47) Albert Road (No. 1).βThis area consisting of 2 houses was represented by me to the Council as an unhealthy area on the 8th July, 1937, and the Council made a Clearance Order on the 28th September, 1937. |
b73daba5-425e-47a8-8289-aa0186e503b7 | The Order was unopposed and after inspection the Minister confirmed the Order without modification on the 27th June, 1938. At the end of 1938 both houses had been vacated. (48) Taylors Buildings.βThis area consisting of 2 houses was represented by me to the Council as an unhealthy area on the 8th July, 1937, and the Council made a Clearance Order on the 28th September, 1937. A Ministry of Health Inquiry was to have been held on the 14th December, 1937. The owners submitted a scheme for the different user of the buildings and in order that this might be considered fully the Inquiry was adjourned by the Minister on the application of the Council. Subsequently the Council decided to deal with these houses as separate dwellings and to accept undertakings from the owners that they would not be used for human habitation. These undertakings were accepted on the 20th July, 1938. |
a35d093c-3c79-4875-9f54-bf9a4d39ff9e | (49) Joseph Street (now Glenalvon Place).βThis area consisting of 16 houses was represented by me to the Council as an unhealthy area on the 9th September, 1937, and the Council made a Clearance Order on the 16th November, 1937. A Ministry of Health Inquiry was held on the 8th February, 1938, and the Clearance Order was confirmed by the Minister, without modification, on the 24th June, 1938. The Minister directed payments to be made in respect of three houses as being well-maintained houses. At the end of 1938, 11 houses had been vacated. (50) Hill Street (now Hillreach).βThis area consisting of 4 houses was represented by me to the Council as an unhealthy area on the 9th September, 1937, and the Council made a Clearance Order on the 16th November, 1937. |
8270307b-06b7-48cf-a9ee-cdbae502a80d | The Order was unopposed and after inspection the Minister confirmed the Order without modification on the 24th June, 1938. At the end of 1938, 2 houses had been vacated. 68 (51) Old Mill Road.βThis area consisting of 4 houses was represented by me to the Council as an unhealthy area on the 9th September, 1937, and the Council made a Clearance Order on the 16th November, 1937. The Order was unopposed and after inspection the Minister confirmed the Order without modification on the 24th June, 1938. At the end of 1938, 2 houses had been vacated. (52) Churchfield Estate (No. 2).βThis area consisting of 42 hutments was represented by me to the Council as an unhealthy area on the 7th October, 1937, and the Council made a Clearance Order on the 16th November, 1937. |
0b0dec32-3f48-48f8-85c9-dc981d731171 | The Order was unopposed and after inspection the Minister confirmed the Order without modification on the 24th February, 1938. At the end of 1938, 38 houses had been vacated, 31 of which had been demolished. (53) Churchfield Estate (No. 3).βThis area consisting of four hutments was represented by me to the Council as an unhealthy area on the 7th October, 1937, and the Council made a Clearance Order on the 16th November, 1937. The Order was unopposed and after inspection the Minister confirmed the Order without modification on the 24th February, 1938. At the end of the year all the hutments had been demolished. (54) Anglesea Avenue.βThis area consisting of 3 houses was represented by me to the Council as an unhealthy area on the 7th October, 1937, and the Council made a Clearance Order on the 16th November, 1937. |
8b6ab64a-b60c-48cc-a40c-b61b99624680 | A Ministry of Health Inquiry was held on the 8th February, 1938, and the Order was confirmed by the Minister without modification on the 24th June, 1938. At the end of 1938 all the houses had been vacated. (55) Bloomfield Road and Cave Cottages.βOn the 6th January, 1938, I represented this area, consisting of 3 houses as an unhealthy area. The houses in question are known as Bloomfield Road No. 136 and Cave Cottages Nos. 1 and 2. The number of occupants was 15. The Council made a Clearance Order on the 16th March, and a Ministry of Health Inquiry was held on the 13th June. The Order was confirmed by the Minister, without modification, on the 25th November, 1938. Re-housing is to be provided on the Horn Park Estate. |
e350a489-6c2c-4461-9c81-280a141fec52 | (56) Kidd Cottages.βOn the 6th January, 1938,1 represented this area, consisting of 2 houses, as an unhealthy area. The houses in question are known as Kidd Cottages, Nos. 1 and 2. The number of occupants was 8. The Council made a Clearance Order on the 16th March, and a Ministry of Health Inquiry was held on the 13th June. The Order was confirmed by the Minister without modification on the 25th November, 1938. Re-housing is to be provided on the Horn Park Estate. 69 (59) Dairy Lane.βOn the 3rd February, 1938,1 represented this area, consisting of 4 houses, as an unhealthy area. The houses in question are known as Dairy Lane, Nos. 1, 2, 3 and 4. The number of occupants was 20. |
9587a253-426b-4e5f-8530-99ce14559abb | The Council made a Clearance Order on the 16th March, and a Ministry of Health Inquiry was held on the 13th June. The Order was confirmed by the Minister without modification on the 25th November, 1938. Re-housing is to be provided on the Horn Park Estate. (60) Rideout Street.βOn the 3rd February, 1938, I represented this area, consisting of 4 houses, as an unhealthy area. The houses in question are known as Rideout Street, Nos. 1, 2, 3 and 4. The number of occupants was 25. The Council made a Clearance Order on the 16th March, and a Ministry of Health Inquiry was held on the 13th June. The Order was confirmed by the Minister without modification on the 25th November, 1938. Re-housing is to be provided on the Horn Park Estate. |
552342c9-2afe-4f39-91e5-ed880f606da3 | (61) The Slade.βOn the 3rd February, 1938, I represented this area, consisting of 5 houses, as an unhealthy area. The houses in question are known as The Slade, Nos. 29, 30, 31, 32 and 33. The number of occupants was 11. The Council made a Clearance Order on the 16th March. The Order was unopposed, an objection thereto having been withdrawn. The Order was confirmed by the Minister without modification on the 25th November, 1938. Re-housing is to be provided on the Horn Park Estate. (62) Shipmans Cottages.βOn the 10th March, 1938, I represented this area, consisting of 2 houses, as an unhealthy area. The houses in question are known as Shipmans Cottages Nos. 1 and 2. The number of occupants was 7. |
769bb865-d312-4716-8e93-2dae4697be7b | The Council made a Clearance Order on the 27th April, and a Ministry of Health Inquiry was held on the 18th July. The Order was confirmed by the Minister without modification on the 22nd November, 1938. Re-housing is to be provided on the Horn Park Estate. (63) Leon Street.βOn the 10th March, 1938, I represented this area, consisting of 6 houses, as an unhealthy area. The houses in question are known as Leon Street, Nos. 3, 4, 5, 6, 7 and 8. The number of occupants was 17. The Council made a Clearance Order on the 27th April, and a Ministry of Health Inquiry was held on the 18th July, 1938. The Minister did not confirm the Order, having decided to accept the undertaking offered by the owner to re-condition these properties. |
0ecf47d2-19fd-4a84-96b6-e39f6a902177 | (64) Rectory Place and Leon Street.βOn the 10th March, 1938, I represented this area, consisting of 15 houses, as an unhealthy area. The houses in question are known as Rectory Place, Nos. 15, 17, 19, 25, 26, 28, 30, 36, 38, 40, 42, 44 and 46, and Leon Street, Nos. 1 and 2. The number of occupants was 78. The Council made a Clearance Order on the 27th April, and a Ministry of Health Inquiry was held on the 18th July. The Order was confirmed by the Minister, without modification, on the 22nd November, 1938. Re-housing is to be provided on the Horn Park Estate. |
cba54e96-dcc0-45a6-bca1-102105cc361f | 70 (65) Sidney Cottages, Reidhaven Road.βOn the 7th July, 1938, I represented this area, consisting of 2 houses, as an unhealthy area. The houses in question are known as Sidney Cottages, Nos. 1 and 2. The number of occupants was 7. The Council made a Clearance Order on the 13th September, 1938. No Inquiry had been held by the end of the year. Re-housing is to be provided on the Horn Park Estate. (66) Foreland Street (No. 1).βOn the 7th July, 1938, I represented this area, consisting of 8 houses as an unhealthy area. The houses in question are known as Foreland Street, Nos. 2, 4, 6, 8, 10, 12, 14 and 16. The number of occupants was 37. |
9de09212-033d-4677-a27c-7d7eab70e5b4 | The Council made a Clearance Order on the 13th September, 1938. No Inquiry had been held by the end of the year. Re-housing is to be provided on the Horn Park Estate. (67) Foreland Street (No. 2).βOn the 7th July, 1938, I represented this area, consisting of 7 houses as an unhealthy area. The houses in question are known as Foreland Street, Nos. 13, 15, 17, 19, 21, 23 and 25. The number of occupants was 30. The Council made a Clearance Order on the 13th September, 1938. No Inquiry had been held by the end of the year. Re-housing is to be provided on the Horn Park Estate. (68) Inverary Place.βOn the 7th July, 1938, I represented this area, consisting of 8 houses as an unhealthy area. |
9a101949-4c38-440b-a5de-0653f26b3469 | The houses in question are known as Inverary Place, Nos. 1, 2, 3, 4, 5, 6, 7 and 8. The number of occupants was 23. The Council made a Clearance Order on the 13th September, 1938. The Order was unopposed but had not been confirmed by the Minister by the end of the year. Re-housing is to be provided on the Horn Park Estate. (69) Frances Street.βOn the 8th September, 1938, I represented this area, consisting of 3 houses as an unhealthy area. The houses in question are known as Frances Street, Nos. 153, 155 and 157. The number of occupants was 11. The Council made a Clearance Order on the 15th November, 1938. No Inquiry had been held at the end of the year. Re-housing is to be provided on the Horn Park Estate. |
aed48b35-5747-4330-8c01-c2acbd7a320b | (b) The second section consists of the clearance areas dealt with by means of Compulsory Purchase Orders. (57) Brickfield Cottages.βOn the 6th January, 1938, I represented this area, consisting of 7 houses, as an unhealthy area. The houses in question are known as Brickfield Cottages, Nos. 1, 2, 3, 4, 5, 6 and 7. The number of occupants was 21. The Council decided to secure the clearance of the area by purchasing the land comprised in the area and a Compulsory Purchase Order was made on the 16th March. A Ministry of Health Inquiry was held on the 13th June. The Order was confirmed by the Minister without modification on the 25th November, 1938. The Minister directed payments to be made in respect of two of the houses as being well-maintained houses. Re-housing is to be provided on the Horn Park Estate. |
11ebff20-ce64-4ce9-b0f0-c9a09006fa3b | 71 (58) Surgeon Street.βOn the 6th January, 1938, I represented this area, consisting of 3 houses, as an unhealthy area. The houses in question are known as Surgeon Street, Nos. 5, 6 and 7. The number of occupants was 16. The Council decided to secure the clearance of the area by purchasing the land comprised in the area. The Council made a Compulsory Purchase Order on the 16th March, and a Ministry of Health Inquiry was held on the 13th June, 1938. The Order was confirmed by the Minister without modification on the 25th November, 1938. Re-housing is to be provided on the Horn Park Estate. (70) Albert Road (No. 2).βOn the 8th September, 1938, I represented this area consisting of 26 houses, as an unhealthy area. The houses in question are known as :β Albert Road, Nos. |
6e62000a-d493-4da1-936d-1d9653eb4295 | 152, 154, 156, 158, 160, 162, 164, 166, 168, 170, 172, 174, 176, 178, 180, 182, 184, 186, 188, 190, 192, 194, 196, 198, 200 and 202. The Council decided to secure the clearance of this area by purchasing the land comprised in the area and also to acquire certain adjoining lands which are reasonably necessary for the satisfactory development or user of the cleared area. The total number of occupants was 151, of whom 143 were in occupation of houses in the clearance area and 8 in occupation of houses on the additional lands. The Council made a Compulsory Purchase Order on the 15th November, 1938. No Inquiry had been held at the end of the year. Re-housing is to be provided on the Woodlands Estate, Flaxton Road, Plumstead. |
90cc2308-1d36-4e2f-adac-deedc242bf7b | (71) Garland Road and Pendrell Street.βOn the 8th September, 1938, I represented this area, consisting of 81 houses as an unhealthy area. The houses in question are known as :β Garland Road, Nos. 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 43, 45, 47, 49, 51, 53 and 55. Pendrell Street, Nos. |
ef2e27c4-a2d6-41e5-b4bc-56f12b127dc5 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39 and 40. The Council decided to secure the clearance of the area by purchasing the land comprised in the area and also to acquire certain adjoining lands which are reasonably necessary for the satisfactory development or user of the cleared area. The total number of occupants was 278 of whom 276 were in occupation of houses in the clearance area and 2 in occupation of houses in the additional lands. The Order had not been made at the end of the year. |
8cb4f2e2-ab32-4d29-8234-035960471bf8 | Re-housing is to be provided on the Woodlands Estate, Flaxton Road, Plumstead. The total number of houses included in these 71 areas is 667 the corresponding figures at the end of 1937 being 54 and 481 respectively. The Clearance Area programme of the Borough Council is not yet complete. 72 The London County Council have taken action in Woolwich in respect of the under-mentioned unhealthy areas :β (Π°) Parlcdale Road Area.βA Clearance Order in respect of this area of 8 houses was confirmed in 1936. At the end of 1937 all the houses had been demolished. (Π±) Rope Yard Rails Areas.βOn the 26th November, 1935, Dr. W. E. Roper Saunders, a medical officer of health appointed by the London County Council for the purpose of carrying into effect Part I of the Housing Act, 1930, made an official representation with respect to a group of areas known as Ropeyard Rails Areas (Nos. |
4ad2acfc-3aab-4d82-98c9-954f37da8e2f | 1 to 8). They comprise 125 houses, including 4 tenement houses with 38 flats. The displacement of 1,021 persons is involved. At their meeting on the 21st July, 1936, the London County Council declared each of these areas to be a clearance area. In July, 1937, however, the Council decided to deal with three of these areas and part of three others by means of Compulsory Purchase Orders, including therein certain additional lands. Orders with respect to areas Nos. 1 and 8 were made on the 17th June, 1938. No Inquiry had been held at the end of the year. The houses included in the Clearance Areas 1 and 8 are as follows :β No 1 Order. Woolwich High Street, Nos. 50, 51, 52, 54, 55, 56, 56a. Meeting House Lane, Nos. |
997acc92-2bc1-44f4-8658-4e632fdff3b7 | 1, 2, 3, 4, 5, 6, 7, 8. Collingwood Place, Nos. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 13. Nelson Street, Nos. 7, 8, 9, 10, 11, 14. Globe Lane, No. 14. Rodney Street, Nos. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13. No. 8 Order. Woolwich High Street, Stanley House, Sidney House, Albert House, Fore House and Nos. 42, 43, 44, 45, 46. Nelson Street, No. 1. |
97d791f5-f84e-4967-9ccc-f5b18075d397 | (c) Barnfield Road Areas.βThese areas, details of which were given in my report for 1936, were represented to the Council on the 11th December, 1935, by Dr. J. Bruce Low. The Council subsequently made compulsory purchase orders in respect of the unfit areas and also certain adjoining houses and lands. On the 25th October, 1937, a Ministry of Health Inquiry was held. The Orders were confirmed by the Minister, with modifications, on the 13th April, 1938. Blocks of flats are being erected on the sites. 73 (d) Warwick Street Areas.βOn the 15th May, 1936, Dr. W. E. Roper Saunders, a Medical Officer of Health appointed by the London County Council for the purpose of carrying into effect Part III of the Housing Act, 1936, made an official representation with respect to a group of areas known as the Warwick Street Nos. 1-11 Areas. |
56ae9903-7f4f-4667-ad7f-158f881b9a7f | The County Council at their meeting on the 17th May, 1938, resolved to deal with all these areas; with some of them and certain additional lands reasonably necessary for redevelopment purposes by means of Compulsory Purchase Orders and with the remainder by means of Clearance Orders. These Orders were made on 17th March, 1939. The clearance areas comprise 318 dwellings. The displacement of 1,616 persons, including 276 living in houses on the additional lands, is involved. The houses included in the clearance areas are as follows:β Area No. 1. Woolwich Church Street, Nos. 232, 234, 236, 238, 240, 242, 244. Martyr's Passage, Nos. 3, 4, 5, 6, 7, 8, 9, 16. Kingsman Street, Nos. |
86b430a3-8fdd-4d3b-8fd6-72624081ffb5 | 22, 24, 26, 28, 29, 31, 32, 34, 36, 38, 40, 41, 42, 43, 44, 45, 46, 47, 48, 50, 52, 54, 56, 62, 64, 66, 68. Warwick Street, Nos. |
cde27296-25b1-4a9f-98e8-34847080f128 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12a, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35., 36, 37, 38, 39, 41, 42, 43, 44, 45, 46, 62, 63, 64, 66, 67, 68, 69, 70, 71, 72 Paradise Place, Nos. |
f28b5b0c-4d61-4f63-bf6b-141f335cce70 | 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, 15, 16, 17, 17a, 19 and The Villa. Chapel Hill, Nos. 12, 13, 14, 40a, 41, 42 and St. Francis Flats, No. 2. Marybank, Nos. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16. Elgin Terrace, Nos. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10. Samuel Street, Nos. 7, 9. Area No. 2. North Kent Grove, No. |
0e0b93ad-0197-450c-9ecd-d984e0c04619 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21. North Kent Place, Nos. 1, 2, 3, 4, 5. Area No. 3. Limbreys Buildings, Nos. 3, 4, 5, 6, 7, 8, 9, 10, 11, 12. Area No. 4. Frances Street, Nos. |
411cd774-c6c9-42ab-9584-2223e044e18d | 24, 26, 28, 30, 32, 34, 36, 38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58, 60, 62, 83, 85, 87, 89, 91, 93, 95, 97, 99, 101, 103, 105, 107. Thrift Cottages, Nos. 1 and 2, 3, 4. Eustace Place, Nos. 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37 and 38. Borgard Road, Nos. 17, 18, 19. 74 Area No. 5. Chapel Hill, Nos. 15, 16. Belson Road, No. |
47d1196e-7fd0-4d47-827a-4a2d20c075f0 | 1. Sims Buildings, Nos. 6, 7, 8, 9, 10. Area No. 6. Frances Street, Nos. 66, 68, 70, 74, 76, 78, 80, 82, 84, 86, 88, 90. Harrington Buildings, Nos. 2, 3, 4, 5, 6. Railway Court, Nos. 5, 6, 7, 8 ; 1, 2, 3, 4. Samuel Street, Nos. 15, 17, 19, 21, 23, 25, 27, 29, 31. Chapel Hill, Nos. 19, 20, 21, 22, 23, 25, 26, 27, 28, 29, 30, 34, 35, 36. |
f8ecdf7a-787f-45d7-9694-49c8a89f96a4 | Sims Buildings, Nos. 1, 2, 3, 4, 5. Area No. 7. Chapel Hill, No. 7, 8, 9, 10. Area No. 8. Woolwich Church Street, Nos. 218, 220, 222, 224, 226. Areas No. 9 and 9a. Kingsman Street, Nos. 8, 10, 12, 14. Woolwich Church Street, Nos. 268, 270. Area No. 10. Woolwich Church Street, No. 198, 200. Area No. 11. Woolwich Church Street, Nos. 254, 256, 258, 260. The London County Council programme, like that of the Borough Council, is not yet complete. 75 SECTION VII. PREVALENCE AND CONTROL OF INFECTIOUS DISEASE. |
03789d05-2e60-41ed-ba29-6d503f0b3a43 | In addition to food poisoning, which is reported on in Section VIII, the following diseases are notifiable in the Borough :β Anthrax Ophthalmia Neonatorum Cerebro-spinal Meningitis PneumoniaβAcute Primary Cholera PneumoniaβAcute Influenzal Continued Fever Poliomyelitis Diphtheria Polio-encephalitis Dysentery Plague Encephalitis Lethargica Puerperal Fever Erysipelas Puerperal Pyrexia Enteric (or Typhoid) Fever Relapsing Fever Glanders Scarlet Fever (or Scarlatina) Hydrophobia Smallpox Malaria Tuberculosis Measles Typhus Fever Membraneous Croup Whooping Cough Zymotic Enteritis Included in the above list are measles and whooping cough. These diseases became notifiable on 1st October, 1938. |
8a377685-bcb9-44f0-84f9-616f2f11a703 | No notification, however, is required if a previous case in the household has been notified within the past two months. German measles is not notifiable. Although notification of an infectious disease in a house is incumbent not only upon the medical practitioner in attendance but also upon the head of the family or the nearest relative or person in charge of the patient, in actual fact it is a rare thing for a lay notification to be received. If the patient is an inmate of a Hospital, in most cases the certificate is to be sent to the Medical Officer of Health of the district in which the usual residence of the patient is situate, but cases of malaria, dysentery and the acute pneumonias, are always notifiable to the Medical Officer of Health of the district in which the patient is residing at the time he is notified. In London, the London County Council maintain institutions for the isolation and treatment of the sick suffering from infectious diseases. |
0b04a35a-73e2-4edf-888a-171d56099642 | Cases from Woolwich are usually admitted to the Brook Hospital, Shooters Hill, or to the Park Hospital, Hither Green, but during times of pressure cases are sent to Joyce Green Hospital, Dartford, or indeed, to any of the fever hospitals belonging to the London County Council. 76 The less common infectious diseases are admitted to any of the London County Council's infectious disease hospitals, but it is the practice of the County Council to select certain of their hospitals for the treatment of such diseases as puerperal fever, or anterior poliomyelitis, so that special facilities and experience may be available for these cases. The total number of notifications, excluding cases of tuberculosis, which are dealt with later in this Section, was 1,324, compared with 1,318 in 1937. In tabular form are shown in the next five Tables statistics relating to the incidence of infectious disease in the Borough in 1938 and previous years. |
11351331-ea6e-4e4d-95c7-d27a28e5c9b4 | The incidence of measles and whooping cough was higher than this table indicates because they were only notifiable during the last quarter of the year. TABLE No. 35. Notifications of Infectious Disease (excluding Tuberculosis), 1938. Diseases. Total Cases Notified. Admissions to Hospital. Total Deaths. |
18b0c3e8-5474-4322-babb-c7a649ad501a | Diphtheria 264 264 8 Scarlet Fever 507 473 4 Enteric Fever (including Para-Typhoid Fever) 6 6 1 Puerperal Fever 8 8 β Puerperal Pyrexia 37 31 β Erysipelas 94 55 1 Smallpox β β Pneumonia 207 150 96 Malaria 4 4 β Ophthalmia Neonatorum 32 6 β Encephalitis Lethargica β β 3 Dysentery 50 20 β Cerebro-Spinal Meningitis 6 6 3 Poliomyelitis 5 5 1 Polio-encephalitis β β β Zymotic Enteritis 61 56 19 *Measles 8 β 235 β 4 *Whooping Cough 35 β 14 1 1,324 1,319 140 *These diseases became notifiable on 1st October, |
fbf2c44c-0cd7-47a5-a81b-ec27c60f33ba | 1938. β Includes non-notified cases. 77 TABLE No. 36. Notification of Infectious Diseases (excluding Tuberculosis), 1938. Diseases. Number of Cases Notified. All Ages. Age Groups. Under 1 year. 1 and under 2 years. 2 and under 3 years. 3 and under 4 years. 4 and under 5 years. 5 and under 10 years. 10 and under 15 years. 15 and under 20 years. 20 and under 35 years. 35 and under 45 years. 45 and under 65 years. 65 and over. Diphtheria 264 10 9 18 19 20 118 31 9 27 1 1 1 Scarlet Fever 507 1 13 18 34 36 173 72 99 51 5 5 β Enteric Fever (including Paratyphoid Fever) |
490f55dd-2a9d-4b5c-9718-45eebf13a9db | 6 - - - - - - 1 1 2 2 - - Puerperal Fever 8 β β β β β β β 1 6 1 - β Puerperal Pyrexia 37 β β β β β β β 1 30 6 - β Erysipelas 94 1 1 β 1 β 4 3 6 15 10 43 10 Smallpox β β β β β β β β β β β β β Pneumonia 207 19 8 12 12 7 17 8 12 22 21 44 25 Malaria 4 β β β β β 3 β β 1 β β β Ophthalmia Neonatorum 32 32 β β β β β β β β β β β Encephalitis Lethargica β β β β β β β β β β β β β Dysentery 50 1 3 1 2 2 8 |
66229880-6035-499f-8917-cf9d21850ddb | 6 1 11 5 9 1 Cerebro-spinal Meningitis 6 2 β β β β 1 β 1 1 β 1 β Poliomyelitis 5 β 1 1 β β 2 β 1 β β β β Polio-encephalitis β β β β - β β β β β β β β Zymotic Enteritis 61 40 8 6 1 3 1 β β 1 1 β β *Measles 2,560 65 155 188 378 418 1,289 51 9 6 1 β β *Whooping Cough 45 6 3 2 4 7 21 β β β 2 β β 3,886 177 201 246 451 493 1,637 172 141 173 55 103 37 *Includes all known cases, whether notified or not. 78 TABLE No. |
f89f4610-ec7d-4ba9-b9a5-62b0acd697ff | 37. Ward Incidence of Infectious Diseases (excluding Tuberculosis), 1938. Disease. Borough Dockyard. St. Mary's. River. St. George's, Bur rage. Herbert. Glyndon. St. Margaret's. Central. St. Nicholas. Abbey Wood. Well Hall. Avery Hill. Sherard. Diphtheria 263 14 9 20 25 17 25 34 25 17 25 21 5 9 18 Scarlet Fever 507 22 52 26 82 10 22 20 36 30 67 51 16 18 55 Enteric Fever (including Paratyphoid Fever) 6 - - 1 - 1 _ 1 - - - - - - 3 Puerperal Fever 8 β β 1 1 1 1 β β β 1 |
521908f3-3a61-4b95-ae5a-b9442a260a91 | 2 β β 1 Puerperal Pyrexia 37 1 1 5 β 1 1 2 8 1 2 6 1 2 6 Erysipelas 94 β 7 7 9 7 5 6 8 4 9 4 5 7 16 Smallpox β β β β β β β β β β β β β β β Pneumonia 207 8 5 14 10 17 5 22 12 11 35 17 6 16 29 Malaria 4 β β β 4 β β β β β β β β β β Ophthalmia Neonatorum 32 2 1 1 β 1 1 3 3 1 7 5 β 1 6 Encephalitis Lethargiea β β β β β β β β β β β β β β β Dysentery 50 1 β 5 |
d053162a-5067-4450-b2f7-6106f42c8a8c | 2 2 1 2 3 2 12 3 1 10 6 Cerebro-spinal Meningitis 6 β β β 1 β β 1 1 β 2 β 1 β β Poliomyelitis 5 β β β 1 1 β β β β 1 β 2 β β Polio-encephalitis - - - - - - - - - - - - - - - Zymotic Enteritis 61 1 1 7 4 1 3 4 3 β 8 12 1 5 11 *Measles 2560 136 86 167 204 98 131 122 193 54 129 177 202 127 734 *Whooping Cough 45 β 2 6 2 β β 1 1 β 3 2 β 24 4 3. |
9f2e8ec0-ba8d-46c5-9f2a-ee4a48ed2923 | 886 185 164 260 345 157 195 218 293 120 301 300 240 219 889 β’Includes all known cases whether notified or not. 79 TABLE No. 38. Deaths from Infectious Diseases (excluding Tuberculosis), 1938. Diseases. Number of Deaths. All Ages. Age Groups. Under 1 1- 2- 5- 15- 25- 35- 45- 55- 65- 75- Diphtheria 8 - 1 3 4 - - - - - - - Scarlet Fever 4 β β 1 2 1 - - - - - - Enteric Fever (including Para-typhoid Fever) 1 - - - - - - 1 - - - - Puerperal Fever - - - - - - - - - - - - Puerperal Pyrexia 1 - - - - - - 1 - - - |
0f5ff64f-3a73-4574-b30d-bf2f5713f1a5 | - Erysipelas 1 - - - - - - - - 1 - - Smallpox β β β β β β β β β β β β Pneumonia 96 18 2 3 2 1 6 11 9 17 12 15 Malaria β β β β β β β β β β β β Ophthalmia Neonatorum β β β β β β β β β β β β Encephalitis Lethargica 3 β β β β β β 1 1 β 1 β Dysentery β β β β β β β β β β β β Cerebro-spinal Meningitis 3 1 β β 1 β β β 1 β β β Poliomyelitis 1 β β β β 1 β β β β β β Polio-encephalitis β β β β β β β β β β β β Zymotic Enteritis 26 18 1 β 1 β 1 β β β |
31ba51e5-e0d7-4496-bb40-ca8c4d9bdfe4 | 1 4 Measles 4 1 β 1 1 1 β β β β β β Whooping Cough. 1 1 β β β β β β β β β β 149 39 4 8 11 4 7 14 11 18 14 19 80 TABLE No. 39. Notification of Infectious Diseases (including Tuberculosis), 1916 to 1938. Year. Smallpox Diphtheria and Mem. Croup. Erysipelas Scarlet Fever. Enteric Fever. Continued Fever. Puerperal Fever. Β§ Puerperal Pyrexia. Primary Pneumonia. Influenzal Pneumonia. Malaria. Dysentery. Anthrax. Ophthalmia Neonatorum. Encephalitis Lethargica. Cerebro-spinal Meningitis. |
39c1af64-e355-4af1-be6e-e31eef7df794 | Poliomyelitis and Polio -encephal it is. β‘ Zymotic Enteritis. Pulmonary Tuberculosis. Tuberculosis Non-pulmonary. β Measles x Chicken Pox. 1916 1 271 95 232 9 - 16 - - - - - - 33 - 17 - 80 392 77 1,590 - 1917 277 79 147 12 - 12 - - - - - - 41 β 22 i 101 448 95 1,710 - 1918 240 61 222 12 - 14 - - - - - - 23 β 11 3 118 563 97 800 - 1919 4 398 63 243 26 - 7 - 123 61 7 1 34 3 7 1 123 394 80 1, |
c1a4b926-0163-4ffe-a7b2-e0e20cdc3ec7 | 886 - 1920 1 427 82 538 6 - 13 β 136 β 29 1 β 29 3 6 β 31 359 69 1,013 - 1921 β 592 59 1,351 11 - 14 β 187 49 10 4 β 32 9 2 β 454 285 71 481 - 1922 β 437 37 511 8 1 11 β 212 133 11 β β 26 3 2 4 31 245 60 2, |
58a5fafd-8579-4d99-bfca-decafd642856 | 698 - 1923 β 152 40 334 16 - 8 β 196 46 4 1 β 18 1 5 6 49 245 66 194 - 1924 β 195 45 440 11 - 7 β 249 105 3 1 β 27 17 12 5 13 273 69 2,679 - 1925 β 299 44 364 16 - 9 β 237 40 5 1 β 31 10 5 1 13 246 54 1,916 - 1926 β 393 46 411 8 1 4 7 259 33 5 β β 18 7 9 5 23 287 52 1, |
88233da4-d0c3-444c-8ede-abe6d093b78c | 246 - 1927 β 278 65 478 9 - 8 30 280 36 3 1 β 19 6 4 3 12 269 84 457 - 1928 3 300 89 529 17 - 20 28 216 14 12 1 β 14 8 3 3 5 263 62 2,418 - 1929 5 496 80 567 7 - 15 38 293 90 5 β 1 17 4 9 4 8 250 52 151 - 1930 10 497 77 627 8 - 5 31 262 21 2 1 β 8 β 2 2 22 244 55 2, |
03b56fed-70e5-47a8-9563-e3bdf42a6fe4 | 702 597 1931 3 281 80 387 3 - 8 41 327 44 3 β β 7 2 12 6 3 229 51 113 672 1932 7 233 44 554 3 - 5 35 199 48 2 1 β 7 2 15 6 11 235 48 3,135 β 1933 2 370 67 1,004 5 - 4 36 181 68 2 β β 9 β 9 2 5 207 45 354 β 1934 β 416 119 989 8 - 5 30 273 7 1 β β 7 β 4 3 3 219 50 2, |
22b4ac10-c782-49ea-b494-73a38b1f7490 | 392 β 1935 β 313 78 634 9 - 3 42 230 25 β 1 β 17 1 3 2 5 209 33 656 β 1936 β 176 68 609 12 - 5 23 231 18 2 β 26 1 15 1 63 217 36 2,060 β 1937 β 297 73 428 17 - 10 27 196 76 1 81 β 33 β 10 4 65 228 36 76 β 1938 - 264 94 507 6 - 8 37 200 7 4 50 - 32 - 6 5 61 204 44 2,560 Β§Notification of Puerperal Pyrexia commenced October, 1926. |
da4c15fd-5240-4508-8717-fd4efd5cf093 | β Measles notifiable from 1/1/1916 to 31/12/1919 and from 1/10/38. β‘Compulsory notification of Zymotic Enteritis commenced 1913 x Chicken Pox was made notifiable from April, 1930 to 30th September, 1931. 81 Diphtheria. Notification.βDuring the year 264 cases were notified compared with 297 in 1937 and 176 in 1936. There were 10 military cases. The number of notifications received each quarter was as followsβ First quarter 78 Second quarter 61 Third quarter 70 Fourth quarter 55 Multiple Cases.βThe following Table No. 40 shows the house distribution in wards. The term "house" is synonymous with the term "family," except in two instances where two and three families respectively were involved. TABLE No. 40. DiphtheriaβMultiple Cases, 1938. Dockyard. St. |
f2023e0b-290d-4578-9cdf-b99b8261d513 | Mary's. River. St. George's. Burrage. Herbert. Glyndon. St. Margaret's. Central. St. Nicholas. Abbey Wood. Well Hall. Avery Hill. Sherard. Total Houses. Total Cases. |
e1bd361e-4afc-4c2b-9dde-41e9c542a28a | Number of houses in which 1 case occurred 12 3 14 17 14 16 27 21 12 21 19 3 7 18 204 204 2 cases occurred 1 2 3 - - 2 2 2 1 2 1 1 1 - 18 36 3 β ,, - - - - 1 - 1 - 1 - - - - - 3 9 4 ,, ,, - - - - - - - - - - - - - - - - 6 β β - - - - - 1 - - - - - - - - 1 5 Total houses 13 5 17 17 15 19 30 23 14 23 20 4 8 18 226 254 Military Cases - 2 - 8 - - - - - - - - - - - 10 264 Return Cases.βThere were no return cases. |
417d1581-973b-4aca-ac65-4355efa61f6b | Deaths.βThere were 8 deaths from diphtheria compared with 10 in 1937 and 7 in 1936. Four of these were of children under five years of age and 4 were school children. 82 Antitoxin.βA supply of antitoxin is kept at the Town Hall and at Eltham Library and is available for medical practitioners on application, at cost price, or free, where there is inability to pay. The amount supplied during the year was 80,000 units. The total cost to the Council was Β£4 8s. 0d., all of which was recovered, with the exception of five shillings. Immunisation.βIn 1934, the Council, with the co-operation of the local medical profession, started a scheme for the immunisation of children against diphtheria. The scheme is one in which immunisation is carried out by general practitioners and it was set out in full in my Annual Report for 1934. |
27629c30-5452-44a6-a8e7-355eb99c5d59 | Slight modifications which aie referred to in my Annual Report for 1935 were made during that year. The basis of payment to general practitioners was altered during the year. Every medical practitioner is now paid at the rate of 2s. 6d. per injection and the Council provides the prophylactic. The number of injections per child may be two or three, never one. During 1938, 647 children were immunised and a further 32 were found not to require immunisation. Since the scheme started in November, 1934, 3,010 children in all have been immunised. In order to ascertain whether a child is susceptible to diphtheria or not, use is made of the Schick Test. This may be done before immunisation, but it must be carried out after immunisation in order to ascertain whether the desired result has been obtained. Schick testing clinics have been held as often as was necessary. The figures for the year follow. |
48b03eb2-b9b9-473e-a397-63194fe58a32 | Before a course of immunisation 143 children were found to be Schick positive and 32 Schick negative; after immunisation, including children immunised in 1937, 598 were found to be negative and 61 positive. The total amount of fees paid to general practitioners for immunisation during the year was Β£283 8s. lid. The other costs amounted to Β£102 3s. 9d. Bacteriological Examinations.βThe number of throat or nose swabs examined at the War Memorial Hospital during the year was 1,630 and 106 of these showed the presence of the diphtheria bacillus. Scarlet Fever. Notification.-β-During the year 507 case6 were notified compared with 428 in 1937 and 609 in 1936. There were 118 military cases. The number of notifications received each quarter was as follows :β First quarter 179 Second quarter 151 Third quarter. |
6b1cd2ec-0684-43ec-9604-798e43959a2c | 98 Fourth quarter 79 83 Multiple Cases.βThe following Table No. 41 shows the house distribution by wards. The term "house" is synonymous with the term "family" except in three instances where two families were involved. TABLE No. 41. Scarlet FeverβMultiple Cases, 1938. Dockyard. St. Mary's. River. St. George's. Burrage. Herbert. Glyndon. St. Margaret's. Central. St. Nicholas. Abbey Wood. Well Hall. Avery Hill. Sherard. Total Houses. Total Cases. |
d92d14e9-2db0-4329-bdab-95f9168ae269 | Number of houses in which 1 case occurred 20 8 15 6 10 18 14 21 23 46 40 14 18 55 308 308 2 cases occurred 1 1 2 - - 2 1 6 2 6 4 1 - - 26 52 3 β ,, - - 1 - - - - 1 1 - 1 - - - 4 12 4 β ,, - - 1 - - - 1 - - 1 - - - - 3 12 5 β β - - - - - - - - - 1 - - - - 1 5 Total houses .. 21 9 19 6 10 20 16 28 26 54 45 15 18 55 342 389 Military Cases . . |
aade1873-d938-4cc4-b45f-31ba26598a4f | - 42 - 76 - - - - - - - - - - - 118 507 Return Cases.βThe following Table No. 42 shows the number of return cases, the dates of admission to hospital, and the dates of discharge from hospital. It will be noted that in most of these cases the primary case was less than four weeks in hospital. TABLE No. 42. Scarlet FeverβReturn Cases, 1938. No in Register. Date Admitted to Hospital. Date Discharged. Total Days in Hospital. Onset of Secondary Case. Remarks on Primary Case. 8 β β β February 4th Home isolation. Disinfection, 28/1/39. 52 February 20th.. March 17th 25 April 6th β 107 February 28th April 2nd 33 April 23rd β 84 TABLE No. 42βcontinued. No in Register. Date Admitted to Hospital. |
22756151-838f-45fe-b315-2ec5766d25e2 | Date Discharged. Total Days in Hospital. Onset of Secondary Case. Remarks on Primary Case. 118 March 6th April 2nd 27 April 15th Nasal Discharge. |
18306650-9f83-44d0-8447-7782701b96aa | 230 April 26th May 21st 26 May 23rd - 180 March 31st May 2nd 33 C May 5th - May 6th May 15th 198 April 10th May 21st 42 May 31st - 221 April 23rd May 14th 22 May 24th - May 28th 240 May 3rd May 26th 24 June 1st - June 13th June 14th June 16th 246 May 7th May 24th 18 June 4th - 259 May 14 th July 22nd 70 July 24th - July 25th 319 June 17th July 9th 23 July 24th - 452 October 26th November 19th 25 November 24th - Deaths.βThere were four deaths from scarlet fever during the year; there were not any in 1937. |
565c9e73-f2d6-4f69-8127-4455279bab06 | Home Isolation.βThirty-four cases, or 6.7 per cent, were isolated at home and in one instance a return case occurred. Frequent visits are made by the district sanitary inspectors to a case isolated at home in order to ensure that proper precautions are being taken to prevent the spread of the disease. Employees of the Royal Arsenal are not allowed to remain at work unless cases are removed to hospital, or a certificate of efficient home isolation is issued by the Medical Officer of Health. Two such certificates were issued during the year. Puerperal Fever and Puerperal Pyrexia. Forty-five cases were notified during the year, compared with 37 in 1937 and 28 in 1936. In 37 instances notification was in respect of puerperal pyrexia, but at least three of these notifications should have been puerperal fever. One other case originally notified as puerperal pyrexia was subsequently notified as puerperal fever. |
9da16642-f749-42d3-b806-f84a2eb80cff | In two instances the disease was a sequel to abortion. Thirty-nine cases received hospital treatment. Two cases were nursed under the Council's scheme and one bacteriological examination was made. Mr. Harold Taylor, F.R.C.S., the Council's Consultant, in consultation with the doctor in attendance, saw one patient. 85 Deaths.βThere were no deaths from puerperal fever in 1937 and 1938. There were two in 1936. Erysipelas. The number of notifications of erysipelas was 94, compared with 73 in 1937 and 68 in 1936. There was one death. Malaria. Four cases of this diseaseβall military cases, either soldiers or members of their familiesβwere notified. Enteric Fever. Six cases were notified, all of whom were treated in hospital. There was one death. The following Table No. 43 gives details of each case notified. TABLE No. 43. |
f69b1d39-e56f-4bfe-bac7-b1cf4f75ceae | Enteric Fever, 1938. No. Date Notified. Sex. Age. Diagnosis. Final Diagnosis. Remarks. 1 13/6/38 M. 32 Enteric Fever Typhoid Fever β 2 29/7/38 F. 16 Paratyphoid Fever Pleural Effusion β 3 13/9/38 M. 42 Typhoid Fever Lymphangitis and Inguinal adenitis. β 4 7/10/38 M. 10 Typhoid Fever Typhoid Fever β 5 11/10/38 F. 23 Typhoid Fever Pleurisy with Effusion 6 11/10/38 F. 35 Enteric Fever Typhoid Fever Died 14/10/38 Bacteriological Examinations.βThe number of blood specimens examined at the War Memorial Hospital was 7, and 1 of these was positive. |
bca3e90e-233b-4084-befe-421479329a1d | The number of specimens of stools or urine examined was 8 and of these, none was positive. Dysentery. The number of cases notified during the year was 50. Steps were not taken to confirm the diagnoses bacteriologically except in a few instances. One case was so confirmed. The disease was mild. The number of cases of Dysentery notified in 1937 was 81. Anterior Poliomyelitis. Five notifications of anterior poliomyelitis were received during the year, compared with four in 1937 and one in 1936. All these cases were admitted to the special ward reserved for such cases by the London County Council at the Western Hospital, 86 Encephalitis Lethargica. No case was notified during the year. Three deaths were certified as due to this disease. Smallpox. There were no cases of smallpox. Cerebro-Spinal Meningitis. |
75aa6f4d-2d23-4db3-993b-c1584f5b258b | Six cases were notified, compared with 10 in 1937 and 15 in 1936. There was one military case. All the cases were removed to hospital. Details of each are given in the following Table No. 44. TABLE No. 44. Cerebro-Spinal Meningitis, 1938. No. Date Notified. Sex. Age. Ultimate Diagnosis. Remarks. 1 21/3/38 M. 29 Cerebro-spinal Meningitis β 2 16/6/38 M. 18 Cerebro-spinal Meningitis Military case. 3 22/10/38 F. 1/12 Cerebro-spinal Meningitis β 4 3/11/38 F. 5 Pneumococcal Meningitis Died 7/11/38 5 14/11/38 M. |
9e77e036-6907-48d7-a4a5-8fc68e7b0a65 | 8/12 Pneumococcal Meningitis Died 16/11/38 6 5/12/38 M. 54 Chronic Mastoiditis Died 4/12/38. Whooping Cough. Prior to the 1st October this disease was not notifiable in the Borough, and the two main sources of our knowledge of its incidence were through the School Medical Services and the health visitors. Occasionally, however, information came to us through the local nursing associations and through parents. During the year 45 cases of whooping cough came to the knowledge of the Department, compared with 249 in 1937 and 452 in 1936. The number notified from the 1st October, was 35. Nursing.βOne case was nursed under the Council's scheme, 47 visits in all being paid. The cost of this service was Β£27s. 0d. Deaths.βThere was one death, compared with 5 in 1937. |
650c7d2a-ab59-42c2-9e9c-8816408699f8 | 87 Zymotic Enteritis. Sixty-one cases were notified during the year compared with 65 in 1937 and 63 in 1936. The age incidence is given in Table No. 36. Zymotic enteritis at all ages and not limited to any particular months has been notifiable in Woolwich for many years. The number of deaths in children under two years of age certified to be due to diarrhoeal diseases was 19. Ophthalmia Neonatorum. Thirty-two cases were notified, six of which were admitted to hospital. Nursing assistance in accordance with the Council's scheme was given in the remaining twenty-six cases, 617 visits in all being paid. The cost of this service was Β£30 17s. Od. The following Table No. 45 gives details of each case. TABLE No. 45. Ophthalmia Neonatorum, 1938. Notified Date. Cases Treated Vision Impaired. |
59648e26-514e-4424-927d-f2c92457492c | Vision Unimpaired. Total Blindness. Deaths. At Home. In Hospital. 24/1/38 - Yes - Yes - - 15/1/38 Yes β β Yes β β 26/1/38 Yes β β Yes β β 7/2/38 Yes -β β Yes β β 17/3/38 β Yes β Yes β β 18/3/38 Yes β β Yes β β 23/3/38 Yes β β Yes β β 25/3/38 β Yes β Yes β β 30/3/38 Yes β β Yes β β 28/4/38 Yes β β Yes β β 14/5/38 Yes β β Yes β β 14/5/38 Yes β β Yes β β 27/5/38 Yes β β Yes β β 10/6/38 β Yes β Yes β β 15/6/38 Yes β Moved from districtβAd dress unknow n. |
4c3d965b-cc77-4520-a517-5bb53ea9fa5d | 25/6/38 Yes β β Yes β β 30/6/38 Yes β β Yes β β 12/7/38 Yes β β Yes β β 21/7/38 Yes β β Yes β β 30/7/38 Yes β β Yes β β 6/8/38 Yes β β Yes β β 12/8/38 Yes β β Yes β β 14/9/38 Yes β β Yes β β 15/10/38 Yes β β Yes β β 8/11/38 Yes β β Yes β β 10/11/38 Yes β β Yes β β 12/11/38 Yes β β Yes β β 15/11/38 Yes β β Yes β β 22/11/38 Yes β β Yes β β 23/11/38 β Yes β Yes β β 15/12/38 β Yes β Yes β β 15/12/38 Yes β - Yes - - 88 Measles. |
8602944e-bbb0-4888-b270-d3d69028e5c6 | Prior to the 1st October this disease was not notifiable in the Borough and the two main sources of our knowledge of its incidence were through the school medical services and the health visitors. Occasionally, however, information came to us through the local nursing associations or from parents. During the year 2,560 cases, including 51 cases of German Meales, were discovered. In 1937 and 1936, the corresponding figures were 76 and 2,060. The number of cases notified from the 1st October to the end of the year was 8. Measles occurs in epidemic form every two years, usually for four months. |
3742ba92-f49b-4159-a7c5-eb8e75517d9d | The incidence in each of the twelve months of the year was as follows :β January 37 February 152 March 643 April 735 May 624 June 287 July 59 August 8 September 4 October 2 November 7 December 2 From these figures it will be noted that the disease first assumed epidemic proportions in February, reached its peak in April and fell away thereafter. The Council's scheme for measles control was put in force at the beginning of February, two temporary health visitors being appointed. They investigated every reported case of measles from whatever source information came; they visited cases absent from school from unknown causes and every case of suspected measles. The staff health visitors made subsequent visits to cases where children were under school age, but where they were of school age the subsequent visits were made by temporary health visitors. |
7490dbe6-63a0-465d-9d31-5f4ac3474f81 | Notices were sent to head teachers when the diagnosis of measles was not confirmed, when suspect cases were diagnosed as measles and when cases of measles in school children came to the knowledge of the Department other than through the school medical service. The co-operation between the School Medical Service and the Department was excellent, visits being paid to every home where cases of measles or suspected measles were living, within 48 hours of the teacher sending the notification to the Department. The scheme worked very well in other respects. It enabled the normal routine work of the health visitors to be maintained with very little disturbance; it ensured the early diagnosis of secondary cases and their exclusion from school in an infectious state; it ensured the early provision of nursing assistance and it enabled arrangements to be made for the early admission of cases to hospital where necessary. Home Nursing.βIn 59 cases nursing assistance was provided, 469 visits in all being paid. The cost to the Council was Β£22 5s. |
de8055da-219f-49b7-b4cc-332899eccb49 | 6d, 89 Hospital Treatment.βThe number of children admitted to Fever Hospitals was 235. Deaths.βThere were four deaths. Pneumonia. The following Table No. 46 shows the number of notifications of pneumonia received each month, classified by sex and according to type. It also shows the number of deaths occurring from acute primary pneumonia and influenzal pneumonia. TABLE No. 46. Monthly Incidence of Pneumonia, 1938. Month. Male. Female. Total. Type. No. of Deaths. Lobar. Broncho. Influenzal. Acute Primary (not specified) Acute Primary Pneumonia. Influenzal Pneumonia. January 23 14 37 8 8 1 20 20 β February 11 8 19 8 2 β 9 13 β March 15 18 33 17 4 β 12 |
04a92ce8-928e-46b1-9d12-68c0e47b44e2 | 15 1 April 10 8 18 9 1 1 7 7 - May 12 12 24 14 β 1 9 5 1 June 7 2 9 3 β 1 5 2 β July 6 4 10 3 3 β 4 S β August 2 3 5 2 3 β - 5 β September 6 1 7 3 β 1 3 1 β October 10 3 13 10 1 β 2 1 β November 9 2 11 3 3 β 5 5 β December 10 11 21 8 5 2 6 14 β 121 86 207 88 30 7 82 96 2 The number of cases notified was 207, compared with 272 in 1937. Of these 7 were influenzal. |
b6fa4055-d222-4eed-94ff-dbd5fbcf7eac | The number of deaths certified to be due to lobar or bronchial pneumonia was 96 and to acute influenzal pneumonia 2. The ward incidence of the pneumonias is shown in Table No. 37. 90 There is misunderstanding about the notification of pneumonia. All primary pneumoniasβlobar or bronchoβhave to be notified. Secondary pneumonias, with the single exception of acute influenzal pneumonia, are not notifiable. The main objects underlying notification are to provide (a) statistical evidence of the prevalence of the disease or diseases and (b) nursing assistance if required. Nursing.βNursing assistance is provided by the Council for cases of pneumonia, and during the year 23 cases were nursed, 517 visits being paid by the nurses of the local nursing associations. The total cost to the Council was Β£32 7s. 6d. |
83e8cff4-10b9-4a67-a966-f3a180176fd3 | Anti- Pneumococcal Serum.βDuring the year the Council provided free of charge to medical practitioners, anti-pneumococcal serum (Felton's) for the treatment of persons suffering from pneumonia. The total cost to the Council was Β£27 10s. 0d. Tuberculosis. The Council's Tuberculosis Service is under the general administrative control of the Medical Officer of Health and is in charge of a whole-time Tuberculosis Officer. Three assistant Medical Officers, who are whole-time Officers in the service of the Council, spend three half days per week each on tuberculosis work and eight half days on maternity and child welfare work. There are three whole-time tuberculosis visitors, one clerk-dispenser who acts as Secretary to the Tuberculosis Care Committee and one clerk. Deaths.βThe following Table No. 47 shows the number of deaths and death rates every year since 1934. Ninety-one or 71 per cent, of the deaths occurred while patients were undergoing residential treatment. |
e3aa3290-f05c-4899-8628-ede4643479c3 | TABLE No. 47. TuberculosisβDeaths and Death Rates. Year. Deaths. Death-rates. All Forms. Pulmonary. NonPulmonary. All Forms. Pulmonary. NonPulmonary. 1934 146 120 26 1.00 0.82 0.18 1935 136 121 15 0.93 0.82 0.10 1936 116 104 12 0.79 0.71 0.08 1937 119 105 14 0.79 0.70 0.09 1938 128 117 11 0.85 0.78 0.07 In addition to the above, four cases, who had been notified as suffering from pulmonary tuberculosis, died during the year from other causes which are set out in the following Table No. 48. 91 TABLE No. 48. Case No. |
f723be51-174f-48a7-aa2f-d73c50a9fa12 | Date Notified as Tuberculosis. Cause of Death. 1 25/9/37 Acute Endocarditis and Myocarditis. Septicaemia. 2 18/4/35 General Peritonitis. Perforated Duodenal Ulcer. 3 29/12/37 Malignant neoplasm of omentum. 4 26/10/38 Myelocytic Leukaemia. The period which elapsed between notification and death is shown below in Table No. 49. TABLE No. 49. Period between Notification and Death. Pulmonary. Percentage. NonPulmonary. Percentage. |
310405a4-ce70-4d06-aff8-02679a0fdeb3 | Not notified 10 8.5 7 63.6 0-1 month 18 15.4 3 27.3 1-3 months 15 12.8 β β 3-6 months 13 11.1 - β 6-12 months 12 10.2 - β 1-2 yeafs 16 13.7 1 9.1 2-5 years 17 14.6 β β Over 5 years 16 13.7 β β 117 100.0 11 100'00 The ratio of non-notified deaths to the total notified deaths was as 1 is to 8. In 1937 it was as 1 is to 8 and in 1936, as 1 is to 14. Notifications.βDuring the year 204 cases of pulmonary tuberculosis and 44 cases of non-pulmonary tuberculosis were notified. These figures do not include 40 duplicate notifications. |
4f42e00d-52e1-453e-ae1f-f2837acb89e9 | The ward incidence of notified cases of tuberculosis was as follows. In each case the first figure is the pulmonary figure and the second, non-pulmonary. Dockyard, 7 and nil; St. Mary's, 5 and 1; River, 19 and 3; St. George's, 9 and 1; Burrage, 14 and 3; Herbert, 16 and 5; Glyndon, 11 and 5; St. Margaret's, 12 and 1; Central, 6 and nil; St. Nicholas, 28 and 6; Abbey Wood, 11 and 2; Well Hall, 14 and 5; Avery Hill, 16 and 7; Sherard, 36 and 5. 92 The responsibility for maintaining a correct register of all cases of tuberculosis in the Borough is placed on the Medical Officer of Health by the Public Health (Tuberculosis) Regulations, 1930. |
12a49944-b91b-4ad5-87d4-763321fe9396 | To do so it is necessary to delete from the register the names of all those who have died, or have been lost sight of, or have removed to other areas; those patients regarded as cured, and those in whom the diagnosis was not confirmed. It is necessary also to add the names of new cases, lost cases who have been traced, cured cases who have relapsed and those coming to live in the district from elsewhere. The number of inward transfers was 46 and the number of transfers from the borough was 69. The following Table No. 50 shows the changes which have taken place in the register during the year. TABLE No. 50. Pulmonary Non-Pulmonary Totals. |
7f08a59a-927d-4cbf-b32a-b2968d4e5634 | M. F. M. F. Number on Register on 1st January, 1938 431 341 83 73 928 Number of new Cases notified 126 77 23 22 248 Number of Cases restored 3 6 1 2 12 Other additions 18 15 5 5 43 Deletions 145 121 31 31 328 Number on Register on 31st December, 1938 433 318 81 71 903 At the end of the year the total number on the register was 903 and of this number 96 per cent, were on the dispensary register. In 1937 the corresponding percentage was 94 and in 1936 it was 90.4. Only those patients receiving public medical treatment and supervision are entered on the dispensary register. The following Table No. 51 shows, allocated to district of usual residence, the new cases notified during the year and corresponding case rates. TABLE No. 51. |
92de7a9a-7d27-422b-b54a-6d9f29524bca | Woolwich. Plumstead. Eltham. The Borough. Pulmonary Tuberculosis : Cases 40 98 66 204 Rates 1.4 1.4 1.2 1.4 Non-Pulmonary Tuberculosis : Cases 5 22 17 44 Rates 0.2 0.3 0.3 0.3 Table No. 52 which follows, summarises the number of cases coming to the knowledge of the department in 1938 and includes notifications received from 93 practitioners, cases not notified but included in death returns, and inward transfers from other areas. It does not include any duplicate notifications or those received from Medical Superintendents of hospitals on admission or discharge of patients. Deaths during the year are classified in the same table by age and sex groups. TABLE No. 52. TuberculosisβNew Cases and Mortality, 1938. Age Periods. New Casks. Deaths. |
c05420a0-f45b-4df9-9f8f-84aae764773c | Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. M. F. M. F. M. F. M. F. |
cbfb177d-2ade-4aa0-a631-37a1bbd04402 | 0β1 year 1 β 1 β β β 2 β 1β5 years 1 1 1 2 β β 1 β 5β15 years 5 6 8 1 1 1 1 15β26 years 25 39 7 6 7 16 1 2 25β35 years 37 31 7 5 16 13 1 1 35β45 years 26 8 - 2 8 6 β β 45β55 years 16 3 1 2 12 2 β β 55β65 years 23 4 1 β 21 5 1 β 65 and upwards 8 1 2 β 6 3 β β Totals 142 93 25 25 71 46 7 4 The following Table No. 53 shows the site of disease in patients notified each year since 1934. TABLE No. 53. |
977b5f02-0d76-42be-8b03-ffdb5a7b8863 | Year. Lungs. Meninges. Intestines and Peritoneum. Glands. Joints. Spine. Other Forms. All Causes. |
db811e6b-f444-424a-9ace-5a685e993e41 | 1934 219 8 6 12 9 2 13 269 1935 209 5 2 10 5 4 7 242 1936 217 4 10 11 4 3 4 253 1937 228 5 4 9 8 2 8 264 1938 204 4 6 8 9 6 11 248 94 The County of London (Tuberculosis) Regulations, 1930, enable the County Council to maintain, or arrange for the maintenance, otherwise than in their homes, of children living in London in houses where, owing to overcrowding or otherwise, they are, in the opinion of the County Medical Officer, in danger of being infected with tuberculosis ; or children whose parent or parents are receiving institutional treatment for tuberculosis and for whose care adequate arrangements cannot otherwise be made. During the year six children were thus dealt with on the recommendation of the Tuberculosis Officer. |
2a2220d0-1682-4579-9e99-4b16b7a0ae97 | Public Health (Prevention of Tuberculosis) Regulations, 1925, provide for the compulsory discontinuance of employment of persons engaged in the treatment or handling of milk who are suffering from tuberculosis. It was not necessary to take any such action during the year. Every milk vendor in the Borough is periodically reminded that the Tuberculosis Officer is willing to examine, free of charge, all employees or candidates for employment in the milk trade. No persons submitted themselves for examination. The Work of the Dispensaries.βThe Council's main dispensary is situated at Maxey Road, Plumstead, and the branch dispensary at 11, Carnecke Gardens, Eltham. The general supervision of anti-tuberculosis work in the Borough is however controlled from Maxey Road. During the year plans were approved for a new Dispensary at Eltham, as part of a new Health Centre which will be built in Sherard Road. It is hoped that the transfer will take place towards the end of 1939. |
4d2a02fc-c3fd-4487-8399-c24ea010aa91 | The Tuberculosis Officer or one of the assistant medical officers is in attendance at Maxey Road every weekday, morning and afternoon, except Thursday, when an evening session replaces the afternoon one to meet the needs of those patients who are at work. Eight sessions in all are held for men, women and children. The branch dispensary is open on three half days a week-βMonday afternoons for men, and Wednesday and Friday mornings for women and children. The total number of attendances at the dispensaries during 1938 was 5,415. Of the 248 persons notified during the year 213 attended the dispensaries; that is 85.8 per cent. The corresponding percentages for 1937, 1936 and 1935 were 79.7, 73.5 and 77.2 respectively. Table No. 54 shows the work of the dispensaries during the year, and in accordance with the Ministry of Health instructions the figures are shown for the borough as a whole and not for individual dispensaries. |
4c1afd20-8099-4578-bc0b-024b0f4b2283 | Home Visiting of Tuberculous Cases.βEvery notified case is visited by one of the Council's tuberculosis visitors unless the family doctor specially requests that this be not done. In the home she gives general and particular advice. She does what she can to ensure that the family make the best of their circumstances. She tells how infection is spread and what should be done to limit this risk. She endeavours to get all home contacts to come to the dispensary for examination. 95 In short she does everything possible to help the patient and the family. In the case of patients notified by the Tuberculosis Officer a visit is also made by one of the medical staff, who thus gains a knowledge of the home and sees whether the advice given by the tuberculosis visitor is being followed. The tuberculosis visitor endeavours to visit each home in her district once in three months but when necessary visits are paid at shorter intervals. Outdoor Shelters.βTwelve open air shelters are available for the use of patients in their own gardens. |
93289a34-9dac-485a-a333-b95fdb7dde8a | Nine were in use during the year. No charge is made for the loan of these. Home Nursing.βUnder arrangements made by the Council cases of tuberculosis requiring nursing services in their own homes are attended by nurses from the local Nursing Associations. The Council takes financial responsibility for this service and the cost during the year was Β£62 lis. 3d. The number of visits paid was 1,001. This service is greatly appreciated. Examination of Home Contacts.βA medical examination is most important in the case of all contacts either at home or at work and every endeavour is made to persuade them to submit themselves for this examination. It is unfortunately often very difficult, but the effort is well worth while and tuberculosis visitors, when visiting, and the Tuberculosis Officers, when opportunity offers, stress the importance of this examination. During the year 512 contacts were examined. |
68577a1f-2ec8-4d64-a1c2-4f23730f09bd | In dealing with children, in addition to the clinical examination a Mantoux Intradermal test is done and if a positive result is obtained the patient is X-rayed. During the year 238 children had a Mantoux test and the figures show, as in previous years, that children in contact with a notified case of tuberculosis are much more subject to infection than where no such contact exists. co o* TABLE No. 54. Return showing the work of the dispensaries for 1938. Diagnosis. pulmonaby. non -pulmon ary. Total. Grand Total. Adults. Children. Adults. Children. Adults. Children. M. F. M. F. M. F. M. F. M. F. M. F. A. |
1ba31514-d1e9-4e93-9ef7-b0b77cd1d664 | βNEW CASES examined during the year (excluding contacts) :β (a) Definitely tuberculous 99 54 11 6 20 8 8 4 119 62 19 10 210 (6) Diagnosis not completed β β β β β β β β 2 1 1 β 4 (c) Non-tuberculous - - - - - - - - 237 211 69 70 58 / B.βCONTACTS examined during the year :β (a) Definitely tuberculous 12 4 3 β β β 2 β 12 4 5 β 21 (6) Diagnosis not completed - β β β - - - - β - 1 β 1 (c) Non-tuberculous - - - - - - - - 105 179 93 113 490 C. |
2af292ba-c8d0-492f-b63f-f7f40a306898 | βCASES written off the Dispensary Register as:β (a) Recovered 17 26 3 1 8 5 2 3 25 31 5 4 65 (6) Non-tuberculous (including any such cases previously diagnosed and entered on the Dispensary Register as tuberculous) - - - - - - - - 347 397 166 185 1095 D.βNUMBER OF CASES on Dispensary Register on December 31st :β (a) Definitely tuberculous 383 282 37 26 45 44 30 22 428 326 67 48 869 (6) Diagnosis not completed - - - - - - - - 2 1 2 - 5 97 TABLE No. 54βcontinued. Return showing the work of the Dispensaries for 1938. 1. Number of cases on Dispensary Register on January 1st 879 2. |
15e09ffc-dacd-4390-b064-337d016150ec | Number of cases transferred from other areas and cases returned after discharge under Head 3 in previous years 3 3. Number of cases transferred to other areas, cases not desiring further assistance under the tuberculosis scheme, and cases " lost sight of " 85 4. Cases written off during the year as Dead (all causes) 76 5. Number of attendances at the Dispensary (including Contacts) 5,415 6. Number of Insured Persons under Domiciliary Treatment on 31st December 260 7. Number of consultations with medical practitioners :β (a) Personal 82 (6) Other 1,017 8. Number of visits by Tuberculosis Officers to homes (including personal consultations) 285 9. Number of visits by Nurses or Health Visitors to homes for Dispensary purposes 4,522 10. |
6086d67f-4686-4ea6-b571-624abe1e62aa | Number of :β (a) Specimens of sputum, etc., examined 598 (b) X-ray examinations made in connection with Dispensary work 1,156 11. Number of " Recovered" cases restored to Dispensary Register, and included in A (a) and A (b) above 8 12. Number of " T.B. plus " cases on Dispensary Register on December 31st 309 Number of Dispensaries for the treatment of Tuberculosis (excluding centres used only for special forms of treatment). Provided by the Council 2 Provided by Voluntary Bodies Nil 98 TABLE No. 55. Contacts. 0-5 years. 5-10 years. 10-15 years. Total. Percentage. Positive result 8 24 24 56 38.89 Negative result 34 27 27 88 61.11 Non-Contacts. |
4415fd63-933e-4c5c-b42a-e24bd46e5dd0 | Positive result 2 6 12 20 21.28 Negative result 34 27 13 74 78.72 Extra Nourishment.βThe sum of Β£302, that is to say, two pounds per thousand of the population, is available for the supply of extra nourishment to tuberculous persons, but under this scheme such nourishment is not available for advanced cases of tuberculosis where real and lasting improvement cannot be expected but only for ante- and post-sanatorium cases in which it may make a real difference to the prospects of recovery. Under arrangements made with the London County Council Public Assistance Committee the responsibility of recommending extra nourishment for patients who are being assisted by that Committee rests with the Tuberculosis Officer, and it is gratifying to record the smoothness with which these arrangements work and the cordial relations which exist between the Tuberculosis Service and the Public Assistance Service, and the officers of both services. |
c449ba4c-25aa-4823-b0ba-499ee76834c3 | X-Ray Examinations.βIt is a commonplace, nowadays, to regard X-ray examinations as absolutely essential for the diagnosis and investigation of cases of tuberculosis. Every new adult patient attending the dispensary is X-rayed. Every positive Mantoux child is. Post-sanatorium cases are so examined from time to time. Nearly 1,200 examinations were recorded last year but X-rays are used more frequently than this figure indicates. All patients undergoing artificial pneumothorax treatment are frequently screened and X-rayed during the progress of this treatment. Local patients admitted to St. Nicholas Hospital are X-rayed in hospital and the skiagrams are forwarded to the dispensary on the patient's discharge. Patients are sent for these examinations to the War Memorial Hospital and to St. Nicholas Hospital. In the majority of cases the film is available at the Dispensary the following day. The number of patients X-rayed at the War Memorial Hospital was 306 and at St. Nicholas Hospital, 850. |