ids
stringlengths 36
36
| texts
stringlengths 1
1.43k
|
|---|---|
f53f68fb-4074-4c3f-a8ae-9fb17ead60a1 | The following Table No. 79 shows the number of cases and conditions treated during the year:— TABLE No. 79. Cases treated at Sunlight Clinic during 1938. Brought forward from 1937. New Cases. Total. Much Improved or Cured. Improved. I.S.Q. Ceased Attending. Treatment not yet completed Rickets 26 95 121 37 37 4 25 18 Anaemia, |
73dc3bdc-1cb5-4d9e-ad20-d0c6f957e7d0 | Debility and Malnutrition 74 254 328 113 88 11 72 44 Catarrhal Children 22 76 98 29 26 4 20 19 Septic Conditions 2 6 8 1 4 — 2 1 Nervous Conditions 4 14 18 3 7 — 6 2 Enlarged Glands 10 24 34 9 11 2 8 4 Miscellaneous Nervous Conditions 7 7 1 - 1 4 1 Miscellaneous Skin Conditions 5 9 14 9 2 — 1 2 Other Conditions 14 26 40 8 15 1 3 13 Mothers 4 14 18 8 5 1 — 4 161 525 686 218 195 24 141 108 139 Ear, Nose and Throat Clinic.—The Ear, Nose and Throat Clinic was started in May, 1937, |
2a5e3e66-da4a-45ee-9c91-f03f85634999 | under the charge of Mr. Myles Formby, Consultant and Laryngologist to the Woolwich War Memorial Hospital, as Consultant. Dr. F. Smith, one of the Council's assistant medical officers, took charge of the routine work of the clinic. The total number of sessions held during the year was 52, the total number of attendances was 1,217. Mr. Myles Formby resigned on giving up his appointment at the War Memorial Hospital, and his successor, Mr. S. E. Birdsall, agreed to act as Consultant. I am indebted to Mr. Birdsall for the following observations on the year's working:— "As Table No. 80 shows, there has been an increase of new cases from 218 to 358. Many of the children seen with enlarged tonsils and adenoids were considered, on examination, to be suffering from infection in the nasal sinuses, and are now classified under the heading of Caterrhal sinusitis. |
e1f9ed0f-dcd1-41a9-a639-084248b26794 | The Table illustrates the great importance of careful examination of the whole of the upper respiratory tract before deciding on the removal of tonsils and adenoids in children. Out of a total of 364 cases with upper respiratory tract infections, it was considered advisable to remove the tonsils and adenoids in only 85." Provision of Maternity Outfits.—Since 1930 sterilised maternity outfits have been supplied free, half cost or at cost price to expectant mothers, on application by a midwife or a doctor. The cost of the service each year has varied between £13 and £22. The London County Council as part of their salaried midwives scheme arranged to provide such outfits free of charge to all patients employing L.C.C. midwives. In these circumstances the Borough Council decided at the end of January that such outfits should be provided free of charge to all expectant mothers in the borough, who required them and who were not being attended by L.C.C. midwives. |
b0d795e0-457a-482b-bfeb-50a72b180440 | During the year 120 applications were received and 119 outfits were supplied The total cost to the Council was £35 14s. Od. 140 TABLE No. 80. Condition. No. of Cases. Treatment Discharged. Still attending. Ceased attending. Broug't forward New Conservative. Operation. None requir'd Cured. Much improved. Improved. I.S.Q. Enlarged tonsils and adenoids 65 149 122 85 7 44 20 5 7 84 54 Catarrhal Sinusitis 31 119 139 11 - 35 9 4 - 60 42 Chronic tonsillitis 5 13 14 4 - 2 2 - — 9 5 Otorrhœa 8 51 58 1 — 33 — - - 15 11 Earache — 5 4 - 1 1 - - 1 2 |
2993edc2-f833-482d-a82a-69e8280c9237 | 1 Epistaxis - 6 6 - — 2 - - - 4 - Asthma - 2 2 - - - 1 - — 1 - Injury — 1 1 - - 1 - - - - - Laryngeal stridor 1 1 1 - 1 1 — - 1 - - Furunculosis - 1 1 - — 1 — — — - - Cervical Lymphadenitis — 4 4 - - - - - - - 4 Wax in ea 1 6 7 — — 5 1 — - — 1 TOTAL 111 358 359 101 9 125 33 9 9 175 118 Compensation to Midwives.—Whenever an assistant medical officer finds it necessary to recommend hospital treatment for expectant mothers referred to the Council's ante-natal clinics for ante-natal examination by midwives, |
322ec359-0b78-4802-9901-1d4c1da521f2 | the midwife loses her patient if the mother accepts the advice of the medical officer and is admitted to hospital. In these cases the Council make a payment of 10s. by way of compensation to the midwife subject to certain conditions, which were given in detail in my Annual Report for 1937, being complied with. During the year no compensation was paid. Payment of Midwives' Fees.—Following on the establishment of the London County Council Salaried Midwives Service, the Council decided to omit from their scheme payments to midwives of twenty five shillings per case, when patients were unable to pay their fees. Administration of the Public Health (Puerperal Fever and Puerperal Pyrexia) Regulations, 1926.—The Council's Scheme for the diagnosis and treatment of these conditions provides for the services of a consultant—Mr. |
d94db18e-e055-429f-91c1-587bb018ccdb | H. G. Taylor, 141 F.R.C.S.—for the provision of nursing assistance, for hospital treatment in the County Council's hospitals, and for bacteriological examination where necessary. The extent to which it has been made use of has been reported on in that part of the infectious diseases section of the Report which deals with the notification of these diseases. Obstetric Complications in Private Practice.—In September, 1931, the Council arranged for the services of Mr. H. G. Taylor, F.R.C.S., the Council's Consultant under the Puerperal Fever and Puerperal Pyrexia Regulations, to be available in such exceptional cases, and to pay him a fee of £5 5s. od. for each case. When the detailed arrangements of the County Council scheme for salaried midwives was under consideration, it was suggested that the panel of consultants should be enlarged to include all the consultants for all the boroughs in S.E. |
2c570b42-6a33-4052-9b60-98fee9e33978 | London, or Area E of the L.C.C. Scheme, if they were agreeable to be so included. All were agreeable and so a panel of consultants is now available. Those who have agreed to act in addition to Mr. Harold Taylor are:—Mr. J. B. Blaikley, F.R.C.S.; Mr. A. L. Gunn, F.R.C.S.; Mr. A. L. Walker, F.R.C.S. In one ease only during the year were the services of a Consultant Obstetrician necessary. Home Helps.—During the year 133 applications were considered by the Committee and 84 home helps were provided. The total cost of this service was £391 15s. 5d. and payments by mothers amounted to £48 2s. Od. Certain amendments were made in the Council's Home Help scheme during the year. |
51ec0f0a-5280-4002-9565-e471288b1723 | Boarding out of Children.—In appropriate circumstances, instead of providing a home help, the Council arranges for the boarding out of children with suitable foster mothers, at the Council's expense. Children were boarded out on four occasions during the year. Expenses of Mothers Breast-Feeding Their Babies in Hospital.—In appropriate circumstances, where hardship is imposed upon breast fed babies by the inability of mothers to visit the babies frequently enough in hospital to ensure normal breast feeding, the Council will pay the travelling expenses incurred by mothers. No such payments were made during the year. Treatment of Minor Ailments.—Children requiring medical or surgical treatment for certain minor ailments are referred to the School Clinics at Brewer Street, Woolwich, or at the Eltham and Plumstead Health Centres; to private practitioners; or to hospitals. During the year 357 children were sent to the clinics and for each case the Council paid 5s. Spectacles have been provided on occasion at an additional cost to the Council, 142 TABLE No. |
9a818c5e-99da-4d7f-ab15-0a670e8d167c | 81. Brewer Street. Eltham. Plumstead. Impetigo 30 50 51 Ear Discharge 7 16 28 Eyes 26 50 47 Miscellaneous 9 16 27 72 132 153 The corresponding totals for 1937 were respectively 65, 122 and 145. Dental Treatment.—Mothers and children requiring dental treatment are referred from the Welfare Centres to the School Clinics at Brewer Street, Woolwich, at Westhorne Avenue, Eltham, and at Plumstead High Street. Weekly sessions are held at all three centres. The following Table No. 82 shows the number of cases attending and the total attendances during the year. The number of sessions was 189, including anaesthetic days. TABLE No. 82. Expectant Mothers. Nursing Mothers. Children under 5. No. Attendances. No. Attendances. No. |
37aaabe4-b910-4235-868d-3cebe2d165d2 | Attendances. Woolwich.. 129 362 21 88 23 24 Plumstead 121 226 20 51 298 628 Eltham — — — — 177 421 250 588 41 139 498 1,073 All Centres, 1937 167 374 39 118 395 768 The figures of the toddler clinics in this connection are full of interest. In 1938 47 children aged 2 had defective teeth, 177 aged 3, and 250 aged 4. These figures correspond at 2 years to 5.7 per cent., at 3 years to 30.2 per cent., and at 4 years to 48.3 per cent., of the children examined; 137 children or 7.1 per cent. had already had teeth extracted or filled. |
c7d54f37-7057-458e-a86b-78b8c07f5b46 | Dentures are provided free, at part cost, or at cost price, according to the ability to pay, and payment is spread over many weeks. In consequence, the income received during the year includes money received in respect of dentures 143 supplied in previous years. Fifty sets (complete or partial) of artificial teeth were supplied during the year at a total cost of £241 4s. Od. Payments by mothers amounted to £132 10s. Od. Arrangements were made with the London County Council for an X-ray examination in dental cases whenever the dental surgeon considered this necessary, at the cost of 7s. 6d. per attendance. No such cases were referred during the year. Orthopaedic Treatment for Children under Five Years of Age.— Children requiring orthopaedic treatment are referred to the remedial clinic of the Woolwich Invalid Children's Aid Association. |
442508ad-fc4d-4a3b-a971-68c6c4d3d4b4 | The Council pay for children under five years of age sent by their medical officers to the clinic, 2s. Od. per attendance for cases requiring massage or electrical treatment and is. 6d. per attendance for any other form of treatment. The cost of these services for the year was £223 2s. 6d. Only cases recommended by the Medical Officer of Health are included in this scheme, and payment is only made for the number of attendances approved by him. Including children where wedges only were necessary, and others where temporary splinting only was required, the children referred to the clinic required treatment for the conditions set out under tabulated headings in Table No. 83, which is set out below. All children referred to this clinic are carefully "followed up" either by the Voluntary Visitors of the Association or by the Council's Health Visitors. |
05fc1182-db72-46c0-a61c-24b0f56a3238 | The Woolwich Invalid Children's Aid Association's main clinic is in Thomas Street, Woolwich, but arrangements were made during the year for the treatment of Eltham children on two half days per week at the Health Centre, Westhorne Avenue. The Association found that the attendance of Eltham children at Woolwich was a very difficult problem for Eltham mothers and thought it would be desirable if temporary arrangements were made with the Council, pending the building of a new orthopaedic centre at Eltham, to be housed in the new Health Centre in Sherard Road. 144 TABLE No. 83. Cases treated at Orthopaedic Clinic, 1938. Type of Case. Number remaining over from 1937. New Cases. Total Cases. Number who completed treatment by end of year. Number with treatment not completed. |
9b0a7a51-4491-4dc6-b69c-66f7961d2d3e | Talipes (Club Foot) 1 11 12 12 Talipes (Flat Foot) 2 22 24 17 7 Rickets— General 1 11 12 10 2 Genu Valgum (Knock Knee) 9 110 119 112 7 Genu Varum (Bow Leg) 10 122 132 120 12 Infantile Paralysis 1 5 6 4 2 Erb's Paralysis 1 1 1 Bad Posture 2 7 9 6 3 Muscular Weakness 7 28 35 33 2 Mouth Breathing 1 1 2 2 Torticollis I 8 9 8 1 Other Deformities 1 7 8 7 1 Other Diseases 3 3 3 40 332 372 335 37 Provision of Nursing Assistance.—In Section III of the Report, the general scheme of nursing assistance is described in full. |
646beb05-956d-4df1-a54a-a932daf92dc4 | The extent to which this service has been made use of in respect of specific diseases is fully reported on in the appropriate portions of the Infectious Diseases' Section of the Report. In addition grants were made to the nursing associations in respect of 50 children treated for threadworms at one shilling per visit, amounting in all to £17 16s. Od. Children's Beds.—Twelve beds have been reserved by the Council in the Woolwich War Memorial Hospital for the treatment of children under 5 years of age suffering from such conditions as are usually admitted to general or children's hospitals. Including those remaining in hospital at the beginning of the year, the number of children who received treatment during the year was 201 ; of these 188 were discharged cured or very much improved in health, 6 were discharged as improved and one died. Two children were transferred to another hospital, three others were discharged showing no improvement, and the number remaining in hospital at the end of the year was one. |
71e98a10-5cef-4bbb-8751-ec94051ce87f | The surgical conditions for which these children were treated included:—phimosis, prolapse of rectum, enlarged tonsils 145 and adenoids, umbilical hernia, hypospadias, mastoiditis, inguinal hernia, pyloric stenosis, vulvo-vaginitis, otitis media, cervical abscess. Those admitted for medical treatment included children suffering from persistent diarrhoea, enteritis, malnutrition. Several cases were admitted for observation. Institutional Midwifery.—(1) British Hospital for Mothers and Babies.— There are 44 beds in this hospital, and I am informed by Miss Gregory, the Secretary of the Hospital, that 846 babies were born during the year and 125 mothers were admitted for ante-natal or emergency treatment. At the ante-natal clinics in connection with this hospital, 10,323 attendances were made, and at the infant clinics, 2,712 attendances. In addition there were 206 extern cases. |
7d46dcca-a0d9-4b8c-ab21-693abd2d8317 | The number of mothers admitted under the Council's scheme was 142, the nett cost to the Council being £887 9s. Od. (2) War Memorial Hospital.—There are 8 maternity beds in this general hospital, and I am indebted to Mr. R. S. G. Hutchings, the Secretary, for the following information regarding the admissions to the maternity unit during the year. The number of children born in the hospital was 175, and 15 mothers were admitted for ante-natal or emergency treatment. The number of attendances at the ante-natal clinics was 2,004. The number of mothers admitted under the Council's scheme was 67, the nett cost to the Council being £404 2s. Od. Ante-Natal Treatment and Emergencies.—The number of cases admitted for ante-natal or emergency treatment under the Council's scheme was five. One was on account of tubal mole and the other four on account of albuminuria. |
c0768ee9-c179-47d5-b518-45f664bcecab | Convalescent Home Treatment for Children under Five Years of Age.— The necessary arrangements for this are made by the Woolwich Invalid Children's Aid Association, to whom the Council give grants-in-aid for this purpose. During the year grants totalling £330 were made in respect of 119 children. The children were sent away for periods varying from 4 days to 6 months, and payment was only made in respect of children sent to homes approved by the Medical Officer of Health. Convalescent Home Treatment for Expectant and Nursing Mothers.— In June, 1931, the Council decided to make provision under their maternity and child welfare scheme for the convalescent treatment of expectant and nursing mothers. The scheme includes payment of railway fares where necessary. It was resolved also to recover some of the cost from patients after consideration of each case on its merits. During the year 5 mothers were so admitted to convalescent homes. Supply of Milk, etc., to Necessitous Mothers and Children. |
170d3c14-cfe8-4676-984b-a9f645b5e581 | The approximate cost of this service during the year was as follows :—Dried milk, £1,161 6s. 9d.; Fresh milk, nil ; Dinners, nil. 146 In 1934 the Council agreed to co-operate with the London County Council with regard to the supply of extra nourishment to maternity cases where domiciliary relief was being granted by the County Council. The scheme was subsequently enlarged to include delicate children whose parents were in receipt of out-relief. At the end of the year it was estimated that the amount due from the London County Council in respect of extra nourishment was £160 0s. Od. compared with £150 in the previous year. Services for London County Council.—(1) Blind Persons Act, 1920.— Reports are furnished to the County Council, as the occasion arises, when the home conditions are unsuitable for blind children or it is advisable that the child should be admitted to a suitable institution. |
930ac0c4-0c81-491b-a10b-7a30e0e16e7a | During the year no new cases came to the knowledge of the department. (2) Widows', Orphans, and Old Age Contributory Pensions Act, 1925.—The local authority may, in case of desertion of a child who is an orphan, administer the payments on behalf of the child. No case under the provisions of this Aot was dealt with during the year. Salaried Midwives Scheme.—The scheme of the London County Council for the provision of a whole time midwifery service came into being at the beginning of the year. The names and addresses of the London County Council midwives resident in Woolwich at the end of 1938 were as follows :— Telephone No. Ford, Mrs. A. R. E., 402, Well Hall Road, Eltham, S.E. 9 .. .. .. .. Eltham 1618 Hulf, Miss N., 125, Benares Road, S.E. |
2f45f949-54e8-4bd6-8c29-63d145d897bf | 18 .. Woolwich 2918 Vaughan, Mrs. L., 24, The Slade, S.E. 18 .. Woolwich 2926 Weeks, Mrs. M., 105, Gregory Crescent, Eltham, S.E. 9 .. .. .. .. Eltham 2313 Woods, Mrs. E. J., 10, Openshaw Road, S.E. 2 Woolwich 2922 The Borough Council agreed to co-operate whole-heartedly with the County Council in this matter and the Borough Council ante-natal and post-natal clinics are to be used to the greatest possible extent. Mothers from adjoining Boroughs are to be seen at Council clinics if these are more convenient for them. The consultants for Woolwich and four adjoining Boroughs have agreed to act in any of the five Boroughs and midwives may call in a consultant in the case of an emergency arising. Ancillary services will be supplied by the Borough Council, the Borough Council accepting any medical certificate as to pregnancy. |
a1bf1252-6777-4030-9067-e9c0d2e8b42d | Midwives are authorised to obtain nursing assistance from the district nursing associations at the expense of the Borough Council. 147 APPENDIX. METEOROLOGICAL OBSERVATIONS TAKEN AT THE ROYAL OBSERVATORY, GREENWICH, DURING THE YEAR 1938. Week ending. Temperature of the Air. Departure from average mean air temperature for 65 years. Average temperature 4 feet below ground. Number of days on which rain fell. Rainfall in inches. Highest during week. Lowest during week. Mean temperature. Jan. |
ff0b54a2-299d-4ce7-9c24-537a732d8718 | 8 46.1 32.3 39.8 + 1.7 44.9 6 0.13 ,, 15 53.9 32.0 44.4 + 6.4 44.7 7 1.06 „ 22 53.6 34.2 45.7 + 7.1 45.1 4 0.28 ,, 29 54.8 33.7 44.5 + 5.2 45.3 4 0.60 Feb. |
d16746fb-3af1-4a02-9723-c9bb221d3d32 | 5 53.9 36.9 45.0 + 5.4 45.0 3 0.35 ,, 12 51.8 33.6 42.2 + 30 44.8 2 0.10 ,, 19 49.5 30.7 35.6 —3.8 44.1 5 0.31 „ 26 55.7 30.5 39.9 + 01 43.1 1 0.16 Mar. |
7528a55a-d067-4b22-a756-9fc35fd2b5e3 | 5 61.8 34.6 47.2 + 6.7 43.7 3 008 ,, 12 64.4 31.7 48.1 + 7.1 44.1 - 0.00 ,, 19 64.0 34.5 48.9 + 7.2 44.9 - 000 ,, 26 66.4 36.5 49.6 + 7.3 45.9 3 0.28 Apr. 2 66.6 41 . 7 53.4 + 8.9 47.0 1 002 , 9 63.2 31.8 46.9 + 0.8 47.7 1 0.08 , 16 60.9 28.9 45.7 —0.6 47.8 - 0.00 , 23 53.9 33.0 45. |
923db738-c68b-4d64-b0d6-38e4e025a2e6 | 0 — 3.4 47.9 — 0.00 , „ 30 56.7 37.1 46.0 —2.8 47.9 2 0.02 May 7 59.5 37.1 47.6 —2.4 48.0 3 0.35 14 76.1 32.1 53.9 + 2.1 48.8 1 0.19 , 21 66.9 40.5 51.6 — 1.7 50.1 4 0.39 , 28 70.3 41.2 53.5 —2.0 51.0 4 0.54 Juae 4 69.2 44.2 54.6 —2.8 51.5 4 0.32 , 11 72.2 47.1 59.6 + 1.4 52. |
71327691-c226-4914-a484-696d609079bf | 7 1 0.02 , 18 78.4 47.0 61.6 + 2.8 54.0 - 0.00 , 25 80.9 48.9 65.9 + 5.3 55.4 1 0.01 July 2 74.1 45.7 59.0 — 2.6 56.5 5 0.30 , 9 74.9 47.2 57.5 —4.7 56.6 6 0.99 , 16 74.4 50.8 60.4 — 2.7 56.8 2 0.08 , 23 77.4 54.0 64.0 + 0.8 57.4 1 0.01 , 30 78.7 51.2 64.0 + 1.5 58.4 2 0. |
3913cafe-7bd8-4aa4-9b7b-45946ea776f5 | 21 Aug. 6 84.0 55.5 58.9 + 7.6 59.2 1 0.01 ,, 13 81.6 55.6 59.0 + 2.8 60.2 4 1.69 ,, 20 74.4 52.5 61.4 —0.7 60.3 2 0.07 ,, 27 78.3 46.1 60.3 -0.5 59.9 3 0.12 Sep. |
892235fb-2139-42d8-a06e-16d0574c7f22 | 3 67.6 40.0 55.3 —4.7 59.3 4 0.32 ,, 10 65.7 43.9 56.7 —2.3 58.5 3 0.26 ,, 17 79.4 430 60.6 + 2.9 58.3 2 0.06 „ 24 79.7 50.9 61.3 + 5.3 58.4 6 1.47 148 APPENDIX—continued. Week ending. Temperature of the Air. Departure from average mean air temperature for 65 years. Average temperature 4 feet below ground. Number of days on which rain fell. Rainfall in inches Highest during week. Lowest during week. Mean temperature. Oct. |
cfa0799f-b607-43c7-878d-456721146135 | 1 68.4 47.0 56.8 + 20 58.3 6 1.14 ,, 8 59.8 43.0 52.3 -0.5 57.4 5 0.05 ,, 15 64.7 44.2 54.8 + 4.1 56.3 3 0.34 ,, 22 63.7 38.7 52.6 + 3.6 55.7 2 0.48 ,, 29 56.1 31.0 44.3 —3.4 54.1 2 0.29 Nov. |
93386cd7-2e4c-46ae-a5e0-fd226eea53b1 | 5 68.1 39.3 52.4 + 5.7 52.8 3 0.17 ,, 12 62.3 40.4 53.5 + 8.9 52.9 2 0.13 ,, 19 61.9 43.2 52.3 + 9.5 53.1 5 0.45 ,, 26 57.1 35.5 45.0 + 3.0 52.2 5 2.11 Dec. |
2551733c-f301-43a3-b653-e7c9dd5c0781 | 3 520 30.1 43.2 + 2.0 50.6 5 0.48 ,, 10 55.1 29.7 45.8 + 4.7 49.2 5 0.56 ,, 17 55.2 27.7 46.3 + 5.8 48.9 6 0.63 ,, 24 34.0 20.4 27.8 — 11.0 47.6 5 0.43 „ 31 47.2 28.0 37.9 —0.8 45.6 4 0.56 - |
023773aa-2076-40d9-9f1d-872ad3f1bef0 | ??? AC4372 Metropolitan Borough of Woolwich ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR WOOLWICH 1939 BY J. MACMILLAN, D.S.O., M.C., M B., D.P.H. Medical Officer of Health WOOLWICH: The Kentish Independent Printing Works (T.U.) 41, Wellington Street, S.E.18 65723 HEALTH COMMITTEE. At 31st December, 1939. The Worshipful the Mayor (Councillor A. E. Jago, J.P.) Councillor C. H. Darby (Chairman) Councillor A. H. Gilder ( Vice-Chairman). Alderman: Mis. E. Brooks. Councillors: J. W. Andrews Miss M. Crout, J.P. G. S. Dean Mrs. |
36a9cd44-b0f2-4312-9738-9a75ecd2aa3c | L. E. Driver G. E. Greenwood C. J. Keedy D. B. Lister S. W. Lister Mrs. E. L. Reeves E. G. Stevenson H. Vaughan Miss G. E. Walters, J.P. MATERNITY AND CHILD WELFARE COMMITTEE. Comprising the Members of the Health Committee. Alderman Mrs. E. Brooks (Chairman). Councillor Miss G. E. Walters, J.P. (Vice-Chairman). PREFACE. To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. Mr. Mayor, Ladies and Gentlemen, I have the honour to submit the Thirty-ninth Annual Report on the health of the Metropolitan Borough of Woolwich. It is, on account of the War, shorter than its predecessors but it is hoped that sufficient material is published to give a proper general appreciation of health work and progress in the Borough during the year. |
943171ed-c4f7-4873-a0f8-714efded2d1e | Since my last report, the following staff changes have taken place:— Mr. J. Sainsbury, B.A., M.B., B.Ch., appointed as Consultant to Rheumatism Clinic, as from 14th January. Mr. R. J. Furlong, F.R.C.S., appointed as Consultant to the Orthopaedic Clinic as from 14th January. Miss M. Tyers, Woman Sanitary Inspector, appointed Health Visitor as from the 1st January. Miss D. F. Wright, Nurse-Masseuse, commenced duty on the 2nd January. Miss M. G. Roberts, Nurse-Masseuse, commenced duty on the 2nd January. Mr. E. F. Flanagan, Chiropodist, commenced duty on the 9th January. Mr. H. G. Taylor, F.R.C.S., Obstetric Consultant, relinquished his appointment on the 31st January. Mr. |
e6ff5072-56d6-49ca-894b-28a0f4fef0d1 | C. Reddington, F.R.C.S., appointed Obstetric Consultant on the 1st February. Miss B. Bryant, Clerk, Grade "A," commenced duty on the 6th February. Miss A. J. Challinor, Nurse-Masseuse, commenced duty on the 13th February. Miss M. Thomas, Woman Sanitary Inspector, commenced duty on the 20th February. Dr. R. V. Brews, Public Vaccinator, resigned his appointment on the 6th March. Miss F. A. Morgan, Health Visitor, retired on superannuation on the 1st May. Miss I. Grant, Clerk, Grade "A," resigned her appointment on the 20th May. Miss K. Wesley, Clerk, Grade "A," commenced duty on the 22nd May. Mr. R. Hillary, Clerk, Grade "A," commenced duty on the 24th May. Mr. |
17751301-afe8-4445-87d0-7466adaa09f5 | W. Tedham, Sanitary Inspector, retired on superannuation on the 27th May. Mr. D. Buck, Clerk, Grade "A," commenced duty on the 1st June. Mr. H. Ridler, Sanitary Inspector, commenced duty on the 1st June. 4 Dr. N. J. Lawler, appointed Public Vaccinator on the 1st July. Miss E. Macintosh, Health Visitor, commenced duty on the 1st July. Miss M. Allan, Chiropodist, commenced duty on the 3rd July. Miss I. Fraser, Chiropodist, commenced duty on the 3rd July. Miss A. Klue, Health Visitor, commenced duty on the 2nd August. Mr. H. Shaw, Chief Sanitary Inspector, retired on superannuation on the 11th September. Mr. |
aa1433e4-bcec-4220-bd8e-d700f92be026 | C. J. Couch, Sanitary Inspector, appointed Chief Sanitary Inspector, as from the 11th September. Mr. G. Simpson, Sanitary Inspector, commenced duty on the 11th September. Mr. H. M. Collyer, Committee Clerk, retired on superannuation on the 1st December. Miss D. O'Connor, Clerk, Grade "A," commenced duty on the 11th December. The outbreak of War brought about many changes in the work of the Department—for the first few months most of the staff were engaged in developing the casualty services of Civil Defence; health buildings were taken over for these purposes; a large temporary staff of workers (paid and unpaid) was absorbed into the Department. Some members left for service with the Armed Forces of the Crown. Fortunately, in due course, the health services were re-organised and maintained, in some instances in skeleton form. |
4b56e6c3-dcab-4534-a4d3-f52d15ff8d33 | In presenting this Report I desire specially to acknowledge the continued confidence and support which I have received from the Chairman and members of the Committees on Health, and from the Chairman and members of the Emergency Committee in dealing with medical problems of the war, and indeed from all members of the Council. I take this opportunity also of placing on record my sincere appreciation of the work of every member of the staff, and of every Civil Defence worker in the Casualty Service ; and of my personal indebtedness to each one of them. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, J. MACMILLAN, Medical Officer of Health. 5 VITAL STATISTICS. Table No. 1. Population. |
e13300c2-d123-48ef-8e8d-fc526339d387 | Registrar-General's Estimate of— (a) Resident population, middle of 1939 150,800 (b) Average population appropriate to the calculation of death rates 143,400 Live Births—Legitimate 2,067 Live Births—Illegitimate 66 2,133 Birth Rate per 1,000 population 14.1 Still-births 56 Still-births—Rate per 1,000 total births 26.2 Deaths 1,592 Death Rate per 1,000 population 11.1 Deaths from puerperal causes:— (а) From Sepsis — (b) From other causes 3 Death rate from puerperal causes per 1,000 total births 1.43 Deaths of infants under one year of age 103 Death rate of Infants under one year of age:— (а) All infants 49 (b) Legitimate infants 48 (c) Illegitimate infants 75 Notification of Births. |
61cc5d4a-ad1f-4b74-94ea-6e6b09691886 | After correction by inward and outward transfers the total number of Woolwich live births notified was 2,045. Of this number it is known that 1,295 took place in institutions. Deaths. The total number of deaths of Woolwich residents from all causes was 1,592. The classification by age under causes of death is shown in the following Table No. 2. 6 TABLE No. 2. Nett Deaths during the calendar year 1939. Causes of Death. Nett Deaths at the subjoined ages of "Residents" whether occurring within or without the district. All Ages. Under 1 year. 1 and under 2 years. 2 and under 5 years. 5 and under 15 years. 15 and under 25 years. 25 and under 35 years. 35 and under 45 years. 45 and under 55 years. 55 and under 65 years. 65 and under 75 years. |
bb3e9083-2692-457b-aa11-8ebf3ae79f7a | 75 years and upwards. All Causes 1592 103 12 12 23 44 67 66 153 260 411 441 Typhoid and Paratyphoid Fevers 1 . . . . . . . . 1 . . Measles . . . . . . . . . . . . Scarlet Fever 1 . . . . . . . . 1 . . Whooping Cough 8 . . 1 . . . . . . . . Diphtheria 7 . . 3 3 1 . . . . . . Influenza 15 . . . 1 1 . 1 3 . 3 4 Encephalitis Lethargica 1 . . . . . . . . . . . Cerebrospinal Meningitis . . . . . . . . . . . . Tuberculosis of the Respiratory System 99 2 . . |
612d9c78-bf22-4c26-890d-2be0cbe10d72 | 2 12 25 12 19 17 8 2 Other Tuberculous diseases 10 . 1 . 2 4 . 1 1 . . 1 Syphilis 4 . . . . . . . 1 2 1 . General Paralysis of the Insane, Tabes Dorsalis 5 . . . . 1 . . . 4 . . Cancer 245 . . . . 1 . 9 40 55 87 48 Diabetes 22 . . . . . . 2 2 7 4 5 Cerebral Haemorrhage, etc. 85 . . . . . . 1 5 15 31 33 Heart Disease 447 . . 1 2 1 9 8 28 65 140 193 Aneurism 12 . . . . . . . 4 4 3 1 Other Circulatory diseases 64 . . . . . . |
fda84194-45ae-472d-9b37-9808566058ab | 1 2 14 27 20 Bronchitis 45 2 1 . 2 . 1 1 . 10 10 18 Pneumonia. 82 22 2 2 . 6 4 3 9 10 16 8 Other Respiratory diseases 6 . . . . . . 1 1 1 1 2 Peptic Ulcer 24 . . . . . 1 2 5 8 6 2 Diarrhoea, under 2 years 18 12 2 . . 1 l . . . 2 . Appendicitis 8 . . . . 1 l 1 1 2 2 . Cirrhosis of Liver 2 . . . . . . . . 2 . . Other Liver diseases 10 . . . . . . . 3 3 . 3 Other Digestive diseases 25 2 2 . . . 2 . |
cd6b9f3d-60c7-4b3d-9349-5369c8cf9ecf | 2 4 8 5 Acute and Chronic Nephritis 44 1 . . . . 2 6 7 4 13 11 Puerperal Sepsis . . . . . . . . . . . . Other Puerperal Causes 3 . . . . . 2 1 . . . . Congenital Debility, Premature Birth, etc. |
5564f9cd-7d3b-4225-90dc-1d98bae0d44a | 51 51 .. .. .. .. .. .. .. .. .. .. Senility 37 .. .. .. .. .. .. .. .. .. 6 31 Suicide 12 .. .. .. .. 1 .. 2 3 1 4 1 Violence 86 3 .. 1 4 9 8 4 7 6 18 26 Other defined Diseases 113 4 .. 2 7 4 5 10 10 22 21 27 Causes ill-defined or unknown .. .. .. .. .. .. .. .. .. .. .. .. 7 GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Clinics and Treatment Centres. The clinics and treatment centres in the Borough are as set out in my Annual Report for 1938 except for the following changes:— The Maternity and Child Welfare Centre at Holy Trinity Church Hall, Beresford Street, was discontinued as from 30th January. |
23d5f1fc-a6fb-445c-8241-cccf3e6374ab | The Maternity and Child Welfare Centre at the Old Town Hall, Woolwich, was closed on the opening of the new Central Health Centre, Market Street, Woolwich, on the 14th January. The new Centre is a combined maternity and child welfare centre and school treatment centre and provides also accommodation for the treatment of rheumatism, artificial sunlight treatment, orthopaedic treatment, dental treatment and a foot clinic. The London County Council School Treatment Centre at Brewer Street, Woolwich, was closed on the opening of this new Centre. A Maternity and Child Welfare Centre was opened at 137, Alnwick Road, Lee, S.E. 12, on 6th October. The attendances at the Maternity and Child Welfare Centres during the year were: Expectant Mothers, 3,138; Nursing Mothers, 1,795; Children, 32,124. Ambulance Facilities. |
d02d2593-af06-4701-b702-cfc5a3f75f0f | The London County Council provide an ambulance service, full details of which are set out in my Annual Report for 1938. Professional Nursing in the Home. The arrangements with the six nursing associations for the nursing of cases of measles, ophthalmia neonatorum, zymotic enteritis, whooping cough and poliomyelitis, in children under five, and pneumonia, puerperal fever, puerperal pyrexia and tuberculosis were continued during 1939. The total number of visits paid by the nurses was 2,592. Midwifery Services. There are no whole-time midwives employed by the Council, the Domiciliary Midwifery Service in London being administered by the London County Council. Maternity beds are provided in the British Hospital for Mothers and Babies, the War Memorial Hospital, the Eltham Cottage Hospital, the Military Families' Hospital, St. Nicholas' Hospital, and a few in midwives' homes. |
0bc173bf-a8dc-4f1e-9011-667e41003c10 | At the outbreak of War, the War Memorial Hospital, the Military Families' Hospital and St. Nicholas' Hospital closed their maternity wards, and consequently a greater demand was made on the British Hospital for Mothers and Babies. 8 Health Visiting. The arrangements made for the visiting of children between the ages of one and five are described in previous annual reports. The number of such visits paid during 1939 was 14,151. The total number of visits paid by health visitors was 20,251. Infant Life Protection. The number of foster mothers with children on the register at the end of 1939 was 36, and the number of children kept by these was 40. The number of visits paid was 566. Orthopaedic Treatment. With the opening of the new Central Health Centre the orthopaedic treatment of children under five years of age was taken over from the Invalid Children's Aid Association. Dental Treatment. |
cd748e93-5cec-4b4a-9d3a-6fd825686643 | The number of mothers and children attending the dental clinics was 575, and the number of tuberculous persons attending was 37. Laboratory Facilities. The bacteriological work of the Council is carried out at the Woolwich War Memorial Hospital. Supply of Insulin to Persons Suffering from Diabetes. The Council's scheme for the supply of Insulin to diabetic patients who are necessitous and unable to obtain it under the National Insurance Acts was continued. Vaccination. I submit a return by the Vaccination Officer on the work carried out under the Vaccination Acts for the year 1939. TABLE No. 3. RETURN to be made on or before 14th February, 1940, by Mr. |
f6691cc9-4482-4f4a-a522-3de69431c088 | 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, 1938, 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, 1938. Number of these Births duly entered by 31st January, 1940, in Columns I., II., IV., and V. of the " Vaccination Register " (Birth List Sheets), viz.:— Col. I. Successfully Vaccinated. Col. II. Col. IV. Number in respect of whom Statutory Declaration of Conscientious Objection has been received. Col. V. Died Unvaccinated Insusceptible of Vaccination. Had Small Pox. 1. |
13a6d5e6-ff46-48c5-8e4a-50032adc3b1f | 2. 3. 4. 5. 6. 7. 1. Plttmstead 637 230 2 - 296 32 2. Woolwich † 1237 561 2 - 508 32 3. Eltham 442 238 - - 148 19 Total 2316 1029 4 - 952 83 9 TABLE No. 3—continued. Number of these Births which on 31st January, 1940, remained unentered in the "Vaccination Register" on account (as shown by "Report Book") of:— Number of these Births remaining on 31st January, 1940, 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). |
320d9920-446c-42d3-aee1-fac6cdd0180a | *Total Number of Certificates of Successful Primary Vaccination of Children under 14 received during the Calendar Year 1939. 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 1939. Postponement by Medical Certificate. Removal to Districts the Vaccination Officers of which have been duly apprised. Removal to places unknown or which cannot be reached ; and cases not having been found. 8. 9. 10. 11. 12. 13. 9 5 52 11 These figures are to be obtained from colum ns 2 and 6 of the Summar y (Form N.) 10 60 48 16 8 13 11 5 27 78 111 32 1262 926 Notes on Table No. 3. |
585e4357-0dee-4c68-81be-a4a9d74dd2c0 | NOTE.—(a) The total of the figures in columns 3 to 11 should agree with the figures in column 2. Any cases of children successfully vaccinated after the declaration of conscientious objection had been made should be included in column 6 above and not in column 3. The number of such cases should be inserted here:—1. (b) The figures in columns 2 to 11 should not include re-registered births or cases of children born in other districts. *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 1939 sent to other Vaccination Officers should be stated here :—193. |
f08e3e50-f34f-4a00-b4b4-8bf2cea70a12 | flncludes the Burrage and Herbert Wards in Plumstead Parish. (Signature; S. G. TAYLOR, Vaccination Officer. Date—13/A February, 1940. During the year ended 30th September, 1939, the number of persons successfully vaccinated or re-vaccinated at the cost of the rates was 936. This figure includes 717 primary vaccinations of persons under one year of age, 88 over one year of age, and 131 re-vaccinations. 10 SANITARY ADMINISTRATION. Complaints. During the year 2,803 complaints of nuisance were received by the Health Department. After investigation the necessary notices for the remedy or abatement of the defects or nuisances discovered were served. Sanitary Inspection of the Area. During the year 19,474 inspections including re-inspections, were carried out by the sanitary inspectors. |
d4eb8e7f-c2e9-4c71-ade2-5e0e3c1a1b8c | Included in this number are the inspections on complaint of nuisances, and 622 with reference to infectious disease. The number of inspections of factories, workshops and work places was 518. Defects were found and remedied in 9 instances. The number of intimation notices served was 993 and the number of statutory notices 180. Only in 35 instances, where the owners did not comply with the statutory notices, was the Town Clerk asked to institute proceedings. It was, however, necessary to issue summonses in only 2 instances, as in all other cases the necessary steps were taken on receipt of a letter from the Town Clerk. Eradication of Bed Bugs. The methods adopted in Woolwich in this respect have been reported on very fully in previous reports. During 1939, 4,023 inspections of verminous houses were carried out and the necessary action was taken. Rats and Mice (Destruction) Act, 1919. |
b7620e93-467b-4164-ad85-8510917f8ff9 | The number of inspections of rat infested premises made during 1939 was 387. In 114 instances it was necessary to secure the repair of defective drains. Fifty-one premises were made rat-proof and other effective measures were taken in 22 instances. During National Rat Week held from 6th to 11th November, action similar to that of previous years was taken. The number of baits laid in sewers was 7,910. HOUSING. The total number of dwelling houses inspected for housing defects under the Public Health or Housing Acts was 3,043, and the number found not to be in all respects reasonably fit for human habitation was 1,065. The number rendered fit in consequence of informal action by the sanitary inspectors (including the service of intimation notices) was 833. Statutory notices were served in respect of 132 houses. Twenty-seven new cases of overcrowding were reported during the year and 40 cases were relieved. |
9d2ead2e-2bad-45fc-b600-4e2a52a656fa | Of these, 12 were re-housed by the Woolwich Borough Council as part of their general housing policy, and 12 by the London County Council as part of their abatement of overcrowding policy. 11 New Houses. Certificates of a proper and sufficient supply of water were issued for 836 new houses. Of these 107 were in respect of houses built by the Council. Clearance Areas. Action was begun by the Borough Council with regard to the following areas :Margaret Cottages, Dairy Lane (2 houses), Woodhill (2 houses), Plumstead High Street (2 houses), Hull Place, and Plumstead High Street (17 houses). No enquiries in respect of these areas were held during 1939, but inquiries were held and the Orders confirmed in respect of five areas where the first steps were taken in the previous year, viz.: Garland Road and Pendrell Street (82 houses); Albert Road, No. |
b60ab980-df0e-4bf8-9f46-69482b7b43a2 | 2 (4 houses); Sidney Cottages, Reidhaven Road (2 houses); Foreland Street, No. 1 (8 houses); Foreland Street, No. 2 (7 houses). Orders were confirmed also in respect of two areas where no objection was made, viz., Frances Street (3 houses), Inverary Place (8 houses). INSPECTION AND SUPERVISION OF FOOD. Milk. The number of milk premises on the register on the 31st December was 63, and 94 inspections were made. Two pasteuriser's licences, 10 dealer's licences and 7 supplementary licences were issued under the provisions of the Milk (Special Designations) Orders, for the sale of pasteurised milk, and 10 dealer's and 4 supplementary licences were issued for the sale of " Tuberculin Tested " milk. The number of samples of designated milk examined bacteriologically was 12. All complied with the prescribed standards. Meat Supplies. |
88bac068-7c54-46d0-b6bb-994d20609f78 | The number of animals slaughtered and inspected at the slaughterhouses in the Borough was 49,344 compared with 43,288 in 1938. Premises where Food is Prepared or Offered for Sale. All such premises, including those registered under the provisions of the Public Health (London) Act, 1936, are kept under frequent observation. The number of inspections carried out during the year was 2,138. The total weight of food surrendered including carcases and parts of carcases found to be unsound at the slaughterhouse, was 33 tons 15 cwts. Sophistication of Food. During the year 696 samples were submitted to the Public Analyst for analysis. Of these 504 were informal and 192 formal. 46 samples were reported as adulterated. 12 The following Table gives details of adulterated samples and the action taken in each case where the sample was formal. Table No. 4. Sample No. Article. |
f112cb86-750f-4fab-8447-06e4ab05071b | Formal or Informal. Result of Analysis. Result of Legal Proceedings or other Action. 593 Camphorated Oil Informal Contained water, 1 per cent. — 602 Cheddar Cheese Informal Fat deficient, being only 33.9 per cent, of the dry substance of the cheese. — 649 Peppercorns Informal Contained pimento (allspice), 3.7 per cent. — 663 Condensed Full Cream Milk, Sweetened Informal 3 per cent, deficient in milkfat, and equivalent to only 11 pints of milk instead of lg pints, as declared. — 712 Milk Formal 21 per cent, of the fat abstracted. Vendor fined 20s. with 21s. costs. 784 Margarine Informal Incorrectly labelled. The wrapper was cut in half, only "Marga" in letters ¼ in. high remaining as a label. |
74dd127c-b656-441c-9883-d2242ae70ce0 | Other descriptive matter and a coupon were also printed on the halfwrapper. — 802 Margarine Informal Incorrectly labelled. In addition to the word "Margarine,"other descriptive matter was printed on the wrapper. 802 Margarine Informal Incorrectly labelled. In addition to the word "Margarine," other descriptive matter was printed on the wrapper. — 807 Milk Formal 6 per cent, of the milk-fat abstracted. — 816 Fruit Butter Grapefruit. Informal Contained 8 dead ants — 35 Margarine Informal Incorrectly labelled. Other descriptive matter in addition to the word "Margarine" was printed on the wrapper. — 37 Sweets — Rum and Butter Toffees. Informal Contained 8.3 per cent, of Margarine fat. — 13 TABLE No. 4—continued. Sample No. Article. Formal or Informal. Result of Analysis. |
8b116423-4ce4-4965-9e6f-dda40e76ce6d | Result of Legal Proceedings or other Action. 57 Margarino Informal Incorrectly labelled. Other descriptive matter in addition to the word "Margarine "was printed on the wrapper. — 68 Milk Formal 5 per cent, of the milk fat abstracted. Ordered to pay 12s. 0d. costs. 92 Blackcurrant Jam— Full Fruit Standard. Informal Contained not more than 18 per cent, of blackcurrant fruit. — 96 Malt Vinegar "(Pure, Finest Quality). Informal Contained not less than 30 per cent, of unmalted or artificial Vinegar. — 101 Margarine Informal Incorrectly labelled. Other descriptive matter in addition to the word "Margarine" was printed on the wrapper. — 103 Glac£ Fruits Informal Consisted of sugar - coated jellies, coloured and flavoured to represent fruits. |
a85b597c-a0ac-4fe1-82a8-00dbbf1adb02 | — 105 Celery Cheese Informal Contained 12.1 per cent, of Fat, corresponding to a deficiency of 51 per cent. — 120 Glauber's Salt Informal Consisted of effloresced Glauber's Salt, equivalent to 116-2 per cent, or crystalline sodium sulphate. — 121 Glauber's Salt Informal Consisted of effloresced Glauber's Salt, equivalent to 113-7 per cent, of crystalline sodium sulphate. — 150 Blackcurrant Jam— Full Fruit Standard. Formal Contained not more than 23 per cent, of blackcurrant Stock withdrawn from sale. 151 Natural Orange Squash. Informal Consisted of a mixture of sugar, citric acid and water, with not more than 20 per cent, of orange juice, and coloured red with an artificial dye and preserved with 260 parts per million of sulphur dioxide. |
380306d5-7e9b-4cd6-b8a9-7d6cbe4312c1 | — 198 Grey Powders (3 years) Informal Consisted of 12 powders of an average weight of 1.90 grains, containing:— Mercury, 6 per cent.; Chalk, 16 per cent.; Milk Sugar, 78 per cent. — 14 TABLE No. 4—continued Sample No. Article. Formal or or Informal. Result of Analysis. Result of Legal Proceedings or other Action. 201 Gregory's Powder Informal Contained:— Magnesium Oxide, 59 per cent.; Magnesium Carbonate, 9 cent.; Rhubarb, 22 per cent.; Ginger, 10 per cent. — 207 Celery Cheese Formal Contained 11.7 per cent, of fat, corresponding to a deficiency of 53 per cent. Cautionary letter. 238 Milk Formal 7 per cent, of the milk-fat abstracted. Vendor ordered to pay 20s. 0d. |
23dc5a6d-6726-4153-8fc4-03e89bc8881c | costs. 242 Hum and Butter Lumps. Informal The sample contained: Ruinflavoured toffee (fat-free), 96.9 per cent. Margarine, 3 .1 per cent. — 260 Sausages Informal Contained sulphur dioxide:— 280 parts per million. — 288 Jam, Red Plum, Full Fruit Standard. Informal Contained not more than 37 per cent, of red plum fruit. — 318 Milk Formal Contained not less than 4 per cent, of added water. Vendor cautioned. 320 Milk Formal Contained added sugar. 1.20 per cent., and small proportion of added water. Vendor cautioned. 343 Lard Informal Consisted of a mixture of edible oils and fats of vegetables and animal origin. — 345 Lard Formal Consisted of a mixture of edible oils and fats of vegetable and animal origin. |
a1ade6d1-19ee-4a01-ac7c-6c8da2b7d98c | — 347 Lard Informal Consisted of a mixture of edible oils and fats of vegetable and animal origin. — 355 Butter Informal Contained water—16.1 per cent. — 358 Luncheon Sausage Informal Contained sulphur dioxide:— 230 parts per million. — 359 Liver Sausage Informal Contained sulphur dioxide:— 85 parts per million. — 360 Beef Sausages Informal Contained sulphur dioxide:— 450 parts per million. — 362 Luncheon Sausage Informal Contained sulphur dioxide:— 50 parts per million. — 15 TABLE No. 4—continued Sample No. Article. Formal or Informal. Result of Analysis. Result of Legal Proceedings or other Action. 428 Zinc Ointment Informal Zinc Oxide, 7 per cent, excessive. — 439 Sago Informal Consisted entirely of seed tapioca. |
4b24f916-16df-48a1-87b4-061243b47db9 | — 460 Glace Fruits Informal Consisted of coloured, fruitflavoured Jellies, coated with sugar. — 467 Glace Fruits Informal Consisted of sugared jellies, coloured, flavoured and moulded to resemblo glace fruits. — 472 Meat Pie Informal Contained boric acid: 0.015 per cent. — 483 Glace Fruits Formal Consisted of coloured, fruit flavoured jellies, coated with sugar. — 484 Glace Fruits Informal Consisted of sugared jellies, coloured, flavoured and moulded to resemble glace fruits. — Food Poisoning. The number of notifications of cases of food poisoning was 16. PREVALENCE AND CONTROL OF INFECTIOUS DISEASES. Notifications. The total number of notifications received was 2,047. The classification under diseases was as follows:— Table No. 5. |
4aeb5f86-2434-4a8a-82d1-4b2c30523800 | Diphtheria 123 Ophthalmia neonatorum 43 Scarlet Fever 374 Encephalitis Lethargica 1 Enteric Fever (including Paratyphoid) 8 Dysentery 21 Cerebrospinal Meningitis 9 Puerperal Fever 6 Poliomyelitis 4 Puerperal Pyrexia 42 Polio-encephalitis 1 Erysipelas 51 Zymotic Enteritis 56 Smallpox — Measles 43 Pneumonia 265 Whooping Cough 998 Malaria 2 Diphtheria. The amount of anti-toxin supplied to medical practitioners during the year was 76,000 units. The number of children immunised during the year was 368. 16 Ophthalmia Neonatorum. Forty-three cases were notified, 4 of which were admitted to hospital. Nursing assistance was provided under the Council's scheme in 32 cases. |
5a8dfcd5-ebbd-4c97-9d05-778be485dc80 | Tuberculosis. The number of new cases examined was 1,025. Of these 190 were definitely tuberculous. 389 contacts were examined, of which 24 were definitely tuberculous. The total number of attendances at the Dispensaries was 4,937, and 3,724 visits were made by nurses to homes of patients. 181 domiciliary visits were paid by the Tuberculosis Officer or an Assistant Medical Officer, and 438 cases were referred to the Dispensaries by medical practitioners. 570 specimens of sputum were examined, of which 129 were positive ; and 1,197 X-ray examinations were made. The number of cases on the register on the 31st December, 1939, was 923. 104 patients received artificial pneumothorax treatment. Additional nourishment was granted in 313 instances. 37 patients received dental treatment under the Council's scheme. 350 patients were admitted to hospitals, sanatoria or training colonies. |
097e04c0-56b8-4cdd-bc4d-1c53c0712cbf | The Tuberculosis Care Committee continued their meetings and rendered valuable assistance in various ways to the needy tuberculous and their families. Disinfection and Disinfestation . The number of rooms disinfected after cases of infectious disease, etc., was 1,886. Of these 324 were rooms which had been occupied by tuberculous persons. 1,056 rooms were disinfected for verminous cases. 28,707 articles were disinfected at the Disinfecting Station. The number of school children cleansed at the Cleansing Station, White Hart Road, in accordance with the terms of the agreement with the London County Council was 1,645. The number of adults cleansed was 34. |
0172c72a-af1f-461c-ace4-d298b3953a5c | TABLE OF CONTENTS, page Health Committee 2 Maternity and Child Welfare Committee 2 Preface 3 Vital Statistics 5 General Provision of Health Services in the Area 7 Sanitary Administration 10 Housing 10 Inspection and Supervision of Food 11 Prevalence and Control of Infectious Diseases 15 |
371304fa-a7ad-49ae-8dba-e0c8e1e041fb | WOO 40 Metropolitan Borough of Woolwich ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR WOOLWICH 1940 BY J. MACMILLAN, D.S.O., M.C., M B., Ch.B., D.P.H. Medical Officer of Health WOOLWICH : The Kentish Independent Printing Works (T.U.) 41, Wellington Street, S.E.18 HEALTH COMMITTEE. At 31st December, 1940. The Worshipful the Mayor (Councillor A. Gorman, J.P.) Councillor C. H. Darby (Chairman) Councillor A. H. Gilder (Vice-Chairman). Councillors— J. W. Andrews Miss M. Grout, J.P, Mrs. L. E. Driver G. E. Greenwood H. L. Hunt E. T. Lamerton D. B. Lister S. W. Lister Mrs. |
3adc95b1-5ecf-4fda-a7bd-25cd565b078d | K. M. Rance Mrs. E. L. Reeves E. G. Stevenson H. Vaughan Miss G. E. Walters, J.P. MATERNITY AND CHILD WELFARE COMMITTEE. Comprising the Members of the Health Committee Councillor Mrs. E. L. Reeves (Chairman) Councillor Miss G. E. Walters, J.P. (Vice-Chairman). TABLE OF CONTENTS. page Preface 3 Vital Statistics 5 General Provision of Health Services in the Area 7 Sanitary Administration 10 Housing 10 Inspection and Supervision of Food 11 Prevalence and Control of Infectious Diseases 13 PREFACE. To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. Mr. Mayor, Ladies and Gentlemen, I have the honour to submit the Fortieth Annual Report on the health of the Metropolitan Borough of Woolwich. |
e01d7abd-2a67-49a2-85b1-075d840e5c29 | It is, on account of the war, like its immediate predecessor, shorter than usual, but it is hoped that it contains sufficient statistics and other material as is necessary to enable readers to appraise generally the health of the population and the maintenance of health services under war conditions. Since my last report the following staff changes have taken place:— Mr. C. W. V. Harris, Sanitary Inspector, died on the 21st February. Dr. F. J. C. Blackmore, Tuberculosis Officer, retired on superannuation on the 3rd April. Mr. J. S. Gibson, Sanitary Inspector, commenced duty on 4th April. Dr. M. E. Proudfoot, Assistant Medical Officer, resigned her appointment on the 7th October. Mr. F. Hemingway, Sanitary Inspector, resigned his appointment on the 30th November. Dr. |
5d54e40e-b466-4d2f-b002-162c99bb8da1 | F. E. Smith, Assistant Medical Officer, resigned her appointment on the 3rd December. Miss A. Klue, Health Visitor, resigned her appointment on the 31st December. In accordance with expectations, the war altered the work of the Department in many ways. Most services were maintained; some were reduced; some ceased; some were increased; new responsibilities were many. Civil defence affected the Department in the following ways:— (а) It was necessary to organise, staff and administer First Aid Posts and Gas Cleansing Stations. (b) It was necessary to organise, train and administer the Stretcher Bearer service. (c) It was necessary to provide medical and sanitary supervision of shelters and shelterers. (d) It was necessary to provide for medical supervision of the rest centres. The work of the sanitary inspectors did not diminish. |
7edaa83b-aec1-4519-9b31-315021ec15e8 | The closing of private slaughterhouses and the concentration of slaughter in large slaughterhouses, brought much additional work in Woolwich, the number of animals slaughtered at the Royal Arsenal Co-operative Society's abattoir rising from 49,344 in 1939 to 89,509 in 1940. The raids damaged drains, as well as buildings, enabling sewer rats to come to the surface, and it was necessary towards the end of the year to spend more time on rat prevention work. The routine disinfestation, as a preventive measure, of blankets belonging to the various sections of civil defence personnel caused a 4 great increase in the amount of this work, but this was set off in some measure by the fall in the amount of disinfection owing to the great reduction in the number of cases of infectious disease. It was not possible to continue cyanide fumigation of furniture prior to occupancy of houses on the Council's Housing Estates, and resort had to be made to older and not so reliable methods. |
2e51291a-7a50-43d2-9663-3ff5324583ff | House to house inspection was discontinued, and slum clearance work wholly ceased. Of maternity and child welfare it can be said that the basic preventive services were maintained on a slightly reduced scale but probably little short of the pre-war standard because of the fall in the number of the population. It was only possible to continue the treatment services, however, with the exception of the provision of maternity beds, in a reduced form. All other ancillary services have been maintained although less use has been made of them. So far as tuberculosis work is concerned, the local services are now pretty much as they were in pre-war days, with the exception of the occupational therapy scheme of the Tuberculosis Care Committee which had to be discontinued. |
175e9b3a-3242-4cde-8d05-6248f0722c47 | Although the number of births in Woolwich fell from 2,133 in 1939 to 1,840 in 1940, the Registrar General estimated that the population fell from 150,800 to 124,340, and as a result the birth rate rose from 14.1 per thousand to 14.8. The number of deaths increased from 1,592 to 1,854, and as a result the death rate rose from 11.1 to 14.9. So far as causes of death are concerned, the largest increases were in the number of deaths from bronchitis and in those from violence, under which head, deaths resulting from enemy action are classified. The infantile mortality rate was 36, compared with 49 in the previous year. It is the lowest figure ever recorded in the Borough. There was little infectious disease in the Borough during the year ; there were, for example, only 61 cases of diphtheria and 128 of scarlet fever. |
0ebe4827-9706-4c36-a789-6a2f669dc68d | Other notifiable diseases were similarly reduced in number with two notable exceptions ; the incidence of pneumonia was average, while the number of cases of cerebrospinal meningitis rose from 9 to 32. In conclusion, it gives me great pleasure to be able to say that the Department met more than adequately the demands made upon it, due entirely to the hard work put in and the zeal shown by every member of the permanent, temporary and war-time staffs. I desire also to acknowledge the help given to us all by the Chairmen and members of the Committees on Health and the Chairman and members of the Emergency Committee in dealing with the local medical and sanitary problems of the war, and to thank the Council and the members of these Committees for the continued confidence placed in the Department and myself during the year. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, J. MACMILLAN, Medical Officer of Health. 5 VITAL STATISTICS. Table No. 1. Population. |
17c766ac-3706-437a-b141-26e9e8085ae9 | Registrar-General's Estimate of 124,340 Live Births—Legitimate 1,781 Live Births—Illegitimate 65 1,846 Birth Rate per 1,000 population 14.8 Still-births 55 Still-births—Rate per 1,000 total births 28.9 Deaths 1,854 Death Rate per 1,000 population 14.9 Deaths from puerperal causes:— (a) From Sepsis — (b) From other causes 1 Death rate from puerperal causes per 1,000 total births 0.53 Deaths of infants under one year of age 66 Death rate of Infants under one year of age:— (a) All infants 36 (b) Legitimate infants 33 (c) Illegitimate infants 111 Notification of Births. After correction by inward and outward transfers the total number of Woolwich live births notified was 1,881. |
36f5e15d-03fc-4440-a8c7-20b400e10656 | Of this number it is known that 930 took place in institutions. Deaths. The total number of deaths of Woolwich residents from all causes was 1,854. The classification by age under causes of death is shown in the following Table No. 2. 6 TABLE No. 2. Nett Deaths during the calendar year 1940. Causes of Death. Nett Deaths at the subjoined ages of " Residents " whether occurring within or without the District. All Ages. Under 1 year. 1 and under 5 years. 5 and under 15 years. 15 and under 45 years. 45 and under 65 years. 65 years and upwards. All Causes 1,854 66 29 27 272 493 967 Typhoid and paratyphoid fevers . . . . . . . Cerebrospinal fever 5 1 1 1 1 - 1 Scarlet fever . . . . . |
042e911a-db9c-4351-9c6f-89aab001ff6b | . . Whooping cough . . . . . . . Diphtheria 3 . 2 . . . . Tuberculosis of the respiratory system 103 - 2 . 67 29 5 Other forms of tuberculosis 12 . 2 . 4 2 1 Syphilitic diseases 16 1 . . . 8 7 Influenza 22 . . . 2 9 11 Measles . . . . . . . Acute polio-myelitis and polio-encephalitis 1 . . . . . 1 Acute infective encephalitis 2 . . . . 2 . Cancer of buccal cavity and oesophagus (M); uterus (F) 33 . . . 1 15 17 Cancer of stomach and duodenum 36 . . . 4 13 19 Cancer of breast 26 . . . . 15 11 Cancer of all other sites 116 . |
a0c89e2c-c623-453b-a762-f2b251a69314 | 1 1 8 36 70 Diabetes 21 . . . 6 4 11 Intracranial vascular lesions 113 . . . 2 26 85 Heart disease 449 . . 1 23 96 329 Other diseases of the circulatory system 59 . . . 1 17 41 Bronchitis 142 1 1 2 5 34 99 Pneumonia 92 9 5 1 7 34 36 Other respiratory diseases 14 . 1 . . 5 8 Ulcer of stomach or duodenum 32 . . . 5 13 14 Diarrhoea under 2 years 6 6 . . . . . Appendicitis 8 . . 1 3 1 3 Other digestive diseases 45 1 1 . 9 17 17 Nephritis 38 . . . |
4d6eae1e-35b9-4dbf-b75e-b6809888ce63 | 7 11 20 Puerperal and post-abortive sepsis . . . . . . . Other maternal causes 1 . . . 1 . . Premature birth 16 16 . . . . . Congenital malformation, birth injury, infantile diseases 28 25 1 . 2 . . Suicide 12 . . . 3 8 1 Road traffic accidents 25 . 1 1 11 3 9 Other violent causes 241 3 10 12 87 69 60 All other causes 137 3 1 3 13 26 91 7 GENERAL PROVISION OF HEALTH SERVICES IN THE AREA. Clinics and Treatment Centres. In tabular form below are shown the arrangements in being during the year at each of the Council's Maternity and Child Welfare Clinics and Treatment Centres. Woolwich Central Health Centre. |
88eedd64-9f24-42b3-8f77-c79a60a532ff | In use as a first aid post but maternity and child welfare and ante-natal clinics held throughout the year. Plumstead Health Centre In use as a first aid post throughout the year. Emergency arrangements made for holding clinics in the Juvenile Library of the Plumstead Library, which adjoins this Centre. Eltham Health Centre In use as a first aid post. Child welfare clinics held two days weekly during the year. Ante-natal services transferred to Horn Park Centre. Wesley Hall, Timbercroft Lane. Church Hall continued to be used as a maternity and child welfare clinic during the year. New Eltham Hall taken over for other purposes. Clinics held during the greater part of the year at the First Aid Post, Legal and General Sports Pavilion. St. Luke's Church Hall, Westmount Road. Clinics continued to be held during the year. Elizabeth Street, North Woolwich. Taken over as a first aid post but clinics held until September. |
148f7f81-b356-4908-828e-e3095e306660 | Clinics were then held at the Storey Street School, by arrangement with East Ham Borough Council. Horn Park Open throughout the whole year for ante-natal and infant welfare clinics. The attendances at the maternity and child welfare centres during the year were : expectant mothers, 2,797; nursing mothers, 773; children, 24,489. Health Visiting. The arrangements made for the visiting of children between the ages of one and five are described in previous Annual Reports. The number of such visits paid during 1940 was 14,046. The total number of visits paid by health visitors was 18,693. Infant Life Protection. The fall in the number of registered foster mothers apparent since the Council took over this service continued. There were only 20 of these in 1940, compared with 36 in 1939. The number of nurse children was 21. The number of visits paid by the infant life protection visitors was 324. |
b4ef90f1-a4b2-4a06-9c06-8a5b58cecde4 | 8 Toddlers' Clinics. The Council's scheme for the medical inspection of toddlers was not in being during the year. Artificial Sunlight Clinic. Towards the end of the year daily sessions were instituted in the Town Hall Shelter. Midwifery Services. There are no whole-time midwives employed by the Council, the Domiciliary Midwifery Service in London being administered by the London County Council. Maternity beds are provided in the British Hospital for Mothers and Babies, the War Memorial Hospital, the Eltham Cottage Hospital, the Military Families' Hospital, St. Nicholas' Hospital, and a few in midwives' homes. At the outbreak of war, the War Memorial Hospital, the Military Families' Hospital and St. Nicholas' Hospital closed their maternity wards, and consequently a greater demand was made on the British Hospital for Mothers and Babies. Home Helps. During the year 103 applications were considered by the Committee and 109 home helps were provided. |
d7a4de2b-9c44-40b4-ad08-6176fcf68ea4 | Treatment of Minor Ailments. The number of children referred to the school clinics for treatment during the year was 140. Dental Treatment. The number of mothers and children attending the dental clinics was 167, and the number of tuberculous persons attending was 14. Clinic for Physical Medicine. This clinic was not open during the year. Institutional Midwifery. The number of mothers admitted under the Council's scheme was 174. No cases were admitted for ante-natal or emergency treatment. Supply of Milk to Necessitous Mothers and Children. The approximate cost of this service during the year was: dried milk, £680 17s. Od.; fresh milk, nil; dinners, nil. Ambulance Facilities. The London County Council provide an ambulance service which continued in being during the year. Professional Nursing in the Home. |
05a514ea-a3c4-4095-a2dd-b05b02fcab6f | The arrangements with the six nursing associations for the nursing of cases of measles, ophthalmia neonatorum, zymotic enteritis, whooping cough and poliomyelitis, in children under five, and pneumonia puerperal fever, puerperal pyrexia and tuberculosis were continued during 1940. The total number of visits paid by the nurses was 2,445. Supply of Insulin to Persons Suffering from Diabetes. The number of cases who received insulin during the year was 21. Foot Clinic. The number of attendances was 7,416. Vaccination. I submit a return by the Vaccination Officer on the work carried out under the Vaccination Acts for the year 1940. 9 TABLE No. 3. RETURN to be made on or before 14th February, 1941, by Mr. |
eaa56f71-f51b-4dd3-ad82-8b8180ea920b | 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, 1939, 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, 1939. Number of these Births duly entered by 31st January, 1941, in Columns I., II., IV., and V. of the " Vaccination Register " (Birth List Sheets), viz. :— Col. I. Successfully Vaccinated. Col. II. Col. IV. Number in respect of whom Statutory Declaration of Conscientious Objection has been received. Col. V. Insusceptible of Vaccination. Had Small Pox. Died Unvaccinated. |
e7279abc-9b21-4167-8b9b-3d987287e38c | 1. 2. 3. 4. 5. 6. 7. 1. Plumstead 555 210 - - 228 15 2. Woolwich 1189 467 6 - 449 27 3. Eltham 397 199 1 - 144 15 Total 2141 876 7 - 821 57 Number of these Births which on 31st January, 1941 remained unentered in the "Vaccination Register" on account (as shown by "Report Book") of Number of these Births remaining on 31st January, 1941, 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). |
7425c2df-1a7f-477c-9f26-c83993db6fa4 | Total Number of Certificates of Successful Primary Vaccination of Children under 14 received during the Calendar Year 1940. 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 1940. Postponement by Medical Certificate. Removal to Districts the Vaccination Officers of which have been duly apprised. Removal to places unknown or which cannot be reached; and cases not having been found. 8. 9. 10. 11. 12. 13. 15 20 58 9 These figures are to be obtained from colum ns 2 and 6 of the Summar y (Form N.) 13 119 96 12 3 18 15 2 31 157 169 23 933 661 (Signature) S. G. TAYLOR, Date—12th February, 1941. |
a56bd62f-9ab2-429c-8cea-187d7bcbc594 | Vaccination Officer. During the year ended 30th September, 1940, the number of persons successfully vaccinated or re-vaccinated at the cost of the rates was 693. This figure includes 652 primary vaccinations of persons under one year of age, 35 over one year of age, and 6 re-vaccinations. 10 SANITARY ADMINISTRATION. Complaints. During the year, 2,426 complaints of nuisance were received by the Health Department. After investigation the necessary notices for the remedy or abatement of the defects or nuisances discovered were served. Sanitary Inspection of the Area. During the year 14,113 inspections, including re-inspections, were carried out by the sanitary inspectors. Included in this number are 2,011 primary inspections on complaint of nuisances, and 326 on account of infectious disease. The number of inspections of factories, workshops and workplaces was 192. |
9eb04753-8b6c-4ac2-8ab5-7cd9a662c0ee | Defects were found and remedied in 11 instances. The number of intimation notices served was 955 and the number of statutory notices 300. Only in 58 instances, where the owners did not comply with the statutory notices, was the Town Clerk asked to institute proceedings. It was, however, necessary to issue summonses in only two instances, as in all other cases the necessary steps were taken on receipt of a letter from the Town Clerk. Eradication of Bed Bugs. The methods adopted in Woolwich in this respect have been reported on very fully in previous reports. Cyanide, however, was not used throughout the year. During 1940, 3,016 inspections of verminous houses were carried out and the necessary action was taken. As a preventive measure all infested furniture from bombed houses taken into store was treated with contact insecticides during the process of storing and the stores were carefully inspected by an experienced inspector at regular intervals for some months. |
f51bfa25-3dc9-4d08-9a47-5ecefa8f3b09 | As a result the bed bug problem in these furniture stores did not arise. Rats and Mice (Destruction) Act, 1919. The number of inspections of rat infested premises made during 1940 was 535. In 96 instances it was necessary to secure the repair of defective drains. Fifty-eight premises were made rat-proof and other effective measures were taken in 60 instances. HOUSING. The total number of dwelling houses inspected for housing defects under the Public Health or Housing Acts was 2,766, and the number found not to be in all respects reasonably fit for human habitation was 1,136. The number rendered fit in consequence of informal action by the sanitary inspectors (including the service of intimation notices) was 959. Statutory notices were served in respect of 177 houses. New Houses. Certificates of a proper and sufficient supply of water were issued for 160 new houses. |
f1e09487-61a3-472c-9dc6-efa042c9008f | Of these 23 were in respect of houses built by the Council. 11 INSPECTION AND SUPERVISION OF FOOD. Milk. The number of milk premises on the register on the 31st December was 63, and 74 inspections were made. Two pasteuriser's licences, 9 dealer's licences and 6 supplementary licences were issued under the provisions of the Milk (Special Designations) Orders, for the sale of pasteurised milk, and 15 dealer's and 3 supplementary licences were issued for the sale of "Tuberculin tested" milk. The number of samples of designated milk examined bacteriologically was 4. Meat Supplies. The number of animals slaughtered and inspected at the slaughterhouses in the Borough was 89,509, compared with 49,344 in 1939. Premises where Food is Prepared or Offered for Sale. |
1d26ac3b-2301-4d7a-b6b5-97f54ebb72ba | All such premises, including those registered under the provisions of the Public Health (London) Act, 1936, are kept under frequent observation. The number of inspections carried out during the year was 2,810. The total weight of food surrendered including carcases and parts of carcases found to be unsound at the slaughterhouse was 183 tons 16 cwts. Sophistication of Food. During the year 703 samples were submitted to the Public Analyst for analysis. Of these 531 were informal and 172 formal. Thirty-five samples were reported as adulterated. |