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48 39 2,133 14.1 49 β€” 1.40 40 1,846 14.8 36 β€” 0.54 41 1,459 14.0 42 β€” 1.37 42 2,036 18.5 34 β€” 1.42 43 2,174 19.3 35 β€” 1.79 44 2,037 18.3 40 β€” 1.43 45 2,021 17.5 41 22 1.94 46 2,903 21.6 31 20 0.34 47 3,193 22.8 27 11 0.92 1948 2,527 17.7 29 21 0.43 Tuberculosis.
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The Tuberculosis Dispensary was opened at Maxey Road in September, 1911, by a local voluntary Committee inaugurated at a Conference held by the Health Committee of the Borough Council and under the auspices of the " Central Fund for the Promotion of the Dispensary System for the Prevention of Consumption in London," supported in addition by local voluntary funds. When in 1921 the central funds failed, the Dispensary, including the existing staff, was taken over by the Borough Council, and the Tuberculosis service became an integral part of its Health Services, until it was transferred to the Regional Hospital Board in July, 1948. From then until the end of the year, however, the Council continued to administer the service as agents for the Board.
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32 In addition to administrating the Tuberculosis Regulations of 1925 and 1930 (a duty which remains with the Medical Officer of Health), the Council provided services at the Dispensaries (a branch dispensary had been opened in Well Hall Road, Eltham, and later transferred to Carnecke Gardens); by domiciliary visits; by arrangement with the London County Council, particularly for Institutional treatment, various hospitals and the Queen's nurses; and by co-operation with the Maternity and Child Welfare Service, the London County Council School Medical Services, the Public Assistance Committee, the Ministry of Pensions and the housing and other authorities. These services included:β€” For the Patients. Investigation for diagnosis by medical examination, X-rays, and by sputum and tuberculin testing; also by medical consultation with general practitioners, Hospital doctors, and Ministry of Pension and other officials. Arrangements for Hospital or Sanatorium treatment; and supervision and assistance at home during the waiting period.
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After-care; including arrangements for nursing ; assistance in the home; supply of garden shelters in suitable cases; supply of medicaments, surgical appliances, extra nourishment; and when necessary, by financial assistance. Rehabilitation, including occupational therapy in the form of handicraft, needlework and cookery classes; arrangements for vocational training, and assistance in finding suitable re-employment. For Contacts. An important side of the work has always been the examination of the contacts of known cases, particularly tuberculin testing and X-ray examination of child contacts and the making of arrangements for their boarding out in a suitable environment in order to minimise the risk of infection, or for their admission to day or boarding open-air schools. For Doubtful Cases. These are kept under observation and examined at intervals in order that disease may be detected and treated in its early stages.
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In all this work, the help of the Care Committee with its funds collected by local voluntary effort, has proved invaluable, particularly in solving personal problems coming outside the scope of official regulations. A review of the changing aspects of the work since 1911, or since 1921 when the Council became responsible, mirrors the changes on the social services, in the public recognition of the problem involved, and in medical advancement of knowledge. Early diagnosis is facilitated by the wide use of X-rays including Mass radiography surveys, and by a growing public consciousness of its need. Treatment in addition to rest, good food and fresh air, is now supplemented by many other procedures such as artificial pneumothorax, phrenic crush, pneumo-peritoneum, thoracoplasty, and operative removal of the whole or part of a lung. Also newly discovered drugs are a further aid to recovery, and B.C.G. vaccination offers hope for the future.
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The tuberculosis and family allowances and additional nourishment, ease the psychological strain of illness. Schemes for vocational training together with the Ministry of Labour, Disabled Persons Register, help with the all important problem of rehabilitation. And finally, the Home Help scheme gives the harassed housewife a chance. Thus, as is reflected in the lower death rate, many of the problems confronting the pioneers in 1911 have been partly solved, but others such as the housing shortage remain as a challenge to the future.
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Woo 49 AC 4372 METROPOLITAN BOROUGH OF WOOLWICH ANNUAL REPORT on the Health of the Metropolitan Borough of Woolwich for the Year 1949 BY T. STANDRING, M.D., B.S., D.P.H., M.R.C.S., L.R.C.P. Medical Officer of Health TABLE OF CONTENTS page Health Committee 2 Preface 2 Staff 4 Vital Statistics 5 General Statistics 9 Sanitary Administration, including Housing 9 Inspection and Supervision of Food 19 Prevalence and Control of Infectious Diseases: Disinfestation 26 Appendixβ€”Local Health Authority Services 32 Regional Hospital Board Services 34 HEALTH COMMITTEE At 31st December, 1949. THE WORSHIPFUL THE MAYOR (Councillor E. H. Reeves, j.p.) Councillor Mrs. E. Brooks (Chairman) Alderman Mrs.
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J. R. Whiting (Vice-Chairman) Aldermanβ€” L. A. Heath Councillorsβ€” T. G. Blann G. S. Dean A. H. Gilder, m.b.e., j.p. Mrs. A. E. Maxwell Mrs. E. R. M. Middleton Mrs. D. M. Munns D. J. O'Byrne G. E. Offord D. S. Ramsey Mrs. K. M. Rance D. S. Ritchie D. P. Walsh PREFACE To the Mayor, Aldermen and Councillors of the Metropolitan Borough of WoolmIch. Mr. Mayor, Ladies and Gentlemen, I have the honour to submit the Forty-ninth Annual Report on the health of the Metropolitan Borough of Woolwich. The Report is prepared along the lines indicated by the Minister of Health. I am pleased to state that during 1949 the general health of the Borough was maintained at a satisfactory level.
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There has been a steady increase in the population of the Borough since 1944 ; the Registrar-General's estimate of the civilian population in mid 1949 was 144,000, being an increase of 1,200 on the 1948 figure. The total population, i.e., civilians and non-civilians, is now estimated to be 149,200. An examination of the vital statistics shows that the birth rate (17.4) continues to fall from the post-war maximum rate of 22.8 in 1947, but nevertheless the rate for the Borough is higher than at any time between the years 1927 and 1941. The death rate (10.9) is the lowest for Woolwich since 1938 (10.4) and compares very favourably with that for England and Wales (11.7) and for the Administrative County of London (12.2).
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It is pleasing to record an infant mortality rate of 28.7, which is the second lowest rate for the Borough. In 1949 there have been fewer deaths in Woolwich of children under one year than during any of the preceding seven years. For the fourth year in succession the maternal mortality rate was less than 5 per 1,000 births. The incidence of infectious disease was again low. Notifications showed a marked decrease in numbers with two exceptions, those of tuberculosis and poliomyelitis (infantile paralysis). Tuberculosis is still a great social problem. However, in Woolwich, whilst there is no room for complacency, there has recently been a substantial drop in the number of deaths from this disease.
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This decrease became much more apparent in 1949, i.e., there were 59 deaths in 1949 compared with 82 in 1948 and 101 in 1947, giving a death rate from tuberculosis of .41, compared 3 with .57 in 1948 and .72 in 1947. The number of cases of tuberculosis remains high, probably to some extent accounted for by the increased use of the chest clinics and other facilities available for the early detection of the disease. The general insufficiency of institutional beds for tuberculosis cases continues. However, the opening during the year at the Brook General Hospital of a new isolation ward is a most welcome development locally. The increasing use in this country of B.C.G. vaccine as a protection against infection is a new factor in fighting the disease which should show the beneficial results indicated by Continental experience. At the present time the vaccine is being made available primarily to hospital and nursing staffs, those constantly exposed to infection and similar special groups.
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Poliomyelitis, which continues to present difficult problems, occurred in epidemic form over the country during the summer months of 1949. In Woolwich, there were 25 confirmed casesβ€”the highest number on record and slightly more than during the 1947 epidemic. Two cases proved fatal, but I am pleased to say that 18 patients made a complete recovery. The year 1949 was notable for the low incidence of whooping cough and there was also a drop in measles notifications. During April and May cases of smallpox were reported in the London area. Precautions were taken locally and many contacts of a suspected case were kept under observation. Diphtheria, which was a major problem in the years between the wars, has now become a comparatively rare disease. Only 11 years ago there were 507 confirmed cases in Woolwich alone, with 8 deaths occurring from this disease.
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The total confirmed cases numbered only 8 during 1949 and there were no deaths ascribed to this disease. This rapid fall has coincided with the immunisation campaign carried out on a large scale during the past few years. The housing situation is one of particular difficulty. That part of the Report dealing with sanitary administration shows that much work has been done in the remedying of defects and in the abatement of nuisances associated with housing. At the end of the year Woolwich still had a clear lead over other metropolitan boroughs in the post-war provision of houses. The number of complaints of sanitary defects has increased. It is not difficult to find the cause. There are a large number of older type houses in the Borough, particularly in the Woolwich and Plumstead districts, which now require increasing maintenance work to keep them in a reasonable state of repair.
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Investigation of complaints and repeated visits within a short period has accounted for a large proportion of the sanitary inspectors' time, and it has not yet been possible to carry out house-to-house inspections on a large scale. It is hoped that the time is not far distant when the process of clearing the Borough of its substandard property can be recommenced; The Council at the end of the year made an approach to the London County Council for the transference to the Council of the Lord Warwick Street Clearance area for representation and subsequent development. Those inspectors responsible for the inspection and supervision of the food supplies have experienced a particularly busy year. Progress can be reported in the work of securing a satisfactory level of hygiene among kitchen staffs and other food handlers. Personal contact with such workers is of the utmost importance and usually has the desired results.
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Draft food by-laws based on the series of model by-laws issued during the year by the Ministry of Food, and which it is hoped will shortly be made applicable to London, should be of assistance in the work of exercising a greater control in the handling and sale of food. 4 There has been a decided improvement in the bacteriological purity of ice cream, due in some measure to the regular supervision of these premises and to the advice given by the Council's sanitary inspectors. Owing to a large increase in the number of sheep, lamps and pigs for slaughter in the Borough, some 10,000 more carcases were inspected by officers of the Council than in the previous year. An important step in the progress towards the elimination of tuberculous cattle and in the campaign for " safe milk " was taken during the year, with the coming into force of the Milk (Special Designations) Act, which is designed to ensure that milk sold in this country is free from tuberculosis germs.
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In Woolwich, practically all the milk sold is already Tuberculin Tested, Pasteurised or Sterilised. Measures to combat the mosquito nuisance were again taken in 1949. The Council's rodent scheme was in full operation throughout the year. In accordance with the scheme agreed with the London County Council and the Borough Council, I have continued to act for the local health authority in the day-to-day administration of their personal health services. Co-operation between the local health authority and the sanitary authority in the administration of the health services in the Borough has obvious advantages, and I am pleased to say that liaison between the County Council and ourselves is excellent. I desire specially to acknowledge the continued confidence and support which I have received from the Council. I take this opportunity also of thanking every member of the staff for the valuable work they have done during the year and for the help they have given me personally. I am, Mr.
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Mayor, Ladies and Gentlemen, Your obedient Servant, T. STANDRING, Medical Officer of Health. HEALTH DEPARTMENT STAFF Medical Officer of Healthβ€” t. standring, m.d., b.s., d.p.h., m.r.c.s., l.r.c.p. Administrative and Clericalβ€” Chief Administrative Assistantβ€”T. H. Prescott Senior Clerk and Committee Clerkβ€” L. J. Allen (resigned 23rd January, 1949) A. Healey (appointed 1st April, 1949).
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Clerical Assistantsβ€”- R. E. Sweett (appointed 1st June, 1949) R. S. Hillary (deceased 12th November, 1949) Miss E. M. Smith Miss E. C. Nicolson Miss M. N. Prigmore Miss M. A. Reavil J. Merri man (resigned 26th February, 1949) H. R. Hart L. W. Jago C. Burgess G. Ryan Temporary Clerks 5 HEALTH DEPARTMENT STAFFβ€”continued. Sanitary Inspectorsβ€” Chief Sanitary Inspectorβ€”C. J. Couch Sanitary Inspectorsβ€”H.
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W. Pendrill F. A. Andrew H. M. Kersey F. J. Hoines W. F. Wheal W. McLelland E. Rees Miss M. F. Thomas Miss B. Hatfield R. A. Leach W. F. Troughton R. Lincoln K. S. Cooper K. J. Coppin J. A. Orrell R. E. Walters (resigned 25th June, 1949) G. Holmes (resigned 30th April, 1949) K. A. Bennett (appointed 18th July, 1949) J. B. O'Connell (appointed 18th July, 1949) R. H. Pasterfield (appointed 2nd August, 1949) Public Analyst (Part-time)β€” H. Amphlett Williams, ph.D (Lond.), a.c.g.f.c., f.r.i.c.
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VITAL STATISTICS Extracts from the vital statistics for the year, with comparable figures for 1948:β€” Table No. 1. 1949. 1948. Population (estimated civilian) 144,000 142,800 Live Birthsβ€”Legitimate 2,403 2,417 Live Birthsβ€”Illegitimate 101 110 Total Live Births 2,504 2,527 Birth Rate 17.4 17.7 Stillbirths 38 44 Stillbirthsβ€”Rate per 1,000 total births 15.2 17.5 Deaths 1,572 1,573 Death Rate per 1,000 population 10.9 11.0 Deaths from Puerperal causes:β€” (a) From Sepsis 1 β€” (b) From other maternal causes β€” 1 Death rate from Puerperal causes per 1,000 total births 0.39 0.39 Deaths of Infants under one year.
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72 74 6 Death rate of Infants under one year of age (a) All infants 28.75 29.28 (b) Legitimate infants 27.9 26.9 (c) Illegitimate infants 19.8 54.5 Deaths from Tuberculosis (all forms) 59 82 Deaths from Cancer (all ages) 300 279 Deaths from Whooping Cough 1 1 Deaths from Diarrhoea (under 2 years of age) 5 2 Births.β€”The number of live births registered in Woolwich in 1949 was 2,124. After correction for inward and outward transfers, the nett number of Woolwich live births was 2,504, 1,280 being males and 1,224 females. It is known that 1,135 births took place in Institutions in the Borough. The birth rate was 17.4 compared with 22.8 in 1947 and 17.7 in 1948.
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For the year 1949 the birth rate for England and Wales was 16.7, and for the Administrative County of London, 18.5. In addition, there were 38 still births, 21 being males and 17 females. Natural Increase in Population {i.e., excess of births over deaths). In 1947 the natural increase in population was 1,567 ; in 1948, 954 ; in 1949, 932 ; compared with 465 in 1937 ; 483 in 1938 ; and 541 in 1939. Deaths. The number of deaths registered in Woolwich was 1,244, the nett number of Woolwich deaths being 1,572, giving a death rate of 10.9 for the Borough. Deaths of Woolwich residents in hospitals in the Borough totalled 280, whilst 288 died in other hospitals within the London area and 153 in hospitals outside London.
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The Registrar-General supplies a factor by which the crude death rate should be multiplied in order that the local death rate may be compared with the crude death rate of the country. The adjusting factor for Woolwich was .93, giving, when so multiplied, an adjusted death rate of 10.1. In the following table, this figure is compared locally and nationally. Table No. 2. Deaths. England and Wales. London Administrative County.
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Woolwich All Causes 11.7 12.2 10.1 Typhoid and Paratyphoid 0.00 0.00 0.00 Whooping Cough 0.01 0.01 0.01 Diphtheria 0.00 0.00 0.00 Tuberculosis 0.45 0.52 0.41 Influenza 0.15 0.11 0.09 Smallpox 0.00 0.00 0.00 Acute Poliomyelitis and Polioencephalitis 0.01 0.01 0.03 Pneumonia 0.51 0.59 0.35 Of the total number of deaths, 300 were from cancer, of which 172 occurred in males and 128 in females. The total deaths from cancer in 1948 was 279.
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Of the total of 72 deaths of infants under 1 year, 43 occurred in infants under 1 month and of these 35 were children under 1 week. As in 1948, there was again only one maternal death. 7 8 TABLE No. 3. β€” Nett Deaths during the calendar year 1949, including non-residents in Institutions in the Borough. Causes of Death. Nett Deaths at the subjoined ages of " residents " whether occurring within or without the district. Deaths in Public Institutions. 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. 75 years and upwards.
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In Borough Outlying Institu tions. Residents. NonRsdts. All Causes 1572 72 3 9 12 15 34 59 121 267 413 563 266 157 441 Typhoid and Paratyphoid Fevers β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Cerebrospinal Fever 1 1 β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Scarlet Fever β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Whooping Cough 1 1 β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Diphtheria β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” Tuberculosis of Respiratory System 55 β€” β€” β€” 1 4 10 12 9 11 6 2 4 1 27 Other Tuberculosis 4 β€” β€” β€” β€” 1 1 1 β€” β€” 1 β€” β€” β€” 1
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Syphilis 17 β€” β€” β€” β€” β€” β€” β€” 3 4 5 5 4 β€” 3 Influenza 13 1 β€” β€” β€” β€” β€” β€” β€” 3 6 3 3 β€” β€” Measles 2 β€” β€” 1 β€” 1 β€” β€” β€” β€” β€” β€” β€” β€” 1 Acute Poliomyelitis and Polioencephalitis. . 4 β€” β€” 2 β€” 2 β€” β€” β€” β€” β€” β€” 2 β€” 1 Encephalitis Lethargica 3 β€” β€” β€” β€” β€” β€” 1 β€” 1 1 β€” β€” β€” 2 Cancer, Uterus (F); Buccal Cavity and Oesophagus (M) 21 β€” β€” β€” β€” β€” 1 β€” 2 7 4 7 2 4 10 Cancer of Stomach and Duodenum 55 β€” β€” β€” β€” β€” β€” β€” 3 13 27 9 6 3 19 Cancer
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of Breast 28 β€” β€” β€” β€” β€” 1 5 5 6 7 4 2 β€” 10 Cancer of all other sites 195 β€” β€” β€” 1 β€” 3 7 24 56 55 49 45 24 65 Diabetes 12 β€” β€” β€” β€” β€” β€” β€” 1 4 5 2 5 1 2 Cerebro-vascular Disease 151 β€” β€” β€” β€” β€” β€” 3 11 23 40 74 26 16 21 Heart Diseases 486 β€” β€” β€” β€” β€” 9 10 27 72 143 225 52 22 112 Other Circulatory diseases 64 β€” β€” β€” β€” β€” 1 3 3 9 20 28 9 9 28 Bronchitis 106 β€” β€” β€” β€” β€” β€” 2 3 15 32 54 9 3 23 Pneumonia 51 9 β€” 1 β€” β€” β€” 1 3 9
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8 20 13 8 13 Other Respiratory Diseases 20 β€” β€” β€” β€” β€” β€” 1 3 5 8 3 5 2 4 Peptic Ulcer 25 β€” β€” β€” β€” β€” β€” 2 8 6 6 3 9 4 10 Diarrhoea (under 2 years) 5 5 β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” 1 β€” 4 Appendicitis 6 β€” β€” β€” 1 β€” β€” β€” 1 2 1 1 3 β€” 2 Other Digestive diseases 25 β€” β€” 1 β€” β€” 2 β€” 2 5 4 11 6 10 15 Nephritis 25 1 β€” β€” 1 β€” >β€” 1 1 4 9 8 5 3 3 Puerperal and Post Abortive Sepsis 1 β€” β€” β€” β€” 1 β€” β€” β€” β€” β€” β€” 1 β€” 1 Other Maternal Causes
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β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” 1 β€” Premature Birth 22 22 β€” β€” β€” β€” β€” β€” β€” β€” β€” β€” 14 8 3 Congenital Malformation and Birth Injury 29 26 1 1 1 β€” β€” β€” β€” β€” β€” β€” 9 10 10 Suicide 14 β€” β€” β€” β€” β€” 1 4 4 β€” 3 2 4 2 6 Road Accidents 6 β€” 1 β€” β€” 2 β€” β€” 1 1 β€” 1 1 4 3 Other Violent Causes. 41 5 1 I 4 1 1 1 5 3 9 10 14 0 14 All other Causes 84 1 β€” 2 3 3 4 2 2 8 13 46 12 13 28 The chief Vital Statistics since 1921 are given in the following Table:β€” Table No. 4. Year.
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Population estimated to middle of each Year. Births. Nett Deaths belonging to the District. Nett. Under 1 Year. At all Ages. Number. Rate. Number. Rate per 1,000 nett Births. Number. Rate. (1) (2) (3) (4) (5) (6) (7) (8) 1921 a 141,700 3,197 23.2 197 62 1,594 11.6 b 137,604 1922 a 142,350 2,941 21.3 184 63 1,603 11.6 b 138,254 1923 a 143,530 2,867 20.5 123 43 1,387 9.9 b 140,000 1924 a 144,400 2,590 18.5 168 65 1,543 11.
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0 b 139,980 1925 a 145,440 2,582 18.3 141 55 1,519 10.8 b 140,740 1926 a 146,200 2,463 17.4 107 43 1,450 10.2 b 141,900 1927 a 144,770 2,242 15.9 95 42 1,491 10.6 b 140,770 1928 a 146,600 2,269 16.1 114 50 1,554 11.0 b 141,100 1929 a 146,800 2,312 16.3 144 62 1,780 12.6 b 141,600 1930 a 146,800 2,188 15.5 91 42 1,547 10.9 b 141,600 1931 a 147,
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400 2,155 15.1 128 59 1,654 11.6 b 142,600 1932 a 146,400 2,054 14.0 123 60 1,635 11 .1 1933 a 146,200 1,857 12.7 116 62 1,634 11.2 1934 a 145,520 2,000 13.7 127 63 1,650 11.3 1935 a 146,400 2,053 140 91 44 1,500 10.2 1936 a 146,500 2,017 13.8 121 59 1,649 11.2 1937 a 149,400 2,125 14.2 86 40 1,660 11.1 1938 a 150,900 2,057 13.
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6 102 50 1,576 10.4 1939 a 150,800 2,133 14.1 103 49 1,592 11.1 1940 b 124,340 1,846 14.8 66 36 1,854 14.9 1941 b 103,630 1,459 14.0 65 42 1,627 15.7 1942 b 110,140 2,036 18.5 71 34 1,410 12.8 1943 b 112,700 2,174 19.3 77 35 1,558 13.8 1944 b 110,970 2,037 18.3 83 40 1,611 14.5 1945 6 115,270 2,021 17.5 83 41 1,478 12.
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8 1946 6 134,420 2,903 21.6 91 31 1,531 11.4 1947 b 140,150 3,193 22.8 87 27.25 1,626 11.6 1948 b 142,800 2,527 17.7 74 29.28 1,573 11.0 1949 b 144,000 2,504 17.4 72 28.75 1,572 10.9 aβ€”Total population. bβ€”Civil population. Marriages. There were 1,399 marriages in the Borough during the year 1949, of which 801 took place in Churches in the Borough. The remaining 598 took place at the Woolwich Register Office. The marriage rate was 18.8 per 1,000 of population.
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9 Vital Statistics for 1949 for the Wards of the Borough:β€” Table No. 5. Wards. Births. Deaths under 1 year. Deaths at all ages. Legitimate Number. Illegitimate Number. Number. Number. Dockyard 74 5 β€” 49 St. Mary's 79 5 1 43 River 118 7 3 91 St. George's 133 7 6 41 WOOLWICH 404 24 10 224 Burrage 104 4 3 93 Herbert 194 9 6 92 Glyndon 80 5 5 87 St. Margaret's 239 8 7 143 Central 97 2 2 89 St.
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Nicholas 201 6 11 130 Abbey Wood 191 3 6 139 PLUMSTEAD 1,106 37 40 773 Well Hall 148 1 2 119 Avery Hill 304 4 10 221 Sherard 463 13 10 235 ELTHAM 915 18 22 575 BOROUGH 2,425 79 72 1,572 GENERAL STATISTICS Area of Borough 8,282 statute acres Number of Houses 37.925 Number of persons per acre 17.4 Rateable Value (March, 1949) Β£1,195,671 Sum represented by a Penny Rate. . Β£4,901 SANITARY ADMINISTRATION Sanitary Inspection of the Area. During the year, 30,590 inspections, including re-inspections, were carried out by the sanitary inspectors. The nature of these inspections is shown in Table No. 6 and details of nuisances abated are given in Table No.
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7. The number of intimation notices served as a result was 2,616, and the number of statutory notices, 1,201. In 29 instances legal proceedings were found to be necessary. 10 Table No. 6.β€”Inspections. Complaints investigated 4,703 Aged and infirm persons 1,042 Complaints reinspections 8,276 Common Lodging Houses 18 Outworkers' premises 144 Tents and Vans 30 Houses re overcrowding 621 Factories 391 New houses re water supply 732 Shops Act 640 Houses re infectious disease 174 Food premises 2,744 Houses re smallpox contacts 16 Theatres and cinemas 20 Houses re verminous cases 3,627 Urinals accessible to the public 242 Houses re scabies cases 64 Women's lavatories 48 Houses re other diseases 282 Miscellaneous 5,273 Table No. 7.β€”Nuisances Abated.
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Dirty conditions 610 Drainage defects 1,771 Damp conditions 3,237 Water closet defects 944 Dilapidations 3,079 Dustbins provided 245 Verminous rooms cleansed. 610 Water supply defects 52 Defective lighting 255 Foul accumulations removed 5 Defective ventilation 608 Miscellaneous 4 Defective paving 209 Overcrowding remedied 12 Complaints. 4,703 complaints of nuisance were received and investigated. The necessary action was taken where defects or nuisances were discovered. Water Supply. The Metropolitan Water Board is responsible for the water supply for all domestic purposes in the Borough, all dwelling houses being supplied direct from the public water mains. Wells. There are now only eight wells in use in the Borough, and these are used chiefly for trade and kindred purposes. One private spring in the Woolwich Borough is at Conduit Meadows, Eltham.
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There are three private deep wells used for trade purposes and also deep wells at the Council's Woolwich and Plumstead Baths and at the refuse destructor plant at Plumstead. Another deep well, the supply from which is unfit for drinking, is situate in the Royal Dockyard. Other wells within the Borough have been sealed off and there is no access to them. Drainage. The inspection of new drains is carried out by the Borough Engineer and reconstruction and repair of drainage work supervised by the Health Department. During the year repairs to 260 drains were carried out. Twenty drainage systems and 6 combined drainage systems were reconstructed. Smoke Abatement. During the year 36 observations were made on factory chimneys in the Borough and in two cases offences were committed. In one of these cases the nuisance was abated forthwith and in the other the emission of smoke was still the subject of correspondence between the Council and the owners of the factory at the end of the year.
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At the annual meeting of the National Smoke Abatement Society, at which the Council was represented, a resolution was passed : " That the Minister of Health be requested to make a condition of qualification for their approval of new housing schemes or for the issue of a licence in respect of houses built by private enterprise, that any solid fuel-burning appliances proposed to be installed should be on the Government's list of approved appliances." The Council supported this resolution. Rag Flock. Rag flock must comply with the Rag Flock Regulations, 1912, in which it is laid down that soluble chlorine in the form of chlorides must not exceed 30 parts of chlorine in 100,000 parts of flock. The Public Analyst reported that the three samples submitted for analysis during the year conformed to the standard of cleanliness laid down in the Regulations, the number of parts of chlorine being 11, 8 and 9 respectively. 11 Pharmacy and Poisons Act, 1933.
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This Act places upon Metropolitan Borough Councils the duty of enforcing the provisions of that part of the Act which relates to poisons in Part II of the Poisons List. One hundred and three applications were received during the year for retention in the Council's list. In addition, 13 new entries were made and visits were carried out to premises of all listed sellers. Shops Act, 1934. The Council, in its capacity as sanitary authority, has duties under this Act of securing and maintaining sanitary and hygienic conditions in shops. The number of inspections made during the year was 940 and 16 notices for offences under the Act were served. Offensive Trades. During the year, the Council approved an application for the renewal of one tripe boiler licence. There is one other offensive tradeβ€”that of slaughterer of poultry, carried on within the Borough, and the Council in 1948 approved the re-establishment of this business. Legal Proceedings.
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During 1949 it was necessary to institute legal proceedings in 22 cases, in order to obtain compliance with notices served by the sanitary inspectors. A total of 26 summonses were served. Of these 11 were withdrawn or adjourned sine die, as at the time of the Hearing the necessary work had been put in hand. Of the remainder, the Magistrate made 9 Abatement Orders and imposed fines and costs amounting to Β£18 15s. 6d. In five cases it was necessary to issue further summonses for non compliance with Abatement Orders. Of these, 3 were adjourned as the necessary work had been put in hand. In the remaining 2 summonses, fines and costs amounting to Β£17 2s. Od. were imposed by the Magistrate. There were two summonses issued regarding the deficiency of meat in sausages. A total of Β£11 3s. Od. in fines and costs was imposed.
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Common Lodging Houses. These are licensed annually by the Borough Council in accordance with the provisions of the Public Health (London) Act, 1936. There are now only two licensed Common Lodging Houses in the Borough. The number of inspections made during the year was 16. Details of the accommodation available are as follows :β€” Premises. Accommodation (Men). 60, Beresford Street 50 102, Woolwich High Street 22 Rent and Mortgage Interest (Restrictions) Acts. During the year 7 applications for the issue of a certificate under the provisions of the above Acts were considered by the Health Committee and in 6 cases a certificate that the premises were not in a reasonable state of repair was issued. The Committee also considered two applications for revocation of existing certificates of unfitness and authorised the issue of one such certificate on being satisfied that the necessary repairs to put the house in a reasonable state of repair had been executed. Mosquito Control.
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Breeding grounds for mosquitoes are provided by the marshland areas in the Borough. In Abbey Wood, the area nearest to the marshland, considerable annoyance has been caused by this pest and extensive spraying operations have been carried out on stagnant ponds, marsh ditches and allotment holders' water butts, reducing this annoyance to a minimum. During the year, fewer complaints were received than during 1948 when climatic conditions were considered to be against the mosquito, and it is felt that the work of the department met with considerable success. Routine spraying is carried out every year in the early summer, as a preventive measure. 12 Factories Act, 1937. Table No. 8. Details of inspections carried out during 1949:β€” Premises. No. on Register. Number of Inspections. Written Notices. Occupiers prosecuted. (i) Factories in which Sections 1, 2, 3.
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4 & 6 are to be enforced by Local Authorities 44 42 6 β€” (ii) Factories not included in (i) in which Section 7 is enforced by the Local Authority 335 296 29 β€” (iii) Other premises in which Section 7 is enforced by the Local Authority (excluding out-workers' premises) β€” β€” β€” β€” Total 379 338 35 β€” Cases in which defects were found and remedied:β€” Particulars. Number of Cases in which defects were found Number of cases in which prosecutions were instituted. Found. Remedied. Referred r To H.M. Inspector. By H.M. Inspector. Want of cleanliness 31 31 β€” β€” β€” Overcrowding 1 1 β€” β€” β€” Inadequate ventilation 1 1 β€” β€” β€” Sanitary Conveniences:β€” (a) Insufficient 10 10 β€” 2 β€” .
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(b) Unsuitable or defective 30 30 β€” 4 β€” (c) Not separate for sexes 3 3 β€” β€” β€” Other offences against the Act (not including offences relating to Outworkers) β€” β€” 3 1 β€” Total 76 76 3 7 β€” Outworkers. Outworkers within the Borough are visited periodically by the sanitary inspectors. The number of outworkers and the nature of the work carried on, in the list prepared in August, 1949, was as follows:β€” Making, etc. of wearing apparel 100 Cleaning and washing of wearing apparel 37 Lace, lace curtains and nets 2 Locks, latches and keys 2 Racquet and tennis balls 3 Feather sorting 9 13 Eradication of Bed Bugs.
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In the last Annual Report, the various methods used by the Department in recent years for the eradication of bed bugs, were fully described, and reference was made to the Council's experiments in the search for a disinfectant which would not only kill bugs but which would also provide a residual lethal effect. It was also reported that a new twin-cylinder compressor set, the Aerograph type "A.D.V." had been purchased. This apparatus has been used extensively and excellent results obtained. This type of treatment is a vast improvement when compared with the old methods, as constant refilling is now unnecessary and the highest ceiling can be reached without the use of trestles or ladders. It is also unnecessary to move the whole of the apparatus, as was the case in the use of former types when moving from one room to another. Dry powder or liquid can be sprayed with equal ease and generally the performance has been very good. The fullest co-operation from householders is being obtained in this matter.
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A letter, giving as much notice as possible of the proposed date of disinfestation, together with advice on preparation for the process and the nature of the treatment, is sent to the householder. In all cases a routine re-inspection of the premises has been carried out to ascertain the degree of success obtained. Prospective tenants of the Council's houses are all visited by the Sanitary Inspector responsible for disinfestation, and 1,134 such visits were made during the year. Upon finding vermin in furniture, a specially equipped Council pantechnicon is used for the removal, and all articles (except bedding, which is treated by steam) are fumigated in the vehicle with hydrogen cyanide gas. When sufficient time has elapsed fully to process and ventilate the contents of the van, the furniture is delivered to the Council house. Fifty such removals were undertaken during 1949 and a further 14 were similarly carried out on behalf of the London County Council.
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The Council is also called upon, at various times, to assist in the destruction of such pests as cockroaches and beetles, etc., and although the Council is under no obligation to assist in these matters, every assistance is, in fact, given. Treatment with insecticides took place in 15 cases upon an undertaking being given by the householder that a reasonable charge for the work would be paid. Rodent Control. The work of rat destruction was continued throughout the year. The staff engaged on this work consisted of two investigators and four operatives working under the supervision of a Sanitary Inspector who devoted the whole of his time to this service. The treatment of private dwellings is generally free. This fact has made the public much more ready to report infestations. Before the scheme commenced, the average number of complaints received during a month was 40. This figure has now increased to approximately 100 per month. All complaints are investigated and the area of infestation defined before treatment is commenced.
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In addition, a block control scheme is systematically worked throughout the Borough. Where the infestation appears to originate from the drainage system the drains are tested and any defects remedied. The sewers are treated twice a year in addition to an annual test bait, and the Council's refuse destructor and tips are treated monthly. The total number of premises surveyed during the year was 11,045, and the number of inspections amounted to 27,090. Effective preventive measures were taken in 2,286 instances. Guidance to local authorities on methods of treatment continues to be made β€’ available by the Ministry of Agriculture and Fisheries. Housing. As in previous post-war years, the housing problem, with almost 9,000 applicants outstanding at the year's commencement, has been of the utmost concern to the Council.
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However, the number of new houses built by Woolwich exceeded that of any other Metropolitan Borough, passing the 2,000 mark of new 14 houses built since the cessation of hostilities and, as the following statistics show, some headway was made in reducing the number of waiting applicants. Actual numbers of new houses built in the Borough during 1949 were:β€” By Woolwich Borough Council, 386 ; and by private enterprise, 111. In addition, 146 flats erected by the London County Council on the Barnfield Estate became available for letting during the year. Apart from the erection of flats by the London County Council, there were a further 287 houses under construction in the Borough by the Borough Council and by private enterprise at the end of the year.
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Number of applications on Register at 1st January, 1949 8,809 Number of applications received during year 1,889 10,698 Number of applicants rehoused during year:β€” (1) By Borough Council 484 (2) Nomination to L.C.C. 58 Nomination to owners of private property 7 (3) Direct by L.C.C. 223 772 9,926 Number of applications cancelled or withdrawn (no reply to Ministry of Health Circular, licences issued under Control of Civil Buildings, applicants moved or found own accommodation) 3,626 Number of applicants on Register at 31st December, 1949 6,300 Properties under Council's control:β€” At 31st December, 1949, tenancies totalled:β€” In pre-war houses 4,317 In rebuilt houses 130 In new post-war houses 1,006 In temporary dwellings 986 In S.D.A.A.
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Properties in Possession 35 In requisitioned properties 1,140 In other properties 103 7,717 The weekly rent roll at the end of 1949 was Β£7,164 6s. 3d. The above information has been kindly supplied by the Director of Housing. In December, 1949, there were 37,925 houses in the Borough. The number inspected for housing defects under the Public Health or Housing Acts was 6,242. The number found not to be in all respects reasonably fit for habitation was 2,995. Some 2,321 houses were rendered fit in consequence of informal action by the sanitary inspectors, including the service of Intimation Notices. Statutory Notices were served for the first time in respect of 1,229 houses.
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The work necessitated by the large number of complaints of all descriptions received in 1949, not only made essential the appointment of an additional sanitary inspector, but continued to restrict the number of house-to-house inspections carried out under the Housing (Consolidated) Regulations, 1925. Nevertheless, 397 dwelling houses were inspected under these Regulations compared with 103 in 1948. 15 The Council is under obligation, upon application made by either landlord or occupier, to give in writing the permitted number of persons in respect of any dwelling, and measurements were taken of dwellings on 126 occasions. In all, 261 families were found to be living in overcrowded conditions, mainly due to recently married couples being low on the Housing List and having to seek accommodation with their own or other families. Overcrowding reports were made to the London County Council on behalf of these persons, and in 87 such cases alternative accommodation was obtained.
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At the end of the year only 14 families were still in occupation of huts on vacated Army sites, which they had occupied as squatters. This accommodation is unsatisfactory in spite of works carried out, and as each hut becomes empty it is rendered uninhabitable. Demolition and Closing Orders. Demolition Orders were made in respect of the following unfit houses:β€” 1, Oak Street 57, John Wilson Street 6, Oak Street 106, Ann Street. The Council made a Closing Order in respect of part of the dwelling house, 37, Escreet Grove. New Houses. The number of certificates issued in respect of new dwelling houses as having a proper and sufficient supply of water was 642. Building Licences. During the year, 2,221 applications for building licences were received by the Borough Engineer and licences were issued in respect of 1,848 of these applications. Burial or Cremation of the Dead.
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Under Section 50 of the National Assistance Act, 1948, it is the duty of the Council as sanitary authority to arrange for the burial or cremation of any person who has died, or been found dead, in their area, where it appears to the Council that no other suitable arrangements have been or are being made. This duty was previously exercisable by the London County Council. Expenses incurred in such burial may be recovered from the estate of the deceased person or from a " liable relative." During the year 1949, the Council arranged for the burial of 10 persons, in each case there being no known relatives of the deceased or the relatives being unable to defray the private funeral costs. The total expenses in respect of the cases amounted to Β£77.
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Certain cases dying in hospitals in the Borough are now being buried by the Regional Hospital Board, although where it is possible to recover from a " liable relative," the Council will make the necessary arrangements, as recovery of the costs of such burial from the estate or relatives of the deceased persons under Section 50 of the Act is administered by the local authority. On the 5th July, 1949, a local authority became eligible to receive payment in cases where they have arranged for burial or cremation in respect of any person to whom a death grant under the National Insurance Scheme could be, but has not already been paid. The maximum amount payable in respect of a local authority is three-fifths of the death grant which would be payable in respect of the death of the person concerned. However, men who were over the age of 65 and women who were over the age of 60 on the 5th July, 1948, are excluded from death grant provisions, which limits seriously at present the application of this provision.
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No such claims were made by the Council during the year. Laboratory Facilities. During 1949, certain pathological and allied work of the Council, i.e., examinations of swimming bath water, samples of food in suspected food poisoning cases, and ice cream tests, examination of which had previously been carried out by the pathological department of the Woolwich Memorial Hospital, was transferred to the Camberwell Laboratory of the Public Health Laboratory Service. 16 By arrangement with the Woolwich Group Hospital Management Committee, the examination of specimens of human origin (mainly swab examinations) continued to be undertaken by the Memorial Hospital. At the time of the change-over the Council emphasised that the work had been most competently performed under the old arrangement, but under the new scheme would be free of direct cost to the Council. At the end of the year, arrangements were made for the Hither Green Laboratory to undertake the transferred work on behalf of the Public Health Laboratory Service.
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During the year, 259 throat and nasal swabs were examined, 1,389 specimens of sputum, 10 specimens in suspected cases of dysentery, two in suspected cases of typhus, two specimens of urine, one specimen of blood and two rectal swabs. Examination of Swimming Bath Water. Samples of swimming bath water for bacteriological testing are taken monthly and more frequently if found necessary. Twenty-four such samples were submitted for bacteriological examination during 1949 and satisfactory reports were received on all the samples. During the year arrangements were made for the department to carry out its own analytical tests for free chlorine estimation and colorimetric test for the pH value. Mortuary. Public mortuary facilities are provided at the Council's premises at Sunbury Street. These facilities have been little used in recent years owing to the centralisation of Coroners' Courts in London. Welfare of Aged and Infirm Persons.
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The welfare of elderly and infirm persons in the Borough continues to occupy the attention of the Borough Council and the problem of those people who are living alone is a matter of increasing concern. Over 1,000 visits were made by the Council's inspectors to the homes of these people during 1949. Much valuable assistance has again been given by home helps and the Home Nursing Service. The London County Council hope, by the end of 1950, to complete the erection in the Plumstead area of a home to provide additional accommodation for elderly and infirm persons. A scheme prepared by the County Council also provides for temporary accommodation for those in urgent need. The powers of the Borough Council to deal with the removal to suitable premises of aged persons in need of care and attention, are now derived from Section 47 of the National Assistance Act, 1948. It has not been necessary during the year to exercise these powers ; often, suitable provision can be made for such persons without resort to the above Section.
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Where difficulty is experienced, and in the opinion of the Council removal is necessary in the interests of the persons concerned, or in the interests of the general public, the Council can apply for an Order to a Court requiring removal to suitable premises for a period, in the first instance, of not more than three months. However, action under this Section is limited to those persons who are suffering from a grave chronic disease, or, being aged, infirm or physically incapable, are living in insanitary conditions. Acting under the powers conferred by Section 31 of the National Assistance Act, the Council is now giving financial assistance to the Woolwich Council of Social Service, who are operating an " Old People's Lunch Club " at the Central Hall, Plumstead High Street. Approximately 1,600 meals a month are now being served from the Club. Arrangements may be possible for the provision of meals to old people in other areas in the Borough. Welfare Services for Blind and Other Persons.
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In 1949 the London County Council prepared a scheme which provides for the employment of home visitors whose duties will include teaching blind persons to read embossed literature, giving instruction in pastime occupations, and generally assisting and advising in promoting the welfare of blind persons. 17 The scheme also provides for workshop and home employment in various crafts for remuneration, the marketing of produce, the provision of hostels and the general social welfare of the blind. This scheme includes arrangements for promoting the welfare of partially sighted persons. Street Cleansing and Refuse Disposal. The large area of Woolwich Borough, 8,282 statute acres, necessitates an efficient organisation for the provision of street cleansing and refuse disposal services. Each main thoroughfare is cleansed daily, secondary roads twice per week and district roads once per week, this work employing 86 sweepers. House and trade refuse is collected by the Council's fleet of 18 Pagefield lorries, 88 collectors being formed into gangs for this purpose.
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During the year under review, 39,526 tons were collected under this system and disposal of this and trade refuse collected and delivered by various tradesmen was effected at the Council's own destructor plant at White Hart Marsh, Plumstead. Here, 45,887 tons were received and sorted. The salvaged material, weighing 2,094 tons, yielded Β£7,533 when sold. In addition to house refuse collection, raw kitchen waste is collected throughout the sanitary area and concentrated at the Council's plant, for sale as pig food. 3,000 tons of waste were collected during the year and, together with waste obtained from neighbouring boroughs, was sold for Β£50,692, a valuable contribution to the income of the Borough. A piggery has also been established at White Hart Marsh and, at the end of 1949, 264 pigs were being maintained and fed. During the year, the sale of pigs realised Β£5,440. Public Conveniences.
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Fourteen conveniences for men and a similar number for women are maintained throughout the area, hours of opening and closing varying with local requirements. In the town centre, for example, the conveniences are open from 5.30 a.m. Normally, however, this service is available between the hours of 6.30 a.m. and 11 p.m. The information regarding the street cleansing, refuse disposal and public conveniences, has been kindly supplied by the Borough Engineer. Public Baths and Wash-houses. The Council now has four bathing establishments in the Borough, situate at Eltham, Woolwich, Plumstead and North Woolwich. At Eltham there are two modern luxuriously appointed swimming baths which were opened in 1939. During the summer months the larger of the two baths is used for some of the more important national and international swimming competitions and in winter the bath is converted into a public hall and used for various kinds of social functions.
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A modern pre-cleansing system, and first-class locker system are installed. At Plumstead there is one large and one small swimming bath, 64 slipper baths, a public wash-house fitted with 30 washing stalls and a separate building for Turkish and Russian vapour baths. Conversion of the large bath into a public hall for the promotion of table tennis and badminton functions is effected during the winter months. The indoor bowling green at the Woolwich Baths is a popular attraction during the winter months. At Woolwich there is a first-class swimming bath (capacity 120,000 gallons), a second-class swimming bath (90,000 gallons) and 60 slipper baths. At North Woolwich there are 22 slipper baths. Through the courtesy of the Baths Superintendent, it is possible to present a comparison between the numbers of bathers using the Baths Service in 1937-38 and in 1949-50.
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So far as the swimming figures are concerned, it should be remembered that the Eltham Baths, which cater exclusively for swimming, were not open during the year 1937-38. 18 1937-38. 1949-50. Swimming 187,246 411,642 Turkish Baths and Massages 23,756 20,246 Slipper Baths 194,298 157,204 Public Wash-house 14,133 13,597 Free Baths to Old Age Pensioners and Unemployed β€” 4,547 419,433 607,236 Filtration plants are installed at the Plumstead, Woolwich and Eltham Baths and the chemical and bacteriological content of the water is regularly examined. Open-air Pools. The two open-air swimming pools in the Borough, in Eltham Park and in the Victoria Gardens, North Woolwich, are provided by the London County Council. Filtration plants have been installed at both these pools.
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The Borough Council have a paddling pool at the Middle Park Estate, and there is another paddling pool in Eaglesfield, Shooters Hill, belonging to the London County Council. Cemeteries. Three cemeteries are owned by the Woolwich Borough Council and administered by the Town Clerk's Department. These are situate at Eltham and Plumstead, the two in Plumstead being known as Woolwich Cemetery and Plumstead Cemetery. Roughly, each cemetery serves the area after which it is named. The following table gives details of interments during the last three years at these cemeteries:β€” Table No. 9. Cemetery. Number of Interments. 1947. 1948. 1949. Woolwich 501 474 416 Plumstead 668 623 586 Eltham 354 321 357 Proposed Joint Crematorium.
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The Council in 1939 decided to establish a crematorium in Eltham Cemetery jointly with the Boroughs of Bexley and Erith and the Urban District Council of Chislehurst and Sidcup, but owing to the war the Council could not proceed. During 1949 the Crayford Urban District Council asked to be included in the scheme, and this was agreed by the constituent authorities. Since the cessation of hostilities the Borough Council has made several approaches to the Minister of Health for sanction to proceed with the scheme, but in view of the need for economy in capital expenditure, it was not possible to obtain sanction to proceed during the year. Churchyards. The parish churches of Woolwich and Eltham, and the old parish church of Plumstead, each have an extensive churchyard, but burials are confined solely to Eltham, where only old vaults and graves are now opened. The parish churchyard of St.
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Mary's, Woolwich, has been laid out as informal Rest Gardens, and a plan has been submitted for a similar layout of the St. Nicholas' Churchyard, Plumstead, once parish church of Plumstead, with flower beds and seats. 19 River Thames. During the summer months the Council made representations to the London County Council and the Port of London Authority on the offensive smells from the River Thames. The Chief Engineer, London County Council, informed the Council that one of the causes of the smells was the abnormal high average temperature experienced during the summer months. The County Council recognised that the condition of the effluents from the Northern and Southern Outfalls had an important bearing on the matter and informed the Council that an improvement programme of capital works at an estimated cost of Β£3,000,000 had been adopted and would be put in hand as soon as necessary priorities could be effected.
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The Chief Engineer stated that he was satisfied that the operational efficiency of the existing equipment at the Outfalls could not be bettered and that no improvement could be attained until the new works came into operation. The General Manager of the Port of London Authority informed the Council that the only permanent solution to the problem was by the complete treatment of sewage prior to its discharge into the river. Representations were made by that Authority to the County Council on these lines and consultations followed with the Department of Scientific and Industrial Research. Parks and Open Spaces. Woolwich is fortunate to have so many parks and open spaces. The Borough has more open space per head of the population than any other Metropolitan Borough, there being six acres of open space for each 1,000 of the population. The Council has always been very active in securing open spaces for its residents. Sixteen open spaces, of considerable size, are maintained throughout the area. Woodlands.
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At Shooters Hill the Borough has a continuous expanse of woodland, some 312 acres in extent, whilst Bostall Woods is one of the most popular places in London. Children's Recreation Grounds. There are 15 such recreation grounds in the Woolwich area, which must play a considerable part in giving healthy outdoor exercise and in keeping children off the busy roads. HEALTH PROPAGANDA In addition to the normal health education work of the Council's visiting staff and Press publicity, some 500 copies of the journal "Better Health" were distributed each month during the year. This journal is the official magazine of the Central Council for Health Education. During 1949 its lay-out was revised in order to increase its publication appeal. Its contents include articles on personal health and hygiene from the public and personal points of view and it is a valuable aid to public health in these matters. Occasionally, informal talks on health subjects are given to local organisations by the staff of the Department.
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During the summer months the Council took part in a campaign to prevent nuisances caused by dogs on the footpaths and in close proximity to foodshops. By means of Press publicity and with the cooperation of local shopkeepers, much was done to make the public aware of this nuisance. Posters were displayed in the Borough and 2,000 leaflets were distributed during the campaign. A series of posters provided by the Central Council for Health Education were displayed during the year in prominent positions in the district and the subjects covered were: "Flies," "Clean Hands," "Home Safety," "Early Treatment of Tuberculosis," "Influenza," "Measles," etc. Other posters, both crown and double crown, were in regular use in the Council's establishments. INSPECTION AND SUPERVISION OF FOOD Milk Supply. The number of registered distributors of milk in the Borough is 71 and there are 5 dairy premises.
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The Council has also approved the registration of a further 27 distributors of milk who are selling milk in the area from premises 20 outside the Borough. Under the provisions of the Milk (Special Designations) Regulations, 73 dealers' licences and 27 supplementary licences authorising the use of special designations have been issued. The standard of the milk supply was found to be satisfactory ; practically all the milk distributed in the Borough is heat-treated. All the 423 samples submitted for chemical analysis contained 3 per cent, or more of fat. During the year 259 samples of milk (all pasteurised) were submitted to the Methylene Blue test for the keeping quality of milk and satisfactory reports were received in all cases. Of the 100 samples of pasteurised milk submitted to the Phosphatase test for adequate heat treatment, the test was satisfied in respect of 94 samples. In the six cases where an unsatisfactory report was received, further samples were immediately obtained and were reported as satisfactory.
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Nine samples of sterilised milk were submitted for turbidity test in accordance with the Milk (Special Designations) (Pasteurised and Sterilised Milk) Regulations, 1949, and satisfactory reports were received in each case. Milk (Special Designations) Act, 1949. This Act came into force on the 1st October, 1949, and makes the use of a special designation obligatory for all milk sold by retail for human consumption within certain areas, to be specified from time to time by the Minister of Food. Food and Drugs Authorities are responsible for the execution and enforcement of many of the allied provisions and will have added responsibilities in the specified areas. Until these areas are specified the use of a special designation will remain a voluntary act. Licences are granted on prescribed tests. In addition to the special designations laid down in existing regulations under the Food and Drugs Act, 1938, provision is made for a new special designation, "Sterilised" milk.
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Accredited milk is to be excluded from special designations after October, 1954, and after October, 1957 the special designation "Tuberculin Tested" may only be used in respect of milk from a herd which is on the register of Attested Herds kept by the Minister of Agriculture and Fisheries. Regulations made under the Act provide that licences to producers of raw milk to use a special designation are now granted by the Ministry of Agriculture and Fisheries, whilst local authorities continue to grant licences to dealers to use a special designation and also issue supplementary licences. Food and Drugs (Milk and Dairies) Act, 1944. With the coming into force during 1949 of this Act and the Milk and Dairies Regulations, 1949, the Ministry of Agriculture and Fisheries became responsible for executing and enforcing the Regulations with regard to dairy farms and* for the registration of dairy farms and dairy farmers.
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Local authorities retain responsibilities for those provisions relating to diseases communicable to man and for the registration of milk distributors, i.e., persons trading from premises other than a dairy farm and for the registration of other dairy premises which are not dairy farms and of dairymen who are not dairy farmers. Local authorities are required to keep a register of all persons carrying on the trade of milk distributor and of all dairy premises (other than dairy farms) in their district. With the coming into force of the Food and Drugs (Milk and Dairies) Act, 1944, Section 22 of the Food and Drugs Act, 1938, is amended, so that the power of the authority to refuse or cancel registration is extended to all persons who apply to be registered by the authority under the Milk and Dairies Regulations, whether as retail purveyors or not. There are a number of changes in the Regulations relating to buildings, cleansing of vessels and utensils and the distribution of milk and its protection against contamination and infection with disease.
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21 Premises where Food is Prepared or Offered for Sale. Amongst there other duties, five inspectors are specially concerned with this work and in the taking of samples under the Food and Drugs Act, 1938 ; the Defence (Sale of Food) Regulations ; and the registration of all new premises under the Food and Drugs Act. In addition, routine visits are paid by the district Sanitary Inspectors to all food premises in the Borough and immediate action is taken in regard to any insanitary condition found. Two women Inspectors devote a great deal of time to the inspection of cafes, restaurants, canteens and eating houses. The total number of inspections of food premises during the year was 3,637. In addition to canteens there are some 309 restaurants and eating houses in the Borough. The task of educating the food handler has been carried out by personal contact rather than by public lecture.
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Generally the trade has responded well to the advice given ; the great majority of those concerned appreciate the importance of a satisfactory standard of hygiene. Food hygiene is discussed with kitchen staff at every possible opportunity. Constant attention is given to the inspection of stalls in the markets. Special inspections of bakehouses are carried out. Inspections during 1949 numbered 53 and 7 Notices were served. Conditions on the whole were satisfactory. On the occasion of the quinquennial review of basement bakehouses carried out in 1948, certificates of suitability were issued in respect of five basement bakehouses. The following is a summary of the registered food premises in the Borough at the end of 1949, together with the number of inspections carried out during the year. Table No. 10. Description. Number in Borough on 31st December. Number of Inspections. Notices.
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Dairies 4 26 β€” Distributors of Milk 101 395 5 Ice Cream Premises 238 596 16 Premises where Food is prepared other than above 260 367 27 Restaurants and Eating Houses 309 823 41 Shops and Markets β€” 1,288 50 Bakehouses 29 53 7 Meat Supply. Slaughterhouses are subject to annual licensing and there are now only two licensed slaughterhouses in the Borough, one of which is not being used at the present time. The Council's food inspectors engaged on the inspection of meat supplies at the Plumstead Abattoir, again had a very busy year. Due to the concentration of slaughtering at these premises, the equivalent of the full-time services of more than three inspectors was required for the inspection of carcases. Compared with the previous year, 10,168 more carcases were inspected in 1949. This was due to a large increase in the number of sheep, lamps and pigs being slaughtered.
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As the arrival of beasts for slaughter is irregular and as all carcases must be inspected almost immediately after slaughter, the staff were frequently kept late on duty. The following table gives details of the number of animals slaughtered daring 1949. 22 Table No. 11. Carcases Inspected and Condemned, 1949. Cattle, excluding Cows. Cows. Calves. Sheep and Lambs. Pigs.
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Number killed 10,164 3,933 2,563 27,352 1,971 Number Inspected 10,164 3,933 2,563 27,352 1,971 All diseases except Tuberculosis:β€” Whole carcases condemned 15 2 β€” 9 2 Carcases of which some part of organ was condemned 2,579 1,186 5 1,075 59 Percentage of number inspected affected with disease other than Tuberculosis 25.4 30.4 .2 3.9 2.9 Tuberculosis only :β€” Whole carcases condemned 59 125 6 β€” 9 Carcases of which some part or organ was condemned 1,391 1,544 1 - 107 Percentage of the number inspected affected with Tuberculosis.
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14.2 42.8 .28 β€” 5.8 It will be seen from the above table that of the 10,164 cattle (excluding cows) inspected during the year, 14.2 per cent, (tuberculosis) and 25.4 per cent, (other diseases) were found to be diseased. However, only 74 whole carcases or 1.3 per cent, of the total number of cattle (other than cows) inspected had to be condemned. In the month of September, the Minister of Food asked local authorities to ensure that while the shortage of meat continues, no meat which is fit for human consumption should be unnecessarily condemned. This has been the practice in Woolwich. Liaison between the Council's inspectors and officers of the Ministry of Food works satisfactorily. Meat Manufacturing Premises.
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A working party to review the present meat trade practice, legislation governing the meat manufacturing trades and control over the disposal of unfit meat, has been appointed by the Minister of Food. Ministry of Food inspectors co,operate with local authorities in any cases of suspected contraventions of the Food and Drugs Act. Whalemeat. Regulations were made during 1949 prohibiting the importation into England and Wales of whalemeat and whalemeat products for sale for human consumption, unless accompanied by a veterinary certificate certifying that the whalemeat had been inspected and was produced under conditions satisfactory to the Ministry of Food. Provision is also made for securing whalemeat against contamination in shops and on stalls and during transport. The Borough Council is responsible for the enforcement of the Regulations dealing with shops and stalls. Diseases of Animals Act. During August, an outbreak of foot and mouth disease occurred in the Sidcup area.
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A " standstill " order was placed on the movement of cattle in an area which included the whole of the Metropolitan district. As a result a large number of pigs (over 1,000 in all) was sent for slaughter to the Plumstead Abattoir by the Ministry of Agriculture and Fisheries. 23 The Ministry, in consultation with offices of the Council, decided that the carcases could be used for human consumption but that the entrails should be destroyed. As burning at the Plumstead Destructor was inadvisable, due to the proximity to the Council's pig farm and food concentrator, burial at a suitable site at the abattoir was decided upon. A mechanical excavator was required to dig the trench and quick lime was used as dressing. There were no further outbreaks. Slaughter of Animals Act, 1933. Eight licences were granted to persons working in the Borough to act as slaughterers. In addition, 9 applications for renewal of existing licences were approved. Ice Cream.
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Regular supervision of ice cream premises is carried out by the sanitary inspectors and advice is given where necessary, particularly to manufacturers of ice cream. During 1949, 596 inspections of ice cream premises were made. There were 238 registered premises in the Borough at the end of the year, of which 28 were for manufacture. Twelve samples were submitted for grading by the Methylene Blue reduction test. This test assesses the bacterial cleanliness of ice cream. The time taken at 37Β° C. for complete decolorisation to take place is ascertained and the sample graded according to the following table:β€” Table No. 12. Grade. Time taken to reduce Methylene Blue. 1 4Β½ hours or more 2 2Β½ to 4 hours 3 Β½ to 2 hours 4 0. All the twelve samples which were submitted to the test were graded in Grade 2. The provisions of the Ice Cream (Heat Treatment, etc.)
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Regulations, 1947, made under the Food and Drugs Act, had not come into full force during 1948 owing to difficulties in the supply of certain essential recording instruments. From a date yet to be appointed by the Minister of Health, it will be necessary in connection with the Regulations to use such indicating and recording thermometers as the local authority consider requisite for indicating and recording the temperatures to, or at which, the mixture is raised, kept or reduced. This interval has been provided in order to give time, where needed, to obtain thermometers. In view of possible difficulties in obtaining cooling apparatus, it has been provided that it shall be a defence for a defendant charged with an offence under the Regulations alleged to have been committed before the 1st May, 1949, that suitable cooling apparatus had been ordered before the date of the alleged offence and that all practical steps had been taken to comply as far as possible with the Regulations.
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These Regulations provide that ice cream mixtures intended for sale for human consumption shall be raised to, and kept at, a temperature of 150Β° Fahr. for 30 minutes, or alternatively, at not less than 160Β° Fahr. for 10 minutes, before freezing. The Regulations do not apply to a "complete cold mix" which is a product capable of being manufactured into ice cream with no addition except that of water. During 1949 the Minister of Food increased the allocation of sugar and fat to manufacturers who gave an undertaking that the fat content of their products would not fall below 2Β½ per cent. Local Authorities were asked to co-operate by forwarding details of all analyses of ice cream. The Minister pointed out, however, at that time that the minimum fat content of 2Β½ per cent, did not constitute a " standard " for ice cream.
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24 From the month of May, 97 samples of ice cream were obtained and submitted for analysis, the average fat content of the samples taken during each month from May onwards being: 7.2, 7.2, 10.9, 7.1, 8.5, 7.9 and 12.1 respectively. A large number of new applications for registration of ice cream premises were received during the year. Inspections are carried out of all such premises and alterations and additions required as necessary before registration is approved. In several instances it was found necessary to restrict the sale to that of pre-packed ice cream only. Unsound Food. During 1949, 43,737 articles of food, weighing approximately 340 tons, were surrendered as unfit for human consumption. The majority of these articles were from the one large abattoir in the Borough. Most of the food was utilised for animal feeding or for fertilisers. No seizures were made.
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Sophistication of Food. During the year 910 samples were submitted for analysis to the Public Analyst, including 615 Informal and 295 Formal samples. Of these, 16 Formal samples and 21 Informal samples were reported to be adulterated, giving a percentage of 4.06, compared with 4.5 in 1947 and 3.3 in 1948.
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The foods examined were:β€” Ale and Stout 2 Mineral Waters 9 Arrowroot 2 Mustard 2 Aspirins 6 Olive Oil 3 Baking Powder 3 Pastry Mixture 1 Biscuits 2 Pepper 5 Bread 5 Pickles 3 Butter 1 Proprietary Foods 2 Caraway Seeds 1 Puddingsβ€”canned 2 Confectionery 53 Rice 1 Cheese 7 Christmas Pudding 2 Saccharin Tablets 1 Cocoa 1 Sago 1 Coffee 17 Salt 2 Cooking Fat 6 Salad Cream 11 Curry Powder 4 Sandwich Spread 4 Custard Powder 6 Sauces Sausages and Sausage Meat 14 14 Epsom Salts 2 Sausage Rolls 2 Fish, canned 13 Semolina 2 Fish Paste 7 Soda bicarb 1 Flavouring Essences 5 Soup, canned 3 Flour 6 Spaghetti, canned 1 Fruit,
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canned 1 Soya Flour 1 Fruit, dried 6 Suet 1 Ice Cream 121 Tapioca 2 Jam (Marmalade, etc.) 25 Tartaric Acid 1 Tea 1 Lard 1 Tomato Paste, canned 3 Lemonade Powder 6 Vinegar 7 Macaroni 5 Vegetables, canned 4 Magnesia, Milk of 2 Margarine 7 Whisky 2 Meat Products 14 Yeast 1 Milk 423 Yoghourt 1 Milk, condensed 14 Miscellaneous 17 The following table No. 13 gives details of adulterated samples:β€” 25 26 Table No. 13. Adulterated Samples. Sample No. Article. Formal or Informal. Result of Analysis. Result of legal proceedings or other action. 123 Coffee and Chicory essence, preserved. Informal Contained caffeine, 0.20 per cent. Cautionary letter.
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153 Coffee and Chicory essence, preserved. Formal Contained caffeine, 0.23 per cent. 260 Glauber's Salt Informal Contained the equivalent of 150 per cent, of crystalline sodium sulphate. Stock exhausted. 24 Blackcurrant Jam Informal Contained only 17 lb. of blackcurrants per 100 lbs. of jam. Formal sample proved genuine. 73 Blackcurrant Jam Informal 48 Lemonade Powder Informal Consisted of a mixture of sugar and tartaric acid, flavoured and coloured. Ministry of Food informed. 111 Lemonade Powder Formal 216 Salad Cream Informal Contained edible vegetable oil 23 per cent. Formal sample taken. 337 Milk Formal Contained 1 per cent. of added water. Consisted of Lemonade powder. Action deferred until further samples taken.
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352 Citrate of Magnesia Informal 477 Tomato Paste, canned Informal Contained tin 4.2 grammes per lb. Food condemned. 478 Contained tin 5.3 grammes per lb. 479 Contained tin 4.8 grammes per lb. 490 Condensed, machineskimmed milk, sweetened. Informal Labels contravened Condensed Milk Regulations. Formal sample taken. 623 638 671 Condensed, machineskimmed milk, sweetened. Formal Label contravened Condensed Milk Regulations. In communication with manufacturers. 639 Condensed, machine-skimmed milk, sweetened. Informal Composition satisfactory but label contravened Condensed Milk Regulations. Formal samples taken. No further action. 641 Informal 669 Formal 670 Formal 696 Sugar Confectionery, "Choc-Puff." Informal Contained lead 12 parts per million. Stock exhausted.
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540 Tomato Sauce, canned Informal Contained benzoic acid 285 parts per million. Stock surrendered, food prohibited from sale. Meat content 678 Pork Sausages Formal 46 per cent. Cautionary letters sent. 679 Beef sausage meat do., 44 per cent. 680 Pork sausages do., 46 per cent. 681 Pork sausage meat do., 40 per cent. 725 Beef sausages do., 45 per cent. Meat content 726 Beef sausage meat Formal 30 per cent. Prosecution. 727 Beef sausage meat do., 27 per cent. 790 Beef sausages do., 44 per cent. 795 Beef sausages do., 23 per cent. 743 Tapioca Informal Consisted of Sago No further action. 744 656 Whisky Informal Contained 1.8 per cent, excessive water No further action. 657 do.
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0.4 per cent, excessive water 772 Margarine Formal Contained water 16.5 per cent. Reported to Ministry of Food. The Public Analyst has furnished the following figures, showing the percentage of fat found in each sample of milk submitted during 1949, with comparative figures for 1948:β€” Number of Samples: 1949. 1948. 4.5 per cent, and over 0 0 4 per cent, and under 4.5 per cent. 8 2 3.5 per cent, and under 4 per cent. 184 102 3 per cent, and under 3.5 per cent. 231 230 Below 3 per cent.
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0 0 423 334 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE The following diseases are notifiable in the Borough:- Anthrax Ophthalmia Neonatorum Cholera Pneumoniaβ€”Acute Primary Continued Fever Pneumoniaβ€”Acute Influenzal Diphtheria Poliomyelitis (Acute) Dysentery Polio-encephalitis (Acute) Encephalitis Lethargica Plague Erysipelas Puerperal Pyrexia Enteric Fever Relapsing Fever Food Poisoning Scabies Glanders Scarlet Fever (or Scarlatina) Hydrophobia Smallpox Malaria Tuberculosis (all forms) Measles Typhoid Fever (including Paratyphoid) Membraneous Croup Typhus Fever Meningococcal Infection Whooping Cough (C.S.M.)
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Zymotic Enteritis 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 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 has to be sent to the Medical Officer of Health of the district in which the usual residence of the patient is situated, 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. Diphtheria. There were eight confirmed cases of diphtheria in the Borough during the year and from enquiries made there was evidence that only one patient had been immunised. A child who was originally notified as a case of diphtheria died in hospital; however, the cause of death was attributed to measles.
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Whooping Cough and Measles. The minor epidemic of whooping cough experienced in 1948 did not recur and the number of notifications of this disease was halved. Measles notifications (1,314) were also less than the number for 1948, some 283 fewer cases being reported. There was one death from whooping cough and two from measles. Scabies. The number of cases notified continues to show a marked decrease, there being only 30 cases compared with 122 in 1948 and 390 in the year 1944. Scarlet Fever. The number of notifications of scarlet fever (203) was slightly lower than the previous year (239) and there were no deaths from this disease. 27 Table No. 14. Notification of Infectious Diseases (excluding Tuberculosis), 1949. Diseases. Number of Cases (after correction of diagnosis) Age Groups. Under 1 year. 1 and under 3 years.
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3 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. Total Total No. admitted to Hosp. Diphtheria - 1 1 1 2 2 1 - - - 8 8 Scarlet Fever - 30 41 109 15 2 3 1 2 - 203 72 Paratyphoid Fever - - - - - - 1 - - - 1 1 Cerebrospinal Fever 2 2 1 3 - - - 1 1 - 10 10 Acute Poliomyelitis - 5 2 10 2 3 3 - - - 25 25 Acute Polioencephalitis - 1 1 - - - - - - -