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All these articles of food were found to be genuine. An object thought to be dirt in a milk bottle proved to be "soft glass" and there was no contamination. A bottle of sour milk was replaced by the retailer. Another complaint of dirt in a milk bottle was substantiated and the Council decided to institute legal proceedings against the retailer, who was subsequently fined £2. Seven complaints concerned dirty bread alleged to contain the following foreign matter : a beetle; a fly; string; dirt; mould, and wood (two cases). Improvements at the bakery in question were carried out in a number of these cases, on the suggestion of the Food Inspectors. The "string" in bread was found to be dough. The Food Inspector investigating the complaint of a fly in bread could find no evidence of contamination. Investigations into three of the complaints relating to unsound bread failed to produce sufficient evidence for a prosecution.
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Other complaints of unsound food received during the year concerned the following articles: needle in cocoa; glass in cake; glass in cordial; mould on cheese; fly in meat pasty; ants on cake; unsound bacon; unsound butter; unsound sausage roll; stale sausage rolls; maggots in bacon, in nuts and in currants; unsound meat; worm in pork brawn; unsound sweets; a nail in Christmas pudding. Eight of the 32 above-mentioned articles of food were found by the Food Inspectors to be genuine. In the other cases, those responsible for the preparation of the unsound food were warned, where necessary, there being insufficient evidence to support a prosecution, and suggestions for improvements in the preparation and handling of the food concerned were made. The Public Health Laboratory Service at the Park Hospital, Hither Green, carried out laboratory examinations of samples of unsound food.
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Byelaws for the Protection of Food During the year, the London County Council made revised Byelaws under Section 15 of the Food and Drugs Act, 1938, for securing the observance of sanitary and cleanly conditions and practices in connection with the handling, wrapping and delivery of food sold or intended for sale, for human consumption. The Byelaws were confirmed by the Minister of Food in October, 1952, and came into force on the 3rd November. They repealed the Byelaws made by the County Council under Section 6 of the London County Council (General Powers) Act, 1932.
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The new Byelaws strengthen the law by being more specific, particularly on the following points:— (a) No person suffering from any disease shall handle, wrap or deliver food so as to give rise to the risk of the spread of disease; (b) All food shall be protected from dirt, dust, insects and other forms of contamination, both in handling and transport; (c) No food shall be wrapped so as to be in contact with newsprint, including periodicals, magazines, etc.; (d) All reasonable precautions shall be taken where food is displayed for sale, both indoors and in the open air, to ensure that food is displayed on clean counters, trays, fittings, etc. Ice Cream There were 257 registered ice cream premises in the Borough at the end of the year, of which 15 were used for the manufacture of ice cream. Most of the dealers sell only prepacked ice cream.
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Periodic visits are made to all premises and inspection of all new premises is carried out before registration is approved to ensure that they are satisfactory and that the requirements relating to heat treatment are fully understood. Defects at 37 premises were found and remedied during 1952. During the year, 83 samples of ice cream were submitted for grading by the methylene blue test, and the results were as follows:— Grade I 58 Grade II 23 Grade III 2 Grade IV — In addition, three samples were submitted for chemical analysis and fat content, and the results were as follows:— 10—15 per cent. fat 1 5—10 per cent. fat 2 Under 5 per cent. fat — Meat Inspection Slaughtering has continued on a large scale at the Plumstead Abattoir. A total of 90,002 carcases were examined during the year, this number approaching twice the number of the previous year.
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Even after allowing for the fact that two pigs can be inspected in the time needed for the examination of one cow or heifer, this represents a considerable increase in the work of inspection carried out at the abattoir. All the carcases were inspected immediately after slaughter, examinations being conducted in accordance with Ministry of Food Memorandum 3/Meat. 33 The following table gives details of the number of animals slaughtered and inspected during the last twenty years at the Rochdale Road Abattoir, Abbey Wood, from 1932 to 1937 and, after 1937, at the Garland Road Abattoir, Plumstead. Table No. 16. Meat Inspection: Comparative Table Year. Cattle (including Cows). Cows. Calves. Sheep and Lambs. Pigs. Total. 1932 2,304 — 426 18,986 14,597 36,313 1933 2,386 — 213 21,128 14,
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072 37,799 1934 2,595 — 105 19,146 14,903 36,749 1935 3,145 — 672 18,939 15,607 38,363 1936 3,331 — 767 19,112 16,503 39,713 1937 3,244 — 604 15,069 15,466 34,383 1938 3,015 — 307 22,481 16,901 42,704 1939 4,922 — 70 25,099 19,253 49,344 1940 2,018 — — 44,001 43,490 89,509 1941 253 — — 41,986 18,745 60,984 1942 Abattoir closed. 1943 1944 1945 1946 1947 8,576 — 1,215 16,
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010 217 26,018 1948 (excluding Cows) 10,639 3,678 3,257 17,985 256 35,815 1949 10,164 3,933 2,563 27,352 1,971 45,983 1950 12,638 4,453 3,103 27,359 2,392 49,945 1951 19,024 2,973 1,901 19,200 15,612 58,710 1952 12,471 1,413 2,410 22,680 51,028 90,002 Changes in lay-out, equipment and staffing, which have taken place recently and since the Ministry of Food took over the Abattoir, are facilitating quicker and smoother working from the slaughterer's point of view rather than from the Inspector's point of view.
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The main changes are:— (1) The electric hoists for lifting the animals to the bleeding rail after stunning have been speeded up and two new dropping points have been fixed so that the animals after bleeding can be instantly dropped to the floor. (2) A completely new method of sheep dressing is now in operation. It is a continuous rail operation with the carcase always hanging clear of the floor during the whole process of dressing. (3) Two teams of slaughtermen are now continuously working, and the slaughterhouse is large enough for cattle and sheep, or pigs or calves to be slaughtered at the same time. Other improvements have been made to obtain a more hygienically finished carcase, and it is considered that the standard of hygiene of the carcases leaving the Abattoir compares very favourably with that at any other abattoir. Nevertheless, the accommodation at the premises is now being used at full capacity. 34 The following table gives details of the number of animals slaughtered during the year:— Table No.
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17. Carcases Inspected and Condemned, 1952 Cattle, excluding Cows. Cows. Calves. Sheep and Lambs. Pigs. Number killed 12,471 1,413 2,410 22,680 51,028 Number inspected 12,471 1,413 2,410 22,680 51,028 All diseases except Tuberculosis:— Whole carcases condemned 3 1 4 13 84 Carcases of which some part or organ was condemned 2,964 427 13 1,576 5,978 Percentage of number inspected affected with disease other than Tuberculosis 23.8 30.3 .7 7 11.8 Tuberculosis only:— Whole carcases condemned 33 23 6 — 104 Carcases of which some part or organ was condemned 1,222 420 — — 1,583 Percentage of number inspected affected with Tuberculosis . 10.06 31.
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4 .2 — 3.3 Slaughter of Animals Act, 1933 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. During 1952 one new licence was granted to a person working in the Borough to act as a slaughterman, and 15 applications for renewal of existing slaughtermen's licences were approved. Unsound Food The Council's food inspectors are required to examine food suspected of being unsound and if considered unfit for human consumption the food is surrendered and a certificate of condemnation issued. Once again a large number of such certificates were issued during the year. Whilst no food was seized and formally condemned during the year, some 33,163 articles of food, weighing approximately 86 tons, were voluntarily surrendered as unfit for human consumption. The majority of these articles, weighing approximately 74 tons, were from the large abattoir in the Borough.
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The food was utilised for animal feeding or for fertilisers. 35 Sophistication of Food During the year ended 31st December, 1952, 742 samples (i.e., 525 informal and 217 formal samples) were submitted for analysis to the Public Analyst. Of these, 31 formal and 18 informal samples were reported to be adulterated or otherwise not complying with the statutory requirements, giving a percentage of 6.6, compared with 4.0 in 1951 and 7.1 in 1950. No private samples were examined during the year. Tabic No. 18. The following table gives details of adulterated samples:— Sample No. Article. Formal or Informal. Result of Analysis. Result of legal proceedings or other action. 715 Confectionery, Jam ' Doughnuts. Informal Contained jam, not more than 0.1 per cent., insufficient to justify the description. Formal sample obtained.
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708 Pork Sausages Formal Contained sulphur dioxide, 400 parts per million. The presence of preservative was not declared. Referred to Ministry of Food. 800 Pork Sausages Formal Contained sulphur dioxide, 50 parts per million. The presence of preservative was not declared. Referred to Ministry of Food. 703 Pork Sausages, Preserved. Formal Deficient in meat 9 per cent. Referred to Ministry of Food. 706 Pork Sausages Formal Meat content 58 per cent. 707 Pork Sausages Formal Meat content 61 per cent. 747 Pork Sausage, Preserved. Formal Soya bean flour 2 per cent., meat content 58 per cent. 748 Pork Sausage Formal Meat content 57 per cent. 749 Pork Sausage, Preserved. Formal Soya bean meal 10 per cent., meat content 45 per cent. Prosecution by Ministry of Food.
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Fined £11 and £7 7s. costs 750 Pork Sausage, Preserved Formal Meat content 60 per cent. Referred to Ministry of Food. 767 Pork Sausages Formal Meat content 54 per cent. 768 Pork Sausage Meat Formal Meat content 60 per cent. 769 Pork Sausages Formal Meat content 58 per cent. 793 Pork Sausages Formal Meat content 61 per cent. Warning letters sent to the manufacturer and the supplier. 798 Pork Sausages Formal The presence of preservative was not declared. Legal proceedings instituted. 799 Pork Sausages Formal Meat content 50 per cent. 757 Flaked Tapioca Informal Consisted of a Tapioca substitute made from potato starch. Formal sample obtained. 776 Flaked Tapioca Formal Warning letter sent to vendor. 36 Sample No. Article. Formal or Informal. Result of Analysis. Result of legal proceedings or other action.
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126 Desiccated Coconut Informal Contained 35 percent. of sugar. The presence of sugar was not disclosed on the label. Formal sample obtained. 179 Desiccated Coconut Formal Contained 40 per cent. of sugar. The presence of sugar was not disclosed on the label. Details forwarded to Ministry of Food. 209 Prunes Informal Deteriorated prunes. The prunes were mouldy and unfit for human consumption. Sale on part of consignment stopped. 189 Ice Lolly Informal Contained alginic acid 0.1 per cent. The alginic acid was in the form of an insoluble fibrous mass, resembling J and tasting like paper pulp. Warning letter sent to manufacturers. 192 Ice Lolly Informal 169 Meringue Mixture Informal An imitation meringue mixture consisting of a coloured and flavoured solution of a synthetic gum (methyl cellulose).
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Genuine meringues are made from sugar and white of egg, and since the samples contained neither and were virtually devoid of nutritive value the term "Meringue Mixture" was a false description. Formal sample obtained. 204 Meringue Mixture.. Formal An imitation meringue mixture consisting of a coloured and flavoured solution of a synthetic gum (methyl cellulose). No further action. 210 Meringue Mixture.. Formal 123 Beef Sausages Formal Contained sulphur dioxide 85 parts per million. The presence of preservative was not declared. Warning letter sent to suppliers. 128 Soup, Canned, Tomato Cream. Informal Contained edible oil and fat 2.9 per cent., tin 2.0 grains per pound. Under the agreed Code of Practice, Tomato Cream Soup should contain at least 3.5 per cent. of edible oil and fat. A proportion of tin approaching 2 grains per pound is regarded as excessive.
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Formal sample obtained for analysis. 180 Soup, Canned, Tomato Cream. Formal Contained edible oil and fat 2.0 per cent. A warning letter sent to manufacturer. 256 Fruit Bars Informal Contained insect remains, derived from small beetles, larvae and ants, in the proportion of approximately 100 insect fragments per 100 grammes. Formal sample obtained. 37 Sample No. Article. Formal or Informal . Result of Analysis. Result of legal proceedings or other action. 288 Fruit Bars Formal Contained insect remains, derived from small beetles, larvae and mites, in the proportion of approximately 50 insect fragments per ounce. Cautionary letter sent to manufacturers. 231 Ice Lollies Formal Contained an insoluble fibrous mass, having the character of alginic acid and weighing, when dried, 52 milligrams (0.1 percent.). Taken up with manufacturers.
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232 Ice Lollies Formal Contained an insoluble fibrous mass, having the character of alginic acid and weighing, when dried, 73 milligrams (0.14 per cent.). Taken up with manufacturers. 281 Pastry Mixture Informal The fat in the sample was rancid and contained 4.5 per cent. of free fatty acids. Edible fats do not contain more than 2 per cent. of free fatty acids. Formal sample obtained. 292 Pastry Mixture Formal The fat in the sample was rancid and contained 4.4 per cent. of free fatty acids. Manufacturers informed. 299 "Pickapeppa" Sauce. Informal Contained dead mites approximately 70 per ounce. Formal sample obtained and proved to be genuine. 301 Tomato Cream Soup Formal Contained edible oil and fat 2.6 per cent., tin 2.1 grains per pound.
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Under the agreed Code of Practice, Cream Soups should contain at least 3.5 per cent. of edible oil and fat. The proportion of tin was excessive. Cautionary letter sent to manufacturers asking them to withdraw all stock affected. 302 Tomato Cream Soup, Informal Contained edible oil and fat 2.5 per cent. Formal sample obtained. 423 Fruit Bar (Sugar Confectionery) Informal Contained insects and fragments of insects, derived from mites, small beetles and their larvae, 250 per ounce. Formal sample obtained. 448 Fruit Bar (Sugar Confectionery) Formal Contained insects and fragments of insects, 220 per ounce. Warning letter sent to manufacturers. 519 Butter Balls (Sugar Confectionery) Informal Contained butter-fat, not more than 0.1 per cent. These sweets should contain at least 4 per cent. of butter-fat. Formal sample obtained. Result— genuine.
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521 Iodine Paint Informal The proportion of Potassium Iodide was 53 per cent. excessive, and the Boric Acid, 35 per cent. excessive as compared with the formula printed on the label. No further action. 38 Sample No. Article. Formal or Informal. Result of Analysis. Result of legal proceedings or other action. 391 Condensed Full Cream Milk, Sweetened. Informal Composition satisfactory, but the label contravened the Condensed Milk Regulations as the type used was too small. Formal sample obtained. Result— genuine. 605 Mixed Peel Informal Contained glucose, 20 per cent. The peel was stated to contain sugar but not glucose. Formal sample obtained. 477 Christmas Pudding Informal Contained carcases of mites and insect larvae, approximately 600 per ounce. Formal sample obtained.
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512 Christmas Pudding Formal Contained carcases of mites and insect larvae, approximately 350 per ounce. Matter taken up with manufacturers and the Ministry of Food. 579 Rice Formal Contained wheaten product 2.5 per cent. The wheaten product consisted of small pieces of a form of spaghetti, cut to about the size of rice grains. Warning letter sent to manufacturers. 513 Pork Sausages Formal Meat content 59 per cent. Pork sausages should contain not less than 65 per cent. of meat. Warning letter sent to manufacturers. 514 Beef Chipolata Sausages, Preserved. Formal Contained sulphur dioxide, 1,450 parts per million. Sausages should not contain more than 450 parts per million of sulphur dioxide. Legal proceedings instituted: fined £5 with £2 2s. costs. The foods examined were:— Ale and Stout 2 Coconut, Desiccated 5 Almonds,
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Ground 7 Coffee 11 Arrowroot 2 Confectionery, Flour 61 Baking Powder & Golden Confectionery, Sugar 22 Raising Powder 4 Cooking Fat 1 Barley, Pearl 1 Cornflour 1 Blancmange & Dessert Powders 8 Cream, Imitation 4 Bread 7 Curry Powder 1 Butter 3 Custard Powder 6 Cake Decorations & Icing Paste 4 Drinks, Soft 9 Cake & Pudding Mixtures 6 Fish 15 Cereals 11 Fish Paste 4 Cheese 1 Flavouring Essence 2 Cheese Spread 4 Flour 8 Chewing Gum 1 Fruit, Candied & Crystallised 4 Chocolate Spread, Canned 1 Fruit, Canned & Bottled 18 Cocoa 1 Fruit, Dried 13 39 Fruit Juice 3 Peanut Butter 2 Fruit Pies 3 Peas, Split 1 Fruit Puree 1 Peel,
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Candied 4 Groats 1 Pepper 7 Honey 4 Pickles and Sauces 18 Horseradish 2 Potato Crisps 3 Ice Cream 5 Proprietary Foods 2 Ice Lollies 8 Proprietary Medicine 14 Jam 22 Pudding, Christmas 11 Jellies 14 Rice (including ground) 6 Lard 2 Salad Cream 1 Lemonade Powder & vescing Tablets 6 Sausages & Sausage Meat 30 Soda, Bicarbonate of 1 Margarine 3 Soups 16 Marmalade 4 Soya Flour 2 Marzipan 1 Spaghetti, Canned 2 Meat Products 10 Spices 3 Meat Paste 2 Suet, Shredded 5 Meringue Mixtures 4 Sugar 2 Milk 214 Tea 2 Milk,
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Condensed 3 Vegetables 11 Mincemeat 2 Vinegar 6 Mustard 2 Welsh Rarebit & Mixture 2 Oatmeal 2 Wine, Alcoholic 1 Pastry Mixture 3 Yeast Flakes & Tablets 2 Others 19 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE The following diseases are notifiable in the Borough: Anthrax, Cholera, Continued Fever, Diphtheria, Dysentery, Encephalitis Lethargica, Erysipelas, Enteric Fever, Food Poisoning, Glanders, Hydrophobia, Malaria, Measles, Membraneous Croup, Meningococcal Infection (C.S.M.
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), Ophthalmia Neonatorum, Pneumonia Acute Primary, Pneumonia Acute Influenzal, Poliomyelitis (Acute), Polioencephalitis (Acute), Plague, Puerperal Pyrexia, Relapsing Fever, Scabies, Scarlet Fever (or Scarlatina), Smallpox, Tuberculosis (all forms), Typhoid Fever (including Paratyphoid), Typhus Fever, Whooping Cough and Zymotic Enteritis. All infectious diseases notified to the Department are visited by the Sanitary Inspectors at the earliest opportunity, and disinfection is carried out wherever applicable. Where the patient is nursed at home, Sanitary Inspectors visit to see that home isolation is carried out satisfactorily, and at the end of the infectious period the bedding, etc., belonging to the patient is removed for treatment at the Disinfecting Station and the rooms sealed and fumigated.
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40 Scarlet Fever There were 259 notified cases of scarlet fever occurring in the Borough during the year, being 53 more than occurred in the previous year. The disease was usually very mild. The great majority of patients (72 per cent.) were satisfactorily isolated at home. Frequent visits were made by the Sanitary Inspectors to ensure that proper precautions were being taken. Measles Of the total of 2,356 infectious disease notifications received during 1952, measles notifications accounted for 1,417 or 60 per cent. of these notifications. There were no fatal cases. Eighty-nine per cent. of the notified cases of measles concerned children of school age. However, the number of notifications received showed a sharp decrease as compared with the previous year (2,940), and this conforms to the two-year cycle associated with the disease. Whooping Cough Notifications totalled 325. One case proved fatal.
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Forty-three of the patients were admitted for hospital treatment owing to complications or because of lack of suitable nursing facilities at home. Diphtheria For the third year in succession there were no known cases of diphtheria occurring within the Borough. Altogether, 13 cases were notified by medical practitioners, in each case the diagnosis being revised. Seven patients were found subsequently to have tonsillitis, two to have bronchitis, one Vincent's Angina, one glandular fever and two patients no known disease. Zymotic Enteritis Of the 69 cases of this disease which were notified, 39 occurred in children under one year. Three deaths of children under one year were attributable to enteritis, gastritis or diarrhoea. Malaria Eight confirmed cases of malaria occurred in the Borough during the year, of which five related to members of H.M. Forces stationed in the Borough who had been abroad recently.
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Another case was that of a girl of eight years who had been in this country only a short time, and two infections related to civilians who had also been abroad. Six of the patients concerned were admitted to hospital. Acute Poliomyelitis. During 1951 there had been a pleasing decline in the number of cases of poliomyelitis, but this was not maintained during 1952, when there were 24 confirmed cases of this disease in its paralytic form and four in its non-paralytic form. In only one instance was there any connection between notified cases, two members of the same family being ill at the same time Two of the notified cases proved to be fatal. 41 Table No. 19. Notifications of Infectious Diseases (excluding Tuberculosis), 1952. Diseases. Number of Cases (after correction of diagnosis) Age Groups Under 1 year. 1 and under 3 years. , 3 and under 5 years.
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5 and under 10 years. 10 and under 15 years. 15 and under 25 years. 25 and under 35 years. 35 and under 45 years. 45 and under 65 years. 65 and over. Age Unknown Total Total No admitted to Hosp. Diphtheria - - - - - - - - - - - - - Scarlet Fever 1 22 48 171 9 6 2 — — — — 259 74 Paratyphoid Fever — — 1 — — — — — — — — 1 1 Meningoccocal Infection — 1 — — — — — — — — — 1 1 Acute Poliomyelitis (Paralytic) 1 3 3 6 3 3 3 1 1 — — 24 23 Acute Poliomyelitis (non paralytic) — 1 — 1 1 1 — — — — — 4 3
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Erysipelas — — — 2 — 2 2 3 8 4 — 21 7 Dysentery — 4 3 6 3 5 5 1 1 2 — 30 22 Zymotic Enteritis 39 15 7 5 — — 2 — 1 — — 69 51 Scabies — 1 1 1 — — — — 1 — — 4 — Acute Pneumonia 8 9 5 18 4 8 11 18 26 15 1 123 33 Food Poisoning — 1 2 2 1 2 4 1 3 4 — 20 4 Puerperal Pyrexia — — — — — 13 26 9 — — — 48 48 Ophthalmia Neonatorum 1 — — — — — — — — — — 1 — Whooping Cough 24 75 76 128 4
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— 2 2 1 — 13 325 43 Measles 32 280 384 654 23 14 1 1 1 — 27 1,417 50 Typhoid Fever — — — — - — — — - — — — — Malaria — — — 1 — 4 3 — - — — 8 6 Acute Encephalitis - - - - 1 — — - — — 1 1 42 Puerperal Pyrexia. The revised definition of this disease contained in the Puerperal Pyrexia Regulations made in 1951, has accounted for the increase in notifications received, there being 48 cases compared with 31 during the previous year. Any case occurring in a hospital in the Borough is notified to me as required by the Regulations, and not to the Medical Officer of Health in the area in which the patient normally resides, although several such cases, of course, relate to mothers normally resident within the Borough.
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All except five of the notifications were received from the largest maternity hospital in the Borough. Puerperal pyrexia must not be confused with puerperal fever. The condition puerperal pyrexia is an increase of temperature in accordance with the definition, following childbirth. The causes of such an increase are many and often trivial. The disease puerperal fever is a bacterial infection of the genital tract associated with childbirth. Pneumonia. Of the various forms of pneumonia, only acute primary and acute influenzal pneumonia are notifiable infectious diseases. The number of cases occurring during the year was 123, being slightly less than the number notified during the previous year. Deaths from pneumonia totalled 85, against 100 in 1951. Dysentery. The thirty cases of dysentery occurred mostly in private families, and there were no major outbreaks of the disease.
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Each notified case was carefully investigated by the Health Department staff and an officer of the department obtained faecal specimens for examination from each patient and from contacts of the patient. Fifty such specimens were analysed, and in those cases where the result was positive the patient's doctor arranged for further treatment. Food Poisoning. During the year 20 confirmed cases of food poisoning were notified. These included four small outbreaks, each outbreak being confined to an individual family and involving a total of 11 persons. In two of the outbreaks the food suspected as causing the poisoning was plums, a member of two different families having eaten stewed plums just prior to illness. None of the patients was seriously ill. Sheep's heart, obtained from the family butcher, was the food suspected as causing another small outbreak of food poisoning. The food had been bought from the butcher on the Wednesday morning, had been cooked the following day and then stored in a saucepan overnight to be re-heated on the Friday for lunch that day.
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Two members of the family who had eaten the greater portion of the sheep's heart had been ill. It was not possible to obtain a specimen of the food suspected. There were 11 single cases of food poisoning reported by General Practitioners. In the case of one family ducks eggs left in mistake for hens eggs by a tradesman were suspected as causing the illness. One of the eggs had been lightly boiled and the patient was caused some discomfort. The Laboratory examination disclosed that the illness was due to salmonella typhimurium. 43 Tuberculosis. The number of primary notifications of tuberculosis (195) was a decrease of 51 on the previous year's total. The following table gives the age groups of new cases notified: Table No. 20. Age Periods. Formal Notifications. Number of primary notifications of new cases.
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0—1 1—2 2—5 5—10 10—15 15—20 20—25 25—35 35—45 45—55 55—65 65—75 75 and upwards Total (all ages) Pulmonary— Males - - 2 5 4 8 6 19 13 17 13 3 5 95 Females 1 1 3 3 3 9 20 18 5 10 2 2 1 78 Non-Pulmonary— Males - 1 1 2 2 1 - 3 3 - - - - 13 Females - - - 1 - - 2 3 1 2 - - - 9 Total 1 2 6 11 9 18 28 43 22 29 15 5 6 195 The following is an extract from the Tuberculosis Register for 1952: Table No.
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21. Pulmonary. Non-Pulmonary. M. F. Total M. F. Total Cases notified for the first time 95 78 173 13 9 22 Other additions to Register during the year, including transfers of patients from other areas 46 50 96 4 2 6 Cases on Register at 31st December, 1952 847 702 1,549 120 99 219 The Public Health Department is responsible for the duties connected with the prevention of the spread of tuberculous infection, and to enable these duties to be performed General Medical Practitioners notify all new cases coming to their knowledge. The Department carries out the disinfection of the patient's rooms and possessions. The two Chest Clinics in the Borough which are at Maxey Road, Plunistead, and Carnecke Gardens, Eltham, are administered by the Regional Hospital Board, who are responsible for the diagnosis and treatment of the disease.
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During 1952 the Minister of Health made new Regulations, the Public Health (Tuberculosis) Regulations, 1952, which revoke and replace the Public Health (Tuberculosis) Regulations, 1930. In a circular to local authorities the Minister has stated that whilst County Councils and County Borough Councils must be regarded as the bodies predominantly responsible for the prevention of tuberculosis, other local authorities have statutory functions as sanitary authorities under the Public Health Acts, or as housing authorities, some of which have an important part in preventing the spread of tuberculous infection. The Minister emphasises that co-operation between the various types of authority is essential. 44 The new Regulations no longer require a Medical Officer of Health to keep a register of tuberculosis notifications, but, in the Minister's view, he may naturally be expected to do so—and the Minister urges that he should—in the same way that he keeps a record, for his own purposes and without any legal requirements, of notifications of other diseases.
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The requirement contained in the 1930 Regulations for providing information of a tuberculous patient entering or leaving a sanatorium or hospital is also omitted from the present regulations. However, the Minister has asked Hospital Boards and Committees to ensure that this information (as for any patient with a notifiable disease) is sent by the institution concerned to the Medical Officer of Health of the district to which the patient belongs. During the last decade there has been a considerable reduction in the Tuberculosis mortality rate. The following table shows the incidence of Tuberculosis and the decline in the number of deaths from this disease during the last 12 years. Table No. 22. Table of Notifications and Deaths compared with Population. Year. Estimated Civilian Population excluding Army. Primary Notifications Deaths from Tuberculosis. Deaths per 1,000 population. Total Deaths all causes. Percentage of Tuberculosis Deaths against all Deaths.
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1941 103,630 258 127 1.22 1,627 7.8 1942 110,140 249 102 .92 1,410 7.2 1943 112,700 292 102 .90 1,558 6.5 1944 110,970 248 100 .90 1,611 6.2 1945 115,270 260 90 .70 1,478 6.0 1946 .
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134,420 247 83 .61 1,531 5.4 1947 140,150 297 101 .72 1,626 6.2 1948 142,800 230 82 .57 1,573 5.2 1949 144,000 256 59 .41 1,572 3.7 1950 144,000 205 58 .40 1,670 3.4 1951 144,000 246 57 .39 1,838 3.1 1952 146,000 195 39 .26 1,667 2.3 Mass Radiography. The Mass Radiography Unit of the South Eastern Regional Hospital Board visited the Borough during the whole of May and during the visit a total of 19,404 persons attended for X-ray examination.
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This total is 3,405 more than were examined on the occasion of the previous visit of the Unit, and those X-rayed included 422 men and 54 women employed by the Borough Council. Details of the total examinations made are as follows:— Centre Men Women Total Old Town Hall 5,167 7,050 12,217 Royal Arsenal 5,898 1,289 7,187 11,065 8,339 19,404 With regard to the examinations at the Old Town Hall only 207 women were recalled for further examination, and of these, 61 showed no abnormality and 51 required no further action. 167 men were recalled for further examination and 42 showed no abnormality, whilst 50 others required no further action. As on the occasion of previous visits of the Unit, the Health Department assisted by arranging a large number of bookings.
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As part of the Council's Health Education work, films dealing with Mass X-Ray were shown to local organisations during the weeks preceding the visit of the Mass X-Ray Unit. 45 Tuberculosis Care Work. The Woolwich Tuberculosis Care Committee, on which are represented various official bodies, continued to carry out most useful work amongst patients and their families. Financial help is also being given by the National Assistance Board in certain cases. Disinfection and Disinfestation. The work of reconstruction of the Disinfecting Station at White Hart Road, Plumstead, which was damaged during the war, was commenced in September, 1952, the cost of this work being recoverable from the War Damage Commission. In addition to the external repairs to the building being carried out, the plant and electrical wiring is also being overhauled. The Greenwich Borough Council kindly permitted the joint use of their Disinfecting Station until repairs are completed.
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During 1952, the Department carried out disinfection of 517 rooms after cases of infectious diseases, and of these 208 premises had been occupied by tuberculous persons. Altogether, 960 inspections regarding verminous conditions were made, and 604 rooms were disinfested for vermin. 44 van loads of furniture were fumigated during the year.
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The number of articles disinfected at the Disinfection Station to the 6th September, 1952, was 6,435, details of the type and number of articles disinfected there being as follows:— Beds 134 Rugs 27 Palliasses 774 Books 182 Pillows 1,214 Bags 65 Bolsters 128 Wearing apparel 500 Quilts 297 Boots 2 Sheets 610 Slippers 4 Blankets 1,472 Toys 55 Curtains 24 Cushions 83 Carpets 4 Sundries 750 Many requests were again received from residents of the Borough wishing to dispose of bedding and furniture which was often in a dirty and sometimes verminous condition, and formerly used by persons removed to hospitals and institutions, or deceased. This furniture and bedding was removed to and destroyed at the Plumstead Destructor.
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Seventy-seven cases were dealt with during the year and the following articles were removed and destroyed:- Beds 21 Mats 3 Pillows 34 Couches 12 Bedsteads 11 Chairs 28 Bedspreads 7 Cushions 10 Blankets 6 Tables 2 Bed-ends 1 Chest of Drawers 3 Sheets 7 Wearing Apparel 48 Wash Stand Pitchers 2 Gramophones 1 Dressing Tables 1 Books 12 Lino 1 Bins of Rubbish 2 Sundries 97 A total of 29 requests was received from residents in the Borough for the disinfection of rooms and bedding or both, following the occurrence of a noninfectious disease, or the death of a member of the family, and for other reasons. Charges totalling £18 12s. Od. were made for this work. 46 Personal Cleansing.
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The personal cleansing stations are situated adjacent to the Turkish Baths in Plumstead High Street and at the Eltham Hill Health Centre, Sherard Road. The number of persons cleansed during 1952 was 1,134, and the number treated for scabies was 70. Each case of scabies is visited by the Sanitary Inspector and, wherever possible, all the members of the families concerned attend for treatment. The total number of attendances at the Cleansing Stations was 1,392. Details of the number of cases and attendances at the two Cleansing Stations are given below. Treatment of Verminous Persons. Pre-School Children. School Children. Adu lts. Totals. Boys. Girls. Boys. Girls. Men. Women.
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Number of Cases 17 53 246 696 16 106 1,134 Number of Treatments 17 54 254 849 14 113 1,301 Treatment of Scabies. Pre-School Children. School Children. Adults. Totals. Boys. Girls. Boys. Girls. Men. Women. Number of Cases 5 4 12 16 8 25 70 Number of Treatments 7 5 18 21 8 32 91 Authentication of International Certificates of Vaccination and Inoculation. A person proceeding abroad is required to carry a certificate of recent successful vaccination and inoculation and, in order to prove to the health authorities abroad that the signature of the person issuing the certificate is that of a registered medical practitioner known to the Medical Officer of Health, authentication of the certificate by the Medical Officer of Health is required.
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The signatures of medical practitioners signing such certificates was authenticated by me during the year in respect of nearly 200 certificates. 47 LABORATORY FACILITIES A large part of the Council's pathological and allied work in relation to the diagnosis, prevention and control of infectious diseases is undertaken at the Southern Group Laboratory at the Park Hospital, Lewisham. This service is provided by the Public Health Laboratory Service on behalf of the Medical Research Council. Specimens sent to this laboratory include samples of milk and ice cream, samples of food in suspected food poisoning cases, specimens of meat from the abattoir and samples of swimming bath water. The following summary relates to the work carried out by the laboratory on behalf of the Council during 1952:— Food (which includes animal specimens from abattoirs, etc.)
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50 Ice Cream (Methylene Blue Test) 83 Milk (Methylene blue and phosphatase, also turbidity) and milk bottles (colony count), milk caps (culture) 322 Faeces 31 Sputum 1 Water—from swimming baths, children's paddling pools and boating lakes 84 Throat swab 1 572 The examination of specimens of human origin (mainly swab examinations) for the general practitioners in the Borough, and also specimens referred to the hospital from local clinics, is undertaken by the Woolwich Group Hospital Management Committee. The work was formerly carried out at the Woolwich Memorial Hospital laboratory, but is now being undertaken at the Brook Hospital. General practitioners referred 30 sputum specimens for examination and the hospital carried out 159 other sputum examinations during the year. One hundred and thirty-two nasal and throat swabs were referred to the hospital by general practitioners for examination, and 21 other specimens. This laboratory also carried out the examination of 50 faecal specimens.
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Chas. F. Thorn & Son, Ltd. (T.U.) Woolwich, S.E.I8
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AC 4372 Woo 53 METROPOLITAN BOROUGH OF WOOLWICH ANNUAL REPORT on the Health of the Metropolitan Borough of Woolwich for the Year 1953 BY T. STANDRING, M.D., B.S., D.P.H., M.R.C.S., L.R.C.P., F.R.San. I. Medical Officer of Health K. I. T.U.) Woolwich, s.e.18. TABLE OF CONTENTS page Health Committee 2 Preface 3 Staff 5 General Statistics 6 Vital Statistics (including Census Report) 6 Sanitary Administration 16 Housing 26 Health Education 29 Inspection and Supervision of Food 30 Prevalence and Control of Infectious Disease (including Disinfection, Disinfestation and Personal Cleansing) 36 Laboratory Facilities 42 HEALTH COMMITTEE at 31st December, 1953. THE WORSHIPFUL THE MAYOR (Councillor S. L. Collins, j.p.)
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Councillor G. E. Offord (Chairman) Councillor L. A. Heath (Vice-Chairman) Aldermen— Mrs. J. E. Carroll E. A. J. Dickerson Mrs. E. R. M. Middleton Councillors— T. G. Blann W. R. Kennett Mrs. S. M. Bradley Mrs. A. E. Maxwell Mrs. E. G. Bunce Miss M. N. Rees A. H. Gilder, m.b.e., j.p. Mrs. E. M. Wood Miss E. M. Jarvis S. W. Wood 2 PREFACE To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. Mb. Mayor, Ladies and Gentlemen, I have pleasure in submitting the Fifty-third Annual Report on the health and sanitary conditions of the Borough of Woolwich. The Report has been compiled as outlined by the Ministry of Health.
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The home population of the Borough at mid-1953 was 151,100, being 700 less than that for the previous year, but still over 3,000 more than at the time of the 1951 Census. The post-war trend in the Borough's birth and death rates continued, there being a slight decline in both the birth and death rates. Due to an increase in the population of the Borough during the past three years, and because of the fewer total births, the birth rate is now below the National and London averages, although the local stillbirth rate compares favourably with that for the rest of the country. The corrected Woolwich death rate for 1953 was 10.3, compared with 11.4 for England and Wales, and 12.5 for London. The principal causes of death were again cancer and heart diseases, which together accounted for over 50 per cent. of the total deaths. There were three fatal cases of poliomyelitis, and no maternal deaths.
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Motor vehicle accidents were responsible for eleven deaths of Woolwich residents. The majority of the 48 infant deaths occurred in the first week of life. The infant death rate was 21.4 compared with 26.8 for England and Wales, and 24.8 for London. The latest local tuberculosis death rate is very encouraging. Total Woolwich deaths from tuberculosis in all its forms during 1953 was 29; only 12 years ago there were as many as 127 deaths from this disease, and even in the year 1947 there were 101 local deaths from tuberculosis. No case of diphtheria occurred and, in fact, there has been no fatal case from this disease in the Borough for the past seven years. There was again an absence of any serious outbreak of food poisoning, the few cases occurring locally being confined to a small number of families and they call for no particular comment.
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The inspection and supervision of food premises plays a large part in the work of the Department, and in 1953 over 4,000 inspections were made of food shops and other food premises in the Borough. Once again a large number of food samples has been obtained by the Council's Sampling Officers for analysis, in order to ensure that the food is of the nature, substance and quality expected, and is free from adulteration. Food premises in the Borough are visited regularly, and with the co-operation of the occupiers it has been possible to secure improvements by means of this informal approach. Much time and attention has again been devoted to the inspection of meat at the Garland Road Abattoir, where the total kill has again been heavy, due mainly to the large number of pigs slaughtered. During 1953, considerable progress was made by the Council towards the redevelopment of the St. Mary's Redevelopment Area, which comprises some 72 3 acres.
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In order to provide for the relocation of population and the commercial and other interests displaced from parts of the area, the Council has proceeded with the acquisition of land contiguous or adjacent to the redevelopment area, and during the year the Council approved schemes for the erection of 122 dwellings on the south side of Lord Warwick Street, 49 dwellings in Rectory Place and 24 in St. Mary's Street. The Council's agreed slum clearance programme for the period 1951-1956 is to be followed by a further 5-year programme. Detailed proposals to cover this further programme to be undertaken by the Borough Council are now being formulated. During the year, much valuable information concerning the housing and social conditions in the Borough was made available in the County of London Census Report for 1951, and several interesting facts and figures are included in summary form in the body of my report. Largely due to the housing activities of the Council during the last 20 years there has been an increase of 33 per cent.
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in the number of dwellings in the Borough. Overcrowding and congestion have been reduced, and although we can still see many inadequate houses overdue for clearance, it is gratifying to know that there are fewer congested housing conditions than in most other areas in London. There are now nearly 16,000 persons residing in the Borough over the age of 65, an increase of over 6,000 during the last 20 years. Happily, the great majority of these persons are able to get about reasonably well, and apart from occasional ill health can attend to most of their needs. Those who, through force of circumstances such as ill health, are unable to look after themselves, receive assistance from the Department and from other statutory and voluntary workers. Every case coming to our attention is immediately visited, and where circumstances warrant it, assistance and advice are readily given.
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There is, of course, close cooperation between the Council's staff, the County Council Health and Welfare services, the Hospital service, the general practitioners and the voluntary agencies concerned with old people. We are indebted to these bodies for much ready help in easing awkward problems. To an increasing extent the welfare of old people is being looked to in Woolwich, whether by means of more frequent home visitation, holidays and other outings, entertainment, lunch club facilities and Darby and Joan Clubs, or in dealing with personal problems, and in numerous other ways the workers in this field are helping to make the lives of these persons more comfortable. During the year, accidents in the home and in factories were responsible for the deaths of 27 Woolwich residents. Although this is a slight improvement on the figure for the previous year, many of these accidents could have been avoided. The majority of accidents were to elderly persons from falls at home. Other common causes were burns and accidents sustained at work.
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During the year the Council set up five air pollution recording and measuring stations. Each will furnish monthly information on the amount of pollution. Officers of the Health Department are increasingly engaged in advising on the correct working of industrial fuel burning plant, and in acquainting members of the public of the benefits to be derived from the use of smokeless fuel. The Council's Health Education officers have again had a busy year. By the use of films and film strips, supplemented by informal talks, the work of the local authority, and particularly in relation to public health, is kept constantly before the public. Some of the most well received programmes are those dealing generally with the public health services, and with food hygiene and home accident prevention. Altogether 81 film programmes and 15 informal talks were presented during the year, in addition to several showings at local Civil Defence Centres.
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Repeat visits by the Council's Health Education Unit have been requested by several organisations ; so much so that this service has more and more become recognised as an essential part of the work of the Health Department. 4 in conclusion, I would like to take this opportunity of expressing my thanks to the Chairman and members of the Health Committee for their help and encouragement. My thanks are also due to members of the staff of my Department for their conscientious service. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, T. STANDRING. HEALTH DEPARTMENT STAFF Medical Officer of Health— T. STANDRING, M.D., B.S., D.P.H., M.R.C.S., L.R.C.P., F.R.San.i. Administrative and Clerical— Chief Administrative Assistant—T. H. Prescott. Senior Clerk—A. Healey. Clerical Assistants— R. E. Sweett R. H. Thomas Mrs.
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E. C. Cooper Miss M. H. Rentall Miss M. N. Prigmore G. C. Ryan J. E. Kay D. M. Gibbs K. E. Doubleday (returned from H. M. Forces, 19th October, 1953). Miss E. E. Phillips B. Ordell (transferred to Housing Department, 18th October, 1953). Sanitary Inspectors— Chief Sanitary Inspector— C. J. Couch, F.R. San.I., Cert. San. Insp. Exam. Board ; Cert. Royal San. Inst.; Cert., Meat and Other Foods; Cert. Smoke Insp., R.S.I.; Cert. Advanced Inspectors, R.S.I. Sanitary Inspectors— H. W. Pendrill (retired from the Council's service, 31st October, 1953). F. A. Andrew, Cert. San. Insp.
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Exam. Joint Board; Cert. Meat and Other Foods. (Senior Food Inspector). H. M. Kersey, Cert. San. Insp. Exam. Joint Board; Cert. Meat and Other Foods; Cert. Smoke Insp., R.S.I. (Rodent Control Inspector). F. J. Hoines, Cert. San. Insp. Exam. Joint Board; Cert. Meat and Other Foods. (Food Inspector). W. F. R. Wheal, Cert. Insp. Exam. Joint Board ; Cert. Meat and Other Foods. (Housing, etc. Inspector). W. E. McLelland, Cert. San. Insp. Exam. Joint Board; Cert. Meat and Other Foods. (Disinfection, Disinfestation and Smoke Inspector). Miss M. F. Thomas, g.m., Cert. San. Insp.
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Exam. Joint Board; Cert. Meat and Other Foods; State Registered Nurse; State Certificate Midwife; Health Visitors' Cert. (Old People's Welfare, etc. Inspector). E. R. Rees, Cert. San. Insp. Exam. Joint Board; Cert. Meat and Other Foods. (Food Inspector). 5 W. F. N. Troughton, Cert. San. Insp. Exam. Joint Board; Cert. Meat and Other Foods. (Catering Establishments, Milk premises, etc. Inspector). R. Lincoln, Cert. San. Insp. Exam. Joint Board; Cert. Meat and Other Foods. (Restaurants and other food premises Inspector). K. S. Cooper, Cert. San. Insp. Exam. Joint Board; Cert. Meat and Other Foods. (District Inspector). K. J. Coppin.
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(Resigned 30th August, 1953). J. A. Orrell, Cert. San. Insp. Exam. Joint Board; Cert. Meat and Other Foods; Cert. Smoke Insp., R.S.I. (Food Inspector). J. B. O'Connell, Cert. San. Insp. Exam. Joint Board. (District Inspector). R. H. Pasterpield, Cert. San. Insp. Exam. Joint Board; Cert. Meat and Other Foods. (District Inspector). D. W. Townsend. (Resigned 6th January, 1953). H. L. Davies, Cert. San. Insp. Exam. Joint Board. (Commenced duty 11th May, 1953. (District Inspector). J. Hills, Cert. San. Insp. Exam. Joint Board, Cert.
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Meat and Other Foods. (Commenced duty 11th May, 1953. (District Inspector). F. W. Harmsworth, Cert. San. Insp. Exam. Joint Board. (Commenced duty 11th May, 1953). (District Inspector). J. Hacker, Cert. San. Insp. Exam. Joint Board; Cert., Meat and Other Foods. (Commenced duty 28th December, 1953). (District Inspector). Public Analyst (Part-time)— H. Amphlett Williams, Ph.D. (Lond.), a.c.g.f.c., f.r.i.c.
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GENERAL STATISTICS Area of Borough 8,282 statute acres Number of Houses 40,227 Number of Persons per acre 18.2 Rateable Value £1,257,756 Sum represented by a Penny Rate £5,129 VITAL STATISTICS Extracts from the vital statistics for the year, with comparative figures for 1952, are shown below:- Table No. 1. 1953. 1952. Population (Home, i.e., including members of H.M.
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Forces stationed in the district) 151,100 151,800 Live Births—Legitimate 1,990 2,104 Live Births—Illegitimate 100 95 Total Live Births 2,090 2,199 Birth Rate 13.8 14.4 Stillbirths 51 37 Stillbirths—Rate per 1,000 total births 24.4 16.8 Total Deaths 1,569 1,667 Death Rate per 1,000 population 10.4 10.9 Maternal Deaths nil nil Death Rate from Puerperal Causes per 1,000 total births nil nil Deaths of Infants under one year 48 47 Death Rate of Infants under one year 22.9 21.4 Deaths from Tuberculosis (all forms) 29 39 Deaths from Cancer (all ages) 303 317 Deaths from acute poliomyelitis 3 2 6 Births.
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The number of live births registered in Woolwich during 1953, was 2,133. After correction for inward and outward transfers, the net number of Woolwich live births was 2,090, being 101 less than in the previous year. Of the total births, 1,062 were boys and 1,028 girls. It is known that 2,925 births took place in public institutions in the Borough, of which 1,109 concerned Woolwich mothers. The birth rate was 13.8 which, when adjusted to allow for the differing age and sex distribution of the population in various parts of the country, gives a birth rate of 13.7, compared with the birth rate for England and Wales of 15.5, and for London of 17.5. There were 51 stillbirths during the year under review. Natural Increase in Population (i.e., Excess of Births over Deaths). In 1953 the natural increase in population was 521.
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In 1952 it was 532 and in 1951 it was 435. Deaths. The number of deaths registered in Woolwich was 1,260, and after correction for inward and outward transfers the net number was 1,569, giving a death rate of 10.38 for the Borough, compared with 10.9 the previous year. The adjusted death rate for Woolwich was 10.3, compared with 12.5 for London and 11.4 for England and Wales. Deaths of Woolwich residents in hospitals in the Borough totalled 347, whilst 439 died in other hospitals outside the Borough. Motor Vehicle Accidents. There were eleven deaths of Woolwich residents during the year due to motor vehicle accidents. No fatal accidents occurred to a child under five years of age. Five deaths concerned youths, and two were persons over 65 years of age.
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Assistance was again given to the Council's Road Safety Committee by the showing of sound films on this subject at a number of the film sessions presented by the Health Department. Deaths from Cancer. Of the total number of deaths, 303 (or 19 per cent.) were from Cancer, being a similar number as in the previous year. One hundred and eighty-one occurred in men and 122 in women. More than half the cancer deaths (165) took place in hospitals. From the following table it will be seen that there has been an increase in the number of deaths among men from cancer of the lung and bronchus since the end of the War. Table No. 2. Woolwich Deaths from Cancer (including all other specified Malignant Tumours). Year. Men. Women. Total Deaths. Deaths in Hospitals.
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1945 134 133 267 88 1946 123 115 238 143 1947 130 130 260 135 1948 138 141 279 138 1949 172 128 300 159 1950 175 155 330 173 1951 149 139 288 152 1952 166 151 317 150 1953 184 125 309 169 7 Cancer Deaths—Woolwich, 1953. By Age. Age. Males. Females. Total.
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1-5 years - - - 6-15 years - — — 16-25 years 1 - 1 26-30 years 2 1 3 31-35 years 1 2 3 36-40 years 3 3 6 41-45 years 6 4 10 46-50 years 10 9 19 51-55 years 16 13 29 56-60 years 28 12 40 61-65 years 19 16 35 66-70 years 26 14 40 71-75 years 25 19 44 76-80 years 29 14 43 Over 80 years 15 15 30 Total 181 122 303 Table No. 3. Woolwich Deaths from Cancer of the Lung and Bronchus, 1945-1953. Year. Male. Female. Total. Deaths in Hospitals. 1945.
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Lung 17 3 20 7 Bronchus 4 4 8 4 1946. Lung 10 4 14 9 Bronchus 15 2 17 12 1947. Lung 12 7 19 6 Bronchus 18 1 19 15 1948. Lung 13 1 14 3 Bronchus 20 1 21 14 1949. Lung 15 2 17 8 Bronchus 24 5 29 20 1950. Lung 26 4 30 8 Bronchus 33 8 41 36 1951. Lung 17 5 22 9 Bronchus 40 8 48 29 1952. Lung 22 5 27 9 Bronchus 31 10 41 22 1953.
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Lung 16 2 18 9 Bronchus 40 9 49 29 8 Table No. 4. Cancer Deaths—Woolwich, 1953. Seat of Primary Disease. Male. Female. Total. Deaths in Hospital. Stomach 32 19 51 31 Bronchus 40 9 49 29 Lung 16 2 18 9 Breast — 17 17 10 Colon 17 14 31 15 Prostrate 13 - 13 10 Rectum 15 7 22 9 Pancreas 7 - 7 2 Ovary - 16 16 8 Bladder 4 - 4 3 Liver 1 4 5 3 Caecum 1 2 3 2 Cervix - 2 2 2 Oesophagus 1 3 4 1 Glands of Neck - 1 1 1 Jaw 6 -
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6 1 Brain - 2 2 - Gall Bladder 4 1 5 - Larynx 2 - 2 2 Throat 1 - 1 - Pharynx 1 - 1 - Uterus - 10 10 3 Tonsil 3 - 3 3 Thyroid - 1 1 - Others and Unspecified 17 12 29 21 Total 181 122 303 165 Maternal Deaths. There were no maternal deaths during the year, and none during the previous year. Inquests. There were 66 inquests held on Woolwich residents during the year and 358 post-mortems on Woolwich residents were carried out on behalf of the Coroner. Infant Mortality. The infant death rate was 22.9 compared with 21.4 in 1952. 9 Table 5. Deaths under 1 year, 1953. Cause of Death. Under 1 week.
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1-2 weeks. 2-3 weeks. 3-4 weeks. Total under 4 weeks. 1 month and under 3 months. 3 months and under 6 months. 6 months and under 9 months. 9 months and under 12 months. Total deaths under 1 yr. Premature Birth 7 1 - - 8 - - - - 8 Congenital Malformation 6 - - - 6 2 1 1 - 10 Broncho Pneumonia. 1 1 .
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- - 2 2 2 1 — 7 Atelectasis 11 1 - - 12 - - - - 12 Enteritis - - - - - - 1 - - 1 Suffocation 1 - - - 1 - 1 - - 2 Meningitis - - 1 - 1 - - 1 - 2 Whooping Cough - - - - - - 1 — — 1 Injury at Birth 1 - - - 1 - - — - 1 Cerebral Haemorrhage 4 - - - 4 - - - - 4 35 48 The following table gives details of the infant deaths during 1953 :— 10 Table No. 6. Nett Deaths during the Calendar Year 1953. 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.
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5 and under 15 years. 15 and under 25 years. 25 and under 45 years. 45 and under 65 years. 65 and under 75 years. 75 years and upwards.
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All Causes 1569 48 7 7 18 73 396 414 606 Tuberculosis, respiratory 27 7 13 5 I Tuberculosis, other 2 1 1 Syphilitic disease 7 1 5 \ Diphtheria Whooping Cough i 1 Meningococcal infections Acute poliomyelitis 3 1 1 I Measles Other infective and parasitic diseases 4 1 1 2 Malignant neoplasm, stomach 51 3 90 1 Q Malignant neoplasm, lung, bronchus 67 a Q9 io Oft 1 o Malignant neoplasm, breast 17 o 2 6Z 9 zu 3 9 Q Malignant neoplasm, uterus. . 10 7 1 O 2 Other malignant and lymphatic neoplasms 164 1 1 2 9 54 43 *\d.
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Leukaemia, aleukaemia 10 2 1 2 2 2 I Diabetes 12 2 7 3 Vascular lesions of nervous system 186 6 39 55 Coronary disease angina 236 5 68 79 oo 84. Hypertension with heart disease 42 6 12 24 Other heart disease 209 1 a Other circulatory disease 61 1 o 26 1 ^ 38 l fi 138 OA Influenza 19 9 1 o K 1 u A oU Pneumonia 71 rj 0 1 o 4 7 Bronchitis 117 1 1 8 QQ 18 O R 37 Other diseases of respiratory system 12 1 Zo A 6 o n 52 Ulcer of stomach and duodenum 23 £± 1 1 I K 1 Gastritis,
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enteritis and diarrhoea 4 1 1 1 o 0 7 Nephritis and Nephrosis 13 1 2 Z o er 1 Hypherplasia of prostate 9 o o O 2 Pregnancy, childbirth, abortion Z 3 4 Congenital malformations 11 10 ~ — — Other defined and ill-defined diseases 119 28 1 2 2 a 1 on — Motor vehicle accidents 11 0 O Q ZU 22 38 All other accidents 27 ] o i O 1 1 Suicide 22 t) i 4 1 4 4 7 l n 3 4 Homicide and operations of war 2 — 1 — 1U 1 O 1 11 9 r \ H I g" cr CS" e*- CJp p a. p- rt> p e+- tr >-* p e-tCD CD O o £.
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p p p- 13 p rt- O* I- 4r p •-j Q o o s *73 p 0) p- 5* et»■*» O 0 1 I Table No. 7. Birth Rates, Death Rates and Analysis of Mortality in the Year 1953. Rate per 1,000 Home Population. Annual Death Rate per 1,000 Home Population. Rate per 1,000 Live Births. Live Births. Still Births. All Causes 00 *1 13 o u 6 rO d H o .aa « 5 p., '£ © © * o S.S P.2 ^ © OM C X o Q. "a a GO 60 ■SjJ 0, 60 2 3 2 o •2 °E CD JS a ja Q. 3 a 1 3 a M .c8 '3 o S 3 s 2 CM T) O .
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'S^ S O rv t•g£> .2 ® g-c 1 Ji * I w V, .5 o Q "3 H c S a 3. 1 i © ^ Q- rs u c3 © 11 England and Wales 15-5 0-35 11-4 0-20 0-01 0-00 0-01 0-00 016 0-55 0-00 1-1 26-8 60 County Boroughs and Great Towns, including London 17-0 0-43 12-2 0-24 001 0-00 0-01 0-00 0-15 0-59 0-00 1-3 30-8 60 Smaller Towns (Resident Populations, 25,000 to 50,000 at Census,
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1951) 15-7 0-34 11-3 0-19 0-01 0-00 0-00 0-00 017 0-52 0-9 24-3 jondon (Administrative County) 17-5 0-38 12-5 0-24 0-01 — 0-00 — 0-15 0-64 — 11 24-8 WOOLWICH 13-7 0-33 10-3 0-25 0-00 — 0-00 — 000 0-55 — 0-002 21-4 The chief Vital Statistics for the Borough since 1923 are given in the following Table:— Table No. 8. Year. Population estimated to middle of each Year. Births. Nett Deaths belonging to the District. Nett. Under 1 Year. At ail Ages. Number. Rate.
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Number. Rate per 1,000 nett Births. Number. Rate. (1) (2) (3) (4) (5) (6) (7) (8) 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 11.0 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,
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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 147,400 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,
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400 2,053 14.0 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 13.6 102 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.
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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 b 115,270 2,021 17.5 83 41 1,478 12.8 1946 b 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 1950 c 149,000 2,
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172 14.6 53 24.40 1.668 11.2 1951 c 149,800 2,273 15.1 63 27.70 1,838 12.3 1952 c 151,800 2,199 14.4 47 21.40 1,667 10.9 1953 c 151,100 2,090 13.8 48 22.90 1,569 10.4 a—Total population. b—Civil population. c—Home population. 13 Marriages. There were 1,224 marriages in the Borough during 1953, of which 780 took place in churches. The remaining 444 took place at the Woolwich Register Office. Of the number of marriages which took place in churches in the Borough, Registrars of Marriages attended on 93 occasions. Census, 1951—County of London Report.
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In December, 1953, the Registrar General issued the County of London Report giving information regarding the Census taken in April, 1951. The Report deals with population, dwellings, rooms and families, and with sex, age and marital conditions. The population of the County of London has declined during the last 20 years by 1,049,021. Only three Boroughs—Lewisham, Hampstead and Woolwich— record increased populations during this period, whilst Stepney, Islington, Camberwell, Poplar, Southwark, Lambeth and Bermondsey all record decreased populations of more than 50,000. The population of the Borough at the time of the Census was 147,891 (comprising 72,334 males and 75,557 females) being an increase of 1,010 compared with the 1931 Census. The Registrar General estimates the population of the Borough at mid-1953 was 151,100.
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The following table gives details of the increases and decreases in the population of the various Wards of the Borough during the last 20 years. Table No. 9. Wards. 1931, Persons. 1951, Persons. Increase. Decrease. Dockyard 7,093 3,966 — 3,127 St. Mary's 6,344 4,185 — 2,159 River 12,036 6,837 — 5,199 St. George's 8,863 6,468 — 2,395 Burrage 8,100 5,902 — 2,198 Herbert 8,451 10,703 2,252 — Glyndon 8,769 6,082 — 2,687 St. Margaret's 12,541 13,783 1,242 — Central 8,028 6,414 — 1,614 St.
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Nicholas 13,904 11,869 — 2,035 Abbey Wood 10,729 11,349 620 — Well Hall 13,122 11,448 — 1,674 Avery Hill 11,603 23,639 12,036 — Sherard 17,298 25,246 7,948 — The number of persons per acre in the Administrative County of London at the time of the Census was 44.7, and in the Metropolitan Boroughs this figure varied from 92.5 in Paddington to 17.9 in Woolwich. The following table shows the age and sex group of the population at the time of the Census. For comparative purposes the number of persons in 1931 is also shown. 14 Table No. 10. Age Group (Age last Birthday). Persons 1931. 1951. Persons. Males. Females. 0—4 10,391 12,522 6,445 6,
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077 5—9 12,181 10,558 5,500 5,058 10—14 12,164 8,669 4,352 4,317 15—19 13,528 8,958 4,905 4,053 20—24 13,300 10,098 5,209 4,889 25—29 12,555 11,613 5,725 5,888 30—34 11,485 11,178 5,512 5,666 35—39 10,740 11,273 5,657 5,616 40—44 9,649 10,923 5,524 5,399 45—49 8,995 10,498 5,132 5,366 50—54 8,543 9,657 4,555 5,102 55—59 7,505 8,607 3,
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905 4,702 60—64 6,032 7,459 3,397 4,062 65—74 7,239 10,560 4,510 6,050 75 and over 2,574 5,318 2,006 3,312 146,881 147,891 72,334 75,557 The total of 15,878 persons over the age of 65, which is 10.7 per cent. of the population of the Borough, compares favourably with 11.1 per cent. for the Administrative County of London. The percentage of children of school age against the total Borough population is higher than the great majority of Metropolitan Boroughs, only Greenwich, Poplar and Shoreditch having higher percentages of school children.
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The birth places of the persons residing in Woolwich at the time of the Census are recorded as follows: England, 136,111; Wales, 2,230; Scotland, 2,400; Northern Ireland, 637; Irish Republic, 2,357. The number of occupied or retired males aged 15 years or over in the Borough was 53,869. Classified according to the Registrar-General's official classification of occupations or professions they fall into the following classes: Class 1, 2,049; Class 2, 7,081; Class 3, 31,305; Class 4, 5,425; Class 5, 8,009. Examples of occupations or professions classified within the five groups are as follows : Class 1—Clergymen, Solicitors, Doctors, Company Directors; Class 2—Teachers, Managers of retail business, Local Government Administrative, etc.
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; Class 3—Foremen, Skilled Workers, Clerical and Typists, Salesmen and Shop Assistants, Policemen, other ranks in the Forces; Class 4—Domestic servants, bus conductors, semi-skilled workers ; Class 5—Labourers, Navvies, Porters, Messengers, Lift Attendants, etc. The Report shows that 95.6 per cent. of the total population of the Borough are in occupation of private households, the remaining persons being in hotels, boarding houses, nursing homes and defence establishments, etc. There has been a 33 per cent. increase in the number of dwellings in the Borough since 1931. Compared with London as a whole there are few one or two roomed dwellings, and comparatively few households sharing dwellings. The size of households is higher than average, and the proportion of households with non-married heads is comparatively small.
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15 The total number of separate households (i.e., persons sharing the same living room or eating at the same table) in the Borough of Woolwich was recorded as 45,366 (being a percentage increase of 18.8 compared with the number in 1931). The members of these households were occuping 40,511 structurally separate dwellings (being a percentage increase of 33.4 compared with the 1931 figure). Twenty-three per cent. of households were sharing a dwelling (the third lowest figure among Metropolitan Boroughs). Only 2 per cent. of occupied accommodation had less than three rooms. The average number of persons per Woolwich household is estimated to be 3.12 (the third highest average among the London Boroughs) compared with 3.61 in 1931. The average number of rooms per household was 4.27 being the highest figure among Metropolitan Boroughs.
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The density of occupation (persons per room) for the Borough of Woolwich was 0.73. Ten per cent. of Woolwich households are one-person households. This is the lowest percentage among Metropolitan Boroughs. The average number of rooms per dwelling was 4.85 compared with 5.22 in 1931. 108 Woolwich households were occupying one room only; 699 were occupying 2 rooms; 3,533 were occupying 3 rooms; 9,775 were occupying 4 rooms; 16,451 were occupying 5 rooms; 6,423 were occupying 6 rooms; 2,085 were occupying 7 rooms; and 886 were occupying 8 rooms or more. The report reveals that the percentage of Woolwich persons living at more than two per room is now 1.28 compared with 5.66 in 1931. Only one other Metropolitan Borough (Wandsworth with 1.26) had a lower percentage.
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Comparative figures for the Administrative County of London are 2.5 per cent. in 1951 and 13.1 per cent. in 1931. Altogether, 15,534 households were without a fixed bath and 4,119 were sharing. Therefore, 43 per cent. of the total number of households in the Borough were either sharing a fixed bath or without one. However, only the city of London, Chelsea, St. Marylebone and Lewisham have lower percentages than Woolwich, the great majority of Metropolitan Boroughs having as many as 60 to 70 per cent. of their total households sharing a fixed bath or being without one. SANITARY ADMINISTRATION Sanitary Inspection of the Area. During 1953 the Sanitary Inspectors carried out 30,701 inspections, including re-inspections. The nature of these inspections is shown in Table No. 11.
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As a result of these inspections, 1,393 intimation notices and 880 statutory notices were served. Complaints. There was a slight increase in the number of complaints received during the year—2,026 compared with 1,878 in 1952. It remained, however, below the figure for 1951 which was 2,676. The necessary action was taken where complaints were made or nuisances discovered. Table No. 11. Inspections.