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14-18 (even), Church Hill. 36 and 38, Church Hill. 4-24 (even) and 8a, Sunbury Street. 1-29 (odd), Sunbury Street. 29-40 (con.), Greenlaw Place. 1, 3, 5, 6 and 9-16 (con.), Greenlaw Place. 1-9 and 11 - 18b (con.), Greenlaw Street. 19-32 (con.), Greenlaw Street. 21, Kingsman Street. The displacement of 287 persons is involved. Greenlaw Place (No. 4) Area:- On the 3rd October, 1954, I represented to the Council that this area should be dealt with for clearance. The area comprises the following dwelling houses:24 and 26, Church Hill. The number of occupants was nine. The Council decided at its meeting oa the 3rd November to deal with the area as a clearance area.
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30 Revision of Council's Underground Room Regulations. At the request of the Minister of Housing and Local Government the Council, during 1954, reviewed the operation of regulations made by them in 1939 for securing the proper ventilation and lighting of underground rooms to which the Housing Act, 1936, applies, and for their protection against dampness and effluvia. The regulations apply to rooms used for human habitation where the surface of the floor is more than 3 feet below the surface of the street adjoining. Revised model regulations prepared by the Ministry have been considered by the Council. There is a new requirement regarding floors that the site concrete shall resist the passage of moisture and that there should be a space of at least 3 inches between the underside of the lowest timber of the floor and the site concrete ; this space to be thoroughly ventilated. The provisions regarding ventilation are modified so that the ventilation of a room without a fireplace must be by an opening or air-shaft of at least 30 square inches to the open air.
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Regarding windows, there is a reduction in the required window area from one-eighth to one-tenth of the floor area. The Council have subsequently amended their existing regulations and so have brought them into line with the Ministry's new model. Certificates of Disrepair. During the year the Housing Repairs and Rents Act, 1954, came into operation. This Act enables a landlord whose property is in good condition and who has spent on maintenance the amount of money laid down to claim a repairs increase on the rent. If the tenant, after receiving a notice of increase, is of the opinion that the house is not in good condition he may at any time apply to the local authority for a Certificate of Disrepair. The Certificate granted to a tenant must specify all the defects existing at the premises, and if and when the landlord remedies these defects he may then apply to the local authority for the revocation of the Certificate, and if the Certificate is revoked the repairs increase will then become payable.
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The Act came into operation on the 31st August, and at the end of the year a total of 26 applications from tenants for the issue of Certificates of Disrepair following the service of notices by the landlord had been dealt with. Five of these applications were refused, the conditions at the premises not being sufficiently serious as to warrant the issue of such a Certificate. A Certificate issued to a tenant is retrospective in its effect from the date on which the tenant applies for the Certificate. During the year the Council also issued three Certificates of Disrepair to tenants under the Rent and Mortgage Interest (Restrictions) Acts, the houses in question not being in a reasonable state of repair. These Certificates entitle the tenants to withhold part of the rent increase permitted by the Acts. One application was received from a landlord for the revocation of a Certificate of Disrepair, and the Health Committee, on being satisfied that the premises had been put into a reasonable state of repair, decided to revoke the Certificate. Housing Progress.
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The number of dwellings built in the Borough of Woolwich during 1954 is summarised as follows:— By the Borough Council 164 By the London County Council 81 By Private Enterprise 130 375 31 Included in the dwellings completed by the Borough Council is a group of 17 dwellings at Heavitree Road, Plumstead, S.E.I8, erected specifically for elderly persons, this being the first scheme of this character in Woolwich. In addition to the dwellings completed, at the end of the year the Borough Council had schemes in hand for the erection of a further 243 dwellings. During the year further progress was made in the St. Mary's Comprehensive Development Area, and in the clearing of the wooden hutments at Abbey Wood which were erected during the 1914/1918 war. In the St.
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Mary's Area, some 162 families had been rehoused and by the end of the year 24 flats had been erected on the west side of Rectory Place, six houses and 18 flats in St. Mary's Street, and a further scheme of 49 dwellings was in progress on the east side of Rectory Place where some 24 had been occupied. In the Abbey Wood area there were originally 101 occupied hutments, of which 63 had been cleared by the 31st December, 1954, the tenants being rehoused in new dwellings erected on the Bostall Estate in Bevan Road and Bostall Lane. At the 31st December, 1954, there were 8,826 tenancies in property owned or controlled by the Council, of which 821 were in requisitioned property. There were 4,291 applications on the Housing Register compared with 4,642 at the end of December, 1953.
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I am indebted to the Director of Housing for the above information with reference to the Borough Council's housing progress during 1954. HEALTH EDUCATION Film Programmes and Informal Talks. The Department's Health Education unit was again very busy during 1954, and the total number of visits to local organisations was slightly higher than the previous year. Altogether 102 film programmes and 14 talks were presented. Attendances are markedly increasing, probably due to the fact that old people's organisations are being visited more frequently than in previous years and these meetings invariably attract large audiences. The subjects dealt with during these sessions covered various aspects of the work of the Borough Council, and of course, particularly in relation to Public Health. During the year two subjects, " Home Safety " and "Atmospheric Pollution " were given special emphasis, and three film strips dealing with " Home Safety " were purchased for showing locally. In many instances the talks and films stimulated discussion.
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A sound film produced by the Royal Society for the Prevention of Accidents was shown on a number of occasions, and after the showing of the film audiences were invited to ask questions and enter into discussion. Women's audiences were particularly interested in the subject of " Home Safety." A large number of photographs of local health services have been collected and a series of slides prepared by the Department for use in illustrating lectures and talks given to local organisations on the work of the Borough Council. Smoke Abatement. In connection with the Council's decision during 1954 to set up a " Smokeless Area " in the St. Mary's area of the Borough (details of which are given elsewhere in the Report), the Health Education unit was used to help make people more smoke 32 abatement conscious. A copy of the film "Guilty Chimneys" produced on behalf of the Gas Council has been purchased and shown extensively.
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A number of lively meetings were held dealing with smoke abatement, and 5,000 leaflets designed by the staff of the Department were distributed. During the months of November and December preparations were made for a campaign devoted to persuading householders and factory owners to instal efficient approved grates and furnaces and to use only smokeless fuel, this campaign to be held during the months of February and early March, 1955, in conjunction with the Solid Smokeless Fuels Federation. Public meetings and discussions on air pollution were arranged to coincide with the visit to Woolwich of the Mobile Exhibition of the Solid Smokeless Fuels Federation. Home Safety. During the year arrangements were made with a firm of publishers for the production of 3,000 copies of a Home Safety booklet, to be presented by the Health Committee of the Council and distributed locally. The booklet contained a Foreword by His Worship the Mayor and an Introduction by myself drawing attention to the tragic loss of life, injury and suffering caused by accidents in the home.
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The booklet contained articles on common accidents to children; the safe use of electricity; danger from unguarded fires; the safe use of gas and paraffin appliances; fire prevention in the home; industrial safety; notes on first aid; and care in the kitchen and bathroom. In order that as many residents as possible might have the opportunity of seeing this booklet, copies were distributed via doctors', dentists' and hospital waiting rooms, local welfare centres, old people's welfare organisations and political organisations, and through the Council's public libraries and health and housing departments. The booklet was well illustrated and was issued free of charge and without cost to the Council, the revenue being obtained by the publishers from advertisements obtained from local tradesmen. As in past years, the Council made a financial contribution towards the work of the Home Safety section of the Royal Society for the Prevention of Accidents. A campaign drawing attention to the harm caused by accidents among children due to medicinal poisoning was also undertaken during the year.
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Several hundred copies of a placard pointing out this danger were distributed to local medical practitioners and to hospitals for display in waiting rooms, and to chemists for display on their shop premises. Over 3,000 leaflets dealing with this subject were also distributed. Leaflets and Literature. As in past years, 500 copies of the booklet "Better Health" were made available each month to members of the public, and were distributed through the Council's libraries and other public offices, and at Health Education sessions. The two large poster sites in Woolwich were used for the display of posters obtained from the Central Council for Health Education, and were also utilised for the display of Civil Defence posters. By arrangement with a local cinema, 5,000 handbills advertising a film being shown currently in the Borough were distributed at a Woolwich cinema ; the title of the film gave an opportunity to draw attention to the importance of diphtheria immunisation.
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As in past years, the Council made a contribution towards the work of the Central Council for Health Education. 33 INSPECTION AND SUPERVISION OF FOOD Premises where Food is Prepared or Ottered for Sale. A total of 4,680 inspections of food premises was carried out during the year.
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Details of the registered food premises at the end of 1954, together with the number of inspections carried out during the year, are as follows:-- Table 11 Description Number in Borough on 31st December Number of Inspections Dairies 1 16 Distributors of Milk 172 392 Ice-Cream Premises 312 1,443 Premises where Meat is Potted, Pickled, Pressed and Preserved 116 353 Premises where Sausages are Manufactured 104 268 Premises where Fish is Cured or Prepared for Frying 42 156 Wholesale Dealer in Margarine 1 4 Restaurants, Cafes and Snack Bars 218 821 Industrial Canteens 45 271 School Meals Service Canteens 54 Markets 1 Daily Bakehouses 29 50 Itinerant Vendors - 21 Non-registered Premises - 456 Greengrocery and Fruit Shops - 158 Public Houses 148 271 Milk Supply.
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Within the Borough there was at the end of the year one dairy and 145 registered distributors of milk. The Council also approved registration of a further 27 distributors of milk who sell in this Borough from premises outside. 234 dealers' licences and 78 supplementary licences were issued under the provisions of the Milk (Special Designations) Regulations, 1949, which authorised the use of the special designations " Pasteurised," " Tuberculin Tested " and " Sterilised." Samples of milk were submitted to the Public Analyst for chemical analysis during the year. The percentage content of fat was:— No. of Samples.
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4 5 per cent and over 2 4 per cent and under 4 5 per cent 2 3'5 per cent and under 4 per cent 103 3 per cent and under 3 5 per cent 113 Below 3 per cent 7 During 1954, 252 samples of "Pasteurised" or "Tuberculin Tested Pasteurised" milk were subjected to the Methylene Blue test at the Park Hospital Laboratory, Hither Green, to assess the keeping quality of the milk. All the samples were reported to be satisfactory. 34 A further 254 samples of "Pasteurised" or "Tuberculin Tested Pasteurised" milk were submitted for the Phosphatase test to determine the adequacy of pasteurisation. One of the samples failed to satisfy the test, but subsequent samples which were obtained from the same supply were found to be satisfactory.
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Twenty-three samples of "Sterilised" or "Tuberculin Tested Sterilised" milk were submitted to the Park Hospital for the Turbidity test and satisfactory reports were received in each case with one exception. Subsequent samples which were obtained from the same supply as that which had failed the test were found to be satisfactory. The tests referred to above are those prescribed in the Milk (Special Designations) Regulations, 1949. Continuing the practice carried out for many years in this Borough 92 samples of milk were obtained in the early hours of the morning during deliveries to schools, hospitals and institutions in the Borough. Thirty-three of the samples were submitted for the Phosphatase test, 33 for the Methylene Blue test and 26 for chemical examination. Routine visits to milk distributors were carried out during the year. Thirty-six defects at 8 milk premises were found and remedied, 8 informal notices being served upon the responsible persons to remedy defects. Milk Standards.
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Difficulty was again experienced by the Council with regard to the present standard of milk, in that for some years there has been a seasonal fall in the solidsother-than-fat content of milk, and a number of samples obtained by the Council's Sampling Officers for analysis have failed to reach the minimum standard. The existing regulations provide that where a sample contains less than 8 5 per cent of milk solids other than milk fat it shall be presumed until the contrary is proved that the milk is not genuine by reason of the abstraction of milk solids other than milk fat or the addition thereto of water. In each case the Public Analyst had reported that the deficiency in milk solids other than milk fat corresponded to the presence of one per cent of added water. It was his view that the samples were of genuine milk from the cow and that the deficiency in each case was due to the normal seasonal poor quality of milk.
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A number of firms had pointed out that during the Spring of each year milk is often below the standard due to feeding and for other reasons beyond their control, and that even after bulk supplies had been mixed, the standard was not always brought up to the minimum standard required. The Health Committee considered that the present standard could not be regarded as high and ought to be reasonably attainable by farmers at all seasons of the year, and that consequently farmers should be given more encouragement by the Government to breed for quality production rather than for quantity, and that legislation should be introduced which would make it an offence, after farmers had had sufficient notice to enable them to improve their herds, for any milk to be sold below the legal minimum standard whether it is genuine cows' milk or not. The Metropolitan Boroughs' Standing Joint Committee were requested to consider this matter and to urge that legislation should be introduced upon the lines indicated. Ice Cream.
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There were 312 ice cream premises registered in the Borough at the end of the year, of which six were used for manufacture and six for the storage of ice cream. The majority of the dealers sell pre-packed ice cream only. Routine visits are made to all the premises, and during the year some 33 defects were found and remedied. Seven informal notices were served. Three formal notices were found necessary. 35 The premises of each new applicant for registration are inspected in order to ensure that they are satisfactory and that the requirements of the Heat Treatment Regulations are fully understood. It was found necessary to refuse one application for registration of premises for the sale of ice cream, owing to the unsatisfactory condition of the premises. During the year 33 samples of ice cream were submitted to the Laboratory for grading by the Methylene Blue test, and the results were as follows:- Grade I 28 Grade II 5 Grade III Nil Grade IV Nil Food and Drugs (Amendment) Act, 1954.
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During the year legislation with the object of revising the existing statutory provisions contained in the Food and Drugs Act, 1938, for the protection of the public against the sale of food containing injurious ingredients, and against the mis-description of food on labels and advertisements, was passed. This Act is also intended to give further powers to local authorities to secure that food is not contaminated in the course of its preparation, distribution, and sale. The Act empowers the Ministers of Food and Health to make regulations for controlling the composition of food, the use of substances in the preparation of food, and the sale and importation of food. The Minister may make regulations to provide for the issue by local authorities of licences in respect of the use of vehicles, stalls or places other than premises for the preparation, exposure or offer for sale of food for human consumption, and for prohibiting the use of this type of vehicle or stall except in accordance with a licence issued under the regulations. Itinerant Vendors.
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Surveillance of street traders in the Borough continued throughout the year. A good standard of cleanliness was maintained in respect of these vehicles. In one instance it became necessary to serve a notice in respect of a vehicle which was not displaying the name and address of the trader. Meat Inspection. The inspection of meat at the Plumstead Abattoir is carried out daily by three of the Council's Sanitary Inspectors specially qualified in this work. The following tables give details of the number of animals slaughtered and inspected at the Abattoir during the year 1954. Table 12.
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Carcases Inspected and Condemned, 1954 Cattle, excluding Cows Cows Calves Sheep and Lambs Pigs Number Killed 14,517 948 568 32,397 59,892 Number Inspected 14,517 948 568 32,397 59,892 All diseases except Tuberculosis:- Whole carcases condemned 6 3 1 22 58 Carcases of which some part or organ was condemned 3,701 195 - 2,844 10,535 Percentage of number inspected affected with disease other than Tuberculosis 25.5 20.9 17 8.8 17-7 Tuberculosis only:- Whole carcases condemned 19 7 1 - 43 Carcases of which some part or organ was condemned 650 181 - - 625 Percentage of number inspected affected with Tuberculosis 4.6 19.8 18 - 1.1 36 Table 13.
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Animals Slaughtered at Garland Road Abattoir, 1954 Cattle, excluding Cows Cows Calves Sheep Pigs January 322 155 100 1,373 5,486 February 214 67 101 169 5,998 March 488 127 130 1,515 9,200 April 783 98 120 898 7,049 May 988 69 63 1,213 8,411 June 516 119 24 1,331 6,789 July 1,320 2 30 3,067 1,196 August 1,699 - - 4,295 1,592 September 2,034 4 - 4,899 2,035 October 1,934 143 - 5,173 3,559 November 2,020 164 - 4,947 3,965 December 2,199 - - 3,517 4,612 Total 14,
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517 948 568 32,397 59,892 Total Animals Slaughtered:—108,322 The increase in animals, and particularly cattle, slaughtered after the 29th June, 1954, the date on which the Abattoir was handed back to the Royal Arsenal Co-operative Society, Ltd. will be noted. On the resumption of private slaughtering on the 2nd July, the Minister of Food wrote expressing the Ministry's appreciation of the services rendered with regard to meat inspection at the Abattoir by the Council during and since the war, often under difficult circumstances. The Ministry's Chief Technical Advisor on meat inspection and his area Technical Assistant remain available to give advice and guidance on meat inspection problems, and the Minister hopes that the fullest possible use will be made of the services of these officers.
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Following de-control, meat and offal rejected as unfit for human consumption is now no longer disposed of by the Ministry of Food, and the Minister has asked that local authorities and their officers should co-operate to secure the economic and safe disposal of all meat and offal unfit for human consumption. In Woolwich this is being done. Now the Co-operative Wholesale Society Ltd., instead of the Ministry of Food supply nearly all the animals slaughtered. The Royal Arsenal Co-operative Society Ltd., maintain the Abattoir and contract to slaughter all animals sent there. After slaughter the carcases are sold to various Co-operative Societies, particularly in the Kent area. 37 Parasites. Cysticercus Bovis produces measly ox. If the flesh of an ox which is affected with Cysticercus Bovis is eaten by man in a raw or partly cooked state, the Cysticercus reaches his intestines and may develop into the adult tapeworm.
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The head of the tapeworm attaches itself to the intestinal wall of the host, here the body grows in segments to some 20 feet long. The segments produce ova which are voided with the excreta of the host. These ova becoming attached to grass are swallowed by the ox in whose intestines the embryo is liberated. This embryo makes its way to the muscular tissues of the animal where it becomes encysted. It is to prevent carcases affected with Cysticercus Bovis reaching the public that the Meat Inspector devotes a proportion of his time. All ox carcases killed at the Abattoir are inspected for Cysticercus Bovis by making incisions in the muscles of the cheek (both inside and outside) and in the heart. During 1954 62 carcases were found to be affected with these cysts, 54 being found during the last six months. The majority were cattle imported from Ireland.
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The offal of these carcases is destroyed and the meat placed in cold storage for three weeks before being used for human consumption. After such treament all the cysts are destroyed, and the meat becomes edible. Distoma Hepaticum (liver Huke). There has been a tremendous increase in the number of ox carcases affected with liver fluke. Although the carcase itself is usually lit for human consumption the liver has to be destroyed. In 1954 some 27,570 lbs. of liver was condemned because of liver fluke, and this represented a loss of approximately £5,000. Again Irish cattle has been responsible for the increase of fluky liver. It seems a great pity that some treatment of pastures affected cannot be carried out to prevent such a valuable food as liver being destroyed. Licensing of Slaughtermen. Slaughterhouses are licensed annually by the Borough Council.
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There are only two licensed slaughterhouses in the Borough, one of which is not being used at the present time. During the year the Council approved the renewal of 16 slaughtermen's licences ; all the applications related to persons employed at the Plumstead Abattoir. Legislation which came into force during the year, namely the Slaughter of Animals (Amendment) Act, 1954, provided that in future licences issued to slaughtermen must specify the kinds of animals which may be slaughtered by the holders of the licences and the types of instruments which may be used in slaughtering. Regulations may be made requiring the holder of a licence to slaughter only under the supervision of a fully qualified slaughterman, and prescribing the qualifications for the holding of licences. Provision is made for the refusal, suspension or revocation of the licence if the holder fails to observe the conditions attached to it, or is convicted of an offence under an enactment relating to the prevention of cruelty to animals.
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The Act extends to all animals the previous requirement that certain animals only should be instantaneously slaughtered or should be instantaneously rendered insensible to pain by stunning. There are increased penalties for certain offences. Catering Establishments. The improvement of conditions in restaurants, cafes and canteens in the Borough was continued, and more work was done under the supervision of the Sanitary Inspectors to improve standards prevailing, particularly the kitchen accommodation. 38 A total of 821 inspections of restaurants and cafes, and 271 of factory and school canteens were made. The occupiers of the majority of the catering establishments continued to be co-operative and showed willingness to improve the facilities and conditions of their premises. It was, however, necessary in 18 instances to serve informal notices requiring work to be carried out, and in one instance it was necessary to serve a formal notice under the Food and Drugs Act, 1938. Some 105 defects were remedied during the year.
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In no case was it found necessary to institute legal •proceedings. Unsound Food. The Council's Food Inspectors are required to examine food suspected of being unsound. If considered unfit for human consumption the food is surrendered and a Certificate of Condemnation issued. A large number of such Certificates were issued during the year. Whilst no food was seized and formally condemned, 43,309 articles of food weighing approximately 103 tons were voluntarily surrendered as unfit for human consumption. The majority of these articles, weighing approximately 85 tons, were /rom the large Abattoir in the Borough. The food is utilised for animal feeding and for fertilizers. Complaints of Unsound Food. Altogether 50 complaints were received during the year of unsound food. The majority of these referred to alleged unsound bread and of milk containing glass or dirt.
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Ten complaints were received concerning unsound bread of which three related to foreign matter in bread, and the others included the following objects in bread—a pencil, a fly, a bus ticket, an insect and other foreign matter. In two instances the foreign substance was found to be oil and oiled dough, and the bakers of this bread were in each case warned. The alleged bus ticket was found to be a flour bag label and the bakers were similarly warned regarding this matter. A number of complaints were received during the year relating to foreign matter in milk. Altogether nine such cases were investigated, four of which concerned alleged glass in milk and three of dirt in milk. The other two related to a piece of soap in milk, and other foreign matter which was found to be dust. The Council decided to institute legal proceedings in respect of one of the complaints of glass in milk, and the suppliers were fined £10 and £2 2s. Od. costs.
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Of the remaining complaints of unsound food it was necessary to institute legal proceedings following a complaint of tea which contained foreign matter (cigarette ends) and the suppliers were fined £8 and £2 2s. Od. costs. With regard to a complaint alleging a piece of tooth in a mince pie, the object was found on examination to be a nut. The suppliers of biscuits which contained metal were warned regarding any future offences, as were the suppliers of cream found to contain a piece of string. A complaint of a nail in cheese of Empire origin was also investigated and the Ministry of Food, the importers of the cheese, were asked to investigate this complaint. On investigation of a number of other complaints of adulterated food, the articles of food complained of were found to be genuine, for example, alleged unsound carrots, corned beef, and alleged unfit confectionery.
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In those cases where the cause of complaint was justified the food preparing premises were investigated by the Council's Food Inspectors and the food handlers concerned were advised. Food Sampling, 1954. During the year ended 31st December, 1954, 823 samples (i.e. 578 informal and 245 formal samples) were submitted for analysis to the Public Analyst. Of these, 20 formal and 12 informal samples were reported to be adulterated or otherwise not complying with the statutory requirements, giving a percentage of 3'8 compared with 3 2 in 1953, and 6 6 in 1952. No private samples were examined during the year. 39 The following table gives details of the adulterated samples:— Table 14 Sample Article Formal or Informal Result of Analysis Result of legal proceedings or other action 742 Sugar Confectionery Milk Gums. Informal Contained insufficient milk to justify the description "Milk Gums." Formal sample obtained.
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Manufacturer's observations requested. 761 Milk Gums Formal Contained insufficient milk to justify the description "Milk Gums" 765 Meringue Mixture. . Informal An imitation Meringue Mixture. In the public analyst's opinion the term "meringue mixture" was a false description. No further action. 656 Milk Formal Ingredients corresponded to I per cent. of added water. Suppliers warned. 726 Milk Formal Ingredients corresponded to 1 per cent. of added water. Suppliers warned. 728 Milk Formal Ingredients corresponded to 1 per cent. of added water. Suppliers warned. 744 Sterilised Milk Formal Ingredients corresponded to 1 per cent. of added water. Suppliers warned. 695 Pork Sausages Formal 11 per cent. deficient in meat. Manufacturers warned. 31 Spanish Oranges Informal Contained Thiourea (a prohibited preservative). Consignment investigated.
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131 Plum Jam Informal Deficient in required fruit content. Formal sample obtained. 156 Plum Jam Formal Deficient in required fruit content. Manufacturers warned. 161 Lemon Powder Informal Contained no powdered" lemon. Formal sample obtained. Manufacturer undertook to amend the label. 187 Pure Lemon Powder Formal Contained no powdered lemon. 30 Milk Formal Ingredients corresponded to" 1 per cent. of added water. Communicated with suppliers. 43 Milk Formal Ingredients corresponded to 1 per cent. of added water. 52 Milk Formal Ingredients corresponded to 1 per cent, of added water. 40 Table 14 (continued) Sample Article Formal or Informal Result of Analysis Result of legal proceedings or other action 116 Milk Formal 16 per cent. of milk-fat" abstracted. Communicated with supplier after appeal to the cow samples. Supplier asked to take steps to improve the quality of his herd. 133 Milk Formal 8 per cent.
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of milk-fat abstracted. 148 Milk Formal 9 per cent. of milk-fat abstracted. 149 Milk Formal 5 per cent. of milk-fat abstracted. 150 Milk Formal 13 per cent. of milk-fat abstracted. 131 Milk Formal 3 per cent. of milk-fat abstracted. 106 Shredded Beef Suet Informal 1 -5 per cent. deficient in beeffat content. Formal sample obtained. 142 Shredded Beef Suet Formal 5 per cent. deficient in beeffat content. Manufacturers cautioned. 328 Plum Jam Informal Deficient in required fruit content. Manufacturers obsertions obtained. 277 Wine Jelly Tablet Informal Proportion of wine in the jelly insignificant. Communicated with manufacturers. 351 Wincarnis Wine Jelly Formal Proportion of wine in the jelly insignificant.
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345 Meringue Mixture Informal The term "Meringue Mixture" was, in the Public Analyst's opinion, a false description. No further action. 261 Milk Informal Deficient in fat. Communicated with suppliers. 514 Non-brewed Condiment. Informal Consisted of Brewed vinegar Communicated with manufacturers. 515 Non-brewed Condiment. Informal 5 per cent. deficient in Acetic Acid. 544 Non-brewed Condiment. Formal 5 per cent. deficient in Acetic Acid. 41 The foods examined during 1954 were:- Milk 227 Gravy 5 Confectionery 71 Fruit Curd 5 Canned Vegetables 24 Honey 5 Jam 22 Dessert Powder 4 Meat Products 22 Cream 4 Vinegar 18 Butter 4 Sauces 18 Breadcrumbs 4 Dried Fruit 16 Baking Powder 4 Canned Fruit 14 Margarine 4 Soups 13 Canned
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Welsh Rarebit 4 Flour 11 Dried Herbs 4 Sugar 11 Proprietary Medicines 4 Fish 11 Lemonade Powder 3 Coffee 10 Canned Milk Pudding 3 Cheese Spread 10 Cooking Oil 3 Cooking Fat 10 Aspirin Tablets 3 Fish Paste 9 Pearl Barley 3 Jelly Tablets 9 Custard Powder 3 Cake Mixture 8 Fish Cakes 3 Pickles 8 Cornflour 3 Tea 8 Marmalade 3 Condensed Milk 8 Uncooked Pastry 3 Soft Drinks 8 Desiccated Coconut 3 Rice 7 Medicinal Paraffin 2 Sausages 7 Canned Peas 2 Bread 7 Cake Decorations 2 Pepper 7 Chocolate Powder 2 Biscuits 6 Meringue Mixture 2 Fruit 6 Calves Feet Jelly 2 Spices 6 Dripping 2 Semolina 6 Flavouring Essence 2 Shredded Suet 6 Lentils 2
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Stuffing Mixture 5 Curry Powder 2 Proprietary Foods 5 Treacle 2 Tapioca 5 Grated Horseradish 2 Meat Paste 5 Angelica 2 Lard 5 Ground Almonds 2 Others 62 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, Membranous Croup, Meningococcal Infection (C.S.M.
d52bd6c1-7272-47af-9fea-f3a90f5ed875
), 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. 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. 42 43 Table 15.
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Notification of Infectious Diseases (excluding Tuberculosis), 1954 Diseases Number of Cases (after correction of diagnosis) Age Groups Under 1 year 1 and under 3 years 3 and under 5 years 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 TotalNo. admitted to Hosp.
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Diphtheria - - - - - - - - Scarlet Fever - 6 28 93 15 2 2 1 - - 7 154 30 Paratyphoid Fever - - - 1 - - - - - - 1 1 Meningoccocal Infection 1 - - 2 - - - - - 3 3 Acute Poliomyelitis (Paralytic) - 1 1 1 - 1 - 1 - - - 5 5 Acute Poliomyelitis (non-Paralytic) - - - 4 - 1 - - - - 5 5 Erysipelas - - - 1 1 - - 2 5 7 - 16 5 Dysentery 1 17 8 9 2 5 8 4 1 - 9 64 26 Zymotic Enteritis 20 20 1 1 -. 1 1 - 1 - -
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45 43 Scabies 1 1 2 1 2 2 - - - 2 6 17 Acute Pneumonia 2 3 1 10 2 9 6 8 12 26 4 83 12 Food Poisoning - 2 1 - - - 2 - 1 - 1 7 - Puerperal Pyrexia - - - - - 18 22 11 - - 2 53 53 Ophthalmia Neonatorum 1 - - - - - - - - - 1 1 Whooping Cough 16 58 60 86 1 - 3 1 1 - 8 234 16 Measles 3 26 12 12 - 1 - - - - 54 24 Typhoid Fever - - - - - - - - - - - - - Malaria - - - - - - 2 1 - - - 3 3 Acute
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Encephalitis - 1 - - - - - - - - - 1 1 Food Poisoning. During 1954, there were only seven confirmed cases of food poisoning. These included two small outbreaks, each outbreak being confined to an individual family and involving only five persons in all. In one of these outbreaks, pork which had been roasted and allowed to stand, was the food suspected as being the cause of the trouble. In the other outbreak, after bacteriological examinations carried out in respect of three members of the family salmonella typhimurium organisms were isolated. Investigation failed to disclose the food which had caused the food poisoning. Of the individual cases notified, salmonella typhimurium organisms were found in the case of two of the patients. Malaria. There were three notified cases of malaria reported during the year, two of which related to servicemen stationed in the Borough. All three patients received hospital treatment. Diphtheria.
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Although general practitioners notified eight cases of suspected diphtheria, there were again no confirmed cases. All eight patients were isolated in hospital. The revised diagnoses were tonsillitis 4, glandular fever 2, virus pneumonia 1, and acute laryngitis 1. Dysentery. During the months of May and June, 1954, there was a mild outbreak of sonne dysentery in the Borough. A total of 88 cases were notified, of which 64 were confirmed. Twenty-six of the patients were removed to hospital. A number of specimens were obtained by the Sanitary Inspectors for bacteriological examination, the organism shigella sonne being isolated in the majority of these cases. Follow-up visits were made, where positive reports had been received. In the typical case the patient experienced stomach pains and a rising temperature accompanied by diarrhoea. Measles and Whooping Cough. These two diseases are both notifiable.
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The incidence of measles in the Borough during 1954 was very slight indeed, only 54 cases being notified. However, it was necessary for 24 of these patients to be removed to hospital. All except one of the patients were under 10 years of age. A number of notifications of whooping cough were received (234), of which 13 received hospital treatment owing to complications. Scarlet Fever. The number of notified cases of scarlet fever (154) was a considerable decrease on the total of 215 notified during the previous year. Only 30 patients were in need of hospital isolation. Disinfection by the Department was carried out after the removal of the patient to hospital or after recovery in those cases where the patient was satisfactorily isolated at home. Puerperal Pyrexia. All the 53 cases of puerperal pyrexia received during the year were notified from the three large maternity units in the Borough. Acute Poliomyelitis.
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A total of 21 cases of poliomyelitis was notified in the Borough. However, only 10 cases were subsequently confirmed, five being paralytic and five nonparalytic. The revised diagnosis in the case of those patients found not to have the disease was mainly tonsilitis. Seven of the patients were under the age of 10 years. 44 Tuberculosis. The number of primary notifications of tuberculosis (200) was an increase of 44 on the previous years total. However, despite this, the number of active cases on the register at the end of the year was only five more than at the end of the previous year. There were only 21 deaths in the Borough attributed to tuberculosis against 29 the previous year. The local tuberculosis death rate continued to decrease, as did the percentage of tuberculosis deaths against all other deaths registered in the Borough.
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The following table gives the age groups of new cases notified :— Table 16 Age Periods Formal Notifications Number of Primary Notifications of New Cases 01 12 25 510 1015 1520 2025 2535 3545 4555 5565 6575 75 & up.
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Total (all age) Pulmonary— Males - - 2 2 7 13 12 16 21 12 16 12 1 114 Females - 1 1 3 4 6 12 18 14 3 7 2 2 73 Non-Pulmonary Males - - 1 - - 1 1 2 - - 1 - - 6 Females - - - 1 - - - 1 1 2 2 - - 7 Total - 1 4 6 11 20 25 37 34 17 26 14 3 200 The following is an extract from the Tuberculosis Register for 1954:- Pulmonary Non-Pulmonary M. F. Total M. F. Total Cases notified for the first time 114 73 187 6 7 13 Other additions to Register during the year,
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including transfers of patients from other areas 35 37 72 2 2 4 Cases on Register at 31 st December, 1954 928 750 1,678 121 112 233 45 Table 17. Table of Notifications and Deaths compared with Population Year Estimated Civilian Population excluding Army Primary Notifications Deaths from Tuberculosis Deaths per 1,000 of population Total Deaths all causes Percentage of Tuberculosis Deaths against all Deaths 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 60 1946 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.
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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 31 1952 146,000 195 39 .26 1,667 2.3 1953 146,000 156 29 .20 1,569 1.8 1954 145,000 200 21 .14 1,443 1.4 Duties concerned with the prevention of the spread of infection are carried out by the Public Health Department, and for this purpose Medical Practitioners notify all new cases coming to their knowledge. Duties regarding investigation and treatment are carried out by the local Chest Clinics, which are situated at Maxey Road, Plumstead, and at Carnegie Gardens, Eltham; being administered by the Regional Hospital Board. Prevention of Tuberculosis.
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During the year local authorities were informed by the Minister of Health that the rapid decline in the death rate from tuberculosis in recent years has not been accompanied by a corresponding decline in notifications, and that this indicates a need for intensifying further preventive measures. It is stressed that completeness of notification of all detected cases is an essential to success in prevention of the disease. The Ministry's memorandum states that the prevention of active cases requires both the reduction of risk from infection and the enhancement, if possible, of resistance of the individual. Therefore, preventive measures to be taken are concerned firstly with the individual case discovered, secondly with the contacts of that person, and thirdly with such general preventive measures as are provided by B.C.G. vaccination or by radiographic or skin test surveys for the ascertainment of infected persons. The tracing of contacts of patients has long been an important function of the staff of the Chest Clinics.
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The memorandum stresses that not only should all contacts be traced more actively than they are in many areas at the present time, but that they should be examined and kept under supervision for the requisite period. Whilst it was not, of course, always possible to isolate an infected person ideally until he ceased to be infective, nevertheless any patient retained at home should be isolated at least to the extent of sleeping alone, and this might require action to secure better housing of the family, or in suitable cases of isolation of the patient in a chalet in his own garden. Regarding home conditions, the Ministry's memorandum states that it is essential that the Medical Officer of Health and his staff should have detailed knowledge of the home conditions of all persons in the area suffering from tuberculosis, for without such information the Medical Officer of Health cannot properlv advise his Council on housing requirements.
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46 Whilst a satisfactory scheme for the prevention of tuberculosis depends on a number of social workers, the primary responsibility, states the memorandum, rests upon the Medical Officer of Health working with the Chest Physician, the industrial Medical Officer, and working particularly with the family Doctor. Therefore, it is essential that there should be regular consultation and close contact between them all, and with other local authorities' staffs to co-operate to the full. In Woolwich, before the operation of the National Health Service Act, 1948, the local Chest Physician was on the staff of the Borough Council. However, since the service was transferred to the Regional Hospital Board the essential close co-operation with the Chest Physician and officers of the Health Department has been maintained. Mass X-Ray Visits. During 1954 19,887 persons residing or working in the Borough of Woolwich were X-rayed by the Mass X-Ray Unit.
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In addition to short street surveys at Abbey Wood, Plumstead, Eltham and New Eltham during the year, the Unit visited the Old Town Hall, Woolwich, between the 12th October and the 15th November, and owing to the heavy demand for this service it was also stationed in shop premises at the corner of Thomas Street, Woolwich, during the month of December. At the survey at the Old Town Hall 3,553 men and 3,840 women were X-rayed, of which 187 men and 173 women were recalled for further examination. At the December survey a total of 7,045 persons were X-rayed, of these 4,832 were men and 996 women employed in local factories. When the mobile unit visited Plumstead on a street-to-street survey during a week in July, 564 men and 1,083 women were examined, and of these 45 men and 83 women were recalled for the taking of larger films.
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At the street survey in the Eltham area between the 7th and 24th September, 1,071 men and 1,581 women were examined, of which 86 men and 79 women were recalled for further examination. The mobile unit also visited the New Eltham area during a week in July, when 1,150 persons were examined and only 23 were recalled for further examination, 14 of them requiring no further action. As in past years, the Health Department assisted by arranging bookings in connection with the visit to the Old Town Hall, and also by the showing of a sound film dealing with mass X-ray at the Health Education sessions arranged by the Department during the period of the visit of the unit to the Borough. Disinfection and Disinfestation. During 1954 the Department carried out disinfection of 421 rooms after cases of infectious diseases, and of these 129 rooms had been occupied by tuberculous persons.
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Altogether 369 inspections regarding verminous conditions were made and 456 rooms were disinfested for vermin. Thirty-six van-loads of furniture were fumigated during the year. During the year many requests were again received from residents in the Borough wishing to dispose of bedding and furniture which was often in a dirty and sometimes verminous condition. Bedding and furniture was in the main that formerly used by persons removed to hospitals or institutions or deceased. The articles were removed to and destroyed at the Plumstead Destructor. There were 88 such cases dealt with during the year and a total of 478 articles were removed and destroyed. Of these articles 75 were mattresses, 33 bedsteads, 64 sets of bedding, 3 three-piece suites and 303 other sundry items. There were only four requests during the year from residents in the Borough for the disinfection of rooms, bedding or furniture following the occurrence of a non-infectious disease, or the death of a member of the family.
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Charges totalling £2 10s. Od. were made for this work. 47 A number of countries impose a condition that a Certificate of Disinfection must accompany any parcel of clothing entering the country. During the year several residents having relatives in Eastern Europe requested disinfection of clothing, which is generally new, and seven certificates were issued in respect of such clothing, which had been disinfected by the Department. Charges totalling £2 were made for this work. A local firm of clothing exporters applied for the disinfection by the Department of large quantities of clothing before export to Africa. One consignment of clothing was disinfected during the year and a charge of £2 was made. Persona] Cleansing. The personal cleansing stations are situated adjacent to the Turkish Baths, Plumstead High Street, and at Eltham Hill Health Centre, Sherard Road. The number of persons cleansed in 1954 was 902, and the number treated for scabies was 71.
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The total number of attendances at the cleansing stations was 1,008. 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 Adults Totals Boys Girls Boys Girls Men Women Number of Cases 7 25 228 552 6 84 902 Number of Treatments 7 25 234 569 6 90 931 Treatment of Scabies Pre-school Children School Children Adults Totals Boys Girls Boys Girls Men Women Mumber of Cases 7 3 14 24 2 11 71 Mumber of Treatments 7 3 20 29 3 15 77 Authentication of International Certificates of Vaccination and Inoculation. Persons proceeding abroad are required to produce in certain countries evidence of recent successful vaccination or inoculation. The signatures on these certificates are not acceptable by the countries concerned unless authenticated by the Medical Officer of Health as being the signature of a Doctor practising within the area.
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During the year 324 certificates were authenticated by me. Of these 293 were in relation to smallpox, 24 to cholera and 7 to typhoid fever. 48 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.
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The following summary relates to the work carried out by the laboratory on behalf of the Council during 1954:- Food (including animal specimens from Abattoirs, whole bovine blood and blood plasma) 79 Ice Cream (methylene blue test) 39 Milk (methylene blue and phosphatase, also turbidity) 276 Faeces 3 Water—from swimming baths, children's paddling pools and boating lakes, and from domestic tanks 92 Total 489 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 Memorial Hospital laboratory, but is now being undertaken at the Brook Hospital. General practitioners referred 12 sputum specimens for examination and the hospital carried out 162 other sputum examinations during the year. Sixty-two nasal and throat swabs were referred to the hospital by general practitioners for examination.
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This laboratory also carried out the examination of 484 faecal specimens. 49
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AC 4372 METROPOLITAN BOROUGH OF WOOLWICH ANNUAL REPORT on the Health of the Metropolitan Borough of Woolwich for the Year 1955 BY T. STANDRING, M.D., B.S., D.P.H., M.R.C.S., L.R.C.P., F.R.S.H. Medical Officer of Health K.I. Ltd. (T.U.), S.E.18. TABLE OF CONTENTS page Health Committee 2 Preface 3 Staff 5 General Statistics 6 Vital Statistics 6 Sanitary Administration 13 Housing 22 Health Education 26 Inspection and Supervision of Food 29 Prevalence and Control of Infectious Disease (including Disinfection, Disinfestation and Personal Cleansing) 37 Laboratory Facilities 41 HEALTH COMMITTEE at 31st December, 1955. THE WORSHIPFUL THE MAYOR (Alderman F. W. Beech, c.b.e., j.p.)
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Councillor G. E. Offord (Chairman) Councillor L. A. Heath (Vice-Chairman) Mrs. J. E. Carroll T. G. Blann Mrs. S. M. Bradley Mrs. E. G. Bunce G. S. Dean W. R. Kennett Aldermen— E. A. J. Dickerson Councillors— Mrs. E. R. M. Middleton Mrs. A. E. Maxwell Miss M. N. Rees A. E. Starkey Mrs. E. M. Wood S. W. Wood 2 PREFACE To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. Mr. Mayor, Ladies and Gentlemen, I have pleasure in submitting the Fifty-fifth Annual Report on the health and sanitary conditions of the Borough of Woolwich.
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The population of the Borough is now 148,500, a reduction of 1,200 compared with the previous year. The birth rate (13.2) has again fallen slightly apart from the year 1933, when the birth rate was 12.7, the 1965 figure is the lowest ever recorded in the Borough. The highest birth rate since the end of the last war was 22.8 in 1947. The adjusted birth rate for Woolwich was 13.06, compared with 15.0 for England and Wales, and 17.3 for London. The adjusted Woolwich death rate was 10.2, compared with 11.7 for England and Wales, and 10-8 for London. The principal causes of death during the year were heart disease 452 ; cancer 311 ; bronchitis 106; pneumonia 98, and accidents (all forms) 48, of which 16 deaths were due to road accidents.
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Falls among old people resulting in a broken leg are increasing. Three people were involved in accidents with pedal cycles, receiving fatal injuries. Of the total of 311 cancer deaths, 60 concerned men and 17 women with cancer of the lung or bronchus. There were 39 deaths of infants under one year, the same number as last year. Premature birth and associated conditions were responsible for 16 of the deaths, and broncho-pneumonia and bronchitis for 11 others. With regard to infectious diseases, the most prominent experience during the year was the outbreak of poliomyelitis, the worst in the history of the Borough. Altogether 127 eases were confirmed, half of them being paralytic. There were four deaths in this outbreak. There were nine cases where two members of the same family were affected.
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Whilst the seriousness of the effects of this disease must not be underestimated, only one quarter of the confirmed cases had any serious paralysis, and many of these have now made substantial recovery. I should like to pay tribute to all concerned for their help and co-operation, and particularly to the Brook Hospital, which bore the brunt of the cases, for their ready acceptance of cases and the excellent treatment facilities afforded. Both the Borough Council and the County Council continue to build much new accommodation in the Borough. Altogether during 1955, 157 dwellings, either in clearance areas or as individual unfit houses were represented to the Council as being unfit. After five years' working the Council have substantially completed their slum clearance programme formulated in 1950, and have now agreed to undertake a heavy programme of clearance in the Borough during the next five years. Proposals for the clearance and redevelopment of the Glyndon Road and Kirkham 3 Street areas are included in this programme, as well as the continued clearance of the St.
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Mary's area where the results of the Council's work during the past three or four years are now very evident. Satisfactory progress was made during 1955 by the Council in increasing the consumption of smokeless fuel in the Borough. The Council's decision to set up its first Smokeless Area means that tenants in Council accommodation in this area shall burn only smokeless fuel. The response has been good, and the results after a year's working are encouraging. The Council's tenants and other occupants of premises have co-operated extremely well. During the greater part of the year supplies of coke have remained good. Despite an increase in price, tenants generally soon become accustomed to burning smokeless fuel instead of coal and appreciate the extra benefits to be derived from this form of heating. Very few complaints have been received. The Council will be reviewing the working of this scheme in the light of experience gained during the last year.
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The attention of the Council and other statutory and voluntary workers in the Borough has been again directed to giving assistance to old people, of whom many in the Borough live on their own and have no relatives to give them daily help. The range of help given is wide, and this work is still expanding. The importance of getting the old people together and in a spirit of friendship and companionship is recognised. The local Darby and Joan Clubs and the Pensioners' Clubs play a valuable part in helping lonely old people. In addition, entertainment for old people is provided by the Council and by several voluntary bodies. Other voluntary help in the Borough includes the running of two Lunch Clubs ; the holiday scheme, which continues to prove very popular ; free transport on occasions ; bathing facilities ; and the important service of home visitation. The long awaited Food Hygiene Regulations were issued at the end of the year.
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Most of the Regulations became operative immediately, but the operation of certain provisions involving alterations to food premises or equipment were deferred until 1st July, 1956. The Regulations provide for the more hygienic handling of food, the cleanliness of food premises, stalls, apparatus and equipment. The requirement that food handlers must take reasonable steps to protect food from risk of contamination is a big advance in food hygiene legislation. The improved requirements for water supply should encourage both the cleanly preparation of food and the frequent washing of hands by the food handlers. The requirements of the new Regulations have been publicised in the Borough, and the co-operation of food handlers and food dealers obtained. It is appropriate to stress the value of continued publicity and education in this work, especially in the case of the food handler. Nevertheless, the Regulations are there to be invoked whenever necessary. Regulations can help considerably, but public opinion can do even more.
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If the public, and particularly the housewife, would always complain at the time and cease to patronise shops where breaches of sound hygienic practice are noticed quicker results would be apparent. In conclusion, it is my pleasing duty to thank members of the Health Committee and the Council generally for their support and kindly consideration throughout the year. I also wish to place on record the efficient manner in which the staff of the Department have carried out their duties at all times during the year. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, T. STANDRING. 4 HEALTH DEPARTMENT STAFF Medical Officer of Health— t. standring, m.d., b.s.j d.p.h., m.r.c.s., l.r.c.p., f.r.s.h. Administrative and Clerical— Chief Administrative Assistant—T. H. Prescott. Senior Clerk—A. Healey, a.c.o.s.
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Clerical Assistants—• R. E. Sweett R. H. Thomas, d.f.c. Mrs. M. H. Dowding Mrs. W. E. Ellison G. C. Ryan J. E. Kay D. M. Gibbs Mrs. M. N. McEwan K. E. Doubleday (resigned 17th July, 1955) Miss F. E. Gee B. Hillier (commenced 22nd August, 1955). Sanitary Inspectors— Chief Sanitary Inspector— C. J. Couch, f.r.s.h. ; 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— F. A. Andrew, Cert. San. Insp.
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Exam. 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 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. Exam. Joint Board ; Cert.
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Meat and Other Foods ; State Registered Nurse ; State Certified 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). 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 (Housing and Restaurants, etc. Inspector). K. S. Cooper, Cert. San. Insp. Exam. Joint Board ; Cert. Meat and Other Foods. (District Inspector). J. B. O'Connell, Cert. San. Insp. Exam.
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Joint Board. (District Inspector). R. H. Pasterfield, Cert. San. Insp. Exam. Joint Board ; Cert., Meat and Other Foods. (District Inspector). 5 H. L. Davtes, Cert. San. Insp. Exam. Joint Board. (Food Inspector). J. Hills, Cert. San. Insp. Exam. Joint Board ; Cert. Meat and Other Foods. (District Inspector). J. Hacker, Cert. San. Insp. Exam. Joint Board ; Cert. Meat and Other Foods. (Food Inspector). J. H. Lott, Cert. San. Insp. Exam. Joint Board ; Cert. Meat and Other Foods. (District Inspector). C. H. Sargent, Cert. San. Insp. Exam. Joint Board ; Cert. Meat and Other Foods.
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(District Inspector). N. E. Broom, Cert. San. Insp. Exam. Joint Board. (District Inspector). Public Analyst (Part-time)— H. Amphlett Williams, ph.d. (Lon.), a.c.g.f.c., f.r.i.c. GENERAL STATISTICS Area of Borough 8,282 statute acres Number of Dwellings 41,956 Number of Persons per acre 18-0 Rateable Value (including Government property) £1,289,717 Product of 1d. Rate £5,425 VITAL STATISTICS Extracts from the vital statistics for the year, with comparative figures for 1954, are shown below :— Table No. 1. 1955. 1954. Population {Home, i.e., including members of H.M. Forces stationed in the district) 148,500 149,700 Live Births—Legitimate 1,900 1,
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944 Live Births—Illegitimate 71 91 Total Live Births 1,971 2,035 Birth Rate 13.2 13.5 Stillbirths 38 47 Stillbirths—Rate per 1,000 total births 19.2 23.1 Total Deaths 1,537 1,443 Death Rate per 1,000 population 10.3 9.6 Maternal Deaths 2 1 Death Rate from Puerperal Causes per 1,000 total Births . 1.0 49 Deaths of Infants under one year 39 37 Death Rate of Infants under one year 19.7 18.1 Deaths from Tuberculosis (all forms) 23 21 Deaths from Caacer {all ages) 311 288 Deaths from Acute Poliomyelitis 5 nil 6 Births. The number of live births registered in Woolwich during 1955 was 2,321.
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After correction for inward and outward transfers, the net number of Woolwieh live births was 1,971, being 64 less than in the previous year. Of the total births, 1,032 were boys and 939 girls. It is known that 1,762 births took place in public institutions in the Borough, of which 916 concerned Woolwich mothers. The birth rate was 13.2, 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 13.06 compared with the provisional birth rate for England and Wales of 15.0, and also for London of 17.3. There were 38 stillbirths during the year under review. Natural Increase in Population, (i.e., Excess of Births over Deaths). In 1955 the natural increase in population was 434.
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In 1954 it was 592, and in 1953 it was 521. Deaths. The number of deaths registered in Woolwich was, 1,397, and after correction for inward and outward transfers the net number was 1,537, giving a death rate of 10.3 for the Borough, compared with 9.6 the previous year. The adjusted death rate for Woolwich was 10.2, compared with the provisional figure of 10.8 for London and of 11.7 for England and Wales. Deaths of Woolwich residents in hospitals in the Borough totalled 449, whilst 428 died in other hospitals outside the Borough. Maternal Deaths. There were two maternal deaths during the year and one during the previous year. Inquests. Seventy-one inquests were held on Woolwich residents during the year, and 219 post-mortems on Woolwich residents were carried out on behalf of the Coroner. Infant Mortality.
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The infant death rate for the year was 19.7, compared with 18.1 in 1954 ; and 24.9 for England and Wales. Motor Vehicle Accidents. The total number of Woolwich road accidents during the year was 16, being six more than in the previous year. However, there were no road fatalities relating to children under 15 years of age during 1955. Seven of the persons concerned were over 65 years of age. Two of the cases related to persons who were struck by motor vehicles whilst riding pedal cycles ; an elderly woman was also struck by a pedal cycle and received fatal injuries whilst walking in the road, and a young man received fatal injuries when his racing car ran over the bank of a race track. Other Accidents. Deaths due to other accidents totalled 32, including 18 persons over the age of 65 years, mainly due to falls in or near the house, and in most cases resulting in fracture of the femur.
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There were three cases of drowning ; one of a child occurring at the seaside, and two of adults in the River Thames. There were also fatal injuries sustained by a number of persons whilst at work, including injuries received from a moving crane ; a fall by a steel erector from a Power Station roof ; a fall from a ladder into a ship's hold ; and fatal injuries received to the head when a man was struck by a falling load from a crane. Domestic accidents included electrocution received by an amateur when touching a wireless set, and shock from burns when elderly women's clothing became ignited (two cases). Marriages. There were 1,226 marriages in the Borough during 1955, of which 762 took place in Churches ; the remaining 464 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 88 occasions. 7 Deaths from Cancer.
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Of the total number of deaths, 316 were from Cancer (including five from Sarcoma), being a similar number to the previous year. Of these, 186 occurred in men and 130 in women. More than half the Cancer deaths (219) took place in hospitals. The following tables give details of Woolwich deaths from cancer during 1955 compared with previous years. 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 1954 145 148 293 193 1955 186 130 316 219 Cancer Deaths—Woolwich, 1955. By Age. (excluding specified Malignant Tumours). Age. Males. Females. Total.
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Under 25 years.. - - - 26-30 years 1 - 1 31-35 years 3 1 4 36-40 years 3 1 4 41-45 years 7 9 16 46-50 years 8 8 16 51-55 years 14 10 24 56-60 years 19 14 33 61-65 years 27 12 39 66-70 years 37 13 50 71-75 years 22 25 47 76-80 years 22 14 36 Over 80 years 21 20 41 Total 184 127 311 8 Table No. 3. Woolwich Deaths from Cancer of the Lung and Bronchus, 1945-1955. 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 1954. Lung 11 6 17 9 Bronchus 31 8 39 31 1955. Lung 17 4 21 15 Bronchus 43 4 47 41 Table No. 4. Cancer Deaths (excluding Sarcoma)— Woolwich, 1955— Seat of Primary Disease. Male. Female. Total. Deaths in Hospital. Stomach 37 13 50 36 Bronchus 43 4 47 41 Lung 17 4 21 15 Breast — 25 25 17 Colon 15 13 28 18 Prostate 14 - 14 9 Rectum 12 9 21 13 Pancreas 10 10 20 16 Ovary 14 14 8 Bladder 7 9 16 9 Liver
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4 3 7 3 Caecum 2 1 3 2 Cervix 5 5 4 Oesophagus 5 3 8 7 Glands of Neck - 1 1 1 Brain 1 - 1 — Kidney 1 1 — Larynx 4 1 5 4 Throat — 1 1 1 Tongue 3 - 3 2 Uterus - 4 4 2 Thyroid 1 - 1 — Others and Unspecified 9 6 15 8 Total 184 127 311 216 9 10 Table 5. Deaths under 1 year, 1955. Cause of Death. Under 1 week. 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.
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6 months and under 9 months. 9 months and under 12 months. Total deaths under 1 yr. Premature Birth 9 — — _ 9 _ _ _ _ 9 Congenital Malformation 1 1 1 - 3 1 - ' - - 4 Bronoho Pneumonia 1 1 - * 2 2 1 2 _ 7 Atelectasis 5 - - 5 2 - - - 7 Enteritis - - - - - - - _ 1 1 Meningitis .. .. - 1 - T- 1 1 - - - 2 Asphyxia 2 - - 2 - -_ - - 2 Bronchitis - - - - - 1 2 2 - 5 Other causes 2 - - - 2 - - - - 2 24 39 The following table gives details of the infant deaths during 1955 :— 11 Table No.
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6. Nett Deaths during the Calendar Year 1955. Nett Deaths at the subjoined ages of "residents " whether occurring within or without the district. All Ages. Under 1 year. 1 and under 5 years. 5 and under 15 years. 15 and under 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 1537 39 9 8 16 64 396 366 639 Tuberculosis, respiratory 22 — — — 1 6 9 4 2 Tuberculosis, other 1 — — — — — — — 1 Syphilitic disease 8 — — — — — 3 4 1 Diphtheria — — — — — — — — — Whooping Cough 1 — – 1 — — — — — Meningococcal infections — — — — — — — — — Acute poliomyelitis 5 — 1 2 2 — — — — Measles — — — — — — — . — — Other infective and parasitic diseases 4 — — 1 — — — 3 — Malignant neoplasm, stomach 50 — — — — 3 15 13 19 Malignant neoplasm, lung,
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bronchus 68 — — — — 6 35 22 5 Malignant neoplasm, breast 25 — — — — 4 11 9 1 Malignant neoplasm, uterus 11 — — — — — 5 3 3 Other malignant and lymphatic neoplasms 162 — 1 — 2 13 50 48 48 Leukaemia, aleukaemia 10 1 — — — — 6 2 1 Diabetes 13 — — — — — 3 3 7 Vascular lesions of nervous system 161 — — — — 1 37 43 80 Coronary disease angina 228 — — — — 5 65 71 87 Hypertension with heart disease 52 — — — — — 7 14 31 Other heart disease 172 — — — — 8 19 36 109 Other circulatory disease 74 — — — — 1 13 16
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44 Influenza 2 — — — — — — —■ 2 Pneumonia 98 3 3 — — — 12 20 60 Bronchitis 106 4 — — — 1 27 33 41 Other diseases of respiratory system 10 — — 1 — — 4 2 3 Ulcer of stomach and duodenum 25 — — — 1 — 8 8 8 Gastritis, enteritis and diarrhoea 9 3 2 — — — 1 1 2 Nephritis and Nephrosis 8 — — — — 1 3 2 2 Hypherplasia of prostate 10 — — — — — 1 1 8 Pregnancy, childbirth,
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abortion 2 — — — 1 1 — — — Congenital malformations 10 6 1 — — — 2 1 — Other defined and ill-defined diseases 129 22 1 — 2 7 14 26 57 Motor vehicle accidents 16 — — — 4 2 3 4 3 All other accidents 32 — — 3 1 3 7 5 13 Suicide 12 — — — 2 2 5 2 1 Homicide and operations of war 1 —— — 1 — — The chief Vital Statistics for the Borough since 1925 are given in the following Table :— Table No. 7. Year. (1) Population estimated to middle of each Year. (2) Births. Nett Deaths belonging to the District. Nett. Under Year. At all Ages. Number. (3) Rate. (4) Number.
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(5) Rate per 1,000 nett Births. (6) Number. (7) Rate. (8) 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 o 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.
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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 146,400 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.
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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 12.8 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.
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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 27.2 1,626 11.6 1948 b 142,800 2,527 17.7 74 29.2 1,573 11.0 1949 b 144,000 2,504 17.4 72 28.7 1,572 10.9 1950 c 149,000 2,172 14.6 53 24.4 1.668 11.2 1951 c 149,800 2,273 15.1 63 27.7 1,838 12 .
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3 1952 c 151,800 2,199 14.4 47 21.4 1,667 10.9 1953 c 151,100 2,090 13.8 48 22.9 1,569 10.4 1954 c 149,700 2,035 13.5 37 18.1 1,443 9.6 1955 c 148,500 1,971 13.2 39 19.7 1,537 10.3 a—Total population. b—Civil population. c—Home population. 12 SANITARY ADMINISTRATION Sanitary Inspection of the Area. During 1955 the Sanitary Inspectors carried out 38,431 inspections, including re-inspections, being over 700 more than in the previous year, and nearly 8,000 more than in 1953.
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The nature of these inspections is shown in Table No. 8. As a result 1,406 intimation notices and 575 statutory notices were served. Complaints. There was again an increase in the number of complaints received during the year—3,460 compared with 3,048 in 1954, and 2,026 in 1953. Any necessary action was taken where complaints were made or nuisances discovered. Table No. 8. Inspections.
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Complaints investigated 1,996 Rodent control 2,586 Complaints reinspections 7,398 Smoke Observations 133 Outworkers' premises 409 Atmospheric Pollution 337 Houses re overcrowding 201 Theatres and cinemas 22 New houses re water supply .. 617 Men's lavatories 189 Houses re infectious disease 929 Women's lavatories 58 Houses re smallpox contacts .. 8 Rag and bone dealers 1 Houses re vermin 243 Houses re choked drains 160 Woolwich Borough Councilhousing applicants re vermin 1,132 Drainage inspections 1,081 Houses, visits with owners, builders, etc.