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The film "Guilty Chimneys", which the Council purchased from the Gas Council, was again shown extensively, and towards the end of the year it was used virtually at every session. Invariably it provoked a good deal of discussion, and many people have stated that they found it most interesting. A London firm specialising in the manufacture of sterilising and detergent materials produced an excellent 30 minute colour film on Clean Pood. Although designed primarily for food handlers, it had an appeal to everyone, and particularly to housewives. This film was kindly made available to the Department, and it was shown widely. Several letters of appreciation were received during the year 37 from organisations. They expressed their pleasure in the service which the Council provided, and stated that they considered it to be of great value in disseminating information and publicity, and in learning more of the work of their local authority.
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LEAFLETS AND LITERATURE Leaflets on a variety of subjects are made available to the publico It is the practice to distribute these at Health Education sessions when the subject matter of the films may be further usefully expanded in this manner. All the available copies of the second edition of the Home Safety Booklet produced during the year were distributed in this manner. During the year the London County Council also produced a Home Safety Booklet, and this was given wide distribution. Considerable publicity was given to the coming into force of the new Food Hygiene Regulations. A leaflet was prepared which set out the general principles of the Regulations as clearly as possible. The Health Inspectors distributed these leaflets when calling on food shops of all kinds. As in past years, 500 copies per month of the booklet "Better Health" were made available to members of the public during the year, and were distributed through the Council's libraries and other public buildings and at the Health Education sessions.
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The Council make a contribution to the funds of the Central Council for Health Education. One of the large poster sites used by the Department was removed during the year owing to the expansion of the industrial land on which it stood. The remaining large poster site continues to be used. INSPECTION AND SUPERVISION OF FOOD PREMISES WHERE FOOD IS PREPARED AND OFFERED FOR SALE A total of 3,052 inspections of food premises was carried out during the year. Details of the registered food premises at the end of 1956, together with numbers of inspections carried out during the year, are as follows:- 38 TABLE No. 12 Description No. in Borough on 31.12.1956. No.
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of Inspections Dairies 1 12 Distributors of Milk 155 243 Ice Cream Premises 319 669 Premises where meat is potted, pickled, pressed and preserved 106 153 Premises where Sausages are manufactured 92 116 Premises where fish is cured or prepared for frying,, 39 93 Wholesale dealer in Margarine 1 1 Restaurants, cafes and snack bars 208 745 Industrial and School Meals Service canteens 95 244 Markets 1 Daily Bakehouses 12 18 Itinerant vendors - 7 Non-registered premises - 323 Greengrocery and fish shops - 134 Public Houses 147 301 NEW FOOD HYGIENE REGULATIONS Important changes in the Food and Drugs legislation came into force on January 1st, 1956.
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The Food and Drugs Act, 1955, became the principal Act for controlling the composition, labelling, fitness and hygienic handling of food, and the new Food Hygiene Regulations the principal instrument for enforcing good food hygiene practice. The Food Hygiene Regulations materially strengthened the powers of local authorities to enforce a satisfactory standard of food hygiene and to require the observance of proper safe-guards to prevent food poisoning. Most of the Regulations came into operation on the 1st January, 1956, but the operation of certain provisions involving alterations to the structure or the installation of additional equipment was deferred until July 1st, 1956. During the early months of the year, a complete survey of all catering establishments was carried out and the occupiers advised of the provisions of the new Regulations and the additional work and 39 equipment required to bring the premises up to the new standard. A booklet giving information on the new legislation was widelydistributed throughout the Borough.
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In many cases the installation of additional sinks, wash-hand basins, water heaters and refrigerators was necessary and in other cases improvements to the structure and fixtures was required. A further complete survey was made of these premises after July. The occupiers of the majority of the catering establishments were co-operative and showed a desire to improve their premises on the advice given by the Health Inspectors, and considerable improvement of conditions in restaurants, cafes and canteens was effected during the year. For various reasons, several restaurants and cafes in the Borough closed during the year, the total number of such premises being reduced from 204 to 180, but the number of Industrial and School meals service Canteens increased from 92 to 102. A total of 745 inspections of restaurants and cafes and 244 of factory and school canteens were made by the Pood Inspectors.
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In only 16 cases was it found necessary to serve formal notices requiring compliance with the Food Hygiene Regulations and in no case was it necessary to institute legal proceedings. During the visits made by the Health Inspectors to these catering premises, every opportunity is taken to give practical advice to the food handlers on good food hygiene practice. FOOD HYGIENE REGULATIONS - ISSUE OF CERTIFICATES OF EXEMPTION During the year the Council, issued exemption certificates in respect of three kiosks exempting them from the necessity of providing a piped water supply and wash-hand basin. The goods sold at these premises were predominantly pre-packed, and because of the special circumstances, including the restricted accommodation, the Council considered that it would be unreasonable to insist on a piped water supply. PUBLIC HOUSES During the year 301 inspections were carried out, special regard being had to the requirements of the Pood Hygiene Regulations. There are 147 licensed premises in the Borough, of which 35 serve main meals.
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In 19 cases washing facilities were found to be inadequate and in each case the Brewers agreed to install additional facilities in order to comply with the requirements of the Regulations. 40 WOOLWICH MARKET The Borough Council controls the Woolwich Market situated in Beresford Square, through which large quantities of fruit and vegetables pass each week. Free washing facilities are available in the near-by conveniences for food handlers. A large number of visits were made by the Food Inspectors to this Market during the year. MILK SUPPLY Within the Borough at the end of the year there was one dairy and 135 registered distributors of milk. The Council also approved registration of a further 27 distributors of milk who sell milk within the Borough from premises outside.
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A total of 232 dealers' licences and 83 supplementary licences were issued under the provisions of the Milk (Special Designations) Regulations, 1949 > authorising 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 of fat content was:- Fat Content No. of Samples 4.5 per cent. and over 2 4.0 per cent. and over 4 3.5 per cent. and over 93 3.0 per cent. and over 103 Below 3 per cent. 2 During 1956, 175 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 satisfactory.
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A further 185 samples of "Pasteurised" or "Tuberculin Tested Pasteurised" milk were submitted for the Phosphatase test to determine the adequacy of pasteurisation. All the samples were reported to be satisfactory. Twenty two samples of "Sterilised" or "Tuberculin Tested Sterilised' milk were submitted to the Park Hospital for Turbidity test and satisfactory results were reported in each case. The tests referred to above are those prescribed in the Milk (Special Designations) Regulations, 1949. The practice of taking samples of milk in the course of delivery 41 to schools, hospitals and institutions in the Borough was continued during the year. Of the 68 samples taken, 24 samples were submitted for the Phosphatase test, 24 samples for the Methylene Blue test, and 20 for chemical examination. Routine visits to the premises of milk distributors were carried out during the year.
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Defects were found at two milk premises and notices to remedy the defects were served on the persons responsible. ICE CREAM There were 334 registered ice cream premises in the Borough at the end of the year, of which five premises were used for manufacture and six for the storage of ice cream. Pre-packed ice cream only is sold from the majority of these premises. Routine inspections of all the premises are made, and during the year six defects were found and subsequently remedied. Five informal notices and one formal notice were served. 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. During the year eight samples of ice cream were submitted to the Laboratory for grading by the Methylene Blue Test. The results of the tests indicated that seven of the samples were in Grade 1 and one in Grade II.
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MEAT INSPECTION The incidence of parasitic infections of cattle to which I referred in my report of 1954, namely Cysticercus Bovis, the parasite producing tapeworm in man, and Distoma Hepaticum (Liver Fluke) which destroys the liver of cattle, showed no decline during 1956. The animals mostly affected were cattle originating from Ireland. Altogether Cysticercus Bovis was found in 68 instances during the inspection of Ox carcases. Otherwise all carcases were in good condition, and after refrigeration treatment to destroy the cysts the meat was released for human consumption. A large number of ox livers were rejected because of acute 42 infection by Liver Fluke. Of the 11,671 cattle inspected in the Borough during the year it was found necessary to condemn 3,120 livers because of liver Fluke.
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Many more livers were affected but in a less acute form and were passed as fit by the Inspectors after careful removal of the affected parts. It appears that there is urgent need for the cleaning of the pastures where the cattle are grazed if they are to be reared free of this parasite. Details of the carcases inspected at the Garland Road Abattoir during 1956 are as follows:- TABLE No.
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13 Carcases & Offal Inspected and Condemned in Whole or in Part, 1956 Cattle excluding Cows Cows Calves Sheep and Lambs Pigs Horses Number killed and inspected 11,025 646 8,543 13,761 17,144 - All diseases (except Tuberculosis & Cysticerci Whole carcases condemned - 1 54 1 9 - Carcases of which part condemned 3,867 166 64 596 2,354 - Percentage of the number inspected affected with these diseases 35.0 25.8 1.3 4.3 13.2 - Tuberculosis only Whole carcases condemned 3 2 4 - 2 Carcases of which part condemned 599 106 - - 256 Percentage of the number inspected affected with tuberculosis 5.4 16.7 .04 - 1.5 Cysticercosis Carcases of which part condemned and treated by refrigeration.
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68 1 - - - - Generalised and totally condemned - - - - - - 43 MEAT REGULATIONS - MARKING OF MEAT FOR EXPORT During 1956 the Ministry of Agriculture, Fisheries and Food agreed, on the application of the Council, to the Council's Meat Inspectors marking meat inspected by them at the Garland Road Abattoir and intended for export to Europe. The exporters requested certificates indicating that each consignment of meat was fit for human consumption. Small charges were made for the issue of such certificates. During the year 636 beef carcases, consisting mainly of cow beef, were inspected prior to export to Belgium. LICENSING OF SLAUGHTERHOUSES AND SLAUGHTERMEN There are two licensed slaughterhouses in the Borough, one being the Garland Road Abattoir through which large numbers of animals pass each year. The other in Herbert Road is not being used at the present time.
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Eight slaughtermen's licences were issued by the Council during the year to men working at the Garland Road Abattoir. UNSOUND FOOD - COMPLAINTS Several complaints of alleged unsound food sold to the public were brought to the notice of the Department during the year. All these complaints were fully investigated. In several instances nothing was found to be wrong with the food. For instance, alleged unfit pies were found to be fit, dirt on the inside of a milk bottle was found to be marks on the bottle and canned fish and sausage meat alleged to be bad were found fit. However, in the majority of the cases the complaints were fully justified. Some of the more serious complaints related to string and maggots in bread, foreign matter in canned tomatoes, maggots in chocolates, unfit cake, unsound prunes and unsound tinned fruit pie, cement in a bottle of milk, unsound liver and oil in bread. The food preparing premises were investigated and advice given to food handlers where necessary.
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In a number of instances where there was evidence of negligence or carelessness, the Council decided to institute legal proceedings. Proceedings were taken in respect of the following unsound foods glass splinters in milk (two complaints), fines totalling £20, with £5.5.0d. costs a washer in a currant scone - fined £5 with £1.1.0d. costs; cardboard in a bottle of milk - fined £5 44 with £2.2.0d. costs; a pencil in a loaf of bread - fined £5 with £1.1.0d. costs; plastic in a loaf of bread - fined £5 with £l.l.0d. costs; Dirty milk bottle - fined £5 with £2.2.0d. costs. Warning letters were sent to the manufacturers in respect of complaints of a wood screw in peanuts and of metal in a mincemeat pie.
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UNSOUND FOOD: EXAMINATION OF FOOD SUSPECTED OF BEING UNSOUND The routine examination of food suspected of being unsound was continued throughout the year. The co-operation of the food traders is, of course, very important in this matter, and numerous requests are received from traders for an inspection of suspected foodstuffs. If found to be unfit the food is voluntarily surrendered and Condemnation Certificates issued. Altogether, 30,085 articles of food, weighing approximately 64 tons were condemned as unfit during the year, the majority of these articles, weighing approximately 50 tons, being from the large Abattoir in the Borough. FOOD SAMPLING, 1956 During the year ended 31st December, 1956, 618 samples of food and drugs (i.e. 407 informal and 211 formal samples) were submitted for analysis to the Public Analyst.
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Of these, seven formal and 18 informal samples were reported to be adulterated or otherwise not complying with the statutory requirements, giving a percentage of 4.0 compared with 5.0 in 1955 and 3.8 in 1954. No private samples were examined during the year. The following table gives details of the adulterated samples:- TABLE No. 14 Sample Article Formal or Informal (F or I) Adulteration or Irregularity 732 Canned Ham and Tongue I Description regarded as incorrect and misleading. 757 Canned Ham and Tongue F -"- 685 Milk F Ingredients corresponded to the presence of 2 per cent. of added water. 45 Sample Article Formal or Informal (F or I) Adulteration or Irregularity 701 Condensed Pull Cream Milk, Unsweetened I Abnormally thick, curdy and unsuitable for ordinary use, apparently caused by high acidity. 158 Cake Flour I Deteriorated.
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The flour was caked, apparently through exposure to damp, and contaminated by a spider beetle. 20 Coffee Extract I Incorrectly labelled. 54 Ham and Egg Veal I Contained starchy filler, the presence of which was not mentioned on the label. 91 Ham and Tongue I Contained excessive sodium nitrite. 121 Canned Pork Luncheon Meat I Contained insufficient meat. 140 Digestive Tablets I Incorrectly labelled. 201 Digestive Tablets F -"- 54 Milk F Ingredients corresponded to a deficiency of one per cent. of the solids-not-fat. 56 Milk F Ingredients corresponded to a deficiency of two per cent. of the milk fat. 85 Sterilised Milk F Ingredients corresponded to a deficiency of one per cent. of the milk fat. 45 Chutney I Contained carcases of mites, approximately 700 per ounce. 80 Chutney F Contained carcases of mites, approximately 2000 per ounce.
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46 Sample Article Formal or Informal (F or I) Adulteration or Irregularity 139 Ground Rice I Deteriorated and infected by mildew. 252 Chocolate Flavouring I Contained Benzoic acid preservative, 500 parts per million, which is not permitted. 253 Meringue Mixture I False description on label. 311 White Bread I Contained dirty mineral grease coloured green by compounds of copper. 357 Glycerine Honey and Lemon I The proportion of glycerine was insufficient to justify the description on the label. 460 Bramble Seedless I The label did not comply. 315 Minced Pork Roll I Had an unpleasant taint, probably due to decomposition through overheating. 355 Cut Peel I Contained four small beetles 329 Cayenne Pepper I Deteriorated, being caked and mildewed.
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The foods examined during the year were as follows:- Baking powder 3 Beverages 2 Cheese and Cheese Spreads 6 Coconut 2 Coffee and Chicory 9 Colouring matter 2 Confectionery 54 Cream 5 Custard powder 6 Curry powder 2 Dessert powder 5 Mineral drinks 9 Fish 19 Pish Paste 6 Flavouring Essence 4 Flour 5 Fruit 16 Fruit Crystallised and Glace 3 Gravy preparations 4 Ice Cream 13 Jam and Marmalade 10 Jelly 11 47 Lemonade Powder 3 Margarine 2 Meat 27 Meat paste 3 Meat products 16 Meringue Powder 3 Milk 209 Milk pudding, Canned 3 Mincemeat 4 Oats, Breakfast 2 Olive Oil 3 Peas 3 Peel, Candied 3 Pepper 3 Pickles 13 Puddings 5 Proprietary Poods 18 Rice 4 Salad Cream 2 Salt 2 Sauces,
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Mixed 16 Soups 7 Spice 6 Stuffing Mixtures 2 Suet 5 Sugar 3 Tea 5 Tomato Juice, Canned 2 Treacle 2 Vegetables, Canned 10 Vinegar 5 Wine, Alcholic 3 Others 27 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE The following diseases are compulsorily notifiable in the Boroughs Anthrax, Cholera, Continued Fever, Diphtheria, Dysentery, Encephalitis Lethargica, Erysipelas, Enteric Fever, Food Poisoning, Glanders, Hydrophobia, Leprosy, Malaria, Measles, Membranous Croup, Meningococcal Infection, Ophthalmia Neonatorum, Pneumonia (Acute Primary), Pneumonia (Acute Influenzal), Poliomyelitis, Polioencephalitis, Plague, Puerperal Pyrexia,
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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 Public Health Inspectors at the earliest opportunity and disinfection is carried out wherever applicable. Where the patient is nursed at home, Public Health Inspectors visit to see that home isolation is carried out satisfactorily, and at the end of the infectious period, where necessary, the bedding, etc. belonging to the patient is removed for treatment at the Disinfecting Station and the rooms sealed and fumigated. POLIOMYELITIS There were six confirmed cases in the Borough during the year, four being non-paralytic and two paralytic, with no deaths.
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Altogether medical practitioners notified 27 patients as suspected cases, almost all the notified cases being transferred to the Brook 48 Hospital for observation and treatment. Final diagnosis of these included tonsillitis (five patients), osteomyelitis, subarachnoid haemorrage, pyrexia of undetermined origin, enteritis and Coronary thrombosis. MALARIA Two cases of malaria occurred in the Borough. Both concerned soldiers who had contracted the disease abroad. Both were confined to the Royal Herbert Hospital for treatment. PARATYPHOID FEVER There were no cases of typhoid fever, but five confirmed cases of paratyphoid fever. Investigations were made as to possible contacts and source of infection. FOOT) POISONING Pew formal notifications of food poisoning were received, and only seven of these cases were confirmed. There were no major outbreaks. The only outbreak involved four members of a family who, however, were not seriously ill.
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Australian tinned ham was the food suspected, although it was not possible to obtain a sample of the food for laboratory investigation. Of the single cases, one concerned a New Eltham man who became ill along with several of his colleagues at a St. Mary Cray factory after the midday meal consumed at the Works Canteen,, This case was later confirmed as one of food poisoning. Although the duration of the illness was comparatively short, the patient was very ill. Meat pie was the food suspected. Another patient was a man of 86 years who, it was found, had kept tinned foods, including meat, open in his food cupboard for long periods, and it is thought that possibly careless habits in regard to his own food preparation had been responsible for his illness. MENINGOCOCCAL INFECTION There were seven confirmed cases, three of which proved fatal. Twenty-four other cases were notified but not confirmed. Altogether, 22 of the patients were admitted to hospital.
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Seventeen of them were under ten years of age. PUERPERAL PYREXIA During the year, 88 cases were notified, almost all from hospital. Twenty-nine of the hospital notifications referred to patients whose home addresses were outside the Borough. 49 TABLE No. 15 NOTIFICATION OP INFECTIOUS DISEASES (EXCLUDING TUBERCULOSIS) 1956 DISEASES Under 1 year 1-5 years 5-10 years 10-15 years 15-35 years 35-45 years 45-65 years 65 and over Age Unknown Total Total No. admitted to Hospital Diphtheria — - - — - - - - - - - Scarlet Fever - 27 74 10 2 - 1 - - 114 11 Paratyphoid Fever - - 1 1 2 - 1 - - 5 5 Meningococcal Infection 1 2 1 1 1 - 1
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- - 7 7 Poliomyelitis - 1 2 1 2 - - - - 6 6 Erysipelas - - - - - 3 6 5 - 14 4 Dysentery 14 119 166 66 71 28 30 16 14 524 47 Zymotic Enteritis 8 18 9 4 3 2 1 1 2 48 22 Scabies - 2 - 2 - - - - - 4 - Pneumonia 3 12 3 4 5 4 22 25 - 78 11 Food Poisoning 1 - 1 1 1 2 1 - - 7 1 Puerperal Pyrexia - - - - 75 11 - - 2 88 88 Ophthalmia Neonatorum 8 - - - - - - - - 8 8 Whooping Cough 27 80
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85 10 1 - 1 - 4 208 17 Measles 13 120 86 2 8 - - - 5 234 31 Typhoid Fever - - - — - - - - - - - Malaria - - - - 2 - - - - 2 2 Encephalitis — 1 — — — — — — — 1 - DIPHTHERIA Seven persons were admitted to hospital as being suspected cases of diphtheria. However, there was no confirmed case, final diagnoses being tonsillitis 5, glandular fever 1 and impetigo 1. SONNE DYSENTERY During 1956 there was a large increase in the incidence of sonne dysentery, this disease accounting for twice as many notifications as any other infectious disease notified. There were altogether 524 notified cases, compared with 33 in the previous year. The cases were generally mild.
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Over 50 patients were admitted to hospital but there were no deaths. A large proportion of persons notified were school children. In such circumstances the common mode of transmission by contact infection is not easy to counter. However, by bacteriological investigation of 50 patients and. contacts and with the wholehearted co-operation of the County Council School and Health staffs, the spread was checked. TUBERCULOSIS The number of primary notifications of tuberculosis (155) was a similar figure to that of the previous year. There were 22 deaths in the Borough attributable to tuberculosis, against 23 the previous year. TABLE No. 16 The following is an extract from the Tuberculosis Register for 1956:- Pulmonary Non-Pulmonary M F Total M F Total Cases notified for the first time. 96 49 145 6 6 12 Other additions to Register during the year,
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including transfers of patients from other areas 41 32 73 3 2 5 Cases on Register at 31st December,
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1956 1016 799 1815 116 111 227 The following table gives the age groups of new cases notified:- Formal Notifications Number of Primary Notifications of New Cases 0- 1 1- 5 515 1525 2535 3545 45- 55 5565 6575 75 & up Total (all age PULMONARY - Males - 2 7 15 7 18 17 16 1 96 Females 1 2 3 8 8 13 8 3 2 1 49 NON-PULMONARY- Males - 2 2 2 - - - - - - 6 Females - 1 - 1 - - 2 - - - 4 Total 1 7 12 26 15 31 27 16 18 2 155 51 TABLE No.
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17 - Tuberculosis Table of Notifications and Deaths compared with Population - Borough of Woolwich 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 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 5.2 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 1953 146,000 156 29 .20 1,
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569 1.8 1954 145,000 200 21 .14 1,443 1.4 1955 145,000 154 23 .15 1,537 1.4 1956 144,000 155 22 .14 1,524 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 Carnecke Gardens, Eltham, being administered by the Regional Hospital Board. Reports on a number of patients found to be living in unsatisfactory conditions were made during the year to the Borough Council and County Council Housing Departments recommending priority rehousing.
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MASS X-RAY - REPORTS ON LOCAL SURVEYS The Director of the South East London Mass Radiography Unit reported that at the surveys carried out during the months of October, November and December in various parts of the Borough, a total of 2,966 persons were X-rayed, of which 1,385 were men and 1,581 women. The Unit visited the Eltham and Abbey Wood areas and also visited four large factories in the Borough, one being in Woolwich, 52 one in Plumstead and two in Eltham, where large numbers of the employees were X-rayed. Only 89 persons were recalled for further X-ray, and in 36 of these cases no further action was required. When the Unit visited four local hospitals during the month of August, 57 men and 270 women were X-rayed, only ten persons being recalled for further examination.
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The Unit was also stationed in Eltham High Street during the latter part of October, where a total of 5,706 persons were X-rayed, of which only 137 were found to have some abnormality or other. DISINFECTION AND DISINFESTATION During 1956 the Department disinfected 183 rooms after cases of infectious diseases, and of these 50 rooms had been occupied by tuberculous persons. A total of 1,122 inspections regarding verminous conditions were made and 258 rooms were disinfested for vermin. Many requests were again received from residents in the Borough wishing to dispose of unwanted bedding and furniture. In the main the bedding and furniture was in a dirty and often verminous condition, and had formerly been used by persons removed to hospitals or institutions, or deceased. In twenty-nine instances such articles were removed to and destroyed at the Plumstead Destructor, the number of articles destroyed totalling 125.
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Of this total, 20 were mattresses, 19 bedsteads, 11 sets of bedding, 31 items of furniture and 44 other sundry items. A request was received from a resident for bedding to be disinfected following non-infectious disease, a charge of 10/being made for this work. Requests were again received from several residents for Certificates of Disinfection to accompany new clothing sent to friends and relatives abroad. The clothing concerned was disinfected by the Department and six such certificates were issued. Charges made for this work totalled £1.10s.0d. A local firm, who export clothing to Africa, had two consignments of clothing disinfected; the total charges being £22. PERSONAL CLEANSING For the convenience of residents the Borough Council maintains 53 two personal cleansing stations, situated adjacent to the Turkish Baths, Plumstead High Street, and at Eltham Hill Health Centre, Sherard Road.
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The number of persons cleansed in 1956 was 868 and the number treated for scabies was 47. Details are as follows:- Pre-School Children School Children Adults Total Boys Girls Boys Girls Men Women Verminous Persons Cleansed 17 39 187 529 14 82 868 Treatment of Scabies 3 1 11 22 3 7 47 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 bona fide signature of a doctor practising within the area. During the year, 343 certificates were authenticated by me. Of these, 309 related to smallpox, 21 to cholera and 13 to typhoid fever.
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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 1956:- 54 Type of specimen No.
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examined Pood 19 Ice cream (Methylene blue test) 9 Milk (Methylene blue, phosphatase and turbidity tests) 222 Water (from swimming baths, children's paddling pools and boating lakes) 45 Blood 2 Processed Bovine Blood Plasma 2 Compound glycerine of thymol 1 Organs from animal carcases 5 Faeces (mainly for shigella sonnei) 478 Total 783 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 and at St. Nicholas Hospital. General practitioners referred 12 sputum specimens for examination, and the hospital carried out 89 other sputum examinations during the year.
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Twenty-eight nasal and throat swabs were referred to the hospital by general practitioners for examination. 55
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AC 4372 WOO 57 metropolitan BOROUGH OF WOOLWICH ANNUAL REPORT on the Health of the Metropolitan Borough of Woolwich for the Year 1957 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 METROPOLITAN BOROUGH OP WOOLWICH ANNUAL REPORT on the Health of the Metropolitan Borough of Woolwich for the Year 1957 by T. Standring, M.D.,B.S.,D.P.H., M.R.C.S.,L.R.C.P.,P.R.S.H. Medical Officer of Health. PREFACE To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. MR.
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MAYOR, IADIES AND GENTLEMEN, I have pleasure in submitting the Fifty-Seventh Annual Report on the health of the Borough of Woolwich, the Report being on the lines requested by the Minister of Health. The Registrar General's estimate of the mid-year population for the Borough is 146,200, being a decrease of 1,300 on the previous year and a decrease of 5,600 on the comparable figure for 1952. This steady drop in the population during the last five years is partly due to less overcrowding and partly, especially in the last two years, to a reduction in the number of military personnel stationed in the Borough. The general health of the Borough remains good. There were no maternal deaths in 1957. There was an increase of 16 in the number of infant deaths. This increase is almost wholly accounted for by premature births and conditions associated therewith.
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Premature birth is the biggest single cause of infantile death, and when this cause has been fully resolved a further substantial reduction in the Infantile Mortality Rate can be expected. Concerning illness from infectious diseases, the incidence of poliomyelitis was on a small scale, and no deaths have been recorded in the Borough during the last two years.An increasing number of parents are now taking advantage of the increased supply of vaccine, and have agreed to their children being inoculated. Dysentery in young children in its mild sonne form continues to have a transient but upsetting effect on family life. Asian flu was prevalent in the area during the Autumn months. It spread from school to school and in a short time resulted in many temporary absences. Woolwich also had its share of measles cases which was also prevalent in London. Deaths from malignant diseases totalled 313, of which 80 deaths were from cancer of the lung and bronchus.
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It is now generally accepted by the medical profession that there is a strong association between the increased death rate from cancer of the lung and bronchus, and smoking and pollution of the air. Most of the time of the District Public Health Inspectors has again been concerned with the inspection of dwellings, and the remedying of defects. With the advent of the Rent Act, 1957, the - 2 - Health Department received more than 300 applications from tenants for the issue of Certificates of Disrepair, which, if granted, have the effect of preventing an immediate increase of rent by the landlord. Despite the intricate procedure to be observed, and the large number of applications received in a very short period, all applications for Certificates were dealt with promptly. Immediately on the introduction of the Rent Act the Council determined to give all possible help and information to the parties concerned, and arranged for special sessions to be held at the Information Bureau at the Town Hall for this purpose.
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The effects of the Council's slum clearance policy are now very noticeable, more particularly in the St. Mary's Area of Woolwich, which has been transformed following the demolition of many old buildings and the erection and occupation of nearly 300 new dwellings by the end of the year. Since redevelopment commenced in 1952, 1,330 persons have been taken from slum properties in this area. The last completed bouse on the Coldharbour Estate was occupied during the year, an event which was celebrated by the visit of Her Majesty the Queen Mother during the month of May. In addition the Council also declared the first part of its Ann Street Clearance Scheme, comprising 100 unfit properties, and a further 60 properties on adjoining land which will also be acquired in order to obtain a cleared site of convenient shape and size. The London County Council are also making progress in the development of the large new Abbey Estate on the Abbey Wood Marshes.
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Daring the year much time has been devoted by the Council and its Officers to the preliminary work connected with the declaration of the first Smoke Control Areas in the Borough. Immediately on the passing of the Clean Air Act, the Council resolved to implement fully its provisions, particularly those relating to smoke control areas and industrial premises. In November the Borough's first smoke control areas were declared, the Orders relating to areas at Abbey Wood, Middle Park and a portion of the St. Mary's Redevelopment Area. It is the Council's aim to make the whole of the Borough of Woolwich smokeless at the earliest opportunity, and whilst realising the effort and expense involved, the Council are determined to see that this is achieved, if possible within the next 12 to 15 years. There can be no doubt as to the ultimate beneficial results of this work to a Borough such as Woolwich.
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The co-operation of the householder is of vital importance, and a great deal of time has been devoted to visiting and discussions with residents in the proposed smoke control areas. The problems involved include conversion of domestic appliances and the correct use of smokeless fuels. There are 715 dwellinghouses in the Abbey Wood Smoke Control Area requiring conversion, and 1,614 in the Middle Park Area. - 3 - Over 1,000 visits were made during the year to these houses, and it is considered that the time was well spent. A feature of the Health Education activities of the Council recently has been the emphasis placed on the benefits of clean air.
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Besides arranging and presenting 118 programmes on health subjects to local organisations in their own meeting places, including the showing of films and the giving of talks, the Council's health education unit was also responsible for arranging an exhibit at the Woolwich Trade Pair, at which a short film made by members of the staff dealing with the declaration by the Council of its smoke control areas aroused interesto A mobile hut was erected in the Abbey Wood Smoke Control Area to act as an enquiry and demonstration centre, at which residents in the future Smoke Control Area can seek advice on problems regarding the conversion of domestic appliances and the burning of smokeless fuel. The hut is manned by the Council's technical Officers and three approved appliances burning smokeless fuels are under fire. It is the intention to move the hut to other parts of the Borough on the declaration of future Smoke Control Areas. The improvement of the conditions at the many local food premises, and of the practices of the food handlers, continued during the year.
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The Council is fortunate in being able to retain an adequate number of Food Inspectors® Suggestions made by the Department for improving the conditions at these food premises were acted upon. Nevertheless, although the standard in the Borough is generally satisfactory, and in some notable cases exceptionally good, there are a number of food shops where the standard of food hygiene needs still further improvement. During the year the Council continued to take an active interest in the welfare of the elderly, and extended this work in two directions. Firstly, the year was important for the re-establishment of the Mobile Meals Service to cater for those housebound people who are in need of a hot meal. This service is being operated jointly by the Women's Voluntary Service and the Council of Social Service, receiving financial assistance from the Borough Council. Secondly, the Council established a laundry scheme to assist aged persons for whom no other arrangements for the laundering of soiled linen were possible.
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The regular home visitation scheme continued and there is evidence that the large number of visits made by the Council's woman Inspector to the homes of the elderly achieved worthwhile results and were much appreciated. With regard to the possibility of the re-transfer of the personal health services from the County Council to the Metropolitan Borough Councils, it will be recalled that agreement was reached some two - 4 - years ago between the County Council and the Borough Councils on the restoration of these services, hut subject to ministerial approval. This approval was not forthcoming during the year. In the meantime, the Government had decided to establish a Royal Commission to enquire into the status, functions and areas of local authorities in the Greater London Area, and in these circumstances any action on the transfer of these services has had to be postponed until after the Royal Commission's report. During 1957, Mr. T.H.
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Prescott who had been Chief Administrative Assistant with the Health Department since 1947 retired after having had 44 years' service with the Council, having joined the Health Department in 1915. Mr. Prescott left with the good wishes of everyone. He was succeeded by Mr. A. Healey, who has been Senior Clerk for the past eight years. In conclusion, I welcome this opportunity of acknowledging the help and co-operation I have received from the Members of the Council and from other Chief Officers. I should also like to thank the staff of my Department for their continued good work and valuable support during the year, I am, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, T. STANDRING. HEALTH COMITTEE at 31st December, 1957 THE WORSHIPFUL THE MAYOR (Councillor N.G. Burbridge, J.p.) Councillor Mrs.J.E Carroll (Chairman) Councillor Mrs,E.M.
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Wood (Vice-Chairman) Aldermen Mrs. E.R.M. Middleton and W.L.G.Austin Councillors - A. J.J. Ashferd A.W. Bassett T.G. Blann Mrs. M.J.M. Bradley Mrs. S.M. Bradley Mrs. E. Brooks Mrs. E.C. Bunce G.S. Dean L.A. Heath Mrs. W.H.M. Hulbert W.R. Kennett H.F. Reilly E. Williams M. Wood - 5 - HEALTH DEPARTMENT STAFF Medical Officer of Health - T. STANDRING, M.B., B.S., D.P.H., M.R.C.S., L.R.C.P., F.R.S.H. Public Health Inspectors - Chief Public Health Inspector - F.A. ANDREW, Certo P.H.Insp.Exam. Board; Certo Meat and Other Foods.
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Public Health Inspectors - F.J. HOINES, Cert.P.H.Insp.Exam. Joint Boards Cert. Meat and Other Foods (Senior Food Inspector) W.F.R. WHEAL, Cert.P.H.Insp.Exam.Joint Board; Cert. Meat and Other Foods (Senior Housing Inspector) H.M. KERSEY, Cert. P.H.Insp.Exam. Joint Board; Cert. Meat and Other Foods; Cert. Smoke Insp., R.I.P.H. (Rodent Control Inspector) W.E.McLELLAND, Cert. P.H.Insp. Exam. Joint Board; Cert. Meat and Other Foods; Cert. Smoke Insp. (Smoke Inspector) MISS M.F. THCMAS, G.M. Cert.P.H.Insp. Exam.Joint Board; Cert.
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Meat and Other Foods; State Registered Nurse; State Certificated Midwife; Health Visitor's Cert. (Old People's Welfare, etc. Inspector) E.R. REES. Cert. P.H.Insp.Exam.Joint Board; Cert. Meat and Other Foods (Food Inspector) W.F.N. TROUGHTON, Cert.P.H.Insp.Exam.Joint Board; Cert. Meat and Other Foods (Licensed and registered food premises,, Disinfection and Disinfestation, etc. Inspector) R. LINCOLN, Cert.P.H.Insp.Exam.Joint Board; Cert. Meat and Other Foods (Housing and Restaurants, etc. Inspector) C.H. SARGENT, Cert. P.H.Insp.Exam.Joint Board; Cert. Meat and Other Foods (Food Inspector) Jo HACKER, Cert. P.H.Insp.Exam. Joint Board; Cert.
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Meat and Other Foods (Food Inspector) - 6 - K,S. COOPER, Cert, P.H.Insp.Exam.Joint Board; Cert. Meat and Other Poods (District Inspector) J.B. O'CONNELL, Cert.P.H.Insp,Exam,Joint Board (District Inspector) R.H. PASTERFIELD, Cert.P.H.Insp,Exam,Joint Board; Cert, Meat and Other Poods (District Inspector) J. HILLS, Cert.P.H.Insp.Exam.Joint Board; Cert, Meat and Other Poods (District Inspector) J.H. LOTT, Cert.P.H.Insp.Exam.Joint Board; Cert, Meat and Other Foods. (District Inspector) N.E. BROOM, Cert.P.H.Insp.Exam.Joint Board (District Inspector) Public Analyst (Part-time) - H. AMPHLETT WILLIAMS, PH.D. (Lon.
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), A.C.G.F.C., F.R.I.C. Administrative and Clerical - Chief Assistant - T.H. PRESCOTT (Retired 30.4.57.) A.HSALEY, A.C.C.S. Senior Clerk - R.E, SWEETT Clerical Assistants - J.E. KAY G.C. RYAN D.M. GIBBS MRS. M.H. DOWDING MRS. W.E. ELLISON MISS F.E. GEE. T. COUGHLAN (Resigned 21.4.57.) MISS A.V. SMITH W.H. MAY (Appointed 3.6.57.) MRS, J, BARYLSKI (Appointed 1.7.57.) - 7 - GENERAL STATISTICS Area of Borough Number of Dwellings Number of Persons per acre Total Rateable Value (including Government property) Product of Id.
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rate 8282 statute acres 41,942 17.7 €2,485,757 £9,957 VITAL STATISTICS Extracts from the vital statistics for the year, with comparative figures for 1956, are shown below:- TABLE No,, 1 1957 1956 Population (Home, i.e. including members of H.M. Forces stationed in the district) 146,200 147,500 Live Births - Legitimate 1.950 1,863 Live Births - Illegitimate 88 90 Total Live Births 2,038 1,953 Birth Rate 13.9 13.2 Stillbirths 37 55 Stillbirths - Rate per l,000 total births 18.2 28.1 Total Deaths 1,504 1,524 Death Rate per l,000 population 10.3 10.4 Maternal Deaths Nil Nil Death Rate from Puerperal Causes per 1,
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000 total births - - Deaths of Infants under one year 53 37 Death Rate of Infants under one year 26 18.9 Deaths from Tuberculosis (all forms) 22 22 Deaths from Cancer (all ages) 302 309 Deaths from Acute Poliomyelitis Nil Nil BIRTHS The number of live births registered in Woolwich during 1957 was 2,525. After correction for inward and outward transfers, the net number of Woolwich live births was 2,038, being 85 more than in the previous year. Of the total births, 1,059 were boys and 979 girls. It is known that 1,600 births took place in public institutions in the Borough;, of which 942 concerned Woolwich mothers.
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The birth -8- rate was 13.9 which, when adjusted to allow for the differing age and sex distributions of the population in various parts of the country, gives a birth rate of 13.8 compared with the provisional birth rate for London of 18,6, and for England and Wales of 16.1. There were 37 stillbirths during the year under review. DEATHS The number of deaths registered in Woolwich was 1,273 and after correction for inward and outward transfers the net number was 1,504, giving a death rate of 10.3 for the Borough, compared with 10.4 the previous year. The adjusted death rate for Woolwich was 10,9 compared with the provisional figure of 12.7 for London and of 11,5 for England and Wales.
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Deaths of Woolwich residents in hospitals in the Borough totalled 495, whilst 452 died in other hospitals outside the Borough, MATERNAL DEATHS There were no maternal deaths during the year, and none during the previous year, NATURAL INCREASE IN POPULATION (i.e. Excess of Births over Deaths) In 1956 the natural increase in population was 429. In 1955 it was 434, and in 1957 it was 534.
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INQUESTS Forty-nine inquests were held on Woolwich residents during the year, and 344 post-mortems on Woolwich residents were carried out on behalf of the Coroner, INFANT MORTALITY There were 53 infant deaths during the year, being an increase of 16 over the previous year, giving an infant death rate of 26.0 compared with the provisional figure of 23.1 for England and Wales, MOTOR VEHICLE ACCIDENTS During the year there were 14 fatal road accidents concerning Woolwich residents, compared with 10 the previous year. None related to children under 5 years, but 7 concerned persons over 65 years, - 9 - One fatality involved a youth who cycled into a stationary bus. There were eight deaths of pedestrians struck by motor vehicles, seven of whom were over 65. The vehicles concerned were five cars, one van, one goods lorry and one ambulance.
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Accidents involving motor cyclists resulted in three deaths of cyclists, all aged 21, and also a pillion passenger, aged 19. A pedal cyclist of 29 was fatally injured in a collision with a heavy lorry. OTHER ACCIDENTS Deaths due to other accidents totalled 16, including seven persons over the age of 65 years, most of them being due to falls at home. A boy of nine died after a fall, and four women and two men, all over 65 died as a result of falls at home, one downstairs and one out of bed. One woman of 69 died from an accidental overdose of aspirin. There were two accidental deaths from drowning. MARRIAGES There were 1,165 marriages in the Borough during 1957, of which 776 took place in Churches; the remaining 389 took place at the Woolwich Register Office.
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Of the number of marriages which took place in Churches in the Borough, Registrars of Marriage attended on 100 occasions. The following Table gives details of the infant deaths in Woolwich during 1957: — TABLE No. 2. DEATHS UNDER 1 YEAR, 1957 Causes of Death Under 1 week 1 - 2 weeks 2 - 5 weeks 3 - 4 weeks Total under 4 weeks 1-3 months 3-6 months 6-9 months 9 - 12 months Total deaths under 1 year Premature Birth 9 - - - 9 - - - - 9 Congenital Malformation 2 2 - - 4 1 - - - 5 Broncho Pneumonia 3 1 - - 4 3 3 - - 10 Atelectasis 11 - - - 11 - - - - 11 Enteritis - - - - - 1 - 1 - 2 Spina bifida
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- 1 - - 1 - - - - 1 Asphyxia 4 - - - 4 - - - - 4 Bronchitis - - - - - 1 - - - 1 Other causes 7 - 1 - 8 - 1 - 1 10 41 53 - 10 - DEATHS FROM CANCER Of the total number of deaths, 313 were from Cancer (including eleven from Sarcoma), being the same number as in the previous year. Of these, 158 occurred in men and 155 in women. Just under half the Cancer deaths (154) took place in hospitals. The following Tables give details of Woolwich deaths from Cancer during 1957, compared with previous years. TABLE NO. 3.
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WOOLWICH DEATHS FROM CANCER (including all other specified Malignant Tumours) Year Men Women Total Deaths Deaths in Hospitals 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 1956 176 137 313 183 1957 158 155 313 158 CANCER DEATHS - WOOLWICH, 1957.
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BY AGE (excluding specified Malignant Tumours) Age Men Women Total Deaths in Hospital Under 25 years 1 1 2 - 26-30 years - - - - 32-35 years 2 1 3 2 36-40 years 3 6 9 4 41-45 years 4 3 7 3 46-50 years 9 6 15 7 51-55 years 14 10 24 9 56-60 years 25 16 41 26 61-65 years 18 15 33 15 66-70 years 18 20 38 13 71-75 years 22 27 49 34 76-80 years 24 21 45 21 Over 80 years 16 20 36 20 Total 156 146 302 154 - 11 - TABLE No. 4.
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WOOLWICH DEATHS FROM CANCER OF THE LUNG AND BRONCHUS, 1947-1957 Year Male Lung Female Bronchus Total Deaths in Hospitals Male Female 1947 12 7 18 1 38 21 1948 13 1 20 1 35 17 1949 15 2 24 5 46 28 1950 26 4 33 8 71 44 1951 17 5 40 8 70 38 1952 22 5 31 10 68 31 1953 16 2 40 9 67 38 1954 11 6 31 8 56 40 1955 17 4 43 4 68 56 1956 23 3 43 4 73 50 1957 18 9 48 5 80 38 TABLE No. 5.
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CANCER DEATHS (EXCLUDING SARCOMA) - WOOLWICH 1957 - SEAT OF PRIMARY DISEASE Male Female Total Deaths in Hospitals Stomach 25 19 44 20 Bronchus 48 5 53 28 Lung 18 9 27 10 Breast - 30 30 9 Colon 6 12 18 10 Pancreas 6 5 11 8 Rectum 8 11 19 13 Uterus - 8 8 1 Prostate 7 - 7 6 Ovary - 14 14 8 Bladder 7 6 13 5 Liver 5 2 7 2 Caecum 1 3 4 4 Cervix - 4 4 3 Oesophagus 4 2 6 4 Glands of neck 1 - 1 - Kidney 1 2 3 2 Larynx 2 -
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2 2 Throat - 1 1 - Tongue 5 - 5 2 Others and unspecified 12 13 25 17 Total 156 146 302 154 - 12 - TABLE No. 6. NETT DEATHS DURING THE CALENDAR YEAR 1957 CAUSES OF DEATH All ages Under 1 Year 1 and under 5 years 5 and under 15 years 15 and under 25 years 25 and under 45 vears 45 and" under 65 years 65 and under 75 years 75 years and upwards All causes 1.504 53 2 6 10 72 376 406 579 Tuberculosis, respiratory 20 - - - - 8 3 4 5 Tuberculosis,
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other 2 - - - - - 1 1 - Syphilitic disease 3 - - - - - 1 2 - Diphtheria - - - - - - - - - Whooping Cough - - - - - - - - - Meningococcal infections - - - - - - - - - Acute poliomyelitis - - - - - - - - - Measles - - - - - - - - - Other infective and parasitic diseases 2 - - - - 1 - - 1 Malignant neoplasm, stomach 44 - - - - 2 11 15 16 Malignant neoplasm, lung. bronchus 80 - - - - 2 42 21 15 Malignant neoplasm, breast 30 - - - - 3 13 7 7 Malignant neoplasm,
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uterus 8 - - - - 2 2 3 1 Other malignant and lymphatic neoplasms 151 - 1 - 1 9 56 38 46 Leukaemia, aleukaemia 9 - 1 - - 1 4 2 1 Diabetes 9 - - - - - 1 4 4 Vascular lesions of nervous system 153 - - - - 1 34 50 68 Coronary disease angina 235 - - - - 7 68 86 74 Hypertension with heart disease 60 - - - - - 8 19 35 Other heart diseases 153 - - - - 4 26 30 93 Other circulatory disease 72 - - 1 - 2 15 18 36 Influenza 14 - - - 1 1 3 4 5 Pneumonia 105 9 - - - 3 9 23 61 Bronchitis
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90 - - - - 1 21 27 41 Other diseases of respiratory system 13 - - - - - 10 3 Ulcer of stomach and duodenum 27 - - - - 1 7 9 10 Gastritis, enteritis and diarrhoea 9 2 - - - - 2 2 5 Nephritis and Nephrosis 13 - - - - 2 5 4 2 Hypherplasia of prostate 12 - - - - - - 4 8 Pregnancy, childbirth,
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abortion - - - - - - - - - Congenital malformations 14 9 - 2 - 1 2 - - Other defined and ill-defined diseases 127 32 - 1 2 15 18 24 37 Motor vehicle accidents 14 - - - 5 2 - 1 6 All other accidents 16 1 - 2 - 3 3 2 5 Suicide 17 - - - 1 2 10 3 1 Homicide and operations of war 2 - - - - 1 1 - - - 15 - The chief Vital Statistics for the Borough since 1937 are given in the following Table:- TABLE No. 7 Year Population estimated, to middle of each Year BIRTHS Nett Deaths of the District Nett Under 1 Year At all Ages NO. Rate No, Rate per 1,000 nett Births No. Rate 1937a 149,400 2,125 14.
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2 86 40 1,660 11.1 1938a 150,900 2,057 13.6 102 50 1,576 10.4 1939a 150,800 2,133 14.1 103 49 1,592 11.1 1940b 124,340 1,846 14.8 66 36 1,854 14.9 1941b 103,630 1,459 14.0 65 42 1,627 15.7 1942b 1109140 2,036 18.5 71 34 1,410 12.8 1943b 112,700 2,174 19.3 77 35 1,558 13.8 1944b 110,970 2,037 18.3 83 40 1,611 14.
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5 1945b 115,270 2,021 17.5 83 41 1,478 12.8 1946b 134,420 2,903 21.6 91 31 1,531 11.4 1947b 140,150 3,193 22.8 87 27.2 1.626 11.6 1948b 142,800 2,527 17.7 74 29.2 1,573 11.0 1949b 144,000 2,504 17.4 72 28.7 1,572 10.9 1950c 149,000 2,172 14.6 53 24.4 1,668 11.2 1951c 149,800 2,273 15.1 63 27.7 1,838 12.
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3 1952c 151,800 2,199 14.4 47 21.4 1,667 10.9 1953c 151,100 2,090 13.8 48 22.9 1,569 10.4 1954c 149,700 2,035 13.5 37 18.1 1,443 9.6 1955c 148,500 1,971 13.2 39 19.7 1,537 10.3 1956c 147,500 1,953 13.2 37 18.9 1,524 10.4 1957c 146,200 2,038 13.9 53 26.O 1,504 10.
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3 a - Total population b - Civil population c - Home population - 14 - PUBLIC HEALTH ADMINISTRATION PUBLIC HEALTH INSPECTION OF THE AREA During 1957, the Public Health Inspeotors carried out 30,641 inspections, including re-inspeotions. The nature of these inspections is shown in Table No. 8. As a result, 1,027 intimation notices and 397 statutory notices were served. COMPLAINTS The number of complaints received during the year was 2,552, compared with 3,176 in 1956. Any necessary action was taken where complaints were made or nuisances discovered. TABLE No. 0. INSPECTIONS Complaints investigated 1,618 Water sampling and Complaints (reinspeotions) 5,224 testing 42 Outworkers' premises 272 Rodent control 1,985 Houses re.
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overcrowding 70 Smoke observations 42 New Houses re water supply 439 Atmospheric Pollution 339 Houses re. infectious Men's lavatories 57 disease 1,075 Women's lavatories 64 Houses re. smallpox contacts NIL Houses re. choked drains 315 Houses re. vermin 90 Drainage inspections 586 Council housing applicants Houses, visits with re. vermin 1,376 owners, builders, etc. 308 Housing Act inspections 474 Houses re. slum clearance Housing Act - Improvement and redevelopment 236 Grants 172 Pet Animals premises 68 House-to-House inspections 418 Visits re. insect and Houses re.
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Certificates of other pests 304 Disrepair 449 Houses re, disinfection Aged and Infirm persons 2,984 or destruction of Common Lodging Houses 5 icles 4 Tents and Vans 79 Stables 14 Factories mechanically 256 Exhumations 1 powered Public Houses 207 Faotories non-mechanioally Theatres and Cinemas 7 powered 30 Hairdressers and Barbers 159 Workplaces 22 Miscellaneous visits 2,166 Shops Act inspections 738 Non-effeotual visits 4,405 Food Premises 2,120 Houses re. Smoke Control Itinerant vendors 14 Areas 905 Complaints re. food 47 Houses re. Smoke Control Shops re. Pharmacy and Areas (Reinspeotions) 161 Poisons 231 - 15 - TABLE No. 9.
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NUISANCES ABATED Dirty conditions remedied 606 Windows repaired or renewed 719 Roofs repaired 385 Ceilings repaired or Gutters, rainwater pipes, renewed 103 etc. repaired or renewed 271 Walls repaired or renewed 638 Damp walls and other damp Lighting and ventilation conditions remedied 1,017 defects remedied 409 Fireplaces, hearths, flues Areas and yards paved or etc. repaired or renewed 110 repaired 58 Floors, skirting and other Sinks, S.W.
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pipes, etc., woodwork 165 repaired or renewed 91 Combined drains repaired or Drains cleansed 154 reconstructed 5 Drains repaired or Water closets cleansed and reconstructed 92 repaired 227 Dustbins provided 52 Water closet pans and traps Other dilapidations fixed 43 remedied 173 Water closet seats repaired Foul accumulations or renewed 38 remedied 42 Water supply defects Houses repaired remedied 130. ing informal action 743 Houses repaired ing formal action 428 PUBLIC HEALTH ACT NOTICES. LEGAL PROCEEDINGS During 1957, it was found necessary in two cases to institute legal proceedings in order to obtain compliance with notices served under the Public Health (London) Act, 1936. Both cases were adjourned sine die as the necessary work was put in hand. WATER SUPPLY Domestic water is supplied to the Borough entirely by the Metropolitan Water Board, and samples of the water are regularly subjected to chemical and bacteriological examination by the Board at its laboratories.
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The condition of the water supply throughout the year was satisfactory both in quality and quantity. No complaints were received in connection with the Borough's water supply. In addition to the water supplied by the Metropolitan Water Board, local industry obtains additional supplies from wells in the Borough. Of the eleven wells known to exist, seven are still in use. The water from these wells is used for fire-fighting as well - 16 - as industrial purposes. The Council's baths at Woolwich and Plumstead each draw water from a well. Samples of water from the wells in use are submitted for bacteriological examination and the results show the water to be satisfactory. DRAINAGE A total of 256 drainage defects were found during the year, and the necessary work of repair or reconstruction was supervised by the Public Health Inspectors. Officers of the Department supervised 39 smoke tests on suspected defective private and combined drains. Nineteen of these tests produced positive results, the remainder were proved to be sound.
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A further four tests which also produced positive results were in respect of disused drains which were exposed and permanently sealed off. Of the 28 combined drains inspected during the year, four were found to be defective. In the case of the defective combined drains, notices were served under Section 40 of the Public Health (London) Act, 1936, on the owners concerned and the work of repair and reconstruction was carried out by the Borough Engineer's Department,, The cost of the work necessary was shared between the responsible owners. REGISTRATION OF HAIRDRESSERS AND BARBERS PREMISES All persons carrying on the business of a hairdresser or barber in the Borough must be registered and also have their premises registered. The Council have made Byelaws to secure the cleanliness of these shops and of the instruments and equipment used therein,, Applications for registration were received during the year in respect of 43 Ladies' hairdressers premises, 44 Gentlemen's and 13 combined Ladies' and Gentlemen's premises.
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Regular inspections are made by the Public Health Inspectors. PROVISION OF DUSTBINS During the year, 33 notices were served on the owners of premises in the Borough under the provisions of Section 12 of the London County Council (General Powers) Act, 1954, requesting the supply of a dustbin. No appeals were made against the notices served by the Council. - 17 - PET SHOPS There are ten pet shops in the Borough, and these are licensed annually by the Council and are visited periodically by the Public Health Inspectors, to ensure that the requirements of the Pet Animals Act, 1951, and the conditions subject to which licences are issued are being complied with. Sixty-eight inspections of pet shops were made during the year. SHOPS ACT, 1950 The provisions of the Shops Act, 1950, relating to suitability of ventilation, washing facilities and sanitary accommodation, and the maintenance of suitable temperature in shops is the responsibility of the Borough Council.
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Altogether 738 visits of inspection were made by the Public Health Inspectors for this purpose during the year. REGISTRATION OF PREMISES SELLING PART II POISONS Names are entered in the Council's list of persons entitled to sell Part II poisons (other than registered Pharmacists) in respect of 155 premises in the Borough. LICENSING OF COMMON LODGING HOUSES The one remaining licensed common lodging house in the Borough, at 102, Woolwich High Street, was relicensed for the ensuing year. The premises have accommodation for 22 men., RODENT CONTROL There were 956 complaints of rats and 363 of mice received during 1957, and in addition to the investigation of these complaints the systematic inspection under the "block control" system was continued. A total of 17,110 premises were inspected and of these 13,795 were under the "block control" system.
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The number of properties found to be infested by rats or mice was 1,494. which included 124 business or industrial premises. Where the cause of the infestation appears to be due to defective drains or other defects in the building, the owner is requested to effect the necessary repairs, In this connection the Department carried out 39 smoke tests on suspected defective drains at rat infested premises, and these tests produced evidence of 18 defective drains. - 18 - A total of 40 "block control" schemes was carried, out during the year, As in previous years the Council continued its practice of arranging free treatment in respect of infestations in private dwellings, A charge is made for treatment carried out by the Council at business and industrial premises. With the co-operation of the Borough Engineer's Department two sewer treatments were undertaken during 1957.
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At the request of the Ministry of Agriculture, Fisheries and Food an extended period of baiting and recording of poison "takes" was adopted, prebaiting being carried out on the first day, again on the fourth day and poison bait laid on the eighth day. (The previous method had involved prebaiting on the first and second days and poison baiting on the third day). The bait used was sausage rusk and zinc phosphide with paranitophenol in the poison,, Doubling up on complete "takes" was carried out and when recording poison "takes" each gang carried poison bait to put down where there had been complete "takes" of poison. The number of prebait "takes" recorded in the April treatment showed a ten per cent. increase over the last treatment under the old method of baiting described above.
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It was anticipated that there would be a marked decrease in "takes" in the October treatment;, but the result showed only a three per cent reduction in prebait and poison "takes" Thus it would appear that no matter what method is adopted the number of rats remaining will build up during the six months interval. During both treatments the weather was fine with no heavy rainfall to interfere with the free movement of rats in the sewers, MOSQPITOS AND OTHER PESTS During 19579 a number of complaints were received from various parts of the Borough of infestations of cockroaches, moths, crickets, and silver fish. Advice was given in each case, and, where necessary, treatment carried out. Five infestations of cockroaches, one infestation of mosquitos seven infestations of clover-mites and one infestation of ants were dealt with by the Department,and three wasps nests were destroyed during the year. Small charges were made for this work.
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Forty-two houses and their contents were treated for infestations of woodworm, the majority of these houses being in the ownership of the Council, Charges totalling £163.12.3d. were made upon the responsible persons for the treatment referred to above, - 19 - FACTORIES ACT, 1937 TABLE No, 10. DETAILS OF INSPECTIONS CARRIED OUT DURING 1957 ARE AS FOLLOWS:- Premises No.
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on Register Inspections Written Notices Occupiers proaecuted (i) Factories in which Sections 1,2,3,4 and 6 are to be enforced by Local Authorities 18 30 2 — (ii) Factories not included in (i) in which Section 7 is enforced by the Local Authority 283 256 2 (iii) Other premises in which Section 7 is enforced by the local Authority (excluding out-workers' premises) - - - - TOTAL 301 28b 4 - CASES IN WHICH DEFECTS WERE FOUND AND REMEDIED:- Particulars No. of cases in which defects were found No. of cases in which prosecutions were instituted. Pound Remedied Referred tc H.M. Inspector Referred by H.M.
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Inspector Want of cleanliness - - - - - Overcrowding - - - - Inadequate ventilation - - - - — Ineffective drainage of floors - - - - - Sanitary conveniences:(a) Insufficient 1 1 - - - (b) Unsuitable or defective 6 6 - 5 - (c) Not separate for sexes - - - - - Other offences against the Act (not including offences relating to Outworkers) - - - - - 7 7 - 5 - - 20 - OUTWORKERS In the last return made by employers of labour, the total number of outworkers in the Borough was shown to be 253, compared with 262 in 1956, The nature of the outwork is as follows Type of Work Number of Workers Lampshades 172 Wearing apparel 66 Household Linen 7 Christmas crackers 5 Paint colour cards 2 Dolls1 clothes 1 Local firms employ 87 per cent, of these outworkers,
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the remainder being employed by firms in various parts of the country. Local industry also employs 76 outworkers who reside outside the Borough. Periodical inspections of the outworkers' homes are made by the Council's Public Health Inspectors, Altogether 272 such visits were made in 1957 to ensure that the home working conditions were satisfactory, CLEAN AIR (A) Smoke Control Areas - The part of the Clean Air Act, 1956, relating to the setting up of Smoke Control Areas was brought into force on the 30th December, 1956, and immediately the Council decided to make full use of these new provisions, Three Smoke Control Areas were proposed9 details of which are as followss- (i) Abbey Wood. This area comprises a total of 157 acres, including 74 acres of open land.
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It is bounded on the south by Bostall Hill and Old Park Road, on the west by Basildon Road, on the north by McLeod Road, and on the east by Knee Hill, and comprises 1,154 dwellings, including 432 Council dwellings, together with 13 commercial premises and three others. It was originally proposed that this Staoke Control Order should become operative in September, 1958, but having regard to possible difficulties in connection, with the prefabricated bungalows in the Area, the operative date of the Order was deferred until 1st October, 1959, -21 - by which time these dwellings should be cleared. The conversion of appliances in domestic premises to burn smokeless fuel will be required at some 715 dwellings in this Area, involving the total replacement of some 970 appliances.
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The total expenditure is estimated at about £13,000, of which the Council's contribution will be three-tenths, and the Government's contribution four-tenths. (ii) St. Mary'so This Smoke Control Area comprises a total of 26 acres, in two parts of 21 acres and 5 acres. The first portion is bounded to the north by Woolwich Church Street and Chapel Hill, to the south by the railway line, and to the east by St. Mary's Churchyardo All properties in this portion are new Council dwellings, with approved appliances.Since 1955 a clause in the tenancy agreement for each house has required the use of smokeless fuel only in these properties. The smaller area comprises Council properties, on land on both sides of Rectory Place, and the flats formerly in the ownership of the Church Commissioners, flanking on Kingsman Street, in which there are 56 dwellings requiring some adaptation.
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The operative date of this Order will be October, 1958. It is proposed that further Orders will be made in this area as redevelopment proceeds. The estimated' cost of adaptations in this Area is about £350. (iii) Middle Park, This Smoke Control Area embraces a total of 263 acres, including 57 acres of open land, and comprises the Council's Middle Park Housing Estate of 1,518 houses, with an additional 96 private dwellings, 15 commereial premises and three others. The new property being erected by the Council at the junction of Court Road and Middle Park Avenue is also included. The operative date is the 1st October, 1959. The total cost is estimated at about £82,000.
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Following detailed inspections of all premises in the above mentioned Areas, estimates of numbers and costs of appliance replacements and other work required at premises in the Areas were prepared, and the Council's Smoke Control Orders submitted to the Minister at the end of the year for confirmation, The Council have been represented at several meetings with neighbouring authorities to discuss smoke control proposals and problems. At these meetings matters of mutual interest and the possibility of joint action were discussed. -22- (B) Publicity, The Minister of Housing and Local Government, in his explanatory memorandum on Smoke Control Areas, asks that the maximum publicity be given to the Council's action in setting up such areas so as to obtain the willing co-operation of the publico Accordingly, every owner and occupier in the Smoke Control Areas was informed by letter of the Council's intention, and a booklet containing a guide to the provisions of the Act and other useful explanatory material was prepared and published by the Council, and distributed to every householder and owner of property in each Area.
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To facilitate the successful operation of the Smoke Control Areas, the co-operation of fuel producers and merchants, appliance manufacturers, builders' merchants, ironmongers and others, in addition to that of the householders, is regarded as essential. A meeting was held with fuel traders, trade associations and representatives of the Ministry of Power. These consultations proved extremely useful in reviewing the difficulties likely to arise, particularly in the supply of some of the authorised fuels. A meeting with builders, builders' merchants, ironmongers and appliance manufacturers also served a useful purpose, giving an opportunity for the exchange of views on the installation of "approved appliances". In collaboration with the Coal Utilisation Council, a lecture was arranged at the Woolwich Polytechnic on the "Correct Methods of Fixing Solid Fuel Appliances", at which many local builders attended.
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Since Abbey Wood is the first Area which has a large number of conversions to be carried out in respect of private property, a public meeting was arranged in the Area to publicise the Council's policy and settle any points raised by residents. Representatives of the Council and a specialist in fuels were present on the platform, and following a statement on the Council's policy by the Chairman of the Health Committee, questions were answered. There was a capacity audience of over 350. Coinciding with the public meeting, a prefabricated demonstration hut was opened on land adjacent to the Abbey Wood Smoke Control Area. In the hut are displayed samples of all the "authorised" fuels, together with various approved appliances, some of which are under fire, and accessories, The purpose of the hut is to demonstrate to the inhabitants of the Smoke Control Area types of fires and fuels available and their proper method of operation. The demonstration hut is open for periods during each week and attendances have been good.
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Numerous questions have been asked of the Public Health -23 - Inspectors on duty. It is intended that this hut shall be moved in future years to other Smoke Control Areas as they are made by the Council. The Health Department took part in the Woolwich Trade Fair organised by the Chamber of Commerce and held in the Town Hall at the end of September for one week. A stand was built which displayed all the "authorised" fuels, together with selection of approved appliances, and a large map or the Borough showing the location of the proposed Smoke Control Areas. A three minute sound film made by the Council's staff was shown continuously by means of rear projection. Whilst the Pair was essentially a commercial enterprise, a large number of people expressed interest in the Smoke Control activities of the Council, and numerous questions were asked. The Health Department's waiting room was also used to display a more comprehensive selection of approved appliances, fuels and accessories.