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The hut was manned by the staff of the Health Department. During 1959 the Council was able to purchase from the Solid Smokeless Fuels Federation their Mobile Fuel Demonstration Caravan for use in the Borough. This caravan is being used in Smoke Control Areas and in other Clean Air campaigns of the Council. The caravan demonstrates three solid fuel approved appliances under fire, namely an open fire, a convector open fire and a closed stove burning coke. It also has samples of all the authorised fuels. It is staffed by members of the Health Department. Authorised Fuels The local supply of the proprietary or "premium" authorised fuels has improved recently, and no complaints have been received from residents in Smoke Control Areas of inability to obtain authorised fuel. With the marketing of further varieties of smokeless fuel, residents in Smoke Control Areas have been advised that providing they do not insist upon delivery of only one brand of fuel -45- they should have no difficulty in maintaining an adequate supply throughout the year.
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Notwithstanding this better supply position of premium fuels the Council has in its plans for Smoke Control Areas continued to rely upon the plentiful supply of coke. Appliances Local retailers appear to have experienced no difficulty in supplying the public with an adequate range of approved open fires. The Council have made available at the demonstration hut, at the Town Hall and at local Libraries, copies of the list of approved appliances. These lists appear to have been well used. New Houses During the year "the Council was informed of the intention by the London County Council to amend the Building By-Laws to ensure that only appliances capable of burning coke, anthracite, gas or electricity were installed in new property. It is anticipated that this By-Law will become operative in 1960. Factory Premises Regular smoke observations are carried out on the chimneys of factories in the Borough. Several complaints were again received from nearby residents of an Abbey Wood factory of fumes and smoke.
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Extensive work on the plant has been undertaken by the firm concerned, involving the complete redesign of their kilns in relation to the flue system. The plant has been further improved by the installation of an additional cooling system, and other work has also been carried out during the year by the firm at the instigation of the Council. New Furnaces Section 3 of the Clean Air Act requires that new furnaces not used mainly for domestic purposes and exceeding a capacity of 55,000 B.T.U's shall, as far as practicable, be smokeless. Any person installing such a furnace must give prior notice to the Council and may submit detailed plans and specifications for the Council's approval before the work of installation takes place. During 1959 one application for prior approval of plans and specifications was received, and the proposals were -46- investigated in detail by the Department and approved by the Council. The application concerned the proposed installation of new oil burning plant in place of an outof-date solid fuel boiler.
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In addition, six notifications were received of proposals to alter boiler plant with a maximum rating of less than 55,000 B.T.U's. CLEAN AIR MEASURING STATIONS Two main types of atmospheric pollution measuring stations are being used in the Borough, namely, a standard deposit gauge, and a lead peroxide candle of which there are five in use in the Borough. There are also three daily smoke and sulphur dioxide instruments in regular use. The deposit gauge and lead peroxide instruments give details of the solids falling in the area and the concentration of sulphur dioxide. These results are analysed monthly by the Public Analyst. By means of the daily smoke and sulphur dioxide apparatus the amount of pollution from suspended smoke and the amount of sulphur dioxide in the atmosphere can be estimated.
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To enable more detailed readings to be taken, particularly where Smoke Control Areas are in operation or proposed, the Council have decided to establish a further nine daily smoke and sulphur dioxide measuring instruments which would give further information on the trend of pollution in a Smoke Control Area. To obtain worthwhile results the instruments need to operate for a number of years to compensate for chance variations, and two instruments are to be used for each area, i.e. one on the windward and the other on the leeward side. The following table gives details of the monthly measurements of deposits of sulphur trioxide and solid matter at the five measuring stations in the Borough during 1959. -47- TABLE NO.12 MEASUREMENT AND RECORDING OP ATMOSPHERIC POLLUTION. JANUARY-DECEMBER,1959 MEASURING STATIONS Weight of Sulphur Trioxide collected mg/100 sq.cm/day Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct.
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Nov. Dec. Woolwich Dockyard 4.3 3.7 2.1 1.9 2.2 1.7 1.4 1.8 3.2 2.7 2.3 1.9 Municipal Offices 6.3 5.1 3.1 3.0 2.6 1.9 1.6 2.2 3.0 2.9 3.2 3.0 Abbey Wood Omnibus Garage 5.4 4.2 2.2 2.8 1.5 1.5 1.3 1.9 1.8 3.1 3.0 2.3 Shooters Hill Golf Club 5.7 4.3 2.5 2.4 2.5 1.8 1.2 1.9 2.9 3.0 2.
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8 2.1 Eltham High Street Area 3.2 2.3 1.3 1.4 1.2 0.8 0.8 0.9 1.1 1.3 1.6 1.1 OTHER STATIONS IN COUNTY OF LONDON Highest 9.7 11.2 6.3 4.8 3.1 4.4 2.6 5.7 4.6 6.6 7.1 7.6 Lowest 1.1 1.8 1.2 1.1 0.6 0.4 0.5 0.5 0.3 0.7 1.0 0.7 MEASURING STATIONS Total Solid Matter collected. Monthly Deposit in Tons per Sq. Mile Jan. Feb. Mar. Apr. May June July Aug. Sept Oct. Nov.
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Dec. Woolwich Dockyard 37.2 22.2 30.2 32.3 34.3 23.9 31.1 6.7 40.6 39.4 32.6 26.2 Municipal Offices 28.8 19.3 20.2 21.2 17.2 16.5 12.9 13.9 23.0 21.2 18.9 19.1 Abbey Wood Omnibus Garage 25.6 17.6 19.1 20.5 16.1 17.9 13.2 8.5 20.6 23.2 20.0 14.4 Shooters Hill Golf Club 15.5 11.1 10.2 12.6 10.1 13.1 9.2 24.4 20.5 17.6 12.5 9.
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4 Eltham High Street Area 11.1 11.1 9.6 9.2 6.7 11.7 9.4 16.4 12.5 11.7 9.2 8.4 OTHER STATIONS IN COUNTY OF LONDON Highest 56.0 70.2 64.0 44.2 48.3 51.0 37.5 56.6 40.6 84.7 72.6 68.1 Lowest ll.l 5.6 9.6 9.2 6.7 8.6 5.5 5.0 4.1 8.3 9.2 8.4 HEALTH EDUCATION FILM PROGRAMMES AND INFORMAL TALKS A full programme of film shows and talks was again presented by the Health Department's Film Unit to local organisations at their own meeting places.
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Sixty-five visits were made by the Health Education Unit, 18 being to religious groups, six to old people's associations, 11 to political bodies and 30 to other organisations and clubs. Thirty-four sessions were held in the afternoon and 31 in the evening. Individual audiences vary considerably, from 300 at old people's clubs to 20 at some others, but the average audience still remains high. Total attendances at these sessions during the year is estimated at nearly 3,000. Forty-eight of the sessions were devoted exclusively to films, six to talks and eleven to combined talks and films. At the film programmes approximately 30 minutes are devoted to health subjects, followed by a general interest film to complete the hour. Careful consideration is given to the tastes of the organisation concerned and balanced programmes are drawn up in each case with special attention given to any requests made for particular subjects.
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An increase was noted in requests for talks together with the films, the most popular being on the subject of Clean Air, due no doubt to the Council's activity in this direction. Home Safety was another subject given increased emphasis both in film programmes and talks. Other subjects included "The Work of the Health Department", "Care of the Aged", "Sanitation", "Infectious Diseases", "The Dangers of Smoking", and "Clean Food". Several new organisations were visited by the Health Education Unit and a number of letters of appreciation were received. LEAFLETS AND LITERATURE Leaflets dealing with various public health subjects -49- were widely distributed, including regular circulation for display in General Practitioners' surgeries, in factories, at the Council's libraries and at other public buildings. Posters on a wide range of health subjects are displayed in public places in the Borough.
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NUISANCE FROM DOGS During the year the Council decided that notices drawing attention to the By-Law dealing with the fouling of pavements by dogs be fixed to lamp posts in selected roads in the Borough. The notices, which are substantially constructed and fitted with aluminium sheet backing with universal clips, are moved frequently from road to road. Several requests have been received for the display of such notices, and it has already been found that these notices serve a useful purpose. Complainants are asked to co-operate with the Council in coming forward with evidence of any contraventions of the Council's By-Laws relating to dog nuisance. INSPECTION AND SUPERVISION OF FOOD PREMISES WHERE FOOD IS PREPARED OR OFFERED FOR SALE A total of 1,678 inspections of food premises other than the daily market inspections was carried out by the Food Inspectors during the year.
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Inspections of registered food premises during the year were as follows:- Dairies 11; Distributors of Milk 198; Ice-cream Premises 390; Premises where meat is potted, pickled, pressed and preserved 160; Premises where Sausages are manufactured 162; Premises where fish is cured or prepared for frying 57; Wholesale dealer in Margarine 2; Restaurants, Cafes and Snack bars 355; Industrial and School Meals Service canteens 225; Markets - Daily; Bakehouses 3; Itinerant Vendors 8; Non-registered Premises 166; Greengrocery and Fish shops 77; Public Houses 236. -50- MILK SUPPLY Within the Borough there were at the end of the year 123 registered distributors of milk and one dairy. The Council also approved registration of a further 27 distributors of milk who sell milk in the Borough from premises outside.
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A total of 229 dealers' licences and 73 supplementary licences were issued under the provisions of the Milk (Special Designations) Regulations, 1949, which authorise the use of the special designations"Sterilised" "Pasteurised" and "Tuberculin Tested". The percentage of fat content of samples of milk submitted to the Public Analyst for chemical analysis was as follows Fat Content Number of Samples 4.5 per cent, and over 0 4 per cent, and under 4.5 per cent. 7 3.5 per cent, and under 4 per cent. 74 3 per cent, and under 3.5 per cent. 76 Below 3 per cent.
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1 Total: 158 In 1959, 206 samples of "Pasteurised" or "Tuberculin Tested" milk were subjected to the Methylene Blue test at the Park Hospital, Hither Green to assess the keeping quality of the milk, and 193 of the samples were reported to be satisfactory. The remaining 13 samples -could not be tested as the shade temperature exceeded 65Β°F. To determine the adequacy of pasteurisation, 212 samples of "Pasteurised" or "Tuberculin Tested" milk were submitted for the Phosphatase test and were all satisfactory. Twenty-four samples of "Sterilised" or "Tuberculin Tested Sterilised" milk were subjected to the Turbidity test and in each case satisfactory reports were received.
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The tests referred to above are those prescribed in the Milk (Special Desginations) Regulations, 1949β€’ -51- Continuing the practice carried out for many years in this Borough 30 samples of milk were obtained in the early hours of the morning during deliveries to schools, hospitals and institutions, and submitted to the Public Analyst for chemical analysis. Fifteen samples were submitted for the Phosphatase test and 15 for the Methylene Blue test. Visits to the premises from which milk is distributed were carried out periodically during the year by the Public Health Inspectors. Defects which were found at four premises were subsequently remedied by the owners. ICE-CREAM At the end of the year, there were 323 premises registered by the Council for the sale of ice-cream. Three of these were also registered for the manufacture of ice-cream and four for the storage of ice-cream. The majority of the dealers sell only pre-packed ice-cream.
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In the course of the year 21 defects were found and nine Informal notices were served on the proprietors of the shops concerned. All the defects were subsequently remedied. Where an application is received for registration of premises for the sale of ice-cream, the premises are first inspected to ensure that they are satisfactory, and the applicant is advised of the requirements relating to ice-cream contained in the Heat Treatment Regulations. During the year, 16 samples of ice-cream were submitted to the Laboratory for grading by the Methylene Blue test, and all the samples were found to be graded within Grade 1. PUBLIC HOUSES The supervision of the hygienic conditions in public houses is carried out by the Public Health Inspectors. There are 131 licensed premises in the Borough, 28 of which serve main meals. During the year 136 inspections were made and as a result one formal notice and eleven informal notices were issued to secure the remedying of the defects found.
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-52- Excellent co-operation continues to exist between the various brewery companies and Officers of the Department, and this has resulted in the maintenance of a high standard of hygiene in both premises and equipment.. FOOD SAMPLING, 1959 During the year ended 31st December, 1959, 844 samples of food and drugs (being 675 informal and 169 formal samples) were submitted for analysis to the Public Analyst. Of these 35 informal samples and two formal samples were reported to be adulterated or otherwise not complying with the statutory requirements, giving a percentage of 4.3 compared with 3.2 in 1958. No private samples were examined during the year. The following table gives details of the adulterated samples TABLE NO. 13 Sample Article Formal or Informal (F or I) Adulteration or Irregularity 576 Cochineal Colouring I Incorrectly labelled.
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631 "Pepsi Cola" I Bottle contained half a cigarette packet and a few particles of shredded tobacco. 590 Mixed Fruit I Insufficiently labelled - ingredients not specified. 755 Mixed Fruit I ft 595 Minced chicken in jelly. I At least 3 per cent, deficient in chicken content. 752 Minced chicken in Jelly. I At least 5 per cent, deficient in chicken content. 657 Canned Casserole Steak I At least 15 per cent, deficient in meat. -53- 593 Milk I Analysis indicated 24 per cent. added water and .5 per cent, sodium carbonate(washing soda). 608 Horseradish and Beetroot Sauce I Metal lid of jar badly corroded. Contents discoloured and tainted owing to presence of dissolved iron. 1 Sponge Cake I A piece of galvanised iron wire 2ΒΌ inches long found in sample.
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109 Lemonade I Contaminated by small amount of petrol which was found to originate from the bottle cap and washer. 76 Dried Parsley- I Mouldy and unfit for human consumption. 161 Apricot Jam I Deficient in soluble solids. 174 Hamburgers I Contained preservatives (sulphur dioxide 220 parts per million),contrary to the Preservatives in Pood Regulations. 110 Baby Pood I Sample had deteriorated, having a bitter taste due to rancidity in the oil. 378 White.Bread I A large area of the loaf was blackened by charred particles. -54- 393 Rolls and Butter I Margarine used Instead of butter. 337 467 535 Instant Coffee I Labelled "100 per cent. pure coffee" but consisted of dry coffee extract. 310 Canned Apple Juice I Contained dissolved iron 200 parts per million causing an objectionable metallic taste.
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454 Canned Apple Juice I Contained dissolved iron 150 parts per million causing an objectionable metallic taste. 238 Pickle I Contained dead mites, approximately 120 per ounce. 383 Refined Bicarbonate of Soda B.P. I Did not comply with B.P. standard, having excessive insoluble matter. 379 Non-brewed Condiment (imitation Vinegar) I The bottle was dirty, with extensive deposits of fungoid and other microscopic growths. 501 Borax, B.P. I Contained excessive borax. 448 Rolls and Butter F The rolls were spread with margarine containing ten per cent.of butter. 411 Glycerine of Thymol I Sample deficient in borax. 27 Fruit Pudding I Contained carcases of mites approximately 70 per ounce. -55- 164 French dressing I Contained no egg, and label bore no disclaimer. 92 Horseradish Sauce I Contained wheat starch not disclosed on label.
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500 Instant Icing I Rancid due to decomposition of the fat. 492 Christmas Pudding I Contained dead mites, approximately 110 per ounce. 450 Canned Apple Pudding I Contained dissolved iron, causing objectionable taste. 533 Shredded Beef Suet I Deficient in fat. 626 Whisky F Contained excessive water. 629 Port I Unfit for consumption due to a large quantity of sediment (organic impurities derived from grapes).
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Other foods and drugs examined included:- Biscuits 17; Cake 16; Cheese 14; Coffee 18; Confectionery 26; Drinks (Soft) 36; Fish 17; Fruit (Dried) 12; Ice-cream 23; Jelly 23; Meat 16; Meat products 54; Medicines 14; Milk 163; Pickles 19; Proprietary foods 17; Puddings 12; Sauces 28; Soups 17; Sugar 11; Tea 16; Vegetables 19; & Vinegar 11. UNSOUND FOOD : EXAMINATION During the year altogether 30,230 articles of food, weighing approximately 60 tons, were condemned in the Borough as unfit for human consumption. The majority of -56- this unsound food, weighing approximately 50 tons, was from the large Abattoir.
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COMPLAINTS OF UNSOUND FOOD In 1959 the Council instituted legal proceedings in respect of the following complaints of unsound food:- Bottle of mineral water containing half a cigarette packet. Fined 40/-. Β£6.6.0. costs. Dirty milk bottle - Fined Β£3.0.0. Bottle of Lemonade contaminated with petrol. Adjourned Sine Die. Sale of mouldy Cornish Pasty - Fined Β£5.0.0. Β£5.5.0. costs. Mouldy Bridge Pies - Proceedings pending. The Council sent a warning letter to the persons responsible for the sale of a bun containing a wire nail, and decided to take no further action in respect of a complaint of a currant bun alleged to contain a pin.
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Other complaints received during the year related to food alleged to contain maggots (seven instances); food alleged to contain mould (ten cases); and 14 instances of food alleged to contain foreign matter, including glass, metal, pins, and insects. In several of these complaints the fodd was perfectly sound. "Paper" in a doughnut was found to be part of a polythene film used to enclose lard. A number of complaints were also received concerning alleged unsound meat, including chicken and bacon, and two complaints of contaminated milk. Where the complaint was substantiated the shopkeeper's premises and stock were inspected and the shopkeeper advised. MEAT INSPECTION Details of the carcases inspected at the Garland Road Abattoir during 1959 are as follows:- -57 TABLE NO.
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14 Carcases & Offal Inspected and Condemned in Whole or In Part, 1959 Cattle excluding Cows Cows Calves Sheep and Lambs Pigs Goats Number killed and Inspected. 8,294 2 2,385 25,566 24,971 7 All diseases (except Tuberculosis and Cysticerci) Whole carcases condemned. - - 4 13 51 - Carcases of which some part or organ was condemned. 4,252 - 3 2,090 4,157 Percentage of the number inspected affected with disease other than tuberculosis and cysticerci. 51.2 - .29 8.2 16.8 Tuberculosis only Whole carcases condemned 7 - - - - - Carcases of which some part or organ was condemned. 410 - - - 459 - Percentage of the number inspected affected with tuberculosis.
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5.2 - - - 1.8 - Cysticercosis Carcases of which some part or organ was condemned and treated by refrigeration. 74 - - 1 - - -58- LICENSING OF SLAUGHTERHOUSES AND SLAUGHTERMEN There is now only one licensed slaughterhouse in the Borough - the Garland Road Abattoir, at which over 51,000 carcases were inspected by the Council's Meat Inspectors during the year. Twelve slaughtermen's licences were issued by the Council during the year. Two were to serving soldiers attached to the Barracks, and the remainder to men working at the Garland Road Abattoir.
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SLAUGHTERHOUSE FACILITIES IN THE BOROUGH Under the Slaughterhouse (Hygiene) Regulations, and the Slaughtering of Animals (Prevention of Cruelty) Regulations, as applied to the London area, the Council are required to carry out a review of slaughterhouse facilities in the Borough, and to estimate the probable future requirements In the district for slaughterhouse facilities, and the facilities available or likely to become available to meet those requirements. In view of the fact that the full slaughtering capacity at the Garland Road Abattoir is not at present used and after consultation with the meat trade and other interests concerned, the Council decided that it is unlikely that lany requirement of the present or foreseeable future could not be met at this Abattoir. The owners have given an assurance'that they will be prepared to contract with any local butcher for the private slaughtering of beasts as and when required. In these circumstances the Council consider that the present slaughtering facilities in the Borough are reasonable and adequate.
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At the end of the year the Council decided to recommend the Ministry of Agriculture, Fisheries and Food that the date for the coming into force of the Hygiene Regulations in the Borough should be the 1st October, 1960.
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-59- PREVALENCE AND CONTROL OF INFECTIOUS DISEASE The following diseases are compulsorily notifiable in the Borough Anthrax, Cholera, Diphtheria, Dysentery, Encephalitis (Acute), Erysipelas, Enteric Fever, Food Poisoning, Glanders, Hydrophobia, Leprosy, Malaria, Measles, Membranous Croup, Meningococcal Infection,Ophthalmia Neonatorum, Pneumonia (Acute Primary), Pneumonia (Acute Influenzal), Poliomyelitis, Polio-encephalitis, 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.
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Cases of infectious disease notified to the Department are immediately visited by the Public Health Inspectors 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 belonging to the patient is removed for treatment at the Disinfecting Station and the rooms sealed and fumigated. The total number of notifiable infectious diseases occurring in the Borough was 2,333 (compared with 864 in the previous year), of which 1,801 were notifications of measles. DIPHTHERIA Once again there were no confirmed cases of diphtheria in the Borough. POLIOMYELITIS The only case of confirmed poliomyelitis, which was non-paralytic, concerned a four-year old girl who had not been immunised. Nine other notifications of suspected cases were received.
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All patients were admitted to hospital for observation and revised diagnoses were: Pneumonia 2; Septicemia 2; Influenza; Respiratory Infection; Tonsillitis; Nervous Disability; and Pyrexia of unknown origin. -60- Immunisation against poliomyelitis was continued throughout the year by the County Council, and with the improvement in the supply of vaccine local publicity for vaccination was intensified. DYSENTERY Notified cases of Dysentery totalled 76, a large increase on the previous year, and occupied the Department's attention throughout the year. Thirty-six of the notified cases concerned children under 10 years of age. Most of the cases were of a mild type. The infection was found to persist for a long time in a number of cases despite repeated treatment in hospital. Routine testing of other members of the family in addition to the notified cases was carried out.
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SALMONELLA INFECTION An outbreak of Salmonella Infection occurred at the British Hospital, Woolwich, in June involving mainly the premature baby unit. There were 15 notified cases of mothers and premature babies, and there were two deaths of premature babies. The majority of the mothers affected were residents of the Woolwich and Greenwich areas. Mothers who had had their babies were discharged immediately. Despite a thorough check on all patients, staff at the hospital, buildings and equipment, it became necessary to close the hospital, but owing to the energetic efforts of all concerned the hospital was reopened with the minimum of delay. Complete disinfection of the premises and of the bedding and blankets was carried out by the staff of the Health Department. PNEUMONIA Increased notifications of Acute Primary and Acute Influenzal Pneumonia were received, notifications totalling 140 during the year. The number of deaths from Pneumonia (all forms) was 128.
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-61- TABLE NO. 15 NOTIFICATION OF INFECTIOUS DISEASES (EXCLUDING TUBERCULOSIS), 1959 Under 1 year 1-4 years 5-9 years 10-14 years 15-34 years 35-44 years 45-64 years 65 and over Age unknown Total Total No. admitted to Hospital. Diphtheria - - - - - - _ _ - . Scarlet Fever β€” 24 54 20 3 - β€” _ - 101 9 Paratyphoid Fever - - - - 1 - - - - 1 1 Meningococcal 2 2 1 - 1 1 - - - 7 7 Infection Poliomyelitis _ 1 - - - - - - - 1 1 Erysipelas - - - - - 2 4 4 - 10 2 Dysentery 5 17 14 11 11
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3 11 2 2 76 31 Zymotic Enteritis 14 7 - 1 2 - 1 3 5 33 30 Scabies β€” - β€” - β€” β€” - β€” β€” β€” β€” Pneumonia 1 12 8 6 11 11 47 43 1 140 5 Food Poisoning 7 4 1 - 2 - 1 - ~ 15 13 Puerperal Pyrexia - - - - 74 9 - - - 83 83 Ophthalmia 10 - - - - - - - - 10 10 Neonatorum Whooping Cough 3 18 13 1 - - - β€” β€” 35 7 Measles 60 792 889 36 11 5 - - 8 1801 38 Typhoid Fever - - - - - - - - - - - Malaria - - - - - - - - - - -
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Encephalitis - - 1 - - - - - - 1 1 TUBERCULOSIS There was again an appreciable reduction in new cases of Tuberculosis notified in the Borough; the total in 1959 being 86. During the past six years the number of new cases notified has been halved. Pull investigation and treatment is carried out by the local Chest Physician and her staff. Clinics are held regularly at Maxey Road, Plumstead, and at Carnecke Gardens, Eltham. -62- TABLE NO. 16 - 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 1949 144,000 256 59 .41 1,572 3.7 1950 144,000 205 58 .40 1,670 3.
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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 1,569 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 1957 143,000 145 22 .14 1,504 1.4 1958 142,000 101 20 .14 1,514 1.3 1959 142,000 86 14 .09 1,542 .9 TABLE NO.
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17 The following is an extract from the Tuberculosis Register for 1959:- Pulmonary Non- Pulmonary M F Total M F Total Cases notified for the first time 50 28 78 4 4 8 Other additions to Register during the year, including transfers of patients from other areas. 50 56 106 4 4 8 Cases on Register at 31st December,
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1959 881 729 1610 65 67 132 -63- The following table gives the age groups of new cases notified Formal Notifications Number of Primary Notificates of New Cases 0- 1 14 514 1524 2534 3544 4554 5564 6574 75 & up Total (all ages) PULMONARY Males - 1 1 4 4 10 9 14 6 1 50 Females - 3 3 3 9 3 5 1 1 - 28 NON-PULMONARY Males - β€” 1 - l - - 2 - - 4 Females - - - - 2 1 - 1 - - 4 Total - 4 5 7 16 14 14 18 7 1 86 MASS X-RAY SERVICE Mobile units of the South East London Mass X-Ray Service visited the Borough regularly during 1959,
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and over 20,000 persons were x-rayed. At the special survey held in Powis Street, Woolwich, during the year some 11,000 persons were x-rayed, and nearly 4,000 employees of Woolwich Arsenal were x-rayed during April. The unit also visited a number of other local factories. The great majority of those x-rayed were men, special attention being paid to men over 45 years of age for lung cancer. Six-monthly visits are being made to a number of local factories for this purpose. At the end of the year arrangements were also in hand for the unit to make regular visits to central Woolwich on one day each fortnight. DISINFECTION AND DISINFESTATION Following notification of infectious disease 113 rooms were disinfected by the Department during 1959. Of this -64- number 26 rooms had been occupied by tuberculous patients.
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The Public Health Inspectors made 762 visits in connection with verminous conditions, and as a result of these inspections it was found necessary to disinfest 349 rooms of vermin. Many requests from residents in the Borough to remove and destroy old and unwanted furniture and furnishings were received. The articles to be destroyed were mainly dirty and verminous. The items which were collected and later destroyed at the Plumstead Destructor included 14 mattresses, 16 bedsteads, 21 sets of bedding, 42 pieces of furniture,and 50 sundry items. A local firm which specialises in rag and other waste wipers periodically requires the issue of a Certificate of Hygiene to the effect that a consignment of rags has been efficiently washed and sterilized. This particularly applies when the rags are for export. Seven such Certificates were Issued to this Company during the year, for which a small charge was made.
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AUTHENTICATION OF CERTIFICATES OF VACCINATION 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 Dootor practising within the area. During the year 564 Certificates were authenticated by me, 546 relating to protection against smallpox, 12 for cholera, and six for typhoid fever. PERSONAL CLEANSING The Borough Council maintains two personal cleansing stations, one being at Plumstead (adjoining the Turkish Baths, Plumstead High Street), and the other at the Lionel Road Centre, Eltham. The number of persons cleansed in 1959 was 1086, and the number treated for scabies was 69.
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-65- 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 Hither Green Hospital, Lewisham. This service is provided by the Public Health Laboratory Service. 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. samples of swimming bath water. The following summary relates to the work carried out by the laboratory on behalf of the Council during 1959:- Type of Specimen No.
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Examined Food (various) 24 Ice-cream (methylene blue test) 15 Milk (Methylene blue, phosphatase and turbidity tests) 237 Water (swimming baths, children's paddling and boating pools) 29 Organs from animal carcases 1 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 at the Brook Hospital and at the St. Nicholas Hospital. TABLE OP CONTENTS rage Preface 2 Health Committee 4 Staff 5 General Statistics 7 Vital Statistics j Public Health Administration 16 Housing 31 Clean Air 39 Health Education 49 Inspection and Supervision of Food 50 Infectious Diseases (including Disinfection, 60 Disinfestation and Personal Cleansing). Laboratory Facilities. 66 -66-
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AC.4372 W0060 METROPOLITAN BOROUGH OF WOOLWICH ANNUAL REPORT on the Health of the Metropolitan Borough of Woolwich for the Year I960 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 OF WOOLWICH ANNUAL REPORT on the Health of the Metropolitan Borough of Woolwich for the Year i960 by T. Standring, M.D.,B.S.,D.P.H.,Mβ€žR.C,,S.,L.R.CoP.,F.R.S.H. Medical Officer of Health PREFACE To: The Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. MR. MAYOR, LADIES AND GENTLEMEN, I have pleasure in presenting my Report for the year 1960 on the Public Health of the Borough of Woolwich.
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At the outset I am pleased to state that the general health of the Borough is very satisfactory. The Registrar General's estimate of the home population for 1960 was 145,470 being an increase of 670 on the previous year. The birth rate of 14.9 was the highest for the Borough since 1951* and the death rate of 9-8 the lowest for the Borough since 1954, and the second lowest figure on record. Deaths from cancer, totalling 292, were again high. There were 37 infant deaths, compared with 41 in the previous year, 25 of them occurring in children under one week old. The year was a very satisfactory one so far as infectious disease in the Borough was concerned. The general incidence was the lowest for any year on record, and no special difficulties were experienced. However, effective control over such diseases as diphtheria and poliomyelitis requires continued effort to ensure that the vaccination rate is kept at a satisfactory level.
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Recent sporadic outbreaks of diphtheria in London and elsewhere in the country have shown that vigilance in this respect cannot be relaxed. The great strides made by the Council in housing and slum clearance since the War were materially advanced during the year. Confirmation was received from the 2 Government of the Ann Street Nos, 5-8 Areas, and rehousing of the occupants in these Areas was commenced., Altogether 1,156 new dwellings were completed in the Borough during the year, besides the erection by the Borough Council of the first of the four 14-storey blocks of flats in the Stβ€ž Mary's Comprehensive Development Area - the highest block so far erected by the Council, Dwellings were completed on a number of other sites in the Borough, including the Bostall Estate and at Southend Crescent, The scheme for the erection of 71 dwellings in the Belson Road and Kingsman Street Area was also begun. The County Council's work on the Abbey Estate was also materially advanced during the year.
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Further large areas of the Borough were brought under Smoke Control during 1960 and the results achieved to date prove the worth of the work of the Council in this sphereβ€š By the end of the year six large areas in the Borough were under Smoke Control, covering over 9*000 houses, A further 5*000 houses will be brought under Smoke Control by October, lΒ§6l.
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Two further large areas, covering 4,500 houses are also being surveyed for this purpose, so that by October, 1962 20,000 houses will be under Smoke Control out of a total of 44,000 houses in the Borough, In recent months there has been a greater awareness among the public generally of the harmful effects to health of noise, and an Increasing number of complaints of excessive noise have been received by the Council, Recent complaints have related to noise from factories and from building sites, noise from the delivery of milk bottles, noise from ice-cream chimes, noise from electric motors in flats, and most frequently of all, noise from motor traffic. The Council's Public Health Inspectors are able to deal with most of these complaints and with the co-operation of the offenders bring about a reduction in the amount of noise. The serious consequences, particularly to the very young and the very old, from home accidents is repeatedly emphasised in the Council's Health Education activities.
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Every effort is being made to draw attention to the simple precautions and safeguards that should be taken to prevent these home accidents. The Council, besides co-operating with the County Council in special Home Safety campaigns, undertakes local publicity on home accident prevention, which includes the showing of sound films, the giving of talks, advice from the staff when visiting individual homes, and the distribution of a large amount of literature and other information on the subject. 3 During the year much discussion took place on the Report of the Royal Commission on Local Government in Greater London. The Borough Council's evidence to the Commission had strongly stressed that local services should be locally administered. The Commission in its Report fully recognised the essential local nature of these services and went considerably further than the proposals which had previously been agreed between the County Council and the Metropolitan Boroughs for the re-transfer of the personal health services to Metropolitan Boroughs. The Commission recommended that, in addition to the whole of the personal health services, the welfare services, i.e.
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both domiciliary and residential for old people, for children, for the disabled, and for the homeless, should be transferred to revised and generally enlarged Greater London Boroughs. The Woolwich boundaries, however, would remain unchanged. The Commission considered that the personal health, welfare and children's services should be in the hands of the same authority, and the authority should be that also responsible for the housing and environmental health services. There has been much support for the Commission's views on the future administration of the health services in London, and so far as these services are concerned the Borough Council in submitting its views on the Royal Commission's proposals to the Minister welcomed the Commission's proposals to transfer these services to the Boroughs. Lastly, may I take this opportunity of thanking the Chairman and Members of the Health Committee, and other Members of the Council, for their support during the year, and also thank the staff of the Health Department for the interest shown and the good work done by them during the year. I am, Mr.
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Mayor, Ladies and Gentlemen, Your obedient Servant, T. STANDRING. 4 HEALTH COMMITTEE at 3lst December, 1960 THE WORSHIPFUL THE MAYOR (Councillor Mrs.J.E. Carroll,J.P.) Councillor Mrs.E.M. Wood (Chairman). Councillor L.A. Heath (Vice-Chairman). AldermenE. McCarthy and Fβ€žJ. Munns. Councillors- Mrs.A.E. Aitken G.S. Dean A.W. Bassett Mrs.W.H.M. Hulbert Mrs.M.J.M. Bradley Mrs.C.B. Jeffrey Mrs.S.M. Bradley M.A. Jeffrey Mrs.E. Brooks H.F. Reilly W.B. Browning B.L. Seigne Mrs.E.G. Bunce Mrs.H.
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Stroud HEALTH DEPARTMENT STAFF Medical Officer of Health- T. STANDRING, M.D.,B.S.,D.P.H.,M.R.C.S.,L.R.C.P., F.R.S.H. Chief Public Health Inspector- F.A. ANDREW, Cert.P.H. Insp.Exam.Joint Board; Cert.Meat and Other Foods. Public Health Inspectors- F.J. HOINES, Cert.P.H.Insp.Exam.Joint Board; 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) 5 W.E. McLELLAND, Cert.P.H.Insp.Exam.Joint Board;Cert.
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Meat and Other Foods; Cert.Smoke Insp.- (Smoke Inspector) MISS M.F. THOMAS, G.M., Cert.P.H.Insp.Exam.Joint Board Cert.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; Cert.Smoke Insp.- (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) K.S.
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COOPER, Cert.P.H.Insp.Exam.Joint Board; Cert.Meat and Other Foods- (District Inspector) J.B. O'CONNELL, Cert.P.H.Insp.Exam.Joint Board; Cert.Smoke Insp.- (Smoke Control Inspector) R.H. PASTERFIELD, Cert.P.H.Insp.Exam.Joint Board; Cert.Meat and Other Foods- (District Inspector) J. HACKER, Cert.P.H.Insp.Exam0Joint Board; Cert.Meat and Other Foods- (Food Inspector) J.H. LOTT, Cert.P.H.Insp.Exam.Joint Board; Cert.Meat and Other Foods- (Food Inspector) J. HILLS, Cert.P.H.Insp.Exam.Joint Board; Cert.Meat and Other Foods- (District Inspector) N.E. BROOM, Cert.P.H.Insp.Exam.Joint Board; Cert.
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Smoke Insp.- (Smoke Control Inspector) B. TAYLOR, Cert.P.H.Insp.Exam.Joint Board- (District Inspector) 6 N.J. BURTON, Cert.P.H.Insp.Exam.Joint Board;(District Inspector) G.M.L. WIMBORNE, Cert.P.H.Insp.Exam.Joint Board(District Inspector) (Appointed 29.9.60) Student Public Health Inspectors- J.W. DENNARD. C. OAKINS. Public Analyst (Part-time)- H. AMPHLETT WILLIAMS, PH.D.(Lon.) A.C.G.F.C.,F.R.I.C. Administrative and Clerical- Chief Assistant- A. HEALEY, A.C.C.S. Senior Clerk- R.E. SWEETT, D.M.A. Assistants- J.E. KAY, D.M.A. Q.C. RYAN D.M.
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GIBBS MRS.M.H. DOWDING (Resigned 50.6.60) MRS.W.E. ELLISON MRS.M. BALDERSON (Appointed 8.7.60) MRS.F.E. WEBB MRS.A.V. FORBES W.H. MAY MRS.J. BARYLSKI MISS A. SHERING GENERAL STATISTICS Area of Borough 8,282 statute acres. Number of dwellings 44,779 Number of Persons per acre 17.57 Total Rateable Value Β£2,771,140 (including Government property) Product of Id. rate Β£11,232 7 VITAL STATISTICS Extracts from the vital statistics for the year, with comparative figures for 1959* are shown below TABLE NO. 1 1959 1960 Population (Home, i.e. including members of H.M. Forces stationed in the district) 144,800 145,
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470 Live Births - Legitimate 1,875 2,052 Live Births - Illegitimate 97 127 Total Live Births 1,972 2,179 Birth Rate 13.6 14.97 Stillbirths 42 39 Stillbirths - Rate per 1,000 total births 21.3 17.9 Total Deaths 1,542 1,424 Death Rate per 1,000 population 10.6 9.8 Maternal Deaths Nil Nil Death Rate from Puerperal Causes per 1,000 total births - - Deaths of Infants under one year 4l 37 Death Rate of Infants under one year 20.8 160 97 Deaths from Tuberculosis (all forms) 14 9 Deaths from Cancer (all ages) 279 292 Deaths from Acute Poliomyelitis Nil Nil BIRTHS The number of live births registered in Woolwich during i960 was 2,713.
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After correction for inward and outward transfers, the net number of Woolwich live births was 2,179 being 207 more than in the previous year. Of the total births 1,109 were boys and 1,070 girls. It is known that 1,518 births took place in public institutions in the Borough, of which 856 concerned Woolwich mothers. The birth rate was 14.9 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 14.8 compared with the birth rate for London of 17.8 and that for England and Wales of 17.1. There were 39 stillbirths during the year under review. MARRIAGES There were l,04l marriages in the Borough during 1960, 8 of which 678 took place in Churches; the remaining 363 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 134 occasions. DEATHS The number of deaths registered in Woolwich was 1,153 and after correction for inward and outward transfers the net number was 1,424 giving a death rate of 9.8 for the Borough, compared with 10.6 the previous year. Of the total deaths, 609 (or 42 per cent.) were over 75 years of age. The adjusted death rate for Woolwich was 10.4 compared with the figure of 11.4 for London and of 11.5 for England and Wales. Deaths of Woolwich residents in hospitals in the Borough totalled 409,whilst 480 died in other hospitals. MATERNAL DEATHS There were no maternal deaths during 1960, nor in the previous year. NATURAL INCREASE IN P0PULATI0N(1.e.
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excess of Births over Deaths) In 1960 the natural increase in population was 755; in 1958 it was 489; and in 1959 it was 430. INQUESTS Thirty-seven inquests were held on Woolwich residents during the year, and 363 post-mortems on Woolwich residents were carried out on behalf of the Coroner. INFANT MORTALITY There were 37 infant deaths during the year, being four less than in the previous year. The infant death rate was 16.97 compared with 21.9 for England and Wales. 9 The following Table gives details of the infant deaths in Woolwich during 1960. TABLE NO.
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2 DEATHS UNDER 1 YEAR - I960 Causes of Death Under 1 Week 1-2 Weeks 2-3 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 13 β€” β€” β€” 13 β€” β€” β€” β€” 13 Congenital Malformation 3 1 1 β€” 5 β€” β€” β€” β€” 5 Broncho Pneumonia β€” β€” β€” β€” β€” 1 β€” 2 1 4 Atelectasis 7 β€” β€” β€” 7 β€” β€” β€” β€” 7 Bronchitis - β€” β€” β€” β€” 2 1 β€” β€” 3 Other Causes 2 β€” 1 β€” β€” 2 β€” β€” β€” 5 28 37 MOTOR VEHICLE FATALITIES There was a marked decrease:in fatal road accidents during1960, the total of 14 being two-thirds of that in 1959.
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Of the accidents involving pedestrians, two of the fatalities concerned pensioners, one a middle-aged man, and the remaining two a youth and a toddler. Accidents involving motor cycles continue to take a toll of young lives. Of the five which occurred, four were men under 25 and one a middle-aged man. Pedal cyclists suffered three fatalities, two being in collision with cars, and one died after falling from his cycle. 10 One young woman was killed when her Invalid chair swerved in front of a car. OTHER FATAL ACCIDENTS Other fatal accidents, totalling 11, showed an even greater drop than road accidents, being exactly half the 1959 total. As usual falls accounted for the greatest number, totalling five deaths all of persons over sixty. They included a fall downstairs and one out of bed. The accidental inhalation of domestic gas caused one death, and the exhaust fumes from the engine of a motor launch another. Burns caused the deaths of two pensioners.
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The remaining two deaths were caused by falling objects at work, in one case of a lathe, and in the other collapsing steelwork. DEATHS FROM CANCER Of the total number of deaths,292 were from Cancer (excluding Sarcoma), being 13 more than in the previous year. Of these, 148 occurred in men and 144 in women. More than half the Cancer deaths (188) took place in hospitals. The following Tables give details of Woolwich deaths from Cancer. TABLE NO.
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3 CANCER DEATHS BY AGE - WOOLWICH, i960 Age Men Women Total Deaths in Hospitals Under 30 years β€” β€” β€” β€” β€” 31-45 years 4 5 9 3 46-55 years 16 19 35 20 56-65 years 46 24 70 46 66-75 years 51 35 86 55 76-80 years 18 30 48 28 Over 80 years 13 31 44 36 Total 148 144 292 188 11 TABLE NO.
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4 WOOLWICH DEATHS FROM CANCER OP THE LUNG AND BRONCHUS, 1950-1960 Year Lung Bronchus Total Deaths in Hospital Male Female Male Female 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 1958 15 9 46 12 82 48 1959 17 4 37 9 67 49 1960 18 1 50 6 75 46 TABLE NO. 5
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WOOLWICH DEATHS FROM CANCER (including all other specified Malignant Tumours) Year Men Women Total Deaths Deaths in Hospitals 1940 120 91 211 95 1941 123 121 244 107 1942 136 109 245 91 1943 133 113 246 79 1944 128 95 279 116 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 1956 176
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137 313 183 1957 158 155 313 158 1958 168 149 317 151 1959 158 140 298 176 i960 162 154 316 188 12 TABLE NO. 6 CANCER DEATHS (EXCLUDING SARCOMA) WOOLWICH, 1960- SEAT OF PRIMARY DISEASE Male Female Total Deaths in Hospitals Stomach 24 23 47 26 Bronchus 50 6 56 35 Lung 18 1 19 11 Breast β€” 31 31 26 Colon 7 16 23 16 Pancreas 3 9 12 8 Rectum 7 4 11 9 Uterus β€” 11 11 5 Prostate 11 β€” 11 7 Ovary β€” 5 5 5 Bladder 6 5 11 9 Liver 3 1 4 2 Caecum β€” 2
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2 2 Oesophagus 4 1 5 2 Kidney 2 β€” 2 1 Larynx 3 1 4 2 Tongue 1 3 4 3 Thyroid β€” 1 1 1 Gall Bladder 1 4 5 4 Others and unspecified 8 20 28 14 148 144 292 188 13 TABLE NO. 7 NET DEATHS DURING THE CALENDAR YEAR i960 CAUSES OP 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 years 45 and under 65 years 65 and under 75 years 75 years and upwards All causes 1424 37 7 4 7 37 343 380 609 Tuberculosis,respiratory 9 - - - - 2 3 4 - Tuberculosis,
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other - - - - - - - - - Syphilitic disease 1 - - - - - - 1 - Meningococcal infections - - - - - - - - - Measles - - - - - - - - - Other infective and parasitic diseases 2 - - - - - 1 β€” 1 Malignant neoplasm,stomach 47 - - - - 1 14 14 18 Malignant neoplasm,lung, bronchus 75 - - - - 2 32 31 10 Malignant neoplasm,breast 31 - - - - 2 18 5 6 Malignant neoplasm,uterus 11 - - - - 2 6 1 2 Other malignant and lymphatic neoplasms 152 - - 2 2 2 48 39 59 Leukaemia, a leukaemia 8 - - - - 1 4 2
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1 Diabetes 8 - - - - - - 4 4 Vascular lesions of nervous system 160 - - - - 1 30 46 83 Coronary disease angina 517 - - - - 7 83 97 130 Hypertension with heart disease 39 - - - - - 6 11 22 Other heart diseases 131 - - - 1 4 20 32 74 Other circulatory disease 66 - - - - 2 8 20 36 Influenza 2 - - - - - 2 - - Pneumonia 97 3 1 - - - 10 17 66 Bronchitis 87 3 - - - - 14 25 45 Other disease of respiratory system 10 - 1 - - - 5 2 2 Ulcer of stomach and duodenum 17 - - - - - 4 10 3 Gastritis,
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enteritis and diarrhoea 6 - - - - - - 1 5 Nephritis and Nephrosis 3 - - - - - 3 - - Hypherplasia of prostate 9 - - - - - - 3 6 Congenital malformations 13 7 3 1 - - 2 - - Other defined and illdefined diseases 88 24 1 - - 5 17 13 28 Motor vehicle accidents 14 - 1 1 4 1 5 - 2 All other accidents 11 - - - - 2 2 2 5 Suicide 9 - - - - 2 6 - 1 Homicide and operations of war 1 - - - - 1 - - - 14 The chief Vital Statistics for the Borough since 1940 are given in the following Table:- TABLE NO.
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8 Year Population estimated to middle of each Year BIRTHS Net deaths of the District Net Under 1 Year At all ages No. Rate No. Rate per 1,000 net Births No. Rate 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 110,140 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 14.5 1945b 115,270 2,021 17.5 83 41 1,478 12.
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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 12.3 1952c 151,800 2,199 14.4 47 21.4 1,667 10.
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9 1953c 151,000 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 26.0 1,504 10.3 1958c 144,600 2,003 13.8 40 20.0 1,514 10.5 1959c 144,800 1,972 13.6 41 20.8 1,542 10.
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6 1960c 145,470 2,179 14.9 37 16.9 1,424 9.8 b - Civil population c - Home population 15 PUBLIC HEALTH ADMINISTRATION PUBLIC HEALTH INSPECTION OP THE AREA During i960, the Public Health Inspectors carried out 35,045 inspections, including re-inspections. The nature of these inspections is shown in Table Noβ€ž 9. As a result, 607 Intimation Notices and 276 Statutory Notices were served. It was not found necessary to institute legal proceedings to enforce the requirements of Statutory Notices served under the Public Health (London) Act. COMPLAINTS The number of complaints received during the year was 2,748 compared with 2,732 in 1959. Any necessary action was taken where complaints were made or nuisances discovered. TABLE NO.
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9 INSPECTIONS Complaints investigated 1,065 Shops Act inspections 831 Complaints (reinspect- ions) 2,880 Food Premises 1,395 Complaints re food 34 Outworkers' premises 252 Water sampling and testing 37 House re overcrowding 25 New Houses re water supply 1,214 Rodent Control 2,182 Atmospheric pollution 318 Houses re infectious disease 692 Houses re Smoke Control Areas 5,144 Houses re vermin 217 Houses re Smoke Control Areas (reinspections) 2,488 Council housing appliccants re vermin 1,041 Housing Act inspections 1,319 Men's lavatories 78 Housing Act - Improvement Grants 400 Women's lavatories 46 Houses re choked drains 227 House-to-house inspections 126 Drainage inspections 892 Houses re Certificates of Disrepair 189 Houses, visits with owners,builders,etc.
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218 Aged and Infirm persons 2,561 Houses re slum clearance and redevelopment 604 Tents and Vans 159 Stables 4 Public Houses 132 Pet Animals premises 90 Theatres and Cinemas 20 Visits re insect and other pests 448 Hairdressers and Barbers 185 16 TABLE NO. 9 INSPECTIONS (cont.) Houses re disinfection or destruction of articles 40 Shops re Pharmacy and Poisons 277 Miscellaneous visits 2,683 Factories mechanically powered 221 Non-effectual visits 5,243 Factories non-mechanically powered 24 TABLE NO.10 NUISANCES ABATED Dirty conditions remedied 173 Ceilings repaired or renewed 53 Roofs repaired 271 Walls repaired or renewed 358 Gutters, rainwater pipes etc.
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repaired or renewed 141 Lighting and ventilation defects remedied 290 Damp walls and other damp conditions remedied 925 Areas and yards paved or repaired 19 Fireplaces,hearths,flues etc.repaired or renewed 37 Sinks, S.W.pipes,etc. repaired or renewed 49 Floors, skirting and other woodwork 104 Drains cleansed 164 Combined drains repaired or reconstructed 1 Drains repaired or reconstructed 26 Water closets cleansed and repaired 50 Dustbins provided 45 Other dilapidations remedied 143 Water closet pans and traps fixed 13 Foul accumulations remedied 13 Water closet seats repaired or renewed 27 Houses repaired following informal action 462 Water supply defects remedied 86 Houses repaired following formal action 213 Windows repaired or renewed 211 WATER SUPPLY Water for domestic use is supplied exclusively by the Metropolitan Water Board. Samples of water are submitted by the Board to their own laboratory for chemical and bacteriological examination.
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No complaints were received by the Health Department during the year as to either the quality or quantity of the water. 17 There are still seven wells in use in the Borough, and samples of well water taken for bacteriological examination revealed the water to be satisfactory. Well water is used for industrial purposes, firefighting, and at the Council's swimming baths at Plumstead and Woolwich. DRAINAGE The Public Health Inspectors supervised the necessarywork of repair or reconstruction of the 190 drainage defects which were discovered during the year. 36 smoke tests were applied on suspected defective private and combined drains. Of the tests made, 18 showed that the drains were defective, of which three were in respect of drains which were not in use. These drains were subsequently exposed by the staff of the Department and permanently sealed off.
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Thirty-four combined drains were inspected and tested during the year and in one instance - a broken inspection chamber cover - it was necessary to serve a notice on the responsible owner under the provisions of Section 40 of the Public Health (London) Act, 1936, to remedy the defect. SHOPS ACT, 1950 The provisions of the Shops Act, 1950 relating to the suitability of ventilation, sanitary accommodation, the maintenance of suitable temperature, lighting,washing facilities, and facilities for taking meals by employees in shops, is the responsibility of the Borough Council. For this purpose, 8^1 visits of inspection were made by the Public Health Inspectors during the year. PHARMACY AND POISONS ACT, 1933 The registration and supervision of sellers of Part II poisons (other than registered Pharmacists) is carried out by the Council under the above-mentioned Act. The number of persons entered on the Council's list at the end of the year was 149.
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18 CINEMAS The sanitary conveniences in cinemas in the Borough were inspected at regular intervals throughout the year to ascertain that a satisfactory standard of cleanliness was maintained. The standard generally was found to be very good. PET SHOPS The ten pet shops in the Borough are licensed annually by the Council and 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. Ninety inspections of pet shops were made during the year. RAG FLOCK There are three premises in the Borough registered under the Rag Flock and Other Filling Materials Act, and one factory licensed under the Act for the manufacture of rag flock. During the year seven samples of filling materials were obtained for analysis. Three samples of cotton felt, and single samples of rag flock, woollen mixture felt, curled hair and fibre mixture were obtained. All the samples passed the prescribed standards of cleanliness.
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HAIRDRESSERS AND BARBERS PREMISES All persons carrying on the business of a hairdresser or barber must be registered in accordance with Section 18 of the London County Council (General Powers) Act, 1954 and also have their premises registered with the Borough Council. In addition, 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 46 Ladies' hairdressers premises, 48 Gentlemen's, and 10 combined ladies' and Gentlemen's premises. Regular inspections are made by the Public Health Inspectors. 19 FACTORIES ACTS, 1937 - 1959 TABLE NO. 11 DETAILS OF INSPECTIONS CARRIED OUT DURING I960 PREMISES No.
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on Register Inspections Written Notices Occupiers prosecuted (l) Factories in which Sections 1,2,3* 4 and 6 of the Act of 1937 are to be enforced by Local Authorities 17 27 - - (ii) Factories not included in (i) in which Section 7 is enforced by the Local Authority 275 161 6 - (iii) Other premises in which Section 7 is enforced by the Local Authority (excluding outworkers1 premises) - - - - TOTAL 292 188 6 - CASES IN WHICH DEFECTS WERE FOUND AND REMEDIED DEFECTS No. of cases in which Prosecutions instituted. defects were found Found Remedied Referred to H.M. Inspector Referred by H.M.
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Inspector Want of cleanliness 7 7 - 2 - Overcrowding - β€” β€” Inadequate ventilation 3 3 β€” β€” β€” Unreasonable Temperature - β€” β€” β€” β€” Ineffective drainage of floors β€” β€” β€” β€” β€” Sanitary conveniences β€” β€” β€” β€” β€” (a) Insufficient 1 1 β€” 1 β€” (b) Unsuitable or defective 9 9 β€” 8 β€” (e) Not separate for sexes 1 1 β€” 1 _ Other offences against the Act (not including offences relating to Outworkers) 1 1 β€” β€” β€” TOTAL 22 22 - 12 - 20 OUTWORKERS In the last return made by employers of labour, the total number of outworkers in the Borough was shown to be 261, compared with 204 in 1959. Nature of Work No. of outworkers in August list required by Sec.110(l)(c) No. of cases of default In sending lists to Council Prosecutions for failure to supply lists No.
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of instances of work in unwholesome premises Notices served. Prosecutions. Wearing apparel (Making etc.,cleaning and washing) 54 β€” β€” β€” β€” β€” Household linen 10 - - - - - The making of boxes or other receptacle or parts thereof mac wholly or partially of paper 3 β€” β€” β€” β€” Lampshades 193 - - - - - Brush Manufacturer 1 - - - - - TOTAL 261 - - - - - Local firms employ 73 per cent, of these outworkers, the remainder being employed by firms in various parts of the country. Local industry also employs 9^ outworkers who reside outside the Borough. 21 Periodical inspections of the outworkers' homes are made by the Council's Public Health Inspectors. Altogether 252 such visits were made in 1960 to ensure that the home working conditions were satisfactory.
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RODENT CONTROL During the year 726 complaints of rats and 365 of mice were received, and in addition to the investigation of these complaints systematic inspection under the "block control" system was continued. A total of 21,590 premises were inspected and of these 18,412 were under "block control". Forty-three "block control" schemes were carried out during the year. The number of properties found to be infested by rats or mice was 1,813, which included 177 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 33 smoke tests on suspected defective drains at rat infested premises, and these tests produced evidence of 15 defective drains. As in previous years, the Council continued its practice of arranging free treatment in respect of infestations in private dwellings.
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A charge is made for treatment carried out by the Council at business or industrial premises. With the co-operation of the Borough Engineer's Department, two sewer treatments and test baiting were undertaken during i960. The extended period of baiting was continued, pre-baiting being carried out on the first and fourth day and poison baiting on the eighth day. The bait used was sausage rusk with zinc phosphide as the poison and paranitrophenol as a preservative. Repeated baiting took place where there had been complete "takes". WOODWORM AND OTHER PESTS Throughout the year various complaints were received from residents in the Borough of infestations of woodworm, cockroaches, silver fish, moths, carpet beetles, and wasps. 22 All the complaints received were Investigated and where required, the Department carried out the necessary disinfestation.
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In all, 44 premises were disinfested of woodworm, 5 of cockroaches, 2 of moths, 1 of carpet beetles, and 66 of wasps. Of the houses treated to rid them of woodworm 38 were Council-owned houses. Charges made to the responsible persons for the work outlined above totalled Β£167. Wasps - The new method of disinfestation for wasps proved very successful and reduced the cost from an average of 27/6d. to 5/-d. per nest. The method is simple and easy, and consists of applying a powder containing 0.5$ Dieldrin. Two ounces of this powder, which must be placed at the entrance to the nest, is sufficient to ensure that the incoming wasps carry enough powder into the nest to kill all the wasps. All external wasp activity ceases in about 3 hours.
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Fine weather is necessary for the successful disinfestation of nests where the entrances are exposed to the elements. Some 66 nests were dealt with, and 100 per cent, success with single treatments was obtained. MASON BEES INFESTATION Two infestations by Mason bees affecting 20 houses were dealt with. Brickwork in both infestations was "honeycombed" to a large extent. Power spraying with a Vermicin/Dβ€žD.T. preparation effected instant and complete disinfestation. PROVISION OF DUSTBINS The number of dustbins provided by owners after the service of Intimation or Statutory Notices was 45. In 27 cases it was necessary to serve Statutory Notices on the owners concerned; no legal proceedingsvrere necessary for this purpose.
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23 EXCHANGE OF GIFTS FOR OLD CLOTHES Legal proceedings were instituted by the Council in respect of an offence reported by the Police in an Eltham Street where the Defendant had distributed notebooks, ball pens, and trinkets to children under 15 years of age in exchange for old clothing, contrary to Section 26 of the London County Council (General Powers) Act, 1952. The Police Sergeant who reported the infringement had previously warned the Defendant, who had nevertheless persisted in the practice. He was fined Β£5. BURIALS AND CREMATIONS During the year arrangements were made by the Department for the burial or cremation of six persons who had died in the Borough, where it appeared that no other suitable arrangements were being made for their burial. Five of these persons were elderly. The Council's expenses in this work during the year amounted to Β£95. 6. 10., of which Β£90. 5. 0. was recovered from the Estates of the deceased persons.
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ELTHAM CREMATORIUM The modern Crematorium in the grounds adjoining the Eltham Cemetery is administered by the Woolwich, Greenwich and North-West Kent Joint Crematorium Committee. This Joint Committee comprises the Boroughs of Woolwich, Greenwich, Bexley, Dartford, Erith, and Gravesend, and the Urban Districts of Chislehurst and Sidcup, and Crayford. The Crematorium was opened in 1956 and during the past three years an average of over 2,300 cremations has taken place there annually. This is the highest number of admissions in Crematoria in the South or South-East London areas. STREET CLEANSING There are over 157 miles of roads to be cleansed in the Borough, of which 15 per cent. are swept at least once daily, 20 per cent. three to six times weekly, 55 per cent. twice weekly, and 10 per cent. once weekly.
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24 Eighty-eight street sweepers are employed on the work, and, in addition, a mechanical sweeper and sprinkler is used to sweep the main traffic routes in the Borough and the roads In the shopping areas of Powis Street, Plumstead High Street, and Eltham High Street. Approximately 9,550 street gulleys are cleansed periodically by mechanical gulley cleansing machines. HOUSE AND TRADE REFUSE During the year under review, 43,550 tons of refuse were collected by the Council's vehicles and 44,420 tons disposed of at the Council's Refuse Destructor. The difference between the two weights is largely the quantity of refuse delivered to the Refuse Destructor from the Royal Arsenal and from the Army Barracks. Some 1,838 tons of scrap metal, 1,674 tons of waste paper and 134 tons of textiles were salvaged and 2,154 yards of clinker sold during the year, producing an income of Β£12,860.
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PUBLIC CONVENIENCES There are nineteen conveniences for men, and a similar number for women, within the Borough. In all conveniences the water closets are available without charge. FREE WASHING FACILITIES - PUBLIC CONVENIENCES For the past nine years, the Council has provided free washing facilities at the main public conveniences, including the provision of paper towels, and this service continues to be used to an increasing extent and is much appreciated by the public. The paid washing facilities, which include the supply of a linen towel, are also available. The above information on Street Cleansing, House and Trade Refuse, and Public Conveniences, has been kindly supplied by the Borough Engineer. PUBLIC BATHS AND WASHHOUSES The Council has four bathing establishments in the Borough. This service includes Swimming Baths, Slipper Baths, Turkish Baths, Public laundry, and the use of the 25 Eltham Baths Public Hall in winter for social and sporting activities.
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The attendance figures for the Public Laundry during the past five years are as follows: 1959/60 - 23,570; 1958/59 - 26,081; 1957/58 - 23,939; 1956/57 - 18,295; and 1955/56 - 12,924β€ž Attendances for Slipper Baths in 1959/60 totalled 113,665, and the total attendances for all services for the year was 748,960, an increase of 50,370 over the year 1958/59. Altogether 195,675 schoolchildren attended at the Baths in organised classes for swimming and swimming instruction, and 5,083 swimming lessons were provided for members of the public. Considerable progress was made with the Modernisation Scheme at Woolwich Baths, which it is hoped will be completed in mid-1962.
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The detailed attendances for the year ended 31st March, i960 were as follows:- Public Swimming 350,917 Swimming Tuition 5,083 School Swimming 195,675 Slipper Baths 113,665 Turkish Baths 10,459 Public Laundry - Hand Washing 9,243 Machine Washing 14,327 Swimming Clubs 40,254 Schoolchildren - Cricket School 2,063 Free Baths to Old Age Pensioners and Unemployed Persons 7,274 748,960 In all three swimming baths the water is continuously filtrated and chlorinated. Routine sampling of water from the Council's swimming baths and boating and paddling pools Is carried out. 26- 32 samples were submitted to the Southern Group Laboratory at Hither Green Hospital for bacteriological examination and were also tested for chlorine content and pH reaction by the Health Department. The average results of the examinations and tests are as follows:- Probable No. of Bacillus Coll per 100 m.l.
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Average PH Value Average free Chlorine p.p.m Average Temperature. Plate Count. Yeastrel agar 2 days at 37Β°C. aerobically per m.l. Swimming Baths 0 7.7 1.82 75.5 2 (average) Paddling and Boating Pools 0 8.0 0.12 - 12 3 22 600 X 4 2 200 x 5 x non pathogenic due to soil contamination. The routine physical cleansing and chlorination of paddling and boating pools is producing improved bacteriological results. OLD PEOPLE'S WELFARE The Borough Council has again played a prominent part in the welfare of the elderly in the Borough. A record is kept of all elderly persons requiring periodic visits by the Health Department. This register contains over 900 names. 27 Every effort is made to visit at intervals of not more than three months, and more frequently - weekly and sometimes even daily - when necessary.
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Many first requests were again received for assistance to elderly persons and all were dealt with promptly. Altogether over 4,000 visits were made by the Council's Woman Inspector and her Assistant during the year to the homes of the aged. There is close co-operation in this work between the Council's Inspector and the General Practitioners, District Nurses, the Hospital Service, and the County Council's Home Help and Welfare services, and with the Mobile Meals organisers and the workers of the Council of Social Service. Wherever possible, every endeavour is made to provide an elderly person with nursing or domestic help in his or her own home to enable them to continue living at home for as long as possible. Assistance with admissions to hospital is given. During 1960 it was not found necessary to apply to the Courts for the compulsory removal to hospital of any person resident in the Borough.
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Laundering for the Incontinent Aged Under powers contained in the Public Health (London) Act, the Council provides a service for the washing of soiled linen belonging to the incontinent aged where other arrangements are not reasonably possible,, The disinfecting staff of the Health Department carry out this work and there has recently been a greatly increased demand for this service. New equipment installed has enabled the volume of work to be doubled. There is a collection three times weekly and the number of persons using this service at any one time averages twenty. The total number of articles dealt with during the year was l6,86l comprising the followlng:- Night attire 1,114; Sheets 4,657; Draw Sheets 3,187; Blankets 225; Pillow cases 1,247; Towels 2,051; Miscellaneous 4,380.
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28 Bathing and Cleansing Arrangements are made for the regular attendance at the Council's Bathing Centre of a number of aged persons, who are conveyed to the Centre and then returned home after bathing. A number of these persons are provided with clean clothes and their own clothes are laundered and returned to them. The Council's scheme for home bathing of the aged by the staff of the Health Department was continued under powers contained in the London County Council (General Powers) Act, 1953. A total of 96 aged persons was cleansed in their own homes during the year. The Borough Council arranges for pensioners to have hot baths at a reduced charge, and over 6,000 aged persons attended at the Council's baths during the year. Lunch Clubs The two luncheon clubs organised by the Woolwich Council of Social Service continue to be well used. These clubs are held at a room at the Plumstead Baths and at the Progress Hall, Eltham.