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Domiciliary Chiropody A domiciliary chiropody service for aged persons is organised by the Council of Social Service, this scheme augmenting the County Council's chiropody service at Clinics in the area. Arrangements are proposed for an increased number of sessions by the visiting Chiropodist. Holiday Scheme Under the holiday scheme operated by the Council of Social Service a total of 125 persons spent a week's holiday at Westgate during the year. Two parties went in May and two in September. The organiser reports that the two Guest Houses used are both kept by former Woolwich residents. 29 Each party was accompanied on the coach Journey by a voluntary worker, who was able to arrange small outings and generally contribute to the holiday makers' wellbeing. Most of those enjoying a holiday under the scheme contribute a proportion of the cost, the balance being met by a grant from the Borough Council.
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In addition to the holiday parties at Westgate, help was also given towards the cost of a holiday for 16 other aged persons who were too frail or handicapped to stay in an ordinary Guest House. For them accommodation was found in Homes where some nursing care was available. In some cases holidays were arranged to coincide with those of the relatives with whom they lived, thus giving the relatives a break from their responsibilities. A number of appreciative letters have been received by the Council of Social Service from those who enjoyed a holiday during the year. The voluntary work carried out by a number of local organisations in the Borough for the elderly is recognised by the Borough Council, who make a substantial grant for this purpose. NUISANCE FROM NOISE The passing of the Noise Abatement Act has been welcomed as giving additional power to deal with noise nuisance.
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In London the Act amends Section 66 of the London County Council (General Powers) Act, 1937 and now provides that noise nuisance, including vibration, shall be deemed to exist where any person makes, or continues or causes to be made or continued, any noise which Is a nuisance. A local authority may serve an abatement notice on the person causing the nuisance and the notice may be enforced by complaint to a Magistrate's Court. In addition, three or more occupiers of land or premises who are aggrieved by a noise nuisance may complain to the Magistrate's Court. The defence available to the occupier of a trade or business that he has used the best 30 practicable means of preventing or mitigating the nuisance, having regard to the cost and other relevant circumstances, is retained. During the year the Council also considered the effect of the existing legislation available to prevent or mitigate noise in all its aspects.
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The Council decided that the provisions of the Byelaws in force in the Borough should be given more publicity in order that the public may be made aware of the remedies available to them to deal with contraventions of such Byelaws. Complaints were received during the year of excessive noise from motor vehicles, and in particular motor cycles. Assurances were received from the local police authorities that action against an offender is taken when circumstances warrant intervention by the Police. The Noise Abatement Act imposes a total prohibition on the use of a loudspeaker in a street between 9 p.m. and 8 a.m., and prohibition on the use of loudspeakers in the street at any time of the day or night for advertising any entertainment, trade, or business. However, the use of ice-cream chimes between noon and 7 p.m. is permitted if they are operated so as not to give reasonable cause for annoyance to persons in the vicinity.
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Proceedings for an offence may be instituted by a local authority or by a member of the public. During the year the Council adopted a Byelaw dealing with noisy instruments in streets in the following form"No person, for the purpose of hawking, selling, distributing, or advertising any article, shall shout or use any bell, gong or noisy instrument in any street or public place so as to cause annoyance to the inhabitants of the neighbourhood." HOUSING REPAIRS At the end of the year it was estimated that there were 44,090 dwellings in the Borough. Premises inspected for housing defects under both the Public Health (London) Act and the Housing Act totalled 1,943. Of the total number inspected, 882 houses were found to be not in all respects reasonably fit for habitation. 31 A total of 662 houses were rendered fit by informal action, which included the service of 607 Intimation Notices.
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In 276 instances it was necessary to serve Statutory Notices to ensure that the necessary work of repair was carried out. House-to-house inspections under the provisions of the Housing (Consolidated) Regulations, 1925 were made in 126 houses. OVERCROWDING On routine inspections or following complaints from householders, or at the request of the Housing Department, 36 families were visited. Eleven were found to be statutorily overcrowded and reports were made to the appropriate authority. It is the duty of the Council to supply in writing a statement of the permitted number of persons in respect of any dwelling, and in this connection 57 premises were visited and measured following requests for the information from either tenant or landlord. SLUM CLEARANCE AREAS The Council's agreed Slum Clearance programme for the five-year period 1956-196O had been virtually completed at the end of 1960.
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In the revised 1956-1960 Clearance programme for the Borough 922 properties were scheduled for clearance, 510 to be dealt with by the Borough Council and 412 by the County Council. The following Borough Council Clearance Areas were confirmed by the Minister of Housing and Local Government during the year:- Date confirmed by Minister Castile Road Area - Nos: 1-5 Castile 29th November,1960 Road. 32 Ann Street No. 5 Area-Nos: 63a Vicarage Road, 86-106(even), 110-126(even), 126a, 128-134 even) Villas Road. 20th July,1960 Ann Street No.
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6 Area-Nos: 37-45(odd), 47-57(odd) Vicarage Road, 36-46(even), 52, 58, 62-66(even), 70&72, 27-37(odd), 45-75(odd) Villas Road; 46-86(even), 86a, 88-102(even), 45-99(odd) Ann Street; 29-37(odd) Walmer Terrace; 38-64(even) Robert Street. 8th July,1960 Ann Street No. 7 Area-5&7 Glyndon Road 10th May, 1960 Ann Street No. 8 Area-21-25(cons.) Walmer Terrace. 29th April,1960 Confirmation of the following Areas was awaited at the end of the year:- Church Hill No. 1 Area-Nos: 3-2l(odd) Church Hill. Church Hill No.
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2 Area-Nos: 31&32 Church Hill. John Wilson Street Area Nos: 46-60(even), 60a, 62-68(even), 51,53, 59-87(odd) John Wilson Street; l-8(conso), 14a, 15-17(cons.) Monk Street: l-13(cons.) Clara Place; 37c, 38-40(conso), 42-50(cons.) Castile Road. Southport Road Area Nos: 32-60(even) Southport Road. Kirkham Street Area Nos: 26-64(even), 68, 23-27(odd), 31-69(odd) Kirkham Street; l8-58(even), 9-29(odd) Ravine Grove.
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FUTURE SLUM CLEARANCE AREAS Agreement was reached with the County Council during 1960 on the allocation of future Slum Clearance Areas between the two Authorities for the period 1961-1965. The two Authorities agreed to the submission to the Minister of a list comprising 727 properties, the division of responsibility between the respective Authorities to be 33 allocated as follows:- 496 properties to be cleared by the Borough Council. 231 properties to be cleared by the County Council. As in previous programmes, the proposed Areas may be subject to some variation when the detailed inspection of the properties is undertaken. INDIVIDUAL UNFIT HOUSES The following unfit houses or parts of houses were represented by me during the year as unfit for human habitation and not capable of being made fit at reasonable expense. Demolition Order 99 Rectory Place. Closing Orders 116 Red Lion Lane. 5 Salutation Alley. Closing Orders:Part of Premises 19 Woolwich Common-Basement front and back roos.
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106 Woodhill-Basement left (living) room, and basement right (scullery) room. 5 Graydon Street-Basement back (scullery) room. 19 Fennell Street-Basement living room. During the year the Council determined Closing Orders or Undertakings not to use the house for human habitation, in respect of 3 Saunders Road, 31 Waverley Road, 19 Abbey Terrace, and 9 Passey Place (Basement rooms). CERTIFICATES OF UNFITNESS Under the Housing Subsidies Act, 1956 where a local authority proposes to demolish dwellings which have been purchased by them for clearance purposes, to establish the unfitness of these dwellings the Minister of Housing and Local Government requires a Certificate from the Medical Officer of Health as to the unfitness of the dwellings, and also requires a local authority to pass a Resolution that the houses be demolished as unfit.
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34 Certificates of Unfitness were issued by me during the year in respect of the undermentioned properties:- 2-24(even), 28, 30, 24, 38-42(even) John Wilson Street; 15 Parsons Hill; 3 Belson Road; 7 and 8 Marshall's Grove; and 180 Woolwich Church Street. RENT ACT, 1957 - CERTIFICATES OF DISREPAIR The following are the details of applications received during the year for various certificates under the Rent Acts - No. of applications for Certificates of Disrepair 32 No. of applications for Certificates of Disrepair refused. 1 No. of notices to landlords of the Council's intention to issue a Certificate of Disrepair 33 No. of undertakings received from landlords, and accepted by the Council 22 No. of Certificates of Disrepair issued 11 No.
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of Certificates issued to landlords as to the remedying of defects for which the landlord had previously given an undertaking 18 No. of Certificates issued to tenants as to the remedying of defects for which the landlord had previously given an undertaking 5 Twenty-nine applications for cancellation of Certificates of Disrepair were received from landlords or their agents on the grounds that the defects specified on the Certificates had been satisfactorily remedied. In 23 instances it was found that the required repairs had been completed and the Certificates were cancelled. IMPROVEMENT GRANTS More owner-occupiers of premises in the Borough are taking advantage of the House Purchase and Housing Act, 1959 which enables a local authority to pay monetary grants to owners and in certain cases leaseholders, who desire to 35 modernise their properties. Applications for both discretionary and standard improvement grants increased in number.
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To qualify for a discretionary grant, the dwelling must after improvement, comply with the following twelve point standard - (1) be in a good state of repair and substantially free from damp; (2) have each room properly lighted and ventilated; (3) have an adequate supply of wholesome water laid on in the dwelling; (4) be provided with efficient and adequate means of supplying hot water for domestic purposes; (5) have an internal or otherwise readily accessible water closet; (6) have a fixed bath (or shower) in a separate room; (7) be provided with a sink or sinks and with suitable arrangements for the disposal of waste water; (8) have a proper drainage system; (9) be provided in each room with adequate points for gas or electric lighting (where reasonably available); (10) be provided with adequate facilities for heating; (11) have adequate facilities for storing, preparing and cooking food; and (12) have proper facilities for storing fuel (where required).
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The Local Authority may,at their discretion, pay a grant up to half the estimated cost of improvement, subject to a minimum grant of Β£50 and a maximum grant of Β£400. Work of repair and maintenance necessary to conform to the standard does not, however, rank for grant unless it is work needed as a direct consequence of improvement work, as for example, the re-decoration of a room where the 56 decorations have been damaged in course of the structural improvements. The standard grant scheme is simpler than the discretionary grant scheme. It is not necessary for an applicant to submit detailed plans and priced specifications, and a grant is payable by the local authority to owners for installing one or more of the following five standard amenities, which are not already existing - (1) a fixed bath or shower in a bathroom; (2) a wash-hand basin; (3) a hot water supply to the sink, bath and basin; (4) a water closet in or contiguous to the dwelling; (5) satisfactory facilities for storing food.
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The dwelling must have all five standard amenities when the improvement work has been completed and must be fit to live in , and likely to remain so, for 15 years. The grant payable is half the cost, up to a maximum of Β£155 for installing all five standard amenities. This sum is reduced by Β£25 if there is already a bath or shower; by Β£5 for a wash-hand basin; by Β£40 for a water closet; by Β£75 for a hot water supply; and by Β£10 for a food larder. All applications for improvement grants are submitted to the Borough Treasurer and referred to the Health Department for an inspection to be made to determine whether the proposed work will satisfy the provisions of the required standard. During the year 169 applications for discretionary Improvement grants, and 85 applications for standard improvement grants, were received and reported upon. An additional 196 visits were made by the Public Health Inspectdr to advise owners and builders concerning proposed improvement grant schemes.
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37 HOUSING PROGRESS The number of dwellings built in the Borough of Woolwich during the year was as under:- By Borough Council 284 β€ž London County Council 609 β€ž Private Enterprise 263 1,156 In addition, at the end of the year the Borough Council had a further 735 dwellings under construction. Building continued in the St. Mary's Comprehensive Redevelopment Area, in particular in the Samuel Street/ Prances Street area, where by the end of the year the first of the four 14-storey blocks of flats was nearing completion. The flats in these tower blocks are to be heated by electric underfloor heating with supplementary heating by means of an electric panel fire. Laundry facilities will be provided. A further scheme comprising 71 dwellings was commenced in the Belson Road/Kingsman Street area. In the Glyndon Area further rehousings from substandard properties have been carried out, and plans prepared for the erection of 252 dwellings.
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During the year, 70 families were rehoused from Temporary Dwellings, and in due course there will be permanent housing development on the sites. Dwellings have also been completed and occupied on several sites in the Borough, in particular on the Bostall Estate, where 131 families were housed, and at Southend Crescent where a further 72 housings took place, thus completing the first part of the scheme. The first 24 dwellings were occupied at Strongbow Road, and work had commenced on the 9-storey block of flats. This block is also to be heated by electric underfloor heating. Improvement work to 25 properties in North Woolwich was completed. This work included the provision of bathrooms and the modernisation of the kitchens.
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38 The initial steps in respect of the Clearance Area procedure were taken with regard to certain of the dwellings in Kirkham Street and Ravine Grove, and in addition the Borough Engineer was asked by the Housing Committee to consider and prepare a Master Plan and layout for the redevelopment of the Clothworkers Area at Woolwich Common. In accordance with the requirements of the Requisitioned Houses and Housing (Amendment) Act, 1955 all requisitioned properties were released by the 51st March, 1960. At the 31st December, 1960 there were 9,471 tenancies in properties owned or controlled by the Council, and at that date there were 2,546 applicants on the Housing Register, compared with 2,785 the previous year. I am indebted to the Council's Chief Housing Officer for this information on the Housing progress in the Borough.
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INSPECTION AND SUPERVISION OF FOOD PREMISES WHERE FOOD IS PREPARED OR OFFERED FOR SALE A total of 1,886 inspections of food premises other than the dally market inspections was carried out by the Food Inspectors during the year. Inspections of registered food premises during the year were as follows:- Dairies 12: Distributors of Milk 176; Ice-cream Premises 289; Premises where Meat Is Potted, Pickled, Pressed and Preserved l8l; Premises where Sausages are manufactured 52; Premises where Fish is cured or prepared for Frying 44; Wholesale dealer in Margarine 2; Restaurants, Cafes and Snack Bars 328; Industrial and School Meals Service Canteens 133; Markets-Daily; Bakehouses 4; Itinerant Vendors 9; Non-registered Premises 147; Greengrocery and Fish Shops 151; Public Houses 232.
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39 FOOD SAMPLING, 1960 During the year ended 31st December, 1960, 716 samples of food and drugs (being 506 informal and 210 formal samples) were submitted for analysis to the Public Analyst. Of these 16 informal samples and three formal samples were reported to be adulterated or otherwise not complying with the statutory requirements, giving a percentage of 2.6 compared with 4.3 in 1959. No private samples were examined during the year. Adverse reports were received on the following samples:- TABLE NO. 12 Sample No. Article Formal or Informal (For I) Adulteration or Irregularity 167 Bread I Contained small pieces of wood baked in the loaf. 168 Macaroon I Rancid and unfit for consumption. 139 Smoked Haddock (Prepacked) I Incorrectly labelled. 156 Minced Beef F Contained sulphur dioxide (50 parts per million) contrary to the Preservatives in Food Regulations.
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165) 166) Milk I Contained a small piece of steel wool and two small particles of rust. 43 Dried Oxtail Soup Contained potato starch not disclosed on the label. 190 Hamburgers I Incorrectly labelled. 295 Tea I Incorrectly labelled. 40 521 Sponge Mixture I Contaminated by insects (small beetles) 415 Milk Chocolate containing Whisky I Label misleading; stated to contain Whisky but amount of Whisky insignificant . 416 Creme Coffee & Brandy Chocolate I Label misleading, contained no Brandy. 417 Creme Mocha Rum Chocolate I Label misleading, contained no Rum. 412 Pure French Lard I Did not consist entirely of pure Lardo 515 Marzipan I At least 13 per cent, deficient in ground almonds. 373 Bronchial Mixture I Deficient in Chloroform. 646 Cochineal I Contained Glycerine, not disclosed on label. 709 Rolls and Butter F Contained Margarine; no butter found.
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746 Rolls and Butter F Contained 6 per cent. Butter and 6 per cent. Margarine. From the bare statement of facts set out above it may not be apparent that your Public Analyst, Dr. Amphlett Williams, Ph.D., is one of the foremost practitioners in this field. On many occasions he has been instrumental in bringing important food questions into the open. Only last year he was the leading figure in presenting the report of the Association of Public Analysts on the use of misleading labels, and advertisements of certain medicinal preparations, following which an agreed Code of Practice for the labelling of Proprietary Medicines has now been introduced. 41 legal proceedings were instituted by the Council for the offence of selling Whisky containing excessive water. The first Defendant was fined Β£10 with three guineas costs, and the second Defendant was fined Β£2.
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A warning letter was sent to the vendor of Formal sample 156 (Minced Beef) which contained preservative contrary to the Preservatives in Pood Regulations. SALE OF ROLLS AND BUTTER During the year a number of samples of rolls and butter were obtained for analysis, and it was found that in some cases the rolls had been spread with a mixture of margarine and butter, or spread with margarine only. Whilst noting that customers obtained a reduction in price by reason of the use of margarine instead of butter, the Council decided to circularise all proprietors of cafes, restaurants, and licensed premises in the Borough drawing their attention to the practice obtaining in certain of these establishments and stating that, whilst the Council was not concerned with the fact that margarine is from time to time used in substitution for butter, this being purely a matter for the proprietor to determine, it was an offence to serve margarine when the customer had asked for butter where the circumstances were such that the customer might reasonably expect to be supplied with pure butter.
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The letter suggested that where margarine was used the customer's attention should be drawn to this fact, either by notice or by other means. COMPLAINTS OF UNSOUND FOOD The Council instituted legal proceedings in respect of a complaint of mouldy Bridge Pies. The former employee of the firm supplying these pies was fined Β£3 with Β£6.6.0. costs, the summons against the firm being dismissed. A warning letter was sent to the persons responsible for the sale of a Yankee Doughnut Ring containing a matchstick. The Council expressed its concern at the practice of the use of matches for lighting the gas rings of the cooker on which the doughnuts were prepared. The firm 42 subsequently installed an electric cooker and the use of matches was discontinued. A warning letter was also sent to the bakers of a bread roll which was found to contain part of a cigarette.
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A complaint was received from a Woolwich resident of a dirty milk bottle delivered to her home, the milk having been bottled in the area of another local authority. The complaint was referred to that authority to consider the institution of legal proceedings. The bottle contained particles of foreign matter, probably small mould growths, which were in contact with the milk. Legal proceedings were subsequently instituted by the authority concerned against this firm. Other complaints of unsound food dealt with by the Pood Inspectors during the year related to mould in Bread (5 cases); mould in sausages (3 cases); mould in meat pie (2 cases); maggot in flour and in sultanas; dirt in a milk bottle (2 cases; in one of these the Public Analyst reporting that the foreign body consisted of fragments of wire); bread containing webbing; canned meat containing string; and jam alleged to be unfit for human consumption. It was found that the Jam had been over-cooked during the manufacturing process.
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A number of complaints of stale foodstuffs was also investigated. Inspection of the food premises was carried out and in some instances the remaining stocks were withdrawn from sale. Other complaints of alleged unsound food were taken up with the vendors concerned and the complainants invariably expressed themselves satisfied with the action taken. POOD HYGIENE REGULATIONS The Food Hygiene (General) Regulations, 1960 which amend and consolidate the existing Pood Hygiene Regulations, take account of the experience gained since 1955. The definition of 'food handlerp' ha3 been extended to persons who wash up or clean food equipment, and the prohibition of smoking whilst handling open food now also includes the taking of snuff. 43 HYGIENE IN HOSPITAL CATERING DEPARTMENTS At the request of the Woolwich Group Hospital Management Committee, inspections of the Catering Departments at the five Hospitals in the Borough were carried out, and detailed reports submitted.
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MILK SUPPLY At the close of the year, one Dairy and 118 registered Distributors of Milk were operating from within the Borough. The Council also approved registration of a further 27 Distributors who distribute milk in the Borough from premises outside. Under the provisions of the Milk (Special Designation) Regulations, 1960, 217 dealers' licences and 73 supplementary licences were issued authorising the use of the special designations "Sterilised", "Pasteurised", and "Tuberculin Tested". The percentage of fat content of milk samples submitted to the Public Analyst for chemical analysis was as follows:- Fat Content 4.5 per cent. and over Nil 4.0 per cent. and under 4.5 per cent. 8 3.5 per cent. and under 4.0 per cent. 96 3.0 per cent. and under 3.5 per cent. 70 Below 3 per cent.
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Nil Total 174 During the year 235 samples of Pasteurised or Tuberculin Tested Pasteurised milk were submitted to the Park Hospital Laboratory, Hither Green, to assess the keeping quality of the milk by the Methylene Blue test. All the samples were reported as satisfactory. 44 Of the 239 samples which were subjected to the Phosphatase test at the Park Hospital Laboratory, 230 passed the test and nine failed. All the samples which failed the Phosphatase test were from the same Dairy. In all these cases of failure corresponding samples had been tested in the Dairy's own laboratory and reported as satisfactory. The recording graphs used in the tests were checked, as was the pasteurising temperature. No fault was detected in the equipment. Further samples were immediately taken and all passed the test. Twenty-three samples of Sterilised or Tuberculin Tested Sterilised milk were submitted to the Park Hospital for the Turbidity test, and satisfactory results were reported on all the samples taken.
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The practice of taking samples of milk in the course of the early morning delivery to schools, hospitals, and institutions in the Borough was continued during the year. Nineteen samples were submitted for chemical analysis, 21 for the Phosphatase test, and 21 for the Methylene Blue test. Satisfactory reports were received on all the samples. Inspections of the premises of Milk Distributors were carried out regularly. In two cases it was necessary to serve notices to remedy defects found. The various tests referred to above are now contained in the Milk (Special Designation) Regulations, 1960 which consolidate and re-enact with amendments previous Milk (Special Designation) Regulations.
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The principal changes made by the new Regulations are that dealers' licences, except for a few kinds which will be granted by the Ministry of Agriculture, Fisheries and Food, will be granted by the Food and Drugs authority for the area within which are situated the premises at or from which the milk is to be pasteurised, sterilised or sold, and licences so granted will permit sales outside as well as inside the area of the licensing authority. Thus, supplementary licences are discontinued. A dealer's pre-packed milk licence is introduced to permit the sale of all three kinds of special designated 45 milk where the milk is obtained by the dealer in the container in which it is to be supplied to the consumer. The duration of all licences granted is extended from one year to five years. ICE-CREAM There were 332 registered ice-cream premises in the Borough at the end of the year, of which four were used for the manufacture of ice-cream and four for the storage of ice-cream.
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The majority of the dealers sell only prepacked ice-cream. Routine inspections of all registered shops are made, and during the year seven defects were found and subsequently remedied. The premises of each new applicant for registration are 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 14 samples of ice-cream were submitted to the Laboratory for grading by the Methylene Blue test, and all proved satisfactory. PUBLIC HOUSES There are 131 licensed premises in the Borough, 28 of which serve main meals. The supervision of the hygienic conditions in public houses is carried out by the Public Health Inspectors. During the year, 132 inspections were made and as a result four informal notices were issued to secure the remedying of the defects found. MEAT INSPECTION The total number of animals slaughtered and inspected at the Garland Road Abattoir during the year was 57,282 which included 14 goats.
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Details are as follows 46 TABLE NO.13 CARCASES & OFFAL INSPECTED AND CONDEMNED IN WHOLE OR IN PART, 1960 Cattle excluding Cows Cows Calves Sheep and Lambs Pigs Goats Number killed and inspected 9,300 – 6,955 12,694 28,319 14 All diseases (except Tuberculosis and Cysticerci) Whole carcases condemned – – 17 11 22 – Carcases of which some part or organ was condemned 3,918 – 45 435 5,382 – Percentage of the number Inspected affected with disease other than tuberculosis and cysticerci 42.2 – .89 3.5 19.0 – – Tuberculosis only Whole carcases condemned 3 – – – 1 – Carcases of which some part or organ was condemned 137 – – – 464 – Percentage of the number inspected affected with tuberculosis 1.5 – – – 1.
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7 – Cysticercosis Carcases of which some part or organ was condemned and treated by refrigeration. 91 – – – – – 47 The decline in the incidence of tuberculosis in cattle, (1.5% compared with 5.2% in 1959) significantly coincides with the completion of the Ministry's tuberculosis eradication scheme. Of nearly 7,000 calves inspected, no tuberculosis was found. Indeed there has been no case of tuberculosis in calves at this slaughterhouse since 1958. The parasites infesting cattle are principally liver flukes and the percentage of bovine livers so infested has shown no serious decline over the past four or five years. More than 3,000 livers were condemned because of liver fluke. Very few hydatid cysts were observed, but 91 carcases were found with localised cysticercosis, which after refrigeration treatment were released for distribution.
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During the course of routine inspection of pigs, two cases of Swine Fever were diagnosed and subsequently confirmed by the Ministry's Veterinary Officer. This is the first time in the 23 years operation of this slaughterhouse that Swine Fever has been confirmed. Swine Erysipelas is still very prevalent among pigs, and appears very difficult to eradicate. At least 10 per cent. of all pigs inspected were found to have pneumonia in varying degrees or the lungs damaged as a result of pneumonia. LICENSING OF SLAUGHTERHOUSES AND SLAUGHTERMEN Licences to slaughter animals (sheep, pigs, calves, and cattle only) were issued by the Council to ten slaughtermen at the Garland Road Abattoir. This Abattoir was also licensed by the Borough Council.
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During the year the Ministry made The Authorised Officers (Meat Inspection) Regulations, which prescribe a new qualification, the holder of which will be eligible to be appointed by a local authority as an Authorised Officer under the Food and Drugs Act to act in relation to the examination and seizure of meat. The primary reason for creating the new class of Officer Is to help overcome the difficulty which has been experienced by some local authorities in recruiting men for work in large pig slaughterhouses, such as bacon factories. To date the Council have experienced no such shortage of qualified Food Inspectors for work at the local Abattoir. 48 CLEAN AIR SMOKE CONTROL AREAS Considerable progress was made during the year towards bringing the whole of the Borough under Smoke Control. At the end of 1960 there were seven Smoke Control Areas in operation and a further six Areas were in various stages towards completion. The following Areas, details of which were reported in my Annual Report for 1959, are now in operation St.
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Mary's Abbey Wood (Abbey Estate) Abbey Wood Middle Park (North East) Middle Park (South West) Abbey Wood No. 2 Clothworkers Wood Details of the six Areas being brought into operation are as follows Abbey Wood No.3 Area The Area comprises 380 acres, and includes 1,973 dwellings, of which 1,793 are private. It is estimated that some 1,700 dwellings will require conversion of approximately 2,900 solid fuel appliances, and a further 550 existing approved appliances will require adaptation. The Smoke Control Order was made by the Council in June and confirmed by the Minister in October, 1960. The operative date of the Order is 1st October,1961. Coldharbour Area This Area, which includes the Council's Coldharbour Estate and properties in Sidcup Road, comprises 350 acres, and includes 2,806 dwellings, of which 1,715 are permanent Borough Council post-war properties, and 1,091 private dwellings.
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Approximately 2,500 of these dwellings require some 3,000 new solid fuel appliances, and a further 600 existing approved appliances will require adaptation. The Smoke Control Order was made by the Council in June and confirmed by the Minister in October, 1960. The -49- operative date of the Order is 1st October,1961. St. Mary's No. 2 Area This Area comprises 26 acres and includes 596 dwellings, of which 25 are private, 415 Borough Council, and 56 London County Council. The London County Council and Woolwich Borough Council dwellings are already fully equipped to burn smokeless fuel. The private properties require 62 new solid fuel appliances, complete with gas ignition. The Smoke Control Order was made by the Council in October, 1960 and awaited confirmation at the end of the year. The Order comes into operation on 1st October, 1961.
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Several unfit properties on an island site in this Area have been exempted from the Order, as they are not scheduled for demolition until after the operative date. St. Mary's No. 3 Area This Area comprises 12 acres, and consists of a London County Council Redevelopment area. The number of properties to be erected by the County Council is not yet known. No conversions are required. The Smoke Control Order was made by the Council in October, 1960 and awaited confirmation at the end of the year. The Order comes into operation on 1st October, 1961. New Eltham Area This Area comprises 380 acres, and includes 1,916 dwellings, of which 24 are Council properties, and 1,892 private properties. Approximately 1,400 dwellings will require some 2,300 appliances, and a further 1,000 appliances will require adaptation.
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It is anticipated that the Order will come into operation on 1st October, 1962. Horn Park Area This Area comprises 454 acres, and includes 2,359 dwellings, of which 1,045 are Council properties, and 1,314 private properties. Approximately 1,500 dwellings will require some 2,150 appliances, and a further 315 -50- appliances will require adaptation. It is anticipated that the Order will come into operation on 1st December, 1962. General At the end of the year there were 986 acres and 9,223 dwellings within operative Smoke Control Areas, and a further 1,602 acres and 9,650 dwellings within Areas being brought into operation. Details of the size, and number of properties in the aforementioned Areas, together with the proposed new Areas, are set out in Table No.14 and the accompanying map.
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Although the Council stresses at every opportunity the advantages to be gained from the installation of approved continuous burning open fires complete with permanent gas ignition, many owner/occupiers have not carried out conversions and, therefore, propose to rely upon the use of the proprietary smokeless fuels in their existing appliances. In such cases a simple declaration is signed by the owner/occupiers stating that they are aware of the difficulties which they may encounter in the future. The original estimates of cost for each Area are based upon a 100% conversion rate. However, it has been found that the final costs, particularly in the case of owner/occupied property, have been much reduced. During the year, after enquiry of other London Boroughs, the Council accepted the Ministry's suggestion of a Β£5. limit for grant aid on a continuous burning appliance. When the Council's Smoke Control activities first commenced, the majority of conversions were undertaken by one large contractor.
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Whilst the contractor made strenuous efforts to complete the work before the operative date of the Order, considerable delays occurred. During the year several more contractors began to undertake the work and the delay has considerably lessened. -51- TABLE NO. 14 - SMOKE CONTROL AREAS Map Ref. No. Name of Area Size (Acres) Premises Date of Declaration Order Confirmed Operative Date 1 St. Mary's 26 595 30.10.57 13.3.58 1.10.58 2 Abbey Wood (Abbey Estate) 202 2,515 29.
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1.58 29.4.58 1.11.58 3 Abbey Wood 157 1,251 30.10.57 4.7.58 1.10.59 4 Middle Park (North East) 163 1,122 30.10.57 9.12.58 1.10.59 5 Middle Park (South West) 100 722 6 Abbey Wood No. 2 78 1,150 1. 7.59 15.2.60 1.10.60 7 Clothworkers Wood 260 1,868 1. 7.59 15.2.60 1.10.60 8 Coldharbour 350 2,806 29.6.60 l8.10.60 1.10.61 9 Abbey Wood No.
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3 380 1,973 29.6.60 l8.10.60 1.10.61 10 St. Mary's No. 2 26 596 26.10.60 - 1.10.61 11 St. Mary's No. 3 12 Not yet constructed 26.10.60 - 1.10.61 12 New Eltham 380 1,916 – - 1.10.62 13 Horn Park 454 2,359 – - 1.10.62 HARDSHIP CASES The Clean Air Act gives the Council discretion to paygreater than 7/10ths grant where it considers this to be reasonable. To cover cases of financial hardship, the Council decided to pay the whole cost of reasonable works in the case of owner/occupiers who were Retirement Pensioners and who were also receiving National Assistance.
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Later, as in some instances Retirement Pensioners who were eligible for National Assistance were not applying for it, the Council extended its decision to include such persons. A total of 13 payments were made. CHURCHES The Council has discretion to pay such grant as it thinks fit in respect of conversions in Churches, Church Halls, etc. Following a recommendation of the Metropolitan Boroughs' Standing Joint Committee, the Council agreed to contribute 30 per cent. of the reasonable cost and to give consideration to any representations Church Authorities may wish to make for greater payment. During the year one payment of 30 per cent. was made. PROCEDURE The Memorandum on Smoke Control Areas, issued by the Minister of Housing and Local Government, required that the Council, after agreeing in principle to the setting up of a Smoke Control Area should submit details to the Minister for preliminary approval.
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Representations have been made by various bodies to the Ministry that this preliminary approval was unnecessary in "black" areas after the approval of a local authority's first Smoke Control Order. An alternative suggestion was for the Minister to agree to a 'block' approval for the whole of a local authority area. A simpler procedure is to be adopted for the future. LIGHTING SOLID SMOKELESS FUEL The Council has given every encouragement to the installation of gas ignition as the easiest means of -54- lighting solid smokeless fuel. However, in some cases, the cost of the installation of a gas supply is prohibitive, and the Minister of Housing and Local Government has been unwilling to confirm the cost for grant aid. During the year a Ministry circular suggested that the use of wood and paper for igniting the smokeless fuels should be permitted, and to this end it suggested that Smoke Control Orders should contain a general exemption relating to the emission of smoke by the use of this method of ignition.
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It is recognised that generally gas provides the most convenient method of lighting solid smokeless fuels. However, during the year an electric fire-lighter was produced by a well-known Company. This fire-lighter will light coke as easily as gas and at a comparable cost. At the end of the year the Ministry was considering the possibility of allowing this appliance, although portable, to rank for grant. FUEL SUPPLIES The local supply of proprietary or "premium" smokeless fuels continues to improve. There are now several brands from which a choice can be made, and no complaints have been received from residents in Smoke Control Areas of inability to obtain authorised fuel. Nevertheless, the Council continues to advise residents not to place reliance upon any one of these fuels by insisting upon the delivery of only one brand. The supply of coke continues to be plentiful throughout the area. Only one instance was reported of the delivery of house coal in a Smoke Control Area, and following discussion with the retailer concerned authorised fuel was substituted.
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Careful watch is maintained by the Council's Smoke Inspectors for the emission of smoke in the operative Smoke Control Areas, and I am pleased to report that no serious infringements have been observed. PUBLICITY The Council continues to ensure that their Smoke Control activities are given adequate publicity. The notification by letters and booklets to residents, introduced when the Clean Air Act was first operated, continues to be successful. There has been a minimum of upheaval and inconvenience to residents and no complaints have been received. -55- Following confirmation of the Orders by the Minister, Public Meetings were held in respect of the Abbey Wood No. 2, Clothworkers Wood, Abbey Wood No. 3, and Coldharbour Areas. At all these meetings the halls were full and many questions were asked by residents, indicating the interest shown in the Council's Clean Air activities. The demonstration caravan was in use in each of these Areas, and 3tayed at least a week on different sites.
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Many residents visited the unit to inspect the three solid fuel approved appliances installed burning coke. It is staffed by members of the Health Department. A representative selection of appliances and fuels available is also displayed in the Department's waiting room. SOOT NUISANCE During the year complaints were received from local residents regarding a nuisance caused by sooty flakes from an oil burning boiler installation at a local hospital. The Hospital Management Committee readily co-operated with the Council in dealing with this nuisance. Modifications were carried out to the oil burners, the flue was cleaned and dust control plant was installed. Considerable improvement followed and no further complaints have been received. 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.
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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 1960 one application for prior approval was received in respect of the installation of a new boilerhouse at the local Abattoir. In addition, two 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 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 1960. -56- TABLE NO. 15 MEASUREMENT AND RECORDING OF ATMOSPHERIC POLLUTION. JANUARY-DECEMBER,1960 MEASURING STATIONS Weight of Sulphur Trioxide collected mg/100 sq.cm/dav Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct.
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N.v. Dec. Woolwich Dockyard 3.3 2.7 2.9 2.0 2.O 1.6 1.0 l.O 1.6 2.1 1.7 2.5 Municipal Offices 4.8 3.8 2.9 3.0 2.3 1.8 1.2 1.4 2.0 3.O 2.6 4.6 Abbey Wood Omnibus Garage 4.0 2.8 2.5 2.3 2.l 1.7 0.9 1.2 1.9 2.5 2.3 3.8 Shooters Hill Golf Club 3.9 3.2 3.3 2.2 2.5 1.8 0.8 1.0 1.9 2.6 2.2 3.
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9 Eltham High Street Area 2.4 1.6 2.0 1.2 1.3 1.0 0.3 0.4 1.0 l.l 0.8 2.0 OTHER STATIONS IN COUNTY OF LONDON Highest 7.3 7.0 8.2 4.5 3.9 4.1 2.9 4.2 3.8 5.8 9.9 8.4 Lowest 0.9 0.9 l.3 O06 O06 0.5 0.2 0.2 0.4 0.7 0.6 0.8 MEASURING STATIONS Total Solid Matter collected, Monthly Deposit in Tons per Sq. Mile Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Woolwich Dockyard 24.
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5 23.6 57.1 15.6 32.l 44.9 16.8 20.l 22.4 52.0 14.2 23.9 Municipal Offices 20.5 19.9 30.3 13.7 22.6 17.5 14.7 16.4 16.5 31.1 10.2 20.2 Abbey Wood Omnibus Garage 18.0 18.2 32.8 13.0 21.6 19.l 11.4 17.5 14.5 33.3 12.2 21.6 Shooters Hill Golf Club 10.8 10.5 17.5 7.0 17.0 12.3 7.7 10.6 12.6 19.6 8.4 13.3 Eltham High Street Area 9.9 8.
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7 7.0 – 6.1 13.8 8.3 10.2 27.8 12.2 7.0 11.4 OTHER STATIONS IN COUNTY OF LONDON Highest 46.1 46.2 57.1 44.5 36.6 50.1 78.3 66.3 62.8 52.0 81.3 71.7 Lowest 5.3 8.7 7.O 7.0 6.1 6.0 6.8 6.7 9.1 11.3 5.3 8.3 HEALTH EDUCATION FILM PROGRAMMES AND INFORMAL TALKS The demand for this popular method of health education showed a sharp increase over the previous year, the total of 90 visits being over one-third more than in 1959.
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Film shows and talks, or talks alone, continue to be the most effective method of dissemination of health propaganda. This was clearly demonstrated by the many letters of appreciation received, and the raising of points bearing on the programmes. Many new organisations were visited and a number of requests for repeat visits were received. The average audience showed an increase in size over previous years, although individual audiences varied, as usual, from between 300 at one old people's club to 25 at other sessions. The estimated total attendances for the year was over 5,000. The subjects chosen varied widely, as can be seen in Table I below. Talks normally last about 20 minutes and film shows an hour. When the two are combined the films are adjusted so that the whole programme does not exceed 60 minutes.
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Summary of the Work of the Health Education Unit, 1960 TABLE I Subject Talks Films Both Total Home Safety 1 16 4 21 Smoke Control – 12 – 12 Clean Water and Sanitation – 8 1 9 Infectious Disease and Hygiene – 6 – 6 Old People's Welfare – 4 1 5 Pests – 4 – 4 Food Hygiene – 3 – 3 Others 4 22 4 30 5 75 10 90 -58- TABLE II Organisation Afternoon Evening Total Audience Religious 10 13 23 842 Old People 11 1 12 1,115 Political 24 6 30 1,012 Others 8 17 25 2,126 53 37 90 5,095 LEAFLETS AND LITERATURE As in past years, leaflets and literature were made freely available to the public through the various Public offices.
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Posters are displayed on a number of sites, and on the Department's transport. Much material is distributed to local organisations during visits by the Film Unit. In addition, the regular circulation to General Practitioners' surgeries and to factories was augmented throughout the year to include leaflets on topical matters, and especially the issue of Home Safety material during the autumn campaign. Much publicity is also given to the Council's activities in Smoke Control. This is more fully dealt with on page 55 of this Report. FOULING BY DOGS: WARNING NOTICES These notices, introduced in 1959, have been appreciated by the public and many requests are received for their display. There are signs that their display in an area does materially reduce the number of offences of this nature, and arrangements have been put in hand for a further supply to meet the increased demand.
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ACCIDENTS IN THE HOME Growing attention is being accorded to the problem of accidents in the home, due to the realisation that for every two deaths that occur on the roads, three occur in or around the home. It is becoming recognised that the modern home holds many snares for the careless and unwary. -59- In 1960 the number of cases removed to hospital by the London Ambulance Service from the area of the Borough as a result of a home accident was 443. Home accident cases removed by ambulance during the year from this area indicate that about three-quarters of the serious home accidents were caused by falls in or around the home. These included falls on stairs, from ladders, from chairs, and in the garden. Other home accident cases treated during the year included accidents from burns and scalds received from the use of the cooking stove and boiling water, from domestic fires, and from the teapot.
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Patients with knife-like wounds and suffering from poisoning, including gas poisoning, were also treated at the local hospitals. During the year, in furtherance of the need to give greater publicity to the home accident problem, over 200 local organisations were circularised as to their possible assistance in the distribution of Home Safety material. Nearly 70 replies were received, yielding a total demand for over 10,000 leaflets. Arrangements were put in hand for the supply of the necessary material. Early in the year, with the co-operation of the W.V.S., the leaflet "How to Avoid Falls" was distributed to local pensioners' clubs to bring home the danger, particularly to the elderly, of this type of home accident. The Council also took part in the Autumn Home Safety Campaign, and, with the assistance of supplies from the London County Council, over 2,000 leaflets dealing with falls and poisoning were distributed to local practitioners' surgeries and factories, workshops, etc.
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In addition, posters were displayed on many sites. PREVALENCE AND CONTROL OF INFECTIOUS DISEASE The following diseases are compulsorily notifiable in the Borough:β€” Anthrax, Cholera, Diphtheria, Dysentery, Encephalitis (Acute), Erysipelas, Enteric Fever, Food Poisoning, Leprosy, Malaria, Measles, -60- 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, the Inspectors see that home isolation continues 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 incidence of infectious disease in the Borough was very low during 1960 and gives rise for general satisfaction. No confirmed cases of diphtheria or poliomyelitis were reported. The total number of notifiable diseases occurring in the Borough was only 440, compared with 2,333 in the previous year. This drop was accounted for mainly by the small number of measles notifications received (only 19); this number being the lowest in the Borough on record.
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POLIOMYELITIS Only one case was notified during the year, and this proved not to be poliomyelitis. Four other patients were removed to hospital as suspected cases of poliomyelitis, the revised diagnoses being Meningitis (3 cases), and Bell's Palsy. DIPHTHERIA No confirmed case of Diphtheria occurred in the Borough. Three patients admitted to hospital as suspected cases were found to be suffering, from Bronchitis, Glandular Fever, and Tonsilitis. -61- FOOD POISONING One outbreak of food poisoning in the Borough occurred at an Old People's residence, when 18 persons were taken ill following a luncheon meal, which consisted of meat pie, gravy, mashed potatoes, carrots, and rice pudding. Two to three hours later three of the persons reported ill, and during the following night fifteen others were taken ill. In all cases the illness was mild and of between 6-l8 hours' duration.
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A number of the patients was found to be harbouring C. Welchii. The meat used for the pie had been cooked two days earlier and allowed to cool, and was then placed in a refrigerator; it was made into meat pies and gravy and further cooked on the morning of the day on which it was consumed. No specimens of the meal could be obtained for examination. Instructions were given by the Matron that there should be no more pre-cooking of meat. Four single cases of food poisoning were also notified during the year. In one case fried fish and chips which had been consumed by an Eltham young man after being re-heated were suspected. In another case canned meat was the food suspected as causing food poisoning in an elderly lady, and in another case poor food storage in the home may have been a contributory factor. In none of these cases was it possible to obtain bacteriological corroboration of the suspicions.
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TABLE NO.16 NOTIFICATION OF INFECTIOUS DISEASES (EXCLUDING TUBERCULOSIS), 1960 Under 1 yr. 1-4 yrs. 5-14 yrs. 15-44 yrs. 45-64 yrs. 65 and over Total Admitted to Hospital. Scarlet Fever Meningococcal 1 16 46 2 – – 65 3 Infection 2 2 5 1 – – 10 10 Erysipelas – – – 1 1 1 3 - Dysentery zymotic 5 13 9 18 3 6 54 7 Enteritis 7 8 4 5 7 1 32 15 Pneumonia 2 4 9 12 18 45 5 Food Poisoning Puerperal – 2 – 2 – 18 22 2 Pyrexia Ophthalmia – – – 68 – – 68
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68 Neonatorum 14 – – β€” – – 14 6 Whooping Cough 11 43 53 1 – – 108 7 Measles 2 15 2 - – – 19 4 -62- TUBERCULOSIS The number of new notification of Tuberculosis occurring in the Borough continued to fall, there being 72 new cases in 1960. Full investigation of all new cases and their treatment is carried out by the local Chest Physician and her staff. There were only nine deaths of Woolwich residents from Tuberculosis in 1960, compared with 14 in the previous year. TABLE NO.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 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 1960 143,000 72 9 .06 1,424 .6 TABLE NO.
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18 The following is an extract from the Tuberculosis Register for 196O:- Pulmonary Non-Pulmonary M F Total M F Total Cases notified for the first time 39 25 64 2 6 8 Other additions to Register during the year, including transfers of patients from other areas. 36 36 72 3 6 9 Cases on Register at 31st December,1960 852 696 1,548 52 72 124 -63- The following table gives the age groups of new cases notified:β€” Formal Notifications Number of Primary Notifications of New Cases 0- 1 1- 4 514 15- 24 2534 3544 45- 54 55- 64 65- 74 75& up Total (all ages) PULMONARY Males β€” β€” 3 5 8 β€” 8 7 3 5 39 Females β€” 2 2 6 4 4 2 2
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2 1 25 NON-PULMONARY Males β€” - - 1 - 1 - - - β€” 2 Females - - - 1 - 3 - 1 1 - 6 Total - 2 5 13 12 8 10 10 6 6 72 MASS X-RAY SERVICE I am indebted to the Director of the South East London X-Ray Service for the following information on the work of the Unit in the Borough during 1960. Dr. Morgan reports as follows:- "A regular service to the Borough of Woolwich started on the 22nd January with a visit to Woolwich Market, Beresford Square. Since that date surveys have taken place in the Market on the second and fourth Thursdays in every month between 3.30 p.m. and 7.30 p.m., and 4,180 people were x-rayed during the year.
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Of this number, 12 cases of tuberculosis requiring close supervision or treatment were discovered (2.9 per thousand) and 14 cases requiring occasional supervision (3.3 per thousand). The 12 "active" cases were found amongst the following groups:- MEN WOMEN Number X-rayed No. of Cases Number X-rayed No. of Cases Doctors' cases 106 1 102 1 Special Service for Men over 45 1,813 2 General Public 1,160 4 999 4 3,079 7 1,101 5 (2.3 per 1,000) (4.5 per 1,
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000) -64- Non-tuberculous abnormalities at these surveys were found as follows:- 8 Carcinoma of bronchus Hypertension Sarcoidosis 3 Bronchiectasis Inthra-thoracic Lipoma 7 Bronchitis & Emphysema Hamartoma Para-oesophageal hernia Eosinophilia of lung 3 Pleural thickening Retention cyst Raised left diaphragm 16 Pneumonitis During surveys at firms and factories (mainly in connection with the Special Service for men over 45) and at a training college, 3,902 people were x-rayed and two cases of tuberculosis reauirine close supervision or treatment were found. The results were:- MEN WOMEN Number X-rayed No. of Cases Number X-rayed No. of Cases Special Service for men over 45.
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3,414 1 β€” β€” "Routine" X-rays 60 - 428 1 3,474 1 428 1 (0.3 per 1,000) (2.3 per 1,000) Non-tuberculous abnormalities at these surveys were as follows:β€” 2 Carcinoma of bronchus Spontaneous pneumothorax 5 Pneumonitis Congenital abnormality of rib 2 Bronchitis Small hiatus hernia Interstitial fibrosis Abnormal costal cartilage Emphysema It will be noted that from the figures of 2,159 general public volunteers who attended at the unit at Beresford Square, 8 cases of significant tuberculosis were discovered. This finding demonstrates the importance of regular x-ray facilities available to the public at a central and well-known site. In addition, 6 further cases were discovered among other groups. Furthermore, at Beresford Square 9 cases of bronchial carcinoma were found.
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-65- The value of this site is therefore self-evident and I would like to express my gratitude to the Borough Council and the Police, who have jointly made our visits possible." 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 Doctor practising within the area. During 1960, 501 certificates were authenticated by me, 439 relating to protection against Smallpox, 4l for Cholera, and 21 for T.A.B. inoculation. PERSONAL CLEANSING The Borough Council maintains two personal cleansing stations, one being at Plumstead (adjoining the Turkish Baths in Plumstead High Street), and the other at the Lionel Road Centre,Eltham.
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The number of persons cleansed in 1960 was 423, and the number treated for scabies was 36. DISINFECTION AND PISINFESTATION The Department during 1960 carried out disinfection of 104 rooms following notification of infectious disease. 13 of these rooms had been occupied by persons suffering with tuberculosis. Well over a thousand inspections for vermin were also carried out during the course of the year, and 461 rooms were found to be in a verminous condition. All the verminous rooms were subsequently disinfested. 38 requests were received from local residents wishing to dispose of unwanted furniture or bedding. In the majority of cases the articles were old and worn out and sometimes verminous. Altogether some 320 items were collected and taken to the Plumstead Destructor to be destroyed. Of this total, 28 were mattresses, 30 bedsteads, 17 sets of bedding, 158 pieces of furniture, and 87 sundry items.
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-66- Certificates of Hygiene were issued to accompany 6 consignments of rag-wipers which had been washed, cleaned and sterilised by a local firm who specialise in the export of rag and other waste material wipers. 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. The following summary relates to the work carried out by the Laboratory on behalf of the Council during 196O:- Type of Specimen No.
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Examined Food (various) 8 Ice-cream (methylene blue test) 14 Milk (methylene blue, phosphatase and turbidity tests) 266 Water (swimming baths, children's paddling and boating pools) 32 Organs from animal carcases (Sections) 2 Sterilisation Test Envelopes 2 324 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. Once more I must express my appreciation of the efficient service of these Bodies. Often they go to considerable trouble to help us with' extraordinary specimens.
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-67- TABLE OF CONTENTS Page Preface 2 Health Committee 5 Staff 5 General Statistics 7 Vital Statistics 8 Public Health Administration 16 Housing 31 Inspection and Supervision of Food 39 Clean Air 49 Health Education 58 Infectious Diseases (including Disinfection, 60 Disinfestation and Personal Cleansing) Laboratory Facilities 67
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ac-4372 t ph/l WOO 6 METROPOLITAN BOROUGH OF WOOLWICH ANNUAL REPORT on the Health of the Metropolitan Borough of Woolwich for the Year 1961 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 1961 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 P_R_E_F_A_C_E To: The Mayor, Aldermen and Councillors of the Metropolitan Borough of Woolwich. MR.
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MAYOR, LADIES AND GENTLEMEN, I have pleasure in submitting the 6lst Annual Report on the Health of the Borough of Woolwich. The Report is on the general lines indicated by the Minister of Health. There was a further increase in the total population of the Borough to 146,850, being 1,380 more than in the previous year, due mainly to the housing work of the Council and the County Council. While the Borough's Birth and Infant Death rates remained constant, there was a rise in the Death rate to 11.7, as compared with 10.4 for 1960. The main increases were in deaths from heart and circulatory diseases, and chest diseases, giving the Borough's highest Death rate since 1951. The rate, however, still compared favourably with London as a whole (11.9), and the national figure of 12.0.
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There is no apparent environmental cause and too much weight must not be given to an isolated year, especially when relatively small numbers are involved. There must, however, be no complacency, and next year's figures will be awaited. Infectious diseases presented no particular problem, although this was a 'measles' year, with over 3,000 notifications. Notwithstanding the occurrence of cases elsewhere in the Metropolis, there were no cases of diphtheria, and only one case of poliomyelitis. This was due in large measure to the continuous effort by the County Council in their diphtheria and poliomyelitis inoculation schemes. Although parents may be unfamiliar with the disease it remains of prime importance that vaccination and inoculation are kept at a high level. Smallpox was absent from the Borough during the whole of the year. However, early in 1962 Woolwich had its first case of smallpox for many years.
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After the immediate isolation of the patient, all known close contacts of the case were ascertained and immediately vaccinated and placed under surveillance. Other less -2- direct contacts were also vaccinated and visited daily. Although a further suspected case not connected with the original confirmed case was removed to the isolation hospital for observation within two days of the original case, fortunately this proved not to be smallpox. Owing to public demand, emergency arrangements for vaccination sessions at County Council Centres and by all local Doctors were immediately instituted, and within the space of a fortnight a large percentage of the population of the Borough had been vaccinated. A fuller report on this incident will be included in the Report for 1962. Because of the extensive clearance and demolition of unfit houses in the Borough during the past decade, and an appreciable improvement in the general standard of repair of houses, the housing work of the Public Health Inspectors is changing.
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The accent is now less on the abatement of nuisances and more on improvement grant applications, the drive for clean air, and the reduction of noise in all its forms. The Council's programme for Clean Air continued to progress satisfactorily. At the end of the year the Council had eleven Areas covering some 1,750 acres of the Borough under Smoke Control, with a further four Areas covering 1,100 acres due to come into operation in the autumn of 1962. Preliminary surveys of further large areas of the Borough were also being carried out at the end of the year. Following a review of the Council's Clean Air programme the target date by which the whole of the Borough should be subject to Smoke Control was brought forward to 1968. In conclusion, I welcome this opportunity of acknowledging the help and co-operation I have received from the Members of the Council, and from colleagues. I should also like to thank the staff of my Department for their valued support during the year. I am, Mr.
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Mayor, Ladies and Gentlemen, Your obedient Servant, T. STANDRING. 3 HEALTH COMMITTEE at 31st December, 1961 THE WORSHIPFUL THE MAYOR (Councillor G.E. Offord, J.P.) Councillor Mrs. E. Brooks (Chairman) Councillor L.A. Heath (Vice-Chairman) AldermenE. McCarthy and F.J. Munns. Councillors- Mrs. A.E. Aitken Mrs. W.H.M. Hulbert A.W. Bassett Mrs. C.B. Jeffrey- Mrs. M.J.M. Bradley M.A. Jeffrey Mrs. S.M. Bradley H.F. Reilly W.B. Browning B.L. Seigne Mrs. E.G. Bunce Mrs. H. Stroud G.S. Dean Mrs. E.M.
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Wood 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) (Retired 1.5-61.) 4 W.E.
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McLELEAND, Cert.P.H.Insp.Exam.Joint Board; Cert.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).
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K.S. 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. PASTERFTELD, Cert.P.H.Insp.Exam.Joint Board; Cert.Meat and Other Foods - (District Inspector). J. HACKER, Cert.P.H.Insp.Exam.Joint 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.Smoke Insp.- (Smoke Control Inspector).
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B. TAYLOR, Cert.P.H.Insp.Exam.Joint Board- (District Inspector). N.J. BURTON, Cert.P.H.Insp.Exam.Joint Board- (District Inspector) (Resigned 12.2.61.). -5- G.M.L. WIMBORNE, Cert.P.H.Insp.Exam.Joint Board (District Inspector). J.W. DENNARD, Cert.P.H.Insp.Exam.Joint Board - (District Inspector) (Appointed 24.7.61). Student Public Health Inspector- C. OAKINS. Hygiene Assistant - MRS. L. RISBY (Appointed 31.5-6l). Public Analyst (Part-time)- H. AMPHIETT WILLIAMS, PH.D.(Lon.) A.C.G.F.C.,F.R.I.C. Administrative and Clerical- Chief Assistant - A. HEAIEY, LL.B.,A.C.C.S.
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Senior Clerk - R.E. SWEETT, D.M.A. Assistants - J.E. KAY, D.M.A. G.C. RYAN D.M. GIBBS W.H. MAY MRS. W.E. ELLISON MRS. M. BALDERSON (Resigned 5.2.61) MRS. F.E. WEBB MRS. A.V. FORBES MRS. J. BARYLSKI MISS A. SHERING MISS 0. ANDERSON (Appointed 16.1.61) MRS. P.P. HOIMES (Appointed 10.7.61) MISS G.A. HILL (Appointed 24.4.61) MISS J.E. JACQUES (Appointed 27.2.61 - Resigned 21.5.61).
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GENERAL STATISTICS Area of Borough 8,282 statute acres. Number of dwellings 44,459 Number of Persons per acre 17.73 6 Total Rateable Value (including Government property) Β£2,846,272 Product of Id. rate Β£11,774 VITAL STATISTICS Extracts from the vital statistics for the year, with comparative figures for 1960, are shown below:- TABLE NO. 1 1960 1961 Population (Home, i.e. including members of H.M. Forces stationed in the district) 145,470 146,850 Live Births - Legitimate 2,052 2,026 Illegitimate 127 130 Total live Births 2,179 2,156 Birth Rate 14.9 14.7 Stillbirths 39 35 Stillbirths - Rate per 1,000 total births 17.9 17.5 Total Deaths 1,424 1,616 Death Rate per 1,
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000 population 9.8 11.0 Maternal Deaths Nil 1 Death Rate from Puerperal Causes per 1,000 total births - 0.5 Deaths of Infants under one year 37 38 Death Rate of Infants under one year 16.9 17.6 Legitimate Infant Death Rate 17.0 16.8 Illegitimate Infant Death Rate 15.7 30.8 Neo-natal Mortality Rate 12.8 13.0 Deaths from Tuberculosis (all forms) 9 19 Deaths from Cancer (all ages) 292 322 Deaths from Acute Poliomyelitis Nil Nil BIRTHS The number of live births registered in Woolwich during 1961 was 2,650. After correction for inward and outward transfers, the net number of Woolwich live births was 2,156 being 23 less than the previous year. Of the total births 1,091 were boys and 1,065 girls.
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It is known that 1,624 births took place in public institutions in the Borough, of which 904 concerned Woolwich mothers. -7- The adjusted birth rate was 14.7, compared with the birth rate for London of 18.7 and that for England and Wales of 17.4 There were 35 stillbirths during the year under review. MARRIAGES There were 1,160 marriages in the Borough during 1961, of which 770 took place in Churches; the remaining 390 took place at the Woolwich Register Office. Of the number of marriages which took place in Churches in the Borough., Registrars of Marriage attended on 222 occasions. DEATHS The number of deaths registered in Woolwich was 1,313 and after correction for inward and outward transfers the net number was 1,616 giving a death rate of 11.0 for the Borough, compared with 9.8 the previous year.
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Of the total deaths, 686 (or 42 per cent.) were over 75 years of age. The adjusted death rate for Woolwich was 11.7 compared with the figure of 11.9 for London, and of 12.0 for England and Wales. Deaths of Woolwich residents in hospitals in the Borough totalled 452, whilst 583 died in other hospitals. MATERNAL DEATHS There was one maternal death during 1961, and none in the previous year. NATURAL INCREASE IN P0PULATI0N (i.e. excess of Births over Deaths) In 1961 the natural increase in population was 5.3; in 1959 it was 430; and in i960 it was 755. INQUESTS Forty-seven inquests were held on Woolwich residents during the year, and 406 post-mortems on Woolwich residents were carried out on behalf of the Coroner.
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-8- INFANT MORTALITY There were 38 infant deaths during the year, being one more than in the previous year. The infant death rate was 17.6 compared with 21.6 for England and Wales, and 22.0 for London. The following Table gives details of the infant deaths in Woolwich during 1961. TABIE NO. 2 DEATHS UNDER 1 YEAR - I96I 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.
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Premature Birth 16 - - - 16 - - - - 16 Congenital Malformation 2 - 1 1 4 1 - 1 - 6 Pneumonia 2 - - - 2 2 3 1 - 8 Atelectasis 2 - - - 2 - - - - 2 Other Causes 3 - - 1 4 2 - - - 6 28 38 DEATHS FROM CANCER Of the total number of deaths, 522 were from Cancer (excluding Sarcoma), being 30 more than in the previous year. Of these, 191 occurred in men, and 131 in women. More than half the Cancer deaths (197) took place in hospitals. The following Tables give details of Woolwich deaths from Cancer. -9- TABLE NO.
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3 CANCER DEATHS BY AGE - WOOLWICH, 1961 Age Men Women Total Deaths in Hospitals Under 30 years - 1 1 1 31-45 years 6 7 13 10 46-55 years 24 18 42 25 56-65 years 57 23 80 47 66-75 years 64 37 101 66 76-80 years 24 18 42 23 Over 80 years 16 27 43 25 Total: 191 131 322 197 TABIE NO.
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4 WOOLWICH DEATHS FROM CANCER OF THE LUNG AND BRONCHUS, 1951-1961 Year Lung Bronchus Total Deaths in Hospitals Male Female i Male Female 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 I960 18 1 50 6 75 46 1961 22 4 49 9 84 54 -10- TAB IE NO.
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5 WOOLWICH DEATHS FROM CANCER (including all other specified Malignant Tumours) Year Men Women Total Deaths Deaths in Hospitals 1941 123 121 244 107 1942 156 109 245 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 176 137 313 183 1957 158
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155 313 158 1958 168 149 317 151 1959 158 140 298 176 1960 162 154 316 188 1961 200 138 338 211 TABLE NO. 6 CANCER DEATHS (EXCLUDING SARCOMA) WOOLWICH,
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1961 - SEAT OF PRIMARY DISEASE Male Female Total Deaths in Hospitals Stomach 31 13 44 31 Bronchus 49 9 58 43 Lung 22 4 26 11 Breast - 25 25 15 Colon 15 10 25 17 Pancreas 6 6 12 9 Rectum 12 8 20 10 Uterus - 17 17 12 Prostate 10 - 10 6 Ovary- - 8 8 3 Bladder 12 2 14 13 Liver 2 1 3 l Caecum 2 2 4 3 Oesophagus 4 1 5 3 Kidney 1 2 3 2 Larynx 2 - 2 2 Tongue - 1 1 1 Others & Unspecified 25 22 45 15 Totals 191 151 322 197 -11- TABLE NO.
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7 - NET DEATHS DURING THE CALENDAR YEAR 1961 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 years 45 and under 65 years 65 and under 75 years 75 years and upwards. All causes 1,616 38 14 6 10 57 380 425 686 Tuberculosis, respiratory 19 - - - - 3 7 5 4 Tuberculosis, other - - - - - - - - Syphilitic disease 8 - - - - - 1 3 4 Meningococcal infections - - - - - - - - Measles Other infective and - - - - - - - - - parasitic diseases 4 - - - - 1 2 - 1 Malignant neoplasm,
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stomach 44 - - - - - 14 16 14 Malignant neoplasm,lung, bronchus 84 - - - - 1 43 23 17 Malignant neoplasm, breast 25 - - - - 2 10 6 7 Malignant neoplasm, uterus 17 - - - - 1 8 6 2 Other malignant and lymphatic neoplasms 168 - - - 2 13 52 46 55 Leukaemia, aleukaemia 12 - 1 1 1 - 3 3 3 Diabetes 6 - - - - - 1 2 3 Vascular lesions of nervous system 157 - β€” β€” 1 3 23 46 84 Coronary disease,