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0d4822ff-da62-4952-8c7a-5c59308ee64a | Measles is rarely fatal if lung complications are avoided, this is to be done by keeping the child warm and avoiding chills. A leaflet has now been in circulation for some years and I 19 believe it has had something to do with this satisfactory result. With so many children in the district it is very satisfactory to be able to submit such a favourable report, DIPHTHERIA. There were two deaths from this disease. Unfortunately medical advice was sought too late for the Diphtheria Antitoxin to be of service. Parents should send at once for medical advice, if any of their children are suffering from sore throats, and not wait for developments. If injected early Antitoxin will cut short this terrible disease and save the patient's life, and other inmates will be saved from catching the complaint if they are given a prophylactic dose. |
29bf0df1-fa02-4f64-bab4-528a74e3dd0a | I beg to remind the general practitioners in this district that I keep a supply of Antitoxin from the Jenner Institute, which can be had at any time of the day or night by applying at my private residence free of charge to necessitous cases. The Prophylactic dose is I.c.c. or about 16 mims. We have had ample proof of the extreme value of this means of prevention. All those who have come in contact with a patient should be given a dose; no harm can result. I gave further evidence of the value of the prophylactic dose in my annual report of 1902. DISINFECTION. The exceptionally low zymotic death rate, and the diminished number of notifications received testify, to the satisfactory manner in which disinfection has been carried out; but one cannot be too strict in this important work, and I have drawn up the following instructions to be observed by the Disinfectors. |
7cc4ffed-e550-48a3-b1a3-be0658abaf08 | FUMIGATION, &c., OF INFECTED ROOMS & PREMISES. Regulations to be observed by Disinfector. Disinfeetor to caear Overall—Before going into an infected room the Disinfector shall put on the mackintosh overall provided for the purpose. This must be kept on during the whole time he is disinfecting the room or rooms. Upon leaving an infected room the overall must be removed, sponged off, and he must wash his 20 hands in disinfectant. He must do everything possible to avoid bringing the infection from an infected room to other parts of the house. This applies also to any helper that may be employed to assist in the work. Sealing ap of rooms—All windows, crevices, fireplaces and doors (except exit door) must be sealed up with gummed strips provided for the purpose. |
10f0058b-e413-437a-83ed-443deb6fc6b1 | Note :—Before proceeding to do this he must at once if he finds any textile articles that have not been removed as required by the regulations for the Steam Disinfector Attendant, report the facts to the Sanitary Inspector, and take his instructions thereon. Spraying.—After sealing up (exit door excepted), the ceiling walls, floor and all articles must be sprayed with the sprayer provided for the purpose with a solution of formalin as directed. Fumigation.—The fumigating lamps, candles or cylinders, containing the fumigating gases are to be placed on the floor of the room in such a position as to avoid any possible chance of causing damage to any articles near by, or so as to cause fire. He must use the number of lamps, candles or cylinders as directed for each room. |
36fb1018-7dec-45ea-b197-5fbefa631975 | Lieai/lng Infected room.—After lighting the lamps, candles or cylinders, and being satisfied as to their safety, he must immediately leave the room and lock and seal up the door upon the outside and leave a Notice with the occupier, also the key, (or in the event of no one being in the house, affix same to the door of infected room) setting forth the time when it may be opened &c. Such Notice must not be timed so as to allow any room to be opened until four hours have elapsed after sealing ; but a longer time must be allowed when possible. Persons objecting to Disinfection—Should the person in charge of the premises object to disinfection being carried out, the Disinfector shall not proceed with the work, or use any threats to such person with a view to getting their consent to disinfect, but shall at once report the facts to the Sanitary Inspector and take his instructions thereon. |
62a255e6-e239-4f71-afd2-683da9da2796 | 21 Care to be taken.—Every care must be taken not to damage or injure any articles or break any windows, on the premises. The Disinfector will be held liable to replace the same if the damage is caused by him. Aets of Negligence op Carelessness—These instructions must be strictly adhered to, as the Disinfector will be answerable to the Council for all complaints of negligence or carelessness. The Council may dismiss him if satisfied that all due care has not been exercised in carrying out this work. By order, G. A. Garry Simpson, June, 1903. Medical Officer of Health. STEAM DISINFECTION OF TEXTILE ARTICLES. Regulations to be observed by Steam Disinfector Attendant. Attendant to wear Overall—Before going into an infected room the attendant shall put on the mackintosh overall provided for the purpose. |
20cb2996-e6e1-4149-a912-4a3d966bb0df | He shall also put it on at the disinfector before taking the bedding &c., out of the van. Before going into No. 2 side to remove the articles from the disinfector it must be removed, sponged off, and he must wash his hands in disinfectant. He must do everything possible to avoid re-infecting the articles after being steamed. This applies also to any helper who may be employed to assist him in the work. |
11add9a3-e0fb-42de-8a84-7860645e1f75 | Removal of Bedding, &c.—The Disinfector Attendant upon receiving an Order from the Health Department to remove and Steam Disinfect all Textile Articles, &c., must proceed to the house named in the Order at once, with the necessary bags and van and remove and Steam Disinfect the following articles—all Bedding, viz., Quilts, Counterpanes, Sheets, Blankets, Pillows, Pillow Cases, Bolsters, Bolster Cases, Feather or Flock Beds, Paliassesand all Bed Hangings; Carpets, Mats, Curtains, Valances, Cushions, Shawls, Towels, Table and Toilet Covers, Box Coverings, Drapings all Wearing Apparel, Books, Toys, &c., and any other textile articles that may have become infected. 22 Every care must be exercised in their removal so as not to damage any of the articles. |
f9f328c3-8662-4cbd-9426-d02ff6be7c8b | Removal of Clothing—Any articles of Wearing Apparel must not be put into the bags containing Bedding, but must be put into a separate bag or bags. Valuable and clean articles must not be mixed with dirty ones. Disinfection of Bedding— Upon arrival at the Disinfector No. 1 side the Bedding can be passed through the Apparatus in the bags, but must be taken out of the bags after being disinfected and spread out or hung on lines for at least half an hour to air. Every precaution must be taken to keep the things clean. All articles capable of being folded such as sheets and blankets, must be carefully folded after being thoroughly aired. These must not be returned in the bags but laid carefully into the baskets provided for the purpose and taken back in same. Disinfection of Clothing.—Articles of clothing must not be disinfected in the bags, but must be taken out and hung up on hooks provided to the cradle for the purpose. |
3aa52860-3438-401e-a2a8-32dba98d2c45 | Care must be taken to see that they are not put in creased. After passing through the apparatus they must be shaken out and carefully hung up until thoroughly aired (half an hour must be allowed for this), then they are to be folded up and returned in the baskets provided for the purpose. Returning Articles.—Upon returning to the house with the disinfected articles, they must be taken to any room where directed, carefully taken out, and a receipt signed by the person receiving same. This receipt must be left at the Health Department as early as practical. Persons objecting to the removal of Articles.— Should the person in charge of the premises object to the removal of any Bedding, &c., the Attendant shall not use any threats to such person with a view to getting their consent to remove same, but shall at once report the facts to the Sanitary Inspector and take his instructions thereon. |
629cf5c5-0ca9-47c8-abd5-0a6220e32dd7 | 23 Rets of Negligence of Carelessness—These instructions must be strictly adhered to, as the Attendant will be responsible for any damage, and answerable to the Council, for all complaints of negligence or carelessness. The Council may dismiss him if satisfied that all due care has not been exercised in carrying out this work. By order, G. A. Garry Simpson, June 1903. Medical Officer of Health. SICK NURSING. The Nurses in connection with our Cottage Hospital have had under treatment 1213 patients, and paid 9674 visits, an average of 7.9 to each patient. Excellent work is done by these ladies, whose skill and sympathy is greatly appreciated. MORTUARY. During the year 29 bodies were received into the Mortuary, viz., 16 Males and 13 Females. Post-Mortems were made in 23 cases. |
75998e54-86e9-4c0d-aefb-f2859cd90385 | The following list gives number received each month— January 4 cases March 2 „ April 2 ,, May 5 ,, July 2 ,, August 1 „ September 2 ,, October 2 „ November 8 „ December 1 ,, THE COUNCIL'S SCHOOLS. As the Schools are now under your supervision, I beg to draw your attention to the following very important facts. Amongst the large number of children attending the various 24 schools, a certain proportion if examined will be found to be suffering from myopia or short sight. If this condition is allowed to continue without proper treatment, subsequent changes take place in the eye which leads to destruction of the sight, children so suffering are frequently supposed to be stupid, when in reality they cannot see properly, Moreover they constantly suffer from headache. Again a certain proportion of children will be found to be deaf; these scholars are frequently accused of inattention and punished wrongfully. This deafness in many cases is due to throat and nose troubles. |
3442cff9-b494-4c51-92e7-ace3459469fd | If these cases are taken in hand and suitably treated, the hearing power is restored, and permanent damage prevented. In Germany the schools are periodically visited by the Medical Officer of Health with the object of detecting the above serious defects, and also weeding out children which for other reasons are not in a fit state of health to attend school. I will ask you in considering this report to give this matter your very serious consideration, and I am prepared to make a suggestion which I think will be agreeable to you. The following cards I have supplied to each Teacher and School Attendance Officer for them to fill in whenever a child is kept away from school for 'personal illness, or illness of others in the house. Upon receiving these cards Miss Williams our Health Visitor will call at the house and obtain full particulars. SCHOOL NOTIFICATION CARD To be filled in by school authorities. School Dept. Disease Name Age Sex Address Class Child Excluded Date For Personal Illness For Illness of others in House Teacher Attendance Officer. |
cde9fb08-a5b0-464d-b444-1d7b4866948a | Date 25 HEALTH VISITOR'S OBSERVATIONS. Disease No. Date of Visit Card left Is disease being treated ? Dr. Milk If boiled Date of Onset Date of Rash Isolation attempted Sep. Room Suspected Cause Probable date Sunday School Disinfection Actual Other schools by inmates School notified (Signed' SEWERAGE AND DRAINAGE. The bacterial treatment at the Sewage Works, Warple Way, is proceeding satisfactorily, and is carried out with a minimum amount of nuisance considering that 900,000 gallons are treated every day. The presence of sulphuretted hydrogen is apparent in the immediate vicinity of the filters, but it is rarely noticeable outside the works. A nuisance was caused by the burning of slag in a field east of the works, and this gave rise to an erroneous opinion that the smell came from the works. |
59f03b3c-6f61-4d9c-a557-d996a9333078 | The Surveyor has modified the filters, so as to diminish to the utmost any rippling in the effluent and in consequence far less Sulphuretted Hydrogen is set free than was the case a year ago. Considering the rapid growth of the district, provision will probably have to be made for larger septic tanks and filters in the near future ; and for the same reason our main sewers will have to be enlarged or new ones laid. DUST COLLECTION AND SCAVENGING OF ROADS. The dust collection is now carried out promptly, and there are fewer complaints as to the non-removal of dustbin refuse. The roads are well kept and swept. I think, however there should be less delay in the making up of new roads. Creffield Road has been in a deplorable state for a long time, and it is very inconvenient to those residing in the immediate neighbourhood. |
7a886d4a-35fd-4f89-a741-8820ed0fae18 | 26 It is just ten years since I first drew attention to the need of a Refuse Destructor and I must respectfully beg that the Council will lose no further time in having one erected. Although probably the organic matter in the dust bin refuse is rendered inert in 3 or 4 years, yet during the process of nitrification noxious fumes and gasses are given off, and moreover in the hot weather the residents in the immediate neighbourhood of the shoot are pestered with flies. FACTORY AND WORKSHOP ACT, 1901. As required by Section 132 of the above Act, I beg to report on or the administration of the same in this District during the year. There are 338 Workshops on the Register, but this as I mentioned last year is not all, as we are constantly finding out premises which come under the Act, the occupier having failed to report himself or herself. When Classified, there are 250 Laundries, 26 Bakehouses, and 62 other Workshops. |
b62b4748-e9e3-467a-929b-4bc74f45d75e | These include tenement and domestic Workshops but not Domestic Factories or Workplaces. Personally I have made 73 inspections, and the Sanitary Inspectors 305. It will be noticed that the Laundry Industry comprises the chief business of the Workshops. As to the sanitation of these premises, which embraces cleanliness, air space, ventilation, and drainage, I must say it is very good on the whole, very few Notices having to be served, and no prosecutions have been necessary. Of the 26 Bakehouses on the Register 8 are underground. It has been necessary to serve Notices on the occupiers of some of these premises as to sanitary defects, all the premises have been regularly whitewashed twice yearly as prescribed by the Act, and visited 95 times by the Sanitary Inspectors. Under Section 22 of the Public Health Act AmendmentAct, 1890 which relates to W.C. |
2c4b6332-4c3a-4adf-8f8c-36692f27c7b3 | accommodation in Factories and Workshops, one closet for persons of either sex has been provided, and no prosecutions have been necessary to enforce the provisions of this section. 27 As to the means of escape in case of Fire from premises coming under this Act I am not called upon to report. With reference to Sections 107 to 115, which deal with Homework, I beg to report that the total number of lists received during the year were 88 as against 32 last year, representing 86 employers, 24 contractors, and 131 out-workers. Under the Act, employers or contractors giving out Home-Work are required to send a list of all persons employed by them to do such Home-Work to the District Council twice a year, viz., on or before the 1st of February and on or before the 1st of August. |
9c092736-2a58-4d27-b26e-a8152379b0b3 | The sending in of these lists only refers to persons giving out work connected with the following trades, viz.— The making, cleaning, washing, altering, ornamenting, finishing, repairing of wearing apparel, and any work incidental thereto. The making, ornamenting, mending and finishing of lace curtains and nets. Cabinet and furniture making and upholstery work. The making of electro plate. The making of files. Fur pulling. These lists are of great assistance, and are always referred to upon the receipt of a notification of Infectious Disease. They also enable us to inspect the out workers home and to see that the premises are wholesome and fit for the purpose used. Nine notices have been received from H.M. Inspectors of Factories, dealing principally with defective closets, insufficient closet accommodation for persons of either sex, defective wash-house floors, dirty walls, and inefficient ventilation to work rooms. |
34ccd81e-dfe5-4021-b407-e62a15f33a4c | Immediately on receipt of these notices the Sanitary Inspectors visit the premises to which they relate, and make a thorough inspection of the drains and sanitary appliances. Notices are served on the Owner or Occupier to abate the nuisance complained of, and when this has been done the Factory Inspector is at once informed, as required by Section 5. Under this section also one month is allowed to abate the nuisance, and if the Council do not take action to enforce abatement, the Home Office may take 28 ceedings, and any expense incurred in so doing shall be charged to the Council. Twelve notices were sent to H.M. Factory Inspector re Workshops not having the prescribed Abstract affixed, under Section 133. Each year there is an improvement in the condition of the Laundries, but I hope for still further improvement. |
3baca684-9065-40e0-9310-8a55613d922e | Section 101 of the above Act states that after the first of January 1904, an underground Bakehouse shall not be used unless certified by the District Council to be suitable for that purpose. In my Annual Report of 1902 I drew up certain model recommendations for making them sanitary. A sub-committee was appointed, and after visiting the bakehouses it was recognised that important alterations were necessary. At a subsequent meeting of the Council, it was left to me to press for such alterations as I thought necessary. I am pleased to state that in every case the work has been carried out entirely to my satisfaction and I take this opportunity of informing the ratepayers that they can rest assured that their bread is now made under the most perfect sanitary surroundings. The work naturally necessitated frequent visits and inspections and some difficulty in securing efficient ventilation, but finally all obstacles were overcome to my complete satisfaction. |
eadaabda-5f59-4d88-a78b-359eb344cba7 | I beg to thank the Sanitary Committee, the Surveyor, and Assistant Surveyor for their kind help, and also the owners themselves for their hearty co-operation. Certificates have been given to the following:— Mr. Beauchamp, 160, High Street. Mr. Banham, 9, Market Place. Mr. Weitzell, 43, Churchfield Road. Mr. Clogg, 26, Churchfield Road. Mr. Bennett, 41, High Street. Mrs. Eastham, 7, Leamington Terrace. Mr. Jones, 49, Park Road North. Mr. Wissemann, 23, Bollo Bridge Road. 29 HOUSING OF THE WORKING CLASSES ACTS. During the year I made several inspections of the houses in the Steyne and finally made representation to you that the premises marked on the accompanying plan were unfit for human habitation. |
20d7233e-aaef-4589-85b2-771637dea41c | The premises so marked are:— 6, 8, 18, 20, 22, 24, 49, 51, 53, 80, 84, Steyne Road. 1. 2, 3, 4, 5, 6, 7, East Row. 1, 2, 3, 4, 5, 6, 7, 8, 9, Narrow Street. With reference to Nos, 6 and 8, Steyne Road, the Owners have decided to demolish the premises, and at Nos. 18, 20, 22, 24 49, 51, 53, 80 and 84, Steyne Road, the Owners are carrying out such work as will render the premises dry and habitable for a few years at any rate. Nos. 2 to 7 East Row have also been treated in a similar manner by the Owners. |
16631304-3c6e-4e85-8166-a6377443112c | As to the houses in Narrow Street I do not think that they can be made fit for habitation and it would be a waste of money to spend anything on the present buildings, and I therefore trust that we shall be successful in obtaining a Closing Order, and also No. 1 East Row as it is decidedly the worst property in the Steyne. I think it would be a great benefit to the Town if the Council could see their way to acquire and clear the whole of this area in the centre of the Steyne as it would get rid of all this old property and could be turned into an open space with much advantage. The housing of the Working Classes Act of 1903 gives the Council many additional powers, such as the longer periods for the repayments of Loans, &c. I have also made representation under Section 8 of the Housing of the Working Classes Act, 1903 as to the unfitness for human habitation of Nos. |
6bebf525-c8e8-45df-a9a2-0427c5a8ea1b | 1, 2, 3, 4, 5, 6, 7, and 12 Cock and Crown Yard, in my opinion their occupation should be immediately discontinued, as the premises are not reasonably capable of being made fit for human habitation. The first case under this new Housing Act which gives power to Local Authorities to close slum dwellings without giving notice to the owners to put them in repair has been heard and decided at 30 Reading. Under the old Act the owner of a house unfit for human habitation was warned and ordered to put them into repair and fit for living in. Now, when a local body decides that the houses are uninhabitable, it can apply, without warning the houseowner, for a closing order, and, satisfactory evidence of their condition being forthcoming, the magistrates are bound to make the order. The new law is giving slum owners considerable uneasiness. Golden Meadow Cottages are now pulled down. |
cbba5d7d-56b2-4e2b-84aa-a2ee54a01ee9 | These premises were voluntarily closed 4 years ago, but as no closing order was applied for, it was impossible to obtain a demolition order. Acton District Council Plan showing houses with respect to which the Medical Officer of Health has made representation under the Housing of the working Class act s 31 32 Action District council cocli and Crown Yard Plan showing houses with respect to which the Medical Officer of Health has made representation s under the Housing of the working Class act s 33 EMPLOYMENT OF CHILDREN ACT 1903. This Act which came into force on the 1st of January provides that the Local Authority may make Bye-Laws for— (i) prescribing for all children, or for boys and girls separately, and with respect to all occupations or to any specified occupation,— (a) the age below which employment is illegal; and (b) the hours between which employment is legal ; and (c) the number of daily and weekly hours beyond which employment is illegal. |
f7d54f16-0daf-4046-9a5c-15a81479dcf5 | (ii) prohibiting absolutely or permitting, subject to conditions, the employment of children in any specified occupation. POWER TO MAKE BYE-LAWS FOR THE REGULATION OF STREET TRADING BY PERSONS UNDER SIXTEEN. 2. Any Local Authority may make bye-laws with respect to street trading by persons under the age of sixteen, and may by such bye-laws— (a) prohibit such street trading, except subject to such conditions as to age, sex, or otherwise, as may be specified in the bye-law, or subject to the holding of a licence to trade to be granted by the Local authority ; (b) regulate the conditions on which such licences may be granted, suspended and revoked; (c) determine the days and hours during which, and the places at which, such street trading may be carried on ; (d) require such street traders to wear badges, |
572f0407-f5c1-43e3-b833-039b718ea657 | (e) regulate generally the conduct of such street traders: Provided as follows :— (1) The grant of a licence or the right to trade shall not be made subject to any conditions having reference to the poverty or general bad character of the person applying for a licence or claiming to trade; (2) The local authority, in making bye-laws under this section, shall have special regard to the desirability of preventing the employment of girls under sixteen in the streets or in public places. GENERAL RESTRICTIONS ON EMPLOYMENT OF CHILDREN. 3.—(1) A child shall not be employed between the hours of nine in the evening and six in the morning : Provided that any local authority, may by bye-law, vary these hours either generally or for any specified occupation. (2) A child under the age of eleven years shall not be employed in street trading. (3) No child who is employed half-time under the Factory and Workshop Act, 1901, shall be employed in any other occupation. |
892d8671-1a39-487d-8890-21c3244de802 | (4) A child shall not be employed to lift, carry, or move anything so heavy as to be likely to cause injury to the child. 34 (5) A child shall not be employed in any occupation likely to be injurious to his life, limb, health, or education, regard being had to his physical condition. (6) If the local authority send to the employer of any child a certificate signed by a registered medical practitioner that the lifting, carrying, or moving of any specified weight is likely to cause injury to the child, or that any specified occupation is likely to be injurous to the life, limb health or education of the child, the certificate shall be admissible as evidence in any subsequent proceedings against the employer in respect of the employment of the child. Section 5. (1) Provides that any person employing a child under the age of 16 in contravention of this Act shall be liable to a fine of 40/- and £5 for a second offence. |
0850661e-52c7-4941-b81d-be18247cbe4b | Parents or guardians who have conduced to the commission of the alleged offence by wilful default are also liable to the like fine. The person under sixteen years of age is also liable to a penalty for contravening the Bye-Laws made under this Act. Under Section 8 any Justice of the Peace on complaint may empower any Officer of the Local Authority acting under this act to enter any place whether a building or not for the purpose of examining the place and any person therein. Bye-Laws made under this Act will not apply to any child above 12 employed in pursuance of the Factory and Workshop Act 1901. Section 13 defines certain expressions used in the Act as follows— The expression "child " means a person under the age of fourteen years. The expression "guardian," used in reference to a child, inciudes any person who is liable to maintain or has the actual custody of the child. |
90ab5baa-ec1d-4e43-b7a6-d44a79b9c216 | The expressions "employ" and " employment" used in reference to a child, include employment in any labour exercised by way of trade or for the purposes of gain, whether the gain be to the child or to any other person. The expression "local authority" means, in the case of the City of London, the mayor, alderman, and commons of that city in common council assembled in the case of a municipal borough with a population according to the census of nineteen hundred and one of over ten thousand, the borough council, and in the case of any other urban district with a population according to the census of nineteen hundred and one cf over twenty thousand, the district council, and elsewhere the county council: The expression " street trading " includes the hawking of newspapers, matches, flowers, and other articles, playing, singing, or performing for profit, shoeblacking, and any other like occupation carried on in streets or public places. 35 Annual Report of the Sanitary Inspector, FOR THE YEAR 1903. To Dr. |
c4ea482e-c427-4144-8a98-6429761e0ea7 | G. A. Garry Simpson, Medical Officer of Health. Sir, I herewith present my Fourth Annual Statement, showing the particulars of the action taken in the suppression of Nuisances &c., and various improvements effected by this Department during the year 1903. The amount of sanitary work which has been done through the medium of this Department will be seen from the tables which I have compiled. The class of work executed in the abatement of nuisances arising from defective drains, &c., is on the whole very good, but I am sorry to say we still come across Owners who will not employ skilled tradesmen, consequently the workmanship in these cases is most inferior, though they always manage to execute the work sufficiently well as to prevent my taking any action. |
efcd5fc1-4d60-49d0-b52b-5e946820e077 | To illustrate this I can state that in one instance I found a broken down photographer doing sanitary work for an Owner, and I have frequently come across painters and odd men relaying drains, &c. There is no remedy for this and Legislation does not give the power to specify the weights of materials to be used, nor to prescribe the manner in which the work shall be carried out, which is obviously unsatisfactory. In July the Council appointed me a delegate to attend the Sanitary Institute Congress at Bradford, the proceedings being of a valuable and instructive nature. The Presidential address was delivered by the Right Hon. the Earl of Stamford, and should be read by everyone interested in sanitation as it will be found to be both interesting and instructive. I am pleased that the Infectious Hopital will shortly be completed. |
f472cc68-291c-4744-bedd-b7b7b5f32503 | The removal of infectious cases to Islington and other Hospitals takes up much of our time which could otherwise be more profitably employed During the year I have had no applications from persons desiring to avail themselves of the Cleansing of Persons Act, 1897. I frequently disinfect verminous premises when I find same. On one occasion a woman who called to make a complaint with 36 reference to the verminous state of the house, informed me that at night she was unable to sleep as the bugs fell from the ceiling on her bed like a shower of rain. There is no doubt that if people would avail themselves of the provisions of this Act, it would be a great protective agent against the spread of disease. Possibly as time goes on the Council will see their way clear to provide a bath room at the Hospital at the Friars for the use of persons who wish to have a hot bath while their wearing apparel is being disinfected, and who are inadmissible to the Public Baths. |
01d2ec92-ce30-4229-bc28-5a34c58a2da3 | If a Notice concerning these arrangements was at the same time placarded in all Public places in the District it would bring it to the knowledge of the Public and I think many would avail themselves of the offer of the Council. In Marylebone since 1898, 19,888 baths have been supplied, and the clothing of the same number of persons disinfected. A new Common Lodging House has been established in Osborne Road, on most up to date lines. It is for persons of the male sex only, and the two sleeping wards provide beds for 147 persons. Mr. Fraser, my late Assistant, left me early in November, after being in the service of the Council just over two years, to take up the duties of Inspector to the Northfleet Urban District Council, Kent, and from this time to the end of the year I had to work singlehanded. I wish to record my thanks to Mr. |
b3c506f8-6872-4224-aa89-f28208106e8e | Fraser for his assistance during the year, I cannot speak too highly of his abilities, and the manner in which he discharged his duties. Mr. Gough, his successor, refilled the position on the 9th January. The appointment of Mr. Bradford as Clerk has greatly facilitated the work, Mr. Gough and myself can now devote more time to District Inspection, which it was impossible to do before, owing to the ever increasing amount of clerical work. I also beg to tender to you on behalf of the Department, many thanks for your kind consideration. I am, Dear Sir, obediently yours, Maurice W. Kinch, Public Health Department, Gothic Villa, Mill Hill Grove. 37 Number of Inspections, &e. 1423 Premises inspected. 3324 Re-inspections to premises where Nuisances were in course of abatement. 2129 Nuisances were reported. 2273 „ „ abated. 1499 Letters written. |
2c1d6b84-a4b6-475a-9d9a-ab473d809ca8 | 1071 „ received. 9 Notices received from H.M. Factory Inspector. 8 Library books removed from Infected Houses and destroyed 104 Notices to Librarian re Infectious Cases. 104 ,, ,, Head Teachers of schools re Infectious cases 4000 Leaflets distributed. 320 Pints disinfectants supplied. 26 Notifications of Waste of Water sent to Grand Junction Co. 8 Van Dwellings inspected. 167 Visits paid to Infected Houses. 18 Infectious Patients removed to Hospitals. 149 Rooms fumigated. 30 tons 4 cwt. Bedding disinfected. 48 Closets disinfected after Enteric Fever Cases. The following Tabulated List gives particulars of the Sanitary improvements effected during the year:— House drains taken up and reconstructed 45 „ repaired 33 , unstopped and cleansed 130 , provided with intercepting traps 128 „ manholes provided to 106 „ ventilated 167 „ manholes to, cleansed 22 , |
ac882ebe-be9d-4fc7-b1ab-3663efbd6603 | „ repaired 17 „ fresh-air inlets repaired 38 „ cesspools abolished 6 Water-closets repaired 19 , new pans provided to 153 „ unstopped and cleansed 222 38 Water Closets Pan closets and containers replaced by efficient pans 7 „ provided with flushing cisterns 29 , flushing cisterns repaired 81 , flush, disconnected from drinking water cistern 20 , additional or separate, provided in Factories and Workshops 1 „ apartments ventilated or lighted 2 Soil-pipes repaired 18 „ ventilated 16 , increased ventilation provided 13 , reconstructed 6 Ventilating shaft repaired 39 „ provided 16 Defective sink structures abolished 4 Waste-pipes, sink waste-pipes disconnected from drain 39 , bath and lavatory waste pipes , , , 8 „ provided to sinks 5 , repaired 35 „ trapped with lead traps 2 Rainwater pipes disconnected from drain 218 „ repaired 42 „ provided 12 Eaves guttering provided 12 , |
eedf64f0-f327-4532-9fa6-c56b6e107c9a | repaired 100 Gully traps replaced with stoneware gullies 106 „ unstopped 12 , provided 18 , cement work around, repaired 11 Yards, paving repaired 46 „ paved and drained 94 „ provided with drainage 9 . cleansed 5 Dust bins provided 153 Cisterns repaired and covered 52 „ cleansed 4 Houses cleansed and whitewashed 102 „ dry areas provided 4 39 Houses plastering of walls and ceilings repaired 34 Workshops cleansed and limewashed 5 Roofs of houses repaired 59 Floors of houses repaired or re-laid 46 , airspaces under provided 6 , workshops repaired or relaid 10 , stables repaired or relaid 12 Stables provided with drainage 1 Dampness of house walls remedied 33 Accumulations of refuse removed 19 „ manure removed 21 , water in cellars removed 20 Manuie receptacles provided 11 Animals, fowls, &c. nuisances from, |
8d39f745-edf7-4ed9-9407-2edbadb53d39 | abated 18 Overcrowding, number of cases abated 1 Smoke nuisances, number of cases dealt with 6 Privies abolished and earth closets provided 1 Water supply provided to houses 10 Miscellaneous nuisances abated 91 flotiees.—650 Preliminary Notices and 70 Statutory Notices have been served for the abatement of Nuisances, and the necessary works asked for were carried out in nearly all cases. No Police Court proceedings being necessary. As I pointed out last year the very few Police Court proceedings and the number of Statutory Notices compared with the Preliminary ones show that the Statutory Notices are not asked for unless the Owners absolutely refuse to comply with what I consider a reasonable request, and necessary in the interests of Public Health. Drainage Examinations.—The smoke test has been applied to drains 160 times, and in addition 26 drains were opened up for examination after formal written complaints had been made and authority given for that purpose. |
6c437387-38ba-4913-8b36-d34dde1181b2 | The volatile or chemical test has also been applied to drains in numerous instances. Inspection of meat and other poods.—The various Butchers' Shops, Greengrocers' Shops, and other places 40 where food is sold were frequently inspected during the year, but I did not find any cause for complaint. During the year the following were seized and taken before a Justice:— 1 box of bloaters. 1 box frozen rabbits. 1 barrel of dog fish. 1 basket of cherries. 5 barrels of potatoes. 1 box of skate. Food and Drugs Hets.—Samples under these Acts are taken by Mr. W. Tyler, the County Council Inspector. No returns are supplied to our Council as to the number of samples taken in the District and the result of the analysis. Dairies, Cocusheds and Milk Shops.—There are at present 66 Dairies and Milkshops and 5 Cowkeepers on the Register. |
2c526a67-a938-4743-9091-c7f0a622ea49 | Every quarter I forward a Notice to the occupier of every Dairy and Cowshed reminding him of his duty to have the premises limewashed, as required by the Regulations, 132 visits were paid to the Dairies and Milkshops, and 20 to the Cowsheds, and they were found to be in good order with the exception of one which was found to be getting into a bad state. I served a notice upon the Owner to remedy the defects and he has given the tenant notice to leave, and proposes putting up some houses on the site. Bakehouses.—The number of Bakehouses on the Register is 25 of which 8 are underground. A circular letter is sent to the occupiers every six months reminding them of the time to lime-wash and cleanse, as prescribed by the Factory and Workshop Act, 1901. All these premises have been visited, 70 inspections having been made. Slaughterhouses.—There are 4 Slaughterhouses in the District 2 Licensed and 2 Registered. |
7881335f-e663-4e72-b461-cf851dd7e2a8 | 42 visits were paid to these premises and upon each occasion the Bye-Laws were found to be complied with. 41 Piggeries.—With reference to the Piggeries I have to report that they have been frequently inspected, but I have never received any complaints as to the smell from same. In Old Oak Lane Nos 1 to 4, I have persuaded the Owner to make the tenants abolish keeping Pigs in the Back Yards so that we now only have three Piggeries in Old Oak Lane. Common Liodging Houses—Only 2 Common Lodging Houses exist in the District. These have been regularly inspected, and on all occasions found to be in a satisfactory condition. Smoke Abatement.—All Factory and Works chimneys have been observed at frequent intervals. No proceedings have been taken against the Owners for emitting black smoke so as to be a nuisance. I received complaints from the Coal Smoke Abatement Society during the year and immediately served Notices with reference to same. |
977a0d29-274e-4fe3-ba35-4d05aa83afc1 | The observations kept by myself and Assistant numbered 23. I have to record the valuable assistance in the suppression of Smoke nuisances which I have received from the Inspector to the Coal Smoke Abatement Society. Woodgates, Printer, South Acton. |
3c20ba4b-7e4d-400f-80d1-9e54d7ad9bef | Knight ACT 12 1 Acton Urban District Council. ANNUAL REPORT ON THE Sanitary Condition, &c., OF THE URBAN DISTRICT OF ACTON, For the Year 1904. BY G. A. GARRY SIMPSON, M.R.C.S., L.S.A., Fellow of the Royal Institute of Public Health. MEDICAL OFFICER OF HEALTH. PRINTED BY ORDER OF THE COUNCIL. - Acton Urban District Council. ANNUAL REPORT ON THE Sanitary Condition, &c., OF THE URBAN DISTRICT OF ACTON, For the Year 1904. BY G. A. GARRY SIMPSON, M.R.C.S., L.S.A., Fellow of the Royal Institute of Public Health. MEDICAL OFFICER OF HEALTH. PRINTED BY ORDER OF THE COUNCIL. CONTENTS. SECTION I.—GENERAL DESCRIPTION AND AREA OF DISTRICT. „ 2.—VITAL STATISTICS. |
c5aae8e5-a672-4d64-a71d-e19409f41974 | „ 3.—INFECTIOUS AND OTHER DISEASES. „ 4.—ISOLATION HOSPITAL ACCOMMODATION. „ 5.—GENERAL SANITARY ADMINISTRATION. „ 6.—ADOPTIVE ACTS, BYELAWS, AND REGULATIONS. „ 7.—CHIEF SANITARY INSPECTOR'S REPORT. MEDICAL OFFICER OF HEALTH'S REPORT. PAGES. |
0ce037e4-ea1f-481e-9900-ee76020903f9 | Acton Improvement Act— Tuberculosis in Animals 54-58 Common Lodging-Houses 58-59 Slaughter-houses 59-60 Infectious Disease Prevention 61 Sanitary Provisions 61 Acton Wells 13 Adoptive Acts in Force in the District65 Area of District 16 Ambulance Arrangements 41 Bacteriological Examinations 37 Baxter 14 Births and Birth-rates 19 Boundaries of Parish 13 Byelaws and Regulations in the District 65-66 Cemetery 50 Charities 15 Chicken-pox 29 Contaminated Oysters 30 County Council Byelaws in Force in the District 66 Crèche 25 Cromwell 14 Deaths and Death-rates 20 Diarrhœa 24 Diphtheria 31 Diphtheria Anti-toxin 31-32 Disinfection (Methods of) 42 Enteric Fever 30 Essex Army 14 General Summary 10 „ Remarks 5 Geology 13 3 PAGES. |
4c69ce23-f70e-4f09-b2d3-acc12ea69a3c | Growth of the District 15 Health Visits 25 and 37 Houses and Housing Accommodation . |
5bbbc5b2-b59d-40aa-b805-f65ff5462bbd | 45 House Refuse 47-48 Infantile Mortality 23 Industries 16 Isolation Hospital 41 Land Value 15 Longevity 15 Leaflet on Whooping Cough34 Measles 33 Moated Meadow 13 Mount Vernon Hospital 32-33 Mortuary Accommodation49 Name of Parish 13 New Streets and Buildings 47 Office 9 Open Spaces 16 Overcrowding 45 Overlying 23 Phthisis or Consumption 32 Phthisis Death-rates 32 Population 19 Premature Births 23 Public Baths 49 Public Conduit 15 Public Health and Isolation Hospital Committee 7 Registered and Licensed Premises 61 Scarlet Fever 30 Scavenging and Cleansing 48 School Cards 35 Schools Closed 33 Sewage Disposal 46 Sewage 45 Sick Nursing 50 Small-pox 29 and 41 Staff 8 Street Watering 48 Table showing Death-rates for 10 years 20 „ Birth-rate, Death-rate, |
62f8423c-523b-4f6b-a208-c34c1782f329 | and Zymotic Death-rate in 12 towns 20 , causes of, and Ages at Death for the year 21 , Vital Statistics for the past 10 years 22 „ Death-rate and Zymotic Death-rate for 10 years 26 , Birth-rate and Deaths of Children under one year per 1,000 Births registered for 10 years 23 „ Deaths from Measles for 10 years 33 , Infectious Diseases reported for 10 years 29 , , , notified during the year 38 , Population and Inhabited Houses for 5 censuses 19 , Wards affected by School Card notifications 36 , Diseases discovered through School Card notifications 36 , New Sewers laid 46 , New Roads made up and Houses passed for occupation 47 , Post-mortem Examinations made 50 , Inspections, Defects Found, and other matters relating to Factories, Workshops, Laundries, Workplaces, and Homework 51-54 The Manor 14 , |
339ae83d-fb2b-4410-815b-0a0541aa04fe | Church 14 Ward Boundaries 34 Water Supply 45 Whooping Cough 34 4 CHIEF SANITARY INSPECTOR'S REPORT. PAGES. Acton Improvement Act 72 Absence of Bass Brooms in houses of industrial classes 69 Bakehouses 78 Complaints received 69 Common Lodging-Houses 78 Cowsheds 77—78 Dairies and Milkshops 77—78 Dampness in Houses 70 Drainage Examinations 77 Food and Drugs Acts 77 Inspections, &c. |
7415908b-8874-4379-a06d-e991ecb93e30 | 74 Meat and other Foods (inspection of) 77 Notices 76—77 Pharyngeal Glands, cutting from pigs 71 Piggeries 78 Prosecutions 76 Sanitary Improvements (list of) 74-76 Sanitary Institute Conference 70-71 Slaughter-houses 78 Smoke Abatement 79 Staff 73 Superfluous Furniture, Ornaments, and Drapery in Houses 70 Tuberculosis in Animals 71-72 Acton Arban District Council Annual Report of the Medical Officer For the Year ending 31st December, 1904 To the Chairman and Members of the Acton District Council. Gentlemen, I have the honour to submit my Eleventh Annual Report on the health and sanitary condition of your town. At the request of Dr. Young, the county medical officer, I have, besides dividing the report into sections, given a short general description of the district, mentioning at the same time a few points that I thought might be of some interest. |
b2c34811-f58d-4797-9139-77f51b3b5a0c | It will be noticed that the death-rate continues gradually to fall, and, with the exception of 1903, was the lowest on record. There is no better evidence of the health and sanitary condition of a district than a gradually falling death-rate, and we now well rank as one of the healthiest suburbs of London. The chief public works of importance, from a sanitary point of view, have been as follows:—The opening of the baths, which are a great boon to the district ; the building of a convenience on St. Mary's 6 Mount; the building and subsequent completion at the beginning of the year of the isolation hospital; and the acceptance of the contract for erection of the dust destructor adjoining the sewage works. This latter scheme is, in my opinion, of vital importance, and I trust you will push the work forward without delay. You will notice that a great deal of useful work has been done by the Health Department during the year, and I am much indebted to Mr. |
0f833356-f727-4426-8c39-2b193ee662fe | Kinch, chief sanitary inspector, Mr. Gough, assistant sanitary inspector, Miss Bulkeley Williams, lady health visitor, and Miss Morton, typist, for their kind help and co-operation. I think you were wise, in your decision, to purchase the Cock and Crown Yard property, as, besides abolishing an unhealthy area, it will be a general municipal improvement, and has avoided the proceedings and litigation that invariably follow closing and demolition orders. We have to think not so much of the present occupiers as of their children and the subsequent generation, and I am afraid at times we err on the side of leniency in dealing with poor class property. I am, Gentlemen, Your obedient Servant, G. A. GARRY SIMPSON. 7 Public Health and Isolation Hospital Committee. Mr. Councillor E. F. HUNT (Chairman of Committee). Mr. Councillor J. W. JARRATT, J.P. |
09a76666-a0e9-46a1-9cd4-bc3b84a5dd8e | (Chairman of Council), ex officio. Mr. Councillor R. AINSLEY. „ „D. P. CRONIN. „ „ W. EYDMANN, Jun. „ „ S. GOODHALL. „ „ S. F. HOLLOWAY, M.R.C.S., L.R.C.P. „ „ E. E. B. LAN DON. M R.C.S., L.R.C.P. 8 Staff. Clerk to Council Wm. Hodson. Engineer and Surveyor D. J. Ebbetts. Medical Officer of Health G. A.Garry Simpson, M.R.C.S., F.R.I.P.H. Chief Sanitary Inspector M. W. Kinch, Cert. San. Inst. (London) Assistant Sanitary Ernest J. Gough, Cert. Inspector San. Inst. Lady Health Visistor Miss L. Bulkeley Williams. Cert. |
e27a6434-291e-43af-b3f3-99413659e512 | San. Insp. (London). Matron of Isolation Hos- Miss H. Amos. pital Clerk Miss Morton. Disinfector T. Burrows. Cleansing and Scavenging J. Webb. Superintendent Analyst ( E. Bevan, 4, New Court, Lincoln's Inn, W.C. Inspector under Food and M. W. Kinch. Drugs Acts Coroner Dr. Gordon Hogg, South Parade, Bedford Park. Mortuary Attendant J. Hustwitt, 242, High St. 9 The Office of the Health Department is at Gothic Villa, Mill Hill Grove. I attend daily at 9.30 a.m., and may be consulted on all matters connected with the health of the District. Should an urgent matter require immediate attention after office hours, or on Sundays, I can be interviewed at my private residence—Bardon House, East Acton. Ward Boundaries. North Ward. |
2432fe21-b43b-4911-ab57-369645b9a997 | All north of centre of High Street. West Ward. South of centre of High Street from Birch Grove to Railway Bridge, High Street, and west of centre of North London Railway, from Railway Bridge, High Street, to Bollo Lane. East Ward. South of centre of Uxbridge Road, from Railway Bridge, High Street, to Wilton Road, and east of North London Railway from Railway Bridge, High Street, to Bollo Lane. 10 Summary. Area of District 2,304 acres Rateable Value £293,911 Net Value of a Penny Rate ,£944 2s. 8d. |
3779bec0-38d6-4c12-8c22-e4960ba41f64 | Population at Middle of the Year 52,358 Population in 1901 Census 37.744 Persons per Acre in the District 227 Average Number of Persons per House 1901 Census 6.1 Death-rate 1904 11.0 Average Death-rate for previous 10 years 13.9 Zymotic Death-rate 1904 2.19 Average Zymotic Death-rate for previous 10 years 2.3 Birth-rate 1904 27.69 Average Birth-rate for previous 10 years 30.0 Infantile Death-rate (under one year old per 1,000 Births) 1904 142.7 Infantile Death-rate Average for previous 10 years 163.4 SECTION I. GENERAL DESCRIPTION AND AREA OF DISTRICT. 13 SECTION I. General description and Area of District. Name. Acton is supposed to have derived its name from the quantity of oak timber which it produced; "ac"in the Saxon language signifying an oak. Boundaries of Parish. |
8fb6d48c-6084-4779-8b63-e181f3471171 | The Parish is bounded by that of Willesden on the north, Hammersmith on the east, Chiswick and Brentford on the south, and Ealing on the west. Geology. The soil towards the north is a stiff clay, and towards the south a rich loam, the southern part at one time being occupied by market gardeners. Acton Wells. Acton Wells, formerly the site of three wells of mineral water, springing out of a deep clay, were in great repute for their medicinal virtues about the middle of the 16th Century. The Assembly Room was then a place of very fashionable resort; and the neighbouring hamlets of East Acton, and Friar's Place, were filled with persons of all ranks, who came to reside there during the summer season. Moated Meadow. |
0e4ba671-c819-4288-94df-6082eb2f73b8 | To the north of the Parish near the Great Western Station, in a field called Moated Meadow, is a deep trench inclosing a parallelogram of about 100 yards in length and 40 in breadth, supposed by some to have been a Roman Camp; but the name of the meadow seems to intimate that it is the site of a moated house, of which there have been several in the neighbourhood. 14 Essex Army at Acton. In November, 1642, a few days before the Battle of Brentford, the Lord General (the Earl of Essex) and the Earl of Warwick, marching with their forces out of London, made Acton the place of their rendezvous. Cromwell met at Acton. |
99f6c0ba-b98f-4bd6-9a1c-24bcb8600f63 | When Cromwell returned to London after the Battle of Worcester, he was met at this place by the Lord President, the Council of State, many of the nobility, the House of Commons, the Lord Mayor, Aldermen and Common Council of the City of London, &c., &c., forming in the whole a train of more than 300 coaches. The Recorder of London accosted him with a congratulatory speech on the occasion. The Manor. The Manor of Acton has belonged to the See of London from time immemorial. The Church. The Church, which is dedicated to St. Mary, stands in the centre of the town. It consists of a chancel, nave, two aisles, and south chapel, clustered pillars and pointed arches, and many of the windows are of stained glass. The Church was rebuilt, except the tower, in the year 1866, upon the site of the original church of about 600 years old, which had been much altered. |
e55aadaf-286e-4ac2-9239-ee6771f91cf8 | The square tower, with battlements, was built in the year 1876, and much resembles the Old Tower of the reign of Henry VIII. Baxter. Richard Baxter, the celebrated Nonconformist divine, resided many years in this parish after the restoration; his house was near the church where he constantly attended divine service and sometimes preached, having a licence for so doing, provided he uttered nothing against the doctrines of the Church of England. Sir Matthew Hale was his contemporary at Acton. 15 Longevity. The Register of Burial shows interesting instances of longevity:— "Wm. Aldridge, wheelwright, was buried the 21st day of November, 1698, aged 114 years." "Dec. 6, 1761, buried Margaret Fieldhouse, aged 100 and odd." "Sept. 4, 1762, buried Mary Hill, aged 100." Charities. |
424621a2-e380-4f97-b01b-822b0ea4500c | Acton seems richly endowed with charities which date back to the year 1612. The parish built some small houses in the Steyne to be used as almshouses in the room of some others which were built in the year 172 5 and had fallen into decay. They were again rebuilt in 1887 to commemorate the Jubilee of Queen Victoria. Public Conduit. In the year 1612, at the entrance of Acton on the London side was a convenient conduit made for the benefit of the public and endowed by Thomas Thorney with a rent-charge of twenty shillings per annum to keep it in repair, the overplus to be distributed to the poor. The parish was in danger of losing this valuable benefaction, when it was recovered by the timely exertions of Samuel Wegg, Esq., who, at considerable expense, instituted a suit in Chancery; and, in the year 1755, obtained a decree in favour of the parish. Mr. |
689efa0e-19d9-4868-96d4-7981285ae33e | Wegg, a few years before, had purchased a house which belonged to Sir Joseph Ayloffe, Bart. Land Value in the 16th Century. It appears by the inventory of goods, plate, &c., belonging to the different parishes in Middlesex (1 Edw. VI.) that this parish had half an acre of arable ground, then valued at eightpence per annum. The value of land since this date seems to have risen considerably, the price of a similar piece of land now fetching about .£1,000. Growth. Acton appears to have steadily grown with the other 16 suburbs around London up to the year 1886, when the Metropolitan Board of Works obtained an injunction against the Council prohibiting the connection of any more house drains to the sewers. Many estates had been laid out and their resewering meant a considerable expense to the owners; consequently they were not resewered and building operations were at a standstill. |
112ca1ba-9453-4738-af7d-8b19516e1d0a | The Council, however, established a Sewage Disposal Works in Acton Vale, and sewered many parts of the district. And at the present time there are very few streets in which it is impossible to build on account of the sewer difficulty. Industries. The Laundry industry is the principle one, there being about 400 laundries in the district. We have also Breweries, Mineral Water Works, Motor Car Works. Dye Works, Soap Works, Corrugated PaperWorks, Geographical Printing Works, Paper Canvas Works, Fur Toy Works, Potted Meat Works, Printing Works, Metal Works, Engineering Works, and Brick Works, &c. Open Spaces. There are four Open Spaces for recreation in the district, the principle being Acton Park, adjoining the Uxbridge Road, in the eastern part of the district, with an area of about 25 acres. |
964d86e6-352f-4a2c-8d29-1f7baf2c995f | Acton Green on the south side, with an area of 12¾ acres or thereabouts, is the principle Recreation Ground for this part of the district. There is also the South Acton Recreation Ground in Bollobridge Road, with an area of 4½ acres. Near the Western Boundary of the parish, off the High Street, is a small but beautiful open space which has been recently acquired and has been laid out to form a place of rendezvous for invalids and aged persons. Area of District. The area of the district is 2,304 acres. SECTION II. VITAL STATISTICS. 19 SECTION II. Vital Statistics. Population. The population calculated to the middle of 1904 was 52,358, an increase of 2,678 in twelve months. The number of inhabited houses was 8,678, and uninhabited 290. |
6b939172-3944-4665-b1ef-c619c27f8210 | The following table shows the population and the number of the inhabited houses at the five preceding censuses:— Year. Inhabited Houses. Population. 1861 610 3,151 1871 1,568 8,306 188l 2,844 17,110 1891 4,084 24,207 1 901 6,114 37,744 In making my calculations 1 allow six persons to each occupied house, and one for each unoccupied house. The census of 1901 showed the average to be 6.1 per house. This method of calculating the population is the one adopted by previous Medical Officers for the District. Births and Birth-rates. During the year 1904 there were 1,450 births registered. The birth-rate per 1,000 persons living was 27.69. The London birth-rate was 27.9. The following table shows the births since 1894:— Year. |
1f910d6f-062a-41be-aaf8-2c5e60caa862 | No. of Births. Year. No. of Births. 1894 834 1900 1,080 1895 874 1901 1,211 1896 894 1902 1,242 1897 973 1903 1,422 1898 995 1904 1,450 1899 1,068 c2 20 Deaths and Death-rates. There were 576 deaths registered. The recorded general death-rate was 11.0 per 1,000 of the population. The London death-rate was 16.1. |
e36170bc-01f4-44a2-8e4f-e40246713209 | The death-rates since 1894 are as follows:— 1894 14.2 1900 13.7 1895 17.2 1901 13.7 1896 15.7 1902 13.4 1897 15.9 1903 8.6 1898 15.8 1904 11.0 1899 It will be noticed that the recorded general deathrate has been gradually falling for the last eight years, which is satisfactory evidence of the health of the district. It will be noticed that 207 deaths were children under one year of age. These figures considerably increased the death-rate. The following table gives the birth-rate, death-rate, and zymotic death-rate per 1,000 per annum in the undermentioned 12 towns:— Birth-rate. Death-rate. Zymotic Death-rate. |
d15b4fe9-0658-4264-8406-85b360b9f265 | ACTON 27.69 11.0 2.19 Ealing 24.07 10.6 1.5 Chiswick 27.83 14.46 3.006 Brentford 34.8 16.1 4.4 Willesden 32.86 12.22 1.7 Leyton 30.7 13.1 2.7 Walthamstow 32.79 11.95 2.89 Tottenham 29.5 11.5 1.9 Hornsey 20.4 8.43 0.831 East Ham 31.7 14.4 2.9 Croydon 26.1 13.8 — Reading 26.00 13.89 1.82 21 The following table gives the causes of and ages at death during the year 1904:— Causes of, and Ages at Death during- Year 1904. Causes of Death. |
d7f9295f-b2b8-4093-9fc7-da917305566a | Deaths in or belonging to whole District at Subjoined Ages. Deaths in or belonging to Localities at all Ages. Total Deaths in Public Institutions in the District. All Ages. Under 1 year. 1 and under 5. 5 and under 15. 15 and under 25. 25 and under 65. 65 and upwards. North Ward. West Ward. East Ward. Small-pox . . . . . . . . . . . Measles 15 2 12 1 . . . . 10 5 . Scarlet Fever 1 . 1 . . . . . . 1 . Whooping Cough 9 2 7 . . . . . 4 5 . Diphtheria and Membranous Croup 2 . 1 . . . . . . 2 . Croup . . . . . . . . . . . Fever— Typhus . . . . . . . . . . . |
a45bd632-d66e-4156-a3dd-b0d7035c7802 | Enteric 3 . . . . . . . . 3 . Other continued . . . . . . . . . . . Epidemic Influenza 6 4 . . . . . 3 1 2 . Cholera . . . . . . . . . . . Flague . . . . . . . . . . . Diarrhœa 82 66 15 1 . . . . 12 40 30 . Enteritis 11 8 . . . 2 2 3 6 . Puerperal Fever 3 . . . . . . . 3 . Erysipelas . . . . . . . . . . . Other Septic Diseases 1 . . . . 1 . . . 1 . Phthisis 32 . 2 2 5 22 1 6 13 13 8 1 Other Tubercular Diseases 21 7 7 . |
fa970af1-ecb8-4e2a-ba19-bc447348ed73 | 3 3 1 3 10 . Cancer, Malignant Disease 18 . 1 . . 12 5 7 4 7 . Bronchitis 43 10 4 . . 10 19 13 19 11 . Pneumonia 71 29 25 3 . 8 6 5 43 23 1 Pleurisy 1 . . . 1 . . . 1 . Other Diseases of Respiratory Organs 7 1 4 . . 2 . 1 4 2 . Alcoholism — Cirrhosis of Liver 3 . . . . 3 . 1 1 1 . Venereal Diseases . . . . . . . . . . . Premature Birth 20 20 . . . . . 3 8 9 . Diseases and Accidents of Parturition 4 4 . . . . . . . 4 . Heart Diseases 44 2 1 . |
528c0a41-d513-49d6-b48a-f08dedc7bcc7 | 3 23 14 14 13 17 1 Accidents 15 7 1 . . 5 1 4 9 2 2 Suicides 4 . . . 3 1 3 1 . All other causes 160 44 8 7 2 24 75 47 57 56 4 Totals 576 207 90 16 14 124 125 124 240 212 9 22 Vital Statistics of whole District during: 1904, and previous Years. Year. Population estimated to Middle of each Year. Births. Total Deaths Registered in the District. Total Deaths in Public Institutions in the District. Deaths of Non-residents Registered in Public Institutions in the District. Deaths of Residents Registered in Public Institutions beyond the District. Nett Deaths at all Ages bblonging to the District. Under 1 Year of Age. At all Ages No. Rate.* No. |
353bce31-bb91-46bf-a5b3-35a0382db859 | Rate per 1,000 Births regis-. tered. No. Rate. * No. Rate. * 1894 27,600 834 30.2 133 i59.0 368 13.3 . . 25 393 14.2 1895 27,648 874 31.6 147 168.1 445 16.1 . . 33 478 17.2 1896 29.454 894 30.3 151 168.9 435 14.7 . . 29 464 15.7 1897 31.632 973 30.7 193 198.3 470 14.8 . . 33 503 15.9 1898 32,562 995 30.5 181 181.9 507 15.5 . . 10 517 15.8 1899 33,684 1, |
639b0ca4-b9a3-4d08-8318-66ffeaf19caa | 068 31.7 200 187.2 509 15.1 . . . 509 15.1 1900 38,406 1,080 28.1 182 168.5 528 13.7 15 . . 528 13.7 1901 37,744 1,211 32.O 206 170.1 519 13.7 6 . . 519 13.7 1902 44,565 1,242 27'.8 186 149.8 593 13.3 12 . 6 599 13.4 1903 49,680 1,422 28.6 150 105.4 430 8.6 8 . . 430 8.6 Averages for yrs. 1894-1903. |
cfd42647-3dfe-4337-890d-ffb8bb208d02 | 35,297 1,059 30.0 172 165.7 480 13.6 ... ... ... 494 13.9 1904 52,358 1,450 27.69 207 142.7 576 11.0 9 ... ... 576 11.0 *Calculated per 1,000 of estimated population. Total population as per Census, 1901.—All ages, 37,744. Number of inhabited houses, 6,114. Average Number of persons per house, 6.l. Area of District in acres (exclusive of area covered by water), 2,304. 23 Infantile Mortality. There were 207 deaths registered of Infants under one year of age, as against 1,450 births; the proportion which the deaths under one year of age bear to 1,000 births is, therefore, 1427, as against 106.4 in the preceding year. |
d89b380e-a5f9-4cc3-be40-8c28c226c925 | The following table compares the death-rate of children under one year per 1,000 registered births, and the birth-rate for the preceding: 10 years:— Year. Birth-rate per 1,000 Deaths of Children under one year per 1,000 Registered Births. 1894 30.2 l60.6 1895 31.6 168.1 1896 30.3 168.9 1897 30.7 198.3 1898 30.5 181.9 1899 31.7 187.2 1900 28.1 168.5 1901 32.0 170.1 1902 27.8 149.8 1903 28.6 105.4 1904 27.69 142.7 Our Infant Mortality shows a decided tendency to fall. |
19b10d30-44ff-476a-9d94-0905023a0a28 | The year 1903 must always be looked upon as quite exceptional, as owing to the heavy rainfall we had very little diarrhœa. It was the zymotic diarrhœa that swelled the deathrate, but other causes of our Infant Mortality were— Premature Birth.—Twenty deaths of Infants were registered as due to premature birth. This is due to the fact that the mothers remain standing at the washtub for hours together. Overlying was responsible for seven deaths, in every case due to ignorance and neglect; and it should 24 be made a penal offence to have an infant in bed with its parents. Every mother on registering the birth of her child is given a leaflet warning her of the danger of this practice. Diarrhœa.—Sixty-six deaths in children under one. year were registered as due to diarrhœa. What was the cause, and what measures did we take to prevent or reduce this high mortality ? |
9b8e7127-c80b-4a1a-b51d-320593875737 | First let me state the predisposing causes: 1. The mothers have to leave the infants to the care of ignorant women, or sometimes quite young children, during their absence at the laundries; or Frequently the parents are quite ignorant of the suitable food to give a child brought up by hand. In either of the above cases an unhealthy and inflammatory state of the bowel is set up. 2. When the hot weather comes, the microorganism,—viz.: the exciting cause, and which is found in the dust of the streets, gains an entrance into the infant's intestine by means of its food, and finding in the unhealthy intestine everything favourable for its growth, rapidly multiplies, and throws out a toxin or poison which speedily kills the infant. What measures do we take to prevent this mortality ? House to house visitation and instruction to mothers; the time chosen has to be when the women are most likely to be found at home. |
32a1a5a4-b651-4b12-b13d-a1ce750512ae | Free distribution of leaflets on summer diarrhœa, showing the importance of boiling milk and water, and in keeping the food covered over so as to avoid contamination by dust and flies. 25 The frequent removal of all refuse, especially vegetable matter, which we recommend to be burnt. We lay stress on the importance of keeping the roads frequently watered, so as to lay the dust. (Microorganisms adhere to moist surfaces.) And we want no better evidence of the value of this measure than the Infant Mortality of 1903, which, owing to the heavy rainfall, was the lowest on record. The personal inspection and supervision of all dairies and milkshops, and insisting on the milk standing in the open shop being covered over with damp cloth or metal cover. Every mother is given a leaflet showing the best food for her infant, and how that food should be prepared in the event of her not being able to nurse the child herself. |
bb8c1b4e-dd2f-4282-8531-257a6cffa168 | There is no doubt that the establishment of a creche would remove one of the most important predisposing causes, and it is very unfortunate that the measure for providing the same which came before Parliament in the Acton Improvement Act was lost. Much good can be done by education, and there is some slight evidence by the diminished Infant Mortality in the last four years, that the labours of the Health Department are not in vain. During the year Miss Bulkeley Williams, the health visitor, paid 1,292 visits relating to the feeding of infants, and also had 120 dirty premises cleaned. |
2cc448bc-9d52-4a13-b19d-afb111535e40 | In the following table the death-rate and Zymotic death-rate are so arranged that comparison can be made for the preceding 10 years :— 26 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1 1904 Small-pox ... ... ... ... ... ... ... ... 6 ... ... Measles 15 6 24 2 6 ... 16 ... 32 ... 15 Scarlet Fever 3 3 1 ... 3 2 6 2 1 2 1 Diphtheria 5 5 8 28 8 7 4 6 4 2 2 Whooping Cough. 17 5 21 . 10 14 4 16 13 20 9 Typhoid Fever 2 2 2 2 . |
660badbe-1be9-4282-97f8-aa45e91b12d1 | 7 4 1 4 5 3 Diarrhoea and Dysentery 17 44 37 80 50 56 50 69 23 21 82 Puerperal Fever 4 2 . . 1 1 . . 3 Total Number of Deathsfrom seven Zymotic Diseases 63 67 93 130 78 86 85 94 83 50 115 Deaths from other Causes 330 411 371 373 439 423 443 425 516 380 461 Total Deaths 393 478 464 503 517 509 528 519 599 430 576 Death-rate from seven Zymotic Diseases per 1,000 2.28 2.42 3.15 410 2.39 255 2.21 2.49 1.86 1.00 2.19 Death-rate from other Causes per 1,000 11.95 14. |
68ee5e6c-c4e8-47a9-b6b2-60b579304e9a | 86 12.59 11.79 13.48 12.55 11.53 11.26 11.57 7.64 8.8 Genera) Death-rate per 1,000 14.23 17.28 15.75 15.90 15.87 15.11 13.74 13.75 13.44 8.65 11.0 The London Zymotic death-rate for 1904 was 2.14. SECTION III. INFECTIOUS AND OTHER DISEASES. 29 SECTION III. Infectious and Other Diseases. The number of cases notified during the year, excluding Chicken-pox, was 199, against 168 in the preceding year. Two hundred and sixty-two cases of Chicken-pox were notified, against 144 in 1903. |
5e1c22a2-2f33-4c5b-9c3f-1a5460af1cde | The following table gives the number reported during the preceding ten years:— 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 Small-pox 2 . . . . . 2 1 31 1 1 Scarlet Fever 86 67 193 93 167 111 243 82 109 76 129 Diphtheria 22 32 23 89 35 49 28 34 33 22 32 Membranous Croup . . . 4 . . 1 1 3 2 1 Typhoid Fever 15 28 14 10 9 46 29 27 14 40 8 Continued Fever . . . . . . 2 . . . . Puerperal Fever 1 3 3 . 1 . . 1 1 . |
3a37c5ea-9d5f-42ef-a215-75584fc1e393 | 4 Erysipelas 41 31 26 25 22 31 28 26 24 27 24 Totals 167 161 259 221 234 239 333 172 215 168 199 I personally visited all cases of Chicken-pox immediately on receipt of notifications. One case of Small-pox, notified as Chicken-pox, I diagnosed as modified Small-pox, and the patient was removed to hospital. A similar case of modified rash occurred in the same house, so I got the opinion of Dr. McC. Wanklyn, the expert retained by the County Council, who agreed with my diagnosis. 30 Scarlet Fever. One hundred and twenty-nine cases were notified against 76 the previous year, but there was only one death, showing that the disease was of a mild type. |
85fd2f50-5fe9-42bf-8492-8a4bcd270ec2 | Too much stress cannot be laid on the fact that the germ that causes Scarlet Fever is found in the throat, and discharges from the nose and ears long after apparent convalescence. It is very important for parents and others to keep their children more or less isolated for a week or two after their return from hospital, and to collect all discharges from nose and ears on rags and burn them, and on no account to allow kissing. No hospital has, so far, succeeded in avoiding return cases, or even in materially reducing them, merely by increasing the length of stay in hospital. In the investigation of return cases of Scarlet Fever, made on behalf of the Metropolitan Asylums Board, it was found that in only 27 per cent. was there reason to suspect the desquamating cuticle as the source of the infection, and no less than 80 per cent. of the cases, which on discharge from hospital had given rise to infection, had discharges from mucous membranes, 40 per cen. |
3acbb3af-7846-486b-a8bf-9d5aedb527a4 | having a nasal discharge. Enteric Fever. Eight cases were notified during the year, and three of these proved fatal. This is a marked contrast to the previous year, when, owing to a milk epidemic, 40 cases were notified. Some recent experiments by Professor Klein show that oysters contaminated with sewage containing typhoid bacilli clear themselves more rapidly when kept in sea water than when kept in the dry state. However largely infected, the oysters at no time presented any sign of such infection to the eye. 31 Diphtheria. Thirty-two cases were notified, and two deaths occurred. How many of these 32 cases were true Diphtheria it is impossible to say. Even if a swab is taken and submitted to a bacteriological examination it does not always help one, as we know that the Klebs-Lœffler bacillus is occasionally found in perfectly healthy throats. |
c5597c35-add7-46e0-905a-2ff083545695 | And, again, cases that clinically are not diphtheria sometimes show that they have been true Diphtheria by the development of diphtheritic paralysis. There is no doubt, however, that a great number of cases are notified as Diphtheria which are only lacunar tonsillitis, or more often what is termed croupous tonsillitis, when a false membrane forms on the tonsil. It has been suggested that the term Diphtheria should be employed in a clinical sense to include all affections characterised by the presence of false membranes, their pathological distinction being indicated by such terms as staphylococcal, streptococcal, mixed lœffflerial, pure lœfferial, &c. Since the introduction of anti-toxin this terrible disease has been shorn of much of its terrors. If injected on the first day of the disease the mortality is nil, and even if the patient has not got Diphtheria it can do no harm. |
bc132932-f548-4c2c-89c3-8da2fc61b3b5 | During the year I have had ample proof of the value of Diphtheria anti-toxin as a prophylactic. I have injected 1 c.c. or 16 minims into children who have been playing with and in contact with others suffering from a virulent form of the disease, and have never known a child who has had a prophylactic dose develop the disease. I now always make it a routine practice to give this small dose to every child in the house, on condition I get the parents' consent. I take this opportunity to again remind the general practitioners in this district that I keep a supply of 32 antitoxin from the Lister Institute, which can be had at any time of the day or night by applying at my private residence, and free of charge to necessitous cases. Phthisis or Consumption. |
505b12ae-60be-48b1-9c2f-a93dc5669ef9 | There were 32 deaths due to Consumption, and 21 to other tubercular diseases, a considerable increase over the previous years, when the deaths numbered 18 and 14 respectively. The Phthisis death-rate working out at .61. The deaths from Phthisis in London registered during the year numbered 7,526, and were equal to a rate of 1.62 per 1,000 living. I examined the sputum in 33 suspicious cases; the tubercle bacillus was found in 7 specimens. Several meetings were held during the year at the Westminster Guildhall to push forward the scheme promoted by Colonel Gerard Clark to provide an openair sanatorium. It was decided to take three beds, when the Mount Vernon Hospital at North wood made an offer. This was considered more advantageous, as the Mount Vernon Sanatorium already existed, and it would be some time, possibly, before the Middlesex scheme would be in working order. |
814d9191-3d9b-454a-9a3e-4b23ac8fc6c0 | There are prospects that some day "Consumption" may be entirely extirpated. The death-rate from "Consumption" has been reduced in England and Wales during the last fifty years to one-half of what it was before. The reduction of overcrowding, better dwellings, better drainage, and more cleanly habits of the people have all been instrumental in reducing the death-rate. What we have to do now is to induce the people of all classes to recognise the predisposing and, above all, the exciting cause of Tuberculosis, to teach the consumptive that the germ causing the disease is in 33 his expectoration, and that, unless he takes proper precautions, he may be instrumental in causing many deaths and much misery and suffering to others. All cases of Tuberculosis are visited by one of the staff of the Health Department, and every endeavour is made, by leaflets and otherwise, to educate both the patient and the other inmates of the house as to the cause and treatment of the disease. |
08bc4d70-3042-4f5e-9b3e-fb42a67c66c2 | One of the great advantages of sending the poorer class to undergo the open-air treatment is that they continue to follow it out on their return home. It is thus a valuable means of education. Measles. This complaint invariably becomes epidemic every two years. The following are the deaths from Measles during the last 10 years:— 1894 15 1900 16 1895 6 1901 — 1896 24 1902 32 1897 2 1903 — 1898 6 1904 15 1899 — We have reasons to believe that the poorer class are getting to understand the dangerous complications of measles. The school-card system enables us now to visit the homes and give instruction and leaflets. This must bear fruit in time. Owing to the prevalence of the disease it was necessary to close the following schools:— Priory (Infants) 4th March to 25th March. |
ed1fde6f-dc0e-4e98-b0ca-60780a340eba | East Acton 25th March to 1st April. „ ,, 27th April to 20th May. d 34 Whooping Cough. This disease caused the deaths of nine young children, mostly from lung complications. The previous year we had 40 deaths. It would be a great help if we could get to hear of these cases of whooping cough when the children are first attacked, so that we can warn the mothers of the importance of taking proper care of the patients and not to look upon whooping cough as a trivial complaint. I have drawn up the following leaflet, which is freely circulated:— The urban District Council of Acton. Instructions to the Public as regards Whooping Cough. This disease is most fatal in young children. Out of every 100 deaths from Whooping Cough 96 occur in children below five years of age. |
5ff199f8-62f0-4241-965e-a11864a7815b | A Child suffering from this Disease should be Isolated, and not brought in contact with any other children until the characteristic spasmodic cough or whoop has disappeared for at least a week. This may be six weeks or more from the commencement of the illness. The Disease is spread by the breath and sputa of the Patient. Whatever the child coughs up should be received on paper or rags and immediately burned. The Medical Officer of Health. Public Health Department, Gothic Vii.la, Mill Hill Grove, Acton, W. 35 Diseases Notified Amongst School Children. Cards as follows are supplied to the Secretary of the Education Committee to be filled up whenever a child is kept away from school for personal illness or illness of others in the house. Upon receiving these cards Miss Bulkeley Williams, our Health Visitor, calls at the house and obtains full particulars. Ward SCHOOL NOTIFICATION CARD. To Be Filled in By School Authorities. School Dept. |
6291949d-4032-4745-8ebe-5d044be3e2fb | Disease Name Age Sex Address Class Child Excluded Date For Personal Illness For Illness of others in House Teacher Attendance Officer. Date Ward HEALTH VISITOR'S OBSERVATIONS. Disease No. Dates of Visits Is disease being treated ? Dr. regularly attending. Date of Onset Date of Rash Isolated Is disinfection necessary ? Suspected Cause Sunday School Date of Disinfection Other schools by inmates School notified to prohibit School notified to re-admit (Signed) D 2 36 The following table refers to School Cards which have been received during the year and which the Health Visitor has visited:— Name of School. North Ward. East Ward. WestWard. Total. Priory 35 13 53 101 St. |
3bf61c0c-2d40-4c16-89b8-3bb8e35b8dd1 | Mary's 9 2 9 20 Beaumont Park 1 23 5 29 South Acton — 8 32 40 Churchfield Hall 8 — 10 18 East Acton 46 36 — 82 Roman Catholic — 13 4 17 Rothschild Road — — — - Willesden Junction 54 — — 54 Totals 153 95 113 361 Table showing the diseases from which the above mentioned cases were suffering:— Disease. North Ward. East Ward. West Ward. Total. Discharge from Eai - - 6 6 Ringworm 9 8 32 49 Chicken-pox 80 16 22 118 Scarlet Fever 10 — — 10 Sore and Dirty Heads 1 4 1 6 Measles 30 40 26 96 Whooping Cough . |
17cc2a1c-9214-43c5-be0d-bce12b5a22a7 | - 3 — 3 Skin Disease 2 7 12 21 Miscellaneous 22 15 15 52 Totals 154 93 114 361 37 Visits were made by Miss Bulkeley Williams to the following diseases in addition to the necessary visits re School Cards:— Measles 216 Chicken-pox 6 Scarlet Fever 140 Phthisis 46 Diphtheria 25 Erysipelas 22 Enteric Fever 5 Puerperal Fever 6 T otal 466 Bacteriological Examinations. During the year there were 43 Bacteriological Examinations made for the presence of— Positive Results. Diphtheria Bacillus 10 4 Enteric (Widal's reaction) 0 0 Tubercle Bacillus 33 7 38 Cases of Infectious Disease Notified during the Year 1904. ]Notifiable Disease. Cases Notified in Whole District. Total Cases Notified in each Locality. |
c5943447-97d4-4dc3-9fc6-8e2040a7bef2 | At all Ages. At Ages—Years. North Ward. West Ward. East Ward. Under 1. 1 to 5. 5 10 15. 15 to 25. 25 to 65. 65 and upwards. Small-pox 1 . . . 1 . . . . 1 Cholera . . . . . . . . . . Diphtheria 32 2 9 16 1 4 . 11 11 10 Membranous Croup 1 . . 1 . . . . 1 . Erysipelas 24 1 . 3 3 16 1 4 10 10 Scarlet Fever 129 2 27 81 ]3 6 . 42 54 33 Typhus Fever . . . . . . . . . . Enteric Fever 8 . 2 2 1 2 1 2 1 5 Relapsing Fever . . |