[Report of the Medical Officer of Health for Lewisham Borough]

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Table 1 TOTAL DEATHS BY CAUSE AND AGE REGISTERED DURING 1966

Disease		Sex	All ages	Under Atuks.	4 tvks under 1 year	1-	5-	15-	25-	35-	45-	55-	65-	75 & over

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Table 2 HEART AND CIRCULATION MORTALITY

Year	Deaths from			Total heart & circulation (all ages)	Age group 45.65		Total deaths in borough	Percentage
	Coronary diseases	Other heart diseases	Other circulatory diseases		Total	Coronary diseases		(e) (h) (i)	of(f)of (h) (j)	(g)of (h) (k)

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Table 3 LUNG CANCER

Year			MALE		FEMALE
	All cancer deaths	Lung cancer deaths	(c)as % of lb)	All cancei. deaths	Lung cancer deaths	(f)as Vo of(e)

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Table 4 MORBIDITY SHOWN IN INSURANCE CERTIFICATES

Weekly average for period ending	1965	1966

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Table 5 GENERAL STATISTICS FROM 1950

Year	Population	Death rate *	% dying under age 45	dying under age 65	Birth rate *	Maternal Death rate t	Still.birth rate t	Infant mortality rate * *	Pulmonary Tuberculosis
Year	Population	Death rate *	% dying under age 45	dying under age 65	Birth rate *	Maternal Death rate t	Still.birth rate t	Infant mortality rate * *	Notif. rate f f	Death rate t t

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Table 6

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Table 7

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Table 8 AT RISK REGISTER

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Table 9

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Table 10

		Attendances	Referred to clinic doctor	Referred to other doctors

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Table 11

Equipment	No. issued during 1966	Total stock held on stock register	No. on loan at present

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Table 12 DENTAL SERVICES FOR EXPECTANT AND NURSING MOTHERS AND CHILDREN UNDER5 YEARS

A: Attendances and Treatment Number of Visits for Treatment During Year	Children 0-4 (incl.)	Expectant and Nursing Mothers

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Table 13 STATISTICAL SUMMARY OF ATTENDANCES

		1966	1965

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Table 14

NEW CASES	ATTENDANCES ANALYSIS

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Table 15

	Lewisham	l.L.E.A.

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Table 16

			LEWISHAM		Total l.L.E.A.
No. inspected Defects			15,454		157,092

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Table 17

		LEWISHAM	I.L.E.A.

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Table 18

		LEWISHAM	I.L.E.A.

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Table 18— continued

3. First Inspections	LEWISHAM	l.L.E.A.

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Table 19 NON-ROUTINE MEDICAL INSPECTIONS

Type of Inspection	LEWISHAM	l.L.E.A. Area

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Table 20 Percentage of number tested C—Boys and Girls

	Number tested	A—Not wearing glasses											B— Weari ng glasses						Percentage of number tested with and without glasses
				6/6	6/9		6/12 or worse		Noted for treatment		6/6		6/9		6/12 or worse		Noted for treatment		Noted for Treatment	Noted for Observation	Total noted for treat. went or Observation
	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Noted for Treatment	Noted for Observation	Total noted for treat. went or Observation

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Table 21 COMPARISON OF DEFECTS NOTED AT 7.PLUS ROUTINE AND 7.PLUS 'SPECIAL' MEDICAL INSPECTIONS IN 1966 Number of children noted for treatment and observation expressed as a rate per 1,000 inspected

			LEWISHAM		l.L.E.A.

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Table 22

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CASES RECEIVING SERVICE AS AT 31st DECEMBER 1966 (1965 figures in brackets)

Office	Maternity	Tuber-culosis	Age 65 and over	Aged under 65 Chronic sick	Others	Total

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(Corrected for revised diagnosis) during the year 1966 with comparative figures for the previous six years.

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Table 25 NOTIFICATIONS OF INFECTIOUS DISEASES IN 1966 SHOWING SEX AND AGE GROUPS

Diseases	Under 1		1-		3-		5-		10-		15-		25-		45-		65+		Total

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Table 26 FOOD POISONING CASES

Causative agent	No. of separate out-breaks	No. of cases notified or ascer-tained	No. of separate out-breaks	No. of cases notified or ascer-tained	Notified or ascertained	No. of outbreaks and sporadic cases columns (1 + 3+5)	No. of cases columns (2+4+5)

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DETAILS OF FOOD POISONING DUE TO SALMONELLAE OTHER THAN S.TYPHIMURIUM

Type of salmonella

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Table 27 TUBERCULOSIS NOTIFICATIONS AND DEATHS AT AGES

Age periods	New cases notified						Deaths
Age periods	Respiratory		Non-Respiratory		Totals		Respiratory		Non-Respiratory		Totals

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I am indebted to Dr. Morgan the Director of the Unit for information of work done in the borough during 1966 on which the following tables are based.

Patients	Men	Women	Total

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Table 29

MEN		WOMEN

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Table 30

				Cases of tuberculosis requiring treatment or close supervision				NOT PREVIOUSLY EXAMINED (included in previous columns)

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Table 31 IMMUNISATION AND VACCINATION

Type of vaccine or dose Primary courses completed	Year of birth					Others under age 16 yrs.	Total
Type of vaccine or dose Primary courses completed	1966	1965	1964	1963	1959-62	Others under age 16 yrs.	Total

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The following relates to the work carried out by the public health laboratory on behalf of the Council during 1966.

Specimens	Number	Remarks

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Table 33 SUMMARY OF INSPECTIONS BY PUBLIC HEALTH INSPECTORS

Reason for inspection	Total

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Table 34 SUMMARY OF NOTICES SERVED

Informal notices: Public Health Act, 1936	1,025

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Table 34—c ontinued

Statutory notices: Public Health Act, 1936	574

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Table 35 REPAIRS CARRIED OUT

Repairs	Total

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Table 36 INSPECTIONS

Premises	Number on register	Number of
Premises	Number on register	Inspections	Written notices	Occupiers prosecuted

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Table 37 CASES IN WHICH DEFECTS WERE FOUND

Defects	No. of defects
	Found	Remedied			Prosecutions instituted
	Found	Remedied	To HM Inspector	By HM Inspector	Prosecutions instituted

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The following is a list or occupations concerned: Table 38

	Trade	Outworkers employed

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Table 41 REGISTRATIONS AND GENERAL INSPECTIONS

Class of premises	Number of premises registered during the year	Total number of registered premises at end of year	Number of registered premises receiving a general inspection during the year

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Table 42 PERSONS EMPLOYED IN REGISTERED PREMISES BY WORKPLACE

Class of work place	Number of persons employed

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Table 43

Class of premises	No. of exemp-tions current at 31st Dec.	No. of exemp-tions granted or extended during the year	No. of appli-cations refused or exemp-tions drawn during yr.	No. of cases where em-ployees opposed applica-tion	Appeals to Court against refusal to grant or extend an exemption or the with-drawal of an exemption
Class of premises	No. of exemp-tions current at 31st Dec.	No. of exemp-tions granted or extended during the year		No. of cases where em-ployees opposed applica-tion	No. made	No. allowed

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Table 45 INFORMAL NOTICES SERVED DURING 1966 FOR DEFECTS FOUND UNDER O.S.R. ACT 1963

Cleanliness	9	Other deficient washing accom-

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Details of the work carried out during the year are as follows:

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Table 47

	Type of Properly
	Local authority	Dwelling houses (including council houses)	All other (including business premises)	Total	Agricultural

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There are 5 public swimming baths in the Borough. The following table shows details of the laboratory tests taken during the year.

	Table 48
	Bath	Number of tests	Variation of chlorine (p.p.m.)

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Table 49

Area No. and name		No. of dwellings	Date of operation	Area No. and Name	No. of dwellings	Date of operation

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Table 50 ATMOSPHERIC CONDITIONS IN 1966

	January	February	March	April	May	June	July	August	September	October	November	December	Average or actual

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Table 51

Applications for certificates	11

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Table 52 HOUSES IN CLEARANCE AREAS AND UNFIT HOUSES ELSEWHERE

(a)	HOUSES DEMOLISHED

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Table 52—continued

(e)	—UNFIT HOUSES MADE FIT AND HOUSES IN WHICH DEFECTS WERE REMEDIED
		By owner	By Local Authority

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Table 53

Type of milk	Number of samples tested

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Table 54

Period	Samples	Average composition of samples examined Percentage of
Period	Samples	Milk fat	Solids not fat	Total solids

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Table 55

	Samples	%

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Table 56 Samples Analysed

Articles	Examined				Adulterated
Articles	Formal	Informal	Total	Formal	Informal	Total

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Table 57 Non-genuine samples

Article	Formal or Informal	Adulteration or irregularity	Action taken

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Table 57—continued

Article	Formal or Informal	Adulteration or irregularity	Action taken

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Table 57—continued

Article	Formal or Informal	Adulteration or irregularity	Action taken

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Table 57—continued

Article	Formal or Informal	Adulteration or irregularity	Action taken

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Table 58

Type of premises	Number of premises	Number provided with wash-hand basins	Number with facilities for washing food and equipment

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Table 59

Type	1966	Total

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Table 60

Country of origin	Tonnage imported

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Table 61

Unfit food	Amount

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Table 62

	Number of cases	Fines		Costs
		£	s.	d.	£	s.	d.

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Table 64 Bacteriological Results—Yearly Averages, 1966 of water supplied to the Borough of Lewisham

Source of supply	BEFORE TREATMENT									AFTER TREATMENT
	Agar plate count per ml.			Coliform count		Escherichia coli count		Agar plate count per. ml.			Coliform count	E. coli count
	Number of samples	20-24 hours at 37 °C	3 days at 22 °C.	Per cent, samples negative in 100 ml,	Count per 100 ml.	Percent, samples negative in 100 ml.	Count per 100 ml.	Number of samples	20-24 hours at 37°C.	3 days at 22 °C.	Percent.. samples negative in 100 ml.	Percent, samples negative in 100 ml.

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Table 65

	Lewisham Mortuary	Deptford Mortuary	Total

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Table 66

Cemetery	No. of burials

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Table 67

Country	Number of Immigrants „	Number of first successful visits

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Table 68

Source from which patient came

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Table 69

	31.12.66

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

Lewisham 1966

73 tables in this report

Table 1 TOTAL DEATHS BY CAUSE AND AGE REGISTERED DURING 1966

Table 2 HEART AND CIRCULATION MORTALITY

Table 3 LUNG CANCER

Table 4 MORBIDITY SHOWN IN INSURANCE CERTIFICATES

Table 5 GENERAL STATISTICS FROM 1950

Table 6

Table 7

Table 8 AT RISK REGISTER

Table 9

Table 10

Table 11

Table 12 DENTAL SERVICES FOR EXPECTANT AND NURSING MOTHERS AND CHILDREN UNDER5 YEARS

Table 13 STATISTICAL SUMMARY OF ATTENDANCES

Table 14

Table 15

Table 16

Table 17

Table 18

Table 18— continued

Table 19 NON-ROUTINE MEDICAL INSPECTIONS

Table 20 Percentage of number tested C—Boys and Girls

Table 21 COMPARISON OF DEFECTS NOTED AT 7.PLUS ROUTINE AND 7.PLUS 'SPECIAL' MEDICAL INSPECTIONS IN 1966 Number of children noted for treatment and observation expressed as a rate per 1,000 inspected

Table 22

CASES RECEIVING SERVICE AS AT 31st DECEMBER 1966 (1965 figures in brackets)

(Corrected for revised diagnosis) during the year 1966 with comparative figures for the previous six years.

Table 25 NOTIFICATIONS OF INFECTIOUS DISEASES IN 1966 SHOWING SEX AND AGE GROUPS

Table 26 FOOD POISONING CASES

DETAILS OF FOOD POISONING DUE TO SALMONELLAE OTHER THAN S.TYPHIMURIUM

Table 27 TUBERCULOSIS NOTIFICATIONS AND DEATHS AT AGES

I am indebted to Dr. Morgan the Director of the Unit for information of work done in the borough during 1966 on which the following tables are based.

Table 29

Table 30

Table 31 IMMUNISATION AND VACCINATION

The following relates to the work carried out by the public health laboratory on behalf of the Council during 1966.

Table 33 SUMMARY OF INSPECTIONS BY PUBLIC HEALTH INSPECTORS

Table 34 SUMMARY OF NOTICES SERVED

Table 34—c ontinued

Table 35 REPAIRS CARRIED OUT

Table 36 INSPECTIONS

Table 37 CASES IN WHICH DEFECTS WERE FOUND

The following is a list or occupations concerned: Table 38

Table 41 REGISTRATIONS AND GENERAL INSPECTIONS

Table 42 PERSONS EMPLOYED IN REGISTERED PREMISES BY WORKPLACE

Table 43

Table 45 INFORMAL NOTICES SERVED DURING 1966 FOR DEFECTS FOUND UNDER O.S.R. ACT 1963

Details of the work carried out during the year are as follows:

Table 47

There are 5 public swimming baths in the Borough. The following table shows details of the laboratory tests taken during the year.

Table 49

Table 50 ATMOSPHERIC CONDITIONS IN 1966

Table 51

Table 52 HOUSES IN CLEARANCE AREAS AND UNFIT HOUSES ELSEWHERE

Table 52—continued

Table 53

Table 54

Table 55

Table 56 Samples Analysed

Table 57 Non-genuine samples

Table 57—continued

Table 57—continued

Table 57—continued

Table 58

Table 59

Table 60

Table 61

Table 62

Table 64 Bacteriological Results—Yearly Averages, 1966 of water supplied to the Borough of Lewisham

Table 65

Table 66

Table 67

Table 68

Table 69

TABLES