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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Bexley 1970

[Report of the Medical Officer of Health for Bexley]

Published
1970
Pages
176
Tables
106

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106 tables in this report

  • Page 15
    GENERAL STATISTICS
    Area in acres 15,89619691970
  • Page 16
    VITAL STATISTICS (Comparison figures with SD.52—1969. These are amended figures)
    Bexley London BoroughEngland
    196919701970
  • Page 17
    VITAL STATISTICS 1970 BEXLEY LONDON BOROUGH
    Local Authority AreaEngland & Wales (Total)Local Authority AreaEngland & Wales
    MalesFemales
  • Page 18
    The Stillbirth Rate is the number of stillbirths per thousand total births)
    Birth RateStillbirth Rate
    BexleyEngland & WalesBexleyEngland & Wales
  • Page 18
    INFANT DEATHS The number of infants dying under one year of age was the same as in 1969, but with fewer births the rate went up from 15.0 to 16.0 per thousand live births compared with 18.0 for England & Wales:
    BexleyEngland & Wales
  • Page 19
    INFANT MORTALITY 1970 Deaths from stated causes at various ages under 1 year of age
    Causes of death as certifiedDAYSMONTHS
    0123456714212823456789101112
  • Page 20
    INFANT MORTALITY 1970 (contd.)
    Causes of death as certifiedDAYSMONTHS
    0123456714212823456789101112
  • Page 21
    S.D.25 NUMBERS OF DEATHS BY CAUSE, IN SEX AND AGE GROUPS
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 22
    BEXLEY 1970 (continued)
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 23
    BEXLEY 1970 (continued)
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 24
    S.D.25 NUMBERS OF DEATHS BY CAUSE, IN SEX AND AGE GROUPS
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 25
    BEXLEY 1969 (continued)
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 26
    BEXLEY 1969 (continued)
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 27
    S.D.25 NUMBERS OF DEATHS BY CAUSE, IN SEX AND AGE GROUPS
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 28
    BEXLEY 1968 (continued)
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 29
    BEXLEY 1968 (continued)
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 30
    S.D.25 NUMBERS OF DEATHS BY CAUSE, IN SEX AND AGE GROUPS
    CAUSE OF DEATHSexAll agesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 31
    BEXLEY 1967 (continued)
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 32
    S.D.25 NUMBERS OF DEATHS BY CAUSE, IN SEX AND AGE GROUPS
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 33
    BEXLEY 1966 (continued)
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 34
    S.D.25 NUMBERS OF DEATHS BY CAUSE, IN SEX AND AGE GROUPS
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 35
    BEXLEY 1965 (continued)
    CAUSE OF DEATHSexAll AgesUnder 4 weeks4 weeks and under 1 yearAge in years
    1-45-1415-2425-3435-4445-5455-6465-7475 and over
  • Page 39
    HOSPITAL AND SPECIALIST SERVICES The Hospitals in the Borough are as follows: —
  • Page 43
    LOCAL AUTHORITY SERVICES CHILD HEALTH CLINICS At the end of the year the following sessions were being held
    ClinicsChild WelfareAnte-NatalRelaxation and Mothercraft
  • Page 44
    Continued from previous page...
    ClinicsChild WelfareAnte-NatalRelaxation and Mothercraft
  • Page 45
    CHILD HEALTH CLINICS The total number of sessions held during the year was 2,016 and 12,272 children made 69,496 attendances. The details are as follows
  • Page 45
    CHILD WELFARE SESSIONS:
    19691970
  • Page 45
    The number of premises in use at the end of the year for these services is shown as follows:
  • Page 45
    The number of pre-school children referred to the special clinics was: —
    19691970
  • Page 46
    DISTRIBUTION OF WELFARE FOODS During the year the following foods or dietary supplements were distributed from welfare food centres or clinics. (1969 figures are given for comparison).
    19691970
  • Page 46
    The numbers of registered premises and child minders, and places available in each year, in each category, are shown in the following table:
    196819691970
    No.No. of placesNo.No. of placesNo.No. of places
  • Page 47
    The following were dissuaded from persevering with their application:
    196819691970
  • Page 49
    The following tables give further details:—
    NumberWeight CategoryDeaths within 28 days
  • Page 50
    QUARTERLY LOW BIRTH WEIGHT STATISTICS 1969-70 (including neonatal deaths under 28 days)
    19691000 grammes or less1001-1500 grammes1501- 2000 grammes2001- 2250 grammes2251- 2500 grammesNeonatal Deaths over 2500 grammesTotalNeonatal Death Rate per 1000 livebirths
  • Page 52
    CONGENITAL MALFORMATIONS AT BIRTH The number of congenital malformations and the number of cases and deaths due to them in 1970 with those also for 1969 shown for comparison were as follows:—
    19691970
  • Page 52
    Further details of these malformations in Bexley are as follows: —
    19691970
  • Page 53
    Continued from previous page...
    19691970
  • Page 56
    Reasons for Admission
  • Page 56
    Placements on Discharge
  • Page 58
    ANTE NATAL, MOTHERCRAFT AND RELAXATION CLASSES
  • Page 58
    Health Visitors and Clinic Nurses attended the following sessions:
    19691970
  • Page 59
    Continued from previous page...
    19691970
  • Page 61
    Continued from previous page...
    19691970
  • Page 61
    HOME NURSING Involvement of the home nursing in the scheme of attachment to general medical practices is mentioned in Appendix A, page 167. The number on the establishment during the year was 33.
    (a) Cases visited for the first time during the year19691970
  • Page 62
    They accounted for 82 per cent of the total compared with 80.6 per cent in 1969 and 73 per cent in 1966.
    Cases
    19691970
  • Page 63
    Table A Source of Referral of Mentally III Patients
    Under 16 years16 years and over
    MaleFemaleMaleFemale
  • Page 64
    Table B Type of Care:-
    Mentally III 16 years and overElderly Mentally InfirmTOTAL
    MaleFemaleMaleFemale
  • Page 64
    The number of patients in attendance and patients discharged were:-
  • Page 65
    The following table (A) shows the sources from which the 27 new mentally and severely mentally handicapped persons were referred during 1970, table (B) shows the type of care being provided for the 342 persons in these categories, table (C) shows the number awaiting entry to hospital and table (D) shows the number admitted for temporary residential care during the year. (A) Sources of Referral
    Mentally HandicappedSeverely Mentally HandicappedTOTAL
    Under 16 years16 years and overUnder 16 years16 years and over
    MaleFemaleMaleFemaleMaleFemaleMaleFemale
  • Page 65
    (B) Type of Care
    Mentally HandicappedSeverely Mentally HandicappedTOTAL
    Under 16 years16 years and overUnder 16 years16 years and over
    MaleFemaleMaleFemaleMaleFemaleMaleFemale
  • Page 65
    (C) Awaiting admission to hospital
    Mentally HandicappedSeverely Mentally HandicappedTOTAL
    Under 16 years16 years and overUnder 16 years16 years and over
    MaleFemaleMaleFemaleMaleFemaleMaleFemale
  • Page 66
    (D) Admitted for temporary residential care
    Mentally HandicappedSeverely Mentally HandicappedTOTAL
    Under 16 years16 years and overUnder 16 years16 years and over
    MaleFemaleMaleFemaleMaleFemaleMaleFemale
  • Page 68
    The number of places available in training centres during the year was
    Under 16 years16 years and overTOTAL
  • Page 76
    The number of places available in hostels, homes and social centres during the year was as follows: —
  • Page 78
    DIRECT SERVICE
    No. of SessionsNo. of TreatmentsNo. of Patients
  • Page 86
    The numbers examined in 1969 and 1970 at the three cytology clinics were
    Local Authority Clinics19691970
  • Page 86
    Distribution of tests according to age groups
    Under 2525-2930-3435-3940-4445-4950-5455 and over
  • Page 86
    The following results were obtained:—
    19691970
  • Page 87
    DEATHS FROM NEOPLASMS The following table of deaths from cancer shows the commoner sites of the disease:—
    Site19691970
  • Page 89
    The Working Party in recommending a trebling of the service in the first year advised that this should be done selectively in view of the unequal supply position of the existing service. The following distribution was suggested:—
    DistrictExisting Number of PersonsExtra Number of PersonsTotal Number of PersonsWeekly Number of Meals
  • Page 91
    (1) LUNCHEON CLUBS (a) Existing Service: As reported in September this is limited to:
    CentreNo. of Meals per weekSelling PriceRemarks
  • Page 92
    (2) MEALS-ON-WHEELS (a) Existing Service:
    DistrictAverage No. of personsAverage No. of meals per weekSource
  • Page 93
    Target for 1970—71
    DistrictNo. of PersonsNo. of Meals per week
  • Page 93
    (c) Sources of Production: The following table shows the sources of supply and their capacity at present levels of staffing and equipment, and their existing use for this service based on a service spread over five days per week.
    KitchenCapacity per weekExisting production per week (average)
  • Page 95
    These are based on average costs per meal plus costs of distribution.
    Additional Meals producedAdditional Cost to CouncilAdditional Cost Per meals estimates
    Productionper weekPer MealTotal £Per MealTotal £
  • Page 101
    INFECTIOUS DISEASES The notifications of infectious disease for 1970 are set out below together with the 1969 figures for comparison. In all, there were 685 notifications during the year compared with 897 during the previous year, the reduction being proportional throughout the list of causes except for whooping cough. The comments that follow will also include observations on two outbreaks of infection in schools.
    19691970
  • Page 102
    VACCINATION AND IMMUNISATION Bexley London Borough continued to occupy its usual high place in the league table for vaccinations and immunisations as the following comparative figures show : —
    Percentage of children born in 1968 and vaccinated by December 31st 1970 against:
    DiphtheriaWhooping CoughPoliomyelitisSmallpox (children under 2 years)
  • Page 103
    The arrangement for the vaccination of staff against Smallpox as described in the previous Annual Report continued throughout 1970.
    Primary ImmunisationsRe-inforcing Immunisations
    1969197019691970
  • Page 106
    The following figures cover the period from 15th April 1970 to 31st December, 1970
    BexleyheathSidcupTotal
  • Page 107
    V.D. RETURNS
    HospitalTotals — All Venereal ConditionsSyphilisGonorrhoeaOther Venereal Conditions
    19691970196919701969197019691970
  • Page 108
    Their distribution is shown in the following table from which it will be seen that almost 50 per cent of the local authority residents were 85 years or over as against 13 per cent in the voluntary homes.
    AGE GROUPMALEFEMALE
    Local Authority HomesVoluntary HomesLocal Authority HomesVoluntary Homes
  • Page 109
    PLACE FROM WHICH ADMITTED DURING THE PREVIOUS TWELVE MONTHS
    AGE GROUP AND SOURCEMALEFEMALETOTALS
    Local Authority HomesVoluntary HomesLocal Authority HomesVoluntary Homes
  • Page 110
    Continued from previous page...
    AGE GROUP AND SOURCEMALEFEMALETOTALS
    Local Authority HomesVoluntary HomesLocal Authortity HomesVoluntary Homes
  • Page 110
    CONTINENCE DIFFICULTIES
    AGE GROUPMALEFEMALETOTALS
    Local Authority HomesVoluntary HomesLocal Authority HomesVoluntary Homes
  • Page 111
    MOBILITY
    AGE GROUPMALEFEMALETOTALS
    Local Authority HomesVoluntary HomesLocal Authority HomesVoluntary Homes
  • Page 112
    MENTAL CONDITION
    AGE GROUPMALEFEMALETOTALS
    Local Authority HomesVoluntary HomesLocal Authority HomesVoluntary Homes
  • Page 117
    METROPOLITAN WATER BOARD - Water Examination Department BACTERIOLOGICAL RESULTS - YEARLY AVERAGES, 1970 OF THE WATER SUPPLIED TO THE LONDON BOROUGH OF BEXLEY
    Source of supplyBEFORE TREATMENTAFTER TREATMENT
    Number of samplesAgar plate count per ml.Coliform countEscherichia coli countNumber of samplesAgar plate count per ml.Coliform countE. coli count
    20-24 hours at 37°C.3 days at 22°C.Per cent. samples negative in 100 ml.Count per 100 ml.Per cent. samples negative in 100 ml.Count per 100 ml.20-24 hours at 37°C.3 days at 22°C.Per cent. samples negative in 100 ml.Per cent. samples negative in 100 ml.
  • Page 118
    METROPOLITAN WATER BOARD - Water Examination Department Average results of the chemical examination of Water supplied to the London Borough of Bexley during 1970 Milligrammes per litre (unless otherwise stated)
    Description of the SampleNumber of Samples Day of the monthAmmoni- acal NitrogenAlbuminoid NitrogenNitrate NitrogenOxygen abs. from KMn04 4 hrs.at 27°C.B.O.D. 5 days at 20°C.Hardness (total) CaC03Hardness non carbonate CaC03Magnesium as MgSodium as NaPotassium as K
  • Page 118
    METROPOLITAN WATER BOARD - Water Examination Department Average results of the chemical examination of Water supplied to the London Borough of Bexley during 1970 Milligrammes per litre (unless otherwise stated)
    Description of the SampleChloride as CIPhosphate as P04Silicate as Si02Sulphate as S04Natural Fluoride as FSurface-active material as Manoxol OTTurbidity unitsColour (Burgess units)pH valueElectrical Conduct-I ivity (microm-hos)
  • Page 130
    PART 1. Application for Certificates of Repair
  • Page 134
    The following table shows the number of routine samples taken and submitted to the Public Health Laboratory Service.
    No. TakenUnsatisfactory
  • Page 140
    In no case was it necessary to institute proceedings for contravention of the Act.
    Premises (1)Number on Register (2)Inspections (3)Number of Written notices (4)
  • Page 140
    2. Cases in which DEFECTS were found
    Particulars (1)Number of cases in which defects were found
    Found (2)Remedied (3)Referred
    To H.M. Inspector (4)By H.M. Inspector (5)
  • Page 150
    SCHOOL POPULATION
    19691970
  • Page 150
    ROUTINE MEDICAL INSPECTIONS The same age groups of children were examined as in previous years.
    19691970
  • Page 150
    CLEANLINESS INSPECTIONS
    19691970
  • Page 151
    Continued from previous page...
    19691970
  • Page 151
    SKIN DISORDERS Number of skin disorders requiring treatment found at routine medical inspections
    19691970
  • Page 151
    During the year the following cases were reported : —
    19691970
  • Page 151
    EYE DEFECTS At the routine medical inspections the following defects were found to require treatment:
    VisionSquintOther ConditionsTotals
    19691970196919701969197019691970
  • Page 152
    The special "Keystone" vision screening test continued to be used extensively throughout the Borough in 1970. The majority of those failing this test were added to the 599 shown above giving the following totals : —
    19691970
  • Page 152
    The detailed results of tests carried out using the "Keystone" apparatus are as follows: —
    19691970
  • Page 152
    DEFECTS OF EAR, NOSE AND THROAT The following 91 ear, nose and throat conditions requiring treatment were found : —
    DefectiveHearingOtitis MediaOther Conditions
  • Page 153
    The following numbers of children received operative treatment for ear, nose and throat conditions
    19691970
  • Page 153
    AUDIOMETRY During the year routine audiometry continued to be carried out in the schools in the Borough on children aged seven years. These screening tests are performed by a clinic nurse specialising in this work. She is also the nurse-audiometrician at the audiology unit (see under Deafness in Early Childhood).The detailed results of her tests are as follows
  • Page 154
    Continued from previous page...
  • Page 154
    SPEECH DEFECTS The following numbers of new children required treatment for speech defects : —
    19691970
  • Page 154
    ORTHOPAEDIC AND POSTURAL DEFECTS The following 65 cases were discovered at routine medical inspections to require treatment:—
    PostureFeetOther Conditions
  • Page 159
    The school and other priority dental services share staff and premises so all aspects of this report relate to both school health and care of pre-school children and expectant and nursing mothers. Statistics are, however, recorded for each service.
    Establishment1970No. in post 31st December (whole time equiv.)
    DesignationNo. of Posts19691970
  • Page 160
    DENTAL SERVICES FOR EXPECTANT AND NURSING MOTHERS AND PRE SCHOOL CHILDREN
    A. ATTENDANCES AND TREATMENT19691970
  • Page 161
    Continued from previous page...
    C. ANAESTHETICS19691970
  • Page 161
    SCHOOL DENTAL SERVICE
    INSPECTIONS19691970
  • Page 162
    Continued from previous page...
    19691970
  • Page 163
    Continued from previous page...
    19691970
  • Page 164
    Continued from previous page...
    ANAESTHETICS19691970
  • Page 165
    An indication of the failure to use available dental resources in areas of Borough is shown below:
    AreaNot seeking regular care