London's Pulse: Medical Officer of Health reports 1848-1972
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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
Richmond upon Thames 1971
[Report of the Medical Officer of Health for Richmond]
- Published
- 1972
- Pages
- 98
- Tables
- 97
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Page 7
VITAL AND GENERAL STATISTICS 1971
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Page 8
POPULATION The Registrar General's estimate of mid-year population for the Borough was 174,310, which is a decrease of 240 compared with 1970. The natural increase (excess of births over deaths) was 57.
Year Population Population trend Migration excess Total increase or decrease Percentage proportion Natural increase or decrease Inward Outward -
Page 8
Main Causes of Death An analysis of the death returns reveals the following main causes of death :
Disease Percentage of total deaths Death rate per 1,000 of the population -
Page 9
Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1971
Cause of Death Age Group Total Grand Total Under 1 1-4 5-14 15-24 25-44 45-64 65-74 75 and over M F M F M F M F M F M F M F M F M F -
Page 10
Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1971 — cont.
Cause of Death Age Group Total Grand Total Under 1 1—4 5—14 15—24 25—44 45—64 65—74 75 and over M F M F M F M F M F M F M F M F M F -
Page 11
INFECTIOUS DISEASES The number of notifications received during the year, compared with 1970 may be summarised as follows:—
Disease. 1971 1970 -
Page 11
Previous years' figures are as follows:—
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Page 11
The distribution of cases during each quarter of the year was as follows :
M. F. Total -
Page 13
From the table below it will be seen that the first nine years of childhood suffer the major incidence of the disease:
M. F. Total -
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Previous years figures are as follows : —
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Page 14
The age distribution of the cases notified during the year was as follows:—
M. F. Total -
Page 15
Cases of Infectious Diseases Notified during the year 1971
DISEASE CASES NOTIFIED AT VARIOUS AGES (YEARS) Total Cases Notified Under 1 Year 1 2 3 4 5—9 10—14 15—19 20—24 25—34 35—44 45—64 65 and Over Age not known -
Page 16
Sexually Transmitted Diseases. The following new cases have been notified by the undermentioned hospitals of patients treated from this Borough during 1971.
Syphilis Gonorrhoea New Cases Total Other Genital Conditions Other Conditions -
Page 16
The following table shows from which country the immigrants' passports were issued:
Country where passport issued Number of Immigrants Commonwealth Countries. 1971 1970 -
Page 17
CARE OF MOTHERS AND YOUNG CHILDREN Ante-Natal and Post-Natal Clinics
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Page 18
The referring agents were as follows:—
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Page 19
Surveys The department has taken part in a number of surveys during the year (either during the actual period of the survey or research project or later in the various follow-up functions) which has included the following:—
Sponsoring Body Subject of Survey -
Page 20
Table I.
Pre-School Children 1971 1970 -
Page 20
Table II.
Expectant and Nursing Mothers 1971 1970 -
Page 22
The following table shows attendances at the normal clinic sessions and at the mobile clinic:—
Well Woman Clinics WNCCC Caravan -
Page 23
Child Health Clinics
Number of children who attended during the year Number of sessions held by Total number of sessions in columns (5M8) (9) Number of children referred elsewhere (10) Born in 1971 (1) Born in 1970 (2) Born in 1966-1969 (3) Total (4) Medical Officers (5) Health Visitors (6) G.Ps. employed on a sessional basis (7) Hospital medical staff (8) -
Page 25
Deliveries attended by Domiciliary Midwives
Number of domiciliary confinements attended by midwives under N.H.S. arrangements. Number of cases delivered in hospitals and other institutions but discharged and attended by domiciliary midwives before 10th day (1) (2) (3) (4) -
Page 25
Visits by Domiciliary Midwives
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Medical Aid
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Premature Births Number of premature births (as adjusted by any notifications transferred in or out of the area).
Weight at birth Premature live births Premature stillbirths Born in hospital Born at home or in a nursing home Nursed, entirely at home or in a nursing home Transferred to hospital on or before 28th day Died Died Died Born Total births within 24 hours of birth in 1 and under 7 days in 7 and under 28 days Total births within 24 hours of birth in 1 and under 7 days in 7 and under 28 days Total births within 24 hours of birth in 1 and under 7 days in 7 and under 28 days in hospital at home or in a nursing home (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) -
Page 27
HOME NURSING SERVICE
Persons nursed and visits made Day Night (Aug.-Dec.) Total -
Page 28
Four students from Chiswick Polytechnic undertaking the integrated S .R.N./ D.N./H. V. Course were assigned to health visitors for one week's observation in practical health visiting.
Cases visited by health visitors Number of cases -
Page 29
Family Doctors and Community Nursing Staff The table below summarises the position at the end of the year concerning the attachment/liaison of nursing staff with family doctors in the Borough.
Practice No. No. of Health Visitors No. of Midwives No. of District Nurses -
Page 30
VACCINATION AND IMMUNISATION Immunisation against Dipththeria/Whooping Cough/Tetanus (separately or combined), Poliomyelitis, Measles, German Measles.
Type of Vaccine YEAR OF BIRTH Others Under 16 Total 1971 1970 1969 1968 1964/67 -
Page 31
As a result, the number of children involved was more than twice that in 1970.
Primary Re-tests -
Page 32
The following table shows an analysis of cases notified in 1971.
Age Periods. Respiratory Non-Respiratory M F M F -
Page 33
The number of patients who received help during 1971, was as follows: —
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Page 34
Clinics for older people are held in five centres in the Borough : —
Clinic Number of sessions per week Number of Attendances Number of New Cases Clinic sessions Doctor sessions -
Page 35
Categories of Persons Eligible for Treatment and Charges: —
Category Inclusive Surgery Charge Domiciliary. -
Page 36
Number of Persons Treated
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Page 36
The monthly poster campaigns continued in 1971 and the subjects chosen were : —
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Page 39
Follow-up of Registered Blind and Partially Sighted Persons for the year ended 31st December, 1971.
Cause of Disability Cataract Glaucoma Retrolental Fibroplasia Others -
Page 42
AVERAGE RESULTS OF THE CHEMICAL EXAMINATION of the water supplied to the London Borough of Richmond upon Thames during 1971. Milligrams per litre (unless otherwise stated).
Description of the Sample Number of Samples Ammoniacal Nitrogen Albuminoid Nitrogen Nitrate Nitrogen Oxygen abs. from KMnO44 hrs. at 27° C. B.O.D 5 days at 20° C. Hardness (total) CaCO3 Hardness (non-carbonate) CaC03 Magnesium as Mg Sodium as Na Potassium as K Chloride as CI Phosphate as P04 Silicate as SiO2 Sulphate as S04 Natural Fluoride as F Surface-active material as Manoxol OT Turbidity units Colour (Burgess units) pH value Electrical Conductivity (micromhos) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) -
Page 42
BACTERIOLOGICAL RESULTS — YEARLY AVERAGES, 1971
Source of supply BEFORE TREATMENT AFTER TREATMENT 1 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. Per cent, samples negative in 100 ml. Count per 100 ml. Number of samples 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 46
The action taken to remedy unfit houses is summarised in the table below:
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Page 46
Applications for Certificates of Disrepair :
1957/63 1964/70 1971 -
Page 47
Continued from previous page...
3. Number of decisions to issue Certificates: 1957/63 1964/70 1971 -
Page 49
The following is a list of foods which were voluntarily surrendered and destroyed :
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Page 50
Food Hygiene (General) Regulations, 1970.
Type of Premises. No. of Premises No. of Premises which comply with Reg. 18* No. of Premises to which Reg. 21 applies † No. of Premises which comply with Reg 21 No. of Visits carried out. -
Page 52
The following table shows the types of samples analysed and the results obtained:
Article. Number Analysed Number Irregular -
Page 52
This was a year of quiet but positive progress towards cleaner air, during which the following Smoke Control Order became operational.
Order. Acreage. Number of Dwellings Number of Other Premises -
Page 53
The following table gives the processed daily average figures over the year so far available for the nine years up to March, 1971:
Year Ended March STATION (results in microgrammes per cubic metre) Twickenham No. 1 Twickenham No. 5 Barnes No. 6 Smoke SO2 Smoke SO2 Smoke SO2 -
Page 54
The Clean Air (Suspension of Smoke Control — Richmond upon Thames) Order, 1970, suspended the following Orders until 31st March, 1971:—
Smoke Control Order. No. of Premises in Area. -
Page 54
The Estimated Average Weekly Cost of Room Heating Using SO cwts of Bituminous Coal per Annum compared with Alternate Fuels.
Fuel Appliance 1966 1969 1970 1971 -
Page 55
Householders continue to have freedom of choice for grant purposes in the selection of replacement appliances. Listed below are the percentages of the appliance types selected during the year compared with previous years.
Appliance Selected 1966 1967 1968 1969 1970 1971 -
Page 56
4. OFFICES, SHOPS AND RAILWAY PREMISES ACT, 1963
Total number of registered premises. Number of general inspections during year. -
Page 59
The assistance given by the pupil public health inspectors has also been greatly appreciated.
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Page 60
The complaints received during the year are classified in the table below and they reflect a pattern similar to that of previous years.
Nature of Complaint. Number Received -
Page 60
Every effort is made by inspectors to carry out their work through informal action and to seek co-operation by interview and letter; in certain cases recourse to statutory proceedings is unavoidable, and a summary of notices served during the year is given below:
Subject of Notice. Public Health Acts. Food and Drugs Act. -
Page 61
The number of complaints received from the public showed a welcome if relatively small decrease from the level of the preceding years.
1971 1970 1969 -
Page 64
8. FACTORIES ACT, 1961, Part I of the Act. (1.) INSPECTIONS, for purposes of provisions as to health.
Premises Number on Register Number of Inspections Written Notices Occupiers prosecuted -
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(2.) Cases in which DEFECTS were found.
Particulars Number of cases in which defects were found Number of cases in which prosecutions were instituted Found Remedied Referred To H.M. Inspector By H.M. Inspector -
Page 64
Part VIII of the Act, Outwork.
Nature of Work Section 110 Section 111 No of outworkers in August list required by Section 110 (1) c No. of cases of default in sending lists to Council No of prosecutions for failure to supply lists No. of instances of work in unwholesome premises Notices served Prosecutions -
Page 69
Table I. SCHOOL POPULATION (as at 20.1.72)
No. of schools Number on Registers Total Boys Girls -
Page 70
Table II. Medical Inspection of Pupils attending Maintained Primary and Secondary Schools (including Nursery and Special Schools). A. — PERIODIC MEDICAL INSPECTIONS.
Year of Birth Number of pupils inspected Physical Condition of Pupils Inspected Satisfactory Unsatisfactory Number % of column 2 Number %of column 2 (1) (2) (3) (4) (5) (6) -
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B. — OTHER INSPECTIONS.
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Table III. TABLE A. — Pupils found to require treatment at Periodic Medical Inspections (excluding Dental Diseases and Infestation with Vermin).
Year of birth For defective vision (excluding squint) For any of the other conditions in table IV(A) Total individual pupils (1) (2) (3) (4) -
Page 72
Table IV. Defects found by medical inspection in the year ended 31st December, 1971. TABLE A. — PERIODIC INSPECTIONS.
Defect code number Defect or disease Periodic inspections Entrants Leavers Others Total (T) (O) (T) (O) (T) (O) (T) (O) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) -
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Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
Defect code number Defect or disease Pupils requiring treatment Pupils requiring observation (1) (2) (3) (4) -
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Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.
1971 1970 -
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Table VI.
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Table VII. CLINICS.
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Eye Diseases, Defective Vision and Squint.
Number of cases known to have been dealt with -
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Table IX.
Age Group. First Tests Failures TOTAL TOTAL % of Col. 2 (1) (2) (3) (4) -
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DISEASES AND DEFECTS OF EAR, NOSE AND THROAT.
Number of cases known to have been dealt with -
Page 77
Table XI. (a) Audiometer Tests — Routine
Failures. Age Group 1st Tests * Rctests. Total % of Col 1 (1) (2) (3) (4) -
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(b) Audiometer Tests — Specials
Age. 1st Tests. Re-tests. Failures. Total. % of Col. 1 (1) (2) (3) (4) -
Page 78
Table XII. INFESTATION WITH VERMIN.
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Table XIII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XII.).
Number of cases known to have been treated. -
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Table XIV. OTHER TREATMENT GIVEN.
Number of cases known to have been treated. -
Page 79
Table XV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
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Page 80
Table XVI. HANDICAPPED PUPILS, YEAR ENDED 31st December 1971 ASCERTAINMENT DISTRIBUTION (As at last day of year)
No. of ascertained cases known on 31.12.70 No. of new cases ascertained during year No. of ascertained cases known on 31.12.71 In special day schools In special residential schools In maintained Primary & Secy, schools In Independent schools Not at school TOTAL B G B G B G B G B G B G B G B G B G -
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RESIDENTIAL SPECIAL SCHOOLS — Table XVII.
Blind Partially Sighted Deaf Partially Hearing Educationally Subnormal Maladjusted Delicate Physically Handicapped Speech Defects Epileptic TOTAL -
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RESIDENTIAL SPECIAL SCHOOLS — Table XVII. continued
Blind Partially Sighted Deaf Partially Hearing Educationally Subnormal Maladjusted Delicate Physically Handicapped Speech Defects Epileptic TOTAL -
Page 83
St. Hilda's Day Special School for Educationally Sub-normal Children, Barnes.
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Page 84
Oldfield House Infant Day Special School for Maladjusted Children, Hampton.
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Page 85
The following table summarises the number of cases referred, seen and treated at the Clinic during 1971:—
Referred Seen Under Intensive Treatment Under Supervision or Annual Review -
Page 85
The following table summarises the number of cases referred, seen, and treated at the Clinic during 1971:—
Referred Seen Under Intensive Treatment Under Supervision or Annual review -
Page 85
Referring Agents :
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Page 86
Table XVIII. Child Guidance Treatment.
Number of cases known to have been treated. -
Page 86
Table XIX. Orthopaedic and Postural Defects.
Number of cases known to have been treated. -
Page 88
Table XX. Number of pupils treated by Speech Therapists under arrangements made by the Authority.
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Table XXI. Types of cases treated during the year.
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Page 89
Table XXII.
Age 5—9. Age 10—14. Age 15 + -
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Table XXIII.
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Page 90
Table XXIV.
5-9 Age Group 1968. 1971. Change. -
Page 90
Table XXV.
Dentures Ortho. appliances Inlays and Crowns Misc. -
Page 90
The number or children receiving mid-day dinners at maintained schools on a selected date in 1971 was as follows:—
Date: Number of dinners Number of children in School % of children having dinner -
Page 90
The number of pupils present and number taking milk under the Milk-in-Schools Scheme on the 6th October, 1971 was as follows:—
At maintained primary and secondary schools: Present. Taking Milk. -
Page 91
Continued from previous page...
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Page 92
Table XXVI. ROAD ACCIDENTS TO CHILDREN, 1971. Mr. M. S. Hebron, Borough Engineer and Surveyor, has kindly supplied the following details of road accidents to children under 16 years of age:—
Month Fatal. Serious. Slight. Total. -
Page 92
Table XXVII. DEATHS OF SCHOOLCHILDREN. It is with regret that I include the following details of local schoolchildren living in the Borough who died in 1971:—
Sex Age Cause of Death. M F