[Report of the Medical Officer of Health for Heston and Isleworth]

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The following table shews the births and birth-rates attributable to residents in this district since 1906:—

Year.	Nett Births.	Nett Birth-Rates.

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The following table shews the births and birth-rates attributable to residents in this district since 1906:—

Year.	Nett Births.	Nett Birth-Rates.

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NON-RESIDENT BIRTHS (all occurring in Isleworth).

legitimate.	illegitimate.

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1. Deaths attributable to errors in feeding :—

Total under 1 month.		Total under 1 year

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2. Deaths attributable to weakness from birth Total under 1 month.		Total under 1 year.

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The Amounts and Times of Feeding.

Age of Child.	Amount of mixture of milk and water to be given at each feed.			When to be fed. (Whether breast fed or artificially fed).
Age of Child.	Milk previously strained and heated to boiling.	Boiling water.	Sugar of Milk.	During day 6 a.m. to 6 p.m.	During night. 6 p.m. to 6 a.m.

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BIRTHS VISITED. During the year, 384 births were visited, and the following table gives certain particulars as regards these at the time of the Health Visitor's visits :—

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Number of deaths from consumption during—-

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Deaths occurring at home.

Males.		Females.

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Deaths occurring in Public Institutions.

Males.		Females.

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Number deaths from Cancer during—

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Table shewing deaths from infectious diseases occurring annually since 1900:—

	Scarlet Fever.	Diphtheria.	Typhoid Fever.	Measles.	Whooping Cough.

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Table shewing the total number of notifications received annually under the Infectious Disease (Notification) Act, 1889, since 1900.

	Scarlet Fever.	Diphtheria.	Typhoid Fever.	Erysipelas.	Puerperal Fever.	Total.

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Table shewing the number of infectious diseases notified during the year 1911, from Public Institutions in the district.

PUBLIC INSTITUTION.	Scarlet Fever.	Diphtheria.	Typhoid Fever.	Erysipelas.	Puerperal Fever.	Total.

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Table shewing number of notifications received annually under the Infectious Disease (Notification) Act, 1889, since 1908, exclusive of those occurring in Public Institutions in the district.

	Scarlet Fever.	Diphtheria.	Typhoid Fever.	Erysipelas.	Puerperal Fever.	Total.

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Table shewing cases of Scarlet Fever notified and removed and percentage removed to Hospital each year since 1900.

Year.	No. of Cases notified.	No. of cases removed to Hospital.	Percentage of cases removed to Hospital.

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Scarlet Fever.—Hospital and Home Isolated Cases during the years 1910 and 1911.

	Hospital Isolated Cases.			Home Isolated Cases.
	1910.	1911.	1 Total.	1910.	1911.	Total.

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Table shewing cases of Diphtheria notified and removed and percentage removed to Hospital each year since 1900:—

Year.	No. of eases notified.	No. of cases removed to Hospital.	Percentage of cases removed to Hospital.

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Diphtheria. —Hospital and Home Isolated Cases during the years 1910 and 1911.

	Hospital Isolated Cases.			Home Isolated Cases.
	1910.	1911.	Total.	1910.	1911.	Total.

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Table shewing cases of Typhoid Fever notified and removed and percentage removed to Hospital each year since 1900.

Year.	No. of cases notified.	No. of cases removed to Hospital.	Percentage of cases removed to Hospital.

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SIGNS AND SYMPTONS.

Case.	Date of onset.	Fever.	Diarrhoea.	Spots.	Enlargement of spleen.	Tenderness or gurgling in right iliac fossa.	Widal's re-action.	Complications.

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The following tables give a statement of the work done:— Diagnosis of Disease.

	Result.		Total.
	Positive.	Negative.	Total.

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Table shewing the number of dwelling houses inspected, with directions given and action taken by the Health Committee with the results of such action during 1911.

Premises.	No. of houses infected.	No. of notices ordered to be served.	No. of notices served.	No. of notices complied with.	No. of notices outstanding at 31-12-11.

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Housing (Inspection of District) Regulations, 1910. Table shewing dwelling houses represented as unfit for human habitation, with action taken and the results of such action during 1911.

Premises.	No. of houses represented by Medical Officer of Health.	Date Closing Orders made.	Date Closing Orders determined.	Date Demolition Orders made.	Date Demolition Orders obeyed.	Houses demolishec without Orders.

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Table shewing Nuisances, etc., reported to and directions given and action taken by the Health Committee with the results of such action during 1911.

	No. of Houses dealt with.	No. of notices ordered to be served.	No. of notices served.	No. of notices complied with.	No. of notices outstanding at 31-12-11.

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DRAINAGE. Tests. During the year 281 tests and re-tests were applied by the Health Department, and the following table gives a statement of the reasons for the tests, the number of houses involved and the number of houses in which the drains were found defective :—

	On com-plaint.	By request.	New buildings.	Other causes.	Total.

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The following table gives details as regards these contraventions :—

Infringements with respect to—	Carried forward from 1910.	Found during 1911.	Remedi'd during 1911.	Carried forward to 1912.

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Table I. Vital Statistics of Whole District during 1911 and previous years.

Year.	Population estimated to middle of each year.	Births.			Total Deaths Registered in the District.		Transferable Deaths. ‡		Nett Deaths belonging to the District.
		Uncorrected Number.	Nett.		Total Deaths Registered in the District.		of Nonresidents registered in the District.	of Residents not registered in the District.	Under 1 year of age.		At all Ages.
			Nett.		Number, †	Rate. *			Number. †	Rate per 1,000 Nett Births.	Number. †	Rate. *
			Number.	Rate. *	Number, †	Rate. *			Number. †	Rate per 1,000 Nett Births.	Number. †	Rate. *
1	²	3	4	5	6	7	8	9	10	11	12	13

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NOTES FOR TABLE I. Notes . — 'The Rates in Column 7 are calculated per 1000 of the estimated gross population. The rates in Columns 5 and 13 have been calculated on a nett population obtained by deducting from the estimated gross population the average number of inmates not belonging to the district in public institutions, viz.: —

Name of Institution.	Average number of inmates not belonging to District for 1911.

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Table 1a. Vital Statistics of Wards in 1911.

Ward.	Population estimated to middle of 1911.	Births.			Total Deaths Registered in the District.		Transferable Deaths. ‡		Nett Deaths belonging to the District.
		(Uncorrected number.	Nett.		Total Deaths Registered in the District.		of Nonresidents registered in the District.	of Residents not registered in the District.	Under 1 year of age.		At all ages.
			Nett.		Number. †	Rate. *			Number. †	Rate per 1,000 Nett Births.	Number, †	Rate. *
			Number.	Rate. *	Number. †	Rate. *			Number. †	Rate per 1,000 Nett Births.	Number, †	Rate. *
1	2	8	4	⁵	6	7	8	9	10	11	12	13

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Table II. Cases of Infectious Disease notified during the Year 1911.

Notifiable Disease.		Number of Cases Notified.								Cases Notified in each Ward.					Cases removed to Hospital from each Ward.					Total cases removed to Hospital.
		At all Ages.	At Ages—Years.							Heston	Hounslow North	Hounslow South	Isleworth North	Isleworth South	Heston	Hounslow North	Hounslow South	Isleworth North	Isleworth South
		At all Ages.	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and upw'ds	Heston	Hounslow North	Hounslow South	Isleworth North	Isleworth South	Heston	Hounslow North	Hounslow South	Isleworth North	Isleworth South

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T able III. Causes of, and Ages at Death during 1911.

Causes of Death.		Nett Deaths at the subjoined Ages of "Residents" whether occurring within or without the district									Total Deaths whether of ."Residents" or "Non-residents" in Institutions in the District.
Causes of Death.		All ages.	Under 1 year.	1 and under 2.	2 and under 5.	5 and under 15.	15 and under 25.	25 and nnder 45. j	45 and under 65. \|	65 and upwards.
1		2	3	4	5	6	7	8	9	10	11

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INFANTILE MORTALITY DURING THE YEAR 1911. Nett Deaths from stated Causes at various Ages under i Year of Age.

Cause of Death.		Under 1 week	1-2 weeks	2-3 weeks	3-4 weeks	Total under 1 month.	1-3 months	3-6 months	6-9 months	9-12 months	Total Deaths under 1 year.

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I ncluding I nspections made by S anitaby I nspectors or I nspectors of N uisances.

Premises.	Number of
Premises.	Inspections.	Written Notices.	Prosecution.
1	2	3	4

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Table VI.—DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.

Particulars.	Found.	Remedied.	Referred to H.M Inspector.	Number of Prosecutions.
I	2	3	4	5

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Table VII.—HOMEWORK.

NATURE OF WORK.	OUTWORKERS' LISTS, SECTION 107.								Inspections of Outworkers' premises.	OUTWORK IN UNWHOLESOME PREMISES, SECTION 108.
	Lists received from Employers.						Addresses of Outworkers.			Instances.	Notices served.	Prosecutions.
	Sending twice in the year.			Sending once in the year.			Received from other Councils	Forwarded to other
	Lists.	Outworkers.		Lists.	Outworkers.		Received from other Councils	Forwarded to other
	Lists.	Con* tractors	Workmen.	Lists.	Contractors	Workmen.
1	2	3	4	5	6	7	8	9	10	11	12	13

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Table VIII.—REGISTERED WORKSHOPS.

Workshops on the Register (s. 131) at the end of the year.	Number.

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Table IX.—OTHER MATTERS.

Class.	Number.

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SANITARY WORK, 1911.

Adoptive Acts in force in District:

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Height, Boys and Girls.

Year of Birth.	No. of Observations		Average height.
Year of Birth.	No. of Observations		Inches.		Centimetres.
1906—2nd half.year	Boys 1	Girls	Boys 3800	Girls	Bovs 96.52	Girls

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Weight, Boys and Girls.

Year of Birth.	No. of Observations.		Average weight.
Year of Birth.	No. of Observations.		In pounds.		In kilogrammes.
1906—2nd half.year	Boys 1	Girls	Boys 3100	Girls	Boys 1409	Girls

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The following tables give" the results :—

Clothing.		Boys.		Girls.
		Entering.	Leaving.	Entering.	Leaving.

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The following tables shew the condition as to cleanliness and disease of the scalp and body in the cases of the 973 children medically inspected during the year:—

Scalp.	Boys.		Girls.
Scalp.	Entering.	Leaving.	Entering.	Leaving.

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The following table supplies a record of all those children noted during medical inspection, whose nutrition appeared to be below normal:—

Year of Birth.	No. of Observations.		Fair.		Poor.
1906—2nd half-year	Boys 1	Girls	Boys	Girls	Boys	Girls

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Teeth.— Boys and Girls. The following table gives in detail the number of children suffering from defective conditions of the teeth, and the number of teeth actually decayed in each case examined:—

Year of Birth.	No. of Observations.	Possible No. of sound teeth per child.	No. of children, shewing the number of decayed teeth at the head of each column.														No. of children with abscesses of gum.	No. of children with teeth extracted.	No. of children with teeth filled.

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The following table gives the results of the observations conducted on enlarged glands:-

Enlarged Glands.	No. of Observations.	No. with Enlarged Glands.

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Diseases of the Throat, Nose and Ear.

	No. of Observations.	Enlarged Tonsils only.	Adenoids only.	Enlarged Tonsils and Adenoids.	Otorrhœa.	Chronic Catarrh of middle ear.	Deflected nasal septum.	Tonsillitis.	Cerumen.	Rhinitis.

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External Eye Diseases.

	Boys entering.	Boys leaving.	Girls entering	Girls leaving.

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The following table gives a list of children found suffering from other abnormal conditions as below, during medical inspection:—

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During medical inspection, the infectious disease history of each child was recorded if the parent attended. The following table gives the results:—

No. of observations.	Boys entering 106.		Boys leaving 88.		Girls entering 86.		Girls leaving 124.
No. of observations.	No. who have had	Per cent, who have had	No. who have had	Per cent, who have had	No. who have had	Per cent, who have had	No. who have had	Per cent, who have had

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The following cases of infectious illness have been notified by Teachers and School Attendance Officers during the year ending 31st December, 1911:—

	Mumps.	Measles.	Whooping Cough.	Chicken Pox.	German Measles.	Total.

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The following table is a statement of the diseases from which these children suffered and the number excluded on account of these diseases

DISEASES.	No. examined.	No. of times seen.	No. excluded.	No. excluded in which period of exclusion known definitely.	Total No. of attendances lost by cases excluded for known period.

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During the year, the appointment of a School Health Visitor made it possible to ascertain to what extent medical treatment was obtained in these cases requiring the same. The following table gives the results of the enquiries made in 399 cases:—

	Eye cases.	Throat, Nose and Ear cases.	Other Medical or Surgical cases.	Dental cases.	Total.

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The following table shews the approximate cost (exclusive of the cost of preparation and condiments, service and wear and tear of dishes) per child as well as the physiological value of each day's dinner:—

	Cost in pence per child.	Quantities in grammes per child of			Energy supplied per child in calories.
	Cost in pence per child.	Proteins.	Fats.	Carbohydrates.	Energy supplied per child in calories.

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Number.—I have examined 46 children, or 0.7 per cent, of the school population, who have been placed in this category by the teachers and have classified these children as follows:—

	Boys.	Girls.	Total.

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Number .—I have examined sixteen cases presented by the teachers, and beg to classify these as follows:—

	Boys.	Girls.	Total.

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Number.—I have examined four cases presented by the teachers and beg to classify these as follows:—

	Boys.	Girls.	Total.

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Heston and Isleworth 1911

64 tables in this report

The following table shews the births and birth-rates attributable to residents in this district since 1906:—

The following table shews the births and birth-rates attributable to residents in this district since 1906:—

NON-RESIDENT BIRTHS (all occurring in Isleworth).

1. Deaths attributable to errors in feeding :—

Continued from previous page...

The Amounts and Times of Feeding.

BIRTHS VISITED. During the year, 384 births were visited, and the following table gives certain particulars as regards these at the time of the Health Visitor's visits :—

Number of deaths from consumption during—-

Deaths occurring at home.

Deaths occurring in Public Institutions.

Number deaths from Cancer during—

Table shewing deaths from infectious diseases occurring annually since 1900:—

Table shewing the total number of notifications received annually under the Infectious Disease (Notification) Act, 1889, since 1900.

Table shewing the number of infectious diseases notified during the year 1911, from Public Institutions in the district.

Table shewing number of notifications received annually under the Infectious Disease (Notification) Act, 1889, since 1908, exclusive of those occurring in Public Institutions in the district.

Table shewing cases of Scarlet Fever notified and removed and percentage removed to Hospital each year since 1900.

Scarlet Fever.—Hospital and Home Isolated Cases during the years 1910 and 1911.

Table shewing cases of Diphtheria notified and removed and percentage removed to Hospital each year since 1900:—

Diphtheria. —Hospital and Home Isolated Cases during the years 1910 and 1911.

Table shewing cases of Typhoid Fever notified and removed and percentage removed to Hospital each year since 1900.

SIGNS AND SYMPTONS.

The following tables give a statement of the work done:— Diagnosis of Disease.

Table shewing the number of dwelling houses inspected, with directions given and action taken by the Health Committee with the results of such action during 1911.

Housing (Inspection of District) Regulations, 1910. Table shewing dwelling houses represented as unfit for human habitation, with action taken and the results of such action during 1911.

Table shewing Nuisances, etc., reported to and directions given and action taken by the Health Committee with the results of such action during 1911.

DRAINAGE. Tests. During the year 281 tests and re-tests were applied by the Health Department, and the following table gives a statement of the reasons for the tests, the number of houses involved and the number of houses in which the drains were found defective :—

The following table gives details as regards these contraventions :—

Table I. Vital Statistics of Whole District during 1911 and previous years.

Table 1a. Vital Statistics of Wards in 1911.

Table II. Cases of Infectious Disease notified during the Year 1911.

T able III. Causes of, and Ages at Death during 1911.

INFANTILE MORTALITY DURING THE YEAR 1911. Nett Deaths from stated Causes at various Ages under i Year of Age.

I ncluding I nspections made by S anitaby I nspectors or I nspectors of N uisances.

Table VI.—DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.

Table VII.—HOMEWORK.

Table VIII.—REGISTERED WORKSHOPS.

Table IX.—OTHER MATTERS.

SANITARY WORK, 1911.

Continued from previous page...

Continued from previous page...

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Continued from previous page...

Continued from previous page...

Height, Boys and Girls.

Weight, Boys and Girls.

The following tables give" the results :—

The following tables shew the condition as to cleanliness and disease of the scalp and body in the cases of the 973 children medically inspected during the year:—

The following table supplies a record of all those children noted during medical inspection, whose nutrition appeared to be below normal:—

Teeth.— Boys and Girls. The following table gives in detail the number of children suffering from defective conditions of the teeth, and the number of teeth actually decayed in each case examined:—

The following table gives the results of the observations conducted on enlarged glands:-

Diseases of the Throat, Nose and Ear.

External Eye Diseases.

The following table gives a list of children found suffering from other abnormal conditions as below, during medical inspection:—

Continued from previous page...

During medical inspection, the infectious disease history of each child was recorded if the parent attended. The following table gives the results:—

The following cases of infectious illness have been notified by Teachers and School Attendance Officers during the year ending 31st December, 1911:—

The following table is a statement of the diseases from which these children suffered and the number excluded on account of these diseases

During the year, the appointment of a School Health Visitor made it possible to ascertain to what extent medical treatment was obtained in these cases requiring the same. The following table gives the results of the enquiries made in 399 cases:—

The following table shews the approximate cost (exclusive of the cost of preparation and condiments, service and wear and tear of dishes) per child as well as the physiological value of each day's dinner:—

Number.—I have examined 46 children, or 0.7 per cent, of the school population, who have been placed in this category by the teachers and have classified these children as follows:—

Number .—I have examined sixteen cases presented by the teachers, and beg to classify these as follows:—

Number.—I have examined four cases presented by the teachers and beg to classify these as follows:—