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Kensington and Chelsea 1966

[Report of the Medical Officer of Health for Kensington & Chelsea Borough]

Published
1967
Pages
164
Tables
131

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131 tables in this report

  • Page 2
    The following table gives the adjusted Kensington and Chelsea birth and death rates compared with the provisional rates for London and for England and Wales for the year 1966:-
    Kensington and Chelsea adjustedGreater LondonEngland and Wales
  • Page 7
    1966VITAL STATISTICS
  • Page 8
    Continued from previous page...
  • Page 9
    SUMMARY OF VITAL STATISTICS FOR KENSINGTON AND CHELSEA in 1966 (Compared with previous ten years)
    YearTotal PopulationTotal DeathsCrude Death RateTotal BirthsCrude Birth RateTotal Infant DeathsInfant Mortality Rate
  • Page 10
    CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE IN 1966
    Cause of deathAll AgesUnder 1 yr.1 yr. and under 55 yrs. and under 4545 yrs. and under 6565 yrs. and over
  • Page 11
    In detail the statistics of the Kensington and Chelsea cases were as follows:-
    Ages:15 -25 -35 -45 -55 -65 -75 and overTotal
  • Page 11
    Fifty-three lived in South Kensington or Chelsea and eight in North Kensington. The deaths occurred during the following months:-
  • Page 13
    From an analysis of 27,150 suicides in England and Wales, 1960-1964, the mode of suicide was:-
    MalesFemales
  • Page 16
    TABLE 1
    Notifiable diseaseNumber of cases notified
    196619651964196319621961
  • Page 17
    TABLE 2
    Notifiable diseaseNumber of cases notified in 1966 (Age groups in years)
    Age unknownUnder 11-23-45-910-1415-2425 and over
  • Page 18
    Table 3
    DiseaseTotal cases notified in each Ward in 1966
    St. CharlesGolborneNorlandPembridgeHollandEarls CourtQueen's GateRedcliffeBromptonNorth StanleySouth StanleyChurchCheyneHans TownRoyal Hospital
  • Page 20
    The following table gives an analysis of the causes of puerperal pyrexia (defined as any febrile condition occurring in a woman in whom a temperature of 100.4 F. or more has occurred within fourteen days after childbirth or miscarriage):-
    CauseNo. of cases
  • Page 21
    In addition to the above new cases on the register, there were those who were removed from the register, either through moving out of the borough, dying, being cured or having lost sight of, and the final figures in the register are as follows:-
    RespiratoryNon-respiratoryTotal
    MaleFemaleMaleFemale
  • Page 21
    Incidence of tuberculosis amongst Kensington and Chelsea residents who originated from areas outside England. Scotland and Wales
    Country of originPeriod (in years) between entry to U.K. and notification of diseaseTotal
    12345678910
  • Page 22
    Since 1952 investigations have shown that, of the new cases and "inward transfers" reported in the borough, the proportions who were immigrants contracting the disease in the first ten years of arrival were as follows:-
    YearProportion per cent
  • Page 24
    The following table shows some improvement in the number of injections given during the year compared with I965. No cases of the disease have occurred, but the degree of protection in the community is still unsatisfactorily low:-
    Total primary courses completedTotal reinforcing doses
    1966196519661965
  • Page 24
    The following table shows there to have been some improvement in 1966 in the numbers protected, but the immunity level is still not sufficiently high, and cases of the disease are still occurring:-
    Total primary courses completedTotal reinforcing doses
    1966196519661965
  • Page 28
    Maternity and Child Welfare Dental Service.
    Nursing or Expectant mothersChildren under fiveTotal
    196619651966196519661965
  • Page 28
    Age of mother-
  • Page 29
    Details of the numbers of mothers referred during the year are as follows:-
  • Page 29
    The following table records some of the visits made by health visitors. The number of unsuccessful visits remains high, but is of similar order to that for 1965 and does not indicate a deterioration in the position:-
    19661965
  • Page 31
    Seven talks were given by senior officers of the department on the work with which they were concerned, and a number of outside speakers who are experts in their particular fields gave talks to the staff as follows:-
  • Page 31
    Films were shown to interested members of the staff as part of the programme:-
  • Page 32
    The home nursing staff employed at 31st December, 1966, exclusive of supervisory staff was as follows:-
    19661965
  • Page 32
    NOTE - The figures marked * in the previous paragraph, and all aggregate totals for l965 in the following table, relate to the period 1st April, 1965 to 31st December, 1965.
    Types of caseNumber of new cases undertakenPercentage of Total
    1966196519661965
  • Page 33
    Continued from previous page...
    At patients' homesElsewhereTotalPercentage of total
    19661965196619651966196519661965
  • Page 33
    Continued from previous page...
    Age distribution of patients (new cases undertaken)Number of patientsPercentage
    1966196519661965
  • Page 33
    Nursing treatments:
    19661965
  • Page 34
    Domiciliary confinements and nursing of Early Discharges.
    Cases booked with a doctorCases not booked with a doctor
    1966196519661965
  • Page 34
    The total number of deliveries attended during 1966 was 236, compared with 310 in 1965.
    Planned early dischargesUnplanned early discharges
    1966196519661965
  • Page 35
    Midwives Act. 1951. The Council are the local supervising authority for the purposes of the Midwives Act, 1951. and have a duty to inspect and supervise all midwives practising in the area.
    19661965
  • Page 36
    Accommodation at Council's day nurseries.
    19661965
  • Page 37
    In another centre, where there was a good demand for this service, a second creche session was opened.
    19661965
  • Page 37
    Registered Day Nurseries and Child-Minders. (Nurseries and Child-Minders Regulation Act, 1948).
    19661965
  • Page 37
    Voluntary Registration of Child-Minders.
    19661965
  • Page 42
    Summary of Defects as classified by the Registrar-General:-
  • Page 43
    Details of examinations and findings are as follows:-
    19661965
  • Page 43
    All women are seen by appointment and the service is restricted at present to women over the age of thirty years.
  • Page 44
    In one case, it was suspected that a nursing home was being carried on but, on inspection, the premises proved to be a boarding house for elderly persons and no further action was taken.
    19661965
  • Page 44
    Accommodation provided in these homes.
    19661965
  • Page 45
    Admissions to holiday homes were as follows:-
    19661965
  • Page 46
    Details of the home help work carried out are as follows:-
    19661965
  • Page 46
    Details of attendances are as follows:-
    19661965
  • Page 47
    This scheme continued to be provided and the following issues on loan were made during the year:-
  • Page 52
    Details of the results are shown in the following table:-
    BoysGirlsTotal
  • Page 54
    Immunisation.
    Quarter Ended
    31st Mar.30th June30th Sept.31st Dec.Total
    1966196519661965196619651966196519661965
  • Page 55
    Infectious Illness.
    DiseaseTotal
  • Page 59
    MENTAL HEALTH STATISTICS 1966
    Quarter endedTotalTotal 1965
    2.4.662.7.661.10.6631.12.66
  • Page 59
    Continued from previous page
    Under care 31.12.65Referred during 1966Withdrawn from care 1966Under care 31.12.66
  • Page 64
    Inspections. The following is a summary of the inspections, etc., carried out by the public health inspectors and their assistants during the year:-
    Public Health Acts, 1936 and 1961
  • Page 64
    Notices Served0
  • Page 65
    Work Completed. The following is a summary of the principal works completed under the supervision of the public health inspectors during the year:-
  • Page 66
    Continued from previous page...
  • Page 66
    MEDICINAL BATHS - PERSONAL CLEANSING STATION. The following table shows the work carried out during 1966:-
    DescriptionScabiesVermin
    PersonsCleansingsPersonsCleansings
  • Page 67
    Disinfection and Disinfestation.
  • Page 67
    The following table indicates the destination of these parcels
    No. of parcels
  • Page 68
    Details of work carried out by the rodent staff during1966Treatment of premises (rats and mice)
  • Page 69
    The rodent staff, in addition, deal with infestations from pests other than rats and mice, and the following is a summary of action taken during the year in respect of all forms of infestation:-
  • Page 69
    During the year, twenty-four samples were submitted for analysis as follows-
  • Page 74
    The following table gives details of Smoke Control Areas which were in operation at the end of 1966:-
    Smoke Control AreaBoundariesOrder operative
  • Page 76
    Atmospheric Pollution - Measurement of Smoke and Sulphur Dioxide.
    SitesSmoke (Microgrammes per Cubic Metre)Sulphur Dioxide (Microgrammes per Cubic Metre)
    Monthly AverageHighest Daily ReadingMonthly AverageHighest Daily Reading
    ABCDABCDABAB
  • Page 77
    SLUM CLEARANCE. Action already taken. The following table gives details of the clearance areas declared in the borough since 1950:-
    Name of AreaDate of DeclarationNo. of housesNo. of persons displaced
  • Page 79
    The following table summarises the action taken in 1966 and the total results since the operation commenced in 19635:-
    1966196519641963Total
  • Page 80
    Applications for discretionary grants received and dealt with increased from thirty-six in 19&5 to eighty-eight during 1966, and are summarised as follows:-
  • Page 82
    PART I OF THE ACT 1. INSPECTIONS for the purposes of provisions as to health (including inspections made by Public Health Inspectors)
    Premises (1)No. on Register (2)Number of
    Inspections (3)Written Notices (4)Occupiers prosecuted (5)
  • Page 83
    2. Cases in which DEFECTS were found. (If the defects are discovered at the premises on two, three or more separate occasions, they should be reckoned as two, three or more "cases").
    Particulars (1)Number of cases in which defects wereNo. of oases in which prosecutions were instituted (6)
    Found (2)Remedied (3)Referred
    To H.M. Inspector (4)By H.M. Inspector (5)
  • Page 84
    PART VIII OF THE ACT OUTWORK (Sections 133 and 134)
    Nature of WorkSection 133Section 134
    No. of Outworkers in August lists required by Section 133(1)(c)No. of cases of default in sending lists to the CouncilNo. of prosecu-tions for failure to supply listsNo. of instances of work in unwholesome premisesNotices servedProsecutions
    (1)(2)(3)(4)(5)(6)(7)
  • Page 85
    The following table gives a summary of the factories on the Council's register at the end of the year, indicating the types of business carried on, whether or not mechanical power is used, and where situated, i.e., North Kensington, South Kensington or Chelsea:-
    Factory-BusinessNorth KensingtonSouth KensingtonChelsea
    Mech.N-M.Mech.N-M.Mech.N-M.
  • Page 86
    Continued from previous page...
    Factory-BusinessNorth KensingtonSouth KensingtonChelsea
    Mech.N-M.Mech.N-M.Mech.N-M.
  • Page 87
    Registrations and General Inspections
    Class of premisesNumber of premises registered during yearTotal number of registered premises at end of yearNumber of registered premises receiving general inspections during the year
  • Page 87
    Analysis of Persons employed in registered premises by Workplace
    Class of WorkplaceNumber of persons employed
  • Page 88
    The total number of registered premises which have received general inspections since 1st August, 1964:-
  • Page 89
    Continued from previous page...
    Contraventions found during general inspectionsOfficesRetail ShopsWholesale Shops WarehousesCatering Estabs.Total
  • Page 90
    Continued from previous page...
    Contraventions found during general inspectionsOfficesRetail ShopsWholesale Shops WarehousesCatering Estabs.Total
  • Page 91
    Number of requests by District Public Health Inspectors to Occupiers:-
    Nature of RequestsOfficesRetail ShopsWholesale Shops WarehousesCatering Estabs.Staff CanteensTotal
  • Page 92
    Notification of Accidents.
  • Page 92
    Main Causation of the Accidents.
  • Page 93
    DETAILS OF LEGAL PROCEEDINGS TAKEN UNDER FOOD HYGIENE REGULATIONS IN 1966
    Date of HearingOffenceRegulationsResult
    FineCosts awarded to Council
  • Page 94
    Continued from previous page...
    Date of HearingOffenceRegulationsResult
    FineCosts awarded to Council
  • Page 95
    The following is a record of the inspections made by the public health inspectors engaged on this work during the year:-
    Premises registered underNumber of PremisesNumber of Inspections
  • Page 95
    * Additional inspections of premises (not primarily in connection with the sale of ice cream) are recorded under different headings in the following table which also gives details of the number of premises fitted to comply with Regulations 16 and 19 of the Food Hygiene (General) Regulations, 196O:-
    Food PremisesNumber of PremisesNumber of InspectionsNumber provided with wash-hand basins (Reg. 16)Number with facilities for washing food and equipment (Reg. 19)
  • Page 96
    The number of licences granted by the Council during the year in respect of each designation, together with the total number in force at the end of the year, are shown in the following table:-
    DesignationLicences issued in 1966Total number in force at end of year
  • Page 96
    Milk Examinations.
    DesignationNo. of SamplesMethylene blue testPhosphatase testColony Count test
    PassedFailedPassedFailedPassedFailed
  • Page 97
    The following table shows the average percentages of milk fat and non-fat solids of the genuine samples taken during each month:-
    MonthNumber of samples takenAverage Percentages
    Milk FatsNon-fat Solids
  • Page 98
    Other milk.
    MonthNumber of samples takenAverage Percentages
    Milk FatsNon-fat Solids
  • Page 98
    Surrender.
    CommodityWeight (in lbs.)
  • Page 99
    Continued from previous page...
    CommodityItems
  • Page 100
    The following table shows the number of samples of ice cream taken during 1966 for chemical analysis compared with those taken in the previous year:-
    19651966
  • Page 100
    During the year, forty-eight samples of ice cream were taken and submitted to the methylene blue test. The results are as follows:-
    GradeNumber of samples
  • Page 104
    Unfit Food - Section 8.
  • Page 106
    The proposed new homes are as follows:-
    No. of placesAnticipated dates of occupation
  • Page 106
    Residential Accommodation. A total of 696 persons were in residential accommodation at 31st December, 1966, as follows
  • Page 107
    Table A - Age Analysis at 31st December,1966:-
    HomeTotal
    King's MeadEllesmereDale MeadNo. 5 Holland Park
  • Page 108
    Table B.
    HomeTotal
    King's MeadEllesmereDale MeadNo. 5 Holland Park
  • Page 109
    Table C. Other Local Authority Homes. Section 21(1)(4) National Assistance Act. 1948. If suitable accommodation is not available from the borough's resources, or a resident seeks accommodation in a particular home or district belonging to another local authority, co-operation between the borough and other local authorities secures residential care for the applicant. The number of persons assisted this way during the year was as follows:-
    Name of HomeOwning boroughResident on 1.1.66AdmittedDischargedRemaining on 31.12.66
    WomenMenTotalWomenMenTotalWomenMenTotalWomenMenTotal
  • Page 110
    Accommodation provided by Voluntary Organisations. There are 187 persons for whom the Council are responsible in accommodation provided by voluntary organisations and are classified as follows:- Persons in residential accommodation provided by voluntary organisations on 31.12.66. by major disability
    Under 6565 and over
  • Page 110
    Persons in residential accommodation provided by voluntary organisations on 31.12.66. by age and sex
    MaleFemale
  • Page 110
    Waiting List for Admission to Homes for Aged Persons. There were ninety-eight persons on the waiting list for admission to residential accommodation at 31st December, 1960, viz:-
    Urgent Applications for AdmissionNormal Applications for AdmissionTotal
  • Page 111
    The transfer of welfare services to the Inner London boroughs has resulted in the emergence of an additional waiting list, which illustrates the need for flexibility in the allocation of accommodation, viz:-
    Home of ChoiceWomenMenTotal
  • Page 112
    The following statistics show the number of families received into, and discharged from, temporary accommodation during the year:-
  • Page 112
    The reasons for homelessness were as follows:-
  • Page 113
    The following tables show the numbers accommodated during the years:-
    (a) Voluntary Homes.MothersChildrenTotal
  • Page 114
    (b) King's Mead.
    MothersChildrenTotal
  • Page 114
    Country of origin of mothers admitted:
  • Page 114
    Local Authority responsible:-
  • Page 114
    (c) Other Homes. "Ballantyne" Lewisham.
    MothersChildrenTotal
  • Page 115
    "Carisbrooke" Lambeth.
    MothersChildrenTotal
  • Page 115
    The following table shows the number of persons on the registers at 31st December, 1966:-
  • Page 116
    Voluntary organisations make a significant contribution in respect of specific services and these are supported by the Council with financial assistance. During the year, the following grants were made:-
    £sd
  • Page 116
    It will be of interest to note that Kensington and Chelsea Old People's Welfare Committee made the following grants from its funds:-
    £sd
  • Page 118
    Table I - Blind Persons (Registered) for the year ended 31st December, 1966. showing the distribution by age groups of the blind population:-
    MaleFemaleTotal
  • Page 118
    Blind Persons Registered as New Cases:-
    MaleFemaleTotal
  • Page 119
    Table II - Analysis of Cause of Blindness of Persons Newly Registered during 1966:-
    CauseMaleFemaleTotal
  • Page 119
    Table III - Summary of Occupations of Blind Persons at 31st December. 1966:-
    MaleFemaleTotal
  • Page 120
    Continued from previous page...
    MaleFemaleTotal
  • Page 120
    Table IV - Analysis of the Occupations of Employed Blind Persons shown in Table III:-
    Sheltered WorkshopsHome Workers SchemeOpen IndustryTotal
  • Page 121
    There are fifty persons near and prospectively blind who require the full range of welfare services. Their circumstances are as follows:-
    MaleFemaleTotal
  • Page 121
    The remaining persons registered are classified thus:-
  • Page 121
    Table I - Partially Sighted Persons (Registered) for the year ended 31st December. 1966. showing the distribution by age groups of the partially sighted population:-
    0-12-45-1516-2021-4950-6465 and overTotal
  • Page 122
    Table II - Partially Sighted Persons Registered as New Cases:-
    0-12-45-1516-2021-4950-6465 and overTotal
  • Page 122
    Table III - Removals from Register during the year for reasons set out below:- 1 On admission to Blind Register:
  • Page 122
    (ii) On decertification due to improved visual acuity:
  • Page 122
    Table IV - Analysis of Causes of Partial Sight of Persons Newly Registered during 1966:-
    CauseMaleFemaleTotal
  • Page 124
    Table I - Analysis of Persons on the General Classes Register according to Age and Handicap
    CodeMajor HandicapsAge
    Under 1616-2930-4950-6465 and overTotal
  • Page 125
    Table II - New Registrations during 1966. Analysis of Disabilities.
    DisabilityNo. of Persons
  • Page 130
    During the year under review, the Council became responsible for the burial of forty persons. The following is a summary of the action taken:-
  • Page 131
    In addition, twenty-nine burials were arranged for persons resident in the Council's homes at the time of death, which are summarised as follows;-
  • Page 137
    Table I - Speakers
  • Page 137
    Table II - Subjects
    TalksAttendances
  • Page 138
    Table III - Audiences
    AttendancesGroups
  • Page 139
    The following is a summary of the work performed by the two laboratories as it affects this boroughs-
    Nature of sampleNumber examined