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

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Greenwich 1971

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

Published
1972
Pages
338
Tables
150

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150 tables in this report

  • Page 11
    *Area of the Borough and Districts
    Land, and Inland Water—
  • Page 11
    Population— *At Census, 1961 230,250
  • Page 12
    PUBLIC OPEN SPACES
    Approx. Acreage
  • Page 13
    Continued from previous page...
    Greater London Council—
  • Page 37
    Temperature (Fahrenheit)
  • Page 37
    Sunshine
  • Page 37
    Rainfall
  • Page 38
    Population (mid-year 1971)
  • Page 38
    Area Comparability Factors
  • Page 38
    Marriages
  • Page 38
    Births
  • Page 39
    *These figures, which are supplied by the Registrar-General, may differ slightly from those shown in other parts of the Report.
  • Page 39
    Infant Deaths
  • Page 39
    Infant Mortality Rates
  • Page 40
    Death Rates—Special Causes (per 1,000 population)
  • Page 47
    ESTIMATED AGE COMPOSITION OF THE POPULATION
    AgeNo.Approx. % of Total Population
  • Page 49
    The following table shows particulars given by the various Registrars for the past 7 years.
    YearAreaChurch of EnglandChapels and R.C. ChurchesNon Conforming Churches and ChapelsRegister OfficeTotalReg. General's Estimate of PopulationMarriage Rate (persons marrying)
  • Page 51
    The following table gives by district the number of Greenwich Births occurring during the current year:—
    Source of InformationDISTRICTTotal Borough Births
    GreenwichWoolwich
  • Page 56
    Fertility
    6 years' average 1965/701971
    E&WGtr. LondonG'WICH
  • Page -
    Following these changes, an analysis of births registered in the 2nd and 3rd quarters of 1969 was under taken by the R.G.'s department and a table was compiled to show the situation as revealed in the Borough at that time.
    No. in Short List.Causes of Death 1971SexDeaths at subjoined Ages of "Residents", whether occurring within or without the District.
    All AgesUnder 1 year1 and under 5.5 and under 15.15 and under 25.25 and under 35.35 and under 45.45 and under 55.55 and under 65.65 and under 75.75 and over
    Under 4 Wks4 wks and under 1 year
  • Page 58
    Of the four quarters, the first registered the highest proportion of the year's total deaths and the third the lowest, viz. 30.1% and 21.5% respectively.
    Deaths1st Quarter2nd Quarter3rd Quarter4th QuarterTotal
  • Page 58
    It will be observed from the following table that during 1971 the deaths in the age group 0-5 years accounted for 2.4% and that of the "over 65's" 70.6% of the year's total. Figures for the previous four years are given for comparative purposes.
  • Page 59
    The following table gives the number of deaths of Greenwich residents in Public Institutions during the last seven years:— Deaths of Greenwich Residents
    YearTotalIn Public Institutions
    No.% of Total Deaths
  • Page 62
    INFANTILE MORTALITY DURING THE YEAR 1971 Deaths from stated Causes in Weeks and Months under 1 Year of Age.
    Cause of DeathUnder 1 week1—2 Weeks2—3 Weeks3—4 WeeksTotal under 1 Month1—3 Months3—6 Months6—9 Months9—12 MonthsTotal Deaths under One Year
  • Page 66
    The total of 591 cancer deaths was equivalent to 23.2% of deaths from all causes, indicating that approximately one death in every four resulted from some form of cancer. The following table shows the various sites affected:—
    SiteMaleFemaleTotalRate*
  • Page 67
    Borough since 1965 is included in order that current trends in this disease may be studied:— DEATHS FROM CANCER OF LUNG (including Bronchogenic Carcinoma)
    YearAGE GROUPSTotalsGrand TotalRate per 1,000 Pop.
    25 and under 35 yrs.35 and under 45 yrs.45 and under 55 yrs.55 and under 65 yrs.65 and under 75 yrs.75 yrs. and upwards
    MFMFMFMFMFMFMF
  • Page 90
    Total persons under care in the Borough for mental conditions at 31st December, 1971, was 1,198, equivalent to 0.55% and classified as under:—
    Under 16 years16 years and overTOTAL
    MFMF
  • Page 105
    New Cases Treated at Centres Within the Borough
    Treatment CentreSyphilisGonorrhoeaOther ConditionsTOTALS
    MFMFMFMF
  • Page 106
    New Cases of Residents Treated During 1971 (as given in returns from the undermentioned Centres)
    Treatment CentreSyphilisGonorrhoeaOther Genital InfectionsOther ConditionsTOTALS
  • Page 113
    The number of notified cases of tuberculosis remaining on the Register at 31st December, 1971, was as follows: —
    PULMONARYNON-PULMONARY
    MenWomenChildrenTotalMenWomenChildrenTotal
    MFMF
  • Page 114
    "There was an increase in the number of new cases of pulmonary tuberculosis notified during the year. The figures for 1970 are given in brackets.
    NEW NOTIFICATIONSTotal
    MenWomenBoysGirls1971
  • Page 115
    Continued from previous page...
  • Page 116
    Summary of Surveys Carried Out in the Borough from 1st January to 31st December, 1971
  • Page 117
    ANALYSIS OF "OTHER NON-TUBERCULOUS ABNORMALITIES"
    MenWomenTotal
  • Page 117
    ANALYSIS OF SURVEYS
    Numbers ExaminedCases of Tuberculosis requiring treatment or close supervisionCases of Tuberculosis requiring occasional supervision
    MenWomenTotalMenWomenTotalMenWomenTotal
  • Page 118
    All cases were investigated, including visits to a works canteen, a cafe and a delicatessen, with the following results: —
    No. ofOrganism (if known)No. of Hospital CasesRemarks
  • Page 119
    Continued from previous page...
    No. of CasesOrganism (if known)No. of Hospital CasesRemarks
  • Page 120
    New Claims to Sickness and Industrial Injury Benefit Year Ended 31st December, 1971
    SicknessInjury
  • Page 124
    The following table indicates the use made of these various Clinics, compared with the figures of 1970 which are given in brackets:—
  • Page 125
    Continued from previous page...
  • Page 126
    Live Births by Age and Parity of Mother and by Place of Occurrence
    Parity of MotherPlace of Deliv'yALL AGESAGE OF MOTHER
    Under 20 yrs.20 to 24 yrs.25 to 29 yrs.30 to 34 yrs.35 to 39 yrs.40 to 44 yrs.45 and over
  • Page 127
    Multiple Births by Age and Parity of Mother and by Place of Occurrence
    Parity of MotherPlace of Deliv'yALL AGESAGE OF MOTHER
    Under 20 yrs.20 to 24 yrs.25 to 29 yrs.30 to 34 yrs.35 to 39 yrs.40 to 44 yrs.45 and over
  • Page 128
    Stillbirths by Age and Parity of Mother and by Place of Occurrence
    Parity of MotherPlace of Deliv'yALL AGESAGE OF MOTHER
    Under 20 yrs.20 to 24 yrs.25 to 29 yrs.30 to 34 yrs.35 to 39 yrs.40 to 44 yrs.45 and over
  • Page 130
    Domiciliary Confinements Attended and Hospital Deliveries Nursed at Home
    Doctor PresentDoctor not Present
  • Page 130
    Domiciliary Confinements by Age and Parity during 1971
    AgeTotal confinementsParity
    012345 and overNot known
  • Page 131
    Domiciliary Births—Prematurity and Mortality by Birth Weight
    WeightNumberProportion per 100 live premature infantsDeaths in 24 hours Survivors at 28 days
    Numberper 100 live premature infantsNumberPer 100 live premature infants
  • Page 132
    Conditions for which Midwives summoned Medical Aid during 1971 (Figures for 1970 in brackets)
    During PregnancyDuring labour
  • Page 132
    During Puerperium
    For mother—For infant—
  • Page 134
    Numbers taking advantage of the Council's services during the current year decreased by 42.9% to a total of 1,055 and the following statistics indicate the work carried out at the various clinics:—
    ClinicsNo. of Smears Taken
  • Page 137
    The following table shows not only the increased clinic sessions held in 1971, but also that new patients to F.P.A. increased by approximately 18% over 1970." FAMILY PLANNING — STATISTICAL ANALYSIS
    ClinicsSessionsNew CasesAttendances
    197019711970197119701971
  • Page 138
    Congenital Malformations (Numbers Notified According to Site)
    SiteNo. Notified 1971Rates per 1,000 Total Notified Births
    GreenwichEngland & Wales 1971
    19711970
  • Page 139
    Congenital Malformations Notified During 1971
    GREENWICH% E & W 1970
    LiveStillTotal%
  • Page 141
    Observation and Handicapped Register Analysis of children on the above Register at 31st December 1971:-
    System AffectedChildren aged 0-5 yearsChildren aged 6-18 yearsTotal Children
    MalesFemalesTotalMalesFemalesTotalMalesFemalesTotal
  • Page 142
    OBSERVATION AND HANDICAPPED CHILDREN'S REGISTER Analysis of Primary handicaps as at 31st December, 1971:-
    Primary HandicapUnder 6 yrs.Over 6 yrs.TOTAL
    MaleFemaleTotalMaleFemaleTotalMaleFemaleTotal
  • Page 143
    OBSERVATION AND HANDICAPPED CHILDREN'S REGISTER Details of Items marked on the 'Primary Handicap' Analysis as 'OTHER'
    Primary HandicapUnder 6 yrs.Over 6 yrs.TOTAL
    MaleFemaleTotalMaleFemaleTotalMaleFemaleTotal
  • Page 144
    The following figures give the number of children on the "At Risk" Register since 1965 with the comparable number of live births in each year:—
    No. on RegisterNo. of Live Births
  • Page 145
    Sources from which New Cases were Referred
  • Page 146
    Continued from previous page...
    Classification of New CasesNo. Cases%
  • Page 146
    Type of Treatment and where effected
    TreatmentAt Patients' HomesElsewhere (e.g. Nurses' Homes)Total%
  • Page 146
    Age Distribution of Patients
  • Page 148
    Services were continued on similar lines to those of previous years and the following table summarises the visiting carried out during 1971: —
    No. of Cases Visited by Health Visitors
  • Page 149
    Continued from previous page...
  • Page 152
    Statistics for 1971 relating to Child Health Centres are given in the following table: —
  • Page 156
    Registrations effected by 31st December, 1971, are given in the following table which indicates the considerable growth of this valuable service since 1968: —
    1968196919701971
  • Page 158
    The following table indicates the use which was made of the scheme in 1971:
    Type of caseNo.
  • Page 159
    and the G.L.C., the following table gives the total number of illegitimate births in the Borough during the current year and indicates the numbers and ages of mothers seeking advice and assistance: —
    Illegitimate BirthsAges of MothersNumber Seeking Help
  • Page 164
    Bathing Centre—Tunnel Avenue A chiropody clinic established at Tunnel Avenue Bathing Centre in September, 1963, for the treatment of cases (mainly geriatric) brought to the Centre for bathing services, was discontinued during the current year and patients transported to the clinic in the vicinity of their homes.
  • Page 173
    Visit by Women Public Health Officers
  • Page 174
    Elderly People in Receipt of Visits and Other Services
  • Page 176
    Cleansing Services Effected
  • Page 178
    Part III Accommodation
    HomePlaces
  • Page 180
    staffing over the period
    Health & Welfare StaffDayNight
  • Page 185
    Total Functions
    Type of ShowDuring YearTotal Venues
  • Page 190
    FACTORIES ACT, 1961 Inspections for purposes of provisions as to health
  • Page 191
    Cases in which defects were found.
    ParticularsNumber of cases in which defects were foundNumber of cases in which prosecutions were instituted
    FoundRemediedReferred
    To H.M. InspectorBy H.M. Inspector
  • Page 191
    Outwork—(Sections 133 and 134)
    Nature of workNo. of out-workers in August list required by Sect. 133 (1) (c)No. of cases of default in sending list to the CouncilNo. of prosecu-tions for failure to supply listsNo. of instances of work in unwhole-some premisesNotices servedProsecutions
  • Page 192
    Registration and General Inspections
    Class of PremisesNo. of Premises Registered during yearTotal No. of Premises Registered at end of yearNo. of Premises receiving General Inspection during the year
  • Page 192
    Analysis by Workplace of Persons Employed in Registered Premises
    Class of WorkplaceNo. of persons employed
  • Page 193
    A total of 1,360 visits including 627 general inspections were made to premises during the year. As a result of the service of 94 informal notices, the following contraventions of the Act were remedied:—
  • Page 194
    sis for the year under review are summarised in the following tables:— Reported Accidents
    WorkplaceNo. ReportedTotal No. InvestigatedAction RecommendedNo Action
    FatalNon-FatalProse-cutionFormal WarningInformal Advice
  • Page 194
    Analysis of reported accidents
    OfficesRetail ShopsWholesale WarehousesCatering establishments open to public, canteensRailway Buildings
  • Page 203
    Confirmed Smoke Control Areas
    Name of AreaOperative DateApproximate AcreageNo. of DwellingsNo. of Industrial PremisesNo. of Commercial PremisesNo. of Other Premises
  • Page 216
    METROPOLITAN WATER BOARD—Water Examination Department Average Results of the Chemical Examination of the Water Supply to the London Borough of Greenwich - Year 1971 Milligrammes per litre (unless otherwise stated)
    Description of the SampleNo. of SamplesAmmonical NitrogenAlbuminoid NitrogenNitrate NitrogenOxygen abs. from KMnO44 hrs. at 27°C.B.O.D. 5 days at 20° CHardness (total) CaCO3Hardness (non-carbonate) CaC03Magnesium as MgSodium as NaPotassium as KChloride as CIPhosphate as PO4Silicate as SiO2Sulphate as SO4Natural Fluoride as FSurface-active material as Manoxol OTTurbidity unitsColour (Burgess units)pH valueElectrical Conductivity (micro-ohms)
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)
  • Page 217
    METROPOLITAN WATER BOARD—Water Examination Department Bacteriological Results—Yearly averages, 1971, of Water Supplied to the London Borough of Greenwich
    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 219
    A summary of Bacteriological Samples taken from the various swimming baths during the year with the results of the examinations is given in the following table:—
    BathNo. of SamplesSatisfactoryUnsatisfactory
  • Page 221
    The following are the attendances for the year ending 31st March 1972:—
    ServiceEltham BathsGreen-wich BathsHorn-fair LidoPlum-stead BathsWool-wich BathsAbbey Estate Laun-deretteEltham Sports CentreTotals
  • Page 224
    The following report was submitted to the Ministry of Agricul- ture, Fisheries and Food, for the year ended 31st December, 1971:— Prevention of Damage by Pests Act, 1949
    Properties Other than SewersTYPE OF PROPERTY
    Non-AgriculturalAgricultural
  • Page 230
    Many other types of infestation were encountered and the following is a list of the treatments which were carried out in connection therewith.
    ComplaintsTreatmentsRoomsExternal Areas
  • Page 231
    Stations and the following Return summarises the work carried out during the year:—
    Attendances
    VerminScabies
  • Page 232
    The accompanying table shows in detail the work carried out during the year. Rooms and Articles Disinfected, Year ended 31st December, 1971
    Diseases, etc.Premises EnteredRoomsBedsMattressesBolstersPillowsSheetsBlanketsEiderdownsCushionsQuiltsOdd ArticlesWearing ApparelRugs & MatsBooksTotal No. Articles Disinfected
  • Page 233
    Summary of Work Performed by the Public Health Inspectors during the Year 1971
    Inspections—
  • Page 234
    Continued from previous page...
  • Page 235
    Legal Proceedings
    PremisesOffenceResults of Proceedings
  • Page 236
    Legal Proceedings
    PremisesOffenceResults of Proceedings
  • Page 249
    Council Housing Schemes—(Information supplied by Mr. J. M. Moore, Borough Architect). (a) Schemes in operation at 31st December, 1971 :—
    SiteTotal DwellingsCompleted Under Construction
  • Page 250
    (b) The following dwellings have been commenced or are planned for commencement before 31st December, 1972:—
  • Page 254
    The Milk (Special Designation) Regulations, 1963 and 1965 There is one milk processing plant in the Borough in respect of which a Dealer's Pasteuriser's Licence was in force on 31st December, 1971, as were the following licences in relation to milk obtained in pre-packed form for sale to the general public:—
    In Operation 31.12.71
  • Page 257
    The following table is a statistical record of the major portion of the duties performed and inspections undertaken during the year:
    Premises Inspected or Visits MadeNo. of VisitsNo. of Premises at which Improve-ments were effectedNo. of Improve-ments effected
  • Page 257
    Food Hygiene (General) Regulations, 1960 In compliance with Regulations 16 and 19, which deal with the provision of wash-hand basins and the provision of facilities for washing food and equipment respectively, the following table gives details of the fitments introduced into food premises as grouped in trade categories:—
    Type of PremisesNo. of PremisesNo. pro-vided with wash-hand basinsNo. with facilities for washing food and equipment
  • Page 258
    Food Rejected The following table is a summary of unsound food voluntarily surrendered during the year :—
    Shops, Stalls, etc.:—
    Meat—
  • Page 259
    Canned and Other Foods—
  • Page 260
    Carcases and Offal Inspected and Condemned in Whole or in Part, 1971
    Cattle excluding CowsCowsCalvesSheep and LambsPigs
  • Page 261
    The following foods were rejected at the wharves :—
    Meat—
  • Page 262
    Canned and Other Foods—
  • Page 263
    other Egg Products continued during the year with the following results:—
    Country of OriginQuantity ImportedContainers SampledUnsatisfactory
    Bact.Chem.
  • Page 263
    Incidence of Salmonella
    Organism FoundSamples
    Dried Egg AlbumenDried Whole EggDried Egg Yolk
  • Page 264
    During the year 11 certificates were so issued and the followin table indicates the country of origin of the samples, their destina tions and the amounts involved:—
    Country of OriginCertificates IssuedTotal Weight of Meat Exported
    CountryNo.
  • Page 265
    Other Food Examinations Information concerning the analyses of these samples is given in the following table:—
    ArticleHow ObtainedExaminationAction Taken
    Bact. or Chem.Result
  • Page 266
    FOOD AND DRUGS ACT, 1955 Number and Description of Samples Submitted for Analysis under the above Act during the year 1971 (including samples taken under the Public Health (Imported Food) Regulations) ANALYSES
    ArticleNumber ExaminedNumber Adulterated, etc.
    FormalInformalTotalFormalInformalTotal
  • Page 267
    Continued from previous page...
    ArticleNumber ExaminedNumber Adulterated, etc.
    FormalInformalTotalFormalInformalTotal
  • Page 268
    Continued from previous page...
    ArticleNumber ExaminedNumber Adulterated, etc.
    FormalInformalTotalFormalInformalTotal
  • Page 269
    Continued from previous page...
    ArticleNumber ExaminedNumber Adulterated, etc.
    FormalInformalTotalFormalInformalTotal
  • Page 270
    Continued from previous page...
    ArticleNumber ExaminedNumber Adulterated, etc.
    FormalInformalTotalFormalInformalTotal
  • Page 271
    Administrative Action Taken in Regard to Samples Reported to be NOT GENUINE
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 272
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 273
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 274
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 275
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 276
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 277
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 278
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and / or irregularityAction Taken
  • Page 279
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 280
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 281
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 282
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 283
    Continued from previous page...
    Sample No.ArticleNature of Adulteration and/or irregularityAction Taken
  • Page 293
    Other Special Schools in the Borough include :—
    SchoolTotal on Roll
  • Page 295
    SCHOOL HEALTH SERVICES STATISTICAL REPORT 1971
  • Page 296
    Periodic General Medical Inspections
    Age GroupsNumberPercentage
  • Page 296
    Pupils founds to require treatment at periodic General Medical Inspections(excluding dental and infestation)
    Age Groups InspectedFor defective vision (excluding Squint)For other conditionsTotal individual pupils
  • Page 297
    Percentage of Children Inspected who were noted for Treatment
    Age and sexAll defectsVision defectsDefects other than vision
  • Page 297
    Non-Routine Medical Inspections
  • Page 298
    Analysis of Non-Routine Medical Inspections
    Number inspected
    19711970
  • Page 299
    Medical Treatment of schoolchildren
    Type of ClinicSessionsNew CasesAttendances
  • Page 299
    Defects treated at Minor Ailments Clinics
    DefectNumber
  • Page 299
    Special Clinics—Attendances in 1971
    New CasesTotal Attendances
  • Page 299
    VISION Routine Medical Inspections
    BoysGirls
  • Page 300
    Continued from previous page...
  • Page 300
    Findings at Health Surveys
  • Page 301
    Continued from previous page...
  • Page 301
    School Medical Inspections (excluding dental and health surveys)
  • Page 302
    B.C.G.—1971
    SKIN TESTEDNEGATIVEB.C.G. GIVEN
    SchoolsFurther Education & Training CollegesSchoolsFurther Education & Training CollegesSchoolsFurther Education & Training Colleges
  • Page 302
    Infectious Diseases in Schools
    DiseaseNumber
  • Page 303
    Number of Children of all ages noted for Treatment or Observation (Number of children of all ages noted for Treatment or observation expressed as a rate per 1,000 inspected) Number Inspected 15,255
    DefectsTreatmentObservations
    1971197019711970
  • Page 304
    Comparison of Defects noted at 7-plus routine and 7-plus "Special" Medical Examinations in 1971 (Number of children noted for treatment and observation expressed as a rate per 1,000 inspected)
  • Page 305
    Continued from previous page...
    DefectsA*B†
  • Page 306
    Visits made to Schools in the Borough by Public Health Inspectors VISITS—1971
    PurposeNumbersRemarks
  • Page 311
    SCHOOL DENTAL SERVICE Statistical Analysis
    19711970
  • Page -
    CASES OF INFECTIOUS DISEASE notified during the Year ended 31st December, 1971
    Notifiable DiseaseCases Notified in Whole DistrictTotal Cases Notified in each Locality
    Age & Sex Group
    At all Ages0 to 11-22-33-44-55-1010-1515-2525-4545-6565 & overGreenwichWoolwich
    mfmfmfmfmfmfmfmfmfmfmfmf
  • Page -
    TOTAL CAUSES OF, AND AGES AT, DEATH during the year ended 31st December 1971.
    No. in Short ListCauses of DeathDeaths at Subjoined ages of "Residents" whether occurring within or without the DistrictDeaths at all Ages of "Residents" belonging to Localities, whether occurring in or beyond the DistrictDeaths of "Residents" in Public InstitutionsTotal Deaths whether of "Residents" or "NonResidents in Public In stitutions in the District
    All AgesUnder 11 and under 55 and under 1515 and under 2525 and under 3S35 and under 4545 and under 5555 and under 6565 and under 7575 and upwardsGREENWICHWOOLWICHSt. Alfege's HospitalSeamen's HospitalMiller HospitalHerbert Military HospitalBrook HospitalSt. Nicholas HospitalMemorial HospitalB.H.M.B.E. & M. HospitalOther InstitutionsOutside Institutions
    Under 4 wks.4 wks. and under 1 yr.