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

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VITAL STATISTICS OF WHOLE DISTRICT 1965-1970

Year	Population to middle of each year Registrar General's Estimate	Live Births		Total Deaths Registered in the District		Transferable Deaths		Net Deaths belonging to the District
		Number	Rate per 1,000 Pop.	Number	Rate per 1,000 Pop.	Of Non-Residents registered in the District	Of Residents not registered in the District	Under 1 year of age		At all ages
								Number	Rate per 1,000 Live births	Number	Rate per 1000 Pop.

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NATURAL INCREASE OR DECREASE OF THE POPULATION DURING THE PAST 16 YEARS

Year	Population	Excess of Births over Deaths

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DEATHS FROM CANCER DURING THE PAST SIXTEEN YEARS

Year	Population	Deaths	Rate per 1,000 pop.

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INFANT MORTALITY - 1970 and previous 15 years.

Year	Live Births	Deaths of Infants	Deaths of Infants per 1,000 live births

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MATERNAL MORTALITY - 1970 and previous years

Year	Number of Deaths	Number of live births	Maternal death rate for 1,000 live births
Year	Pregnancy, Child Birth, Abortion	Number of live births	Maternal death rate for 1,000 live births

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INFANT MORTALITY RATES - ENGLAND AND WALES & VARIOUS OTHER COUNTRIES Deaths under 1 year per 1,000 live births

	1955	1956	1957	1958	1959	1960	1961	1962	1963	1964	1965	1966	1967	1968	1969

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THE CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE IN HAMMERSMITH DURING 1970

Cause of death	Sex	All Ages	Under 4 Weeks	4 Weeks & under 1 year	1-4

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5-14	15-24	25-34	35-44	45-54	55-64	65-74	75 & over

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Cause of Death	Sex	All Ages	Under 4 Weeks	4 Weeks & under 1 year	1-4

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5-14	15-24	25-34	35-44	45-54	55-64	65-74	75 & over

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Cause of Death	Sex	All Ages	Under 4 Weeks	4 Weeks & under 1 year	1-4

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Age in Years
5-14	15-24	25-34	35-44	45-54	55-64	65-74	75 & over

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Of interest are the different phase typings identified as shown:

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NOTIFICATIONS OF INFECTIOUS DISEASE 1st.JANUARY, 1970 - 31st. DECEMBER, 1970

DISEASE	0-1	1	2-4	5-14	15-24	25-44	45-64	65+	Total	Cases Removed to Hospital	Deaths

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TABLE OF NOTIFICATIONS OF INFECTIOUS DISEASES SINCE 1965

DISEASE	TOTALS NOTIFIED IN:
	1965	1966	1967	1968	1969	1970	1971	1972	1973	1974

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Applications were graded as under:-

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Houses in Multiple Occupation:

	1962	1963	1964	1965	1966	1967	1968	1969	1970

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Applications under the above Act during the past six years have been received as follows:-

	1965	1966	1967	1968	1969	1970

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Housing List

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Public Health Inspectors' totals of weekly summary sheets 1970

	Total Inspec-tions.	Total Re-visits	Total Notices Served	Total Notices complied with

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Analysis of Reported Accidents.

Primary Cause			Class of Workplace
	Offices	Shops	Wholesale/ warehouses	Catering establish-ments	Total	Inves-tigated

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TABLE A REGISTRATIONS AND GENERAL INSPECTIONS

Class of premises (1)	Number of premises newly registered during the year (2)	Total number of registered premises at end of year (3)	Number of registered premises receiving one or more general inspections during the year (4)

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TABLE B

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TABLE C ANALYSIS OF WORKPLACE OF PERSONS EMPLOYED IN REGISTERED PREMISES AT END OF YEAR

Class or workplace (1)		Number of persons employed (2)

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TABLE D - EXEMPTIONS

DURING THE YEAR
No. of exemptions			No. of applications		Appeals to Court against refusal to grant or extend an exemption or against the withdrawal of an exemption
newly granted (3)	extended (4)	expired or withdrawn (5)	refused (6)	opposed by employees (7)
newly granted (3)	extended (4)	expired or withdrawn (5)	refused (6)	opposed by employees (7)	No.made (8)	No.al lowed (9)

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TABLE E - PROSECUTIONS

M/c Line No.	Prosecutions instituted of which the hearing was completed in the year
M/c Line No.	Section of Act or title of Regulations or Order (1)	No. of information laid (2)	No. of informations leading to a conviction (3)

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21 TABLE F- STAFF

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1. Inspections

	Number on Register	Inspections	Number of 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
	Found	Remedied	To H.M. Inspector	By H,M. Inspector

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3. Outwork

	Section 110			Section 111
	No. of Outworkers in August list required by Section 110/l(c)	No. of cases of default in sending lists to the Council	No. of prosecutions for failure to supply lists	No. of instances ofwork in unwholesome premises	Notices served	Prosecutions

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The following table summarises the work of the Rodent Control Staff during 1970:

	Type of Property Non-agricultural

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The following are details from his report for the year under review:

Details of visits

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METROPOLITAN WATER BOARD - WATER EXAMINATION DEPARTMENT Average RESULT OF THE CHEMICAL EXAMINATION OF THE WATER TO THE LONDON BOROUGH OF HAMMERMITH Milligrammes per litre (unless otherwise stated)

Description of the Samples	Number of Samples Day of the Month	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) CaCO3	Magnesium as Mg	Sodium as Na	Potassium as K	Chloride as cl	Phosphate as P04	Silicate as Si02	Sulphate as S04	Natural Flouride as F	Surface-active material as Manoxal O.T		Turbidty units	Colour (Burgess units)	PH value
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)	(17)	(18)	(19)	(20)	(21)	(22)

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METROPOLITAN WATER BOARD - WATER EXAMINATION DEPARTMENT BACTERIOLOGICAL RESULTS - YEARLY AVERAGES, 1970 OF THE WATER SUPPLIED TO THE LONDON BOROUGH OF HAMMERSMITH

Source of Supply	BEFORE TREATMENT							AFTER TREATMENT
	Number of samples	Agar plate count per ml.		Coliform count		Escherichia coli count		Number of samples	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.

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A list showing the number and type of premises in the Borough where food is sold, stored and prepared, is given below:-

	No. of premises fitted to comply with Reg.16	No. of premises fitted to comply with Reg.19.

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Food & Drugs Act 1955

	Tons.	Cwts.	Lbs.

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	Tons.	Cwts.	Lbs.

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Frozen Foods

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Premises Registered under Section 16 Food and Drugs Act, 1955

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The number of adulterated items, or samples about which adverse comment was made, was 118, The incidence of criticisms may be classified as follows:-

	Number examined	Number adulterated

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In connection with these treatments, the personal clothing of 317 patients was sterilised, and the autoclave was used for this purpose on 215 occasions.

	PED. CAPITIS				PED. PUBIS				PED. CORPORIS
	Males		Females		Males		Females		Males		Females
	Ind	Tre	Ind	Tre	Ind	Tre	Ind	Tre	Ind	Tre	Ind	Tre

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Demand for this service is mainly from our own establishments and Fulham Hospital, as the following tables indicate: Steam sterilisation of bedding, clothing and soft furnishings:

	Number of collections	Number of articles

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DISINFESTATION AND DISINFECTION OF PROPERTY

Nuisance	Premises	Rooms

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LAUNDRY SERVICE FOR THE VARIOUS DEPARTMENTS AND SECTIONS OF THE BOROUGH, THE GREATER LONDON COUNCIL AND VOLUNTARY ORGANISATIONS. (NOT NECESSARILY FOULED AND INFECTED)

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INCONTINENT SECTION Yearly Statistical Summaries

	1966	1967	1968	1969	1970

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STATISTICAL SUMMARY

	1967	1968	1969	1970

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The following is a summary for the year:-Bodies for Hammersmith

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Statistical information is given as follows: STAFF MEDICAL QUESTIONNAIRES & EXAMINATIONS-lst JANUARY until 31st DECEMBER 1970

		TOTAL

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CLINIC STATISTICS 1970 - HAMMERSMITH

	New Patients	FPA Transfers	Total Visits	Cytology	N.H.S. Free Advice	Act 1967 Free Supplies

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In 1970 44(40) cases were notified. Notification was made as follows:-

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MATERNITY AND CHILD HEALTH DENTAL STATISTICS

Inspections	Children aged 0—4 years			Expectant and Nursing Mothers

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TABLE 1 Completed Primary Courses - Number of Persons under age 16

Type of vaccine or dose	Year of Birth					Others under age 16	Total
Type of vaccine or dose	1970	1969	1968	1967	1963-1966	Others under age 16	Total

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TABLE 2 - REINFORCING DOSES - NUMBER OF PERSONS UNDER AGE 16

Type of vaccine or dose	Year of Birth					Others under age 16	Total
Type of vaccine or dose	1970	1969	1968	1967	1963-1966	Others under age 16	Total

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TABLE 3

Age at date of vaccination	Number of persons vaccinated (or revaccinated during period)

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The following are details of work carried out during the year:

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The following figures rleate to the year 1970

Country where Passport issued	Immigrants Notified	Visits		Total
Country where Passport issued	Immigrants Notified	Successful	Unsuccessful	Total

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SUMMARY OF STATISTICS

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TABLE 2 NEW NOTIFICATIONS IN AGE GROUPS

AGE	MALES	FEMALES

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TABLE 3 DEATHS IN AGE GROUPS

	MALES		FEMALES

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SUMMARY OF TUBERCULOSIS NOTIFICATIONS FOR 1970 NUMBER OF PRIMARY NOTIFICATIONS OF NEW CASES OF TUBERCULOSIS

Age	0	1	2-4	5-9	10-14	15-19	20-24	25-34	35-44	45-54	55-64	65-74	75 +

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CASES OF TUBERCULOSIS NOTIFIED AND DEATHS - PAST TEN YEARS

Year	Number of cases notified			Number of deaths	Number of cases on Register of Notifications
	Pulmonary	Non-pulmonary	Total

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The table below is an analysis of routine and non-routine medical inspections, (excluding Dental and Health Surveys)

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Non-Routine Inspections

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Analysis of Non-Routine Medical Inspections (Cont'd)

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Number inspected 9,935 (10,334)

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Findings at Health Survey

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Continued from previous page...

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Prophylaxis. The following table shows the percentage of school children of all ages inspected who were reported to have been immunised against:

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The following summarises the work carried out at the Clinics during the year:-

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Weekly orthoptic sessions are also held at the Fulham and St. Dunstan's Treatment Centres and the following work was carried out at the Clinics during the year:-

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The following is a statistical summary of the work carried out during 1970; the figures in brackets relate to the work carried out in 1969:

West London College			Hammersmith College

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West London College			Hammersmith College

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Staff

Chief Dental Officer	1	(Vacancy)

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APPENDIX_ SCHOOL DENTAL SERVICE - STATISTICS

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Inspections

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PERSONS IN RESIDENTIAL ACCOMMODATION ON 31 ST DECEMBER 1970 TABLE 1 - Number of Persons admitted during 1970

		Number of admissions (other than for short stay) of persons aged:-							Number of short stay admissions
		Under 30	30-49	50-64	65-74	75-84	85 and over	Total	Number of short stay admissions
		(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

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TABLE 2 - Analysis of persons in residential accommodation on 31st December 1970,by age, sex and size and type of home

Persons (exclusive of staff) residing in
Homes in the possession of the Council whose normal bed complement for residential accommodation is					Joint user premises shared with hospitals		Accommodation provided on behalf of the Council in voluntary or private homes	Total
Under 31	31-50	51-70	71-150	Over 150	In possession of a local authority	In possession of hospitals		Total
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)

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TABLE 3 - Analysis of persons aged under 65 in residential accommodation in 1970 by major disability and size and type of home

Persons (exclusive of staff) residing in
Homes in the possession of the Council whose normal bed complement for residential accommodation is					Joint user premises shared with hospitals		Accommodation provided on behalf of the Council in voluntary or private homes	Total
under 31	31-50	51-70	71-150	over 150	In possession of a local authority	In possession of a hospital		Total
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)

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TABLE 4 - Analysis of persons aged 65 and over in residential accommodation on 31st December 1970 by major disability and size and type of home

Persons (exclusive of staff) residing in
Homes in the possession of the Council whose normal bed complement for residential accommodation is					Joint user premises shared with hospitals		Accommodation provided on behalf of the Council in voluntary or private homes	Total
under 31	31-50	51-70	71-150	over 150	In possession of a local authority	In possession of a hospital		Total
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)

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REGISTRATION OF PRIVATE AND VOLUNTARY HOMES 12 MONTHS ENDED 31 December 1970 TABLE 5 - Registration of Old Persons Homes and Homes for Disabled Persons

Number of Homes
Voluntary Homes			Private Homes			Total
under 31 beds	31-50 beds	over 50 beds	under 31 beds	31-50 beds	over 50 beds	Total
(1)	(2)	(3)	(4)	(5)	(6)	(7)

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TABLE 6

Age Sex		Number of persons on register at 31st December 1970						Number of persons whose names were added to the register during the year ended 31st December 1970
		Deaf with speech	Deaf without speech	Hard.of hearing	General classes	Total	Deaf with speech		Deaf without speech	Hard of hearing	General classes	Total

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TABLE 7 Analysis of persons on the general classes register according to age and handicap

Major handicaps		Age Under 16	Age 1629	Age 3049	Age 5064	Age 65 or over	Total

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TABLE 8

	Organisation	Number of main meals served at recipients' homes	Number of main meals served elsewhere (i.e. at clubs, centres including centres at residential homes) etc.	Total

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Analysis of sources of referral of families discussed at Case Conferences, (first quarter only).

Borough Services:

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Miscellaneous:

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Number of Referrals

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Reasons why children came into care

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Type of Placement:

At 31st December 1970	In Boro. Owned Estabs.	In Other Inner london Author Owned Estabs.	In Inner London Educ. Author, Owned Estabs .	In Other Local Author. Owned Estabs.	In Private Estabs.	In Volun. Estabs.	Total

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The following table summarises arrangements made during the year (figures for 1969 are in brackets).

TYPE OF CASE	ADMITTED TO THE HOMES in 1970

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Statistical Summary

Persons Treated	1970	1969	1968

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

View report tables

Hammersmith 1970

93 tables in this report

VITAL STATISTICS OF WHOLE DISTRICT 1965-1970

NATURAL INCREASE OR DECREASE OF THE POPULATION DURING THE PAST 16 YEARS

DEATHS FROM CANCER DURING THE PAST SIXTEEN YEARS

INFANT MORTALITY - 1970 and previous 15 years.

MATERNAL MORTALITY - 1970 and previous years

INFANT MORTALITY RATES - ENGLAND AND WALES &amp; VARIOUS OTHER COUNTRIES Deaths under 1 year per 1,000 live births

THE CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE IN HAMMERSMITH DURING 1970

Continued from previous page...

Continued from previous page...

Continued from previous page...

Continued from previous page...

Continued from previous page...

Of interest are the different phase typings identified as shown:

NOTIFICATIONS OF INFECTIOUS DISEASE 1st.JANUARY, 1970 - 31st. DECEMBER, 1970

TABLE OF NOTIFICATIONS OF INFECTIOUS DISEASES SINCE 1965

Applications were graded as under:-

Houses in Multiple Occupation:

Applications under the above Act during the past six years have been received as follows:-

Housing List

Public Health Inspectors' totals of weekly summary sheets 1970

Analysis of Reported Accidents.

TABLE A REGISTRATIONS AND GENERAL INSPECTIONS

TABLE B

TABLE C ANALYSIS OF WORKPLACE OF PERSONS EMPLOYED IN REGISTERED PREMISES AT END OF YEAR

TABLE D - EXEMPTIONS

TABLE E - PROSECUTIONS

21 TABLE F- STAFF

1. Inspections

2. Cases in which defects were found

3. Outwork

The following table summarises the work of the Rodent Control Staff during 1970:

The following are details from his report for the year under review:

METROPOLITAN WATER BOARD - WATER EXAMINATION DEPARTMENT Average RESULT OF THE CHEMICAL EXAMINATION OF THE WATER TO THE LONDON BOROUGH OF HAMMERMITH Milligrammes per litre (unless otherwise stated)

METROPOLITAN WATER BOARD - WATER EXAMINATION DEPARTMENT BACTERIOLOGICAL RESULTS - YEARLY AVERAGES, 1970 OF THE WATER SUPPLIED TO THE LONDON BOROUGH OF HAMMERSMITH

A list showing the number and type of premises in the Borough where food is sold, stored and prepared, is given below:-

Food &amp; Drugs Act 1955

Continued from previous page...

Frozen Foods

Premises Registered under Section 16 Food and Drugs Act, 1955

The number of adulterated items, or samples about which adverse comment was made, was 118, The incidence of criticisms may be classified as follows:-

In connection with these treatments, the personal clothing of 317 patients was sterilised, and the autoclave was used for this purpose on 215 occasions.

Demand for this service is mainly from our own establishments and Fulham Hospital, as the following tables indicate: Steam sterilisation of bedding, clothing and soft furnishings:

DISINFESTATION AND DISINFECTION OF PROPERTY

LAUNDRY SERVICE FOR THE VARIOUS DEPARTMENTS AND SECTIONS OF THE BOROUGH, THE GREATER LONDON COUNCIL AND VOLUNTARY ORGANISATIONS. (NOT NECESSARILY FOULED AND INFECTED)

INCONTINENT SECTION Yearly Statistical Summaries

STATISTICAL SUMMARY

The following is a summary for the year:-Bodies for Hammersmith

Statistical information is given as follows: STAFF MEDICAL QUESTIONNAIRES &amp; EXAMINATIONS-lst JANUARY until 31st DECEMBER 1970

Continued from previous page...

CLINIC STATISTICS 1970 - HAMMERSMITH

In 1970 44(40) cases were notified. Notification was made as follows:-

MATERNITY AND CHILD HEALTH DENTAL STATISTICS

TABLE 1 Completed Primary Courses - Number of Persons under age 16

TABLE 2 - REINFORCING DOSES - NUMBER OF PERSONS UNDER AGE 16

TABLE 3

The following are details of work carried out during the year:

The following figures rleate to the year 1970

SUMMARY OF STATISTICS

TABLE 2 NEW NOTIFICATIONS IN AGE GROUPS

TABLE 3 DEATHS IN AGE GROUPS

SUMMARY OF TUBERCULOSIS NOTIFICATIONS FOR 1970 NUMBER OF PRIMARY NOTIFICATIONS OF NEW CASES OF TUBERCULOSIS

CASES OF TUBERCULOSIS NOTIFIED AND DEATHS - PAST TEN YEARS

The table below is an analysis of routine and non-routine medical inspections, (excluding Dental and Health Surveys)

Non-Routine Inspections

Analysis of Non-Routine Medical Inspections (Cont'd)

Number inspected 9,935 (10,334)

Continued from previous page...

Continued from previous page...

Findings at Health Survey

Continued from previous page...

Prophylaxis. The following table shows the percentage of school children of all ages inspected who were reported to have been immunised against:

The following summarises the work carried out at the Clinics during the year:-

Weekly orthoptic sessions are also held at the Fulham and St. Dunstan's Treatment Centres and the following work was carried out at the Clinics during the year:-

INFANT MORTALITY RATES - ENGLAND AND WALES & VARIOUS OTHER COUNTRIES Deaths under 1 year per 1,000 live births

Food & Drugs Act 1955

Statistical information is given as follows: STAFF MEDICAL QUESTIONNAIRES & EXAMINATIONS-lst JANUARY until 31st DECEMBER 1970