Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Holborn Borough]
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Annual Rates per 1,000 living. | Deaths under 1 year to 1,000 Births. | ||
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Births. | Deaths. |
Year. | Total Births. | Legitimate Births. | Illegitimate Births. | |||||
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No. | Rate per 1,000 of Population. | No. | Rate per 1,000 of population. | Proportion per 1,000 total Registered Births. | No. | Rate per 1,000 of population. | Proportion per 1,000 total Registered Births. |
Institution. | Residents. | Non-Residents. |
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Year. | Total Deaths at all ages registered in District. | Deaths in Public Institutions in District | Deaths of non-residents of Borough registered in District. | Deaths of residents registered beyond the District. | Net Deaths at all ages. | Death Rate for Borough (crude). | Death Rate for Borough. (adjusted). | Death Rate for London |
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Year. | Deaths under 1 year of age. | Deaths of legitimate infants under 1 year per 1000 corrected legitimate Births. | Deaths of illegitimate infants under 1 year per 1000 corrected illegitimate Births. | Deaths, all infants under 1 year per 1000 corrected Births. | London. | |||||||||
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Deaths under 1 year per 1000 Births. |
1925 | 1926 | 1927 | 1928 | 1929 | 1930 | 1931 | 1932 | 1933 | 1934 | Avge. 1925-34 | 1935 |
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Subject. | Act under which made. | Date. |
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Subject. | Act under which made. | Date. |
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Subject. | Act under which made. | Date |
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Name. | Situation. | Purpose. | Number of Beds. | Management. | Remarks. |
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Mr. Bennett | Mr. Clark | Mr. Fisher | Mr. Larard | Miss Charles-worth | Miss Stockwell | Total |
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Mr. Bennett | Mr. Clark | Mr. Fisher | Mr. Larard | Miss Charles-worth | Miss Stockwell | Total |
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Water Supply— | Houses. | Factories, Workshops and Workplaces |
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Houses. | Factories, etc |
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WARD. | Number of premises inspected. | Number rat infested. | Action for Rat Repression. | RESULT. | ||||||
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Traps. | Poisons. | Rat catchers. | Dogs. | Cats. | Proofing |
No. of Workshops Employing | ||||
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Men only. | Women only. | Both Sexes. | Total. |
Mr. Bennett. | Mr. Clark | Mr. Larard | Mr. Fisher. | Miss Charles-worth. | Total. |
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Matters referred to H.M. Inspector:— |
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Mr. Bennett. | Mr. Clark. | Mr. Larard. | Miss Charles-worth. | Total. |
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Premises. | Licensed Keeper. | Authorised number of Lodgers. | Number of Rooms. | |
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Males. | Females. |
Ward. | Total families enumerated. | Families not overcrowded. | Families overcrowded. | Families overcrowded. Per cent. |
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Size of family ("equiva-lent number" of persons) | Size of dwelling occupied, in terms of the maximum "equivalent number" of persons permitted to occupy it without causing it to be overcrowded. | Totals of Families. | |||||||||||||||||||||||||||||
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*0 | *½ | 1 | 1½ | 2 | 2½ | 3 | 3½ | 4 | 4½ | 5 | 5½ | 6 | 6½ | 7 | 7½ | 8 | 8½ | 9 | 9½ | 10 | 10½ | 11 | 11½ | 12 | 12½ | 13 & over | Over-crowded. | Not Over-crowded. | Total. |
Estate. | Families enumerated. | Families not over-crowded. | Families over-crowded. | Families over-crowded. Per cent. |
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Size of tenement. | No. required. |
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Date of sample obtained. | Nature of shop where purchased. | Grade | No. of organisms per c.c. grown at 37C for 24 hours. | Minimal volume containing Bacillus Coli. |
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Commodity. | Quantity. | Condition. | Result of Action taken. | |||
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Tons. | Cwts. | Qrs. | lbs. |
Article. | Number Purchased | Result of Analyses | Proceedings taken. | Convictions. | Fines and Costs. | |
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Genuine. | Adulterated. |
ARTICLE. | Number Purchased. | Result of Analyses. | Proceedings taken. | Convictions. | Fines and Costs | |
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Genuine. | Adulterated. |
article. | Number of Samples Taken. | Result of Analyses. | |
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Genuine. | Adulterated. |
Percentage of Fat | Number of Samples. | ||||
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Shops. | Restaurants | Streets. | School. | Total |
Month. | Number of Samples examined. | Total Solids. Per cent, average. | Solids Non-fat. Per cent, average. | Fat. Per cent, average. |
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1925. | 1926. | 1927. | 1928. | 1929. | 1930. | 1931. | 1932. | 1933. | 1934. | Yearly average 1925-1934 |
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1934 | Yearly-Average, 1925-1934 |
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Total Number of Births | Vaccinated | Died before Vaccination | Cons. Objections | Insusceptible | Postponed by Medical Certificate | Removed. No information as to Vaccination | Temporarily unaccounted for |
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0—1 | 1—5 | 5—15 | 15—35 | 35—45 | 45—65 | Total. |
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Primary Case | Age | Date notified | Secondary Case | Age | Date notified | Remarks e.g. Character of Premises |
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Hospital. | Cases Notified. | Disease Notified as | Holborn Cases. | Non-Holborn Cases. | Total. | ||
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Staff. | Inpatients. | Clinical. | Carrier. |
Contacts swabbed. | positive Results. | Contacts positive. | |||
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Nose and Throat. | Throat only. | Nose only. |
a Total number of individuals who attended clinic | b Total tested | c Total immunised without preliminary Schick test | Result of Test d | E Found NEGATIVE to He Schick Test after | Immunisation of Positives | j | |||||||||||||||||||||||||||||||||||||||
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f Found NEGATIVE to Be Schick Test after | G First immunised with T A. F. and found NEGATIVE to lie Schick after | h Found POSITIVE to Re Schick Test after 2 ccm T. A. M. or with T.A.F. | I Total Re Schick tested | Given 3 ccm T.A.M. or with T.A.F. Not retested. | Given 1 ceem not yet retested. | Failed to complete 3 inoculatns. | Inoculatns. not begun. | Inoculatns. still in progress | |||||||||||||||||||||||||||||||||||||
Positive. | Negative | Not read. | |||||||||||||||||||||||||||||||||||||||||||
1 cem T.A.M. | 2 cem T. A.M. | 3 cem T.A.M. or with T.A.F. | 4 cem T.A.M. | 5 cem T.A.M. | 6 cem T.A.M. | 8 cem T.A.M. | Further doses of T.A.F. | 3 cem T.A.M. | Given further inoculation but not yet retested. | No further inoculation given. | |||||||||||||||||||||||||||||||||||
Children | Adults | C | A | C | A | C | A | C | A | C | A | C | A | C | A | C | A | C | a | C | A | C | A | C | A | C | A | C | A | C | A | C | a | C | a | C | a | C | A | C | a | C | a | C | a |
Ages. | 6 to 12 months | 1 to 2 years | 2 to 3 years | 3 to 4 years | 4 to 5 years | 5 to 6 years | 6 to 7 years | 7 to 8 years | 8 to 9 years | 9 to 10 years | 10 to 11 years | 11 to 12 years | 12 to 13 years | 13 to 14 years | 14 to 15 years | Adults 15 and above years | Total Schick Tested = 1817 | |||||||||||||||||||||
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Total for 13years, 1922-34 | 79 | 231 | 160 | 136 | 115 | 112 | 97 | 81 | 70 | 81 | 71 | 58 | 49 | 48 | 10 | 419 |
Initials | Age in years at date of Schick Test | Sex | Type of Home | Date of Schick Test | First Injection | Final Injection | Re test | Result of Re test | Date of onset of Diphtheria | Interval between last injection and date of onset of disease | Confirmation of diagnosis by | Character of Attack |
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1. A.C. | 4 4/12 | M. | Artizan— moderately satis, factory; house let in lodgings | 30/1/24 | 7/2/24 | 20/2/24 (Third) | none | — | 18/3/25 | 13 months | Metropolitan Asylums Board (N.E. Hospital) | Very-severe |
2. G.L. | 6 5/12 | M. | Higher Artizan— model dwellings | 4/4/23 | 11/4/23 | 25/4/23 (Third) | none | - | 29/5/25 | 13 months | Metropolitan Asylums Board (N.E. Hospital) | Very mild |
3. M.T. | 3 5/12 | F. | Higher Artizan— model dwellings | 24/9/24 | 1/10/24 | 15/10/24 (Third) | none | - | 5/4/26 | 18 months | Metropolitan Asylums Board (N.E. Hospital) | Mild |
4. L.P. | 6 8/12 | F. | Higher Artizan— part of private house | 11/11/26 | 17/11/26 | 1/12/26 (Third) | none | - | 23/12/26 | 22 days* | Metropolitan Asylums Board (N.W. Hospital) | Severe |
5. R.H. | 7 | M. | Residential, separate private house | 28/9/27 | 5/10/27 | 19/10/27 (Third) | none | - | 21/10/27 | 2 days* | Cuddington Isolation Hospital | Mild |
Mild | ||||||||||||
6. P.P. | 1 8/12 | F. | Artizan— model dwellings | 5/9/23 | 12/9/23 | 26/9/23 (Third) | none | - | 26/10/27 | 4 years | Metropolitan Asylums Board (N.E. Hospital) | |
Mild | ||||||||||||
7. J.F. | 1 10/12 | F. | Higher Artizan— model dwellings | 13/5/25 | 20/5/25 | 10/6/25 (Third) | yes | negative 11/11/25 | 19/2/28 | 2 9/12 years | Metropolitan Asylums Board (N.E. Hospital) | |
Mild attack of nasal diphtheria | ||||||||||||
8. V.C. | 3 5/12 | F. | Poor, one room; house let in lodgings | 9/4/24 | 30/4/24 | 18/6/24 (Third) | yes | negative 12/9/24 | 21/2/28 | 3 8/12 years | Metropolitan Asylums Board (N.E. Hospital) | |
9. W.J. | 3 3/12 | F. | Fair, two rooms ; house let in lodgings | 12/1/27 | 19/1/27 | 9/3/27 (Third) | yes | negative 19/10/27 | 15/4/29 | 2 1/12 years | Metropolitan Asylums Board (N.W. Hospital) | Mild |
Mild attack of nasal, faucial and laryngeal diphtheria | ||||||||||||
10. I.S. | 5 3/12 | M. | Higher Artizan | 7/2/34 | 21/2/34 | 7/3/34 (Third) | no | - | 9/6/34 | 3 months* | L.C.C. Brook Hospital | |
11.R.B. | 1 ½ | M. | Artizan— model dwellings | none | 21/11/34 | 5/12/34 | no | - | 28/1/35 | 7 weeks* | L. C C (N.W. Hospital) | Mild case of faucial, nasal and laryngeal diphtheria |
12. L.W. | 6½ | F. | Artizan— model dwellings | none | 18/8/33 | 30/8/33 | yes | negative 20/12/33 | 26/7/35 | 2 years | L.C.C. (N.E. Hospital) | Mild attack of diphtheria |
Age in years. | M. | F. | Total. |
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No. of Rheumatic Children | Separate Room | Separate Bed in Living Room | Separate Bed in Room shared with | Bed shared with | Bed shared in living room with | |||||||||||||||||||
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Adults | Children | Adults and Children | Adults | Children | Adults and Children | Children | Adults and Children |
Diphtheria | Pulmonary Tuberculosis | Other Diseases | |||
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Number Submitted | Result of Examination | Number Submitted | Result of Examination | Number Submitted | Result of Examination. |
Age-periods. | Formal Notifications. | ||||||||||||
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Number of Primary Notifications of new cases of Tuberculosis. | Total Notifications. | ||||||||||||
0- | l- | 5- | 10- | 15- | 20- | 25- | 35- | 45- | 55- | 65- | Total (all ages). |
Age-periods. | 0— | l— | 5- | 10— | 15— | 20— | 25— | 35— | 45 — | 55— | 65— | Total. |
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Source of Information | No. of Cases. | ||
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Pulmonary | Non-Pulmonary |
Pulmonary | Non-pulmonary | Total Cases | |||||
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Males | Females | Total | Males | Females | Total |
Diagnosis. | Pulmonary. | Non-Pulmonary. | Total. | |||||||||
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Adults. | Children. | Adults. | Children. | Adults. | Children. | |||||||
M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. |
0- | 1- | 5- | 10- | 15- | 20- | 25- | 35- | 45- | 55- | 65- | All Ages | |||
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Males. | Females | Total. |
Number of sessions held | Tuberculosis Patients. | All Patients. 49 |
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Living in:— | Confined at home. | Confined in hospital. | ||
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No. | Percentage of Total Births. | No. | Percentage of Total Births. |
First Visits. | Revisits. | Total. |
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Monday. | Tuesday. | Wednesday. | Thursday. | Friday. | ||
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Medical Consultation Pre-School child 2—4.30 p.m. | Antenatal and Post-natal cases 2—4.30 p.m. | Medical Consultation 2—4.30 p.m. | Class 3—4 p.m. | Dentist. 2—4 p.m. | Medical Consul tation 2—4.30 p.m. |
Thursday—Medical Consultation—2—4.30 p.m. |
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10, John Street, Holborn. | Short's Gardens St. Giles. |
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Reasons for attendance. | 10, John Street. | Short's Gardens |
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Mothers. | Children. |
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John Street. | Short's Gardens |
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Women. | Children. | Total |
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Mothers. | Children. | Total. |
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Milk. | Prepared Milk. | |||
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Free. | Part Cost. | Free. | Part Cost. |
Males | Females | Both sexes |
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Males | Females | Both sexes |
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Cause of Death | Under 1 Week | 1-2 Weeks | 2-3 Weeks | 3-4 Weeks | Total under 4 Weeks | 4 Weeks and under 3 Months | 3-6 Months | 6-9 Months | 9-12Months | Total under 1 Year | ||||||||||||
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M | F | M | F | M | F | M | F | M | F | Both sexes | M | F | M | F | M | F | M | F | M | F | Both sexes |
No. | Initials | Date of Notification | Primipara or Multipara | Ante-natal Care | Delivery occurred in | Onset subsequent to | Results | Remarks | |
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Patient's Homo | Institution |
Case Number. | Age when Notified. | Age at Onset. | By whom Notified. | Type of Disease on Health Visitor's first call. | Where Treated | Medical Attendance and nursing | Result | Birth Notified by. |
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Age Groups. | Number examined. | Clothing and Boots. | Nutrition | Cleanliness of Head. | Cleanliness of Body. | Teeth. | Vision. | |||||||||||||
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Good | Fair. | Poor. | Good. | Average. | Below normal. | Bad. | Clean. | Nits. | Pediculi. | Clean. | Dirty. | Pediculi. | All sound. | Less than four decayed. | Four or more decayed. | 6/6 in both eyes. | 6/9 in either or both eyes. | 6/12 or worse in either or both eyes. |
Defect. | Boys. | Girls. | ||||||||||||||
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Entrants | Age 7 | Age 11 | Age 14 | Entrants | Age 7 | Age 11 | Age 14 |
Year | Population estimated to Middle of each Year. | Births. | Total Deaths Registered in the District | Transferable Deaths | Net Deaths belonging to the District. | ||||||
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Under 1 Year of Age | At all Ages | ||||||||||
Uncorrected Number | Net | Number | of Nonresidents registered in the District | of Residents not registered in the District | Number | Rate per 1,000 Births | Number | Rate. | |||
Number | Rate |
Causes of Death. | NET DEATHS AT THE SUBJOINED AGES OF " RESIDENTS," whether occurring within or without the Borough. | Total Deaths whether of "Resi-dents " or " Non-Residents' in Insti-tutions in the Borough. | ||||||||||
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All Ages. | Under 1 year. | 1 and under 2 years. | 2 and under 5 years. | 5 and under 15 years. | 15 and under 25 years. | 25 and under 45 years. | 45 and under 65 years. | 65 and under 75 years. | 75 and upwards. |
Disease. | Total | Under 1 | l to 2 | 2 to 3 | 3 to 4 | 4 to 6 | 6 to 10 | 10 to 16 | 15 to 20 | 20 to 36 | 35 to 46 | 46 to 65 | 65 up | Total Deaths |
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PREMISES. | Number in Borough at end of 1935. | Number of Inspections. | Number of Prosecutions. |
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PREMISES. | Number of | |||
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Inspections. | Written Notices. | Prosecutions. | ||
Intimations. | Statutory. |
Particulars. | Number of Defects. | Number of Prosecutions. | |||
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Found. | Remedied. | Referred to h.m. Inspector. |
NATURE OF WORK. | Outworkers' Lists, Section 107. | Outwork in Unwholesome Premises, Section 108. | Outwork in Infected Premises. Sections 109, 110. | ||||||||||||
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Lists received from Employers. | Notices served on occupiers as to keeping or sending lists. | Prosecutions. | Instances. | Notices served | Prosecutions. | Instances | Orders made (S. 110). | Prosecutions (Sections 109, 110) | |||||||
Sending twice in the year. | Sending once in the year. | Failing to keep or permit inspection of lists. | Failing to send lists. | ||||||||||||
Lists. | Outworkers. | Lists. | Outworkers. | ||||||||||||
Contractors. | Workmen. | Contractors. | Workmen. |
Workshops on the Register (S. 131) at the end of the year. (1) | Number. (2)[/##] |
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Bakehouses (including 13 factory bakehouses) | 19 |
Other Workshops | 619 |
Total number of workshops on Register | 638 |
Class. (1) | Number. (2) | |
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Matters notified to H.M. Inspector of Factories:— | ||
Failure to affix Abstract of the Factory and Workshop Act (S. 133) | 3 | |
Action taken in matters referred by H.M. Inspector as remediable under the Public Health Acts, but not under the Factory and Workshop Act (S. 5) | Notified by H.M. Inspector | 16 |
Report (action being taken) sent to H.M. Inspector | 15 | |
Other | — | |
Underground Bakohouses (S. 101):— | ||
Certificated granted during the year | — | |
In use at the end of the year | 11 |
Date. | Name. | Address. | Offence. | Result. |
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