Report of the Medical Officer of Health

Page 10

STATISTICS AND SOCIAL CONDITIONS

	1972	1971 (where applicable)

Page 10

BIRTHS

	Westminster		Greater London		England & Wales
	1972	1971	1972	1971	1972	1971

Page 11

INFANT MORTALITY

	Westminster		Greater London		England & Wales
	1972	1971	1972	1971	1972	1971

Page 14

At 31st December 1972

	Establishment	In Post

Page 29

A Dealer's Licence permits the sale of milk both outside as well as inside the area of the licensing authority. The numbers of such licences current in the City at the end of 1972 were:—

Page 37

During 1972 a total of 125 (117) burials or cremations were arranged by the Health Department as follows:—

Page 37

Requests for burials or cremations were received from the following sources:—

Page 44

NURSE TRAINING During the year Health Department nursing staff attended In-service Training, Refresher and Management Courses and Conferences as indicated:—

Page 51

The 179 holidays were arranged for:—

	1972	1971

Page 60

Table 1. — DEATHS — According to Age-Group and Sex

CAUSE OF DEATH	1971	1972 Net Deaths at the sub-joined ages of residents (male and female) whether occurring within or without the City
	Totals All Ages	All Ages		Under 1 year		1 and under 5		5 and under 15		15 and jnder 25		25 and jnder 45		45 and under 65		65 and upwards
		M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 61

Table 2 — Infant Mortality — Cause, Age-group and Sex

CAUSE OF DEATH	Under 1 week		1 -4 weeks		1 -3 months		3-6 months		6-9 months		9-12 months		Total
CAUSE OF DEATH	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 62

Table 3 — Notification of Infectious and other Notifiable Diseases

Numbers originally notified Total (All ages)					Measles (excluding rubella)			Dysentery				Scarlet Fever				Diphtheria				Acute meningitis due to infection with													Acute poliomyelitis
					Measles (excluding rubella)			Dysentery				Scarlet Fever				Diphtheria				Meningococcus				Other specified organisms					Unspecified org anisms				Paralytic		Non paralytic
					M	F		M		F		M		F		M		F		M		F		M		F			M		F		M	F	M		F

Page 63

Table 4 — Tuberculosis: New Cases and Deaths

Page 63

Table 5 — Specimens Submitted to the Public Health Laboratory

Page 64

Table 6 — Night and out of office hours emergency service — Analysis of calls made to Duty Officers

Month 1972	Social Services Departments						Health Departments						Miscellan		Total
	Mental Health		Child Care		Welfare		Public Health Inspectors		Midwives		District Nurses		Miscellan		Total
	*W	K	W	K	W	K	W	K	W	K	W	K	W	K	W	K

Page 64

Table 7 — Dwelling House — Reason for Initial Inspection

	1972	1971

Page 64

Table 8 — Dwelling Houses — Nuisances and unsatisfactory conditions found and remedied

	1972	1971

Page 65

Table 9 — Summary of visits by public health inspectors

	1972	1971

Page 65

Table 10 — Statutory Notices Served

	1972	1971

Page 65

Table 11 — Summary of visits by Housing Act Inspectors

	1972	1971

Page 66

Table 12 — Summary of work carried out by Public Health Inspectors under the Housing Act 1961 (as amended) in connection with Houses in Multiple Occupation

	1972	1971

Page 66

Table 13 — Unfit Premises

	1972	1971

Page 66

Table 14 — Housing Finance Act 1972: Qualification Certificates

	1972	1971

Page 67

Table 15 — Rodent Control

	1972	1971

Page 67

Table 16 — Chemical Examination of Water Supplied to City of Westminster — Average Results Milligramms per litre (unless otherwise stated)

Analysis Data	Source of Supply
Analysis Data	Stoke Newington	R. Thames -Derived

Page 68

Table 17 — Bacteriological Examination of Water Supplied to City of Westminster — Average Results after Treatment

Source of supply	Number of Samples	Agar plate count per ml.		Coliform count	E. coli count
Source of supply	Number of Samples	20-24 hours 37^0C	3 days at 22^0C	Per cent. samples negative in 100 ml.	Per cent samples negative in 100 ml.

Page 68

Table 18 — Offices, Shops and Railway Premises Act, 1963

	Number Registered in 1972	Total number Registered at 31st December 1972	Number of Registered Premises receiving a General Inspection during the year

Page 69

Table 19 — Factories: Inspection for purposes of provisions as to health

	Number on Register		Number of
	Number on Register		Inspections		Written notices		Occupiers prosecuted
	1972	1971	1972	1971	1972	1971	1972	1971

Page 69

Table 20 — Factories: Defects

	Found		Number of cases in which defects were found						Number of cases in which prosecutions were instituted
			Remedied		Referred
					to H.M. Inspector		By H.M. Inspector

Page 70

Table 21 — Outwork

Nature of work	Number of out-workers in August list required by Section 133 (1) (c)		Number of cases of default in sending lists to the Council		Number of prosecutions for failure to supply lists		Number of instances of work in unwholesome premises		Notices served		Prosecutions
	1972	1971	1972	1971	1972	1971	1972	1971	1972	1971	1972	1971

Page 70

Table 22 — Estimated Number of Premises Subject to the Food Hygiene (General) Regulations, 1970 Grouped in Categories of Trade carried on in them.

Type of premises	Number

Page 71

Table 23 — Premises Registered for Preserving Food, or Manufacture, Storage or Sale of Ice Cream

	1972	1971

Page 71

Table 24 — Food Poisoning 1972 — Investigation of Incidents and Cases

Causative agent	General Outbreaks		Family outbreaks		Sporadic Cases	Total Number of outbreaks and sporadic cases Columns (1+3+5)	Total Number of cases Columns (2+4+5)
Causative agent	Number of separate outbreaks	Number of cases notified or ascertained	Number of separate outbreaks	Number of cases notified or ascertained	Notified or ascertained		Total Number of cases Columns (2+4+5)

Page 72

Table 25 — Analysis of Legal Proceedings

		Fines	Costs
		£	£

Page 72

Table 26 — Verminous Persons — Number of persons cleansed at Lissonia and Wedlake Street Baths

	Adults			Children			Total
	Men	Women	Total	Boys	Girls	Total	Total

Page 73

Table 27 — Scabies — Number of Persons treated at Lissonia and Wedlake Street Baths

	Adults			Children			Total
	Men	Women	Total	Boys	Girls	Total	Total

Page 73

Table 28 — Coroner's Court and Mortuary

	1972	1971

Page 74

Table 29 — Maternal and Child Health Clinics — Activities held as at December, 1972 Note: The following Table sets out the sessions held at the various Clinics in December, 1972 Changes occur from time to time to meet the need

CENTRE	MONDAY		TUESDAY		WEDNESDAY		THURSDAY		FRIDAY
CENTRE	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.

Page 75

Table 29 — Maternal and Child Health Centres — Activities held as at December, 1972 — (continued)

	MONDAY		TUESDAY		WEDNESDAY		THURSDAY		FRIDAY
	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.

Page 76

Table 29 — Maternal and Child Health Centres — Activities held as at December, 1972 — (continued)

	MONDAY		TUESDAY		WEDNESDAY		THURSDAY		FRIDAY
	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.

Page 77

Table 29 — Maternal and Child Health Centres — Activities held as at December, 1972 — (continued)

	MONDAY		TUESDAY		WEDNESDAY		THURSDAY		FRIDAY
	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.

Page 78

Table 30 — Clinic Services, Ante-Natal and Post-Natal Clinics

Number of women Attended			Number of sessions held by		Total Attendances
For Ante-natal Examination		For Post-natal Examination	Medical Officers	Midwives	Medical Officer Sessions	Midwives Sessions

Page 78

Table 31 — Mothercraft and Ante-Natal Exercises

	1972	1971

Page 78

Table 32 — Family Planning

City Council Clinics:	1972	1971

Page 78

Table 33 — Child Health Clinics

Number of children who attended during the year				Total number of sessions	Total number of attendances	Total medical examinations	Number of children on handicapped register at end of year
Born in 1972	Born in 1971	Born in 1967-70	Total	Total number of sessions	Total number of attendances	Total medical examinations	Number of children on handicapped register at end of year

Page 79

Table 34 — Handicap Register (0—5 year age range)

Year	Total live births	On Register	Number of children on Handicap Register as % of live births

Page 79

Table 35 — Health Visiting

Cases seen by Health and Tuberculosis visitors during year			Total number of cases seen	Number of cases-included in previous column seen at special request of: —
Cases seen by Health and Tuberculosis visitors during year			Total number of cases seen	Hospital	GP

Page 80

Table 36 — Vaccination of Persons under age 16 completed during 1972 at Maternal and Child Health Centres and by General Practitioners TABLE A — Completed Primary Courses — Number of persons under age 16

Type of Vaccine or Dose	Year of Birth					Others under age 16	Total	Total Completed
Type of Vaccine or Dose	1972	1971	1970	1969	1965-68	Others under age 16	Total	At Clinics	By G.P.s

Page 80

TABLE B — Reinforcing Doses — Number of Persons under age 16

Type of Vaccine or Dose	Year of Birth					Others under age 16	Total	Total Completed
Type of Vaccine or Dose	1972	1971	1970	1969	1965-68	Others under age 16	Total	At Clinics	By G.P.s

Page 81

Table 37 — Home Nursing

	1972	1971

Page 81

Table 38 — Domiciliary Midwifery

Page 81

Table 39 — Chiropody Service A. Number of persons treated

	By City Council		By City of Westminster Old People's Welfare Association		Total
	1972	1971	1972	1971	1972	1971

Page 81

B. Number of treatments given

Page 82

Table 40 — Venereal Diseases

Hospital	M	F	Total 1972	Total 1971

Page 83

Table 41 — Medical suite at City Hall — Work undertaken in 1972

	1972	1971

Page 84

Table 42 — Tuberculin Test and B.C.G. Vaccination Number of persons vaccinated through the Authority's approved arrangements under Section 28 of the National Health Service Act

A. Contacts		1972	1971

Page 84

Table 43 — School Health Service The table below shows the grades and numbers (full-time equivalents as at 31st December, 1972) of staff employed on school health work in the City of Westminster together with the totals for the Inner London Education Authority as a whole.

Grade	FULL-TIME EQUIVALENT EMPLOYEES AS AT 31st DECEMBER, 1972 IN:
Grade	City of Westminster	Inner London Education Authority 1972	Inner London Education Authority 1971

Page 84

Table 44 — School Medical Inspections (excluding Dental and Health Surveys) 1972

	City of Westminster	Inner London Education Authority
	City of Westminster	1972	1971

Page 85

Table 45 — Routine Medical Inspections 1972 — Defects NUMBER OF CHILDREN NOTED FOR TREATMENT OR OBSERVATION EXPRESSED AS A RATE PER 1,000 INSPECTED

Number Inspected	City of Westminster		Inner London Education Authority

Page 86

Table 46 — School Health Service — Findings at Health Surveys 1972

	City of Westminster	Inner London Education Authority
		1972	1971

Page 87

Table 47 — School Health Service — Non-Routine Medical Inspections 1972

Type of Inspection	City of Westminster	Inner London Education Authority
Type of Inspection	City of Westminster	1972	1971

Page 88

Table 48 — School Health Service — Routine Medical Inspections 1972 — Vision

Number Tested		PERCENTAGE OF NUMBER TESTED																Percentage of total number tested and noted for treatment
		A — Not Wearing Glasses								B — Wearing Glasses
		6/6		6/9		6/12 or worse		Noted for Treatment		6/6		6/9		6/12 or worse		Noted for Treatment
Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys and Girls

Page 89

Table 49 — School Health Service Comparison of Defects noted at 7-Plus Routine and 7-Plus "Special" Medical Inspections 1972 Number of Children Noted for Treatment and Observation expressed as a rate of 1,000 inspected

	City of Westminster		Inner London Education Authority
	City of Westminster		1972		1971

Page 90

Table 50 — School Dental Service Statistics 1972 (Statistics, 1971 shown in brackets)

Inspection	Ordinary treatment	Health Education	Anaesthetic	Total

Page 90

INSPECTIONS

	First inspection at school	First inspection at clinic	Percentage found to require treatment

Page 90

NUMBER OF VISITS FOR TREATMENT

Page 90

FILLINGS' EXTRACTIONS AND OTHER OPERATIONS

	Permanent teeth	Temporary teeth

Page 91

Table 51 — Dental Services for Expectant and Nursing Mothers and Children under 5 Part A — Attendances and Treatment

Number of Visits for Treatment during year	Children 0—4 (incl.)		Expectant and Nursing Mothers

Page 91

Part B — Prosthetics

Page 91

Part C — Anaesthetics

Page 91

Part D — Inspections

Page 91

Part E — Sessions

	1972	1971

Page 92

Table 52 — Tuberculosis — Care and After Care

	Paddington Chest Clinic		Marylebone Chest Clinic		Westminster Hospital Chest Clinic
	1972	1971	1972	1971	1972	1971

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

View report tables

City of Westminster 1972

73 tables in this report

STATISTICS AND SOCIAL CONDITIONS

BIRTHS

INFANT MORTALITY

At 31st December 1972

A Dealer's Licence permits the sale of milk both outside as well as inside the area of the licensing authority. The numbers of such licences current in the City at the end of 1972 were:—

During 1972 a total of 125 (117) burials or cremations were arranged by the Health Department as follows:—

Requests for burials or cremations were received from the following sources:—

NURSE TRAINING During the year Health Department nursing staff attended In-service Training, Refresher and Management Courses and Conferences as indicated:—

The 179 holidays were arranged for:—

Table 1. — DEATHS — According to Age-Group and Sex

Table 2 — Infant Mortality — Cause, Age-group and Sex

Table 3 — Notification of Infectious and other Notifiable Diseases

Table 4 — Tuberculosis: New Cases and Deaths

Table 5 — Specimens Submitted to the Public Health Laboratory

Table 6 — Night and out of office hours emergency service — Analysis of calls made to Duty Officers

Table 7 — Dwelling House — Reason for Initial Inspection

Table 8 — Dwelling Houses — Nuisances and unsatisfactory conditions found and remedied

Table 9 — Summary of visits by public health inspectors

Table 10 — Statutory Notices Served

Table 11 — Summary of visits by Housing Act Inspectors

Table 12 — Summary of work carried out by Public Health Inspectors under the Housing Act 1961 (as amended) in connection with Houses in Multiple Occupation

Table 13 — Unfit Premises

Table 14 — Housing Finance Act 1972: Qualification Certificates

Table 15 — Rodent Control

Table 16 — Chemical Examination of Water Supplied to City of Westminster — Average Results Milligramms per litre (unless otherwise stated)

Table 17 — Bacteriological Examination of Water Supplied to City of Westminster — Average Results after Treatment

Table 18 — Offices, Shops and Railway Premises Act, 1963

Table 19 — Factories: Inspection for purposes of provisions as to health

Table 20 — Factories: Defects

Table 21 — Outwork

Table 22 — Estimated Number of Premises Subject to the Food Hygiene (General) Regulations, 1970 Grouped in Categories of Trade carried on in them.

Table 23 — Premises Registered for Preserving Food, or Manufacture, Storage or Sale of Ice Cream

Table 24 — Food Poisoning 1972 — Investigation of Incidents and Cases

Table 25 — Analysis of Legal Proceedings

Table 26 — Verminous Persons — Number of persons cleansed at Lissonia and Wedlake Street Baths

Table 27 — Scabies — Number of Persons treated at Lissonia and Wedlake Street Baths

Table 28 — Coroner's Court and Mortuary

Table 29 — Maternal and Child Health Clinics — Activities held as at December, 1972 Note: The following Table sets out the sessions held at the various Clinics in December, 1972 Changes occur from time to time to meet the need

Table 29 — Maternal and Child Health Centres — Activities held as at December, 1972 — (continued)

Table 29 — Maternal and Child Health Centres — Activities held as at December, 1972 — (continued)

Table 29 — Maternal and Child Health Centres — Activities held as at December, 1972 — (continued)

Table 30 — Clinic Services, Ante-Natal and Post-Natal Clinics

Table 31 — Mothercraft and Ante-Natal Exercises

Table 32 — Family Planning

Table 33 — Child Health Clinics

Table 34 — Handicap Register (0—5 year age range)

Table 35 — Health Visiting

Table 36 — Vaccination of Persons under age 16 completed during 1972 at Maternal and Child Health Centres and by General Practitioners TABLE A — Completed Primary Courses — Number of persons under age 16

TABLE B — Reinforcing Doses — Number of Persons under age 16

Table 37 — Home Nursing

Table 38 — Domiciliary Midwifery

Table 39 — Chiropody Service A. Number of persons treated

B. Number of treatments given

Table 40 — Venereal Diseases

Table 41 — Medical suite at City Hall — Work undertaken in 1972

Table 42 — Tuberculin Test and B.C.G. Vaccination Number of persons vaccinated through the Authority's approved arrangements under Section 28 of the National Health Service Act

Table 43 — School Health Service The table below shows the grades and numbers (full-time equivalents as at 31st December, 1972) of staff employed on school health work in the City of Westminster together with the totals for the Inner London Education Authority as a whole.

Table 44 — School Medical Inspections (excluding Dental and Health Surveys) 1972

Table 45 — Routine Medical Inspections 1972 — Defects NUMBER OF CHILDREN NOTED FOR TREATMENT OR OBSERVATION EXPRESSED AS A RATE PER 1,000 INSPECTED

Table 46 — School Health Service — Findings at Health Surveys 1972

Table 47 — School Health Service — Non-Routine Medical Inspections 1972

Table 48 — School Health Service — Routine Medical Inspections 1972 — Vision

Table 49 — School Health Service Comparison of Defects noted at 7-Plus Routine and 7-Plus "Special" Medical Inspections 1972 Number of Children Noted for Treatment and Observation expressed as a rate of 1,000 inspected

Table 50 — School Dental Service Statistics 1972 (Statistics, 1971 shown in brackets)

INSPECTIONS

NUMBER OF VISITS FOR TREATMENT

FILLINGS' EXTRACTIONS AND OTHER OPERATIONS

Table 51 — Dental Services for Expectant and Nursing Mothers and Children under 5 Part A — Attendances and Treatment

Part B — Prosthetics

Part C — Anaesthetics

Part D — Inspections

Part E — Sessions

Table 52 — Tuberculosis — Care and After Care