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

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Table 1 TOTAL DEATHS BY CAUSE AND AGE REGISTERED DURING 1967

Disease	Sex	All ages	Under 4 ivks 4 tvks. under lyear		1-	5-	15-	25-	35-	45-	55-	65-	75 8c over

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Table 2 HEART AND CIRCULATION MORTALITY

Year (a)	Deaths from			Total heart & circulation (all ages) (e)	Age group 45.65		Total . deaths in borough (h)	Percentage
Year (a)	Coronary diseases (b)	Other heart diseases (c)	Other circulatory diseases (d)	Total heart & circulation (all ages) (e)	Total (f)	Coronary diseases (g)	Total . deaths in borough (h)	(e) of (h) (i)	(f)of (h) (j)	(g)of (A) (k)

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Table 3 LUNG CANCER

Year	MALE			FEMALE
Year	All cancer deaths	Lung cancer deaths	(c) as V of lb)	All cancer deaths	Lung cancer deaths	(f)as % of(e)

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Table 4 MORBIDITY SHOWN IN INSURANCE CERTIFICATES

Weekly average for period ending	1966	1967

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Table 5 GENERAL STATISTICS FROM 1950

Year	Population	Death rate •	% dying under age 45	dying underage 65	Birth rate *	Maternal Death rate	Still.birth rate †	Infant mortality rate * *	Pulmonary Tuberculosis
Year	Population	Death rate •	% dying under age 45	dying underage 65	Birth rate *	Maternal Death rate	Still.birth rate †	Infant mortality rate * *	Notif. rate ††	Death rate ††

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Table 6 VISITS TO HOMES

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Table 7

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Table 8

Day Nursery	Admissions	Discharges

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Table 9

	Congenital malformations reported

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Table 10

Congenital malformations reported: by parity
Parity	Number of children

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Table 11

Congenital malformations reported: according to maternal age
Age	Number of children

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Table 12

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Table 13

Equipment	No. issued during 1967	Total stock held on stock register	No. on loan at present

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Table 14

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Table 15 DENTAL SERVICES FOR EXPECTANT AND NURSING MOTHERS AND CHILDREN UNDER 5 YEARS

A:Attendances and Treatment Number of Visits for Treatment During Year	Children 0-4 (intcl.)	Expectant and Nursing Mothers

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Table 16

	LEWISHAM	I.L.E.A.

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Table 16— continued

3. First Inspections	LEWISHAM	I.L.E.A.

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Table 17

Dental Work carried out by Senior Students of the School for Dental Auxiliaries

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Table 18 OBSERVATION/HANDICAP REGISTER Schoolchildren

Type of School	No. attending Day school	No. attending Boarding school	Total

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Table 19

Year of Birth of School Children on Observation!Handicap Register
Year of Birth	No. of schoolchildren

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Table 20

Type of School	No. attending Day school	No. attending Boarding school	Total

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Table 21

	Lewisliani	I.L.E.A.

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Table 22

No. inspected Defects 1			LEWISHAM	Total I.L.E.A.
No. inspected Defects 1			16,551	158,668

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Table 23

	LEWISHAM	I.L.E.A.

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Table 24 NON-ROUTINE MEDICAL INSPECTIONS

Type of Inspection	LEW1SHAM	I.L.E.A. Area

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Table 25

Number tested		Percentage of number tested C—Boys and Girls
Number tested		A—Not wearing glasses											B—Wearing glasses						Percentage of number tested with and without glasses
			6/6		6/9		6/12 or worse		Noted for treatment		6/6		6/9		6/12 or worse		Noted for treatment		Noted for Treat-mcnt	Noted for Observation	Total noted for treatment or Observation
	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Noted for Treat-mcnt	Noted for Observation	Total noted for treatment or Observation

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Table 26 COMPARISON OF DEFECTS NOTED AT 7-PLUS ROUTINE AND 7-PLUS 'SPECIAL' MEDICAL INSPECTIONS IN 1966 Number of children noted for treatment and observation expressed as a rate per 1,000 inspected

			LEWISHAM		I.L.E.A.

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Table 27 CASES RECEIVING SERVICE AS AT 31st DECEMBER 1967 (1966 figures in brackets)

Office	Maternity	Tuberculosis	Age 65 and over	Aged under 65 Chronic sick	Others	Total

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Table 28

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Table 29 STATISTICAL SUMMARY OF ATTENDANCES

		1967	1966

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Table 30

NEW CASES	ATTENDANCES ANALYSIS
Age groups	Number attending clinics
	1967	1966

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Table 31

Diseases	Cases notified
Diseases	1967	1966	1965	1964	1963	1962	1961

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Table 32 NOTIFICATIONS OF INFECTIOUS DISEASES IN 1967 SHOWING SEX AND AGE GROUPS

Diseases	Under 1		1-		3-		5-		10-		15-		25-		45-		65+		Total
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

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Table 33 FOOD POISONING CASES

Causative agent	GENERAL OUTBREAKS		FAMILY OUTBREAKS		SPORADIC CASES	TOTAL	TOTAL
Causative agent	No. of separate outbreaks	No. of cases notified or ascertained	No. of separate outbreaks	No. of cases notified or ascertained	Notified or ascertained	No. of outbreaks and sporadic cases columns (1 + 3+5)	No. of cases columns (2+4+5)
	1	2	3	4	5	6	7

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DETAILS OF FOOD POISONING DUE TO SALMONELLAE OTHER THAN S. TYPHIMURIUM

Type of salmonella

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Table 34 TUBERCULOSIS NOTIFICATIONS AT AGES

Age periods	New cases notified				Totals
Age periods	Respiratory		Non-Respiratory		Totals
	M	F	M	F	M	F

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Table 35

Patients	Men	Women	Total

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Table 36 NON-TUBERCULOUS ABNORMALITIES

MEN		WOMEN

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Table 37

	Men	Women	Total	Cases of tuberculosis requiring treatment or close supervision			Men	NOT PREVIOUSLY EXAMINED (included in previous columns)				Total
								NUMBERS		Men	CASES
				Men	Women	Total		Women	Total	Men	Womnen

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Table 38 IMMUNISATION AND VACCINATION

Type of vaccine or dose Primary courses completed		Year of birth					Others underage 16 yrs.	Total
Type of vaccine or dose Primary courses completed		1967	1966	1965	1964	1960-63	Others underage 16 yrs.	Total

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LABORATORY FACILITIES The following represents work carried out by the Southern Group Laboratory on behalf of the Council during 1967. Table 39

Specimens	Number	Remarks

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Table 40 SUMMARY OF INSPECTIONS BY PUBLIC HEALTH INSPECTORS

Reason for inspection	Total

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Table 41 SUMMARY OF NOTICES SERVED

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Table 41— continued SUMMARY OF NOTICES SERVED

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Table 42 DETAILS OF REPAIRS CARRIED OUT

Repairs	Total

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Table 43 INSPECTIONS

Premises	Number on register	Number of
Premises	Number on register	Inspections	Written notices	Occupiers prosecuted

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Table 44 CASES IN WHICH DEFECTS WERE FOUND

Defects	No. of defects
	Found	Remedied		Referred		Prosecutions instituted
	Found	Remedied		To HM Inspector	By HM Inspector	Prosecutions instituted

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The following is a list of such occupations:— Table 45

Trade	Outworkers employed

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OFFICES, SHOPS AND RAILWAY PREMISES ACT, 1963 Of the items requiring attention, the most frequently recurring were the following:— Table 46

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Other matters to which it was necessary to draw attention were: Table 47

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Table 48 REGISTRATIONS AND GENERAL INSPECTIONS

Class of premises	Number of premises registered during the year	Total number of registered premises at end of year	Number of registered premises receiving a general inspection during the year

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Table 49 PERSONS EMPLOYED IN REGISTERED PREMISES BY WORKPLACE

Class of work place	Number of persons employed
(1)	(2)

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Table 50 EXEMPTIONS

Class of premises	No. of exemptions current at 31st Dec.	No. of exemptions granted or extended during the year	No. of exemptions withdrawn during year	No. of cases where employees opposed application	Appeals to Court against refused to grant or extend an exemption or the with drawal of an exemption
					No. made	No. allowed

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Table 51

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Table 52

	Local authority	Type of Property		Total	Agricultural
	Local authority	Dwelling houses (including council houses)	All other (including business premises)	Total	Agricultural

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Table 53

Bath	Number of tests	Variation of chlorine (p.p.m.)

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During 1967 two more areas were made the subject of Smoke Control Orders and particulars with regard to the areas are as follows:

Name	No. 22 (Deptford Park	No. 23 (Brook mill)

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Table 54

Area No. and name		No. of dwellings	Date of operation	Area No. and Name	No. of dwellings	Date of operation

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Table 55 ATMOSPHERIC CONDITIONS IN 1967

		January	February	March	April	May	June	July	August	September October		November	December	Average or actual

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Table 56

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Table 57 DEMOLITION AND CLOSING ORDERS

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Table 58

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Table 59

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Table 60

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Table 61

Type of milk	Number of samples tested

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Table 62

	Samples	%

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Table 63 Samples Analysed

Articles	Examined		Adulterated
Articles	Formal	Informal	Formal	Informal

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Table 64 Non-genuine samples

Article	Formal or informal	Adulteration or irregularity	Action taken

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Table 64— continued

Article	Formal or informal	Adulteration or irregularity	Action taken

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Table 64 — continued

Article	Formal or informal	Adulteration or irregularity	Action taken

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Table 65

Type of premises	Number of premises	Number provided with wash-hand basins	Number with facilities for washing food and equipmentI

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Table 66

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Table 67

	Number of cases	Fines			Costs
	Number of cases	£	s.	d.	£	s.	d.

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Table 68

Type	1967	Total

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Table 69

Country of origin	Tonnage imported

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Table 70 Lead Content (mg/1.Pb) Water from Main Taps in Consumers' Premises

	Number of Samples	per cent

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Table 72 Bacteriological Results—Yearly Averages, 1967 of water supplied to the Borough of Lewisham

	BEFORE TREATMENT							AFTER TREATMENT
		Agar plate count per ml.		Coliform count		Escherichia coli count			Agar plate count per. ml.		Coliform count	E. coli count
Source of supply	Number of samples	20-24 hours at 37°C	3 days at 22°C.	Percent. 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.	Percent. samples negative in 100 ml.

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Table 73

	Lewisham Mortuary	Deptford Mortuary	Total

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Table 74

Cemetery	No. of burials

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Table 75

Country	Number of Immigrants	Number of first successful visits

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

View report tables

Lewisham 1967

80 tables in this report

Table 1 TOTAL DEATHS BY CAUSE AND AGE REGISTERED DURING 1967

Table 2 HEART AND CIRCULATION MORTALITY

Table 3 LUNG CANCER

Table 4 MORBIDITY SHOWN IN INSURANCE CERTIFICATES

Table 5 GENERAL STATISTICS FROM 1950

Table 6 VISITS TO HOMES

Table 7

Table 8

Table 9

Table 10

Table 11

Table 12

Table 13

Table 14

Table 15 DENTAL SERVICES FOR EXPECTANT AND NURSING MOTHERS AND CHILDREN UNDER 5 YEARS

Table 16

Table 16— continued

Table 17

Table 18 OBSERVATION/HANDICAP REGISTER Schoolchildren

Table 19

Table 20

Table 21

Table 22

Table 23

Table 24 NON-ROUTINE MEDICAL INSPECTIONS

Table 25

Table 26 COMPARISON OF DEFECTS NOTED AT 7-PLUS ROUTINE AND 7-PLUS 'SPECIAL' MEDICAL INSPECTIONS IN 1966 Number of children noted for treatment and observation expressed as a rate per 1,000 inspected

Table 27 CASES RECEIVING SERVICE AS AT 31st DECEMBER 1967 (1966 figures in brackets)

Table 28

Table 29 STATISTICAL SUMMARY OF ATTENDANCES

Table 30

Table 31

Table 32 NOTIFICATIONS OF INFECTIOUS DISEASES IN 1967 SHOWING SEX AND AGE GROUPS

Table 33 FOOD POISONING CASES

DETAILS OF FOOD POISONING DUE TO SALMONELLAE OTHER THAN S. TYPHIMURIUM

Table 34 TUBERCULOSIS NOTIFICATIONS AT AGES

Table 35

Table 36 NON-TUBERCULOUS ABNORMALITIES

Table 37

Table 38 IMMUNISATION AND VACCINATION

LABORATORY FACILITIES The following represents work carried out by the Southern Group Laboratory on behalf of the Council during 1967. Table 39

Table 40 SUMMARY OF INSPECTIONS BY PUBLIC HEALTH INSPECTORS

Table 41 SUMMARY OF NOTICES SERVED

Table 41— continued SUMMARY OF NOTICES SERVED

Table 42 DETAILS OF REPAIRS CARRIED OUT

Table 43 INSPECTIONS

Table 44 CASES IN WHICH DEFECTS WERE FOUND

The following is a list of such occupations:— Table 45

OFFICES, SHOPS AND RAILWAY PREMISES ACT, 1963 Of the items requiring attention, the most frequently recurring were the following:— Table 46

Other matters to which it was necessary to draw attention were: Table 47

Table 48 REGISTRATIONS AND GENERAL INSPECTIONS

Table 49 PERSONS EMPLOYED IN REGISTERED PREMISES BY WORKPLACE

Table 50 EXEMPTIONS

Table 51

Table 52

Table 53

During 1967 two more areas were made the subject of Smoke Control Orders and particulars with regard to the areas are as follows:

Table 54

Table 55 ATMOSPHERIC CONDITIONS IN 1967

Table 56

Table 57 DEMOLITION AND CLOSING ORDERS

Table 58

Table 59

Table 60

Table 61

Table 62

Table 63 Samples Analysed

Table 64 Non-genuine samples

Table 64— continued

Table 64 — continued

Table 65

Table 66

Table 67