[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

Cause of Death	Sex	All Ages	Under 4 wks	4 wks under 1 year	Age in years
Cause of Death	Sex	All Ages	Under 4 wks	4 wks under 1 year	1-	5-	15-	25-	35-	45-	55-	65-	75+

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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
	Coronary diseases (b)	Other heart diseases (c)	Other circulatory diseases (d)		Total (f)	Coronary diseases (g)		(e) (h) (i)	of(f) of (h) (j)	(g)of (h) (k)

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Table 3 LUNG CANCER

Year	All cancer deaths	MALE			FEMALE
		Lung cancer deaths	(c)as % of(b)	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	1967	1968

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Table 5 GENERAL STATISTICS FROM 1950

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

Patients and visits

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Table 7

District Nurses employed (full time equivalents)

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Table 8 VISITS TO HOMES

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Table 9

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Table 10

Day Nursery	Admissions	Discharges

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Table 11 Congenital malformations reported

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Continued from previous page..

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Table 12 Congenital malformations reported: by parity

Parity	Number of Children

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Table 13

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Table 14

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Table 15

Equipment	No. issued during 1968	Total stock held on stock register	No. on loan at present

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Table 16

	1968	1967

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Table 17 DENTAL SERVICES FOR EXPECTANT AND NURSING MOTHERS AND CHILDREN UNDER5 YEARS

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Table 18

	LEWISHAM	I.L.E.A.

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Table 19 OBSERVATION/HANDICAP REGISTER Schoolchildren

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

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Table 20 Year of Birth of School Children on Observation/Handicap Register

Year of Birth	No. of schoolchildren

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Table 21 Children Attending Special Schools or Units

Type of School/Unit	Day	Boarding	Total

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Table 22

	Lewisham	I.L.E.A.

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Table 23

No. inspected Defects 1		LEWISHAM 16,398	Total I.L.E.A. 157,376

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Table 24

	LEWISHAM	I.L.E.A.

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Table 25 NON-ROUTINE MEDICAL INSPECTIONS

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

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Table 26

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 Treatment	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 Treatment	Noted for Observation	Total noted for treatment or Observation

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Table 27 COMPARISON OF DEFECTS NOTED AT 7-PLUS ROUTINE AND 7-PLUS 'SPECIAL' MEDICAL INSPECTIONS IN 1968 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 28 CASES RECEIVING SERVICE AS AT 31st DECEMBER 1968 (1967 figures in brackets)

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

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Table 29

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Table 30

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Table 31 ANALYSIS OF BOOKINGS AND ATTENDANCES AT FOOT CLINICS

	Bathing Centre Deptford		Amersham Road S.E. 14		Kingswear Dartmouth Road		Sangley Road S.E. 6		Totals
	1968	1967	1968	1967	1968	1967	1968	1967	1968	1967

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Table 32 STATISTICAL SUMMARY OF ATTENDANCES

	1968	1967

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Table 33

NEW CASES	ATTENDANCES ANALYSIS
Age groups	Number attending clinics
	1968	1967

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PREVALENCE OF and CONTROL OVER INFECTIOUS AND OTHER DISEASES NOTIFIABLE DISEASES Under the Health Services and Public Health Act, 1968, and the Public Health (Infectious Diseases) Regulations, 1968, which came into operation on 1st October 1968 the following diseases are now to be notified to the Medical Officer of Health:—

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NUMBER OF NOTIFIED CASES (Corrected for revised diagnosis) during the year 1968 with comparative figures for the previous six years. Table 34

Diseases	Cases notified
Diseases	1968	1967	1966	1965	1964	1963	1962

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Table 35 NOTIFICATIONS OF INFECTIOUS DISEASES IN 1968 SHOWING SEX AND AGE GROUPS

Disease	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 36 TUBERCULOSIS NOTIFICATIONS AT AGES

Age periods	Respiratory		Non-Respiratory		Totals
	M	F	M	F	M	F

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MASS RADIOGRAPHY UNIT I am indebted to Dr. Morgan, the director of the unit, for information of work done in the borough during 1968 on which the following tables are based. Table 37

Patients	Men	Women	Total

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Table 38 NON-TUBERCULOUS ABNORMALITIES

MEN		WOMEN

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Table 39

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

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Table 40 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		1968	1967	1966	1965	1961-64	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 1968. Table 41

Specimens	Number	Remarks

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Table 42 SUMMARY OF INSPECTIONS BY PUBLIC HEALTH INSPECTORS AND VISITS MADE BY TECHNICAL ASSISTANTS

Reason for Visit	Type of premises	Animal Boarding Establishments	Food Shops	Chemists	Common Lodging Houses	Dwelling Houses	Factories	Hairdressers	Multiple Stores	Off Licences	Pet Shops	Public Houses	Restaurants and Cafes	Schools	Wholesale Shops and Warehouses	Other Types of Premises	Sites	Markets, Stalls, etc.	Offices	Totals

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Table 43 SUMMARY OF NOTICES SERVED

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Table 44 DETAILS OF REPAIRS CARRIED OUT

Repairs	Total

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Details follow:— Table 45 INSPECTIONS

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

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Table 46 CASES IN WHICH DEFECTS WERE FOUND

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

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Continued from previous page...

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The following is a list of such occupations:— Table 47

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 48

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Other matters to which it was necessary to draw attention were: Table 49

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Table 50 REGISTRATIONS AND GENERAL INSPECTIONS

Class of premises	Number of premises newly registered during the year	Total number of registered premises at end of year	Number of registered premises receiving one or more general inspections during the year

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Table 51 PERSONS EMPLOYED IN REGISTERED PREMISES BY WORKPLACE

Class of work place	Number of persons employed

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DISINFECTION AND PERSONAL CLEANSING Details of the work carried out during the year are as follows: Table 52

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Table 53

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

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Table 54

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

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ATMOSPHERIC POLLUTION Clean Air Act During 1968 one more area was made the subject of a Smoke Control Order and particulars with regard to the area are as follows:

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PROGRAMME At the end of December 1968, the position in relation to areas was as follows: Table 55

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 56 ATMOSPHERIC CONDITIONS IN 1968

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

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Table 57

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Table 58 DEMOLITION AND CLOSING ORDERS

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Table 59

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Table 60

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Table 61

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Table 62

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Other Bacteriological Samples

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Table 64 Samples Analysed

Articles	Examined		Adulterated
Articles	Formal	Informal	Formal	Informal

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Table 65 Non-genuine Samples

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Table 65— continued

Article	Formal or informal	Adulteration or irregularity	Action taken

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Table 66

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

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Table 67

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Table 68

	Number of cases	Fines			Costs

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Table 69

Type	1968	Total

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Totals for the year are shown in the table:— Table 70

Country of origin	Tonnage imported

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The results are set out in the accompanying table:— Table 71

Lead content (mg/1Pb)	Samples of water standing in lead pipe overnight	Samples of water after running the tap

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Table 73 Bacteriological Results—Yearly Averages, 1968 of water supplied to the Borough of Lewisham

Source of supply	BEFORE TREATMENT AFTER TREATMENT
	Number of samples	Agar plate count per ml.		Coliform count		Escherichia coli count			Agar plate count per. ml.		Coliform count	E. coli count
	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.	Percent. samples negative in 100 ml.	Percent. samples negative in 100 m/.

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Table 74

	Lewisham Mortuary	Deptford Mortuary	Total

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Table 75

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Table 76

Country	Number of Immigrants	Number of first successful visits

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TABLES

No.	Subject	Page

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

View report tables

Lewisham 1968

82 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

Table 7

Table 8 VISITS TO HOMES

Table 9

Table 10

Table 11 Congenital malformations reported

Continued from previous page..

Table 12 Congenital malformations reported: by parity

Table 13

Table 14

Table 15

Table 16

Table 17 DENTAL SERVICES FOR EXPECTANT AND NURSING MOTHERS AND CHILDREN UNDER5 YEARS

Table 18

Table 19 OBSERVATION/HANDICAP REGISTER Schoolchildren

Table 20 Year of Birth of School Children on Observation/Handicap Register

Table 21 Children Attending Special Schools or Units

Table 22

Table 23

Table 24

Table 25 NON-ROUTINE MEDICAL INSPECTIONS

Table 26

Table 27 COMPARISON OF DEFECTS NOTED AT 7-PLUS ROUTINE AND 7-PLUS 'SPECIAL' MEDICAL INSPECTIONS IN 1968 Number of children noted for treatment and observation expressed as a rate per 1,000 inspected

Table 28 CASES RECEIVING SERVICE AS AT 31st DECEMBER 1968 (1967 figures in brackets)

Table 29

Table 30

Table 31 ANALYSIS OF BOOKINGS AND ATTENDANCES AT FOOT CLINICS

Table 32 STATISTICAL SUMMARY OF ATTENDANCES

Table 33

NUMBER OF NOTIFIED CASES (Corrected for revised diagnosis) during the year 1968 with comparative figures for the previous six years. Table 34

Table 35 NOTIFICATIONS OF INFECTIOUS DISEASES IN 1968 SHOWING SEX AND AGE GROUPS

Table 36 TUBERCULOSIS NOTIFICATIONS AT AGES

MASS RADIOGRAPHY UNIT I am indebted to Dr. Morgan, the director of the unit, for information of work done in the borough during 1968 on which the following tables are based. Table 37

Table 38 NON-TUBERCULOUS ABNORMALITIES

Table 39

Table 40 IMMUNISATION AND VACCINATION

LABORATORY FACILITIES The following represents work carried out by the Southern Group Laboratory on behalf of the Council during 1968. Table 41

Table 42 SUMMARY OF INSPECTIONS BY PUBLIC HEALTH INSPECTORS AND VISITS MADE BY TECHNICAL ASSISTANTS

Table 43 SUMMARY OF NOTICES SERVED

Table 44 DETAILS OF REPAIRS CARRIED OUT

Details follow:— Table 45 INSPECTIONS

Table 46 CASES IN WHICH DEFECTS WERE FOUND

Continued from previous page...

The following is a list of such occupations:— Table 47

OFFICES, SHOPS AND RAILWAY PREMISES ACT, 1963 Of the items requiring attention, the most frequently recurring were the following:— Table 48

Other matters to which it was necessary to draw attention were: Table 49

Table 50 REGISTRATIONS AND GENERAL INSPECTIONS

Table 51 PERSONS EMPLOYED IN REGISTERED PREMISES BY WORKPLACE

DISINFECTION AND PERSONAL CLEANSING Details of the work carried out during the year are as follows: Table 52

Table 53

Table 54

ATMOSPHERIC POLLUTION Clean Air Act During 1968 one more area was made the subject of a Smoke Control Order and particulars with regard to the area are as follows:

PROGRAMME At the end of December 1968, the position in relation to areas was as follows: Table 55

Table 56 ATMOSPHERIC CONDITIONS IN 1968

Table 57

Table 58 DEMOLITION AND CLOSING ORDERS

Table 59

Table 60

Table 61

Table 62

Other Bacteriological Samples

Table 64 Samples Analysed

Table 65 Non-genuine Samples

Table 65— continued

Table 66

Table 67

Table 68