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

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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Lewisham 1970

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

Published
1971
Pages
116
Tables
85

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85 tables in this report

  • Page 10
    HEALTH CENTRES AND CLINICS: Maternal and Child Health, and School Health
    Name and AddressType of Clinic
  • Page 11
    Sydenham S.T.C., Adamsrill School, Lower Sydenham, S.E.26 Minor Ailments
  • Page 13
    VITAL STATISTICS
    Area of the borough 8,579 acres.LewishamEngland and Wales
  • Page 14
    Table 1 TOTAL DEATHS BY CAUSE AND AGE REGISTERED DURING 1970
    Cause of DeathSexAll agesUnder 4wks4 wks under 1 yearAge in years
    1-5-15-25-35-45-55-65-75 +
  • Page 15
    Table 1— continued
    Cause of DeathSexAll agesUnder 4 ivks4 wks under 1 yearAge in years
    1-5-15-25-35-45-55-65-75 +
  • Page 15
    Table 2 HEART AND CIRCULATION MORTALITY
    Year (a)Deaths fromTotal heart & circulation {all ages) (e)Age group 45.65Total deaths in borough (h)Percentage
    Coronary diseases (b)Other heart diseases (c)Other circulatory diseases id)Coronary diseases (f)Total (g)(e) (h) (f)of(g)of (h) (f)(f) of (h) (k)
  • Page 16
    Table 3 LUNG CANCER
    YearMALEFEMALE
    All cancer deathsLung cancer deaths(c)as % of (b)All cancer deathsLung cancer deaths(f)as % of(e)
  • Page 16
    Table 4 MORBIDITY SHOWN IN INSURANCE CERTIFICATES
    Weekly average for period ending19691970
  • Page 17
    Table 5 GENERAL STATISTICS FROM 1960
  • Page 29
    Table 6
  • Page 30
    Table 7 VISITS TO HOMES
  • Page 32
    TABLE 8 BREAKDOWN OF DEFECTS AND ABNORMALITIES DETECTED: LOUISE HOUSE SCREENING CLINIC, 27/7/70—31/12/70
    Total number attendingHearingVisionHeight/ weight ratioUrinary systemRespiratory systemBlood pressureBlood countBreastsPelvic organsCervical smear
  • Page 32
    TABLE 9 BREAKDOWN OF REFERRALS FOR TREATMENT OR FURTHER INVESTIGATION
    Total number attendingReferral to 1 or more agencyNo referralFamily doctorChest clinicObesity clinicAnti-smoking clinic
  • Page 33
    Table 10 Congenital malformations reported
  • Page 34
    Table 11 Congenital malformations reported: by parity
    ParityNumber of Children
  • Page 35
    Table 12
    Day NurseryAdmissionsDischarges
  • Page 36
    FAMILY PLANNING The Family Planning Association continues to act as agent for the Council in providing a family planning service from Health Department premises on a deficiency grant basis. At the end of the year sessions are being held at the following centres:—
  • Page 36
    Table 13
  • Page 37
    Table 14
    New PatientsFirst Visit this YearRepeat VisitsMedical CasesSocially Needy Cases
  • Page 38
    Table 15
    EquipmentNo. issued during 1970Total stock held on stock registerNo. on loan at present
  • Page 39
    Table 16 DENTAL SERVICES FOR EXPECTANT AND NURSING MOTHERS AND CHILDREN UNDER 5 YEARS
  • Page 45
    Table 17
  • Page 48
    Table 18 OBSERVATION/HANDICAP REGISTER Schoolchildren
    Type of SchoolNo. attending Day schoolNo. attending Boarding schoolTotal
  • Page 48
    Table 19 Year of Birth of School Children on Observation!Handicap Register
    Year of BirthNo. of schoolchildren
  • Page 49
    Table 20 Children Attending Special Schools or Units (Special School/Unit Age Range 2 years to 16+ years)
    Type of School UnitDayBoardingTotal
  • Page 49
    Table 21
  • Page 50
    Table 22
  • Page 51
    Table 23
  • Page 52
    Table 24 NON-ROUTINE MEDICAL INSPECTIONS
  • Page 53
    ROUTINE MEDICAL 1NSPECTIONS—VISION This table is a statement of the visual acuity of pupils whose vision was tested at routine medical inspections, divided into those not wearing and those wearing glasses, together with the proportions noted for treatment or observation. Table 25
    Number — testedPercentage of number testedC—Boys and Girls
    A—Not wearing glassesB—Wearing glassesPercentage of number tested with and without glasses
    6/66/96/12 or worseNoted for treatment6/66/96/12 or worseNoted for treatmentNoted for Treat ment
  • Page 54
    Table 26 COMPARISON OF DEFECTS NOTED AT 7-PLUS ROUTINE AND 7-PLUS 'SPECIAL' MEDICAL INSPECTIONS IN 1970 Number of children noted for treatment and observation expressed as a rate per 1,000 inspected
  • Page 57
    Table 27 CASES RECEIVING SERVICE AS AT 31st DECEMBER 1970 (1969 figures in brackets)
    OfficeMaternityTuberculosisAged 65 and overAged under 65 chronically sickOthersTotal
  • Page 59
    Table 28
  • Page 60
    Table 29 ANALYSIS OF BOOKINGS AND ATTENDANCES AT FOOT CLINICS
    ClinicTotal sessionsTotal bookingsTotal attendancesTotal % failuresPer cent.No. of persons attending
  • Page 61
    Table 30 STATISTICAL SUMMARY OF ATTENDANCES
  • Page 61
    Table 31
    NEW CASESATTENDANCES ANALYSIS
    Age groupsNumber attending clinics
  • Page 66
    The total number of referrals since this project began in 1967 is 81, including seven with drug problems.
  • Page 69
    Table 32
    DiseasesCases notified
    1970196919681967196619651964
  • Page 70
    Table 33 NOTIFICATIONS OF INFECTIOUS DISEASES IN 1970 SHOWING SEX AND AGE GROUPS
    DiseaseUnder 11-2-4-5-10-15-25-45-65+Total
    MFMFMFMFMFMFMFMFMFMFMF
  • Page 71
    Table 34 TUBERCULOSIS NOTIFICATIONS AT AGES
    Age periodsNew cases notifiedTotals
    RespiratoryNon-Respiratory
    MFMFMF
  • Page 73
    FOOD POISONING Table 35 FOOD POISONING CASES
    Sporadic CasesGeneral OutbreaksFamily OutbreaksTotal No. of outbreaks and sporadic cases columns (1+3+5)Total No. of cases columns (2+4+5)
    Causative agentNo. of separate outbreaksNo. of cases notified or ascertainedNo. of separate outbreaksNo. of cases notified or ascertainedNotified or ascertained
    1234567
  • Page 74
    MASS RADIOGRAPHY UNIT I am indebted to Dr. J. M. Morgan, the director of the unit, for information of work done in the Borough during 1970, on which the following tables are based:— Table 36
  • Page 75
    ANALYSI5 OF "OTHER NON-TUBERCULOUS ABNORMALITIES" Table 37
    MenWomenTotal
  • Page 75
    Table 38
    Numbers examinedCases of tuberculosis requiring treatment or close supervision
  • Page 76
    Table 39 IMMUNISATION AND VACCINATION
    Type of vaccine or dose Primary courses completedYear of birthOthers underage 16 yrs.Total
    19701969196819671963-66
  • Page 76
    LABORATORY FACILITIES The following represents work carried out by the Southern Group Laboratory on behalf of the Council during 1970:— Table 40
    SpecimensNumberRemarks
  • Page 79
    Table 41 SUMMARY OF INSPECTIONS BY PUBLIC HEALTH INSPECTORS AND VISITS MADE BY TECHNICAL ASSISTANTS
    Reason for VisitType of premisesAnimal Boarding EstablishmentsFood ShopsChemistsCommon Lodging HousesDwelling HousesFactoriesHairdressersMultiple StoresOff LicencesPet ShopsPublic HousesRestaurants and CafesSchoolsWholesale Shops and WarehousesOther Types of PremisesSitesMarkets, Stalls, etc.OfficesTotals
  • Page 80
    Table 42 SUMMARY OF NOTICES SERVED
  • Page 80
    The Medical Officer of Health is required to report on the administratis (factories) and Part VIII (outworkers), which are administered by the local Details follow:— i of Part 1 authority
    PremisesNumber on registerNumber of
    InspectionsWritten noticesOccupiers prosecuted
  • Page 81
    Table 44 CASES IN WHICH DEFECTS WERE FOUND
    DefectsNo.of defects
    FoundRemediedReferredProsecutions instituted
    ToHM ByHM Inspector Inspector
  • Page 81
    The Home Work Order, 1911, specified the kinds of work to which these two sections apply. The types of work consist mainly of wearing apparel and textiles, the making of paper bags, boxes, brushes, baskets, artificial flowers, metal fittings, etc. The following is a list of such occupations:— Table 45
    TradeOutworkers employed
  • Page 82
    Table 46
  • Page 83
    Table 47 REGISTRATIONS AND GENERAL INSPECTIONS
    Class of premisesNumber of premises newly registered during the yearTotal number of registered premises at end of yearNumber of registered premises receiving one or more general inspections during the year
  • Page 83
    Table 48 PERSONS EMPLOYED IN REGISTERED PREMISES BY WORK PLACE
    Class of work placeNumber of persons employed
    (1)(2)
  • Page 84
    DISINFECTION AND PERSONAL CLEANSING Details of the work carried out during the year are as follows:— Table 49
  • Page 84
    PREVENTION OF DAMAGE BY PESTS ACT, 1949 The following table shows rat and mice destruction carried out by pest operatives during 1970. No special comment is called for except to say that this is a continuing problem:— Table 50
    Type of Property
    Local authorityDwelling houses (including council houses)All other (including business premises)Total
  • Page 85
    SWIMMING BATHS There are five public swimming baths in the Borough. The following table shows details of the laboratory tests taken during the year:— Table 51
    BathNumber of testsVariation of chlorine (p.p.m.)
  • Page 87
    Table 52 ATMOSPHERIC CONDITIONS IN 1970
    JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovember DecemberAverage or actual
  • Page 90
    Table 53 HOUSING ACT, 1957—PART 2
    No. of cases or notices servedDwellings made fit
  • Page 90
    Table 54 HOUSING ACT, 1957—PART 3
  • Page 90
    Table 55 HOUSING (FINANCIAL PROVISIONS) ACT, 1958
    No. of houses inspectedNo. of houses made fit
  • Page 91
    Table 56 HOUSING ACTS 1957—1969—HOUSES IN MULTIPLE OCCUPATION
    Housing Act, 1957Number
  • Page 91
    Table 57 HOUSING ACT, 1969—PART 3— QUALIFICATION CERTIFICATES
    Number
  • Page 92
    Table 58 HOUSING ACT, 1969—GENERAL IMPROVEMENT AREAS
    During yearTotal to date
  • Page 92
    Table 59 HOUSING ACT, 1964—SECTION 19. REPRESENTATION BY TENANT
    In Improvement AreasIn General Improvement AreasOutside Areas
  • Page 92
    Table 60 'HOUSING ACT, 1969—GRANTS
    Number of ApprovedDwellings Completed
  • Page 93
    RENT ACT, 1957 The following table shows the applications for certificates of disrepair dealt with during the year 1970:— Table 61
  • Page 93
    Milk (Special Designations) Licences Licences to expire on 31st December, 1975, were issued during the year as follows:— Table 62
    Licences issued during 1970Total licences issued
  • Page 94
    During the year 52 samples of icecream were submitted for bacteriological examination with the following results:— Table 63
    Samples%
  • Page 94
    In general, grades I and II are satisfactory, while grades III and IV may indicate some defect in manufacture, handling or storage. Such cases are followed up and advice given. Table 64 FOOD GENERALLY
    Other Bacteriological Samples
  • Page 94
    Table 65 Samples Analysed
    ArticlesExaminedAdulterated
    FormalInformalFormalInformal
  • Page 95
    Table 66 Non-genuine Samples
    ArticleFormal or informalAdulteration or irregularityAction taken
  • Page 96
    Table 66— continued
    ArticleFormal or informalAdulteration or irregularityAction taken
  • Page 97
    Table 67
    Type ofpremisesNumber of premisesNumber provided with wash-hand basinsNumber with facilities for washing food and equipment
  • Page 97
    Table 68
  • Page 98
    LEGAL PROCEEDINGS During the year there were 18 cases of legal proceedings for infringement of various Acts, as follows:— Table 69
    Number of casesFinesCosts
  • Page 98
    REGISTRATION OF FOOD PREMISES New registrations in 1970 and the total, including previous years, are shown in the table below:— Table 70
    Type1970Total
  • Page 99
    Totals for the year are shown in the table:— Table 71
    Country of originTonnage imported
  • Page 100
    Table 72 Average results of the chemical examination of the water supplied to the Borough of Lewisham during 1970 Milligrammes per litre (unless otherwise stated)
    Description of the SampleNumber of SamplesAmmoniacal NitrogenAlbuminoid NitrogenNitrate NitrogenOxygen abs. from KMnO* 4 hrs. at 27° C.Hardness (total) CaCO,Hardness {non-carbonate) CaCO,Magnesium as MgSodium as NaPotassium as KChloride as CIPhosphate as PO4Silicate as SiO2Sulphate as SO4Natural Fluoride as FSurface-active material as Manoxol OTTurbidity unitsColour (Burgess units)pH valueElectrical Conductivity (micromhos)
  • Page 101
    Table 73 Bacteriological Results—Yearly Averages, 1970 of water supplied to the Borough of Lewisham
    Source of supplyBEFORE TREATMENTAFTER TREATMENT
    Number of samplesAgar plate con per ml.nt Coliform couEscherichia coli nt countNumber of samplesAgar plate count per. ml.Coliform countE. coli count
    20-24 hours at 37 °C3 days at 22°C.Percent, samples negative in 100 ml.Count per 100 ml.Percent. samples negative in 100 ml.Count per 100 ml.20-24 hours at 37°C.3 days at 22°C.Percent, samples negative in 100 ml.Percent, samples negative in 100 ml.
  • Page 102
    The number of bodies received during the year is shown below:— Table 74
    Lewisham MortuaryDeptford MortuaryTotal
  • Page 102
    Cremations and Burials The following statistics relating to cremations and burials are for the year 1st April, 1970 to 31st March, 1971:— Table 75
    CemeteryNo. of burials
  • Page 103
    Table 76
    CountryNumber of ImmigrantsNumber of first successful visits
  • Page 106
    TABLES
    No.SubjectPage
  • Page 107
    TABLES— continued
    No.SubjectPage