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Paddington 1907

[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]

Published
1908
Author
Dudfield, Reginald.
Pages
94
Tables
111

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111 tables in this report

  • Page -
    The difference between the rates for the second and third periods represents a decrease of nearly 23 per cent.
    MEAN RATES.INDEX NUMBERS.
    Infantile Mortality.All Ages Mortality.Infantile Mortality.All Ages Mortality.
  • Page 2
    Estimated Population. 1907.
    Males.Females.Persons.
  • Page 2
    TABLE 1. Meteorological Elements.
    Months.Means at 9 a.m.Extreme Temperatures.Rain.Sunshine.
    Barometer reduced to sea levelThermometer.Shade. *Max. in Sun.Min. on Grass.Depth of Inches.No. of Days.Number of Hours.Number of Days.
    Dry Bulb.Wet Bulb.Maximum.Minimum.h.m.
  • Page 3
    Corrected as fully as possible.
    All Births.Illegitimate Births.
    Corrected Total.Birth Rates.Corrected Total.Percentage of all Births
    Per 1,000 persons.Per 1,000 females, aged 15-45 years.
    1907.1906.1907.1900.1907.1906.
  • Page 4
    TABLE 3. Births and Birth-Rates.
    Births Registered, 1907.*Birth Rates.
    Per 1,000 persons.Per 1,000 females, 15-45 years. •
    1907.1902-06.1907.1902.06.
  • Page 5
    Corrected for duplicate certificates only.
    SmallpoxDiphtheria.Membranous.Croup.ErysipelasFevers.Totals.
    Scarlet.Enteric.Continued.Puerperal
  • Page 5
    Ward Distribution.
    Queen's Park.Harrow Road.Maida Vale.West-bourne.Church.Lancaster West.Gate. East.Hyde. Park.
  • Page 6
    Notifications. Sex-Age Distribution.
    Ages. (Years.)Smallpox.Diphtheria.Membranous Croup.Erysipelas.Fevers.
    Scarlet.Enteric.Continued.Puerperal.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.F.
  • Page 7
    Circumjacent Districts.
    Paddington.London.Kensington.Westminster.Marylebone.Hampstead.Willesden.
    1907Mean 1902-61907Mean 1902-61907Mean 1902-61907Mean 1902-61907Mean 1902-61907Mean 1902-61907Mean 1902-6
  • Page 8
    Deaths (Nett Totals) and Mortalities.
    Deaths. All causes, all ages. 1907.Mortality rates per 1,000 individuals.
    1907.1902.06.
    Males.Females.Persons.Males.Females.Persons.Males.Females.Persons.
  • Page 9
    Per 1,000 individuals in each Sex-Age Group.
    Sex.Age.Period.Borough.Wards.
    Queen's Park.Harrow Rd.Maida Vale.Westbourne.Church.Lancaster GateHyde Park.
    West.East.
  • Page 10
    Corrected Mortality Rates.
    Standard Rate.Corrected Rate, 1907.Excess (+) Defect (—)Mean Corrected Rate, 1902-06.Increase (+) Decrease (-)
  • Page 10
    Mortality Rates.
    Period.All CausesSmallpox.MeaslesScarlet Fever.Diphtheria.Whooping Cough.Enteric FeverDiarrhœal Dis.Phthisis.Other Tub. Dis.Cancer.Infantile Mortality.
  • Page 11
    The diminution in prevalence of the disease during the last few years is remarkable and very satisfactory.
    Metropolis.Extra-Metropolitan Districts.
    Quarters—1.2.3.4.Year.1.2.3.4.Year.
  • Page 11
    Vaccination Returns.
    Births.Successfully Vaccinated.Insusceptible of Vaccination.Died Unvaccinated.Per cent. of | Births. Cols. 2, 3, & 4.Vaccination Postponed.Certificates under Act granted for.Remaining (not traced, &c.)*Per cent, of Births. Cols. 6, 7, & 8.
    Cols.123456789
  • Page 12
    N otifications in each Q uarter of the Y ear.
    Borough.Queen's Park.Harrow Road.Maida Vale.West bourne.Church.Lancaster Gate.Hyde Park.
    West. jEast.
    Quarters123412341234123412341234123412341234
  • Page 13
    Diphtheria.
    1907.1906.1905.1904.
  • Page 13
    TABLE 13. Number of Cases and Deaths belonging to each Ward. 1907.
    Diphtheria.Scarlet Fever.Enteric Fever.
    Total Reported.Removed to Hospital.At Home.In Hospital.Total Reported.Removed to Hospital.At Home.In Hospital.Total Reported.Removed to Hospital.At Home.In Hospital.
  • Page 14
    TABLE 14.
    Diphtheria.Scarlet Fever.Enteric Fever.
    1907.Mean. 1902-06.1907.Mean. 1902-06.1907.Mean. 1902-06.
  • Page 14
    TABLE 15. Mortality Rates.* "Corrected."
    Diphtheria.Scarlet Fever.Enteric Fever.
    Standard Rate.1907.Mean 1902-06.Standard Rate.1907.Mean. 1902-06.Standard Rate.1907.Mean. 1902-06.
  • Page 15
    That is made evident by the appended statement of the quarterly figures for the two years.
    1906.1907.
    Quarters12341234
  • Page 15
    The numbers of houses with multiple cases during the last four years are indicated below:—
    1907.1906.1905.1904.
  • Page 18
    TABLE 16. Childbed Mortality.
    Puerperal Fever.Mortality per 1,000.
    Puerperal Fever.Accidents & Diseases of Parturition.Total in Childbed.
    Morbidity per 100 Births.Fatality per 100 Cases.Births.Women, Aged 15-45 Yrs.Births.Women, Aged 15-45 yrs.Births.Women, Aged 15-45 yrs.
  • Page 19
    Mortality from "Consumption" Per 1,000 Individuals, all ages.
    1901.1902.1903.1904.1905.1906.1907.
  • Page 19
    Mortality from "Consumption." Per 1,000 Individuals.
    Ages0—15—20—25—35—45—55—65—75—
  • Page 20
    TABLE 17. Tubercular Diseases. Nett Mortalities Per 1,000 Persons, all ages.
    Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate.Hyde Park.
    West.East.
  • Page 20
    TABLE 18. Rates Corrected for Age and Sex. Based on London Mortality experience.
    Percentage of total population (Census 1901).Phthisis Pulmonalis.Cancer.
    Persons per acre."Overcrowded."Living in homes of less than 5 rooms.Standard Rate.Fully Corrected Rate.Standard Rate.Fully Corrected Rate.
    1907.Mean. 1902-06.1907.Mean. 1902-06.
  • Page 21
    "Consumption."
    Number of cases reported.Died duringSubsequently found not consumptive.Lost sight of, removals, &c.Living at end of 1907.
    1903.1904.1905.1906.1907.
  • Page 22
    "Consumption." Occupations of Patients living at the end of 1907.
    Trade.M.F.Trade.M.F.
  • Page 23
    Below is statement showing the proportions of the known consumptives living at the end of 1907 and of the cases ending fatally during the year (118 out of a total of 157) living in each class of home containing less than five rooms.
    Rooms in Homes.Percentages residing in each Tenement. "Consumptives."Whole Borough, 1901.Average number of Inhabitants per Room. "Consumptives."Whole Borough, 1901.
    Living.Dead.Living.Dead.
  • Page 24
    " Cancer." Mortality per 1,000 Individuals.
    25—35—45—55—65—75—85—
  • Page 25
    TABLE 19. Deaths from " Cancer." 1907.
    Seat of Disease.Carcinoma.Cancer.Epithelioma.Scirrhus.Sarcoma.Malignant Disease.Other Forms.All Forms.
    M.F.M.F.M.F.M.F.M.F.M.F.MF.M.F.
  • Page 26
    MEASLES.
    Quarters1.2.3.4.Year
    Uncorrected.Corrected.
  • Page 26
    The frequency of multiple cases in each of the five past years was—
    1907.1906.1905.1904.1903.
  • Page 27
    Measles. Fatality at all ages, per cent. of cases.
    1903.1904.1905.1906.1907.
  • Page 27
    TABLE 20. Measles.
    Ages.
    0—1—2—3—4—5—13—15—
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 27
    The mean fatalities of the three northern Wards of the old parish, viz., Harrow Road, Maida Vale, and Westbourne, are curiously equal.
    C.D.F.C.D.F.
  • Page 28
    Measles. Mortality per 1,000 Persons.
    Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate.Hyde Park.
    West.East.
  • Page 28
    TABLE 21.
    Measles.Whooping Cough.
    Standard Rate.Corrected Rate.Standard Rate.Corrected Rate.
    1907.1902-06.1907.1902-06.
  • Page 29
    During the year 589 cases of this disease were reported, as compared with 171 in 1906 and 540 in 1905. The disease was much more prevalent in the first than in the second half of the year, as will be seen from the appended summary of the numbers reported in each quarter.
    Quarters1.2.3.4.Year.
    Uncorrected.Corrected.
  • Page 29
    The cases averaged 1.7 per house, as compared with 2.0, 1.8, 1.6, and 1.9 in 1903 and following years. The distribution-frequency of multiple cases in houses during the five years is given below.
    1907.1906.1905.1904.1903.
  • Page 29
    The deaths last year numbered 50, 25 of each sex, the fatality of the disease (subject to reservation as to unknown cases) was 8.4 per cent., or 0.3 below the mean for the preceding four years. The fatality among males has been higher during the past two years than that among females, the reverse of the experience of the earlier years (1903-05). See below.
    Males.Females.Persons.
  • Page 30
    There the rate is manifestly misleading.
    C.D.F.C.D.F.
  • Page 30
    TABLE 22. Whooping Cough.
    Ages.
    0—l—2—3—4—5—13—15—
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 30
    Mortality from Whooping Cough.
    Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate.Hyde Park.
    West.East.
  • Page 31
    TABLE 23.
    Epidemic Influenza.Respiratory Diseases.Alcoholism.Cirrhosis of Liver.Suicide.
    1907.1902-6.1907.1902-6.1907.1902-6.1907.1902-61907.1902-6.
  • Page 32
    The records, distinguishing the sexes for the last seven years, are given below.
    1901.1902.1903.1904.1905.1906.1907.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 32
    Crude Infantile Mortality.
    Quarters1.2.3.4.Year.
  • Page 33
    TABLE 24. Children Dead at or before Registration of Birth. 1907.
    Ages at Death.
    Days.Weeks.Months.All Ages.
    0—1—2—3—4—5—6—0—1—2—3—0—1—P.M.F.
  • Page 34
    It appears to be reasonable to exclude the deaths dealt with above from the infant mortality. What the result of such exclusion would be on the infantile mortality rate is seen from the appended figures which compare the rates for the three last years as obtained from the total number of infants dying under one year of age and the corresponding rates after exclusion of the "hopeless births."
    Total Births.Total Deaths under One Year.Total Infantile Mortality."Hopeless Births."Preventible Infantile Mortality.
  • Page 34
    TABLE 24a: Infantile Mortality Births partly, Deaths fully corrected.
    QuartersFirst.Second.Third.Fourth.
    Year1907.1906.1905.1907.1906.1905.1907.1906.1905.1907.1906.1905.
  • Page 35
    TABLE 25. Infantile Mortality. Births and Deaths fully corrected.
    Infantile Mortality.Proportional Mortality.
    Males.Females.Persons.Persons.
    1907.1906.1905.1907.1906.1905.1907.1906.1905.1907.1906.1905.
  • Page 36
    TABLE 26. Infantile Mortality In Special Insulæ.
    Infantile Mortality.
    Births.Deaths, 0—1.1907.1906.1905.
  • Page 36
    If the data for the insulæ be deducted from the figures for the Wards in which the insidæ are situated (see below) three out of the four "remainder" rates for 1906 are found to be lower than those for 1905, and in the case of the fourth the increase is only 2 per 1,000. In three out of the four Wards higher total rates were recorded last year than in 1906.
    Ward Rate.ExcludingRemainder Ward Rate.
  • Page 37
    Combining the ages in trimestral periods, it is found that last year's deaths at each period were below the average, except in the first among boys.
    1907.1902-06.Lives gained (—). Lost ( +).
    M.F.M.F.M.F.
  • Page 37
    The greatest changes are the saving of 19 and 26 lives respectively of boys and girls under "diarrhœal diseases," and of 12 girls under "other causes," and the loss of 10 lives among boys under "wasting diseases."
    1907.1902-06.Lives gained (—). Lost (+).
    Group.M.F.M.F.M.F.
  • Page 37
    Calculating the percentage of all deaths due to each group of diseases, it is found that the percentages from the second group (both sexes) are the only two below the proportions for 1902-06.
    Mortalities.Percentages.
    1907.1902-06.1907.1902-06.
    M.F.M.F.M.F.M.F.
  • Page 38
    Infantile Mortality, Per 1,000 Births Registered.
    1877-86.1897-1906.1907.
  • Page 38
    TABLE 27. Infantile Mortality In Special Insulæ. Causes of, and Ages at Death.
    Name of Area."Hall Park.""North Wharf.""Alfred Road.""Amberley Road.""Clarendon Street.""Queen's Park."
    Year.1907.1906.1907.1906.1907.1906.1907.1906.1907.1906.1907.1906.
  • Page 39
    A comparison of the mortalities among illegitimate and legitimate children, the causes of death of the former and occupations of their mothers, will be found below.
    Deaths of Illegitimate Children. 1907.Infantile Mortality.
    Ages (yrs.)Males.Females.Persons.Fully corrected.
  • Page 40
    TABLE 28. Mortality in Childhood. Per 1,000 survivors. Paddington.
    Ages.1901.1902.1903.1904.1905.1906.1907.Means.
  • Page 41
    TABLE 29. Mortality in Childhood. Per 1,000 survivors.
    Aged One Year.Aged Two Years.
    1906.1907.1907.
    M.F.M.F.M.F.
  • Page 41
    TABLE 30. Mortality in Childhood. Causes of Death. Paddington.
    Age in Years1—2 -3-4—
    Year1902.1903.1904.1905.1900.1907.1903.1904.1905.1906.1907.1904.19051906.1907.1905.1906.1907.
  • Page 43
    It may be said that the appended figures indicate that breast feeding is more common than was thought to be the case.
    Age of Infant.Breast.Hand.Mixed.
  • Page 43
    appended statement of the numbers of rooms in the homes visited indicate one of the results of the selection, but fail to give any clue as to the proportional frequency of births in the different ranks of life as they would if all births were visited.
    No.Per cent. of all homes visited.Whole Borough, 1907.
  • Page 44
    The only information obtainable as to the causes of death being that given by the mothers, it cannot be regarded as very satisfactory. An attempt has, however, been made to classify the alleged causes in the appended statement.
  • Page 44
    TABLE 31. Inquests Held.
    Finding of Jury.1907.Averages, 1902-06.
    Males.Females.Males.Females.
  • Page 45
    A brief statement of the causes of accidents, &c., is appended.
  • Page 45
    Percentages of all Deaths.
    1907.1902-06.1907.1902-06.
  • Page 45
    Rate-maintained—
    Deaths.Percentages of all Deaths.
    1907.1907.1902-06.
  • Page 46
    TABLE 32. Report of the Work of the District Inspectors during the year 1907.
    Inspection of Dwelling Houses.Sanitary Works completed in Dwelling Houses.To Regulate Keeping of Animals.
    Drainage, &c.Water Supply.Dust Receptacles.Miscellaneous.
    Quarters.No. of Complaints received." House-to-House."On Complaint or after Illness.Cellar Dwellings.Re-inspection of all kinds.Entire Reconstruction.Drains Relaid, Trapped, or VentilatedWaste Pipes Disconnected.Rain-water Pipes Disconnected.W.C's., New Provided, Repaired, &c.Soil Pipes Ventilated.Services Separated.Supplies Reinstated.Cisterns, New, ProvidedCisterns Cleansed, Repaired, &c.Cistern Overflows Disconnected.New, Provided.Repaired, &c.Drains Cleared, Flushed, &c.Houses or Rooms Cleansed, Whitewashed, &c.Cases of Overcrowding Abated.Cellar Dwellings Closed.Yards and Areas Paved and Drained.Manure Receptacles Reconstructed, &c.Accumulations Removed.Improperly-kept Removed.
  • Page 47
    The total number of visits of all kinds in each quarter of the past three years is given below:—
    Quarters1st2nd3rd4th
  • Page 48
    Mortuaries .—During the past year 290 bodies .were received at the two mortuaries, an increase of nine over the total for 1906. The principal details of last year's figures are given below:—
    Paddington Green.Kensal Road.
  • Page 49
    All closures were effected by the Medical Officer (Education) of the County, at the request of the Medical Officer of Health of the Borough, such procedure ensuring promptitude of action, a most essential part of such closure. School Closures.
    School.Class-room.Closure.Disease.
    Date of.\ Duration of.
  • Page 49
    The numbers of cases of scarlet fever and diphtheria so reported are given in Table 33 ("N.R." cols.). A complete list of the notices received from Kensington and Willesden, apparently the only two districts from which children attend Paddington schools is given below:—
    Kensington.Willesden.
  • Page 50
    TABLE 33.
    Notified Diseases.Non-notified Diseases.
    Scarlet Fever.Diphtheria.Measles.Chicken Pox.Whooping Cough.
    P.A.P.N.A.N.R.P.A.P.N.A.N.R.
  • Page 51
    It is very desirable that the fullest use should be made of bacteriological diagnosis, both for the sake of the public and of the individual.
    No. of specimens received.Results.
    Positive.Negative.
  • Page 52
    TABLE 34. Smoke Observations.
    Address.Business.Chimney Shaft of
  • Page 53
    In 100 hours' observations.
    1907190619051904
  • Page 54
    TABLE 35. Factories, Workshops, and Work-places. 1907.
    No. of Premises.No. of Rooms.Employees.
    Women.Young Persons.Men.Totals.
  • Page 56
    TABLE 36. Inspections of Workshops, &c. 1907. See also Table IX., Appendix.
    Mr. Wansbrough. †Miss O'Kell. *Miss Nicolas. *
  • Page 57
    Water-closet Accommodation.
    1902.1904.1906.1907.
  • Page 59
    TABLE 37. Particulers as to Number of Tenements and Inhabitanta therein, registered during 1907.
    Rooms to Tenement.123456
    TP10TP10TP10TP10TPTP10
    10P10P10P10P10P10P
  • Page 59
    The table may be summarised thus :—
    Tenements of—Total.Occupants.Average persons per room.
    Houses registered 1907.Borough Census 1901.
  • Page 61
    TABLE 38. Sanitary Defects Remedied in Registered Houses.
    1907.1906.
  • Page 62
    TABLE 39.
    1906.1907.
    Registered Streets.Rest of Borough.Registered Streets.Rest of Borough.
  • Page 63
    TABLE 40.
    Clarendon Street Area.Rest of Borough.
    1907.1902-06.1907.1902-06.
  • Page 66
    The various quantity of foods, and causes of condemnation are set out below :—
    Meat (Butchers' Shops:-)
    Cause of Destruction.Animal.Part Destroyed.
  • Page 67
    TABLE 41.
    Total.Found Adulterated.Percentage Adulterated.
  • Page 68
    Use of Preservatives. —Among the samples obtained during the past year were 12 of cream and 9 of milk, containing preservatives (boron preparations, usually boric acid), the amounts being as given—
    Milk (12).Cream (9).
    Date of Purchase.Amount of Preservative.Date of Purchase.Amount of Preservative.
  • Page 70
    The fines imposed during the year amounted to £60 10s. and the costs awarded to £41 5s. 6d. Those sums are paid to the Council's account. The following statement compares last year's amounts (fines and costs) with those received during the 5 vears, 1902-06.
    Health Cases.Adulteration Cases.
    £s.d.£s.d.
  • Page 70
    Adulteration Cases.
    1907.1906.1905.1904.1903,1902.
  • Page 71
    LEGAL PROCEEDINGS, 1907.
    Under Public Health (London) Act.Fines.Costs.
    Section 4.£s.d.£s.d.
  • Page 72
    SUMMARY OF LEGAL PROCEEDINGS DURING 1907. Under Sale of Food and Drugs Acts, 1875-1899.
    Fines.Costs.
    £s.d.£s.d.
  • Page 73
    TABLE I. Vital Statistics of Whole District during 1907 and Ten Previous Years. L. G. B.
    Year.Population estimated to Middle of each Year.Births.Total Deaths Registered in the District.Total Deaths in Public Institutions in the District.Deaths of Nonresidents registered in the District.Deaths of Residents registered beyond the District.Nett Deaths at all Ages belonging to the District.
    Number.Rate*Under 1 Year of Age.At all Ages.
    Number.Rate per 1,000 Births registered.Number.Rate.*Number.Rate.*
    12345 .678910111213
  • Page 74
    Population. L. G. B.
    1901.1902.1903.1904.1905.1906.Averages 1902-06.1907.
  • Page 74
    Births.
    Borough3,4993,4643,4653,4583,2993,2863,3943,206
  • Page 74
    Deaths, All Ages.
    • Borough2,0572,1521,9182,0141,9611,8431,9782,014
  • Page 74
    Deaths, under One Year.
    Borough455433388449391353403354
  • Page 75
    Corrected for Non-Residents dying within, and (as far as possible) for Residents dying beyond the Borough. L. G. B.
    Cause of Death.0—1—5—15—25—65 and upwards.All Ages.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.P.
  • Page 76
    Corrected for Non-Residents dying within, and (as far as possible) for Residents dying beyond, the Borough. L .G.B.
    Cause of Death.Queen's Park.Harrow Road.Maida Vale.West-bourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 77
    TABLE V. Deaths in Local Institutions.
    Year.Paddington Workhouse and Infirmary.St. Mary's Hospital.Children's Hospital.Lock Hospital.
  • Page 77
    TABLE VI. Causes of Deaths in Institutions. 1907.
    Causes of Death.Local Institutions.Deaths of Residents recorded beyond the Borough.
    Workhouse and Infirmary. •St. Mary's Hospital.Children's Hospital.Lock Hospital, and Nursing Homes.Hospitals of Metropolitan Asylums Board.Special and General Hospitals.Lunatic Asylums.Poor Law Institutions.Elsewhere.
  • Page 78
    TABLE VII. Deaths of Infants under One Year. L. G. B.
    Groups.Weeks.Months.Totals, under One Year.
    0—1—2—3—0—1—2_3—4—5—6—7—8—9—10—n— 119071902-06
    m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.
  • Page 79
    TABLE VIII. PROCEEDINGS DURING 1907.
    Premises.Number of Places—Number of Inspections, 1907.Number of Notices, 1907.Number of Prosecutions, 1907.
    On Register at end of 1906.Added in 1907.Removed in 1907.On Register at end of 1907.
  • Page 80
    TABLE IX. 1. — I nspection. Including Inspections made by Sanitary Inspectors. H.O.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 80
    3.—Home.
    Nature of Work.Outworkers' Lists, Section 107.
    Lists received from Employers.Numbers of Addresses of Outworkers received from other Councils.Numbers of Addresses of Outworkers forwarded to other Councils.
    Twice in the year.Once in the year.
    Lists.Outworkers.Lists.Outworkers.
    Contractors.Workmen.Contractors.Workmen.
  • Page 80
    4.—Registered Workshops.
    Workshops on the Register (s. 131) at the end of the year.Number.
  • Page 81
    2.—Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 81
    Work.
    Number of Inspections of Outworkers' premises.Outwork in Unwholesome Premises, Section 108.Outwork in Infected Premises, Sections 109, 110.
    Prosecutions.Instances.Notices served.ProsecutionsInstances.Orders made (S, 110).Prosecutions (Sections 109, 110).
    Failing to keep or permit inspection of lists.Failing to send lists.
  • Page 81
    5.— Other Matters.
    Class.Number.