[Report of the Medical Officer of Health for Westminster, City of]

Page 9

STATISTICS AND SOCIAL CONDITIONS

	1967	1966 (where applicable)
Area (acres)	5,334	1966 (where applicable)

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BIRTHS

Live births (registered)	Total		Males		Females

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DEATHS

Page 14

ENVIRONMENTAL HEALTH SERVICES ENVIRONMENTAL HEALTH—WORK OF THE PUBLIC HEALTH INSPECTORS Chief Public Health Inspector: E. W. Pike, M.A.P.H.I. Deputy Chief Public Health Inspector: V. A. Bignell, F.A.P.H.I. At 31st December. 1967

	Establishment	In post

Page 36

During 1967 a total of 107 (85) burials or cremations were arranged by the Health Department as follows:—

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nequests tor ouriai or cremation were receivea trom tne toiiowing sources:—

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Age Groups

0-10		11-20		21-30		31-40		41-50		51-60		61-70		71-80		81-90

Page 37

The current proposals are as follows:—

Project and location	Purpose	Expected year of operation

Page 43

Family Planning Sessions, 1967 (City Council Clinic at 283A, Harrow Road)

	1967	1966

Page 44

During 1967, the following admissions to recuperative holiday homes were arranged:—

	1967	1966

Page 48

These and the following figures indicate still further the increase in the work carried out by the Mental Health Section.

Patients in Community Care	1967	1966	1965

Page 49

OTHER SERVICES FOR SUBNORMAL AND SEVERELY SUBNORMAL PATIENTS Day Training Centres for junior and senior trainees There are 73 children and adults from Westminster attending training centres:—

	1967	1966	1965

Page 50

Special Counselling Clinics for Retarded Children There are now three special counselling clinics in the City; a new one at Queens Park opened in December. A Mental Health Social Worker is always present at these clinics to assist the Principal Medical Officer. Attendances at these clinics were as follows:—

	1967 New A ttended/Referrals	1966 New Attended/Referrals	1965 New A ttended/Referrals

Page 50

Short Term Care During 1967 holidays from 2-8 weeks were arranged for 35 patients, either in hospital or other suitable residential homes.

	1967	1966	1965

Page 50

Day Rehabilitation Centres With the opening of the City Council's own Centre the need to use other authorities' facilities for the mentally ill patients has lessened; four patients received support and constructive tuition at other Centres in 1967 as follows:—

	1967	1966	1965

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GENERAL Application and re-approval of medical practitioners for the purposes of Section 28 of the Mental Health Act.

Page 63

LIST OF STATISTICAL TABLES

Table	Title

Page 64

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

Code No.	CAUSE OF DEATH	1966	1967 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 under 25		25 and under 45		45 and under 65		65 and upwards
		Totals All Ages	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

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Table 2.—Infant Mortality—According to Cause, Age-Group and Sex

CAUSE OF DEATH	Under 1 week		1 and under 2 weeks		2 and under 4 weeks		1 and under 3 months		3 and under 6 months		6 and under 9 months		9 and under 12 months		Total

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Table 3.—Maternal Mortality

Age	Cause of death

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Table 4.—Notifications of Infectious and Other Notifiable Diseases

Scarlet fever		Whooping cough		Measles (excluding rubella)		Dysentery		Meningococcal infection		Acute poliomyelitis				Diphtheria
Scarlet fever		Whooping cough		Measles (excluding rubella)		Dysentery		Meningococcal infection		Paralytic		Nonparalytic		Diphtheria
M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.
15	18	22	20	512	586	40	39

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Table 5.—Tuberculosis: New Cases and Deaths

At ages— years	* NEW CASES				DEATHS
	Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary
	M.	F.	M.	F.	M.	F.	M.	F.

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Table 6.—Puerperal Pyrexia: Analysis of Causes

Cause	Number of cases

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Table 7.—Specimens Submitted to the Public Health Laboratory

Nature of Specimen	Number Examined	Positive Findings

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Table 8.—Night and out of office hours emergency service— Analysis of calls made to Duty Officers

Month 1967	Mental Welfare		Midwives		Welfare Department		Children's Department		P.H.I.		Miscellaneous		Total
Month 1967	*W.	K.	W.	K.	W.	K.	W.	K.	W.	K.	W.	K.	W.	K.

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Table 9.—Dwelling Houses—Reason for Initial Inspection

	1967	1966

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Table 10.—Dwelling Houses—Nuisances and Unsatisfactory Conditions Found and Remedied

	1967	1966

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Table 11.—Summary of Visits by Public Health Inspectors

	1967	1966

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Table 12.—Statutory Notices Served

	1967	1966

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Table 13.—Summary of visits by Housing Act Inspectors

	1967	1966

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Table 14.—Summary of Work Carried Out by Public Health Inspectors under Housing Acts, 1961-1964 Houses in multiple occupation

	1967	1966

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Table 15.—Unfit Premises

	1967	1966

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Table 16.—Known Cases of Overcrowding

	1967	1966

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Table 17.—Certificates of Disrepair

	1967	1966

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Table 18.—Rodent Control

	1967	1966

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Table 19.—Chemical Examination of Water Supplied to City of Westminster—Average Results Milligrammes per Litre (unless otherwise stated)

Analysis data	Source f Supply
Analysis data	Stoke Newington	All Thames derived

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Table 20.—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°C.	3 days at 22°C.	Per cent. samples negative in 100 ml.	Per cent. samples negative in 100 ml.

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

	Number of samples	Per cent

Page 74

Table 21.—Offices, Shops and Railway Premises Act, 1963

Category of Premises	Number Registered in 1967	Total Number Registered at 31st December, 1967	Number of Registered Premises receiving a general inspection during the year

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Analysis of persons employed in Registered Premises by workplace 1967 1966

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Table 22.—Factories: Inspection for Purposes of Provisions as to Health

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

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Table 23.—Factories: Defects

Number of cases in which defects were found								Number of cases in which prosecutions were instituted
Found		Remedied		Referred
Found		Remedied		To H.M. Inspector		By H.M. Inspector
1967	1966	1967	1966	1967	1966	1967	1966	1967	1966

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Table 24.—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
	1967	1966	1967	1966	1967	1966	1967	1966	1967	1966	1967	1966

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Table 25.—Estimated Percentage of Compliance of Premises in Westminster with Food Hygiene (General) Regulations, 1960 in relation to (a) Regulation 16— Washing Facilities for the use of Staff, and (b) Regulation 19—Provision of Sinks for Cleansing of Equipment and Food Preparation

Type of Premises to which Sections 16 and 19 apply	Number	Estimated percentage of compliance with Regulation 16	Estimated percentage of compliance with Regulation 19

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Table 26.—Premises Registered for Preserving Food, or Manufacture, Storage or Sale of Ice Cream

	1967	1966

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Table 27.—Food Poisoning—Investigation of Incidents and Cases

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

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Table 28.—Analyses for Pesticides in Food

Description	Country of Origin	Vapouriser with Open Foods	D.D.T. p.p.m.	Other Organochlorine Compounds p.p.m.	Organophosphorus Compounds p.p.m.	Metals p.p.m.	Fly (introduced Test Nov. 1967)

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Table 29.—Analysis of Legal Proceedings

	Fines			Costs
	£	s.	d.	£	s.	d.

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Table 30.—Coroner's Court and Mortuary

	1967	1966

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Table 31.—Maternal & Child Welfare Centres—Sessions held as at December 1967 Note: The following Table sets out the sessions held at the various Centres in December, 1967. Changes occur from time to time to meet the need.

	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.

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Table 31.—Maternal & Child Welfare Centres—Sessions held as at December 1967—(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.

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Table 31.—Maternal & Child Welfare Centres—Sessions held as at December 1967—(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.

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Table 32.—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	Mid wives	Medical Officer Sessions	Mid wives Sessions
(1)		(2)	(3)	(4)	(5)	(6)

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Table 33.—Mothercraft and Ante-Natal Exercises

		1967	1966

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Table 34.—Child Welfare Centres

Number of Children who attended during the year				Total number of sessions	Total number of attendances	Total medical examinations	Number of Children on "at risk" register at end of year
Born in 1967	Born in 1966	Born in 1962-5	Total	Total number of sessions	Total number of attendances	Total medical examinations	Number of Children on "at risk" register at end of year

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Table 35.—Health Visiting

	Cases visited by Health Visitors	Number of cases

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Table 36.—Vaccination of Persons under age 16 completed during 1967 at Welfare 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	1967	1966	1965	1964	1960-63	Others under age 16	Total	At Clinics	By G.P.s

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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	1967	1966	1965	1964	1960-63	Others under age 16	Total	At Clinics	By G.P.s

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Table 37.—Smallpox Vaccination of Persons aged under 16 during 1967

Age at date of Vaccination	Number Vaccinated		Number Revaccinated
Age at date of Vaccination	1967	1966	1967	1966

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Table 38.—Home Nursing

	1967	1966

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Table 39.—Domiciliary Midwifery

Domiciliary Midwives employed by	Administrative and Supervisory Staff			Domiciliary Midwives
	Whole-time	Part-time	Whole-time equivalent of (2)	Whole-time	Part-time	Whole-time equivalent of (5)
	(1)	(2)	(3)	(4)	(5)	(6)

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PUPIL MIDWIVES

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DELIVERIES ATTENDED BY DOMICILIARY MIDWIVES DURING 1967

Number of Domiciliary Confinements attended by Midwives under N.H.S. arrangements			Number of cases delivered in hospitals and other institutions but discharged and attended by Domiciliary Midwives before tenth day
Doctor not booked	Doctor booked	Total

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Table 40.—Notification of Congenital Defects

	1964	1965	1966	1967

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Table 41.—Chiropody Service A. Number of persons treated

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

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B. Number of treatments given

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

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Table 42.—Home Help Service

A. Applications received during year
Area	Aged 65 and Over	Aged under 65
		T.B.	Chronic Sick	Mentally Disordered	Maternity	Others	Total
		T.B.	Chronic Sick	Mentally Disordered	Maternity	Others	1967	1966

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Table 43.—Mental Health Service—Number of Patients referred to City Council during year ended 31st December, 1967

Referred by	Mentally III				Subnormal				Severely subnormal
	Under age 16		16 and over		Under age 16		16 and over		Under age 16		16 and over		Total
	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	1967	1966

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Table 44.—Number of Patients for whom Hospital Admissions were arranged

SECTION OF MENTAL HEALTH ACT
Informal	Sec. 25	Sec. 26	Sec. 29	Sec. 136	Sec. 60	Total

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Table 45.—Mental Health Service—Number of Cases in Community Care at end of year

	Mentally III				Subnormal				Severely subnormal
	Under age 16		16 and over		Under age 16		16 and over		Under age 16		16 and over		Grand Total
	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	1967	1966

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Table 46.—Number of Patients admitted for Temporary Residential Care during the year (e.g. to Relieve the Family)

Number of admissions	Mentally III				Subnormal				Severely subnormal				Grand Total
	Under age 16		16 and over		Under age 16		16 and over		Under age 16		16 and over		Grand Total
	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	1967	1966

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Table 47.—Terrace Day Centre 1967 (Day Centre for the Mentally Ill, 1 St. Mary's Terrace, W.2.)

	Jan.	Feb.	Mar.	Apr.	May	June	July	Aug.	Sept.	Oct.	Nov.	Dec.

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Table 48.—Venereal Diseases Cases treated in Westminster — 1st January-31st December, 1967.

Hospital	M.	F.	Total 1967	Total 1966

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Table 49.—School Health

	1967	1966

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Table 50.—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

	1967	1966

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

Number of Visits for Treatment during Year	Children 0-4 (incl.)		Expectant and Nursing Mothers
Number of Visits for Treatment during Year	1967	1966	1967	1966

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Table 52.—School Dental Service Statistics 1967 (Statistics, 1966 shown in brackets)

NUMBER OF SESSIONS
Inspection	Ordinary treatment	Anaesthetic

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INSPECTIONS

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

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TREATMENT SESSIONS

Ordinary treatment	New cases given appointments	Attendances

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FILLINGS AND EXTRACTIONS

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Table 53.—Tuberculosis—Care and After Care

	Paddington Chest Clinic		Marylebone Chest Clinic		Westminster Hospital Chest Clinic
	1967	1966	1967	1966	1967	1966

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

View report tables

City of Westminster 1967

81 tables in this report

STATISTICS AND SOCIAL CONDITIONS

BIRTHS

DEATHS

ENVIRONMENTAL HEALTH SERVICES ENVIRONMENTAL HEALTH—WORK OF THE PUBLIC HEALTH INSPECTORS Chief Public Health Inspector: E. W. Pike, M.A.P.H.I. Deputy Chief Public Health Inspector: V. A. Bignell, F.A.P.H.I. At 31st December. 1967

During 1967 a total of 107 (85) burials or cremations were arranged by the Health Department as follows:—

nequests tor ouriai or cremation were receivea trom tne toiiowing sources:—

Age Groups

The current proposals are as follows:—

Family Planning Sessions, 1967 (City Council Clinic at 283A, Harrow Road)

During 1967, the following admissions to recuperative holiday homes were arranged:—

These and the following figures indicate still further the increase in the work carried out by the Mental Health Section.

OTHER SERVICES FOR SUBNORMAL AND SEVERELY SUBNORMAL PATIENTS Day Training Centres for junior and senior trainees There are 73 children and adults from Westminster attending training centres:—

Short Term Care During 1967 holidays from 2-8 weeks were arranged for 35 patients, either in hospital or other suitable residential homes.

Day Rehabilitation Centres With the opening of the City Council's own Centre the need to use other authorities' facilities for the mentally ill patients has lessened; four patients received support and constructive tuition at other Centres in 1967 as follows:—

GENERAL Application and re-approval of medical practitioners for the purposes of Section 28 of the Mental Health Act.

LIST OF STATISTICAL TABLES

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

Table 2.—Infant Mortality—According to Cause, Age-Group and Sex

Table 3.—Maternal Mortality

Table 4.—Notifications of Infectious and Other Notifiable Diseases

Table 5.—Tuberculosis: New Cases and Deaths

Table 6.—Puerperal Pyrexia: Analysis of Causes

Table 7.—Specimens Submitted to the Public Health Laboratory

Table 8.—Night and out of office hours emergency service— Analysis of calls made to Duty Officers

Table 9.—Dwelling Houses—Reason for Initial Inspection

Table 10.—Dwelling Houses—Nuisances and Unsatisfactory Conditions Found and Remedied

Table 11.—Summary of Visits by Public Health Inspectors

Table 12.—Statutory Notices Served

Table 13.—Summary of visits by Housing Act Inspectors

Table 14.—Summary of Work Carried Out by Public Health Inspectors under Housing Acts, 1961-1964 Houses in multiple occupation

Table 15.—Unfit Premises

Table 16.—Known Cases of Overcrowding

Table 17.—Certificates of Disrepair

Table 18.—Rodent Control

Table 19.—Chemical Examination of Water Supplied to City of Westminster—Average Results Milligrammes per Litre (unless otherwise stated)

Table 20.—Bacteriological Examination of Water Supplied to City of Westminster—Average Results after Treatment

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

Table 21.—Offices, Shops and Railway Premises Act, 1963

Analysis of persons employed in Registered Premises by workplace 1967 1966

Table 22.—Factories: Inspection for Purposes of Provisions as to Health

Table 23.—Factories: Defects

Table 24.—Outwork

Table 25.—Estimated Percentage of Compliance of Premises in Westminster with Food Hygiene (General) Regulations, 1960 in relation to (a) Regulation 16— Washing Facilities for the use of Staff, and (b) Regulation 19—Provision of Sinks for Cleansing of Equipment and Food Preparation

Table 26.—Premises Registered for Preserving Food, or Manufacture, Storage or Sale of Ice Cream

Table 27.—Food Poisoning—Investigation of Incidents and Cases

Table 28.—Analyses for Pesticides in Food

Table 29.—Analysis of Legal Proceedings

Table 30.—Coroner's Court and Mortuary

Table 31.—Maternal &amp; Child Welfare Centres—Sessions held as at December 1967 Note: The following Table sets out the sessions held at the various Centres in December, 1967. Changes occur from time to time to meet the need.

Table 31.—Maternal &amp; Child Welfare Centres—Sessions held as at December 1967—(continued)

Table 31.—Maternal &amp; Child Welfare Centres—Sessions held as at December 1967—(continued)

Table 32.—Clinic Services Ante-Natal and Post-Natal Clinics

Table 33.—Mothercraft and Ante-Natal Exercises

Table 34.—Child Welfare Centres

Table 35.—Health Visiting

Table 36.—Vaccination of Persons under age 16 completed during 1967 at Welfare 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.—Smallpox Vaccination of Persons aged under 16 during 1967

Table 38.—Home Nursing

Table 39.—Domiciliary Midwifery

PUPIL MIDWIVES

DELIVERIES ATTENDED BY DOMICILIARY MIDWIVES DURING 1967

Table 40.—Notification of Congenital Defects

Table 41.—Chiropody Service A. Number of persons treated

B. Number of treatments given

Table 42.—Home Help Service

Table 43.—Mental Health Service—Number of Patients referred to City Council during year ended 31st December, 1967

Table 44.—Number of Patients for whom Hospital Admissions were arranged

Table 45.—Mental Health Service—Number of Cases in Community Care at end of year

Table 46.—Number of Patients admitted for Temporary Residential Care during the year (e.g. to Relieve the Family)

Table 47.—Terrace Day Centre 1967 (Day Centre for the Mentally Ill, 1 St. Mary's Terrace, W.2.)

Table 48.—Venereal Diseases Cases treated in Westminster — 1st January-31st December, 1967.

Table 31.—Maternal & Child Welfare Centres—Sessions held as at December 1967 Note: The following Table sets out the sessions held at the various Centres in December, 1967. Changes occur from time to time to meet the need.

Table 31.—Maternal & Child Welfare Centres—Sessions held as at December 1967—(continued)

Table 31.—Maternal & Child Welfare Centres—Sessions held as at December 1967—(continued)