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

Page 11

STATISTICS AND SOCIAL CONDITIONS

	1970	1969 (Where applicable)

Page 11

BIRTHS

Live Births (registered)—	Total		Males		Females
	1970	1969	1970	1969	1970	1969

Page 11

DEATHS

Page 12

Comparative figures are as follows:—

	Westminster		Greater London		England & Wales
	1970	1969	1970	1969	1970	1969

Page 52

OTHER SERVICES FOR THE MENTALLY ILL Terrace Day Rehabilitation Centre, 1 St. Mary's Terrace, W.2 Attendance at this Centre remains high, 59 patients were on the roll at December (1969 - 51), five of whom were patients from other London Boroughs.

	1970	1969

Page 52

Application and re-approval of medical practitioners for the purposes of section 28 of the Mental Health Act:

	Approved	Re-approved

Page 58

In addition to equipment already on loan, the following items were issued during the year:—

Page 62

LIST OF STATISTICAL TABLES

Table	Title

Page 63

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

CAUSE OF DEATH	1969	1970 Net Deaths at the sub-joined ages of residents (Male and Female) whether occuring 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.

Page 64

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

CAUSE OF DEATH	Under 1 week		1-4 weeks		1-3 months		3-6 months		6-9 months		9-12 months		Total
CAUSE OF DEATH	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

Page 65

Table 3.—Notification of Infectious and Other Notifiable Diseases

Measles (excluding rubella)		Dysentery		Scarlet Fever		Diphtheria		Acute meningitis due to infection with						Acute poliomyelitis
Measles (excluding rubella)		Dysentery		Scarlet Fever		Diphtheria		Meningococcus		Other specified organisms		Unspecified organisms		Paralytic		Non-paralytic
M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.
196	169	14	16	9	19	—	—	—	1	1	—	1	2	—	—	—	—

Page 66

Table 4.—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.

Page 66

Table 5.—Specimens Submitted to the Public Health Laboratory

Nature of Specimen	Number Examined	Positive Findings

Page 67

Table 6.—Night and out of office hours emergency service— Analysis of calls made to Duty Officers

Month 1970	Mental Welfare		Mid wives		Welfare Department		Children's Department		Public Health Inspectors		District Nurses		Miscellaneous		Total
Month 1970	*W.	K.	W.	K.	W.	K.	W.	K.	W.	K.	W.	K.	W.	K.	W.	K.

Page 67

Table 7.—Dwelling Houses—Reason for Initial Inspection

	1970	1969

Page 67

Table 8.—Dwelling Houses—Nuisances and unsatisfactory conditions found and remedied

	1970	1969

Page 68

Table 9.—Summary of visits by public health inspectors

	1970	1969

Page 68

Table 10.—Statutory Notices Served

	1970	1969

Page 68

Table 11.—Summary of Visits by Housing Act Inspectors

	1970	1969

Page 69

Table 12.—Summary of Work Carried Out by Public Health Inspectors under the Housing Acts 1961-1969 in connection with Houses in Multiple Occupation

	1970	1969

Page 69

Table 13.—Unfit Premises

	1970	1969

Page 69

Table 14.—Housing Act 1969: Qualification Certificates

	1970	1969

Page 70

Table 15.—Rodent Control

	1970	1969

Page 70

Table 16.—Chemical Examination of Water Supplied to City of Westminster—Average Results Milligrammes per Litre (unless otherwise stated)

Analysis Data	Source of Supply
Analysis Data	Stoke Newington	R. Thames Derived

Page 71

Table 17.—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.

Page 71

Table 18.—Offices, Shops and Railway Premises Act, 1963

Category of Premises	Number Registered in 1970	Total Number Registered at 31st December, 1970	Number of Registered Premises receiving a general inspection during the year

Page 72

Table 19.—Factories: Inspection for purposes of provisions as to health

		Number on Register		Number of
		Number on Register		Inspections		Written notices		Occupiers prosecuted
		1970	1969	1970	1969	1970	1969	1970	1969

Page 72

Table 20.—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
1970	1969	1970	1969	1970	1969	1970	1969	1970	1969

Page 73

Table 21.—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
	1970	1969	1970	1969	1970	1969	1970	1969	1970	1969	1970	1969

Page 73

Table 22.—Estimated Percentage of Compliance of Premises in Westminster with Food Hygiene (General) Regulations, 1960 in relation to (a) Regulation 16— Washing Facilities for use of Staff, and (b) Regulation 19—Provision o1 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

Page 74

Table 23.—Premises Registered for Preserved Food, or Manufacture, Storage or Sale of Ice Cream

	1970	1969

Page 74

Table 24.—Food Poisoning—Investigation of Incidents and Cases

Causative agent	General Outbreaks		Family Outbreaks		Sporadic Cases	Total	Total
Causative 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)
	(1)	(2)	(3)	(4)	(5)	(6)	(7)

Page 75

Table 25.—Analysis of Legal Proceedings

	Fines			Costs
	£	s.	d.	£	s.	d.

Page 75

Table 26.—Verminous Persons—Number of Persons cleansed at Lissonia and Wedlake Street Baths

	Adults			Children			Total
	Men	Women	Total	Boys	Girls	Total	Total

Page 76

Table 27.—Scabies—Number of Persons treated at Lissonia and Wedlake Street Baths

	Adults			Children			Total
	Men	Women	Total	Boys	Girls	Total	Total

Page 76

Table 28.—Coroner's Court and Mortuary

	1970	1969

Page 77

Table 29.—Maternal & Child Welfare Centres—Activities held as at December 1970 Note: The following Table sets out the sessions held at the various Centres in December, 1970. Changes occur from time to time to meet the need.

CENTRE	MONDAY		TUESDAY		WEDNESDAY		THURSDAY		FRIDAY
CENTRE	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.

Page 78

Table 29.—Maternal & Child Welfare Centres—Activities held as at December 1970—(continued)

CENTRE	MONDAY		TUESDAY		WEDNESDAY		THURSDAY		FRIDAY
CENTRE	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.

Page 79

Table 29.—Maternal & Child Welfare Centres—Activities held as at December 1970—(continued)

CENTRE	MONDAY		TUESDAY		WEDNESDAY		THURSDAY		FRIDAY
CENTRE	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.	A.M.	P.M.

Page 80

Table 30.—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	Midwives	Medical Officer Sessions	Midwives Sessions

Page 80

Table 31.—Mothercraft and Ante-Natal Exercises

	1970	1969

Page 80

Table 32.—Family Planning

Page 80

Table 33.—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 handicapped register at end of year
Born in 1970	Born in 1969	Born in 1965-8	Total	Total number of sessions	Total number of attendances	Total medical examinations	Number of children on handicapped register at end of year

Page 81

Table 34.—Handicap Register

Year	Total live births	Total on register	Number of children on Handicap Register as % of live births

Page 81

Analysis of action taken in respect of children on the Handicap Register

	Year	1965	1966	1967	1968	1969	1970
	Total	43	70	60	66	42	82

Page 81

Table 35.—Health Visiting

	Cases visited by Health Visitors	Number of cases

Page 82

Table 36.—Vaccination of Persons under age 16 completed during 1970 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	1970	1969	1968	1967	1963-66	Others under age 16	Total	At Clinics	By G.P.s

Page 82

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	1970	1969	1968	1967	1963-66	Others under age 16	Total	At Clinics	By G..P..s.

Page 82

Table 37.—Smallpox Vaccination of Persons aged under 16

Age at date of Vaccination	Number vaccinated		Number Revaccinated
Age at date of Vaccination	1970	1969	1970	1969

Page 83

Table 38.—Home Nursing

	1970	1969

Page 83

Table 39.—Domiciliary Midwifery

Domiciliary Midwives employed by	Administrative and Supervisory Staff			District Nurses/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)

Page 84

Table 40.—Chiropody Service A. Number of persons treated

	By City Council		By City of Westminster Old People's Welfare Association		Total
	1970	1969	1970	1969	1970	1969

Page 84

B. Number of treatments given

	By City Council		By City of Westminster Old People's Welfare Association		Total
	1970	1969	1970	1969	1970	1969

Page 84

Table 41.—Home Help Service

An applications received during year
Area	Aged 65 and Over	Aged under 65					Total
		T.B.	Chronic Sick	Mentally Disordered	Maternity	Others	Total
		T.B.	Chronic Sick	Mentally Disordered	Maternity	Others	1970	1969

Page 85

Table 42.—Mental Health Service—Number of Patients referred to City Council during year ended 31st December, 1970

Referred by	Mentally III				Mentally Handicapped				Severely Mentally Handicapped				*Total
	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.	1970	1969

Page 85

Table 43.—Number of Patients for whom Hospital Admissions were arranged

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

Page 85

Table 44.—Mental Health Service—Number of cases in community care at end of year

	Mentally III				Mentally Handicapped				Severely Mentally Handicapped				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.	1970	1969

Page 86

Table 45.—Number of patients admitted for temporary residential care during the year (e.g. to relieve the family)

Number of admissions	Mentally III				Mentally Handicapped				Severely Mentally Handicapped				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.	1970	1969

Page 86

Table 46.—Terrace Day Centre—1970 (Day Centre for the Mentally III, 1 St. Mary's Terrace, W.2)

Total attendance	Jan.	Feb.	Mar.	Apr.	May	June	July	Aug.	Sept.	Oct.	Nov.	Dec.
Total attendance	1970 1530 1969 (1453)	1210 (1317)	1205 (1343)	1386 (1396)	1500 (1353)	1697 (1348)	1582 (1456)	1269 (1393)	1552 (1370)	1510 (1726)	1444 (1627)	1431 (1692)

Page 87

Table 47.—Venereal Diseases Cases treated in Westminster — 1 st January-31 st December, 1970.

Hospital		M.	F.	Total 1970	Total 1969

Page 88

Table 48.—Medical Suite at City Hall: Work Undertaken

	1970	1969	1968

Page 88

Table 49.—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

	1970	1969

Page 88

B. School Children and Students

Page 89

Table 50.—School Health Service The table below shows the grades and numbers (full-time equivalents as at 31 December, 1970) of staff employed on school health work in the City of Westminster together with the totals for the Inner London Education Authority as a whole.

Grade	FULL-TIME EQUIVALENT EMPLOYEES AS AT 31 DECEMBER, 1970 IN:
	City of Westminster	Inner London Education Authority 1970	Inner London Education Authority 1969

Page 89

Table 51.—School Medical Inspections (excluding Dental and Health Surveys)—1970

	City of Westminster	Inner London Education Authority
	City of Westminster	1970	1969

Page 90

Table 52.—Routine Medical Inspections 1970—Defects NUMBER OF CHILDREN NOTED FOR TREATMENT OR OBSERVATION EXPRESSED AS A RATE PER 1,000 INSPECTED

Number Inspected	City of Westminster		Inner London Education Authority
		7,168	1970	1969
		7,168	160,516	159,217

Page 91

Table 53.—School Health Service—Findings at Health Surveys 1970

SCHOOL ROLL—May 1970	City of Westminster	Inner London Education Authority
SCHOOL ROLL—May 1970	21,810	1970 423,578	1969 421,925

Page 92

Table 54.—School Health Service—Non-Routine Medical Inspections 1970

Type of Inspection	City of Westminster	Inner London Education Authority
Type of Inspection	City of Westminster	1970	1969

Page 93

Table 55.—School Health Service—Routine Medical Inspections 1970—Vision

Number Tested		PERCENTAGE OF NUMBER TESTED																Percentage of total number tested and noted for treatment
		A—Not Wearing Glasses								8—Wearing Glasses
		6/6		6/9		6/12 or worse		Noted for Treatment		6/6		6/9		6/12 or worse		Noted for Treatment
Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys	Girls	Boys and Girls

Page 94

Table 56.—School Health Service 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

	City of Westminster		Inner London Education Authority
	City of Westminster		1970 1969

Page 95

Table 57.—School Dental Service Statistics 1970 (Statistics, 1969 shown in brackets)

NUMBER OF SESSIONS
Inspection	Ordinary treatment	Anaesthetic	TOTAL

Page 95

INSPECTIONS

	First inspection at school	First inspection at clinic	Percentage found to require treatment
	9,054 (8,098)	4,163 (3,514)	63 0 (63.5)

Page 95

NUMBER OF VISITS FOR TREATMENT

Page 95

FILLINGS AND EXTRACTIONS

Fillings	Permanent teeth	Temporary teeth
Fillings	5,739 (5,658)	6,413 (6,709)

Page 96

Table 58.—Dental Services for Expectant and Nursing Mothers and Children under 5 Part A.—Attendances and Treatment

Number of Visits for Treatment during year	Children 0-4 (incl.)		Expectant and Nursing Mothers
Number of Visits for Treatment during year	1970	1969	1970	1969

Page 97

Table 59.—Tuberculosis—Care and After Care

	Paddington Chest Clinic		Marylebone Chest Clinic		Westminster Hospital Chest Clinic
	1970	1969	1970	1969	1970	1969

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

View report tables

City of Westminster 1970

76 tables in this report

STATISTICS AND SOCIAL CONDITIONS

BIRTHS

DEATHS

Comparative figures are as follows:—

OTHER SERVICES FOR THE MENTALLY ILL Terrace Day Rehabilitation Centre, 1 St. Mary's Terrace, W.2 Attendance at this Centre remains high, 59 patients were on the roll at December (1969 - 51), five of whom were patients from other London Boroughs.

Application and re-approval of medical practitioners for the purposes of section 28 of the Mental Health Act:

In addition to equipment already on loan, the following items were issued during the year:—

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.—Notification of Infectious and Other Notifiable Diseases

Table 4.—Tuberculosis: New Cases and Deaths

Table 5.—Specimens Submitted to the Public Health Laboratory

Table 6.—Night and out of office hours emergency service— Analysis of calls made to Duty Officers

Table 7.—Dwelling Houses—Reason for Initial Inspection

Table 8.—Dwelling Houses—Nuisances and unsatisfactory conditions found and remedied

Table 9.—Summary of visits by public health inspectors

Table 10.—Statutory Notices Served

Table 11.—Summary of Visits by Housing Act Inspectors

Table 12.—Summary of Work Carried Out by Public Health Inspectors under the Housing Acts 1961-1969 in connection with Houses in Multiple Occupation

Table 13.—Unfit Premises

Table 14.—Housing Act 1969: Qualification Certificates

Table 15.—Rodent Control

Table 16.—Chemical Examination of Water Supplied to City of Westminster—Average Results Milligrammes per Litre (unless otherwise stated)

Table 17.—Bacteriological Examination of Water Supplied to City of Westminster—Average Results after Treatment

Table 18.—Offices, Shops and Railway Premises Act, 1963

Table 19.—Factories: Inspection for purposes of provisions as to health

Table 20.—Factories: Defects

Table 21.—Outwork

Table 22.—Estimated Percentage of Compliance of Premises in Westminster with Food Hygiene (General) Regulations, 1960 in relation to (a) Regulation 16— Washing Facilities for use of Staff, and (b) Regulation 19—Provision o1 Sinks for Cleansing of Equipment and Food Preparation

Table 23.—Premises Registered for Preserved Food, or Manufacture, Storage or Sale of Ice Cream

Table 24.—Food Poisoning—Investigation of Incidents and Cases

Table 25.—Analysis of Legal Proceedings

Table 26.—Verminous Persons—Number of Persons cleansed at Lissonia and Wedlake Street Baths

Table 27.—Scabies—Number of Persons treated at Lissonia and Wedlake Street Baths

Table 28.—Coroner's Court and Mortuary

Table 29.—Maternal &amp; Child Welfare Centres—Activities held as at December 1970 Note: The following Table sets out the sessions held at the various Centres in December, 1970. Changes occur from time to time to meet the need.

Table 29.—Maternal &amp; Child Welfare Centres—Activities held as at December 1970—(continued)

Table 29.—Maternal &amp; Child Welfare Centres—Activities held as at December 1970—(continued)

Table 30.—Clinic Services Ante-Natal and Post-Natal Clinics

Table 31.—Mothercraft and Ante-Natal Exercises

Table 32.—Family Planning

Table 33.—Child Welfare Centres

Table 34.—Handicap Register

Analysis of action taken in respect of children on the Handicap Register

Table 35.—Health Visiting

Table 36.—Vaccination of Persons under age 16 completed during 1970 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

Table 38.—Home Nursing

Table 39.—Domiciliary Midwifery

Table 40.—Chiropody Service A. Number of persons treated

B. Number of treatments given

Table 41.—Home Help Service

Table 42.—Mental Health Service—Number of Patients referred to City Council during year ended 31st December, 1970

Table 43.—Number of Patients for whom Hospital Admissions were arranged

Table 44.—Mental Health Service—Number of cases in community care at end of year

Table 45.—Number of patients admitted for temporary residential care during the year (e.g. to relieve the family)

Table 46.—Terrace Day Centre—1970 (Day Centre for the Mentally III, 1 St. Mary's Terrace, W.2)

Table 47.—Venereal Diseases Cases treated in Westminster — 1 st January-31 st December, 1970.

Table 48.—Medical Suite at City Hall: Work Undertaken

Table 49.—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

B. School Children and Students

Table 50.—School Health Service The table below shows the grades and numbers (full-time equivalents as at 31 December, 1970) of staff employed on school health work in the City of Westminster together with the totals for the Inner London Education Authority as a whole.

Table 51.—School Medical Inspections (excluding Dental and Health Surveys)—1970

Table 52.—Routine Medical Inspections 1970—Defects NUMBER OF CHILDREN NOTED FOR TREATMENT OR OBSERVATION EXPRESSED AS A RATE PER 1,000 INSPECTED

Table 53.—School Health Service—Findings at Health Surveys 1970

Table 54.—School Health Service—Non-Routine Medical Inspections 1970

Table 55.—School Health Service—Routine Medical Inspections 1970—Vision

Table 56.—School Health Service 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

Table 57.—School Dental Service Statistics 1970 (Statistics, 1969 shown in brackets)

INSPECTIONS

NUMBER OF VISITS FOR TREATMENT

Table 29.—Maternal & Child Welfare Centres—Activities held as at December 1970 Note: The following Table sets out the sessions held at the various Centres in December, 1970. Changes occur from time to time to meet the need.

Table 29.—Maternal & Child Welfare Centres—Activities held as at December 1970—(continued)

Table 29.—Maternal & Child Welfare Centres—Activities held as at December 1970—(continued)