[Report of the Medical Officer of Health for Acton]

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The following is a summary of the vital statistics for the Year:—

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The following table gives the number of the different kinds of buildings, together with the number of occupiers in each class of building:—

	1901	1911
	Total	Total (Cols. 4-11)	Buildings used as Dwellings							Vessels, Sheds, Vagrants, &c.	Separate Flats (included in col. 5)	Buildings not used as Dwellings
			Ordinary Dwelling Houses	Blocks of Flats	Shops	Hotels, Inns and Public Houses	Offices, Warehouses, Workshops and Factories	Institutions	Others			Buildings not used as Dwellings
			Ordinary Dwelling Houses	Blocks of Flats	Shops	Hotels, Inns and Public Houses	Offices, Warehouses, Workshops and Factories	Institutions	Others			Kind of Building	No.
Cols—1	2	3	4	5	6	7	8	9	10	11	12	13	14

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The population of the South-West Ward was obtained in greater detail from the Registrar-General, and the following table gives the particulars as to the population and sex distribution in each street:—

Street.	Population.
South-West Ward.	Males.	Females

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Continued from previous page...

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BIRTHS.

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The illegitimate birth* and the rate per 1,000 births since 1907 are as follows:—

	Number	Rate.

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Excluding the outside births which were transferred in 1912 and 1913, the illegitimate birth-rate has been as follows:—

	Number.	Rate per 1,000 births.

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DEATHS.

Number 693.	Crude.	Corrected.

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The following table gives the number of deaths at the different age-groups since 1905:—

	Under 1.	1-5.	5-15.	15-25.	25-65.	Over 65.

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The addresses outside the district where residents died together with the number of deaths were as follows:—

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Continued from previous page...

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NOTIFICATION OF INFECTIOUS DISEASE. The following notifications of infectious disease were received during the year:—

	N.-East.	N.-West.	S.-East.	S.-West.	Total.

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The following table gives the attack-rates per 1,000 inhabitants in the County:—

Boroughs and Urban Districts.	Scarlet Fever.	Diphtheria.	Enteric Fever.	Puerperal Fever.	Erysipelas.

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Continued from previous page...

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SCARLET FEVER.

	Total number.		Rate per 1,000 inhabitants.
	Cases.	Deaths.	Cases.	Deaths.

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DIPHTHERIA.

	Total number.		Rate per 1,000 inhabitants.
	Cases.	Deaths.	Cases.	Deaths.

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ENTERIC FEVER.

	Total number.		Rale per 1,000 inhabitants.
	Cases.	Deaths.	Cases.	Deaths.

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It will be interesting to give the statistics since 1881, though, of course, the notifications cannot be included, as the Notification of Infectious Diseases Act was not in force before 1890 :—

	Scarlet Fever.		Diphtheria.		Enteric Fever.
	Deaths.	Rate per 1,000.	Deaths.	Rate per 1,000.	Deaths.	Rate per 1,000.

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Continued from previous page...

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Average Annual Death-rate per 1,000 inhabitants.

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2 deaths were registered as due to the disease. The monthly distribution of the notified cases was as follows:—

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The persons who died of Pulmonary Tuberculosis had been ill for the following periods:—

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Continued from previous page...

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The Ward distribution of the disease was as follows:—

North-East.	North-West.	South-East.	South-West.

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The site of the disease in the two sexes was as follows:—

Males.		Females.

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46 Inquests were held, the certified cause of death being:—

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Continued from previous page...

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12 Inquests were held on residents who died outside the district, the cause of death in these cases being:—

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1,258 examinations were made during the year, and the following table gives a statement of the work done :—

Disease.	Specimen.	Result.		Total.
Disease.	Specimen.	Positive.	Negative.	Total.

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The following were surrendered as unfit for human consumption :—

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* HOUSE TO HOUSE INSPECTIONS, 1913. (were made in the following streets.)

Nature of Sanitary Defect	All Saints Road	Acton Lane	Avenue Road	Antrobus Road	Allison Road	Beaumont Road	Birkbeck Road	Burlington Mews	Burlington Gardens Slews	Burlington Gardens	Berrymead Gardens	Bridgman Road	Bollo Lane

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HOUSE TO HOUSE INSPECTIONS, 1913—continued.

Nature of Sanitary Defect	Clovelly Road	Chaucer Road	Essex Park Mews	Gladstone Road	Gunnersbury Lane	Goldsmith Road	Hanbury Road	Hoopers Mews	Kingswood Road	Kent Road	Larden Road	Osborne Road	TOTALS

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This figure is made up as follows:—

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Continued from previous page...

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TABLE 1. VITAL STATISTICS OF WHOLE DISTRICT DURING 1913 AND PREVIOUS YEARS.

Births			Total Deaths Registered in the District		Transferable Deaths		Nett Deaths belonging to the District
Births							Under 1 Year of Age		At all Ages
Uncorroctod Number	Nett
			Number	Rate	of Non-residents registered in the District	of Rosidents not registered in the District
							Number	Hate per 1,000 Nett Births	Number	Rate
	Number	Rate					Number	Hate per 1,000 Nett Births	Number	Rate

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CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1913. TABLE 2.

Notifiable Disease	Cases Notified in whole District								Total cases notified in each Ward				Total eases removed to Hospital
	At all Ages	At Ages—Years							North-East	North-West	South-East	South-West
	At all Ages	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 & upwards	North-East	North-West	South-East	South-West

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TABLE 3. CAUSES OP, AND AGES AT, DEATH DURING YEAR, 1913.

Causes of Deaths	Nett Deaths at the subjoined ages of "Residents," whether occurring within or without the District									Total Deaths whether of "Residents" or "Non-Resi-dents" in Institutions in the District
Causes of Deaths	All Ages	Under 1 year	1 and under 2	2 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and upwards

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TABLE 4. INFANTILE MORTALITY DURING THE YEAR 1913. Deaths from stated causes in Week and Months under One Year of Age.

Cause of Death	Under 1 week	1-2 weeks	2-3 weeks	3-4 weeks	Total under 1 month	1-3 months	3-6 months	6-9 months	9-12 months	Total deaths under 1 year

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TABLE 5. TOTAL DEATHS—WARD DISTRIBUTION.

	Total	North East	North West	South East	South West	Untraced

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TABLE 6. INFANTILE MORTALITY. ward distribution.

Causes of Deaths.	North East	North West	South East	South West	Total

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FACTORIES, WORKSHOPS, WORKPLACES AND HOMEWORK. 1—inspection of factories, workshops and workplaces, Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

Premises	Inspections	Written Notices.

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2—Defects found.

		Found	Remedied	Referred to h.m. Inspector

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Offences under the Factory and Workshop Acts:—

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3—Home Work. Outworkers' Lists, Sections 107, 108, 109 and 110.

Outworkers' Lists, Section 107.							Outwork in Unwholesome Premises, Section 108.		Outwork in infected Premises, Sections, 109, 110
Lists received from Employers						Notices served on Occupiers as to keeping or sending lists
Sending twice in the year			Sending once in the year
Outworkers			Outworkers
Lists	Contract's	Workmen	Lists	Contract's	Workmen		Instances	Notices served	Instances

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4—Registered Workshops.

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5-Other Matters.

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SANITARY IMPROVEMENTS CARRIED OUT IN DISTRICT IN PURSUANCE OF INSPECTIONS MADE AND NOTICES

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Percentage of Houses supplied from Public Water Service 100%

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Continued from previous page...

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Table I. PUBLIC ELEMENTARY SCHOOLS WITHIN THE DISTRICT, TOGETHER WITH ACCOMMODATION.

Name of School.		Accommodation.

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Continued from previous page...

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Number of Children Inspected—1st January, 1918 to 81st December, 1913. TABLE 2.

Age.	Entrants.											Leavers.					Grand Total
Age.	3	4	5	6	7	8	9	10	11	12	Total	12	13	14	15	Total	Grand Total

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TABLE 3. Return Showing the Physical Condition of Children Inspected.

CONDITION	Entrants				Leavers				Intermediate Group				TOTAL				Special Cases
CONDITION	Boys	Girls	Total	Per Cent	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent.	Boys	Girls	Total

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TABLE 3.— continued.

CONDITION	Entrants				Leavers				Intermediate Group				TOTAL				Special Cases
CONDITION	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent.	Boys .	Girls	Total

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TABLE 3. continued.

CONDITION	Entrants				Leavers				Intermediate Group				TOTAL				Special Cases
CONDITION	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent	Boys	Girls	Total	Per Cent	Boys	Girls	Total

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TABLE 3. continued.

CONDITION	Entrants				Leavers				Intermediate Group				TOTAL				Special Cases
CONDITION	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent.	Boys	Girls	Total	Per Cent.	Boys	Girls	Total

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TABLE 4. Return Showing Physical Condition of Children Inspected Under Schools.

SENIOR BOYS	No. Examined	Clothing and Footgear		Cleanliness of Head			Cleanliness of Body			Nutrition
SENIOR BOYS	No. Examined	Satisfactory	Unsatisfactory	Clean	Nits only	Pediculi	Clean	Dirty	Pediculi Present	Excellent	Normal	Below Normal	Bad

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TABLE 4.— continued.

SENIOR BOYS	Nose and Throat							Glands		External Eye Disease
SENIOR BOYS	No Defect	Mouth Breathers	Tonsils sl. enlarged	Tonsils much enlarged	Adenoids slight	Adenoids marked	Other Diseases	Submaxillary	Cervical	No Disease	Blepharitis	Conjunctivitis	Corneal Opacities	Other Disease

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TABLE 4.— continued.

SENIOR BOYS	Ear Disease						Teeth				Heart
SENIOR BOYS	No Disease	Obstruction Right	Obstruction Left	Otor-rhcea Right	Otor-rhcea Left	Other Disease	Sound	Less than 4 decayed	Four or more decayed	Sepsis	No Disease	Organic Disease	Functional Disease	Anaemia	Other Defect

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TABLE 4.— continued.

SENIOR BOYS	Lungs					Nervous System				Skin
SENIOR BOYS	No Disease	Chronc Bronchitis and Bronchial Catarrh	Tuberculosis	Tuberculosis Suspected	Other Disease	No Disease	Epilepsy Major or Minor	Chorea	Other Disease	No Disease	Ring-worm Body	Ring-worm Head	Im- petego	Scabies	Other Disease

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TABLE 4.— continued.

SENIOR BOYS	Rickets			Deformities		Tuberculosis			Speech			Mental Condition
SENIOR BOYS	No Disease	Slight	Marked	No Deformity	Deformity Present	No Disease	Glandular	Bones and Joints	No. Defective	Defective Articulation	Stammering	Normal	Dull or \| Backward	Mentally Defective (all grades)

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TABLE 4.— continued.

SENIOR BOYS	Vision
SENIOR BOYS	6/6each eye	R6/6	L 6/6	R 6/9	L 6/9	R 6/12	L 6/12	R6/18	L 6/18	R 6/24	L6/24	R 6/36	L 6/36	R 6/60	L 6/60

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TABLE 4.—continued.

SENIOR BOYS •	Vision—cont.			Hearing
SENIOR BOYS •	R6/0	L6/0	Squint	Normal	SI. deaf R	SI. deaf L	Deaf R	Deaf L

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TABLE 4— continued.

INFANTS	No. Examined	Clothing & Footgear		Cleanliness of Head			Cleanliness of Body			Nutrition
INFANTS	No. Examined	Satisfactory	Unsatisfactory	Clean (no Nits or Pediculi)	Nits only	Pediculi	Clean	Dirty	Pediculi present	Excellent	Normal	Below Normal	Bad

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TABLE 4— continued.

INFANTS	Nose and Throat						Glands		External Eye Disease
INFANTS	No Defect	Mouth Breathers	Tonsils sl. enlarged	Tonsils much enlarged	Adenoids] slight	Adenoids marked	Submaxillary	Cervical	No Disease	Blepharitis	Conjunctivitis	Corneal Opacities	Other Disease

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TABLE 4— continued.

INFANTS	Ear Disease						Teeth				Heart
INFANTS	No Disease	Obstruction Right	Obstruction Left	Otor-rhœa Right	Otor-rhœa Left	Other Disease	Sound	Less than 4 decayed	Four or more decayed	Sepsis	No Disease	Organic Disease	Functional Disease	Anaemia	Other Defects

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TABLE 4— continued.

INFANTS	Lungs					Nervous System				Skin
INFANTS	No Disease	Chronic Bronchitis Bronchial Catarrh	Tuberculosis	Tuberculosis suspected	Other Disease	No Disease	Epilepsy Major or Minor	Chorea	Other Disease	No Disease	Ring-worm Body	Ring-worm Head	Impetigo	Scabies	Other Disease

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TABLE 4— continued.

INFANTS	Rickets			Deformities		Tuberculosis				Speech			Mental Condition
INFANTS	No Disease	Slight	Marked	No Deformity	Deformities present	No Disease	Glandular	Bones and Joints	Other Forms	No. Defective	Defective Articulation	Stammering	Normal	Backward or Dull	Mentally Defective

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TABLE 4— continued.

INFANTS	Vision— cont.			Hearing
INFANTS	R 6/0	L6/0	Squint	Normal	R Sl. deaf	L Sl. deaf	R deaf	L deaf

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Table 5. AVERAGE HEIGHT, without shoes, and AVERAGE WEIGHT, without clothes. Anthropometric Committee, 1883.

Age last birthday.	Males.		Females.
Age last birthday.	Height in inches.	Weight in lbs.	Height in inches.	Weight in lbs.

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TABLE 6. GIVING HEIGHTS & WEIGHTS AT DIFFERENT AGES.

	No. examined	Years of Age
		12-13		13-14		14-15		15-16
		Height	Weight	Height	Weight	Height	Weight	Height	Weight

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TABl.E 6— continued.

	No. Examined	Years of Age
		3 to 4		4 to 5		5 to 6		6 to 7		7 to 8		8 to 9		9 to 10		10 to 11
		H.	W.	H.	W.	H.	W.	H.	W.	H.	W.	H.	W.	H.	W.	H.	W.

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Table 7. Referred Cards Table.

	No. of Cases.	Observation only.	Already under Treatment.	Treatment obtained	Treatment not obtained	Left or removed.

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Table 7.— -continued.

	No. of Cases.	Observations only.	Already under Treatment.	Treatment obtained.	Treatment not obtained	Left or removed.

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For the past year the statistics are as follows:—

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Ringworm. The statistics for the year are as follows:—

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Applying these general principles to the problem before the Committee, we find that in January, 1913, the number of children in the schools between the ages of 6 and 8 was:—

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Eye Treatment Cases. 463 visits were paid, and 79 children were treated. The distribution of these cases and the diseases treated were as follows:—

	No. of children treated.	Defective sight.

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Visits Paid by School Nurse.

Schools	N.-East.	N.-West.	S.-East.	S.-West.	Total.

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Table 8. Numerical Return of all Exceptional Children in the Area.

	Boys.	Girls.	Total.

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Table 8 — continued.

	Boys	Girls	Total

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Mentally Defective and Backward Children.

	Boys.	Girl's.	Total.

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Table of Deaf Children.

	Boys.	Girls.	Total.

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TABLE 9. Appended is a table giving an analysis of the cases in the Acton schools:—

School	Mentally Defective			Very Backward			Deaf			Hard of Hearing			Cripples or Special Physically Defective
School	Boys	Girls	Total	Boys	Girls	Total	Boys	Girls	Total	Boys	Girls	Total	Boys	Girls	Total

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The following are the figures at present available under the different headings:—

	In School.	Treated at home.	In Hospital, country, or Convalescent Home.	Total.

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The distribution of the notifications amongst school children was as follows:—

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The number of cases reported from the different schools was as follows

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The age distribution of the notified cases in the different schools was as follows:—

	3-4 yrs.	4-5.	5-6.	6-7.	7-8.	8-9.	9-10.	10-11.	11-12.	12-13.

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The distribution was as follows:—

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Only 30 cases of Chicken-pox occurred amongst the Elementary School children last year, distributed as follows:—

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The cases notified from the schools were distributed as follows:—

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Swimming. During the season of 1913, 43 Swimming Classes were held weekly. 116 boys and 87 girls have earned the swimming certificate awarded by the Committee to children who have this year learned to swim, 40 yards in the case of boys and 20 yards in the case of girls.

School.	No. of per week, classes	No. of ances. attend-	No. of scholars in depart-can swim, ment who	No. who have learned to season, swim this

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Acton 1913

92 tables in this report

The following is a summary of the vital statistics for the Year:—

The following table gives the number of the different kinds of buildings, together with the number of occupiers in each class of building:—

The population of the South-West Ward was obtained in greater detail from the Registrar-General, and the following table gives the particulars as to the population and sex distribution in each street:—

Continued from previous page...

BIRTHS.

The illegitimate birth* and the rate per 1,000 births since 1907 are as follows:—

Excluding the outside births which were transferred in 1912 and 1913, the illegitimate birth-rate has been as follows:—

DEATHS.

The following table gives the number of deaths at the different age-groups since 1905:—

The addresses outside the district where residents died together with the number of deaths were as follows:—

Continued from previous page...

NOTIFICATION OF INFECTIOUS DISEASE. The following notifications of infectious disease were received during the year:—

The following table gives the attack-rates per 1,000 inhabitants in the County:—

Continued from previous page...

SCARLET FEVER.

DIPHTHERIA.

ENTERIC FEVER.

It will be interesting to give the statistics since 1881, though, of course, the notifications cannot be included, as the Notification of Infectious Diseases Act was not in force before 1890 :—

Continued from previous page...

Average Annual Death-rate per 1,000 inhabitants.

2 deaths were registered as due to the disease. The monthly distribution of the notified cases was as follows:—

The persons who died of Pulmonary Tuberculosis had been ill for the following periods:—

Continued from previous page...

The Ward distribution of the disease was as follows:—

The site of the disease in the two sexes was as follows:—

46 Inquests were held, the certified cause of death being:—

Continued from previous page...

12 Inquests were held on residents who died outside the district, the cause of death in these cases being:—

1,258 examinations were made during the year, and the following table gives a statement of the work done :—

The following were surrendered as unfit for human consumption :—

* HOUSE TO HOUSE INSPECTIONS, 1913. (were made in the following streets.)

HOUSE TO HOUSE INSPECTIONS, 1913—continued.

This figure is made up as follows:—

Continued from previous page...

TABLE 1. VITAL STATISTICS OF WHOLE DISTRICT DURING 1913 AND PREVIOUS YEARS.

CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1913. TABLE 2.

TABLE 3. CAUSES OP, AND AGES AT, DEATH DURING YEAR, 1913.

TABLE 4. INFANTILE MORTALITY DURING THE YEAR 1913. Deaths from stated causes in Week and Months under One Year of Age.

TABLE 5. TOTAL DEATHS—WARD DISTRIBUTION.

TABLE 6. INFANTILE MORTALITY. ward distribution.

FACTORIES, WORKSHOPS, WORKPLACES AND HOMEWORK. 1—inspection of factories, workshops and workplaces, Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

2—Defects found.

Offences under the Factory and Workshop Acts:—

3—Home Work. Outworkers' Lists, Sections 107, 108, 109 and 110.

4—Registered Workshops.

5-Other Matters.

SANITARY IMPROVEMENTS CARRIED OUT IN DISTRICT IN PURSUANCE OF INSPECTIONS MADE AND NOTICES

Percentage of Houses supplied from Public Water Service 100%

Continued from previous page...

Table I. PUBLIC ELEMENTARY SCHOOLS WITHIN THE DISTRICT, TOGETHER WITH ACCOMMODATION.

Continued from previous page...

Number of Children Inspected—1st January, 1918 to 81st December, 1913. TABLE 2.

TABLE 3. Return Showing the Physical Condition of Children Inspected.

TABLE 3.— continued.

TABLE 3. continued.

TABLE 3. continued.

TABLE 4. Return Showing Physical Condition of Children Inspected Under Schools.

TABLE 4.— continued.

TABLE 4.— continued.

TABLE 4.— continued.

TABLE 4.— continued.

TABLE 4.— continued.

TABLE 4.—continued.

TABLE 4— continued.

TABLE 4— continued.

TABLE 4— continued.

TABLE 4— continued.

TABLE 4— continued.

TABLE 4— continued.

Table 5. AVERAGE HEIGHT, without shoes, and AVERAGE WEIGHT, without clothes. Anthropometric Committee, 1883.

TABLE 6. GIVING HEIGHTS &amp; WEIGHTS AT DIFFERENT AGES.

TABl.E 6— continued.

Table 7. Referred Cards Table.

TABLE 6. GIVING HEIGHTS & WEIGHTS AT DIFFERENT AGES.