[Report of the Medical Officer of Health for Ealing]

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1. VITAL STATISTICS SUMMARY OF STATISTICS

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CAUSES OF DEATH

Cause of Death	Deaths, 1965			Total Deaths 1964*
	Male	Female	Total

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The figures for attendance in 1965 were as follows:—

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The Council has five day nurseries with a total of 224 places, the details of which are given below:—

	Approved places	Maximum number of places

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During the year, the following visits were made:—

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The schedule of immunisation used in the clinics for infants and young children is the following:—

Age		Vaccine

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The acceptance rate during the year (expressed as a percentage of total births) was:—

	Percentage 73.4

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Attendances for the year were as shown in the following table:—

	British Red Cross Society	Southall Old People's Welfare Association	London Borough of Ealing	Totals

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Treatment is given at the following places:—

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The clinics are open at the following times:—

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Table 2 Tuberculosis Welfare Officer

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During the year, 14 patients were admitted to hospital. The following table shows the categories into which these admissions fell:—

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CASE LOAD OF THE SERVICE Over the last five years there has been a gradual increase in the call on the service. Set out below are details of the types of patients assisted during the year:—

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The main disabilities which brought the patient to the Centre were as detailed in the following table:—

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This pattern of illness does not differ significantly from that found in previous years. The distribution of referrals during the year from various parts of the Borough were as follows:—

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The amount of laundry dealt with in the areas during 1965 is given below:—

	Ealing and Southall	Acton	Total

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Details of the visits that have been in this respect are as follows:— April to December, 1965

Notification from port authorities of country from which immigrant arrives	Number of advice notes received from port authorities	Number of successful visits paid by health visitors to new immigrants

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Details of the three routine medical inspections carried out in schools are set out below. Numbers examined —1965

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The figures given below illustrate the volume of work in this field.

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Abnormal eye conditions other than errors of refraction were as follows:—

	New cases	Old cases

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Ophthalmic sessions are carried out at the following Clinics:

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In Acton, there is no orthopaedic clinic, but the area is well served by local hospitals with orthopaedic departments.

	School Health	Maternal and Child Health

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The following types of defect were encountered during the year:—

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Foot inspections

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Table 1

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Table 1— continued

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Table 2

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Table 3 Analysis of intelligence 314 children tested in 1965 (204 boys and 110 girls) Intelligence quotient range

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Table 4 Age of 314 children

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The following table sets out in their various categories the number of handicapped pupils as at 31st December, 1965.

	In Special Day Schools		In Special Residential Schools		In Maintained Primary and Secondary Schools		Not at School		Totals
	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

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The Borough is responsible for five special schools:—

Aston (Junior and Senior Departments)	Day school for maladjusted boys and girls.

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The following table gives the analysis or the accidents according to their primary cause:—

Primary cause	Adults 18 and over		Young persons under 18		Total
	Males	Females	Males	Females	Total

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Contraventions remedied

Items	Number of improvements

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Table A Registrations and General Inspections

Class of premises	No. of premises registered during year	Total no. registered at end of year	No. of general inspections

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Table C Analysis of persons employed in registered premises by workplace

Class of workplace	Number of persons employed

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Table F Inspectors

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PREVENTION OF DAMAGE BY PESTS ACT, 1949 The following is a summary of the work carried out by the rodent operatives:—

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Satisfactory progress was made in 1965 and the following action was taken:—

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1-9 (consec.) Vine Cottages, Lower Boston Rd., W.7 The remaining families were rehoused from these cottages in a clearance area which was the subject of a Compulsory Purchase Order made in 1959. Demolition of the houses is to take place in 1966.

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The following properties were dealt with during 1965:—

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Action taken during the year to enforce the provisions of the Housing Acts relating to houses in multiple occupation in this Borough is summarized in the table which follows:—

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OVERCROWDING—HOUSING ACT, 1957 The following table gives details of action taken during the year to deal with the abatement of overcrowding:—

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The medical points scheme began in October, 1965, and, in the three months of the year during which it has been in operation, the following number of assessments were made:—

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Class of milk	Number of samples	Phosphatase test		Methylene Blue test		Turbidity test		Colony Count test
Class of milk	Number of samples	Pass	Fail	Pass	Fail	Pass	Fail	Pass	Fail

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intervals throughout the year to ensure compliance with the requirements of the Food Hygiene and the Ice Cream (Heat Treatment) Regulations. Sampling of ice cream and of ice lollies was also carried out systematically and details of samples taken and results of examination are given below.

Commodity	Number of samples	Methylene Blue Grade				Not graded	Grades I and II satisfactory	Grade III doubtful	Grade IV unsatisfactory
Commodity	Number of samples	I	II	III	IV	Not graded	Grades I and II satisfactory	Grade III doubtful	Grade IV unsatisfactory

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The following foodstuffs were condemned by the public health inspectors as unfit for human consumption and were surrendered for destruction:—

	lbs.		lbs.

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A summary of result of sampling is given in the following table:-

Food	Satisfactory	Unsatisfactory	Total samples

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Progress in the setting up of Smoke Control Areas in this Borough has been growing steadily since 1959, and it is gratifying to note that we are now in a slightly better position than Greater London as a whole, and certainly much more advanced in our programme than the total " black areas " of the country. Comparative

Region	No. of acres covered by Smoke Control Orders	Percentage of total " black area " acreage so covered	No. of premises covered by Smoke Control Orders	Percentage of total " black area " premises so covered

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Progress of Smoke Control Programme

	No. of Smoke Control Orders	Acres	No. of dwellings		No. of other buildings	Total premises
	No. of Smoke Control Orders	Acres	Private	Local Authority	No. of other buildings	Total premises

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London Borough of Ealing—Smoke Control Areas (coloured yellow on map)

Smoke Control Orders	Date of Operation

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Water Samples, 1965

	Samples	Satisfactory	Doubtful	Unsatisfactory

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after investigation proved acceptable. Results of sampling are given in the following table:—

	Number of pools	Satisfactory samples	Unsatisfactory samples	Total samples

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The following figures of establishments relate only to the Ealing and Southall areas.

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The number of bodies taken to the mortuary for the period 1st January to 31st March, 1965, was 82. From 1st April to 31st December, a total of 486 bodies was taken to the mortuary, of residents from the following areas:—

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The table below shows the number of examinations made between April, 1965, and the end of the year:—

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Table 1 infectious and other notifiable diseases classified in age groups

	Scarlet fever		Whooping cough		Poliomyelitis				Measles		Diphtheria		Dysentery		Meningococcal infection
	Scarlet fever		Whooping cough		Paralytic		Non-paralytic		Measles		Diphtheria		Dysentery		Meningococcal infection
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

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Table 1 — continued INFECTIOUS AND OTHER NOTIFIABLE DISEASES CLASSIFIED IN AGE GROUPS— Continued

	Pneumonia		Smallpox		Acute encephalitis				Enteric or typhoid fever		Paratyphoid fevers		Erysipelas		Food poisoning
	Pneumonia		Smallpox		Infective		Postinfectious		Enteric or typhoid fever		Paratyphoid fevers		Erysipelas		Food poisoning
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

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Table 1 — continued infectious and other notifiable diseases classified in age groups— Continued

	Tuberculosis						Infectious hepatitis		Puerperal pyrexia
	Pulmonary		Meninges and central nervous system		Other		Infectious hepatitis		Puerperal pyrexia
	M	F	M	F	M	F	M	F	F

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Table 2 clinic sessions

	Abbey Parade	Avenue Road	Brentside	Chering-ton House	Cloister Road	Greenford Green	Islip Manor	Jubilee Gardens	King Street

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Table 2 — continued clinic sessions— continued

	Laurel House	Mattock Lane	Northcote	Northolt Grange	Perivale	Pierrepnt. Road	Ravenor Park	Steele Road	Trinity Way

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Table 3 vaccination and immunisation of persons under age 16 completed during the year Table 1—Completed Primary Courses, Diphtheria, Whooping Cough, Tetanus and Poliomyelitis

Type of vaccine or dose	Year of birth						Total
Type of vaccine or dose	1965	1964	1963	1962	1958-1961	Others under age 16	Total

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Table 2—Reinforcing Doses

	1965		1964	1963	1962	1958-1961	Others under age 16	Total

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Table 3—Smallpox—Vaccination and Re-vaccination

Age at date of vaccination	Number vaccinated	Number re-vaccinated

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Table 4 work of mental health social workers for ten months to 31 st december, 1965

	Mental illness	Subnormal	Total

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Table 5 mental health—number of patients referred during ten months ended 31st december, 1965

Referred by	–16		16+		Total
Referred by	M.	F.	M.	F.	Total

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Table 6 mental health—patients under london borough of ealing care at 31ST december, 1965

	Mentally 111
	–16		16+		Total
	M.	F.	M.	F.	Total

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Table 7 legal proceedings under public health act, 1936, and offices, shops and railway premises act, 1963. Proceedings were instituted in respect of non-compliance with statutory notices served in accordance with the provisions of the Public Health Act, 1936, and for an infringement of the Offices, Shops and Railway Premises Act, with the following results:—

Premises	Offence	Result

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Table 8 factories act, 1961—part I Inspections for the purposes of provisions as to health (including inspections made by public health inspectors).

Premises	Number on Register	Number of
		Inspections	Written Notices	Occupiers prosecuted

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Table 9 factories act, 1961—part I Cases in which defects were found

Particulars	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

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Table 10 factories act, 1961—part viii (sections 133 and 134) Outwork

Nature of work	Section 133
Nature of work	No. of outworkers in August list required by section 133 (1) (c)

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Table 11 legal proceedings under the housing acts The following table gives particulars of prosecutions in connection with houses in multiple occupation:—

Premises	Offence	Result

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Table 12 housing statistics

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Table 13 summary of work done and improvements carried out at food premises

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Table 14 legal proceedings under the food and drugs act and regulations made under the act The following table gives details of prosecutions in cases involving the sale of unsound food, food articles containing foreign bodies, the use of dirty milk bottles, and of the use of food premises in contravention of the Food Hygiene Regulations.

Offence	Result

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Table 15 list of food premises in the london borough of ealing

Category of premises	No. of premises	No. complying with Reg. 16	No. to which Reg. 19 applies	No. complying with Reg. 19

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Table 16 number of samples procured and examined in 1965

Nature of sample	No. examined		No. adulterated (or otherwise giving rise to irregularity)
Nature of sample	Formal	Informal	Formal	Informal

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Table 16 — continued number of samples procured and examined in 1965— Continued

Nature of sample	No. examined		No. adulterated (or otherwise giving rise to irregularity)
Nature of sample	Formal	Informal	Formal	Informal

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Table 17 labelling irregularities A number of infringements of the labelling requirements were noted as follows:—

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Table 18 carcases and offal inspected and condemned in whole or in part—1965

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Table 19 NUMBER OF PIGS' CARCASES INSPECTED AT T. WALL & SONS LTD. SLAUGHTERHOUSE DURING 1965 WITH ANALYSIS OF SURRENDERS ON ACCOUNT OF DISEASE

Month	Pigs inspected	Parts condemned
		Carcases	Heads	Collars	Fore quarters	Hind quarters	Legs	Skins	Hocks	Flares	Pieces of pork	Plucks (lungs, livers, hearts, lights)	Weight of mesenteries, stomachs and intestines

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Table 20 AVERAGE MONTHLY SMOKE CONCENTRATIONS (microgrammes per cubic metre) Daily volumetric instruments

1965	Acton Lane	Chase Road	Eliots Green School	Friars Place Lane	Town Hall Annexe	Walpole Grammar School
January	115	127	66	90	94	102

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Table 21 AVERAGE MONTHLY SULPHUR DIOXIDE CONCENTRATIONS (microgrammes per cubic metre) Daily volumetric instruments

1965	Acton Lane	Chase Road	Eliots Green School	Friars Place Lane	Town Hall Annexe	Walpole Grammar School

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Table 22 AVERAGE MONTHLY INSOLUBLE DEPOSIT Deposit gauges (milligrammes per square metre per day)

1965	Bashley Road	Birk-beck Avenue	Hortus Road	Long-field Depot	Park Avenue	White Street*

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

View report tables

Ealing 1965

83 tables in this report

1. VITAL STATISTICS SUMMARY OF STATISTICS

CAUSES OF DEATH

The figures for attendance in 1965 were as follows:—

The Council has five day nurseries with a total of 224 places, the details of which are given below:—

During the year, the following visits were made:—

The schedule of immunisation used in the clinics for infants and young children is the following:—

The acceptance rate during the year (expressed as a percentage of total births) was:—

Attendances for the year were as shown in the following table:—

Treatment is given at the following places:—

The clinics are open at the following times:—

Table 2 Tuberculosis Welfare Officer

During the year, 14 patients were admitted to hospital. The following table shows the categories into which these admissions fell:—

CASE LOAD OF THE SERVICE Over the last five years there has been a gradual increase in the call on the service. Set out below are details of the types of patients assisted during the year:—

The main disabilities which brought the patient to the Centre were as detailed in the following table:—

This pattern of illness does not differ significantly from that found in previous years. The distribution of referrals during the year from various parts of the Borough were as follows:—

The amount of laundry dealt with in the areas during 1965 is given below:—

Details of the visits that have been in this respect are as follows:— April to December, 1965

Details of the three routine medical inspections carried out in schools are set out below. Numbers examined —1965

The figures given below illustrate the volume of work in this field.

Abnormal eye conditions other than errors of refraction were as follows:—

Ophthalmic sessions are carried out at the following Clinics:

In Acton, there is no orthopaedic clinic, but the area is well served by local hospitals with orthopaedic departments.

The following types of defect were encountered during the year:—

Foot inspections

Table 1

Table 1— continued

Table 2

Table 3 Analysis of intelligence 314 children tested in 1965 (204 boys and 110 girls) Intelligence quotient range

Table 4 Age of 314 children

The following table sets out in their various categories the number of handicapped pupils as at 31st December, 1965.

The Borough is responsible for five special schools:—

The following table gives the analysis or the accidents according to their primary cause:—

Contraventions remedied

Table A Registrations and General Inspections

Table C Analysis of persons employed in registered premises by workplace

Table F Inspectors

PREVENTION OF DAMAGE BY PESTS ACT, 1949 The following is a summary of the work carried out by the rodent operatives:—

Satisfactory progress was made in 1965 and the following action was taken:—

1-9 (consec.) Vine Cottages, Lower Boston Rd., W.7 The remaining families were rehoused from these cottages in a clearance area which was the subject of a Compulsory Purchase Order made in 1959. Demolition of the houses is to take place in 1966.

The following properties were dealt with during 1965:—

Action taken during the year to enforce the provisions of the Housing Acts relating to houses in multiple occupation in this Borough is summarized in the table which follows:—

OVERCROWDING—HOUSING ACT, 1957 The following table gives details of action taken during the year to deal with the abatement of overcrowding:—

The medical points scheme began in October, 1965, and, in the three months of the year during which it has been in operation, the following number of assessments were made:—

intervals throughout the year to ensure compliance with the requirements of the Food Hygiene and the Ice Cream (Heat Treatment) Regulations. Sampling of ice cream and of ice lollies was also carried out systematically and details of samples taken and results of examination are given below.

The following foodstuffs were condemned by the public health inspectors as unfit for human consumption and were surrendered for destruction:—

A summary of result of sampling is given in the following table:-

Progress of Smoke Control Programme

London Borough of Ealing—Smoke Control Areas (coloured yellow on map)

Water Samples, 1965

after investigation proved acceptable. Results of sampling are given in the following table:—

The following figures of establishments relate only to the Ealing and Southall areas.

The number of bodies taken to the mortuary for the period 1st January to 31st March, 1965, was 82. From 1st April to 31st December, a total of 486 bodies was taken to the mortuary, of residents from the following areas:—

The table below shows the number of examinations made between April, 1965, and the end of the year:—

Table 1 infectious and other notifiable diseases classified in age groups

Table 1 — continued INFECTIOUS AND OTHER NOTIFIABLE DISEASES CLASSIFIED IN AGE GROUPS— Continued

Table 1 — continued infectious and other notifiable diseases classified in age groups— Continued

Table 2 clinic sessions

Table 2 — continued clinic sessions— continued

Table 3 vaccination and immunisation of persons under age 16 completed during the year Table 1—Completed Primary Courses, Diphtheria, Whooping Cough, Tetanus and Poliomyelitis

Table 2—Reinforcing Doses

Table 3—Smallpox—Vaccination and Re-vaccination

Table 4 work of mental health social workers for ten months to 31 st december, 1965

Table 5 mental health—number of patients referred during ten months ended 31st december, 1965

Table 6 mental health—patients under london borough of ealing care at 31ST december, 1965

Table 8 factories act, 1961—part I Inspections for the purposes of provisions as to health (including inspections made by public health inspectors).

Table 9 factories act, 1961—part I Cases in which defects were found

Table 10 factories act, 1961—part viii (sections 133 and 134) Outwork

Table 11 legal proceedings under the housing acts The following table gives particulars of prosecutions in connection with houses in multiple occupation:—

Table 12 housing statistics

Table 13 summary of work done and improvements carried out at food premises