[Report of the Medical Officer of Health for Enfield]

Page 5

The total number of casualties for the year is approximately 7% up on the number for 1964 compared with the national increase of approximately 3%.

	1965	1964

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The programme of vaccination and immunisation which we have adopted is as follows, and each parent is given a card on which is recorded the immunisation received by each child:

Age	Visit	Vaccine	Dose	Interval

Page 27

The following statistical information relating to the overall volume of work carried out by the three local stations during the year is of interest:—

	Accident & Emergency		Others
	Patients	Mileage	Patients	Mileage

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Table 1 GENERAL STATISTICS

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Table 2 VITAL STATISTICS

LIVE BIRTHS	Males		Females	Total

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Continued from previous page...

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Table 3 INFANT MORTALITY Deaths from stated causes at various ages under one year of age

CAUSE OF DEATH	Under 1 week	1 and under 2 weeks	2 and under 3 weeks	3 and under 4 weeks	Total under 4 weeks	4 weeks and under 3 months	3 and under 6 months	6 and under 9 months	9 and under 12 months	TOTAL 4 weeks and under 12 month	TOTAL DEATHS UNDER ONE YEAR OF AGE

Page 108

Table 4 CAUSES OF, AND AGES AT, DEATH

CAUSE OF DEATH	Sex	Total All Ages	Under 4 weeks	4 weeks and nnder 1 year	1—	5—	15—	25—	35—	45—	55—	65—	75 & over

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Continued from previous page...

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Table 5 ROAD ACCIDENTS

	Jan.	Feb.	Mar.	Apr.	May	June	July	Aug.	Sept.	Oct.	Nov.	Dec.	Total 1965

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Table 6 Infectious Diseases, Notification and Deaths

DISEASE	Number Notified	Known to be treated in Hospital	Deaths

Page 112

Table 7 Tuberculosis

Age in Years	New Cases				Deaths
	Respiratory		Other Forms		Respiratory		Other Forms
	M	F	M	F	M	F	M	F

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Table 8 Public Health Laboratory Service

Type of Specimen	Number of Specimens submitted			Findings	Number of Positives	% of Positives
Type of Specimen	by Local Authority	by General Practitioners	Total	Findings	Number of Positives	% of Positives

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Table 9 Public Health Laboratory Service

Type of Specimen	Number of Specimens submitted
Type of Specimen	by Local Authority	by General Practitioners	Total

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Table 10 Ante-Natal and Post-Natal Clinics; Relaxation and Mothercraft Classes

Number of Clinics	Number of Sessions			Number of Women in Attendance			Total Number of Attendances
Number of Clinics	Ante-natal	Post-natal	Relaxation and Mothercraft	Ante-natal	Post-natal	Relaxation and Mothercraft	Ante-natal	Post-natal	Relaxation and Mothercraft

Page 115

Table 11 Child Welfare Clinics

Number of Clinics	Number of Sessions	Number of children who attended			Total number of children who attended	Total number of attendances
		Year of birth
		1965	1964	1960-63

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Table 12 Dental Care

Dental Services	Expectant and Nursing Mothers	Children under 5 years of age

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Table 13 Midwives who Notified their intention to Practise within the Borough during 1965

Domiciliary		Institutional
Employed by the Borough	In Private Practice	Hospitals	Nursing Homes	Total

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Table 14 Care of Premature Infants

Number of Premature Babies Born at Home	Premature Babies Born and Nursed at Home
	Number	Died during first 24 hours	Survived to end of 28 days

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Table 15 Visits to Homes made by Health Visitors during 1965

	Number of Visits *
Home Visits to :	First Visits	Total Visits

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Table 16 Work Undertaken by the Home Nurses during 1965

Number of Visits	Number of Patients	Number of Patients under the age of 5 years	Number of Patients aged 65 years or over	Number of Visits of over one hour duration included in the Total

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Table 17 Immunisation against Diphtheria, Whooping Cough, Tetanus and Poliomyelitis Persons aged under 16 years Completed Primary Courses

Type of Vaccine or Dose	Year of Birth					Others Under Age 16	Total
Type of Vaccine or Dose	1965	1964	1963	1962	1958-61	Others Under Age 16	Total

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Table 18 Smallpox Vaccination Persons aged under 16 years

Age at Date of Vaccination	Number of Persons Vaccinatcd or Re-Vaccinated
Age at Date of Vaccination	Number Vaccinated		Number Re-Vaccinated

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Table 19 Tuberculosis Statistics of Chest Clinics 1. Number of cases of tuberculosis under treatment or supervision at 31st December, 1965.

Men	Respiratory				Men	Non-Respiratory
Men	Women	Children		Total	Men	Women		Children		Total

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Table 20 Attendance at Mass Radiography

Persons Attending	Male	Female	Total

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Table 21 Cases of Pulmonary Tuberculosis found at Mass Radiography

Classification	Male	Female	Total

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Table 22 Other Abnormalities found at Mass Radiography

Type	Male	Female	Total

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Table 23 Attendance at Chiropody Clinics

Category of Patient	New Cases	Old Cases	Re-attendances	Total
	First attendances	First attendances

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Table 24 Patients under Local Health Authority Care at 31st December, 1965

	Mentally III					Sub-normal and Severely Sub-normal
	Under age 16		Aged 16 and over		Total	Under age 16		Aged 16 and over		Total
	M	F	M	F	Total	M	F	M	F	Total

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Table 25 Number of Patients referred during year ended 31st December, 1965

Referred by	Mentally 111					Sub-normal and Severely Sub-normal
	Under age 16		Aged 16 and over		Total	Under age 16		Aged 16 and over		Total
	M	F	M	F	Total	M	F	M	F	Total

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Table 26 Work of Mental Welfare Officers

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Table 27 Number of Cases in which Domestic Help was Provided during 1965

Aged 65 years or over at time of first visit	Aged Under 65 years on First Visit				Others	Total
Aged 65 years or over at time of first visit	Maternity	Chronic Sick	Tuberculous	Mentally Disordered	Others	Total

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Table 28 Health Service Staff

Staff (whole.time equivalent)	Actual at Dec. 31st, 1965	Estimated Requirements of Paid Staff in whole.time equivalents (W.T.E.) at 31st December
Staff (whole.time equivalent)	Actual at Dec. 31st, 1965	1966	1967	1968	1969	1970	1975

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TEN YEAR PLAN Table 29 Premises

Year	Section		Premises	No. of Places or Pop. Served	Address	Capital Cost £

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Table 30 Follow-up of Registered Blind and Partially Sighted Persons in 1965

	Cause of Disability Retrolental
	Cataract	Glaucoma	fibroplasia	Myopia	Others

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Table 31 Metropolitan Water Board Chemical and Mineral Analysis

	Average Results in Milligrammes per litre where applicable
	Thames derived North of River	New River derived	Hoe Lane Well derived	Hadley Road Well derived	Waltham Abbey Well derived

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Table 32 Metropolitan Water Board Average Bacteriological Results

	Thames derived North of River	New River derived	Hoe Lane Well derived	Hadley Road Well derived	Waltham Abbey Well derived

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Table 33 Chemical and Mineral Analysis Lee Valley Water Company

	North Minims Pumping Station with Coagulation/Filtration Plant
	Average Results in Milligrammes per litre where applicable
	Raw Maximum	Raw Minimum	Treated Average

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Table 34 Lee Valley Water Company Average Bacteriological Results

	North Mimms Pumping Station	Borough of Enfield Supply

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Table 35 Smoke Control Areas

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Table 36 National Survey of Air Pollution A. Smoke. (Micrograms per cubic metre). Average daily amounts.

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

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B. Sulphur Dioxide (Micrograms per cubic metre). Average daily amounts.

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

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FOOD and DRUGS Table 38 Samples Submitted to Public Analyst

Samples	Total No. Procured	No. Unsatisfactory

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FOOD AND DRUGS Table 39 Bacteriological Examination of Ice-Cream

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Table 40 Bacteriological Examination of Milk

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Table 41 Inspections and Defects

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HOUSING Table 42 Housing Defects Remedied

Nature of defect remedied	No.

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SHOPS and OFFICES Table 43 Visits Under Offices, Shops and Railway Premises Act, 1963

Class of Premises	Number of Registered Premises receiving a general inspection	Total Visits of all kinds to Registered Premises

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Table 44 Inspections for purposes of provisions as to health made during the year

Premises	Number on Register	Inspections	Number of Written Notices	Occupiers Prosecuted

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Table 45 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
			To H.M. Inspector	By H.M. Inspector

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Table 46 Inspections and Visits of the Public Health Inspectorate

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Table 47 Summary of Complaints

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Table 48 Routine Medical Inspection

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Table 49 Defects found at Periodic Inspections (Classified in accordance with the requirements of the Department of Education and Science

Defect or Disease	Requiring Treatment	Requiring Observation

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Table 50 Defects found at Special Inspections at Minor Ailment Clinics (Classified in accordance with the requirements of the Department of Education and Science)

Defect or Disease	Requiring Treatment	Requiring Observation

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Table 51 Hearing Tests by Audiometer

		No. found to have a hearing loss
		Both Ears	Right Ear	Left Ear	TOTAL

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INSPECTIONS FOR CLEANLINESS Table 52 Infestation with Vermin

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Table 53 Defects Treated at Minor Ailment Clincs

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Table 54 Ear, Nose and Throat Clinics

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Table 55 Ophthalmic Clinics

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Table 56 Orthoptic Clinics

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Table 57 Orthopaedic Clinic

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Table 58 Speech Clinics

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Table 59 Child Guidance Clinic

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Table 60 Dental Inspection and Treatment

Attendances and Treatment	5 to 9 years	10 to 14 years	15 years and over	TOTAL

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Table 61 Children in Special Schools

Category	Day	Residential

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

View report tables

Enfield 1965

67 tables in this report

The total number of casualties for the year is approximately 7% up on the number for 1964 compared with the national increase of approximately 3%.

The programme of vaccination and immunisation which we have adopted is as follows, and each parent is given a card on which is recorded the immunisation received by each child:

The following statistical information relating to the overall volume of work carried out by the three local stations during the year is of interest:—

Table 1 GENERAL STATISTICS

Table 2 VITAL STATISTICS

Continued from previous page...

Table 3 INFANT MORTALITY Deaths from stated causes at various ages under one year of age

Table 4 CAUSES OF, AND AGES AT, DEATH

Continued from previous page...

Table 5 ROAD ACCIDENTS

Table 6 Infectious Diseases, Notification and Deaths

Table 7 Tuberculosis

Table 8 Public Health Laboratory Service

Table 9 Public Health Laboratory Service

Table 10 Ante-Natal and Post-Natal Clinics; Relaxation and Mothercraft Classes

Table 11 Child Welfare Clinics

Table 12 Dental Care

Table 13 Midwives who Notified their intention to Practise within the Borough during 1965

Table 14 Care of Premature Infants

Table 15 Visits to Homes made by Health Visitors during 1965

Table 16 Work Undertaken by the Home Nurses during 1965

Table 17 Immunisation against Diphtheria, Whooping Cough, Tetanus and Poliomyelitis Persons aged under 16 years Completed Primary Courses

Table 18 Smallpox Vaccination Persons aged under 16 years

Table 19 Tuberculosis Statistics of Chest Clinics 1. Number of cases of tuberculosis under treatment or supervision at 31st December, 1965.

Table 20 Attendance at Mass Radiography

Table 21 Cases of Pulmonary Tuberculosis found at Mass Radiography

Table 22 Other Abnormalities found at Mass Radiography

Table 23 Attendance at Chiropody Clinics

Table 24 Patients under Local Health Authority Care at 31st December, 1965

Table 25 Number of Patients referred during year ended 31st December, 1965

Table 26 Work of Mental Welfare Officers

Table 27 Number of Cases in which Domestic Help was Provided during 1965

Table 28 Health Service Staff

TEN YEAR PLAN Table 29 Premises

Table 30 Follow-up of Registered Blind and Partially Sighted Persons in 1965

Table 31 Metropolitan Water Board Chemical and Mineral Analysis

Table 32 Metropolitan Water Board Average Bacteriological Results

Table 33 Chemical and Mineral Analysis Lee Valley Water Company

Table 34 Lee Valley Water Company Average Bacteriological Results

Table 35 Smoke Control Areas

Table 36 National Survey of Air Pollution A. Smoke. (Micrograms per cubic metre). Average daily amounts.

B. Sulphur Dioxide (Micrograms per cubic metre). Average daily amounts.

FOOD and DRUGS Table 38 Samples Submitted to Public Analyst

FOOD AND DRUGS Table 39 Bacteriological Examination of Ice-Cream

Table 40 Bacteriological Examination of Milk

Table 41 Inspections and Defects

HOUSING Table 42 Housing Defects Remedied

SHOPS and OFFICES Table 43 Visits Under Offices, Shops and Railway Premises Act, 1963

Table 44 Inspections for purposes of provisions as to health made during the year

Table 45 Cases in which Defects were found

Table 46 Inspections and Visits of the Public Health Inspectorate

Table 47 Summary of Complaints

Table 48 Routine Medical Inspection

Table 49 Defects found at Periodic Inspections (Classified in accordance with the requirements of the Department of Education and Science

Table 50 Defects found at Special Inspections at Minor Ailment Clinics (Classified in accordance with the requirements of the Department of Education and Science)

Table 51 Hearing Tests by Audiometer

INSPECTIONS FOR CLEANLINESS Table 52 Infestation with Vermin

Table 53 Defects Treated at Minor Ailment Clincs

Table 54 Ear, Nose and Throat Clinics

Table 55 Ophthalmic Clinics

Table 56 Orthoptic Clinics

Table 57 Orthopaedic Clinic

Table 58 Speech Clinics

Table 59 Child Guidance Clinic

Table 60 Dental Inspection and Treatment

Table 61 Children in Special Schools

Table 62 B.C.G. Vaccination Scheme