[Report of the Medical Officer of Health for Enfield]

Page 39

The following statistical information shows that there has been a considerable increase in the overall volume of work this year compared with last year.

	Accident & Patients	Emergency Mileage	Others
	Accident & Patients	Emergency Mileage	Patients	Mileage

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Following investigation, warning letters were sent in the majority of incidents but in 12 cases legal proceedings were instituted with the following results:

Complaint	Fine Imposed	Costs Awarded

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OUTWORKERS Section 133(l)(c) of The Factories Act, 1961, requires occupiers of factories to notify local authorities of the names and addresses of persons employed by them in their own homes. The following table shows, by trades, the number of outworkers in the district:

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The present strength of the Section is as follows:—

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STAFF The following whole-time equivalent personnel comprise the establishment of the Health Department:

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The following are the approximate numbers of whole-time equivalent staff on the establishment of the Borough:

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TABLE 1 GENERAL STATISTICS

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TABLE 2 VITAL STATISTICS 1966

LIVE BIRTHS	Males	Females	Total	EARLY NEO-NATAL DEATHS	Males	Females	Total
Legitimate	2,087	1,900	3,987	(deaths under the age of 1 week)	Males	Females	Total

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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 months	Total deaths under 1 year

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TABLE 4 CAUSES OF, AND AGES AT, DEATH

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

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Continued from previous page...

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TABLE 5 ROAD ACCIDENTS

	Jan.	Feb.	Mar.	Apr.	May	Jun.	July	Aug.	Sep.	Oct.	Nov.	Dec.	Total 1966	Total 1965

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TABLE 6 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE Notification and Deaths

DISEASE	Number notified	Known to be treated in hospital	Deaths

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TABLE 7 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE 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 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE Public Health Laboratory Service Clinical and Environmental Specimens — Findings

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

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TABLE 9 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE Public Health Laboratory Service Clinical Specimens — Type and Number

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

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TABLE 10 CARE OF MOTHERS AND YOUNG CHILDREN 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 and Post-natal (combined sessions)	Relaxation and Mothercraft	Ante-natal	Post-natal	Relaxation and Mothercraft	Ante-natal	Post-natal	Relaxation and Mothercraft

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TABLE 11 CARE OF MOTHERS AND YOUNG CHILDREN Child Welfare Clinics

Number of Clinics	Number of Sessions	Number of children who attended			Total number of children who attended	Total number of attendances

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TABLE 12 CARE OF MOTHERS AND YOUNG CHILDREN Dental Care

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

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TABLE 13 MIDWIFERY Midwives who Notified their intention to Practise within the Borough during 1966

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

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TABLE 14 MIDWIFERY Care of Premature Infants

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

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TABLE 15 HEALTH VISITING Visits to Homes made by Health Visitors

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

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>TABLE 16 HOME NURSING Work Undertaken by the Home Nurses

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 VACCINATION AND IMMUNISATION Immunisation against Diphtheria, Whooping Cough, Tetanus and Poliomyelitis Persons aged under 16 years (a) Completed Primary Courses

Type of Vaccine		Year of Birth					Others Under Age 16	Total
Type of Vaccine		1966	1965	1964	1963	1959-62	Others Under Age 16	Total

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TABLE 18 VACCINATION AND IMMUNISATION Smallpox Vaccination Persons aged under 16 years

Age at Date of Vaccination	Number of Persons
Age at Date of Vaccination	Vaccinated	Re-vaccinated

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TABLE 19 VACCINATION AND IMMUNISATION Completed Primary Courses of Immunisation by end of 1966 of Children born in 1964

Immunisation against	No. of Children Immunised (Enfield)	Acceptance Rate %
Immunisation against	No. of Children Immunised (Enfield)	Enfield	England & Wales

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TABLE 20 PREVENTION OF ILLNESS, CARE AND AFTER-CARE Tuberculosis Statistics of Chest Clinics

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

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TABLE 21 ATTENDANCE AT MASS RADIOGRAPHY

	Male	Female	Total

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TABLE 22 CHIROPODY SERVICE

Category of Patient	New Cases first attendances			Old Cases first attendances	Re-attendances	Total attendances for treatment

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TABLE 23 PREVENTION OF ILLNESS, CARE AND AFTER-CARE Venereal Diseases

Hospital	Number of New Cases
	Syphilis	Gonorrhoea	Other conditions	Totals

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TABLE 24 SMOKERS CLINIC, 1965

Series		Attended All Sessions (6)				Attended 3-5 Sessions				Attended less than 3 Sessions
Series		Total	No Reply	Not Smoking	Smoking	Total	No Reply	Not Smoking	Smoking	Total	No Reply	Not Smoking	Smoking

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TABLE 25 MENTAL HEALTH Patients under Local Health Authority Care at 31st December, 1966

	Mentally I11							Subnormal and Severely Subnormal
	Under age 16 yrs.		Aged 16 yrs. to 64 yrs.		Aged 65 yrs. and over		Total	Under age 16 yrs.		Aged 16 yrs. and over		Total
	M	F	M	F	M	F		M	F	M	F

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TABLE 26 MENTAL HEALTH Patients referred to Health Department during year ended 31st December, 1966

Referred by	Mentally III					Subnormal and Severely Subnormal
	Under age 16		Aged 16 and over		Total	Under age 16		Aged 16 and over		Total

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TABLE 27 MENTAL HEALTH Work of Mental Welfare Officers

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TABLE 28 DOMESTIC HELP Number of Cases in which Domestic Help was Provided during 1966

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

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TABLE 29 CERTIFICATION OF BLINDNESS AND PARTIAL SIGHT Follow-up of Registered Blind and Partially Sighted Persons in 1966

	Cause of Disability
	Cataract	Glaucoma	Retrolental Fibroplasia	Myopia	Others

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TABLE 30 WATER SUPPLY Metropolitan Water Board Chemical and Mineral Analysis

	Average results in milligrams 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 31 WATER SUPPLY Metropolitan Water Board Average Bacteriological Results

	Results before Treatment
	* 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 CLEAN AIR Smoke Control Areas

ENFIELD	Area	No of Premises	Acreage
Area of the Borough (in acres)		20,061
Total number of properties as at 31st December, 1966		100,590
(a) Areas in Operation

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TABLE 33 CLEAN AIR National Survey of Air Pollution A. Smoke (Micrograms per cubic metre). Average daily amounts

	Jan.	Feb.	Mar.	Apr.	May	June	July	Aug.	Sep.	Oct.	Nov.	Dee.

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TABLE 35 FOOD AND DRUGS Samples Submitted to Public Analyst

Sample	Total Number Procured	Number Unsatisfactory

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TABLE 36 FOOD AND DRUGS Bacteriological Examination of Ice-Cream Methylene Blue Test

Vendor		Type of Ice-Cream	Results
			Grade
			1	2	3	4

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TABLE 37 FOOD AND DRUGS Bacteriological Examination of Milk

1.
Designation	Number of Samples	Results
Designation	Number of Samples	Satisfactory	Void	Unsatisfactory
Pasteurised	170	158 (92.94%)	11 (6.47%)	1 (0.59%)

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TABLE 38 HOUSING Inspections and Defects

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TABLE 39 HOUSING Housing Defects Remedied

Nature of Defect	Action Taken	Number

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TABLE 40 SHOPS AND OFFICES 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 41 FACTORIES AND WORKSHOPS Inspections for Purposes of Provisions as to Health

Premises	Number on Register	Inspections	Number of Written Notices	Occupiers Prosecuted

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TABLE 42 FACTORIES AND WORKSHOPS 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 43 INSPECTIONS AND COMPLAINTS Inspections, Interviews and Visits of the Public Health Inspectorate

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TABLE 44 INSPECTIONS AND COMPLAINTS Summary of Complaints and Requests for Visits Received

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TABLE 45 MEDICAL INSPECTION Routine Medical Inspection

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TABLE 46 MEDICAL INSPECTION Defects found at Periodic Inspection (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 47 MEDICAL INSPECTION Defects found at Special Inspections at Minor Ailments 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 48 HEARING TESTS BY AUDIOMETER

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

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TABLE 49 INSPECTIONS FOR CLEANLINESS Infestation with Vermin

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TABLE 50 MEDICAL TREATMENT Defects treated at Minor Ailments Clinics (Classified in accordance with the requirements of the Department of Education and Science)

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TABLE 51 EAR, NOSE AND THROAT CLINICS

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TABLE 52 OPHTHALMIC CLINICS

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TABLE 53 ORTHOPTIC CLINICS

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TABLE 54 ORTHOPAEDIC CLINIC

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TABLE 55 SPEECH CLINICS

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TABLE 56 CHILD GUIDANCE CLINIC

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TABLE 57 DENTAL SERVICE Dental Inspection and Treatment

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

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TABLE 58 HANDICAPPED CHILDREN Children in Special Schools

Category	Day	Residential

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

View report tables

Enfield 1966

65 tables in this report

The following statistical information shows that there has been a considerable increase in the overall volume of work this year compared with last year.

Following investigation, warning letters were sent in the majority of incidents but in 12 cases legal proceedings were instituted with the following results:

OUTWORKERS Section 133(l)(c) of The Factories Act, 1961, requires occupiers of factories to notify local authorities of the names and addresses of persons employed by them in their own homes. The following table shows, by trades, the number of outworkers in the district:

The present strength of the Section is as follows:—

STAFF The following whole-time equivalent personnel comprise the establishment of the Health Department:

The following are the approximate numbers of whole-time equivalent staff on the establishment of the Borough:

TABLE 1 GENERAL STATISTICS

TABLE 2 VITAL STATISTICS 1966

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 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE Notification and Deaths

TABLE 7 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE Tuberculosis

TABLE 8 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE Public Health Laboratory Service Clinical and Environmental Specimens — Findings

TABLE 9 PREVALENCE AND CONTROL OF INFECTIOUS DISEASE Public Health Laboratory Service Clinical Specimens — Type and Number

TABLE 10 CARE OF MOTHERS AND YOUNG CHILDREN Ante-natal and Post-natal Clinics: Relaxation and Mothercraft Classes

TABLE 11 CARE OF MOTHERS AND YOUNG CHILDREN Child Welfare Clinics

TABLE 12 CARE OF MOTHERS AND YOUNG CHILDREN Dental Care

TABLE 13 MIDWIFERY Midwives who Notified their intention to Practise within the Borough during 1966

TABLE 14 MIDWIFERY Care of Premature Infants

TABLE 15 HEALTH VISITING Visits to Homes made by Health Visitors

&gt;TABLE 16 HOME NURSING Work Undertaken by the Home Nurses

TABLE 17 VACCINATION AND IMMUNISATION Immunisation against Diphtheria, Whooping Cough, Tetanus and Poliomyelitis Persons aged under 16 years (a) Completed Primary Courses

TABLE 18 VACCINATION AND IMMUNISATION Smallpox Vaccination Persons aged under 16 years

TABLE 19 VACCINATION AND IMMUNISATION Completed Primary Courses of Immunisation by end of 1966 of Children born in 1964

TABLE 20 PREVENTION OF ILLNESS, CARE AND AFTER-CARE Tuberculosis Statistics of Chest Clinics

TABLE 21 ATTENDANCE AT MASS RADIOGRAPHY

TABLE 22 CHIROPODY SERVICE

TABLE 23 PREVENTION OF ILLNESS, CARE AND AFTER-CARE Venereal Diseases

TABLE 24 SMOKERS CLINIC, 1965

TABLE 25 MENTAL HEALTH Patients under Local Health Authority Care at 31st December, 1966

TABLE 26 MENTAL HEALTH Patients referred to Health Department during year ended 31st December, 1966

TABLE 27 MENTAL HEALTH Work of Mental Welfare Officers

TABLE 28 DOMESTIC HELP Number of Cases in which Domestic Help was Provided during 1966

TABLE 29 CERTIFICATION OF BLINDNESS AND PARTIAL SIGHT Follow-up of Registered Blind and Partially Sighted Persons in 1966

TABLE 30 WATER SUPPLY Metropolitan Water Board Chemical and Mineral Analysis

TABLE 31 WATER SUPPLY Metropolitan Water Board Average Bacteriological Results

TABLE 32 CLEAN AIR Smoke Control Areas

TABLE 33 CLEAN AIR National Survey of Air Pollution A. Smoke (Micrograms per cubic metre). Average daily amounts

TABLE 35 FOOD AND DRUGS Samples Submitted to Public Analyst

TABLE 36 FOOD AND DRUGS Bacteriological Examination of Ice-Cream Methylene Blue Test

TABLE 37 FOOD AND DRUGS Bacteriological Examination of Milk

TABLE 38 HOUSING Inspections and Defects

TABLE 39 HOUSING Housing Defects Remedied

TABLE 40 SHOPS AND OFFICES Visits Under Offices, Shops and Railway Premises Act, 1963

TABLE 41 FACTORIES AND WORKSHOPS Inspections for Purposes of Provisions as to Health

TABLE 42 FACTORIES AND WORKSHOPS Cases in which Defects were found

TABLE 43 INSPECTIONS AND COMPLAINTS Inspections, Interviews and Visits of the Public Health Inspectorate

TABLE 44 INSPECTIONS AND COMPLAINTS Summary of Complaints and Requests for Visits Received

TABLE 45 MEDICAL INSPECTION Routine Medical Inspection

TABLE 46 MEDICAL INSPECTION Defects found at Periodic Inspection (Classified in accordance with the requirements of the Department of Education and Science)

TABLE 47 MEDICAL INSPECTION Defects found at Special Inspections at Minor Ailments Clinics (Classified in accordance with the requirements of the Department of Education and Science)

TABLE 48 HEARING TESTS BY AUDIOMETER

TABLE 49 INSPECTIONS FOR CLEANLINESS Infestation with Vermin

TABLE 50 MEDICAL TREATMENT Defects treated at Minor Ailments Clinics (Classified in accordance with the requirements of the Department of Education and Science)

TABLE 51 EAR, NOSE AND THROAT CLINICS

TABLE 52 OPHTHALMIC CLINICS

TABLE 53 ORTHOPTIC CLINICS

TABLE 54 ORTHOPAEDIC CLINIC

TABLE 55 SPEECH CLINICS

TABLE 56 CHILD GUIDANCE CLINIC

TABLE 57 DENTAL SERVICE Dental Inspection and Treatment

TABLE 58 HANDICAPPED CHILDREN Children in Special Schools

TABLE 59 VACCINATION AND IMMUNISATION B.C.G. Vaccination Scheme

>TABLE 16 HOME NURSING Work Undertaken by the Home Nurses