[Report of the Medical Officer of Health for Enfield]

Page 15

I am grateful to the Borough Engineer and Surveyor for the following statistics, report and opinions on road accidents occurring within the Borough.

	1966	1967	1968

Page 19

Infective Hepatitis

Age in Years	No. of Cases		Totals
Age in Years	M	F	Totals

Page 81

Lead Content of water from main taps in consumers' premises

Lead content (mg/1 Pb)	Samples of water standing in lead pipe overnight	Samples of water after running the tap

Page 92

The number of food complaints received was 46. Following investigation, warning letters were sent in the majority of incidents but in fourteen cases, legal proceedings were instituted with the following results :—

Item	Fine			Costs
	£	s.	d.	£	s.	d.

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COURSES ATTENDED BY HEALTH DEPARTMENT STAFF

Officers	Course and Numbers Attending	Duration

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Continued from previous page...

Officers	Course and Numbers Attending	Duration

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TABLE 1 GENERAL STATISTICS

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TABLE 2 VITAL STATISTICS 1968

LIVE BIRTHS	Males	Females	Total	EARLY NEO-NATAL DEATHS
Legitimate	1,886	1,819	3,705	(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 month	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-	s-	15-	AGE IN YEARS			55-	65 -	75 and over
CAUSE OF DEATH	Sex	Total All Ages	Under 4 weeks	4 weeks and under 1 year	l-	s-	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 1968	Total 1967

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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 INFECHOUS DISEASE Public Health Laboratory Service Clinical and Environmental Specimens — Findings

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 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 Health 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 1968

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

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TABLE 14 MIDWIFERY Care of Premature Infants

Number of Premature Babies Born at Home	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

Home Visits to :	* 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, Poliomyelitis and Measles Persons aged under 16 years (a) Completed Primary Courses.

Type of Vaccine	Year of Birth					Others under age 16	Total
Type of Vaccine	1968	1967	1966	1965	1961/64	Others under age 16	Total

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(b) Reinforcing Doses

Type of Vaccine	Year of Birth					Others under age 16	Total
Type of Vaccine	1968	1967	1966	1965	1961/64	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 1968 of Children born in 1966

Number of Children in Enfield born in 1966 :			4,241
Immunisation	No. of Children	Acceptance Rate per cent
Against	Immunised (Enfield)	Enfield	England & Wales

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

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 (a) Attendances at Clinics

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			Totals
	Syphilis	Gonorrhoea	Other conditions

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TABLE 24 SMOKERS CLINIC 1967

		Attended 5 Sessions				Attended 3-4 Sessions				Attended 1-2 Sessions
		Replies to Questionnaire				Replies to Questionnaire				Replies to Questionnaire
Dates	Sex	Total Attended	No. of Replies	Not Smoking	Smoking	Total Attended	No. of Replies	Not Smoking	Smoking	Total Attended	No. of Replies	Not Smoking	Smoking

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MENTAL HEALTH Patients under Local Health Authority Care at 31st December, 1968

	Mentally III							Subnormal and Severely Subnormal
	Under aged 16 yrs.		Aged 16 yrs. to 64 yrs.		Aged 65 yrs. and over		Total	Under age 16 yrs.		Aged 16 yrs. and over		Total

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TABLE 26 MENTAL HEALTH Patients referred to Health Department during year ended 31st December, 1968

Referred by	Mentally III					Subnormal and Severely Subnormal

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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 1968

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

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TABLE 29 DEVELOPMENT PLAN

Year	Section	Premises	No. of places or Pop. served	Address

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TABLE 30 CERTIFICATION OF BLINDNESS AND PARTIAL SIGHT Follow-up of Registered Blind and Partially Sighted Persons in 1968

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TABLE 31 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 32 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 33 WATER SUPPLY Lee Valley Water Company Representative Sample

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TABLE 34 CLEAN AIR Area of the borough (in acres) 20,061 Total number of premises as at 31st December, 1968 103,526

(a) Areas in Operation ENFIELD Area		No. of Premises	Acreage

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TABLE 35 FOOD AND DRUGS Samples Submitted to Public Analyst

Sample	Total Number Procured	Number Unsatisfactory

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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. Methylene Blue Test (for keeping quality)

Designation	Number of Samples	Results
Designation	Number of Samples	Satisfactory	Void	Unsatisfactory

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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
Particulars	Found	Remedied	Refe to H.M. Inspector	rred by H.M. Inspector	Number of cases in which prosecutions were instituted

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

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

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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 (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 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

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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 1968

66 tables in this report

I am grateful to the Borough Engineer and Surveyor for the following statistics, report and opinions on road accidents occurring within the Borough.

Infective Hepatitis

Lead Content of water from main taps in consumers' premises

The number of food complaints received was 46. Following investigation, warning letters were sent in the majority of incidents but in fourteen cases, legal proceedings were instituted with the following results :—

COURSES ATTENDED BY HEALTH DEPARTMENT STAFF

Continued from previous page...

TABLE 1 GENERAL STATISTICS

TABLE 2 VITAL STATISTICS 1968

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 INFECHOUS 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 Health 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 1968

TABLE 14 MIDWIFERY Care of Premature Infants

TABLE 15 HEALTH VISITING Visits to Homes made by Health Visitors

TABLE 16 HOME NURSING Work Undertaken by the Home Nurses

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

(b) Reinforcing Doses

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 1968 of Children born in 1966

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

TABLE 21 ATTENDANCE AT MASS RADIOGRAPHY

TABLE 22 CHIROPODY SERVICE (a) Attendances at Clinics

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

TABLE 24 SMOKERS CLINIC 1967

MENTAL HEALTH Patients under Local Health Authority Care at 31st December, 1968

TABLE 26 MENTAL HEALTH Patients referred to Health Department during year ended 31st December, 1968

TABLE 27 MENTAL HEALTH Work of Mental Welfare Officers

TABLE 28 DOMESTIC HELP Number of Cases in which Domestic Help was Provided during 1968

TABLE 29 DEVELOPMENT PLAN

TABLE 30 CERTIFICATION OF BLINDNESS AND PARTIAL SIGHT Follow-up of Registered Blind and Partially Sighted Persons in 1968

TABLE 31 WATER SUPPLY Metropolitan Water Board Chemical and Mineral Analysis

TABLE 32 WATER SUPPLY Metropolitan Water Board Average Bacteriological Results

TABLE 33 WATER SUPPLY Lee Valley Water Company Representative Sample

TABLE 34 CLEAN AIR Area of the borough (in acres) 20,061 Total number of premises as at 31st December, 1968 103,526

TABLE 35 FOOD AND DRUGS Samples Submitted to Public Analyst

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

TABLE 37 FOOD AND DRUGS Bacteriological Examination of Milk 1. Methylene Blue Test (for keeping quality)

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, Interviewas and Visits of the Public Health Inspectorate

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

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 (Classified in accordance with the requirements of the Department of Education and Science)

TABLE 48 HEARING TESTS BY AUDIOMETER

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