[Report of the Medical Officer of Health for Enfield]

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Table 1 General Statistics

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Table 2 Vital Statistics 1971

LIVE BIRTHS	Males	Females	Total	EARLY NEO-NATAL DEATHS (deaths under the age of 1 week):	Males	Females	Total

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Table3 Infant Mortality Deaths from stated causes at various ages under one year of age

Cause of Death	Under 4 weeks	4 weeks and under 12 months	Total deaths under 1 vear

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Table 4 Causes of, and ages at, death

CAUSE OF DEATH	Sex	All Ages	Under 4 weeks	4 weeks & under 1year	Age in years
CAUSE OF DEATH	Sex	All Ages	Under 4 weeks	4 weeks & under 1year	1-4	5-14	15-24	2534	35-44	45-54	55-65	65-74	75 and over

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Continued from privious page...

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Table 5 Road Accidents

	Jan.	Feb.	Mar.	Apr.	May	Jun.	July	Aug.	Sept.	Oct.	Nov.	Dec.	Total 1971	Total 1970

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Table 6 Prevalence and Control of Infectious Disease Notification and Deaths

DISEASE	Number Notified	Known to be treated in hospital	Attack rate per 1,000 population	Deaths

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Table 7 Prevalence and Control of Infectious Disease Tuberculosis

Age in Years	New Cases				Deaths
	Repiratory		Other Forms		Repiratory		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 Environmental Specimens

Type of Specimen	Number Submitted by Local Authority	Findings	Number of Positives

Page 37

I am indebted to the Organising Secretary of the Unit for the following information:—

Location	Male	Female	Total

Page 49

Table 9 Care of Mothers and Young Children Ante-natal and Post-natal Clinics: Relaxation and Mothercraft Classes

	Antenatal	Postnatal	Relaxation and Mothercraft

Page 49

Table 10 Care of Mothers and Young Children Child Health Clinics

No. of sessions	No. of children who attended				Total attendances
	Year of birth			Total
	1971	1970	1966-69	Total

Page 49

Table 11 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 12 Midwifery Midwives who notified their intention to practise within the Borough during 1971

Domiciliary			Institutional		Total
Employed by local health authorities		In Private Practice	Hospitals	Nursing Homes	Total

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Table 13 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 14 Health Visiting Visits to Homes by Health visitors

	*Number of Visits
	First Visits	Total Visits

Page 50

Table 15 Home Nursing Work Undertaken by the Home Nurses

Number of Visits and Treatments	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 16 Vaccination and Immunisation Immunisation against Diphtheria, Whooping Cough, Tetanus, Poliomyelitis, Measles and Rubella Persons aged under16 years (a) Completed Primary Courses

Type of Vaccine		Year of Birth					Others under age 16	Total
Type of Vaccine		1971	1970	1969	1968	1964/7	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		1971	1970	1969	1968	1964/7	Others under age 16	Total

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Table 17 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 18 Vaccination and Immunisation Completed Primary Courses of Immunisation by end of 1971 Children born in 1969

Number of Children in Enfield born in 1969: 3,890
Immunisation Against	No. of Children Immunised (Enfield)	Acceptance Rate per cent.
Immunisation Against	No. of Children Immunised (Enfield)	Enfield	England and Wales

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Table 19 Vaccination and Immunisation B.C.G. Vaccination

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Table 20 Prophylaxis, Care and After-Care Tuberculosis: Statistics of chest clinic

1. Number of cases of tuberculosis under treatment, supervision or observation at 31st December, 1971:
Respiratory				Non-Respiratory Tuberculosis:
Men	Women	Children	Total	Men	Women	Children	Total.

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Table 21 Chiropody Service (a) Attendance at Clinics

Category of Patient	New Cases: First attendances	Old Cases: First attendances during the year	Re-attendances	Total attendances for treatmentp

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(b) Domiciliary Chiropody Service

Number of patients	Number of Treatments

Page 54

(c) Services provided by Voluntary Organisations

	Number of Patients	Number of Treatments

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Table 22 Prophylaxis, Care Venereal Diseases

Hospital	Number of New Cases			Totals
Hospital	Syphilis	Gonorrhoea	Other Conditions	Totals

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Table 23 Smokers' Clinic 1970 Replies to Questionnaires

Attended 5 or more Sessions						Attended 3 - 4 Sessions						Attended 1 - 2 Sessions
Total attended		No. of replies		Not Smoking		Total attended		No. of replies		Not Smoking		Total attended		No. of replies		Not Smoking
M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

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Table 24 Mental Health Patients under Local Health Authority Care at 31st March, 1971

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

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Table 25 Mental Health Patients referred to Health Department during period 1st January -31st March, 1971

Referred by	Mentally ill					Mentally Handicapped and Severely Mentally Handicapped
Referred by	Under age 16 yrs.		Aged 16 yrs. and over		Total	Under age 16 yrs.		Aged 16 yrs. and over		Total
	M	F	M	F	Total	M	F	M	F	Total

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Table 26 Domestic Help Number of Cases in which Domestic Help was provided during period 1st January - 31st March 1971

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

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Table 27 Development Plan

Year	Legislation		Project	No. of Places or Population Served	Address

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The following table shows, by trades, the number of outworkers in the district.

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Table 29 Food and Drugs Samples submitted to Public Analyst

Sample	Total Number Procured	Number Unsatisfactory

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Table 30 Food and Drugs Bacteriological examination of ice-cream Methylene Blue Test

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

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Table 31 Food and Drugs Bacteriological examination of milk 1. Methylene Blue Test (for keeping quality) 2. Phosphatase Test (for efficiency of pasteurisation) 3. Turbidity Test (for efficiency of sterilisation) 4. Colony Count (for efficiency of heat treatment)

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

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Table 33 Housing Inspections and Defects

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Table 37 Factories and Workshops Cases in which Defects were found

Particulars	Number of cases in which defects were				Number of cases in which prosecutions were instituted
Particulars	Found	Remedied	Referred toH.M. Inspector	Referred by H.M. Inspector	Number of cases in which prosecutions were instituted

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Table 38 Inspections and Complaints Inspections, Interviews and Visits of the Public Health Inspectorate

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Table 39 Inspections and Complaints Summary of Complaints and Requests for Visits

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Table 40 Water Supply Metropolitan Water Board Chemical and Mineral Analysis

	Average Results in milligrams per litre where applicable
	Thames Derived	New River Derived	Hoe Lane Well Derived	Hadley Road Well Derived	Waltham Abbey Well Derived

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Table 41 Water supply Metropolitan Water Board Average Bacteriological Results

	Results before Treatment
	Thames Derived	New River Derived	Hoe Lane Well Derived	Hadley Road Well Derived	Waltham Abbey Well Derived

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Table 42 Water Supply Lee Valley Water Company Representative Sample

	Chemical Results Expressed in Milligrammes per Litre

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Table 43 Medical Inspection Pupils attending maintained primary and secondary schools (including nursery and special schools)

Age groups inspected (by year of birth)	No. of pupils who have received a full medical examination	Pupils found to require treatment (excluding dental diseases and infestation with vermin)
Age groups inspected (by year of birth)	No. of pupils who have received a full medical examination	for defective vision (excluding squint)	for any other condition	Total individual pupils

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Table 44 Medical Inspection Defects found at periodic and special inspections (Classified in accordance with the requirements of the Department of Education and Science)

Defect or Disease	Periodic		Special
Defect or Disease	Requiring Treatment	Requiring Observation	Requiring Treatment	Requiring Observation

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Table 45 Medical Inspection Special inspections and re-inspections

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Table 46 Hearing tests by audiometer (a) Routine tests in school

Age Group	1st Test	Failures				Of total failures number already known to have hearing loss	Re-Tests
		Both ears	one ear		Total
		Both ears	right	left	Total

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Table 47 Inspections for cleanliness Infestation with vermin

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Table 50 Ophthalmic clinics

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Table 53 Speech therapy Clinics and special schools

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Table 55 Dental service Dental inspection and treatment

	5-9 years	10-14 years	15 years and over	Total

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Table 56 Handicapped children Children in special schools

Category	Day	Residential

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

View report tables

Enfield 1971

52 tables in this report

Table 1 General Statistics

Table 2 Vital Statistics 1971

Table3 Infant Mortality Deaths from stated causes at various ages under one year of age

Table 4 Causes of, and ages at, death

Continued from privious 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 Environmental Specimens

I am indebted to the Organising Secretary of the Unit for the following information:—

Table 9 Care of Mothers and Young Children Ante-natal and Post-natal Clinics: Relaxation and Mothercraft Classes

Table 10 Care of Mothers and Young Children Child Health Clinics

Table 11 Care of Mothers and Young Children Dental Care

Table 12 Midwifery Midwives who notified their intention to practise within the Borough during 1971

Table 13 Midwifery Care of Premature Infants

Table 14 Health Visiting Visits to Homes by Health visitors

Table 15 Home Nursing Work Undertaken by the Home Nurses

Table 16 Vaccination and Immunisation Immunisation against Diphtheria, Whooping Cough, Tetanus, Poliomyelitis, Measles and Rubella Persons aged under16 years (a) Completed Primary Courses

(b) Reinforcing Doses

Table 17 Vaccination and Immunisation Smallpox Vaccination Persons aged under 16 years

Table 18 Vaccination and Immunisation Completed Primary Courses of Immunisation by end of 1971 Children born in 1969

Table 19 Vaccination and Immunisation B.C.G. Vaccination

Table 20 Prophylaxis, Care and After-Care Tuberculosis: Statistics of chest clinic

Table 21 Chiropody Service (a) Attendance at Clinics

(b) Domiciliary Chiropody Service

(c) Services provided by Voluntary Organisations

Table 22 Prophylaxis, Care Venereal Diseases

Table 23 Smokers' Clinic 1970 Replies to Questionnaires

Table 24 Mental Health Patients under Local Health Authority Care at 31st March, 1971

Table 25 Mental Health Patients referred to Health Department during period 1st January -31st March, 1971

Table 26 Domestic Help Number of Cases in which Domestic Help was provided during period 1st January - 31st March 1971

Table 27 Development Plan

The following table shows, by trades, the number of outworkers in the district.

Table 29 Food and Drugs Samples submitted to Public Analyst

Table 30 Food and Drugs Bacteriological examination of ice-cream Methylene Blue Test

Table 31 Food and Drugs Bacteriological examination of milk 1. Methylene Blue Test (for keeping quality) 2. Phosphatase Test (for efficiency of pasteurisation) 3. Turbidity Test (for efficiency of sterilisation) 4. Colony Count (for efficiency of heat treatment)

Table 33 Housing Inspections and Defects

Table 37 Factories and Workshops Cases in which Defects were found

Table 38 Inspections and Complaints Inspections, Interviews and Visits of the Public Health Inspectorate

Table 39 Inspections and Complaints Summary of Complaints and Requests for Visits

Table 40 Water Supply Metropolitan Water Board Chemical and Mineral Analysis

Table 41 Water supply Metropolitan Water Board Average Bacteriological Results

Table 42 Water Supply Lee Valley Water Company Representative Sample

Table 43 Medical Inspection Pupils attending maintained primary and secondary schools (including nursery and special schools)

Table 44 Medical Inspection Defects found at periodic and special inspections (Classified in accordance with the requirements of the Department of Education and Science)

Table 45 Medical Inspection Special inspections and re-inspections

Table 46 Hearing tests by audiometer (a) Routine tests in school

Table 47 Inspections for cleanliness Infestation with vermin

Table 50 Ophthalmic clinics

Table 53 Speech therapy Clinics and special schools

Table 55 Dental service Dental inspection and treatment

Table 56 Handicapped children Children in special schools