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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Bromley 1968
[Report of the Medical Officer of Health for Bromley]
- Published
- 1969
- Pages
- 188
- Tables
- 104
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Page 20
Infant Mortalitv:
Males Females Total -
Page 22
The figure for the Borough for 1967 was 14.0 per 1,000 total births.
Sex LIVE BIRTHS STILL BIRTHS Legitimate Illegitimate Total Legitimate Illegitimate Total -
Page 23
CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE FOR 1968 (Registrar-General's Return)
Cause of Death Sex Total all ages Under four weeks Four weeks and under 1 year Age in Years 1 5 15 25 35 45 55 65 75 and over -
Page 24
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Causes of Death Sex Total All Ages Under four weeks Four weeks and under 1 year Age in years 1 5 15 25 35 45 55 65 75 and over -
Page 25
DEATHS FROM CANCER
Male Female Total 1963 1967 1966 1965 1968 1967 1966 1965 1968 1967 1966 1965 -
Page 27
TABLE I DEATHS OF INFANTS UNDER 4 WEEKS OF AGE
Cause of Death AGE 24 hours 1-7 days 8-28 days TOTAL -
Page 32
Details of the Homes at present on the register are as follows:—
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Page 34
SUMMARY OF DOMICILIARY MIDWIVES' WORK
Number of domiciliary confinements attended by midwives under N.H.S. arrangements Number of cases delivered in hospitals and other institutions but discharged and attended by domiciliary midwives before 10th day. (4) Doctor not booked (1) Doctor booked (2) Total (3) -
Page 37
Completed Primary Courses
Year of Birth Others Under Sixteen Total 1968 1967 1966 1965 1961/4 -
Page 37
Percentage of Vaccinations
Children born in 1967 Smallpox (Children under 2) (4) Whooping Cough (1) Diphtheria (2) Poliomyelitis (3) -
Page 39
The statistical details for the year are given below.
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Page 41
New cases of residents treated during 1968.
Treatment Centre Syphilis Gonorrhoea Other Conditions Total -
Page 43
DENTAL SERVICES FOR EXPECTANT AND NURSING MOTHERS AND CHILDREN UNDER 5 YEARS
A. Number of Visits for Treatment During Year: Children 0-4 (incl.) Expectant & Nursing Mothers -
Page 44
ATTENDANCES AND TREATMENT—SCHOOL CHILDREN
Ages 5 to 9 Ages 10 to 14 Ages 15 and over Total -
Page 52
FOOD POISONING Incidents and Cases
Causative Agent GENERAL OUTBREAKS FAMILY OUTBREAKS SPORADIC CASES notified or ascertained TOTAL No. of outbreaks and sporadic cases cols. (1+3+5) TOTAL No. of cases columns (2+4 + 5) No. of separate outbreaks No. of cases notified or ascertained No. of separate outbreaks No. of cases notified or ascertained 1 2 3 4 5 6 7 -
Page 52
DETAILS OF FOOD POISONING DUE TO SALMONELLAE OTHER THAN S. TYPHIMURIUM
Type of Salmonellae -
Page 54
TUBERCULOSIS The following are details of the recordings in the register for the year ended 31st December, 1968: —
Respiratory Other forms Total No. of Cases M F M F -
Page 54
New cases and mortality: —
Age Groups New cases notified or otherwise revealed. (Not including Inward Transfers). Deaths Pulmonary Non-Pulmonary Pulmonary Non-Pulmonary M F M F M F M F -
Page 56
INFECTIOUS DISEASES 1968
Notifiable Disease Number of Cases Notified in Age Groups Under 1 year and under 5 5 and under 15 15 and under 25 25 and under 35 35 and under 45 45 and under 65 65 and Upwards Age unknown Total All ages M F M F M F M F M F M F M F M F M F M F -
Page 59
TABLE I CASES IN COMMUNITY CARE SUPERVISED BY THE MENTAL HEALTH SECTION IN 1968 (Corresponding number for 1967 in brackets)
Mental Illness Elderly Mentally Infirm Psychopathic Disorder Sub-normality Severe Sub-normality Totals -
Page 60
TABLE II HOSPITAL ADMISSIONS EFFECTED BY M.W.O.s in 1968 (Corresponding numbers for 1967 in brackets)
Mental Health Act 1959 Mentally Ill and Psychopaths Mentally Subnormal & Severely Subnormal -
Page 61
The list of officers (staffs of mental health establishments is considered separately) is given below by listing posts in the left hand column and qualifications in the column opposite.
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Page 62
TABLE III NUMBER OF OUT-PATIENT CONSULTANT SESSIONS IN THE BOROUGH PER WEEK
Name of Hospital Adult Psychiatry Child Psychiatry/ Guidance -
Page 66
The breakdown by Source of Referral is as follows: —
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Page 72
ADMISSIONS TO RYDAL MOUNT, APRIL 1968-APRIL 1969
Admission Men Women Total -
Page 73
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Page 73
DISCHARGES FROM RYDAL MOUNT, APRIL 1968-APRIL 1969
Men Women Total -
Page 75
TABLE IV CHILDREN IN COMMUNITY THOUGHT TO BE MENTALLY HANDICAPPED, BORN AFTER 31.12.1962
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Page 76
LONDON BOROUGH OF BROMLEY RESIDENTS ATTENDING TRAINING CENTRES AS AT 31.12.1968 JUNIOR AND ADULTS
Name of Centre and responsible Authority AGE GROUP TOTALS 5-16 16 + M F M F -
Page 77
TABLE VI PERSONS PROVIDED WITH LONG TERM RESIDENTIAL ACCOMMODATION DURING 1968
Mentally 111 Subnormal -
Page 78
TABLE VII CASES PROVIDED WITH SHORT TERM CARE IN 1968
Hospital Placements Other Placements Category Under 16 Over 16 Total Hospital Placements Under 16 Over 16 Total Other Placements Total all Placements -
Page 92
The average for the years 1958-1967 stated as a percentage of the figures for the period 1931-1960 are as follows: —
November December January -
Page 94
FOOD AND DRUGS ACT, 1955 FOOD SAMPLING Letters in parenthesis are referred to on page 96.
Article No. Examined Formal Informal No. Unsatisfactory Formal Informal -
Page 95
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Article No. Examined No. Unsatisfactory Formal Informal Formal Informal -
Page 96
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Nature of Unsatisfactory Sample Remarks -
Page 97
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Nature of Unsatisfactory Sample Remarks -
Page 98
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Nature of Unsatisfactory Sample Remarks -
Page 99
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Nature of Unsatisfactory Sample Remarks -
Page 100
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Nature of Unsatisfactory Sample Remarks -
Page 101
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Nature of Unsatisfactory Sample Remarks -
Page 102
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Nature of Unsatisfactory Sample Remarks -
Page 103
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Nature of Unsatisfactory Sample Remarks -
Page 104
Details of the various items are given below:
Tons Cwts. lb. -
Page 105
BACTERIOLOGICAL SAMPLES OF MILK Samples of designated milks were taken and submitted for examination with the following results:—
Satisfied Failed -
Page 106
Samples of foodstuffs, as below, were submitted to the Pathological Laboratory in connection with suspected cases of Food Poisoning, etc. These samples were found to be free of pathogenic organisms.
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Page 106
422 specimens of faeces and 4 specimens of urine were submitted from persons suspected to be suffering from infectious disease or food poisoning, or to be contacts of persons so suffering. The results were:—
Faeces specimens Positive Negative -
Page 107
CARCASES INSPECTED AND CONDEMNED
Cattle, excluding Cows Cows Calves Sheep and Lambs Pigs Goats -
Page 108
The complaints may be classified as under: —
Alleged condition Foreign Bodies, Dirty, etc. Mouldy Other Conditions -
Page 110
During 1968 it was found necessary to issue 50 warning letters and to institute proceedings as shown below:—
Fined Costs -
Page 111
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Page 111
FOOD AND DRUGS ACT, SECTION 16 Number of Food Premises registered under the above-mentioned Act for:—
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Page 111
FOOD HYGIENE (GENERAL) REGULATIONS 1960 There are some 2,270 food premises in the area, made up as follows:—
Premises Total No. Premises to which Reg. 19 applies No. Premises Pitted to Comply with Reg. 19 No. Premises Pitted to Comply with Reg. 16 -
Page 112
MILK (SPECIAL DESIGNATIONS) REGULATIONS Licences to deal in specially designated milks were currently held as under:—
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Page 114
RE-HOUSING The following information has been supplied by the Housing Manager:—
Prior to 1968 During 1968 Houses Families in occup. Houses Families in occup. -
Page 115
HOUSING
Informal Formal -
Page 116
The following is a summary of the formal action taken.
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Page 116
RENT ACT, 1957 Certificates of Disrepair and other documents specified in the Act have been issued as follows:—
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Page 116
HOUSING INSPECTIONS Defects Remedied, Nuisances Abated by Informal Action Drainage
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Page 117
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Page 118
At the end of the year there were six licences in force. In addition two licences were being considered for renewal. Particulars of the licensed sites are as follows:—
Location of Licensed Sites No. of Vans permitted -
Page 119
The Borough Engineer states that foul sewers and surface water sewers have been provided within the Borough during 1968 as under:— PRIVATE ESTATE DEVELOPMENTS:
Foul Sewers Yards -
Page 120
Sewage Pumping Station
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Page 121
During the year three Smoke Control Orders were made by the Council and confirmed by the Minister of Housing and Local Government in respect of the following areas:—
Area No. Area Acreage Premises -
Page 123
The annual figures relating to surface infestations are shown below:—
Properties other than sewers Type of Property Non-Agricultural Agricultural -
Page 125
OFFICES, SHOPS AND RAILWAY PREMISES ACT, 1963 ( A ) Registrations and General Inspections
Class of premises No. of premises registered during the year No. of registered premises at end of year No. of registered premises receiving a General Inspection -
Page 125
(B) Analysis of Contraventions
Section No. of Contraventions found Section No. of Contraventions found -
Page 126
(£) Reported Accidents
Workplace Number Reported Total No. Investigated Action Recommended No Action Prosecution Formal Warning Informal Advice -
Page 126
Analysis of reported accidents
Offices Retail Shop Wholesale Warehouses Catering establishments open to public, canteens Fuel Storage Depots -
Page 127
PART I OF THE ACT 1. INSPECTIONS for purposes of provisions as to health (including inspections made by Public Health Inspectors).
Premises Number on Register Number of Inspections Written Notices Occupiers (1) (2) (3) (4) (5) -
Page 127
2. 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 Refe rred To H.M. Inspector By H.M. Inspector (1) (2) (3) (4) (5) (6) -
Page 128
PART VIII OF THE ACT OUTWORK (Sections 133 and 134)
No. of out-workers in August list required by Section 133(l)(c) -
Page 128
During 1968, 640 bodies were brought to the mortuaries where post-mortem examinations were conducted by Home Office Pathologists as shown below: —
Mortuary Address (1) No. of bodies brought to the Mortuary and post-mortem examinations conducted (2) -
Page 130
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 131
BACTERIOLOGICAL RESULTS—YEARLY AVERAGES, 1968 OF WATER SUPPLIED TO THE LONDON BOROUGH OF BROMLEY
Source of supply BEFORE TREATMENT AFTER TREATMENT Number of samples Agar plate count per ml. Coliform count Escherichia coli count Number of samples Agar plate count per ml. Coliform count E. coli count 20-24 hours at 37°C. 3 days at 22°C. Per cent, samples negative in 100 ml. Count per 100 ml. Per cent, samples negative in 100 ml. Count per 100 ml. 20-24 hours at 37°C. 3 days at 22°C. Per cent, samples negative in 100 ml. Per cent samples negative in 100 ml. -
Page 132
AVERAGE RESULTS OF THE CHEMICAL EXAMINATION OF WATER SUPPLIED TO THE LONDON BOROUGH OF BROMLEY, 1968 Milligrammes per litre (unless otherwise stated)
Description of the Sample No. of Samples Day of the month Ammoniacal Nitrogen Albuminoid Nitrogen Nitrate Nitrogen Oxygen abs. from KMnO, 4 hrs. at 27°C. B.O.D. 5 days at 20°C Hardness (total) CaCO3 Hardness (non-carbonate) CaCO3 Magnesium as Mg Sodium as Na Potassium as K Chloride as CI Phosphate as PO4 Silicate as SiO2 Sulphate as S04 Natural Fluoride as F Surface-active material as Manoxol OT Turbidity units Colour (Burgess units) PH value Electrical Conductivity (micromhos) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) -
Page 135
SUMMARY OF PUBLIC HEALTH INSPECTORS' VISITS General Sanitation
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Page 136
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Page 137
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Page 138
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Page 146
MEDICAL INSPECTION OF PUPILS ATTENDING MAINTAINED PRIMARY AND SECONDARY SCHOOLS (including Nursery and Special Schools) PERIODIC MEDICAL INSPECTIONS
Age Groups inspected (By year of Birth) No. of Pupils who have received a full medical examination Physical Condition of Pupils Inspected No. of Pupils found not to warrant a medical examination Pupils found to require treatment (excluding dental diseases and infestation with vermin) for defective vision (excluding squint) for any other condition recorded at Part 11 Total individual pupils Satisfactory No. Unsatisfactory No. (1) (2) (3) (4) (5) (6) (7) (8) -
Page 147
In addition to the above, inspections are carried out at any time if and when necessary.
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Page 148
DEFECTS FOUND BY PERIODIC AND SPECIAL MEDICAL INSPECTIONS—MAINTAINED SCHOOLS
Defect Code No. Defect or Disease PERIODIC INSPECTIONS Special Inspection Entrants Leavers Others Total (1) (2) -
Page 149
PERIODIC MEDICAL INSPECTIONS
Age Groups inspected (By year of Birth) No. of Pupils who have received a full medical examination Physical Condition of Pupils Inspected No. of Pupils found not to warrant a medical examination Pupils found to require treatment (excluding dental diseases and infestation with vermin) for defective vision (excluding squint) for any other condition recorded at Part II Total Individual pupils Satisfactory Unsatisfactory (1) (2) (3) (4) (5) (6) (7) (8) -
Page 150
DEFECTS FOUND BY PERIODIC AND SPECIAL INSPECTIONS — INDEPENDENT SCHOOLS
Defect Code No. (1) Defect or Disease (2) PERIODIC INSPECTIONS Special Inspection Entrants Leavers Others Total -
Page 151
Number of cases known to have been dealt with: — External and other, excluding errors of
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Page 152
Details of treatments and attendances are as follows:—
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Page 152
Diseases and Defects of Ear, Nose and Throat Number of cases known to have been dealt with:
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Page 153
Total number of pupils in schools who are known to have been provided with hearing aids:—
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Page 153
Number of pupils known to have been treated:
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Page 154
Details of the notifications received are as below:—
Disease Total No. of Cases 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter -
Page 155
lne ngures tor ivos are as tonow:— Number of children referred by: —
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Page 155
Number of children seen—
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Page 155
Number of attendances:—
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Page 156
Ten cases seen in the clinic have not been classified as therapy was either not indicated or being received elsewhere. Cases closed:
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Page 157
Details of referrals and attendances during the year are as follow:—
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Page 158
Sources of referral:
-
Page 158
Number of Psychiatric Interviews:
-
Page 160
In total 689 cases were investigated as follows: —
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Page 167
PART 1 RETURN OF HANDICAPPED CHILDREN New assessments and placements
During the calendar year ended 31st December, 1968:— Blind (1) P.S. (2) Deaf (3) Pt. Hg. (4) P.H. (5) Del. (6) Mai. (7) E.S.N. (8) Epil. (9) Sp. Def. (10) TOT. (11) -
Page 168
PART III HANDICAPPED PUPILS AWAITING PLACES IN SPECIAL SCHOOLS OR RECEIVING EDUCATION IN SPECIAL SCHOOLS: INDEPENDENT SCHOOLS: IN SPECIAL CLASSES AND UNITS: UNDER SECTION 56 OF THE EDUCATION ACT, 1944; AND BOARDED IN HOMES.
As at 23rd January, 1969:— Blind (1) PS. (2) Deaf (3) Pt. Hg. (4) P.H. (5) Del. (6) Mal. (7) E.S.N. (8) Epil. (9) Sp. Def. (10) TOT. (11) -
Page 169
HANDICAPPED PUPILS AWAITING PLACES IN SPECIAL SCHOOLS OR RECEIVING EDUCATION IN SPECIAL SCHOOLS: INDEPENDENT SCHOOLS: IN SPECIAL CLASSES AND UNITS UNDER SECTION 56 OF THE EDUCATION ACT, 1944; AND BOARDED IN HOMES
As at 23 rd January, 1969:— Blind (1) P.S. (2) Def (3) Pt. Hg. (4) P.H. (5) Del. (6) Mai. (7) E.S.N. (8) Epil. (9) Sp. Def. (10) TOT. (11) -
Page 171
Number of children on roll:
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Page 174
Employment of Young Children 326 children were examined by the Assistant Medical Officers during the year. Certificates were issued in 325 cases, and in only one case was the certificate not issued.
Boys Girls -
Page 174
Other Medical Examinations The following examinations were carried out by Medical Officers during the year: —