[Report of the Medical Officer of Health for East Ham]

Page 5

I feel it my duty again to bring this matter into a prominent place in my report

Year	Total Deaths	Cancer deaths (all forms)	% of total deaths	Deaths from Cancer of Lungs	% of total deaths

Page 6

It must be a tremendous encouragement to parturient women to know that in addition to the competent midwife present the services of the general practitioner obstetrician are so readily available at home-

	1960	1961

Page 8

STATISTICAL AND SOCIAL CONDITIONS OF THE AREA

SOCIAL					1960	1961

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The following tabulation shows the number of births notified each year, as adjusted by transferred notifications:-

(a) Live Births:	1960	1961

Page 9

Number of premature infants notified during the years (including transferred notifications) where the mothers normally reside in the area.

	1960	1961

Page 9

The number of births assigned to the area and birth rates for the years under review, with com parative figures for previous years are shown in the following tabulation:

	1957	1958	1959	1960	1961

Page 9

The numbers of still births registered and the rates per 1, 000 total (live and still) births are shown in the following table, together with comparable figures for the preceding three years:

	1957	1958	1959	1960	1961

Page 9

The still birth mortality rates for England and Wales and East Ham are shewn in the following table:- TABLE 1

	Still births per 1, 000 population
	1957	1958	1959	1960	1961

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Details of deaths of residents in 1960 and 1961 with comparative figures are shown below:-

	1957	1958	1959	1960	1961

Page 10

The following tabulation shows details of deaths of infants under one year, comparative figures for England and Wales and for the years 1957 to 1961 being quoted:

	1957	1958	1959	1960	1961

Page 10

The number of deaths of children under the age of four weeks and the causes of such deaths were as follows:-

	1957	1958	1959	1960	1961

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TABLE 2 - BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1960 AND 1961

	Year	Live Births per 1, 000 Population	Still Births per 1, 000 Total (Live and Still Births)	Annual Death Rates per 1,000 Population
	Year	Live Births per 1, 000 Population	Still Births per 1, 000 Total (Live and Still Births)	All Causes	Malignant Neoplasm Lung and Bronchus	Acute Poliomyelitis	Pneumonia	Whooping Cough	Diphtheria	Influenza	Coronary & Arterio Sclerotic Heart Disease	Tuberculosis (All Forms)	Deaths of Infants under one year (Rate per 1,000 Live Births)

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TABLE 3 - CAUSES OF DEATH IN AGE GROUPS 1960, AND TOTAL DEATHS FOR THE YEARS 1956 - 1960

Reference No.	Cause of Death	Number of deaths of residents (including non-civilians) whether occurring within or without the district																		Total deaths in Institutions		Total deaths for the years					Reference No.
		All Ages		Under 1 Year		1-4 Years		5-14 Years		15-24 Years		25-44 Years		45-64 Years		65-74 Years		75 Years & over		Total deaths in Institutions		Total deaths for the years
		M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	1960	1959	1958	1967	1956

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TABLE 4 - CAUSES OF DEATH IN AGE GROUPS 1961 AND TOTAL DEATHS FOR THE YEARS 1957 - 1961

Reference No.	Cause of Death	Number of Deaths of Residents (including non-civilians) whether occurring within or without the district																		Total deaths in Institutions		Total deaths for the years					Reference No.
		All Ages		Under 1 Year		1-4 Years		5-14 Years		15-24 Years		25 -44 Years		45-64 Years		65-74 Years		75 Years & over		Total deaths in Institutions		Total deaths for the years
		M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	1961	1960	1959	1958	1957

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TABLE 5 - CANCER DEATHS 1950 AND 961 - LOCATION OF THE DISEASE

Parts of Body Affected	Year	Under 15		15-24		25-44		45-64		65-74		75 and upwards		Total
Parts of Body Affected	Year	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 17

TABLE 6

DISEASE	QUARTER ! EN DING 31.3.60	QUARTER i ENDING ,30.6.60	QUARTER ENDING 30.9.60	QUARTER ENDING 31.12.60	TOTAL 1960	QUARTER ENDING 31.3.61	QUARTER ENDING 30.6.61	QUARTER ENDING 30.9.61	QUARTER ENDING 31.12.61	TOTAL 1961

Page 18

TABLE 7 - PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1952 SUMMARY OF NOTIFICATIONS DURING THE PERIOD FROM 1ST JANUARY, 1960 TO THE 31ST DECEMBER.. 1961 Formal Notifications

Age Periods		Number of Primary Notifications of new cases of tuberculosis
Age Periods		0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	Total (all ages)

Page 18

During this period two new cases of Tuberculosis came to the knowledge of the department other than by formal notification. Details are as follows:-

	Age Group	Notified By

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(1) (a) Food Poisoning Notifications (Corrected) Return to Registrar-General

	I960	1961

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TABLE 8

	YEAR	Number of Outbreaks		Number of Cases		Total No. of Cases
	YEAR	Family Outbreaks	Other Outbreaks	Notified	Otherwise Ascertained	Total No. of Cases

Page 19

The various organisms identified in each case as the cause of illness were

	1960	1961

Page 19

VENEREAL DISEASES The following statistics have been abstracted from copies of form V.D.(R), which have been received from the Hospitals named and total figures for 1958 and 1959 are also shown:-

	Patients Dealt With for the First Time During the Year
	1960				1961
	Syphilis	Gonorrhoea	Other Conditions	Total	Syphilis	Gonorrhoea	Other Conditions	Total

Page 20

CHILDREN'S ACT - NURSERY AND SCATTERED HOMES The statistics for the two years are appended:-

	1960	1961

Page 20

The Children's Committee and the Children's Officer are So be congratulated on the vigorous way in which they pursue this most desirable method of placement of their charges.

Year	Average No. of children in homes throughout the year

Page 21

PUBLIC MORTUARY - STATISTICS

AUTHORITY	YEAR 1960		YEAR 1961
AUTHORITY	No. of Bodies Received	No. of Autopsies Performed	No. of Bodies Received	No. of Autopsies Performed

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It can be seen that in almost every case autopsy is carried out and this is done by a pathologist designated by the Coroner.

Year	No. of bodies received	No, of autopsies performed

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TABLE 10 FACTORIES ACTS, 1937 AND 1948 YEARS 1960 & 1961 1.-INSPECTIONS for purposes of provisions as to health (including inspections made by Public Health Inspectors)

	Number on Register		Number of
	Number on Register		Inspections		Written notices		Occupiers prosecuted
	1960	1961	1960	1961	1960	1961	1960	1961

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2.-CASES IN WHICH DEFECTS WERE FOUND If defects are discovered at the premises on two, three or more separate occasions they are considered as two, three or more "cases")

Number of cases in which defects were found								Number of cases in which prosecutions were instituted
Found		Remedied		Referred
Found		Remedied		To H.M. Inspector		By H.M. Inspector
1960	1961	1960	1961	1960	1961	1960	1961	1960	1961

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TABLE 11 NUMBERS PROVIDED WITH DENTAL CARE

		Examined	Needing treatment	Treated	Made dentally fit

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TABLE 12 FORMS OF DENTAL TREATMENT PROVIDED

		Extractions	General Anaesthetics	Fillings	Scalings or scaling and gum treatment	Silver Nitrate treatment	Radiographs	Dentures provided
		Extractions	General Anaesthetics	Fillings	Scalings or scaling and gum treatment	Silver Nitrate treatment	Radiographs	Complete	Partial

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TABLE 13

	Year	Examined	Needed treatment	Accepted treatment	Made dentally fit

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TABLE 14

	DENTAL STAFF
	Principal Dental Officer	Assistant Dental Officers

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TABLE 15 ANTE-NATAL AND POST-NATAL CLINICS

(1)	No. of clinics provided at end of year (whether held at Child Welfare Centres or other premises) (2)		No. of Sessions held per month at clinics included in col. (2) (3)		No. of women in attendance				Total No. of attendances made by women included in col.(4) during the year (6)
(1)					No. of women who attended during the year (4)		No. of new cases included in col.(4) i.e. for A.N. clinics women who had not previously attended any clinic during current pregnancy G for P.N. clinics women who had not previously attended any P.N. clinic after last confinement (5)
	1960	1961	1960	1961	1960	1961	1960	1961	1960	1961

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TABLE 16 CHILD WELFARE CENTRES, 1960

	Number of centres provided at end of year	Number of Child Welfare Sessions held per month at centres	Number of children who first attended a centre during the year, and who at their first attendance were under 1 year of age	Number of children who attended during the year and who were born in:			Total Number of children who attended during the year	Number of attendances during the year made by children who at the date of attendance were:			Total attendances during the year
	Number of centres provided at end of year	Number of Child Welfare Sessions held per month at centres		1960	1959	1958-55	Total Number of children who attended during the year	Under 1 year	1 but under 2	2 but under 5	Total attendances during the year

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TABLE 17 CHILD WELFARE CENTRES, 1961

	Number of centres provided at end of year	Number of Child Welfare Sessions held per month at centres	Number of children who first attended a centre during the year, and who at their first attendance were under 1 year of age	Number of children who attended during the year and who were born in:			Total Number of children who attended during the year	Number of attendances during the year made by children who at the date of attendance were:			Total attendances during the year
	Number of centres provided at end of year	Number of Child Welfare Sessions held per month at centres		1961	1960	1959-56	Total Number of children who attended during the year	Under 1 year	1 but under 2	2 but under 5	Total attendances during the year

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DAY NURSERY TABLE 18

Year	Number at 31st December	No. of approved places		No. of children on the register at the end of the year		Average daily attendance during the year
		0-2 years	2-5 years	0-2 years	2 - 5 years	0 - 2 years	2-5 years

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TABLE 19 NUMBER OF DELIVERIES ATTENDED BY MIDWIVES EMPLOYED BY THE AUTHORITY DURING THE YEAR

Domiciliary Cases										Cases in Institutions
Doctor not booked				Doctor booked				Totals
Doctor present at time of delivery of child		Doctor not present at time of delivery of child		Doctor present at time of delivery of child (either the booked Doctor or another		Doctor not present at time of delivery of child		Totals
1960	1961	1960	1961	1960	1961	1960	1961	1960	1961	1960	1961

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TABLE 20 DOMICILIARY MIDWIVES EMPLOYED BY THE AUTHORITY ANALGESIA AND ADMINISTRATION OF PETHIDINE

	Number of domiciliary midwives practising in the area at end of year who were qualified to administer inhalational analgesics in accordance with the requirements of the Central Midwives Board	Number of sets of apparatus for the administration of inhalational analgesics in use at end of year		Number of cases in which inhalational analgesics were administered by midwives in domiciliary practice during the year:-				Number of cases in which pethidine was administered by mid-wives in domiciliary practice during the year
				When doctor was present at time of delivery of child		When doctor was not present at time of delivery of child		When doctor was present at time of delivery of child	When doctor was not present at time of delivery of child
		Gas and air	"Trilene"	Gas and air	"Trilene"	Gas and air	"Trilene"	When doctor was present at time of delivery of child	When doctor was not present at time of delivery of child

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Number of cases in which medical aid was summoned by a midwife under section 14(1) of the Midwives Act, 1951:-

		1960	1961

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TABLE 21 HEALTH VISITORS - STATISTICS

		Number of children under 5 years of age visited during year	Expectant Mothers	Children under 1 year of age	Children age 1 and under 2 years	Children age 2 but under 5 years	Other Cases	Total number of families or households visited by Health Visitors	Number of attendances by Health Visitors at Clinic Sessions
		Number of children under 5 years of age visited during year	Total Visits	Total Visits	Total Visits	Total Visits	Total Visits		Number of attendances by Health Visitors at Clinic Sessions

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TABLE 22 HOME NURSING - STATISTICS

	Year	TYPE OF CASE							Number of Patients who were 65 or over at the time of the first visit during the year	Number of Children who were under 5 at the time of the first visit during the year	Number of Patients who had more than 24 visits during the year
	Year	Medical	Surgical	Infectious Diseases	Tuberculosis	Maternal Complications	Others	Totals

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TABLE 23 SMALLPOX VACCINATION

		Number of persons vaccinated or re-vaccinated					Totals
		Age at date of vaccination
		Under 1 year	1 year	2-4 years	5-14 years	Over 14 years

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TABLE 24 DIPHTHERIA IMMUNISATION

	Immunisation carried out by	Age at date of final injection or of reinforcing injection as appropriate						Total
	Immunisation carried out by	Under 1 year		1-4 years		5-14 years		Total
		1960	1961	1960	1961	1960	1961	1960	1961

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TABLE 25 WHOOPING COUGH IMMUNISATION

	Immunisation carried out by	Age at date of final injection
		0-4 years		5-14 years		Total
		1960	1961	1960	1961	1960	1961

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TABLE 26 POLIOMYELITIS VACCINATION

Class	Number vaccinated with two injections during the year
	By General Practitioners		In Authority Clinics		Total
	1960	1961	1960	1961	1960	1961

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SECTION 27 - AMBULANCE SERVICE TABLE 27 STATISTICS FOR YEARS ENDING 31.3.61 AND 31.3.62

			Ambulance 2/4 Stretchers	Dual Purpose Vehicles (1 or 2 Stretchers)	Sitting Case Vehicles	Totals

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TABLE 28 UNIT COST AMBULANCE SERVICE

YEAR	1951	1952	1953	1954	1955	1956	1957	1958	1959	1960	1961	1962

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TUBERCULOSIS

	1960	1961

Page 39

No. of patients in receipt of extra nourishment

	1960	1961

Page 39

The following statistics relate to the work of the part-time Occupational Therapist

	1960	1961

Page 40

TABLE 29

	Number Skin Tested		Number found Negative		Number Vaccinated
	1960	1961	1960	1961	1960	1961

Page 40

The following table shews the result of the survey:-

Centre	Number X-rayed	Referred for investigation

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The following statistical summary was received from the Director of the Mass Radiography Unit:-

						Male	Female	Total

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Continued from previous page...

	Male	Female	Total

Page 43

TABLE 30

	1960						1961
	Under 16		Over 16		Total		Under 16		Over 16		Total
	M	F	M	F	M	F	M	F	M	F	M	F

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Statistics

	1960	1961

Page 44

TABLE 31

Illness or other cause for which help provided	Total
Illness or other cause for which help provided	1960	1961

Page 44

The approved establishment is 80 full-time helps on their equivalent in part-time help and on 31st December of each year the staff employed comprised

	1960	1961

Page 44

The total hours worked and the weekly average were as follows:-

Year	Total Hours Worked	Average per week

Page 44

During the years under review the Organiser and her Assistant made the following numbers of visits to the homes of applicants for the service:-

	1960	1961

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I - SANITARY CIRCUMSTANCES

	1960	1961

Page 46

Continued from previous page...

(iii) Food Supply	1960	1961

Page 47

F. Fertilisers and Feeding Stuffs Act, 1926 Samples taken during the year were as follows

	Number Taken		Number Unsatisfactory
	1960	1961	1960	1961

Page 47

G. Rag Flock and Other Filling Materials Act 1951 Samples taken for analysis were as follows:-

	1960	1961

Page 47

I. Factories, Workplaces and Outworkers No. of factories on the register

Page 48

M. Sampling The following table shows the number of sampler of all types taken for analysis or examination during each year.

	1960	1961

Page 48

II - HOUSING STATISTICS

A. Inspection of Dwelling Houses during the year		1960	1961

Page 49

Continued from previous page...

C.	Action under Statutory Powers during year	1960	1961

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III - RENT ACT, 1957 Particulars of applications made and Certificates issued under the Rent Act, 1957.

Page 50

B. Meat Inspection There are two licensed slaughterhouses in the Borough and the following table shows the number of animals killed and examined

	1960	1961

Page 51

Continued from previous page...

C. Ice Cream	1960	1961

Page 51

Food other than tinned or packeted:-

Page 52

E. Food & Drugs Sampling Details of the samples submitted to the Public Analyst were as follows:-

	Number of Samples		Number Adulterated or below Standard
	1960	1961	1960	1961

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Details of Samples not Satisfactory

Number 1960	Informal or Formal	Article	Adulteration or Deficiency

Page 53

Continued from previous page...

Number 1960	Informal or Formal	Article	Adulteration or Deficiency

Page 54

G. Hairdressers The numbers of hairdressers registered in accordance with the East Ham Corporation Act 1957, were as follows:-

	1960	1961

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VI - SHOPS ACT 1950 AND ALLIED LEGISLATION

A. Shops	1960	1961

Page 55

C. Domestic Servants Registry

	1960	1961

Page 55

D. Heating Appliances (Fireguards) Act, 1952 and Consumer Protection Act, 1961 The Consumer Protection Act became operative in August 1961, and revoked the Heating Appliances (Fireguards) Act, 1952 and the Oil Burners (Standard;) Act 1960. The Heating Appliance Regulations 1953, remain effective.

The details of work under these Acts were as follows:-	1960	1961

Page 56

Continued from previous page...

E. Statistics	1960	1961

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

View report tables

East Ham 1961

80 tables in this report

I feel it my duty again to bring this matter into a prominent place in my report

It must be a tremendous encouragement to parturient women to know that in addition to the competent midwife present the services of the general practitioner obstetrician are so readily available at home-

STATISTICAL AND SOCIAL CONDITIONS OF THE AREA

The following tabulation shows the number of births notified each year, as adjusted by transferred notifications:-

Number of premature infants notified during the years (including transferred notifications) where the mothers normally reside in the area.

The number of births assigned to the area and birth rates for the years under review, with com parative figures for previous years are shown in the following tabulation:

The numbers of still births registered and the rates per 1, 000 total (live and still) births are shown in the following table, together with comparable figures for the preceding three years:

The still birth mortality rates for England and Wales and East Ham are shewn in the following table:- TABLE 1

Details of deaths of residents in 1960 and 1961 with comparative figures are shown below:-

The following tabulation shows details of deaths of infants under one year, comparative figures for England and Wales and for the years 1957 to 1961 being quoted:

The number of deaths of children under the age of four weeks and the causes of such deaths were as follows:-

TABLE 2 - BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY, 1960 AND 1961

TABLE 3 - CAUSES OF DEATH IN AGE GROUPS 1960, AND TOTAL DEATHS FOR THE YEARS 1956 - 1960

TABLE 4 - CAUSES OF DEATH IN AGE GROUPS 1961 AND TOTAL DEATHS FOR THE YEARS 1957 - 1961

TABLE 5 - CANCER DEATHS 1950 AND 961 - LOCATION OF THE DISEASE

TABLE 6

TABLE 7 - PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1952 SUMMARY OF NOTIFICATIONS DURING THE PERIOD FROM 1ST JANUARY, 1960 TO THE 31ST DECEMBER.. 1961 Formal Notifications

During this period two new cases of Tuberculosis came to the knowledge of the department other than by formal notification. Details are as follows:-

(1) (a) Food Poisoning Notifications (Corrected) Return to Registrar-General

TABLE 8

The various organisms identified in each case as the cause of illness were

VENEREAL DISEASES The following statistics have been abstracted from copies of form V.D.(R), which have been received from the Hospitals named and total figures for 1958 and 1959 are also shown:-

CHILDREN'S ACT - NURSERY AND SCATTERED HOMES The statistics for the two years are appended:-

The Children's Committee and the Children's Officer are So be congratulated on the vigorous way in which they pursue this most desirable method of placement of their charges.

PUBLIC MORTUARY - STATISTICS

It can be seen that in almost every case autopsy is carried out and this is done by a pathologist designated by the Coroner.

TABLE 10 FACTORIES ACTS, 1937 AND 1948 YEARS 1960 &amp; 1961 1.-INSPECTIONS for purposes of provisions as to health (including inspections made by Public Health Inspectors)

2.-CASES IN WHICH DEFECTS WERE FOUND If defects are discovered at the premises on two, three or more separate occasions they are considered as two, three or more "cases")

TABLE 11 NUMBERS PROVIDED WITH DENTAL CARE

TABLE 12 FORMS OF DENTAL TREATMENT PROVIDED

TABLE 13

TABLE 14

TABLE 15 ANTE-NATAL AND POST-NATAL CLINICS

TABLE 16 CHILD WELFARE CENTRES, 1960

TABLE 17 CHILD WELFARE CENTRES, 1961

DAY NURSERY TABLE 18

TABLE 19 NUMBER OF DELIVERIES ATTENDED BY MIDWIVES EMPLOYED BY THE AUTHORITY DURING THE YEAR

TABLE 20 DOMICILIARY MIDWIVES EMPLOYED BY THE AUTHORITY ANALGESIA AND ADMINISTRATION OF PETHIDINE

Number of cases in which medical aid was summoned by a midwife under section 14(1) of the Midwives Act, 1951:-

TABLE 21 HEALTH VISITORS - STATISTICS

TABLE 22 HOME NURSING - STATISTICS

TABLE 23 SMALLPOX VACCINATION

TABLE 24 DIPHTHERIA IMMUNISATION

TABLE 25 WHOOPING COUGH IMMUNISATION

TABLE 26 POLIOMYELITIS VACCINATION

SECTION 27 - AMBULANCE SERVICE TABLE 27 STATISTICS FOR YEARS ENDING 31.3.61 AND 31.3.62

TABLE 28 UNIT COST AMBULANCE SERVICE

TUBERCULOSIS

No. of patients in receipt of extra nourishment

The following statistics relate to the work of the part-time Occupational Therapist

TABLE 29

The following table shews the result of the survey:-

The following statistical summary was received from the Director of the Mass Radiography Unit:-

Continued from previous page...

TABLE 30

Statistics

TABLE 31

The approved establishment is 80 full-time helps on their equivalent in part-time help and on 31st December of each year the staff employed comprised

The total hours worked and the weekly average were as follows:-

During the years under review the Organiser and her Assistant made the following numbers of visits to the homes of applicants for the service:-

I - SANITARY CIRCUMSTANCES

Continued from previous page...

F. Fertilisers and Feeding Stuffs Act, 1926 Samples taken during the year were as follows

G. Rag Flock and Other Filling Materials Act 1951 Samples taken for analysis were as follows:-

I. Factories, Workplaces and Outworkers No. of factories on the register

M. Sampling The following table shows the number of sampler of all types taken for analysis or examination during each year.

II - HOUSING STATISTICS

Continued from previous page...

III - RENT ACT, 1957 Particulars of applications made and Certificates issued under the Rent Act, 1957.

B. Meat Inspection There are two licensed slaughterhouses in the Borough and the following table shows the number of animals killed and examined

Continued from previous page...

Food other than tinned or packeted:-

E. Food &amp; Drugs Sampling Details of the samples submitted to the Public Analyst were as follows:-

TABLE 10 FACTORIES ACTS, 1937 AND 1948 YEARS 1960 & 1961 1.-INSPECTIONS for purposes of provisions as to health (including inspections made by Public Health Inspectors)

E. Food & Drugs Sampling Details of the samples submitted to the Public Analyst were as follows:-