[Report of the Medical Officer of Health for Twickenham]

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The instruments 1 need, in rough order of importance, are:-

	Approximate cost £

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Laboratory Work The usual arrangements were continued during the year and worked satisfactorily.

Type of Sample or Specimen	No. Taken		Result

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Table 1 Summary

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Population 1940-1957 Table 2.

Year	Population	Population trend			Migration excess
Year	Population	Total increase or decrease	Percentage proportion	Natural increase or decrease	Inward	Outward

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Table 3. Causes of Death. Registrar-General's Official Returns

Causes of Death		Males	Females	Total

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Table 4. Main Causes of Death An analysis of the death returns reveals the following main causes of death:

Disease	Percentage of total deaths	Death rate per 1,000 of the population

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Table 5. Infant Mortality (a) The following table, compiled from official registrations, gives details of the causes of death at various ages under one year of age:

	Under 1 week	1-2 weeks	2-3 weeks	3-4 weeks	Total under 4 weeks	4 weeks and under 3 mths.	3 months anc under 6mths.	6 months and under 9mths.	9 months and under 12 mths	Total deaths under 1 year

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(b) An analysis of the mortality reveals that neo-natal deaths were responsible for 72.73 per cent . of the total infants deaths, viz.:— an increase of 8.44 from the previous year.

Under 24 hours	1 to 7 days	1 to 4 weeks	Total under 4 weeks	Percentage total infant deaths

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Table 6. Review of the Comparative Vital and Mortality Statistics for the Borough of Twickenham, together with those for England and Wales for years 1940-1957 inclusive

Year	Birth Rate		DeathRate		Infantile Mortality Rate
Year	Twickenham	England and Wales	Twickenham	England and Wales	Twickenham	England and Wales

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(a) Chemical

Description of the Sample	Number of Samples	Ammoniacal Nitrogen	Albuminoid Nitrogen	Oxidised Nitrogen (Nitrate )	Chlorides as C₁	Oxygen abs. from Permanganate 4 hrs. at 27°C.	Turbidity in terms of Silica	Colour, mm. brown 2 ft. tube Burgess's Tintometer	Hardness (total)	Hardness (Non carb.)	pH. Value	Phosphate as P.O ₄¹¹¹	Silica as SiO₂	Sulphate as SO₄	Electrical Conductivity (gemmhos.)

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(b) Bacteriological, after chlorination (water passing into supply)

Description of the Sample	Number of Samples	Plate count (average per millilitre) Colonies counted on agar.		Coliform Test Percentage Samples Negative in 100 ml.
		3° C. 20-24 hrs.	22°C. 3 days	Coliform Test Percentage Samples Negative in 100 ml.
		3° C. 20-24 hrs.	22°C. 3 days	Coliform	E.Coli

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Table 8. Analysis of Complaints Received

Nature of Complaint	Number Received

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Table 9 Summary of Visits, Inspections, etc.

Dwelling-houses for housing defects under Public Health Act:	Number

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Table 9— continued

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Table 10. Sanitary I mprovements Effected

	Number

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Table 11. Housing Statistics

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Table 12. Notices Served Administrative action was taken during the year to secure abatement of nuisances and to enforce the appropriate statutory enactments, as follows:

Subject of Notice	Public Health Ac t	Food andDrugs Act

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Table 13. Prevention of Damage by Pests Act, 1949

	TYPE OF PROPERTY
	Non-Agricultural				Agriculturai
	Local Authority	Dwe11ing Houses (inci CounciI Houses)	All other (incl. Business Premises)	Total °f Cols. 1,2&3	Agriculturai

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Eradication of Insect Pests. D.D.T and Other Special Treatments Number of Infestations Treated

Type of Premises	Beetles	Bugs	Cockroaches	Fleas	Flies	Lice	Wasps	Woodworm	Totals

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Table 15. Disinfections, etc.

	Number

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Table 16. Housing Act, 1936, Overcrowding

	Number

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The necessary registration of persons and premises, and the issue of appropriate licences, has been effected in accordance with the following table:

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Table 18. Food and Drugs Act, 1955 Public Health Act, 1936, Section 89 INSANITARY CONDITIONS IN FOOD PREMISES

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SCHOOLS

	Number of defects

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Table 19. (a) Meat-Carcases inspected and Findings at private Slaughterhouses in the Borough

	Cattle excl. Cows	Cows	Calves	Sheep and Lambs	Pigs	Horses

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Table 20. (a) Meat Diseased and unsound conditions found in meat caused the detention and surrender for destruction of:

	lbs.

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(b) Other Foodstuffs The following foodstuffs, other than meat, being unfit for human consumption, were voluntarily surrendered for destruction:

	lbs.

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Table 21. Sampling The Middlesex County Council is the food and drugs authority for the Borough. The Chief Officer, Public Control Department, has kindly supplied the following information relating to samples taken in the Borough during the year ended 31st December, 1957.

Article	Total Samples procured	Unsatisfactory

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Table 22 Factories Acts, 1937 and 1948 Part I of the Act 1. INSPECTIONS for purposes of provisions as to health

Premises	Number on Register	Number of
Premises	Number on Register	Inspections	1Vritten Notices	Occupiers prosecuted

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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	Referred
	Found	Remedied	To H.M. Inspector	By H.M. Inspector

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Part VIII of the Act Outwork

Nature of the Work	Lamp shades	Wearing apparel	Electric Fuse Makers	Umbrellas	Cardboard boxes

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Table 23. Infectious Diseases. Incidence and Mortality DIPHTHERIA, SCARLET FEVER AND ENTERIC FEVER 1940- 1957

Year	Diphtheria				Scarlet Fever				Enteric Fever
Year	No. of Cases	Case Rate per 1,000 pop.	No. of Deaths	Death Rate per 1,000 pop.	No. of Cases	Case Rate per 1,000 pop.	No. of Deaths	Death Rate per 1,000 pop.	No. of Cases	Case Rate per 1,000 pop.	No. of Deaths	Death Rate per 1,000 pop.

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Table 24 Ophthalmia Neonatorum, years 1940-1957 The following table shows the number of cases notified and result of treatment:

Year	Cases notified	Cases Treated		Vision unimpaired	Vision impaired	Total blindness	Deaths
Year	Cases notified	At home	In hosp.	Vision unimpaired	Vision impaired	Total blindness	Deaths

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Cases of Infectious Diseases Notified during the Year 1957

DISEASE	CASES NOTIFIED AT VARIOUS AGES (YEARS)														Total cases notified	Deaths
DISEASE	Under 1 year	1-2	2-3	3-4	4-5	5-10	10-15	15-20	20-25	25-35	35-45	45-65	Over 65	Age not known	Total cases notified	Deaths

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Monthly Incidence of Infectious Diseases during the Year 1957

DISEASE	NUMBER OF CASES												TOTAL
DISEASE	January	Feb.	March	April	May	June	July	August	Sept.	October	Nov.	Dec.	TOTAL

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Ward Distribution of Infectious Diseases Notified during the Year 1957

Disease	Twickenham				Heathfield	Whitton	Hampton	Hampton Hill	Teddington		Hampton Wick	Total
Disease	East	Central	South	West	Heathfield	Whitton	Hampton	Hampton Hill	Upper	Lower	Hampton Wick	Total

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Table 28 Tuberculosis The following tables have been compiled from the notifications receive NEW CASES AND MORTALITY

Age Periods	New Cases				Deaths
	Pulmonary		Non-pulmonary		Pulmonary		Non-pulmonary
	Male	Female	Male	Female	Male	Female	Male	Female

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Table 29 PRIMARY NOTIFICATIONS OF TUBERCULOSIS, 1940-1957 INCLUSIVE

	1940	1941	1942	1943	1944	1945	1946	1947	1948	1949	1950	1951	1952	1953	1954	1955	1956	1957

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

View report tables

Twickenham 1957

40 tables in this report

The instruments 1 need, in rough order of importance, are:-

Laboratory Work The usual arrangements were continued during the year and worked satisfactorily.

Table 1 Summary

Population 1940-1957 Table 2.

Table 3. Causes of Death. Registrar-General's Official Returns

Table 4. Main Causes of Death An analysis of the death returns reveals the following main causes of death:

Table 5. Infant Mortality (a) The following table, compiled from official registrations, gives details of the causes of death at various ages under one year of age:

(b) An analysis of the mortality reveals that neo-natal deaths were responsible for 72.73 per cent . of the total infants deaths, viz.:— an increase of 8.44 from the previous year.

Table 6. Review of the Comparative Vital and Mortality Statistics for the Borough of Twickenham, together with those for England and Wales for years 1940-1957 inclusive

(a) Chemical

(b) Bacteriological, after chlorination (water passing into supply)

Table 8. Analysis of Complaints Received

Table 9 Summary of Visits, Inspections, etc.

Table 9— continued

Table 10. Sanitary I mprovements Effected

Table 11. Housing Statistics

Table 12. Notices Served Administrative action was taken during the year to secure abatement of nuisances and to enforce the appropriate statutory enactments, as follows:

Table 13. Prevention of Damage by Pests Act, 1949

Eradication of Insect Pests. D.D.T and Other Special Treatments Number of Infestations Treated

Table 15. Disinfections, etc.

Table 16. Housing Act, 1936, Overcrowding

The necessary registration of persons and premises, and the issue of appropriate licences, has been effected in accordance with the following table:

Table 18. Food and Drugs Act, 1955 Public Health Act, 1936, Section 89 INSANITARY CONDITIONS IN FOOD PREMISES

SCHOOLS

Table 19. (a) Meat-Carcases inspected and Findings at private Slaughterhouses in the Borough

Table 20. (a) Meat Diseased and unsound conditions found in meat caused the detention and surrender for destruction of:

(b) Other Foodstuffs The following foodstuffs, other than meat, being unfit for human consumption, were voluntarily surrendered for destruction:

Table 21. Sampling The Middlesex County Council is the food and drugs authority for the Borough. The Chief Officer, Public Control Department, has kindly supplied the following information relating to samples taken in the Borough during the year ended 31st December, 1957.

Table 22 Factories Acts, 1937 and 1948 Part I of the Act 1. INSPECTIONS for purposes of provisions as to health

2. CASES IN WHICH DEFECTS WERE FOUND

Part VIII of the Act Outwork

Table 23. Infectious Diseases. Incidence and Mortality DIPHTHERIA, SCARLET FEVER AND ENTERIC FEVER 1940- 1957

Table 24 Ophthalmia Neonatorum, years 1940-1957 The following table shows the number of cases notified and result of treatment:

Cases of Infectious Diseases Notified during the Year 1957

Monthly Incidence of Infectious Diseases during the Year 1957

Ward Distribution of Infectious Diseases Notified during the Year 1957

Table 28 Tuberculosis The following tables have been compiled from the notifications receive NEW CASES AND MORTALITY

Table 29 PRIMARY NOTIFICATIONS OF TUBERCULOSIS, 1940-1957 INCLUSIVE

Table 30 Food Poisoning

Premises concerned with Health Services in Area 10