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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
Richmond upon Thames 1965
[Report of the Medical Officer of Health for Richmond upon Thames]
- Published
- 1966
- Pages
- 106
- Tables
- 80
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Page 5
VITAL AND GENERAL STATISTICS 1965
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Page 6
Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1965
Cause of Death Age Group Under 1 1-4 5-14 15-24 25-44 45-64 65-74 75 and over Total Grand Total M F M F M F M F M F M F M F M F M F -
Page 7
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 -
Page 8
Infant Mortality, 1965. Net Deaths from stated causes at various ages under one year compiled from returns received.
CAUSE OF DEATH TOTAL Under 1 week 1-2 weeks 2-3 weeks 3-4 weeks 1-3 months 3-6 months 6-9 months 9-12 months Under one year Under four weeks M F M F M F M F M F M F M F M F -
Page 9
Cases of Infectious Diseases Notified during the year 1965
DISEASE CASES NOTIFIED AT VARIOUS AGES (YEARS) Total Cases Notified Deaths Under 1 Year 1 2 3 4 5-9 10-14 15-19 20-24 25-34 35-44 45-64 65 and Over Age not known -
Page 10
INFECTIOUS DISEASE The pattern of incidence of notifiable diseases followed the experience of previous years. For ease of comparison over the year the figures have been extracted from the various areas which now comprise the new borough and are given below:
Disease. 1965 1964 -
Page 10
Measles. This was a "measles" year. There were 1992 cases notified :
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Page 10
As in the past the highest incidence of the disease occurred during the first quarter of the year reducing to the end of the year. The distribution of cases during each quarter of the year is shown below:
M. F. Total -
Page 11
From the table below it will be seen that the first five years of childhood suffer the major incidence of the disease and the sexes are affected equally:
M. F. Total -
Page 12
Venereal Diseases. I am indebted to Dr. J. L. Fluker and Dr. N. Rosedale for the following observations of the patients treated at the Special Clinics at West London and West Middlesex Hospitals respectively:—
West London Hospital 1965 1964 Male Female Male Female -
Page 12
CARE OF MOTHERS AND YOUNG CHILDREN Ante-Natal and Post-Natal Clinics
Number of cases attended : Ante-Natal Attendances Post-Natal Attendances -
Page 13
Premature Births Number of premature births (as adjusted by any notifications transferred in or out of the area).
Weight at birth Premature live births Premature stillbirths Born in hospital Born at home or in a nursing home Nursed, entirely at home or in a nursing home Transferred to hospital on or before 28th day Total births Died Total births Died Total births Died Born within 24 hours of birth in 1 and under 7 days in 7 and under 28 days within 24 hours of birth in 1 and under 7 days in 7 and under 28 days within 24 hours of birth in 1 and under 7 days in 7 and under 28 days in hospital at home or in a nursing home (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) -
Page 15
I am indebted to Miss H. Oliver, Social Welfare Worker, for these observations on the care of the unsupported mother and her child. Total Number of Cases referred in 1965:—
Jan. — March April — Dec. Total -
Page 16
Ways in which unsupported mothers have been helped.
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Page 16
At the end of 1965 the mothers who decided to keep their babies were living in the following way
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Page 17
Child Welfare Centres
Number of children who attended during the year Number of sessions held by Total number of sessions in columns (5)-(8) (9) Number of children referred elsewhere (10) Number of children under observation at end of year (11) Born in 1965 (1) Born in 1964 (2) Born in 1960-1963 (3) Total (4) Medical Officers (5) Health visitors (6) G.Ps. employed on a sessional basis (see note 2) (7) Hospital medical staff (8) -
Page 19
Pre-School Children
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Page 19
Expectant and Nursing Mothers
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Page 22
At the end of the year a further Seminar was being arranged in the Borough for the instruction of midwives and health visitors in this method of childbirth. Domiciliary Deliveries
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 (1) Doctor not booked (2) Doctor booked (3) Total (4) -
Page 25
Health Visiting
Cases visited by health visitors Number of cases -
Page 26
Table 1. Immunisation against Diphtheria/Whooping Cough/Tetanus/Poliomyelitis (separately or combined).
Type of Vaccine YEAR OF BIRTH Others Under 16 Total 1965 1964 1963 1962 1958/61 -
Page 26
Table 2. Vaccination against Smallpox.
Age at date of Vaccination Under 1 1 2—4 5—15 Total -
Page 27
Tuberculosis During 1965 there were 56 notifications of pulmonary tuberculosis and 5 notifications of non-pulmonary tuberculosis, in the Borough. For the corresponding area during the year 1964 there were 63 and 11 notifications respectively.
New Cases. 1964 1965 -
Page 27
The following table shows an analysis of cases notified in 1965.
Age Periods. Respiratory Non-Respiratory M F M F -
Page 28
There were 7 deaths from tuberculosis during 1965 viz: —
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Page 39
TABLE 1 Serum Cholesterol — m.g./100 ml. Mean for 10 Women
First cycle Second cycle -
Page 42
During 1965 arrangements were made for 88 persons to be admitted to recuperative holiday homes. The following table shows the number of referrals and their source of origin.
Family Doctor referrals. Hospital referrals. -
Page 43
Cases given help during 1965 were as follows : —
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Page 44
The following table shows the number of patients admitted to psychiatric hospitals under the Mental Health Act during the year: —
Section M F Total -
Page 46
The following table shows the number of admissions which have taken place from 1st April, 1965, to the 31st December, 1965, all of which were on an informal basis:
Subnormal Severely Subnormal Total Over 16 Under 16 ( Over 16 Under 16 M F M F M F M F -
Page 46
The number of patients awaiting admission to psychiatric hospitals for the subnormal at the end of the year was as follows :
Subnormal Severely Subnormal Total Over 16 Under 16 Over 16 Under 16 M F M F M F M F -
Page 47
The numbers attending these centres from the Borough are set out below:
Name of Establishment. Area Served. Number attending. -
Page 47
The approximate numbers attending these centres from the Borough are set out below:
Name of Establishment Area Served Number attending -
Page 48
A. Follow-up of Registered Blind and Partially Sighted Persons for the year ended 31st December, 1965.
Cause of Disability Cataract Glaucoma Retrolental Fibroplasia Others -
Page 49
Ophthalmia Neonatorum
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Page 51
AVERAGE RESULTS OF THE CHEMICAL EXAMINATION of water supplied to the London Borough of Richmond upon Thames Milligrammes per litre (unless otherwise stated)
Description of the Sample Number of Samples Day of the month Ammoniacal Nitrogen Albuminoid Nitrogen Nitrate Nitrogen Oxygen abs. from KMn044 hrs. at 27° C. B.O.D. 5 days at 20° C. Hardness (total) CaC03 Hardness (non-carbonate) CaC03 Magnesium as Mg Chloride as C1 Phosphate as P04 Silicate as Si02 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 54
The action taken to remedy unfit houses is summarised in the table below:
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Page 55
The Act seems no longer to be an effective mechanism for ensuring that items of disrepair receive attention, and the following table shows that whereas an average of nearly 100 applications were received annually in the seven years following the intro-duction of the Rent Act, it was almost completely ignored by landlord and tenant last year.
1957/63 1964 1965 -
Page 56
Throughout the year the Inspectors receive requests from food traders to examine doubtful consignments of food, and the following table lists the articles voluntarily surrendered and destroyed after such examinations:
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Page 57
The control of food hawkers is exercised by registration under the provisions of Section 11, Middlesex County Council Act, 1950, and during the year 7 persons and 3 premises were registered and 114 inspections made. Food Hygiene (General) Regulations, 1960.
Type of Premises. No. of Premises No. of Premises which comply with Reg. 16* No. of Premises to which Reg. 19 appliest No. of Premises which comply with Reg. 19 No. of Visits carried out. -
Page 58
Continued from previous page...
Number Analysed Number Irregular Articles. Formal Informal Total Formal Informal Total -
Page 60
The following Licences have been granted authorising dealers to store and sell designated milks:
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Page 60
Sixty samples of milk were submitted for examination and all were found to satisfy the prescribed tests, including the following samples examined for the presence of Brucella Abortus: —
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Page 61
During the year one hundred and seventy-eight samples were taken and upon examination were graded as follows :
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Page 62
3. ATMOSPHERIC POLLUTION (a) The Clean Air programme continued satisfactorily and the following Smoke Control Orders came into operation during the year :
Area Dwellings Other Premises -
Page 63
During the year 444 additional premises were registered under the Act and the total number of premises registered and inspected at the end of the year is summarised below:
Total number of registered premises. Number inspected during year. -
Page 65
5. PUBLIC HEALTH INSPECTIONS The following table shews the multitudinous duties carried out during the year and I am pleased to pay tribute to the work done by senior and district inspectors and by the technical and general assistants and to record their achievements. Despite staff shortages, they made every endeavour, and with considerable skill and technical ability, to ensure that the department's services were maintained, and my appreciation of their efforts must include mention of the assistance given by the pupil inspectors.
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Page 66
The complaints received during the year are classified in the table below and they reflect a pattern similar to that of previous years.
Nature of Complaint. Number Received -
Page 66
Every effort is made by inspectors to carry out their work through informal action, and to seek co-operation by interview and letter; in certain cases recourse to statutory proceedings is unavoidable, and a summary of notices served during the year is given below: —
Subject of Notice. Public Health Act. Food and Drugs Act. -
Page 67
The following table gives details of the number of premises disinfested during the year. Disinfestation.
Bugs Wasps Fleas Lice Miscellaneous Total -
Page 67
7. RODENT CONTROL The rodent control staff have continued to do much useful work in eradicating rats and mice from premises.
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Page 68
8. FACTORIES ACT, 1961, Part I of the Act. (1.) INSPECTIONS, for purposes of provisions as to health.
Premises Number on Register Number of Inspections Written Notices Occupiers prosecuted -
Page 68
(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 To H.M. Inspector By H.M. Inspector -
Page 68
Part VIII of the Act, Outwork.
Nature of Work Section 110 Section 111 No. of outworkers in August list required by Section 110 (1) C No. of cases of default in sending lists to Council No of prosecutions for failure to supply lists No. of instances of work in unwholesome premises Notices served Prosecutions -
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Table I. SCHOOL POPULATION (As at 20.1.66)
No. of schools Number on Registers Total Boys Girls -
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A. — PERIODIC MEDICAL INSPECTIONS.
Year of Birth Number of pupils inspected Physical Condition of Pupils Inspected Satisfactory Unsatisfactory Number %of column 2 Number %of column 2 -
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Table III. TABLE A. — Pupils found to require treatment at Periodic Medical Inspections (excluding Dental Diseases and Infestation with Vermin).
Year of birth For defective vision (excluding squint) For any of the other conditions in table IV(A) Total individual pupils (1) (2) (3) (4) -
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TABLE A. — PERIODIC INSPECTIONS.
Defect code number Defect or disease Periodic inspections Entrants Leavers Others Total (T) (O) (T) (O) (T) (O) (T) (O) -
Page -
Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
Defect code number Defect or disease Pupils requiring Treatment Pupils requiring Observation (1) (2) (3) (4) -
Page -
Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1 ,000 pupils examined.
1965. -
Page -
Table VI. Number of children examined other than at Periodic Medical Inspections: —
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Page -
Table VII. CLINICS.
School Health Service facilities available. -
Page -
Table VIII. Eye Diseases, Defective Vision and Squint.
Number of cases known to have been dealt with -
Page -
Table IX. DISEASES AND DEFECTS OF EAR, NOSE AND THROAT.
Number of cases known to have been dealt with -
Page -
Table X. (a) Audiometer Tests — Routine
Age Group 1st Tests * Re-tests. Failures. Total % of Col. 1 (1) (2) (3) (4) -
Page -
(b) Audiometer Tests — Specials
Age. 1st Tests. Re-tests. Failures. Total. % of Col. 1 (1) (2) (3) (4) -
Page -
Table XI. INFESTATION WITH VERMIN.
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Table XII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XI.).
Number of cases known to have been treated. -
Page -
Table XIII. OTHER TREATMENT GIVEN.
Number of cases known to have been dealt with. -
Page -
Table XIV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
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Page -
Table XV. Handicapped Children maintained by the Richmond upon Thames Education Committee in Residential Special Schools as at 31st December, 1965.
Blind Partially Sighted Deaf Partially Hearing Educationally Subnormal Maladjusted Delicate Physically Handicapped Speech Defects Epilepsy TOTAL -
Page -
Table XVI. Child Guidance Treatment.
Number of cases known to have been treated. -
Page -
Table XVII. Orthopaedic and Postural Defects.
Number of cases known to have been treated. -
Page -
Table XVIII. Number of pupils treated by Speech Therapist under arrangements made by the Authority.
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Page -
Table XIX. Types of cases treated during the year.
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The discouraging condition of the teeth of the young school child is reflected in the number of fillings and extractions performed on children in the 5—9 year old group.
Age 5—9. Age 10—14. Age 15 + -
Page -
The dental laboratory which has a staff of 1 chief technician, 7 senior technicians and 2 apprentices, supplies the needs of not only this borough but also of the London Boroughs of Brent, Ealing, Harrow, Hillingdon and Hounslow. The output from the dental laboratory is as follows —
Dentures Ortho. appliances Inlays and Crowns Misc. -
Page -
The number of children receiving midday dinners and milk at maintained schools on a selected date in 1965 was as under: —
Date Number of dinners 1/3 pints milk Number of children at school % of children having dinners -
Page -
ROAD ACCIDENTS TO SCHOOLCHILDREN, 1965.
Killed Seriously Injured Slightly Injured Total -
Page -
DEATHS OF SCHOOLCHILDREN. It is with regret that I include the following details of local schoolchildren who died in 1965.
Sex. Age. Cause of death.