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Richmond upon Thames 1965

[Report of the Medical Officer of Health for Richmond upon Thames]


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80 tables in this report

  • Page 5
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    Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1965
    Cause of DeathAge Group
    Under 11-45-1415-2425-4445-6465-7475 and overTotalGrand Total
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    Main Causes of Death An analysis of the death returns reveals the following main causes of death :
    DiseasePercentage of total deathsDeath rate per 1,000 of the population
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    Infant Mortality, 1965. Net Deaths from stated causes at various ages under one year compiled from returns received.
    CAUSE OF DEATHTOTALUnder 1 week1-2 weeks2-3 weeks3-4 weeks1-3 months3-6 months6-9 months9-12 months
    Under one yearUnder four weeks
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    Cases of Infectious Diseases Notified during the year 1965
    Under 1 Year12345-910-1415-1920-2425-3435-4445-6465 and OverAge not known
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    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:
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    Measles. This was a "measles" year. There were 1992 cases notified :
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    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:
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    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:
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    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
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    CARE OF MOTHERS AND YOUNG CHILDREN Ante-Natal and Post-Natal Clinics
    Number of cases attended :
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    Premature Births Number of premature births (as adjusted by any notifications transferred in or out of the area).
    Weight at birthPremature live birthsPremature stillbirths
    Born in hospitalBorn at home or in a nursing home
    Nursed, entirely at home or in a nursing homeTransferred to hospital on or before 28th day
    Total birthsDiedTotal birthsDiedTotal birthsDiedBorn
    within 24 hours of birthin 1 and under 7 daysin 7 and under 28 dayswithin 24 hours of birthin 1 and under 7 daysin 7 and under 28 dayswithin 24 hours of birthin 1 and under 7 daysin 7 and under 28 daysin hospitalat home or in a nursing home
  • 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. — MarchApril — Dec.Total
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    Ways in which unsupported mothers have been helped.
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    At the end of 1965 the mothers who decided to keep their babies were living in the following way
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    Child Welfare Centres
    Number of children who attended during the yearNumber of sessions held byTotal 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)
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    Pre-School Children
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    Expectant and Nursing Mothers
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    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 visitorsNumber of cases
  • Page 26
    Table 1. Immunisation against Diphtheria/Whooping Cough/Tetanus/Poliomyelitis (separately or combined).
    Type of VaccineYEAR OF BIRTHOthers Under 16Total
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    Table 2. Vaccination against Smallpox.
    Age at date of VaccinationUnder 112—45—15Total
  • 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.19641965
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    The following table shows an analysis of cases notified in 1965.
    Age Periods.RespiratoryNon-Respiratory
  • Page 28
    There were 7 deaths from tuberculosis during 1965 viz: —
  • Page 39
    TABLE 1 Serum Cholesterol — m.g./100 ml. Mean for 10 Women
    First cycleSecond 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.
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    Cases given help during 1965 were as follows : —
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    The following table shows the number of patients admitted to psychiatric hospitals under the Mental Health Act during the year: —
  • 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:
    SubnormalSeverely SubnormalTotal
    Over 16Under 16 (Over 16Under 16
  • Page 46
    The number of patients awaiting admission to psychiatric hospitals for the subnormal at the end of the year was as follows :
    SubnormalSeverely SubnormalTotal
    Over 16Under 16Over 16Under 16
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    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 EstablishmentArea ServedNumber attending
  • Page 48
    A. Follow-up of Registered Blind and Partially Sighted Persons for the year ended 31st December, 1965.
    Cause of Disability
    CataractGlaucomaRetrolental FibroplasiaOthers
  • Page 49
    Ophthalmia Neonatorum
  • 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 SampleNumber of Samples Day of the monthAmmoniacal NitrogenAlbuminoid NitrogenNitrate NitrogenOxygen abs. from KMn044 hrs. at 27° C.B.O.D. 5 days at 20° C.Hardness (total) CaC03Hardness (non-carbonate) CaC03Magnesium as MgChloride as C1Phosphate as P04Silicate as Si02Sulphate as S04Natural Fluoride as FSurface-active material as Manoxol OTTurbidity unitsColour (Burgess units)pH valueElectrical Conductivity (micromhos)
  • Page 54
    The action taken to remedy unfit houses is summarised in the table below:
  • 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.
  • 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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    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 PremisesNo. of Premises which comply with Reg. 16*No. of Premises to which Reg. 19 appliestNo. of Premises which comply with Reg. 19No. of Visits carried out.
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    Continued from previous page...
    Number AnalysedNumber Irregular
  • Page 60
    The following Licences have been granted authorising dealers to store and sell designated milks:
  • 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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    During the year one hundred and seventy-eight samples were taken and upon examination were graded as follows :
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    3. ATMOSPHERIC POLLUTION (a) The Clean Air programme continued satisfactorily and the following Smoke Control Orders came into operation during the year :
    AreaDwellingsOther 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.
  • 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
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    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.
  • 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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    8. FACTORIES ACT, 1961, Part I of the Act. (1.) INSPECTIONS, for purposes of provisions as to health.
    PremisesNumber on RegisterNumber of
    InspectionsWritten NoticesOccupiers prosecuted
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    (2.) Cases in which DEFECTS were found.
    ParticularsNumber of cases in which defects were foundNumber of cases in which prosecutions were instituted
    To H.M. InspectorBy H.M. Inspector
  • Page 68
    Part VIII of the Act, Outwork.
    Nature of WorkSection 110Section 111
    No. of outworkers in August list required by Section 110 (1) CNo. of cases of default in sending lists to CouncilNo of prosecutions for failure to supply listsNo. of instances of work in unwholesome premisesNotices servedProsecutions
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    Table I. SCHOOL POPULATION (As at 20.1.66)
    No. of schoolsNumber on RegistersTotal
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    Year of BirthNumber of pupils inspectedPhysical Condition of Pupils Inspected
    Number%of column 2Number%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 birthFor defective vision (excluding squint)For any of the other conditions in table IV(A)Total individual pupils
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    Defect code numberDefect or diseasePeriodic inspections
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    Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
    Defect code numberDefect or diseasePupils requiring TreatmentPupils requiring Observation
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    Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1 ,000 pupils examined.
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    Table VI. Number of children examined other than at Periodic Medical Inspections: —
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    Table VII. CLINICS.
    School Health Service facilities available.
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    Table VIII. Eye Diseases, Defective Vision and Squint.
    Number of cases known to have been dealt with
  • Page -
    Number of cases known to have been dealt with
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    Table X. (a) Audiometer Tests — Routine
    Age Group1st Tests *Re-tests.Failures.
    Total% of Col. 1
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    (b) Audiometer Tests — Specials
    Age.1st Tests.Re-tests.Failures.
    Total.% of Col. 1
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    Table XII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XI.).
    Number of cases known to have been treated.
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    Number of cases known to have been dealt with.
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    Table XIV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
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    Table XV. Handicapped Children maintained by the Richmond upon Thames Education Committee in Residential Special Schools as at 31st December, 1965.
    BlindPartially SightedDeafPartially HearingEducationally SubnormalMaladjustedDelicatePhysically HandicappedSpeech DefectsEpilepsyTOTAL
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    Table XVI. Child Guidance Treatment.
    Number of cases known to have been treated.
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    Table XVII. Orthopaedic and Postural Defects.
    Number of cases known to have been treated.
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    Table XVIII. Number of pupils treated by Speech Therapist under arrangements made by the Authority.
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    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 +
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    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 —
    DenturesOrtho. appliancesInlays and CrownsMisc.
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    The number of children receiving midday dinners and milk at maintained schools on a selected date in 1965 was as under: —
    DateNumber of dinners1/3 pints milkNumber of children at school% of children having dinners
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    KilledSeriously InjuredSlightly InjuredTotal
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    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.