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

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Richmond upon Thames 1967

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


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74 tables in this report

  • Page 8
    POPULATION The Registrar General's estimate of mid-year population for the Borough was 179,040, which is a decrease of 1,160 compared with 1966. The natural increase (excess of births over deaths) was 404.
    YearPopulationPopulation trendMigration excess
    Total increase or decreasePercentage proportionNatural increase or decreaseInwardOutward
  • Page 8
    An analysis of the death returns reveals the following main causes of death:
    DiseasePercentage of total deathsDeath rate per 1,000 of the population
  • Page 9
    Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1967
    Cause of DeathAge GroupTotalGrand Total
    Under 11-45-1415-2425-4445-6465-7475 and over
  • Page 10
    Infant Mortality, 1967. 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
  • Page 11
    The number of notifications received during the year, compared with 1966, may be summarised as follows :
  • Page 13
    The distribution of cases during each quarter of the year was as follows :
  • Page 13
    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:
  • Page 15
    Medical Arrangements for Long-Stay Immigrants. The number of immigrants who gave destination addresses situated in this Borough doubled in 1967 compared with 1966, and the following table shows from which Country their passports were issued :
    Commonwealth Countries.19671966
  • Page 16
    Cases of Infectious Diseases Notified during the year 1967
    Under 1 Year12345-910-1415-1920-2425-3435-4445-6465 and OverAge not known
  • Page 21
    Child Welfare Centres
    Number of children who attended during the yearNumber of sessions held byTotal number of sessions in columns (5)-(8)Number of children referred elsewhereNumber of children under observation at end of year
    Bom in 1967Born in 1966Born in 1962-1965TotalMedical OfficersHealth visitorsG.Ps. employed on a sessional basisHospital medical staff
  • Page 25
    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
    Doctor not bookedDoctor bookedTotal
  • Page 26
    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 birthswithin 24 hours of birthin 1 and under 7 daysin 7 and under 28 daysTotal birthswithin 24 hours of birthin 1 and under 7 daysin 7 and under 28 daysTotal birthswithin 24 hours of birthin 1 and under 7 daysin 7 and under 28 daysin hospitalat home or in a nursing home
  • Page 27
    Medical Aid Medical aid was required for 88 patients as follows:-
    During PregnancyInfantIn LabourPuerperium
  • Page 29
    Local Health Authority Nursing Staff
    Practice No.Health VisitorMidwifeDistrict NurseClinic Nurse
  • Page 30
    Health Visiting
    Cases visited by health visitorsNumber of cases
  • Page 31
    Table 1. Immunisation against Diphtheria/Whooping Cough/Tetanus/Poliomyelitis (separately or combined).
    Type of VaccineYEAR OF BIRTHOthers Under 16Total
  • Page 31
    Table 2. Vaccination against Smallpox.
    Age at date of VaccinationUnder 112—45—15Total
  • Page 32
    The following table shows an analysis of cases notified in 1967.
    Age Periods.RespiratoryNon-Respiratory
  • Page 34
    London Borough of Richmond upon Thames Chest and Tuberculosis Care Committee Statistics 1967
    Category of Cases.No. assisted (within scale for Council grant).No. assisted (above scale for Council grant).
  • Page 36
    the control of the Welfare Committee or for whom that Committee has accepted financial responsibility in a Voluntary Home.
    AgeBorough HomesVoluntary HomesTotal
  • Page 37
    Poster campaigns were held on different subjects each month (see below) and as far as possible these were also held in conjunction with any national campaigns being promoted at that time, e.g. mental health week, anti-smoking.
  • Page 39
    The standard charge for the service at the end of the year was 6/- per hour. Cases given help were as follows :-
  • Page 41
    The following table shows the number of patients admitted to psychiatric hospitals under the Mental Health Act during the year:
  • Page 42
    Community Care of the Subnormal and Severely Subnormal. Referrals to the Mental Health Service. During 1967, the following referrals were received:-
    SubnormalSeverely SubnormalTotal
    Over 16Under 16Over 16Under 16
  • Page 43
    table shows the number of admissions which have taken place from 1st January, 1967 to the 31st December, 1967, all of which were on an informal basis:-
    SubnormalSeverely SubnormalTotal
    Over 16Under 16Over 16Under 16
  • Page 44
    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
  • Page 44
    The numbers attending these centres from the Borough are set out below:
    Name of Establishment.Area Served.Number attending.
  • Page 45
    From the Borough are set out below:
    Name of EstablishmentArea ServedNumber attending
  • Page 46
    Holiday Camps. By arrangement with the London Boroughs of Hillingdon, Hounslow, and the Royal Borough of Kingston upon Thames, arrangements were made for children and adults from Richmond upon Thames to attend holiday camps as follows:-
    Borough.Place.Dates.Number Attended.
  • Page 46
    v. Follow-up of Registered Blind and Partially Sighted Persons for the year ended 31st December, 1967.
    Cause of Disability
    CataractGlaucomaRetrolental FibroplasiaOthers
  • Page 47
    The following table shows the classification of the Register by age groups and by incidence of blindness:-
    Classification by age groups.Classification by incidence of blindness.
  • Page 47
    The table shows occupatitions followed by those in employment:-
  • Page 48
    Ophthalmia Neonatorum
  • Page 51
    Lead content (mg/1. Pb) water from main taps in consumers' premises
    Number of samplesPer cent.
  • Page 53
    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 SamplesAmmoniaacal NitrogenAlbuminoid nitrogenNitrate NitrogenOxygen abs. from KMnO44 hrs. at 27ºC.B.O.D. 5l days at 20º C.Hardness (total) CaCO3Hardness (non-carbonate) CaCO3Magnesium as MgSodium as NAPotassium as KChloride as ClPhosphate as PO4Silicate as SiO2Sulphate as SO4Natarural Fluoride as FSuface-active material as Manoxol OTTurbidity unitsColour (Burgess units)pH valueElectical Conductivity (micromhos)
  • Page 53
    Number of samplesAgar plate count per ml.Coliform countEscherichia coli countNumber of samplesAgar plate count per ml.Coliform countE. 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 57
    Applications for Certificates of Disrepair:
  • Page 59
    Throughout the year the Inspectors received requests from food traders to examine doubtful consignments of food and the following table lists the articles voluntarily surrendered and destroyed after such examination:
  • Page 59
    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 applies †No. of Premises which comply with Reg. 19No. of Visits carried out.
  • Page 60
    During the year four hundred and ninety nine samples were submitted for chemical analysis. The following table shows the various types of samples analysed and the results obtained:
    Article.Number AnalysedNumber Irregular
  • Page 64
    3. ATMOSPHERIC POLLUTION The following Smoke Control Orders became operative during the year :
    Acreage.Number of Dwellings.Number of other Premises.
  • Page 64
    Assistants and the Clerical Staff. The Council also made the following Smoke Control Orders during the year intending them to be operative in 1968.
    Acreage.Number of Dwellings.Numberof other Premises.
  • Page 66
    The following short table gives processed yearly average figures so far available for four years:
    Year Ended MarchSTATION (results in microgrammes per cubic metre)
    Twickenham No. 3Twickenham No. 4Teddington No. 3Barnes No. 1
  • Page 66
    During the year 179 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 of general inspections during year.
  • Page 70
    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 70
    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 72
    3. FACTORIES ACT, 1961, Part I of the Act. (1.) INSPECTIONS, for purposes of provisions as to health.
    PremisesNumber on RegisterNumber of
    InspectionsWritten NoticesOccupiers prosecuted
  • Page 72
    (2.) Cases in which DEFECTS were found.
    ParticularsNumber of causes in which defects were foundNumber of causes in which prosecutions were instituted
    To H.M. InspectorBy H.M. Inspector
  • Page 72
    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
  • Page 77
    Table I. SCHOOL POPULATION (As at 18.1.68)
    No. of schoolsNumber on RegistersTotal
  • Page 78
    Year of BirthNumber of pupils inspectedPhysical Condition of Pupils Inspected
    Number%of column 2Number%of column 2
  • Page 79
    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
  • Page 80
    Table IV. Defects found by medical inspection in the year ended 31st December, 1967. TABLE A. — PERIODIC INSPECTIONS.
    Defect code numberDefect or diseasePeriodic inspections
  • Page 81
    Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
    Defect code numberDefect or diseasePupils requiring TreatmentPupils requiring Observation
  • Page 82
    Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.
  • Page 83
    Table VII. CLINICS.
    School Health Service facilities available (as at 31.12.67)
  • Page 84
    Table VIII. Eye Diseases, Defective Vision and Squint.
    Number of cases known to have been dealt with
  • Page 84
    Table IX.
    Age Group. (1)First TestsFailures
    TOTAL (2)TOTAL (3)% of Col. 2 (4)
  • Page 84
    Number of cases known to have been dealt with
  • Page 85
    Table XI. (a) Audiometer Tests — Routine
    Age Group1st Tests * (1)Re-tests. (2)Failures.
    Total (3)% of Col. 1 (4)
  • Page 85
    (b) Audiometer Tests — Specials
    Age.1st Tests. (1)Re-tests. (2)Failures.
    Total. (3)% of Col. 1 (4)
  • Page 86
    Table XIII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XII.).
    Number of cases known to have been treated.
  • Page 86
    Number of cases known to have been dealt with.
  • Page 87
    Table XV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
  • Page 88
    Table XVI. HANDICAPPED PUPILS, YEAR ENDED 31st December 1967 ASCERTAINMENT DISTRIBUTION (As at last day of year)
    No. of ascertained cases known on 31.12.66No. of new cases ascertained during yearNo. of ascertained cases known on 31.12.67In special day schoolsIn special residential schoolsIn maintained Primary & Secy. SchoolsIn Independent SchoolsNot at SchoolTOTAL
  • Page 89
    Table XVII. Handicapped Children maintained by the Richmond upon Thames Education Committee in Residential Special Schools as at 31st December, 1967.
    BlindPartially SightedDeafPartially HearingEducationally SubnormalMaladjustedDelicatePhysically HandicappedSpeech DefectsEpilepticTOTAL
  • Page 94
    Table XX. Number of pupils treated by Speech Therapist under arrangements made by the Authority.
  • Page 94
    Table XXI. Types of cases treated during the year.
  • Page 95
    Table XXII.
  • Page 95
    Table XXIII.
    Age 5—9.Age 10—14.Age 15 +
  • Page 96
    Table XXIV.
  • Page 96
    Table XXV.
    DenturesOrtho. appliancesInlays and CrownsMisc.
  • Page 97
    Table XXVI. ROAD ACCIDENTS TO SCHOOLCHILDREN, 1967. Mr. W. H. Jones, Town Clerk, has kindly supplied the following details of road accidents to school children.
    KilledSeriously InjuredSlightly InjuredTotal
  • Page 98
    It is with regret that I include the following details of local schoolchildren who died in 1967.
    SexAgeCause of Death.