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

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.

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

Page 8

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 9

Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1967

Cause of Death	Age Group																Total		Grand Total
	Under 1		1-4		5-14		15-24		25-44		45-64		65-74		75 and over		Total
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 10

Infant Mortality, 1967. 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	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 11

The number of notifications received during the year, compared with 1966, may be summarised as follows :

Disease.	1967	1966

Page 13

The distribution of cases during each quarter of the year was as follows :

	M.	F	Total

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:

	M.	F.	Total

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.	1967	1966

Page 16

Cases of Infectious Diseases Notified during the year 1967

DISEASE	CASES NOTIFIED AT VARIOUS AGES (YEARS)														Total Cases Notified	Deaths
DISEASE	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	Total Cases Notified	Deaths

Page 21

Child Welfare Centres

Number of children who attended during the year				Number of sessions held by				Total number of sessions in columns (5)-(8)	Number of children referred elsewhere	Number of children under observation at end of year
Bom in 1967	Born in 1966	Born in 1962-1965	Total	Medical Officers	Health visitors	G.Ps. employed on a sessional basis	Hospital medical staff	Total number of sessions in columns (5)-(8)	Number of children referred elsewhere	Number of children under observation at end of year
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)

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
(1)		(2)	(3)	(4)
Doctor not booked		Doctor booked	Total

Page 26

Premature Births Number of premature births (as adjusted by any notifications transferred in or out of the area).

Premature live births												Premature stillbirths
Born in hospital				Born at home or in a nursing home
Born in hospital				Nursed, entirely at home or in a nursing home				Transferred to hospital on or before 28th day
Died				Died				Died				Born
Total births	within 24 hours of birth	in 1 and under 7 days	in 7 and under 28 days	Total births	within 24 hours of birth	in 1 and under 7 days	in 7 and under 28 days	Total births	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 27

Medical Aid Medical aid was required for 88 patients as follows:-

During Pregnancy		Infant		In Labour		Puerperium

Page 29

Local Health Authority Nursing Staff

Practice No.	Health Visitor	Midwife	District Nurse	Clinic Nurse

Page 30

Health Visiting

	Cases visited by health visitors	Number of cases

Page 31

Table 1. Immunisation against Diphtheria/Whooping Cough/Tetanus/Poliomyelitis (separately or combined).

Type of Vaccine		YEAR OF BIRTH					Others Under 16	Total
Type of Vaccine		1967	1966	1965	1964	1960/63	Others Under 16	Total

Page 31

Table 2. Vaccination against Smallpox.

Age at date of Vaccination	Under 1	1	2—4	5—15	Total

Page 32

The following table shows an analysis of cases notified in 1967.

Age Periods.	Respiratory		Non-Respiratory
Age Periods.	M	F	M	F

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.

Age	Borough Homes		Voluntary Homes		Total
Age	Men	Women	Men	'Women	Total

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 :-

	1967.	1966.

Page 41

The following table shows the number of patients admitted to psychiatric hospitals under the Mental Health Act during the year:

Seotion	M	F	Total

Page 42

Community Care of the Subnormal and Severely Subnormal. Referrals to the Mental Health Service. During 1967, the following referrals were received:-

	Subnormal				Severely Subnormal				Total
	Over 16		Under 16		Over 16		Under 16
	M	F	M	F	M	F	M	F

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:-

	Subnormal				Severely Subnormal				Total
	Over 16		Under 16		Over 16		Under 16
	M	F	M	F	M	F	M	F

Page 44

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 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 Establishment	Area Served	Number 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
	Cataract	Glaucoma	Retrolental Fibroplasia	Others

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 samples	Per 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 Sample	Number of Samples	Ammoniaacal Nitrogen	Albuminoid nitrogen	Nitrate Nitrogen	Oxygen abs. from KMnO₄4 hrs. at 27ºC.	B.O.D. 5l days at 20º C.	Hardness (total) CaCO₃	Hardness (non-carbonate) CaCO₃	Magnesium as Mg	Sodium as NA	Potassium as K	Chloride as Cl	Phosphate as PO₄	Silicate as SiO₂	Sulphate as SO₄	Natarural Fluoride as F	Suface-active material as Manoxol OT		Turbidity units	Colour (Burgess units)	pH value	Electical 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 53

BACTERIOLOGICAL RESULTS — YEARLY AVERAGES, 1967

Source of supply	BEFORE TREATMENT							AFTER TREATMENT
	Number of samples	Agar plate count per ml.		Coliform count		Escherichia coli count		Number of samples	Agar plate count per ml.		Coliform count	E. coli count
	Number of samples	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.	Number of samples	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:

		1957/63	1964	1965	1966	1967

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 Premises	No. of Premises which comply with Reg. 16*	No. of Premises to which Reg. 19 applies †	No. of Premises which comply with Reg. 19	No. 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 Analysed	Number 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 March	STATION (results in microgrammes per cubic metre)
	Twickenham No. 3		Twickenham No. 4		Teddington No. 3		Barnes No. 1
	Smoke	SO2	Smoke	SO2	Smoke	SO2	Smoke	SO2

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.

Premises	Number on Register	Number of
Premises	Number on Register	Inspections	Written Notices	Occupiers prosecuted

Page 72

(2.) Cases in which DEFECTS were found.

Particulars	Number of causes in which defects were found				Number of causes in which prosecutions were instituted
	Found	Remedied	Referred
	Found	Remedied	To H.M. Inspector	By H.M. Inspector

Page 72

Part VIII of the Act, Outwork.

Nature of Work	Section 110			Section 111
Nature of Work	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

Page 77

Table I. SCHOOL POPULATION (As at 18.1.68)

	No. of schools	Number on Registers		Total
	No. of schools	Boys	Girls	Total

Page 78

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
(1)	(2)	(3)	(4)	(5)	(6)

Page 79

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

Page 80

Table IV. Defects found by medical inspection in the year ended 31st December, 1967. TABLE A. — PERIODIC INSPECTIONS.

Defect code number	Defect or disease	Periodic inspections
		Entrants		Leavers		Others		Total
		(T)	(O)	(T)	(O)	(T)	(O)	(T)	(O)
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)

Page 81

Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.

Defect code number	Defect or disease	Pupils requiring Treatment	Pupils requiring Observation
(1)	(2)	(3)	(4)

Page 82

Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.

	1967	1966

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 Tests	Failures
	TOTAL (2)	TOTAL (3)	% of Col. 2 (4)

Page 84

Table X. DISEASES AND DEFECTS OF EAR, NOSE AND THROAT.

	Number of cases known to have been dealt with

Page 85

Table XI. (a) Audiometer Tests — Routine

Age Group	1st 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

Table XIV. OTHER TREATMENT GIVEN.

	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 31.12.66		No. of new cases ascertained during year		No. of ascertained cases known on 31.12.67		In special day schools		In special residential schools		In maintained Primary & Secy. Schools		In Independent Schools		Not at School		TOTAL
	B	G	B	G	B	G	B	G	B	G	B	G	B	G	B	G	B	G

Page 89

Table XVII. Handicapped Children maintained by the Richmond upon Thames Education Committee in Residential Special Schools as at 31st December, 1967.

	Blind	Partially Sighted	Deaf	Partially Hearing	Educationally Subnormal	Maladjusted	Delicate	Physically Handicapped	Speech Defects	Epileptic	TOTAL

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.

Dentures	Ortho. appliances	Inlays and Crowns	Misc.

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.

	Killed	Seriously Injured	Slightly Injured	Total

Page 98

It is with regret that I include the following details of local schoolchildren who died in 1967.

Sex		Age	Cause of Death.
M	F	Age	Cause of Death.

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

View report tables

Richmond upon Thames 1967

74 tables in this report

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.

An analysis of the death returns reveals the following main causes of death:

Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1967

Infant Mortality, 1967. Net Deaths from stated causes at various ages under one year compiled from returns received.

The number of notifications received during the year, compared with 1966, may be summarised as follows :

The distribution of cases during each quarter of the year was as follows :

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:

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 :

Cases of Infectious Diseases Notified during the year 1967

Child Welfare Centres

Domiciliary Deliveries

Premature Births Number of premature births (as adjusted by any notifications transferred in or out of the area).

Medical Aid Medical aid was required for 88 patients as follows:-

Local Health Authority Nursing Staff

Health Visiting

Table 1. Immunisation against Diphtheria/Whooping Cough/Tetanus/Poliomyelitis (separately or combined).

Table 2. Vaccination against Smallpox.

The following table shows an analysis of cases notified in 1967.

London Borough of Richmond upon Thames Chest and Tuberculosis Care Committee Statistics 1967

the control of the Welfare Committee or for whom that Committee has accepted financial responsibility in a Voluntary Home.

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.

The standard charge for the service at the end of the year was 6/- per hour. Cases given help were as follows :-

The following table shows the number of patients admitted to psychiatric hospitals under the Mental Health Act during the year:

Community Care of the Subnormal and Severely Subnormal. Referrals to the Mental Health Service. During 1967, the following referrals were received:-

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:-

The number of patients awaiting admission to psychiatric hospitals for the subnormal at the end of the year was as follows:-

The numbers attending these centres from the Borough are set out below:

From the Borough are set out below:

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:-

v. Follow-up of Registered Blind and Partially Sighted Persons for the year ended 31st December, 1967.

The following table shows the classification of the Register by age groups and by incidence of blindness:-

The table shows occupatitions followed by those in employment:-

Ophthalmia Neonatorum

Lead content (mg/1. Pb) water from main taps in consumers' premises

AVERAGE RESULTS OF THE CHEMICAL EXAMINATION of water supplied to the London Borough of Richmond upon Thames Milligrammes per litre (unless otherwise stated)

BACTERIOLOGICAL RESULTS — YEARLY AVERAGES, 1967

Applications for Certificates of Disrepair:

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:

Food Hygiene (General) Regulations, 1960.

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:

3. ATMOSPHERIC POLLUTION The following Smoke Control Orders became operative during the year :

Assistants and the Clerical Staff. The Council also made the following Smoke Control Orders during the year intending them to be operative in 1968.

The following short table gives processed yearly average figures so far available for four years:

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:

The complaints received during the year are classified in the table below and they reflect a pattern similar to that of previous years.

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:

3. FACTORIES ACT, 1961, 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 I. SCHOOL POPULATION (As at 18.1.68)

A. — PERIODIC MEDICAL INSPECTIONS.

Table III. TABLE A. — Pupils found to require treatment at Periodic Medical Inspections (excluding Dental Diseases and Infestation with Vermin).

Table IV. Defects found by medical inspection in the year ended 31st December, 1967. TABLE A. — PERIODIC INSPECTIONS.

Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.

Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.

Table VII. CLINICS.

Table VIII. Eye Diseases, Defective Vision and Squint.

Table IX.

Table X. DISEASES AND DEFECTS OF EAR, NOSE AND THROAT.

Table XI. (a) Audiometer Tests — Routine

(b) Audiometer Tests — Specials

Table XIII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XII.).

Table XIV. OTHER TREATMENT GIVEN.

Table XV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:

Table XVI. HANDICAPPED PUPILS, YEAR ENDED 31st December 1967 ASCERTAINMENT DISTRIBUTION (As at last day of year)

Table XVII. Handicapped Children maintained by the Richmond upon Thames Education Committee in Residential Special Schools as at 31st December, 1967.

Table XX. Number of pupils treated by Speech Therapist under arrangements made by the Authority.

Table XXI. Types of cases treated during the year.

Table XXII.

Table XXIII.

Table XXIV.

Table XXV.

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.