London's Pulse: Medical Officer of Health reports 1848-1972
View report tables
Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Richmond upon Thames 1968
[Report of the Medical Officer of Health for Richmond]
- Published
- 1969
- Pages
- 118
- Tables
- 88
This page requires JavaScript
-
Page 8
POPULATION The Registrar General's estimate of mid-year population for the Borough was 177,130, which is a decrease of 1,910 compared with 1967. The natural increase (excess of births over deaths) was 140.
Year Population Population trend Migration excess 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
Infant Mortality, 1968. 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 3-1 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 10
Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1968
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 M F M F M F M F M F M F M F M F M F -
Page 11
Continued from previous page...
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 M F M F M F M F M F M F M F M F M F -
Page 12
The number of notifications under respective legislation received during the year, compared with 1967, may be summarised as follows:
Disease. 1968 1967 -
Page 13
Previous years figures are as follows:
-
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
Previous years figures are as follows: —
-
Page 16
Venereal Diseases. I am indebted to Dr. N. Rosedale for the following statistics of the patients treated at the Special Clinic at West Middlesex Hospital: —
New Cases Syphilis Gonorrhoea Other Conditions Total -
Page 16
1 he number of patients treated at Special Clinics at other hospitals is:—
New Cases Syphilis Gonorrhoea Other Conditions Total -
Page 17
The following table shows from which Country the immigrants passports were issued:
Country where passport issued Number of Immigrants. Commonwealth Countries. -
Page 18
Cases of Infectious Diseases Notified during the year 1968
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 20
Total Number of Cases referred in 1968:—
Total -
Page 21
The Mothers
-
Page 21
Putative Fathers
-
Page 21
Ways in which unsupported mothers have been helped.
-
Page 24
Table I. Pre-School Children
-
Page 25
Table II. Expectant and Nursing Mothers
-
Page 26
Child Health Clinics
Number of children who attended during the year Number of sessions held by Total number of sessions in columns (15)-(8) Number of children referred elsewhere Number of children under observation at end of year Born in 1968 Born in 1967 Born in 1963-1966 Total Medical Officers Health Visitors G.Ps. employed on a sessional basis Hospital medical staff (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) -
Page 29
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) -
Page 30
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 32
Local Health Authority Nursing Staff
Practice No. Health Visitor Midwife District Nurse Clinic Nurse -
Page 33
Health Visiting
Cases visited by health visitors Number of cases -
Page 34
Table 1. Immunisation against Diphtheria/Whooping Cough/Tetanus/Poliomyelitis/ Measles (separately or combined).
Type of Vaccine YEAR OF BIRTH Others Under 16 Total 1968 1967 1966 1965 1961/64 -
Page 34
Table 2. Vaccination against Smallpox.
Age at date of Vaccination Under 1 1 2—4 5—15 Total -
Page 35
The following table shows an analysis of cases notified in 1968.
Age Periods. Respiratory Non-Respiratory M F M F -
Page 37
London Borough of Richmond upon Thames Chest and Tuberculosis Care Committee Statistics 1968
Category of Cases. No. assisted (within scale for Council grant). No. assisted (above scale for Council grant). -
Page 47
The following table shows the number of patients admitted to psychiatric hospitals under the Mental Health Act during the year :
Section M P Total -
Page 48
During 1968, 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 49
The following table shows the number of admissions which have taken place from 1st January, 1968 to the 31st Decmber, 1968 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 49
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 50
The numbers attending these centres from the Borough are set out below : —
Name of Establishment. Area Served. Number attending. -
Page 51
Borough of Kingston upon Thames. The approximate numbers attending these centres from the Borough are set out below:
Name of Establishment Area Served Number attending -
Page 51
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 53
A. Follow-up of Registered Blind and Partially Sighted Persons for the year ended 31st December, 1968.
Cause of Disability Cataract Glaucoma Retrolental Fibroplasia Others -
Page 53
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 55
Ophthalmia Neonatorum
-
Page 58
Lead content of water from main taps in consumers' premises
Lead content (mg/1 Pb) Samples of water standing in lead pipe overnight Samples of water after running the tap -
Page 60
AVERAGE RESULTS OF THE CHEMICAL EXAMINATION of the water supplied to the London Borough of Richmond upon Thames during 1968. Milligrammes per litre (unless otherwise stated)
Description of the Sample Number of Samples Ammoniacal Nitrogen Albuminoid Nitrogen Nitrate Nitrogen Oxygen abs. from KMnO,4 hrs. at 27° C. B.O.D 5 days at 20° C. Hardness (total) CaC03 Hardness (non-carbonate) CaC03 Magnesium as Mg Sodium as Na Potassium as K. Chloride as CI 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) -
Page 60
AVERAGE RESULTS OF THE CHEMICAL EXAMINATION of the water supplied to the London Borough of Richmond upon Thames during 1968. Milligrammes per litre (unless otherwise stated)
Source of supply BACTERIOLOGICAL RESULTS — YEARLY AVERAGES, 1968 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 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 63
The action taken to remedy unfit houses is summarised in the table below :
-
Page 65
Applications for Certificates of Disrepair :
1957/63 1964 1965 1966 1967 1968 -
Page 66
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 67
* This figure includes a consignment of 25,959 lbs. of imported meat in refrigerated vans the refrigeration plants of which were defective.
-
Page 68
Food Hygiene (General) Regulations, 1960.
Type cf 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 70
The following table shows the types of samples analysed and the results obtained:
Article. Number Analysed Number Irregular -
Page 74
3. ATMOSPHERIC POLLUTION The following Smoke Control Orders became operative during the year:
Acreage. Number of Dwellings. Number of other Premises. -
Page 74
There are now 11,637 acres including 52,112 premises subject to Smoke Control Orders and, during the year, the following two additional Orders were made with the operative dates proposed for the end of 1969.
Acreage. Number of Dwellings. Number of other Premises. -
Page 74
The following Order was also submitted to the Council at the end of the year with a proposed operative date in December, 1969.
Acreage. Number of Dwellings. Number of other Premises. -
Page 75
The following table gives processed yearly average figures so far available for five 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 S02 Smoke S02 Smoke SO2 -
Page 76
During the year 275 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 79
Summonses were issued against seven defendants under the following Sections of the Act:
Section Contravention Type of Premises Result of Action -
Page 81
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 84
(1.) INSPECTIONS, for purposes of provisions as to health.
Premises Number on Register Number of Inspections Written Notices Occupiers prosecuted -
Page 84
(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 84
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 -
Page 90
Table I. SCHOOL POPULATION (As at 18.1.69)
No. of schools Number on Registers Total Boys Girls -
Page 91
Table II. Medical Inspection of Pupils attending Maintained Primary and Secondary Schools (including Nursery and Special Schools). 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 91
B. — OTHER INSPECTIONS.
-
Page 92
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) -
Page 93
Table IV. Defects found by medical inspection in the year ended 31st December, 1968. 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 94
Table IV.— continued. TABLE B.—SPECIAL INSPECTIONS.
Defect code number Defect or disease Pupils requiring Treatment Pupils requiring Observation (1) (2) (3) (4) -
Page 95
Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.
1968 1967 -
Page 95
Table VI.
-
Page 97
Table VII. CLINICS.
School Health Service facilities available (as at 31.12.68) -
Page 99
Table VIII. Eye Diseases, Defective Vision and Squint.
Number of cases known to have been dealt with -
Page 99
Keystone Telebinocular Vision Screener. Keystone Telebinocular Vision Screeners were used in the schools during 1968. The instruments were operated by the audiometer/vision screener operators. The statistics relating to this screening procedure are given below: Table IX.
Age Group. First Tests Failures TOTAL TOTAL % of Col. 2 (1) (2) (3) (4) -
Page 99
Table X. DISEASES AND DEFECTS OF EAR, NOSE AND THROAT.
Number of cases known to have been dealt with -
Page 100
Table XI. (a) Audiometer Tests — Routine
Failures. Age Group 1st Tests * (1) Re-tests. (2) Total (3) % of Col. 1 (4) -
Page 100
(b) Audiometer Tests — Specials
Failures. Age. 1st Tests. (1) Re-tests. (2) Total. (3) % of Col.1 (4) -
Page 101
Table XII. INFESTATION WITH VERMIN.
-
Page 101
Table XIII. DISEASES OF THE SKIN (excluding uncleanliness—-see Table XII.).
Number of cases known to have been treated. -
Page 101
Table XIV. OTHER TREATMENT GIVEN.
Number of cases known to have been dealt with. -
Page 102
Table XV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
-
Page 103
Table XVI. HANDICAPPED PUPILS, YEAR ENDED 31st December 1968 ASCERTAINMENT DISTRIBUTION (As at last day of year)
No. of ascertained cases known on 31.12.67 No. of new cases ascertained during ear No. of ascertained cases known on 31.12.68 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 104
Table XVII. Handicapped Children maintained by the Richmond upon Thames Education Committee in Residential Special Schools as at 31st December, 1968.
Blind Partially Sighted Deaf Partially Hearing Educationally Subnormal Maladjusted Delicate Physically Handicapped Speech Defects | Epileptic TOTAL -
Page 106
Table XVIII. Child Guidance Treatment.
-
Page 106
Table XIX. Orthopaedic and Postural Defects.
Number of cases known to have been treated. -
Page 108
Table XX. Number of pupils treated by Speech Therapists under arrangements made by the Authority.
-
Page 108
Table XXI. Types of cases treated during the year.
-
Page 109
Table XXII.
Age 5—9. Age 10—14. Age 15 + -
Page 110
Table XXIII.
-
Page 110
Table XXIV.
Dentures Ortho. appliances Inlays and Crowns Misc. -
Page 110
The number of children receiving mid-day dinners and milk at maintained schools on a selected date in 1968 was as under:—
Date Number of dinners Number of children at school % of children having dinners + 1/3 pints milk (Primary Schls. only) Number of children at school -
Page 111
Table XXV. ROAD ACCIDENTS TO SCHOOLCHILDREN, 1968. 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 111
Table XXVI. DEATHS OF SCHOOLCHILDREN. It is with regret that I include the following details of local schoolchildren who died in 1968.
Sex M F Age Cause of Death.