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Richmond upon Thames 1968

[Report of the Medical Officer of Health for Richmond]

Published
1969
Pages
118
Tables
88

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88 tables in this report

  • 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.
    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
    Infant Mortality, 1968. Net Deaths from stated causes at various ages under one year compiled from returns received.
    CAUSE OF DEATHTOTALUnder 1 week1-2 weeks2-3 weeks3-1 weeks1-3 months3-6 months6-9 months9-12 months
    Under one yearUnder four weeks
    MFMFMFMFMFMFMFMF
  • Page 10
    Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1968
    Cause of DeathAge GroupTotalGrand Total
    Under 11-45-1415-2425-4445-6465-7475 and over
    MFMFMFMFMFMFMFMFMF
  • Page 11
    Continued from previous page...
    Cause of DeathAge GroupTotalGrand Total
    Under 11-45-1415-2425-4445-6465-7475 and over
    MFMFMFMFMFMFMFMFMF
  • Page 12
    The number of notifications under respective legislation received during the year, compared with 1967, may be summarised as follows:
    Disease.19681967
  • 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
    SyphilisGonorrhoeaOther ConditionsTotal
  • Page 16
    1 he number of patients treated at Special Clinics at other hospitals is:—
    New Cases
    SyphilisGonorrhoeaOther ConditionsTotal
  • Page 17
    The following table shows from which Country the immigrants passports were issued:
    Country where passport issuedNumber of Immigrants.
    Commonwealth Countries.
  • Page 18
    Cases of Infectious Diseases Notified during the year 1968
    DISEASECASES NOTIFIED AT VARIOUS AGES (YEARS)Total Cases NotifiedDeaths
    Under 1 Year12345-910-1415-1920-2425-3435-4445-6465 and OverAge 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 yearNumber of sessions held byTotal number of sessions in columns (15)-(8)Number of children referred elsewhereNumber of children under observation at end of year
    Born in 1968Born in 1967Born in 1963-1966TotalMedical OfficersHealth VisitorsG.Ps. employed on a sessional basisHospital 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 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
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)
  • Page 32
    Local Health Authority Nursing Staff
    Practice No.Health VisitorMidwifeDistrict NurseClinic Nurse
  • Page 33
    Health Visiting
    Cases visited by health visitorsNumber of cases
  • Page 34
    Table 1. Immunisation against Diphtheria/Whooping Cough/Tetanus/Poliomyelitis/ Measles (separately or combined).
    Type of VaccineYEAR OF BIRTHOthers Under 16Total
    19681967196619651961/64
  • Page 34
    Table 2. Vaccination against Smallpox.
    Age at date of VaccinationUnder 112—45—15Total
  • Page 35
    The following table shows an analysis of cases notified in 1968.
    Age Periods.RespiratoryNon-Respiratory
    MFMF
  • 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 :
    SectionMPTotal
  • Page 48
    During 1968, the following referrals were received : —
    SubnormalSeverely SubnormalTotal
    Over 16 Under 16Over 16 Under 16
    MFMFMFMF
  • 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:-
    SubnormalSeverely SubnormalTotal
    Over 16Under 16Over 16Under 16
    MFMFMFMF
  • Page 49
    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
    MFMFMFMF
  • 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 EstablishmentArea ServedNumber 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
    CataractGlaucomaRetrolental FibroplasiaOthers
  • 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 overnightSamples 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 SampleNumber of SamplesAmmoniacal NitrogenAlbuminoid NitrogenNitrate NitrogenOxygen abs. from KMnO,4 hrs. at 27° C.B.O.D 5 days at 20° C.Hardness (total) CaC03Hardness (non-carbonate) CaC03Magnesium as MgSodium as NaPotassium as K.Chloride as CIPhosphate as P04Silicate as Si02Sulphate as S04Natural Fluoride as FSurface-active material as Manoxol OTTurbidity unitsColour (Burgess units)pH valueElectrical 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 supplyBACTERIOLOGICAL RESULTS — YEARLY AVERAGES, 1968
    BEFORE TREATMENTAFTER TREATMENT
    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 63
    The action taken to remedy unfit houses is summarised in the table below :
  • Page 65
    Applications for Certificates of Disrepair :
    1957/6319641965196619671968
  • 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 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.
  • Page 70
    The following table shows the types of samples analysed and the results obtained:
    Article.Number AnalysedNumber 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 MarchSTATION (results in microgrammes per cubic metre)
    Twickenham No. 3Twickenham No. 4Teddington No. 3Barnes No. 1
    SmokeSO2SmokeS02SmokeS02SmokeSO2
  • 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:
    SectionContraventionType of PremisesResult 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.
    PremisesNumber on RegisterNumber of
    InspectionsWritten NoticesOccupiers prosecuted
  • Page 84
    (2.) Cases in which DEFECTS were found.
    ParticularsNumber of cases in which defects were foundNumber of cases in which prosecutions were instituted
    FoundRemediedReferred
    To H.M. InspectorBy H.M. Inspector
  • Page 84
    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 90
    Table I. SCHOOL POPULATION (As at 18.1.69)
    No. of schoolsNumber on RegistersTotal
    BoysGirls
  • 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 BirthNumber of pupils inspectedPhysical Condition of Pupils Inspected
    SatisfactoryUnsatisfactory
    Number% of column 2Number% 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 birthFor 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 numberDefect or diseasePeriodic inspections
    EntrantsLeaversOthersTotal
    (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 numberDefect or diseasePupils requiring TreatmentPupils 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.
    19681967
  • 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 TestsFailures
    TOTALTOTAL% 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 Group1st 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 31.12.67No. of new cases ascertained during earNo. of ascertained cases known on 31.12.68In special day schoolsIn special residential schoolsIn maintained Primary & Secy. SchoolsIn Independent SchoolsNot at SchoolTOTAL
    BGBGBGBGBGBGBGBGBG
  • Page 104
    Table XVII. Handicapped Children maintained by the Richmond upon Thames Education Committee in Residential Special Schools as at 31st December, 1968.
    BlindPartially SightedDeafPartially HearingEducationally SubnormalMaladjustedDelicatePhysically HandicappedSpeech Defects| EpilepticTOTAL
  • 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.
    DenturesOrtho. appliancesInlays and CrownsMisc.
  • Page 110
    The number of children receiving mid-day dinners and milk at maintained schools on a selected date in 1968 was as under:—
    DateNumber of dinnersNumber 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.
    KilledSeriously InjuredSlightly InjuredTotal
  • 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 MFAgeCause of Death.