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

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Richmond upon Thames 1969

[Report of the Medical Officer of Health for Richmond]


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109 tables in this report

  • Page 7
  • Page 8
    The Registrar General's estimate of mid-year population for the Borough was 176,600, which is a decrease of 530 compared with 1968. The natural increase (excess if births over deaths) was 221.
    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, 1969. 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 10
    Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1969
    Cause of DeathAge Group
    Under 11-45-1415-2425-445-6465-7475 and overTotalGrand Total
  • Page 11
    Continued from previous page...
    Cause of DeathAge Group
    Under 11-45-1415-2425-4445-6465-7475 and overTotalGrand Total
  • Page 12
    The number of notifications received during the year, compared with 1968 may be summarised as follows :
  • Page 12
    The histogram on page 14 shows the comparison of notified cases since 1959.
  • 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
    Approximately 160 guests attended the reception and symptoms did not appear for over 40 hours. Previous years figures are as follows: —
  • Page 15
    All the remaining cases were of adults and each case appeared to be an isolated incident.
  • Page 16
    There has been a steady increase in the incidence of the disease over the last few years. new Cases
    SyphilisGonorrhoeaOther ConditionsTotal
  • Page 16
    The following table shows from which country the immigrants passports were issued :
    Country where passport issuedNumber of Immigrants
    Commonwealth Countries.19691968
  • Page 17
    Cases of Infectious Diseases Notified during the year 1969
    Under 1 Year12345-910-1415-1920-2425-3435-4445-6465 and OverAge not known
  • Page 20
    Total Number of Cases referred in 1969 :—
  • Page 20
    Referred by
  • Page 20
    The Mothers
    Marital StatusDomicileOccupation
  • Page 21
    Putative Fathers
    Marital StatusAgesCountries of origin other than G.B.
    Single5916 years3
  • Page 22
    Surveys The department has taken part in a number of surveys during the year, which has included the following: —
    Sponsoring Body.Subject of Survey.
  • Page 23
    Table I. Pre-School Children
  • Page 23
    Table II. Expectant and Nursing Mothers
  • Page 23
    The following table gives details of the registrations during 1969 : —
    Day Nurseries.Child-Minders.
  • Page 25
    Child Health Clinics
    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 1969 (1)Born in 1968 (2)Born in 1964-1967 (3)Total (4)Medical Officers (5)Health Visitors (6)G.Ps. employed on a sessional basis (7)Hospital medical staff (8)
  • Page 27
    Deliveries attended by Domiciliary Midwives
    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
  • Page 27
    Visits by Domiciliary Midwives
  • Page 28
    Premature Births
    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
    (1) Total birthsDied(5) Total birthsDied(9) Total births |DiedBorn
    (2) within 24 hours of birth(3) in 1 and under 7 days(4) in 7 and under 28 days(6) within 24 hours of birth(7) in 1 and under 7 days(8) in 7 and under 28 days(10) within 24 hours of birth(11) in 1 and under 7 days(12) in 7 and under 28 days(13) in hospital(14) at home or in a nursing home
  • Page 29
    Medical Aid
    During PregnancyInfantIn LabourPuerperium
  • Page 32
    Health Visiting
    Cases visited by health visitorsNumber of cases
  • Page 32
    VACCINATION AND IMMUNISATION Table 1. Immunisation against Diphtheria/Whooping Cough/Tetanus/Poliomyelitis/ Measles (separately or combined).
    Type of VaccineYEAR OF BIRTHOthers Under 16Total
  • Page 33
    Table 2. Vaccination against Smallpox.
    Age at date of VaccinationUnder
  • Page 34
    The following table shows an analysis of cases notified in 1969.
    Age Periods.RespiratoryNon-Respiratory
  • Page 35
    The number of patients who received help during 1969, was as follows:—
  • Page 37
    The clinics for older people continue to provide a screening service for residents from the age of 55 years. Details of these clinics are set out below : —
    Clinic.No. of Sessions per week.No. of Attendances.No. of New Cases.
  • Page 38
    "The following table shows the number of persons accommodated on the 31st December, 1969, either in the Residential Homes under the control of the Council or in Homes run by Voluntary Organisations or other Local Authorities where this Council is financially responsible for the maintenance charges:—
  • Page 39
    The table below analyses the persons accommodated by age and sex:—
    AgeBorough HomesVoluntary HomesOther L.A. HomesTotal
  • Page 39
    The following table shows details of the admissions and discharges which took place during the year:—
    Borough HomesVoluntary HomesOther L.A. HomesT otal
    MenW omenMenWomenMenWomen
  • Page 39
    During the same period, 242 applications for admission were taken and at the 31st December, 1969, the waiting list was as follows:—
    MenW omenTotal
  • Page 40
    Categories of Persons Eligible for Treatment and Charges:—
    CategoryInclusive Charge
  • Page 40
    A comparison of the number of treatments given under each category during the years 1967/69 is given below:—
  • Page 40
    The following table shows the total number of treatments given in the various methods of provision during the past three years, from which the considerable increase in local authoritv treatments will be noted:—
  • Page 41
    RECUPERATIVE HOLIDAYS. During the year arrangements were made for 82 persons to be admitted to recuperative holiday homes. Cases referred and the origin of referral are shown below:
    Family Doctor referrals.Hospital referrals.
  • Page 41
    The monthly poster campaigns were continued and subjects covered were as follows:—
  • Page 43
  • Page 44
    Cases given help during the period 1967/1969 were as follows:—
  • Page 46
    Details of patients helped under the "sitters-in" service during 1969 was as follows:—
  • Page 49
    Referrals to the Mental Health Service. During 1969 the following referrals were received:—
    SubnormalSeverely SubnormalTotal
    Over 16Under 16Over 16Under 16
  • Page 51
    The following table shows the number of admissions which have taken place from 1st January, 1969 to the 31st December, 1969, all of which were on an informal basis:—
    SubnormalSeverely SubnormalTotal
    Over 16Under 16Over 16Under 16
  • Page 51
    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 52
    The numbers attending these centres from the Borough are set out on page 52.
    Name of EstablishmentArea Served.Number attending.
  • Page 53
    The approximate numbers attending these centres from the Borough are set out below:—
    Name of EstablishmentArea ServedNumber attending
  • Page 55
    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 55
    INCIDENCE OF BLINDNESS I am indebted to Mr. J. D. Elliott, D.P.A., A .I .S.W., Chief Welfare Officer, for the following information:— A. Follow-up of Registered Blind and Partially Sighted Persons for the year ended 31st December, 1969.
    Cause of Disability
    CataractGlaucomaRetrolental FibroplasiaOthers
  • Page 56
    At the 31st December, 1969, there were 388 persons on the Blind Register. The following tables show the classification of the Register by age groups and by incidence of blindness:—
    Classification by age groups.Classification by incidence of blindness.
  • Page 56
    The table below shows the occupations followed by those in employment:—
  • Page 57
    Agricultural and Horticultural Workers
  • Page 57
    Welfare Services for the Partially Sighted. The Register of Partially Sighted Persons on the 31st December, 1969, showed a total number of 90 persons, made up as follows:—
  • Page 58
    Ophthalmia Neonatorum
  • Page 62
    AVERAGE RESULTS OF THE CHEMICAL EXAMINATION of the water supplied to the London Borough of Richmond upon Thames during 1969. Milligrammes per litre (unless otherwise stated).
    Description of the SampleNumber of SamplesAmmoniacal 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 MgSodium as NaPotassium as KChloride as CIPhosphate as P04Silicate as Si02Sulphate as S04Natural Fluoride as FSurface-active material as Manoxol OTTurbidity unitsColour (Burgess units)pH valueElectrical Conductivity (micromhos)
  • Page 67
    Whereas nearly 100 applications were received annually in the seven years follow' ing the introduction of the Rent Act, in recent years it has been almost ignored by tenants of controlled premises and no longer provides a means whereby an owner is required to carry out repairs in order to receive the prescribed rent.
  • Page 69
    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 examination:—
  • Page 70
    Continued from previous page...
  • Page 71
    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 73
    The following table shows the types of samples analysed and the results obtained:—
    Article.Number AnalysedNumber Irregular
  • Page 76
    The following Smoke Control Orders became operative during the year:
    Acreage.Number of Dwellings.Number of other Premises.
  • Page 76
    There are now 12,264 acres including 57,141 premises subject to Smoke Control Orders. During the year, the following Order was made, which will become operative on 1st October, 1970.
    Acreage.Number of Dwellings.Number of other Premises.
  • Page 77
    Listed below are the type of appliances selected during the year compared with the previous three years:
    Appliance Selected1969196819671966
  • Page 77
    Estimated average weekly cost of providing the same amount of room heat as would be provided by burning 50 cwt. of Bituminous coal per annum.
  • Page 79
    The following table gives processed daily average figures over the year, so far available for seven years up to March, 1969.
    Year Ended MarchSTATION (results in microgrammes per cubic metre)
    Twickenham No. 3Twickenham No. 4Teddington No. 3Barnes No. 1
  • Page 79
    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 83
    The assistance given by the pupil public health inspectors has also been greatly appreciated.
  • Page 84
    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
    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 84
    The reports of the presence of rats and mice received by the department show no sign of falling in numbers.
  • Page 88
    (1.) INSPECTIONS, for purposes of provisions as to health.
    PremisesNumber on RegisterNumber of
    InspectionsWritten NoticesOccupiers prosecuted
  • Page 88
    (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 88
    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 93
    Table I. SCHOOL POPULATION (As at 18.1.70)
    No. of schoolsNumber on Registers
  • Page 94
    Year of BirthNumber of pupils inspectedPhysical Condition of Pupils Inspected
    Number% of column 2Number% of column 2
  • Page 94
  • Page 95
    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 96
    Defect code numberDefect or diseasePeriodic inspections
  • Page 97
    Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
    Defect code numberDefect or diseasePupils requiring TreatmentPupils requiring Observation
  • Page 98
    Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.
  • Page 98
    Table VI.
  • Page 99
    Table VII. CLINICS.
    School Health Service facilities available (as at 31.12.69)
  • Page 101
    Table VIII. Eye Diseases, Defective Vision and Squint.
    Number of cases known to have been dealt with
  • Page 101
    Table IX.
    Age Group.First TestsFailures
    TOTALTOTAL% of Col. 2
  • Page 101
    Number of cases known to have been dealt with
  • Page 102
    Table XI. (a) Audiometer Tests — Routine
    Age Group1st Tests *Re-tests.Failures.
    Total% of Col. 1
  • Page 102
    (b) Audiometer Tests — Specials
    Age.1st Tests.Re-tests.Failures.
    Total.% of Col. 1
  • Page 103
    Table XII.
  • Page 103
    Table XIII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XII.).
  • Page 103
  • Page 104
    Table XV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
  • Page 105
    Table XVI. HANDICAPPED PUPILS, YEAR ENDED 31st December 1969 ASCERTAINMENT DISTRIBUTION (As at last day of year)
    No. of ascertained cases known on 31.12.68No. of new cases ascertained during yearNo. of ascertained cases known on 31.12.69In special day schoolsIn special residential schoolsIn maintained Primary & Secy. SchoolsIn Independent SchoolsNot at SchoolTOTAL
  • Page 106
    BlindPartially SightedDeafPartially HearingEducationally SubnormalMaladjustedDelicatePhysically HandicappedSpeech DefectsEpilepticTOTAL
  • Page 108
    Dr. Robin Higgins — The following table summarises the number of cases referred, seen and treated at the Clinic during 1969 : —
    ReferredSeenUnder Intensive TreatmentUnder Supervision or Annual Review
  • Page 108
    Dr Agnes Main — The following table summarises the number of cases referred, seen, and treated at the Clinic during 1969 : —
    ReferredSeenUnder Intensive TreatmentUnder Supervision or Annual review
  • Page 109
    Table XVIII. Child Guidance Treatment.
    Number of oases known to have been treated.
  • Page 109
    Table XIX. Orthopaedic and Postural Defects.
    Number of cases known to have been treated.
  • Page 111
    Table XX. Number of pupils treated by Speech Therapists under arrangements made by the Authority.
  • Page 111
    Table XXI. Types of cases treated during the year.
  • Page 112
    Table XXIL
    Age 5—9.Age 10—14.Age 15 +
  • Page 113
    The next table shows a wider range of treatment given but not divided into age groups. Table XXIII.
  • Page 113
    Table XXIV.
    DenturesOrtho. appliancesInlays and CrownsMisc.
  • Page 113
    The number of children receiving mid-day dinners and milk at maintained schools on a selected date in 1969 was as under : —
    DateNumber of dinnersNumber of children at school%°f children having dinners1/3 pints milk (Primary Schls. only)Number of children at school
  • Page 114
    Table XXV. ROAD ACCIDENTS TO CHILDREN, 1969. Mr. A. W. B. Goode, Town Clerk, has kindly supplied the following details of road accidents to children under 15 years of age :
  • Page 114
    Table XXVI. DEATHS OF SCHOOLCHILDREN. It is with regret that I include the following details of local schoolchildren who died in 1969: —
    SexAgeCause of Death.