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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Richmond upon Thames 1969
[Report of the Medical Officer of Health for Richmond]
- Published
- 1970
- Pages
- 122
- Tables
- 109
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Page 7
VITAL AND GENERAL STATISTICS 1969
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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.
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, 1969. 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 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, 1969
Cause of Death Age Group Under 1 1-4 5-14 15-24 25-4 45-64 65-74 75 and over Total Grand Total 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 Under 1 1-4 5-14 15-24 25-44 45-64 65-74 75 and over Total Grand Total M F M F M F M F M F M F M F M F M F -
Page 12
The number of notifications received during the year, compared with 1968 may be summarised as follows :
Disease. 1969 1968 -
Page 12
The histogram on page 14 shows the comparison of notified cases since 1959.
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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
Approximately 160 guests attended the reception and symptoms did not appear for over 40 hours. Previous years figures are as follows: —
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Page 15
All the remaining cases were of adults and each case appeared to be an isolated incident.
M. F. Total -
Page 16
There has been a steady increase in the incidence of the disease over the last few years. new Cases
Syphilis Gonorrhoea Other Conditions Total -
Page 16
The following table shows from which country the immigrants passports were issued :
Country where passport issued Number of Immigrants Commonwealth Countries. 1969 1968 -
Page 17
Cases of Infectious Diseases Notified during the year 1969
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 1969 :—
Total -
Page 20
Referred by
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Page 20
The Mothers
Marital Status Domicile Occupation -
Page 21
Putative Fathers
Marital Status Ages Countries of origin other than G.B. Single 59 16 years 3 -
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
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Page 23
Table II. Expectant and Nursing Mothers
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Page 23
The following table gives details of the registrations during 1969 : —
Day Nurseries. Child-Minders. Number Places Number Places -
Page 25
Child Health Clinics
Number of children who attended during the year Number of sessions held by Total 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
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Page 28
Premature Births
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 (1) Total births Died (5) Total births Died (9) Total births | Died Born (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 Pregnancy Infant In Labour Puerperium -
Page 32
Health Visiting
Cases visited by health visitors Number of cases -
Page 32
VACCINATION AND IMMUNISATION Table 1. Immunisation against Diphtheria/Whooping Cough/Tetanus/Poliomyelitis/ Measles (separately or combined).
Type of Vaccine YEAR OF BIRTH Others Under 16 Total 1969 1968 1967 1966 1962/65 -
Page 33
Table 2. Vaccination against Smallpox.
Age at date of Vaccination Under 1 1 2—4 5—15 Total -
Page 34
The following table shows an analysis of cases notified in 1969.
Age Periods. Respiratory Non-Respiratory M F M F -
Page 35
The number of patients who received help during 1969, was as follows:—
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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:—
Men Women Total -
Page 39
The table below analyses the persons accommodated by age and sex:—
Age Borough Homes Voluntary Homes Other L.A. Homes Total Men Women Men Women Men Women -
Page 39
The following table shows details of the admissions and discharges which took place during the year:—
Borough Homes Voluntary Homes Other L.A. Homes T otal Men W omen Men Women Men Women -
Page 39
During the same period, 242 applications for admission were taken and at the 31st December, 1969, the waiting list was as follows:—
Men W omen Total -
Page 40
Categories of Persons Eligible for Treatment and Charges:—
Category Inclusive Charge -
Page 40
A comparison of the number of treatments given under each category during the years 1967/69 is given below:—
Category. 1967. 1968. 1969. -
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:—
1967. 1968. 1969. -
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:—
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Page 43
HOME HELP SERVICE
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Page 44
Cases given help during the period 1967/1969 were as follows:—
1967. 1968. 1969. -
Page 46
Details of patients helped under the "sitters-in" service during 1969 was as follows:—
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Page 49
Referrals to the Mental Health Service. During 1969 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 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:—
Subnormal Severely Subnormal Total Over 16 Under 16 Over 16 Under 16 M F M F M F M F -
Page 51
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 52
The numbers attending these centres from the Borough are set out on page 52.
Name of Establishment Area Served. Number attending. -
Page 53
The approximate numbers attending these centres from the Borough are set out below:—
Name of Establishment Area Served Number 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 Cataract Glaucoma Retrolental Fibroplasia Others -
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:—
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Page 57
Agricultural and Horticultural Workers
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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:—
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Page 58
Ophthalmia Neonatorum
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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 Sample Number of Samples Ammoniacal Nitrogen Albuminoid Nitrogen Nitrate Nitrogen Oxygen abs. from KMn044 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) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) -
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.
1957/63 1964/68 1969 -
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:—
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Page 70
Continued from previous page...
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Page 71
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 73
The following table shows the types of samples analysed and the results obtained:—
Article. Number Analysed Number 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 Selected 1969 1968 1967 1966 -
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.
Fuel. Appliances. 1969. 1966. -
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 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 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.
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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.
1969 1968 -
Page 88
(1.) INSPECTIONS, for purposes of provisions as to health.
Premises Number on Register Number of Inspections Written Notices Occupiers prosecuted -
Page 88
(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 88
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 93
Table I. SCHOOL POPULATION (As at 18.1.70)
No. of schools Number on Registers Boys Girls Total -
Page 94
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 94
B. — OTHER INSPECTIONS.
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Page 95
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 96
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 97
Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
Defect code number Defect or disease Pupils requiring Treatment Pupils requiring Observation (1) (2) (3) (4) -
Page 98
Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.
1969 1968 -
Page 98
Table VI.
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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 Tests Failures TOTAL TOTAL % of Col. 2 (1) (2) (3) (4) -
Page 101
Table X. DISEASES AND DEFECTS OF EAR, NOSE AND THROAT.
Number of cases known to have been dealt with -
Page 102
Table XI. (a) Audiometer Tests — Routine
Age Group 1st Tests * Re-tests. Failures. Total % of Col. 1 (1) (2) (3) (4) -
Page 102
(b) Audiometer Tests — Specials
Age. 1st Tests. Re-tests. Failures. Total. % of Col. 1 (1) (2) (3) (4) -
Page 103
Table XII.
INFESTATION WITH VERMIN. -
Page 103
Table XIII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XII.).
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Page 103
Table XIV. OTHER TREATMENT GIVEN.
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Page 104
Table XV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
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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 31.12.68 No. of new cases ascertained during year No. of ascertained cases known on 31.12.69 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 106
RESIDENTIAL SPECIAL SCHOOLS — Table XVII.
Blind Partially Sighted Deaf Partially Hearing Educationally Subnormal Maladjusted Delicate Physically Handicapped Speech Defects Epileptic TOTAL -
Page 108
Dr. Robin Higgins — The following table summarises the number of cases referred, seen and treated at the Clinic during 1969 : —
Referred Seen Under Intensive Treatment Under 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 : —
Referred Seen Under Intensive Treatment Under 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.
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Page 111
Table XXI. Types of cases treated during the year.
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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.
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Page 113
Table XXIV.
Dentures Ortho. appliances Inlays and Crowns Misc. -
Page 113
The number of children receiving mid-day dinners and milk at maintained schools on a selected date in 1969 was as under : —
Date Number of dinners Number of children at school %°f children having dinners 1/3 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 :
Month Fatal. Serious. Slight. Total. -
Page 114
Table XXVI. DEATHS OF SCHOOLCHILDREN. It is with regret that I include the following details of local schoolchildren who died in 1969: —
Sex Age Cause of Death. M F