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

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Richmond upon Thames 1970

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


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103 tables in this report

  • Page 7
  • Page 8
    The natural increase (excess of births over deaths) was 25.
    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, 1970. 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, 1970
    Cause of DeathAge GroupTotalGrand Total
    Under 11-45-1415-2425-4445-6465-7475 and over
  • Page 11
    Continued from previous page...
    Cause of DeathAge GroupTotalGrand Total
    Under 11-45-1415-2425-4445-6465-7475 and over
  • Page 12
    INFECTIOUS DISEASES The number of notifications received during the year, compared with 1969 may be summarised as follows:
  • Page 12
    Previous years figures are as follows:
  • 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 nine years of childhood suffer the major incidence of the disease:
  • Page 15
    Previous years figures are as follows:—
  • Page 15
    The age distribution of the notified cases was as follows:
  • Page 16
    Venereal Disease. The following new cases have been notified by the undermentioned hospitals of patients treated from this Borough during 1970.
    New CasesTotal
    SyphilisGonorrhoeaOther Conditions
  • Page 16
    The following table shows from which country the immigrants passports were issued:
    Country where passport issuedNumber of Immigrants
    Commonwealth Countries.19701969
  • Page 17
    Cases of Infectious Diseases Notified during the year 1970
    Under 1 Year12345-910-1415-1920-2425-3435-4445-6465 and OverAge not known
  • Page 18
    Referrals are received from many different sources which are listed below:—
  • Page 19
    Total Number of New Cases referred in 1970:—
  • Page 20
    The Mothers
  • Page 20
    Putative Fathers
  • Page 20
    Ways in which unsupported mothers have been helped.
  • Page 21
    At the end of 1970 the mothers who decided to keep their babies were living in the following way
  • Page 21
    Surveys The department has taken part in a number of surveys during the year (either during the actual period of the survey or research project or later in the various follow' up functions) 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
    Nurseries and Child-Minders Regulation Act, 1948 The following table gives details of the registrations during 1970:—
    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)Number of children referred elsewhere
    Born in 1970Born in 1969Born in 1965-1968TotalMedical OfficersHealth VisitorsG.Ps. employed on a sessional basisHospital medical staff
  • 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 A total of 12,970 visits were made by midwives as follows: —
  • Page 27
    Medical aid was required for 127 patients as follows: —
    During PregnancyInfantIn LabourPuerperium
  • Page 28
    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
  • Page 31
    Local Health Authority Nursing Staff
    Practice No.No. of Health VisitorsNo. of MidwivesNo. of District Nurses
  • Page 32
    Health Visiting
    Cases visited by health visitorsNumber of cases
  • Page 32
    Table 1. Immunisation against Dipththeria/Whooping Cough/Tetanus (separately or combined), Poliomyelitis, Measles, German Measles.
    Type of VaccineYEAR OF BIRTHOthers Under 16T otal
  • Page 33
    Table 2. Vaccination against Smallpox.
    Age at date of VaccinationUnder 112—45—15Total
  • Page 34
    The following table shows an analysis of cases notified in 1970.
    Age Periods.RespiratoryNon-Respiratory
  • Page 36
    It has become clear from experience that some patients need the encouragement and stimulation of more frequent visits for socio-medical advice and contact. Details of the Clinics are set out below: —
    Clinic.No. of Sessions per week.No. of Attendances.No. of New Cases.
  • Page 38
    Categories of Persons Eligible for Treatment and Charges :—
    CategoryInclusive Charge
  • Page 39
    RECUPERATIVE HOLIDAYS. During the year arrangements were made for 84 persons to be admitted to recuperative holiday homes. Cases referred and the origin of referral are shown below:
    Family Doctor referrals.Hospital referrals.
  • Page 39
    As in previous years a monthly poster campaign was operated as follows: —
  • Page 40
    I am again indebted to the British Temperance Society for their dedicated service in participating in two five-day clinics for the general public during 1970. The statistics for these clinics are as follows : —
    umber completed courseNumber stopped smoking after six weeksCut down
  • Page 41
    The standard charge for the service at the end of the year was 7/- per hour. Cases given help during the period 1968/1970 were as follows: —
  • Page 42
    Cases receiving the Good Neighbour Service are excluded from the above figures and are set out below : —
  • Page 44
    The following table shows the number of patients admitted to psychiatric hospitals under the Mental Health Act during the year :
  • Page 47
    Referrals to the Mental Health Service. During 1970 the following referrals were received : —
    SubnormalSeverely SubnormalTotal
    Over 16Under 16Over 16Under 16
  • Page 49
    The following table shows the number of admissions which have taken place from 1st January, 1970 to the 31st December, 1970, all of which were on an informal basis:—
    SubnormalSeverely SubnormalTotal
    Over 16Under 16Over 16Under 16
  • 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
  • Page 50
    The numbers attending these establishments from the Borough are set out below:—
    Name of EstablishmentArea Served.Number attending.
  • Page 52
    The approximate numbers attending these centres from the Borough are set out below:—
  • Page 54
    Holiday Camps. By arrangement with the London Borough of Hounslow and the Royal Borough of Kingston upon Thames, arrangements were made for children and adults to attend holiday camps as follows:—
    Borough.Place.Dates.Number Attended.
  • Page 54
    Follow-up of Registered Blind and Partially Sighted Persons for the year ended 31st December, 1970.
    Cause of Disability
    CataractGlaucomaRetrolental FibroplasiaOthers
  • Page 55
    Ophthalmia Neonatorum
  • Page 58
    AVERAGE RESULTS OF THE CHEMICAL EXAMINATION of the water supplied to the London Borough of Richmond upon Thames during 1970. Milligrammes per litre (unless otherwise stated).
    Description of the SampleNumber of SamplesAmmoniacal NitrogenAlbuminoid NitrogenNitrate NitrogenOxygen abs. from KMnO44 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 ClPhosphate as P04Silicate as Sl02Sulphate as SO4Natural Fluoride as FSurface-active material as Manoxol OTTurbidity unitsColour (Burgess units)pH valueElectrical Conductivity (micromhos)
  • Page 58
    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 62
    The action taken to remedy unfit houses is summarised in the table below:
  • Page 63
    Continued to previous page...
  • Page 63
    Applications for Certificates of Disrepair:
  • Page 64
    Continued from previous page...
  • Page 67
    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 70
    The following table shows the types of samples analysed and the results obtained:
    Article.Number AnalysedNumber Irregular
  • Page 70
    During the year the following Smoke Control Order became operational:
    Order.Acreage.Number of DwellingsNumber of Other Premises
  • Page 71
    During the year the following Orders were made :
    Order.Acreage.Number of DwellingsNumber of Other Premises
  • Page 71
    The following table gives processed daily average figures over the year, so far available for eight years up to March, 1970.
    Year Ended MarchSTATION (results in microgrammes per cubic metre)
    Twickenham No. 3Twickenham No. 4Barnes No. 1
  • Page 72
    The Clean Air (Suspension of Smoke Control — Richmond upon Thames) Order, 1970 was made on the 9th December, 1970 and came into operation on the following day. It suspended until 31st March, 1971 the following orders :
    Smoke Control Order.No. of Premises in Area.
  • Page 73
    The estimated average weekly cost of room heating using 50 cwts. of bituminous coal per annum is compared with alternative fuels :
  • Page 73
    Listed below are the percentages of the appliance types selected during the year compared with previous years.
    Appliance Selected19661967196819691970
  • Page 74
    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 77
    5. PUBLIC HEALTH INSPECTIONS The assistance given by the pupil public health inspectors has also been greatly appreciated.
  • Page 78
    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 78
    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:
  • Page 79
    7. PEST CONTROL (a) Rats and Mice. Once again reports of rat and mice infestations received by the Department aver' aged out at over 5 complaints in each working day of the year and showed no reduction on the previous two years.
  • Page 82
    8. FACTORIES ACT, 1961, Part I of the Act. (1.) INSPECTIONS, for purposes of provisions as to health.
    PremisesNumber on RegisterNumber of
    InspectionsWritten NoticesOccupiers prosecuted
  • Page 82
    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 82
    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 86
    Table I. SCHOOL POPULATION (as at 22.1.71)
    No. ofNumber on Registers
  • Page 87
    Year of BirthNumber of pupils inspectedPhysical Condition of Pupils Inspected
    Number%of column 2Number%of column 2
  • Page 88
    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 89
    Defect code numberDefect or diseasePeriodic inspections
  • Page 90
    Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
    Defect code numberDefect or diseasePupils requiring TreatmentPupils requiring Observation
  • Page 91
    Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.
  • Page 91
    Table VI. Number of children examined other than at Periodic Medical Inspections:
  • Page 92
    Table VII. CLINICS.
  • Page 94
    Table VIII. Eye Diseases, Defective Vision and Squint.
    Number of cases known to have been dealt with
  • Page 94
    Table IX.
    Age Group.First TestsFailures
    TOTALTOTAL% of Col. 2
  • Page 94
    Number of cases known to have been dealt with
  • Page 95
    Table XI. (a) Audiometer Tests — Routine
    Age Group1st Tests *Re-tests.Failures.
    Total% of Col. 1
  • Page 95
    (b) Audiometer Tests — Specials
    Age.1st Tests.Re-tests.Total.% of Col. 1
  • Page 96
  • Page 96
    Table XIII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XII.).
    Number of cases known to have been treated.
  • Page 96
    Number of cases known to have been treated.
  • Page 97
    Table XV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
  • Page 98
    Table XVI. HANDICAPPED PUPILS, YEAR ENDED 31st December 1970
    ASCERTAINMENTDISTRIBUTION (As at last day of year)
    No. of ascertained cases known on 31.12.69No. of new cases ascertained during yearNo. of ascertained cases known on 31.12.70In special day schoolsIn special residential schoolsIn maintained Primary & Secy, schoolsIn Independent schoolsNot at schoolTOTAL
  • Page 99
    BlindPartially SightedDeafPartially HearingEducationally SubnormalMaladjustedDelicatePhysically HandicappedSpeech DefectsEpilepticTOTAL
  • Page 101
    The following table summarises the number of cases referred, seen and treated at the Clinic during 1970:—-
    ReferredSeenUnder Intensive TreatmentUnder Supervision or Annual Review
  • Page 101
    The following table summarises the number of cases referred, seen, and treated at the Clinic during 1970: —
    ReferredSeenUnder Intensive TreatmentUnder Supervision or Annual review
  • Page 102
    Table XVIII. Child Guidance Treatment.
    Number of cases known to have been treated.
  • Page 104
    Table XX. Number of pupils treated by Speech Therapists under arrangements made by the Authority.
  • Page 104
    Table XXI. Types of cases treated during the year.
  • Page 105
    Table XXII.
    Age 5—9.Age 10—14.Age 15 +
  • Page 105
    The next table shows a wider range of treatment given but not divided into age groups. Table XXIII.
  • Page 106
    Perhaps as a result of this and seventeen sessions devoted to Dental Health Education there has been a marked increase in the number of attendances and amount of treatment in the 5-9 years old age group over the last three years. (Table XXIV). Table XXIV.
    1968.1969.1970.% Increase.
  • Page 106
    Table XXV.
    DenturesOrtho. appliancesInlays and CrownsMisc.
  • Page 107
    Table XXVI. ROAD ACCIDENTS TO CHILDREN, 1970. Mr. M. S. Hebron, Borough Engineer and Surveyor, has kindly supplied the following details of road accidents to children under 15 years of age : —
  • Page 107
    Table XXVII. DEATHS OF SCHOOLCHILDREN. It is with regret that I include the following details of local schoolchildren living in the Borough who died in 1970 : —
    SexAgeCause of Death.