London's Pulse: Medical Officer of Health reports 1848-1972
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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 1970
[Report of the Medical Officer of Health for Richmond upon Thames]
- Published
- 1971
- Pages
- 114
- Tables
- 103
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Page 7
VITAL AND GENERAL STATISTICS 1970
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Page 8
The natural increase (excess of births over deaths) was 25.
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, 1970. 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, 1970
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
INFECTIOUS DISEASES The number of notifications received during the year, compared with 1969 may be summarised as follows:
Disease. 1970 1969 -
Page 12
Previous years figures are as follows:
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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 nine years of childhood suffer the major incidence of the disease:
M. F. Total -
Page 15
Previous years figures are as follows:—
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Page 15
The age distribution of the notified cases was as follows:
M. F. Total -
Page 16
Venereal Disease. The following new cases have been notified by the undermentioned hospitals of patients treated from this Borough during 1970.
New Cases Total Syphilis Gonorrhoea Other Conditions -
Page 16
The following table shows from which country the immigrants passports were issued:
Country where passport issued Number of Immigrants Commonwealth Countries. 1970 1969 -
Page 17
Cases of Infectious Diseases Notified during the year 1970
DISEASE CASES NOTIFIED AT VARIOUS AGES (YEARS) Total Cases Notified 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 18
Referrals are received from many different sources which are listed below:—
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Page 19
Total Number of New Cases referred in 1970:—
Total -
Page 20
The Mothers
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Page 20
Putative Fathers
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Page 20
Ways in which unsupported mothers have been helped.
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Page 21
At the end of 1970 the mothers who decided to keep their babies were living in the following way
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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
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Page 23
Table II. Expectant and Nursing Mothers
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Page 23
Nurseries and Child-Minders Regulation Act, 1948 The following table gives details of the registrations during 1970:—
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) Number of children referred elsewhere Born in 1970 Born in 1969 Born in 1965-1968 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) -
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: —
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Page 27
Medical aid was required for 127 patients as follows: —
During Pregnancy Infant In Labour Puerperium -
Page 28
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 31
Local Health Authority Nursing Staff
Practice No. No. of Health Visitors No. of Midwives No. of District Nurses -
Page 32
Health Visiting
Cases visited by health visitors Number of cases -
Page 32
Table 1. Immunisation against Dipththeria/Whooping Cough/Tetanus (separately or combined), Poliomyelitis, Measles, German Measles.
Type of Vaccine YEAR OF BIRTH Others Under 16 T otal 1970 1969 1968 1967 1963/66 -
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 1970.
Age Periods. Respiratory Non-Respiratory M F M F -
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 :—
Category Inclusive 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: —
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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 course Number stopped smoking after six weeks Cut 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: —
1968. 1969. 1970. -
Page 42
Cases receiving the Good Neighbour Service are excluded from the above figures and are set out below : —
1968 1969 1970 -
Page 44
The following table shows the number of patients admitted to psychiatric hospitals under the Mental Health Act during the year :
Section M F Total -
Page 47
Referrals to the Mental Health Service. During 1970 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, 1970 to the 31st December, 1970, 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 establishments from the Borough are set out below:—
Name of Establishment Area Served. Number attending. -
Page 52
The approximate numbers attending these centres from the Borough are set out below:—
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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 Cataract Glaucoma Retrolental Fibroplasia Others -
Page 55
Ophthalmia Neonatorum
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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 Sample Number of Samples Ammoniacal Nitrogen Albuminoid Nitrogen Nitrate Nitrogen Oxygen abs. from KMnO44 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 Cl Phosphate as P04 Silicate as Sl02 Sulphate as SO4 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 58
BACTERIOLOGICAL RESULTS — YEARLY AVERAGES, 1970
Source of supply 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 62
The action taken to remedy unfit houses is summarised in the table below:
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Page 63
Continued to previous page...
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Page 63
Applications for Certificates of Disrepair:
1957/63 1964/69 1970 -
Page 64
Continued from previous page...
1957/63 1964/69 1970 -
Page 67
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 70
The following table shows the types of samples analysed and the results obtained:
Article. Number Analysed Number Irregular -
Page 70
During the year the following Smoke Control Order became operational:
Order. Acreage. Number of Dwellings Number of Other Premises -
Page 71
During the year the following Orders were made :
Order. Acreage. Number of Dwellings Number 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 March STATION (results in microgrammes per cubic metre) Twickenham No. 3 Twickenham No. 4 Barnes No. 1 Smoke SO2 Smoke S02 Smoke S02 -
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 :
Fuel. Appliance. 1966 1969 1970 -
Page 73
Listed below are the percentages of the appliance types selected during the year compared with previous years.
Appliance Selected 1966 1967 1968 1969 1970 -
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.
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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:
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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.
1970 1969 1968 -
Page 82
8. FACTORIES ACT, 1961, Part I of the Act. (1.) INSPECTIONS, for purposes of provisions as to health.
Premises Number on Register Number of Inspections Written Notices Occupiers prosecuted -
Page 82
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 82
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 86
Table I. SCHOOL POPULATION (as at 22.1.71)
No. of Number on Registers Schools Boys Girls Toral -
Page 87
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 88
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 -
Page 89
TABLE A. PERIODIC INSPECTIONS.
Defect code number Defect or disease Periodic inspections Entrants Leavers Others Total (T) (O) (T) (O) (T) (O) (T) (O) -
Page 90
Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
Defect code number Defect or disease Pupils requiring Treatment Pupils requiring Observation -
Page 91
Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.
1970 1969 -
Page 91
Table VI. Number of children examined other than at Periodic Medical Inspections:
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Page 92
Table VII. CLINICS.
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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 Tests Failures TOTAL TOTAL % of Col. 2 (1) (2) (3) (4) -
Page 94
Table X. DISEASES AND DEFECTS OF EAR, NOSE AND THROAT.
Number of cases known to have been dealt with -
Page 95
Table XI. (a) Audiometer Tests — Routine
Age Group 1st Tests * Re-tests. Failures. Total % of Col. 1 (1) (2) (3) (4) -
Page 95
(b) Audiometer Tests — Specials
Age. 1st Tests. Re-tests. Total. % of Col. 1 (1) (2) (3) (4) -
Page 96
Table XII. INFESTATION WITH VERMIN.
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Page 96
Table XIII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XII.).
Number of cases known to have been treated. -
Page 96
Table XIV. OTHER TREATMENT GIVEN.
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:
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Page 98
Table XVI. HANDICAPPED PUPILS, YEAR ENDED 31st December 1970
ASCERTAINMENT DISTRIBUTION (As at last day of year) No. of ascertained cases known on 31.12.69 No. of new cases ascertained during year No. of ascertained cases known on 31.12.70 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 99
RESIDENTIAL SPECIAL SCHOOLS — Table XVII.
Blind Partially Sighted Deaf Partially Hearing Educationally Subnormal Maladjusted Delicate Physically Handicapped Speech Defects Epileptic TOTAL -
Page 101
The following table summarises the number of cases referred, seen and treated at the Clinic during 1970:—-
Referred Seen Under Intensive Treatment Under Supervision or Annual Review -
Page 101
The following table summarises the number of cases referred, seen, and treated at the Clinic during 1970: —
Referred Seen Under Intensive Treatment Under 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.
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Page 104
Table XXI. Types of cases treated during the year.
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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.
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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.
Dentures Ortho. appliances Inlays and Crowns Misc. -
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 : —
Month Fatal. Serious. Slight. Total. -
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 : —
Sex Age Cause of Death. M F