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

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Richmond upon Thames 1971

[Report of the Medical Officer of Health for Richmond]


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97 tables in this report

  • Page 7
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    POPULATION The Registrar General's estimate of mid-year population for the Borough was 174,310, which is a decrease of 240 compared with 1970. The natural increase (excess of births over deaths) was 57.
    YearPopulationPopulation trendMigration excess
    Total increase or decreasePercentage proportionNatural increase or decreaseInwardOutward
  • Page 8
    Main Causes of Death An analysis of the death returns reveals the following main causes of death :
    DiseasePercentage of total deathsDeath rate per 1,000 of the population
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    Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1971
    Cause of DeathAge GroupTotalGrand Total
    Under 11-45-1415-2425-4445-6465-7475 and over
  • Page 10
    Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1971 — cont.
    Cause of DeathAge GroupTotalGrand Total
    Under 11—45—1415—2425—4445—6465—7475 and over
  • Page 11
    INFECTIOUS DISEASES The number of notifications received during the year, compared with 1970 may be summarised as follows:—
  • Page 11
    Previous years' figures are as follows:—
  • Page 11
    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 13
    Previous years figures are as follows : —
  • Page 14
    The age distribution of the cases notified during the year was as follows:—
  • Page 15
    Cases of Infectious Diseases Notified during the year 1971
    Under 1 Year12345—910—1415—1920—2425—3435—4445—6465 and OverAge not known
  • Page 16
    Sexually Transmitted Diseases. The following new cases have been notified by the undermentioned hospitals of patients treated from this Borough during 1971.
    SyphilisGonorrhoeaNew CasesTotal
    Other Genital ConditionsOther Conditions
  • Page 16
    The following table shows from which country the immigrants' passports were issued:
    Country where passport issuedNumber of Immigrants
    Commonwealth Countries.19711970
  • Page 17
    CARE OF MOTHERS AND YOUNG CHILDREN Ante-Natal and Post-Natal Clinics
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    The referring agents were as follows:—
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    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 BodySubject of Survey
  • Page 20
    Table I.
    Pre-School Children19711970
  • Page 20
    Table II.
    Expectant and Nursing Mothers19711970
  • Page 22
    The following table shows attendances at the normal clinic sessions and at the mobile clinic:—
    Well Woman ClinicsWNCCC Caravan
  • Page 23
    Child Health Clinics
    Number of children who attended during the yearNumber of sessions held byTotal number of sessions in columns (5M8) (9)Number of children referred elsewhere (10)
    Born in 1971 (1)Born in 1970 (2)Born in 1966-1969 (3)Total (4)Medical Officers (5)Health Visitors (6)G.Ps. employed on a sessional basis (7)Hospital medical staff (8)
  • Page 25
    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 25
    Visits by Domiciliary Midwives
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    Medical Aid
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    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 birthswithin 24 hours of birthin 1 and under 7 daysin 7 and under 28 daysTotal birthswithin 24 hours of birthin 1 and under 7 daysin 7 and under 28 daysTotal birthswithin 24 hours of birthin 1 and under 7 daysin 7 and under 28 daysin hospitalat home or in a nursing home
  • Page 27
    Persons nursed and visits madeDayNight (Aug.-Dec.)Total
  • Page 28
    Four students from Chiswick Polytechnic undertaking the integrated S .R.N./ D.N./H. V. Course were assigned to health visitors for one week's observation in practical health visiting.
    Cases visited by health visitorsNumber of cases
  • Page 29
    Family Doctors and Community Nursing Staff The table below summarises the position at the end of the year concerning the attachment/liaison of nursing staff with family doctors in the Borough.
    Practice No.No. of Health VisitorsNo. of MidwivesNo. of District Nurses
  • Page 30
    VACCINATION AND IMMUNISATION Immunisation against Dipththeria/Whooping Cough/Tetanus (separately or combined), Poliomyelitis, Measles, German Measles.
    Type of VaccineYEAR OF BIRTHOthers Under 16Total
  • Page 31
    As a result, the number of children involved was more than twice that in 1970.
  • Page 32
    The following table shows an analysis of cases notified in 1971.
    Age Periods.RespiratoryNon-Respiratory
  • Page 33
    The number of patients who received help during 1971, was as follows: —
  • Page 34
    Clinics for older people are held in five centres in the Borough : —
    ClinicNumber of sessions per weekNumber of AttendancesNumber of New Cases
    Clinic sessionsDoctor sessions
  • Page 35
    Categories of Persons Eligible for Treatment and Charges: —
    CategoryInclusive SurgeryCharge Domiciliary.
  • Page 36
    Number of Persons Treated
  • Page 36
    The monthly poster campaigns continued in 1971 and the subjects chosen were : —
  • Page 39
    Follow-up of Registered Blind and Partially Sighted Persons for the year ended 31st December, 1971.
    Cause of Disability
    CataractGlaucomaRetrolental FibroplasiaOthers
  • Page 42
    AVERAGE RESULTS OF THE CHEMICAL EXAMINATION of the water supplied to the London Borough of Richmond upon Thames during 1971. Milligrams 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) CaCO3Hardness (non-carbonate) CaC03Magnesium as MgSodium as NaPotassium as KChloride as CIPhosphate as P04Silicate as SiO2Sulphate as S04Natural Fluoride as FSurface-active material as Manoxol OTTurbidity unitsColour (Burgess units)pH valueElectrical Conductivity (micromhos)
  • Page 42
    1 Agar plate count per ml.Coliform countEscherichia coli countAgar plate count per ml.Coliform countE. coli count
    Number of samples20-24 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.Number of samples20-24 hours at 37° C.3 days at 22° C.Per cent, samples negative in 100 ml.Per cent, samples negative in 100 ml.
  • Page 46
    The action taken to remedy unfit houses is summarised in the table below:
  • Page 46
    Applications for Certificates of Disrepair :
  • Page 47
    Continued from previous page...
    3. Number of decisions to issue Certificates:1957/631964/701971
  • Page 49
    The following is a list of foods which were voluntarily surrendered and destroyed :
  • Page 50
    Food Hygiene (General) Regulations, 1970.
    Type of Premises.No. of PremisesNo. of Premises which comply with Reg. 18*No. of Premises to which Reg. 21 applies †No. of Premises which comply with Reg 21No. of Visits carried out.
  • Page 52
    The following table shows the types of samples analysed and the results obtained:
    Article.Number AnalysedNumber Irregular
  • Page 52
    This was a year of quiet but positive progress towards cleaner air, during which the following Smoke Control Order became operational.
    Order.Acreage.Number of DwellingsNumber of Other Premises
  • Page 53
    The following table gives the processed daily average figures over the year so far available for the nine years up to March, 1971:
    Year Ended MarchSTATION (results in microgrammes per cubic metre)
    Twickenham No. 1Twickenham No. 5Barnes No. 6
  • Page 54
    The Clean Air (Suspension of Smoke Control — Richmond upon Thames) Order, 1970, suspended the following Orders until 31st March, 1971:—
    Smoke Control Order.No. of Premises in Area.
  • Page 54
    The Estimated Average Weekly Cost of Room Heating Using SO cwts of Bituminous Coal per Annum compared with Alternate Fuels.
  • Page 55
    Householders continue to have freedom of choice for grant purposes in the selection of replacement appliances. Listed below are the percentages of the appliance types selected during the year compared with previous years.
    Appliance Selected196619671968196919701971
  • Page 56
    Total number of registered premises.Number of general inspections during year.
  • Page 59
    The assistance given by the pupil public health inspectors has also been greatly appreciated.
  • Page 60
    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 60
    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 Acts.Food and Drugs Act.
  • Page 61
    The number of complaints received from the public showed a welcome if relatively small decrease from the level of the preceding years.
  • Page 64
    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 64
    (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 64
    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 69
    Table I. SCHOOL POPULATION (as at 20.1.72)
    No. of schoolsNumber on RegistersTotal
  • Page 70
    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
    Number% of column 2Number%of column 2
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  • Page 71
    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 72
    Table IV. Defects found by medical inspection in the year ended 31st December, 1971. TABLE A. — PERIODIC INSPECTIONS.
    Defect code numberDefect or diseasePeriodic inspections
  • Page 73
    Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
    Defect code numberDefect or diseasePupils requiring treatmentPupils requiring observation
  • Page 74
    Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.
  • Page 74
    Table VI.
  • Page 75
    Table VII. CLINICS.
  • Page 76
    Eye Diseases, Defective Vision and Squint.
    Number of cases known to have been dealt with
  • Page 76
    Table IX.
    Age Group.First TestsFailures
    TOTALTOTAL% of Col. 2
  • Page 76
    Number of cases known to have been dealt with
  • Page 77
    Table XI. (a) Audiometer Tests — Routine
    Age Group1st Tests *Rctests.Total% of Col 1
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    (b) Audiometer Tests — Specials
    Age.1st Tests.Re-tests.Failures.
    Total.% of Col. 1
  • Page 78
  • Page 78
    Table XIII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XII.).
    Number of cases known to have been treated.
  • Page 78
    Number of cases known to have been treated.
  • Page 79
    Table XV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
  • Page 80
    Table XVI. HANDICAPPED PUPILS, YEAR ENDED 31st December 1971 ASCERTAINMENT DISTRIBUTION (As at last day of year)
    No. of ascertained cases known on 31.12.70No. of new cases ascertained during yearNo. of ascertained cases known on 31.12.71In special day schoolsIn special residential schoolsIn maintained Primary & Secy, schoolsIn Independent schoolsNot at schoolTOTAL
  • Page 81
    BlindPartially SightedDeafPartially HearingEducationally SubnormalMaladjustedDelicatePhysically HandicappedSpeech DefectsEpilepticTOTAL
  • Page 82
    BlindPartially SightedDeafPartially HearingEducationally SubnormalMaladjustedDelicatePhysically HandicappedSpeech DefectsEpilepticTOTAL
  • Page 83
    St. Hilda's Day Special School for Educationally Sub-normal Children, Barnes.
  • Page 84
    Oldfield House Infant Day Special School for Maladjusted Children, Hampton.
  • Page 85
    The following table summarises the number of cases referred, seen and treated at the Clinic during 1971:—
    ReferredSeenUnder Intensive TreatmentUnder Supervision or Annual Review
  • Page 85
    The following table summarises the number of cases referred, seen, and treated at the Clinic during 1971:—
    ReferredSeenUnder Intensive TreatmentUnder Supervision or Annual review
  • Page 85
    Referring Agents :
  • Page 86
    Table XVIII. Child Guidance Treatment.
    Number of cases known to have been treated.
  • Page 86
    Table XIX. Orthopaedic and Postural Defects.
    Number of cases known to have been treated.
  • Page 88
    Table XX. Number of pupils treated by Speech Therapists under arrangements made by the Authority.
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    Table XXI. Types of cases treated during the year.
  • Page 89
    Table XXII.
    Age 5—9.Age 10—14.Age 15 +
  • Page 89
    Table XXIII.
  • Page 90
    Table XXIV.
    5-9 Age Group1968.1971.Change.
  • Page 90
    Table XXV.
    DenturesOrtho. appliancesInlays and CrownsMisc.
  • Page 90
    The number or children receiving mid-day dinners at maintained schools on a selected date in 1971 was as follows:—
    Date:Number of dinnersNumber of children in School% of children having dinner
  • Page 90
    The number of pupils present and number taking milk under the Milk-in-Schools Scheme on the 6th October, 1971 was as follows:—
    At maintained primary and secondary schools:Present.Taking Milk.
  • Page 91
    Continued from previous page...
  • Page 92
    Table XXVI. ROAD ACCIDENTS TO CHILDREN, 1971. Mr. M. S. Hebron, Borough Engineer and Surveyor, has kindly supplied the following details of road accidents to children under 16 years of age:—
  • Page 92
    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 1971:—
    SexAgeCause of Death.