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 1972
[Report of the Medical Officer of Health for Richmond upon Thames]
- Published
- 1973
- Pages
- 94
- Tables
- 85
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Page 7
VITAL AND GENERAL STATISTICS 1972
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POPULATION The Registrar General's estimate of mid-year population for the Borough was 172,560, which is a decrease of 1,750 compared with 1971. The natural decrease (excess of deaths over births) was 148.
Year Population Population trend Migration excess Total increase or decrease Percentage proportion Natural increase or decrease Inward Outward -
Page 8
Main Causes of Death 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
Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1972
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 -
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Distribution of Deaths by Age and Cause Registrar General's Official Returns, 1972 — cont.
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 -
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INFECTIOUS DISEASES The number of notifications received during the year compared with 1971 may be summarised as follows:—
Disease. 1972 1971 -
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The number of cases notified in previous years were:—
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Page 11
The distribution of cases during each quarter of the year 1972 was as follows :
M. F. Total -
Page 13
From the table below it will be seen that the first nine years of childhood are the prevalent period for this disease:—
M. F. Total -
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Figures for the previous ten years are as follows:—
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Page 14
The age distribution of the cases notified during the year was as follows:—
M. F. Total -
Page 15
Cases of Infectious Diseases Notified during the year 1972
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 16
Sexually Transmitted Diseases. The following new cases have been notified by the undermentioned hospitals of patients treated from this Borough during 1972.
Syphilis Gonorrhoea New Cases Total Other Genital Conditions Other Conditions -
Page 16
The following table shows from which country the immigrants' passports were issued, the figure of 76 for African countries including 63 from Uganda:—
Country where passport issued Number of Immigrants Commonwealth Countries. 1972 1971 -
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CARE OF MOTHERS AND YOUNG CHILDREN Ante-Natal and Post-Natal Clinics
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The staff have once again been invited to discuss the clinic with other local authorities considering setting up similar services.
Problems referred Referral Sources Age on referral -
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Handicaps recorded:—
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Page 19
Table I.
Pre-School Children 1972 1971 -
Page 20
Table II.
Expectant and Nursing Mothers 1972 1971 -
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Child Health Clinics
Number of children who attended during the year Number of sessions held by Total number of sessions in columns (5)-(8) Born in 1972 Born in 1971 Born in 1967-1970 Total Medical Officers Health Visitors G.Ps. employed on a sessional basis Hospital medical staff (1) (2) (3) (4) (5) (6) (7) (8) (9) -
Page 23
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 Bom 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) -
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Visits by Domiciliary Midwives
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Medical Aid Medical aid was required for 28 patients as follows:—
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HOME NURSING SERVICE
Day Night Total -
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HEALTH VISITING
Cases visited by Health Visitors. Total number of cases seen Number of cases included in col (1) seen at special request of:— (1) Hospital (2) GP (3) -
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Health Visitor Training
Type of course Number of health visitors who attended -
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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 Visitors No. of Midwives No. of District Nurses -
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VACCINATION AND IMMUNISATION Immunisation against Diphtheria/Whooping Cough/Tetanus (separately or combined), Poliomyelitis, Measles, German Measles.
Type of Vaccine YEAR OF BIRTH Others Under 16 Total 1972 1971 1970 1969 1965/68 -
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B.C.G. Vaccination against Tuberculosis
Primary Re-tests -
Page 30
The following table shows an analysis of cases notified in 1972.
Age Periods. Respiratory Non-Respiratory M F M F -
Page 31
The number of patients who received help during 1972, was as follows:—
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Clinics were held at the following centres in the Borough:—
Clinic Number of sessions per week Number of Attendances Number of New Cases Clinic sessions Doctor sessions -
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Categories of Persons Eligible for Treatment and Charges:—
Category. Inclusive Charge Surgery. Domiciliary. -
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Number of Persons Treated
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Page 34
The subjects chosen for the monthly poster campaigns during 1972 were:—
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Page 36
The number involved over the year was:—
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Page 39
AVERAGE RESULTS OF THE CHEMICAL EXAMINATION of the water supplied to the London Borough of Richmond upon Thames during 1972. Milligrams 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) CaCO, Hardness (non-carbonate) CaCO, Magnesium as Mg Sodium as Na Potassium as K Chloride as C1 Phosphate as P04 Silicate as SiO, 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) -
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BACTERIOLOGICAL RESULTS — YEARLY AVERAGES, 1972
Source of supply BEFORE TREATMENT AFTER TREATMENT Agar plate count per ml. Coliform count Escherichia coli count Number of samples Agar plate count per ml. Coliform count E. coli count Number of samples 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 46
The following is a list of foods which were voluntarily surrendered and destroyed:
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Page 47
Food Hygiene (General) Regulations, 1970.
Type of Premises. No. of Premises No. of Premises which comply with Reg. 18* No. of Premises to which Reg. 21 applies f No. of Premises which comply with Reg 21 No. of Visits carried out. -
Page 49
The following table shows the types of samples analysed and the results obtained
Article. Number Analysed Number Irregular -
Page 50
The last of the Smoke Control Orders became operative on the 1st July, 1972 and details are as follows :—
Order. Acreage. Number of Dwellings Number of Other Premises -
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of the Environment. It will be seen that whilst the concentration of smoke continues to lessen, the levels of SO 2 are on the increase.
Year Ended March STATION (results in microgrammes per cubic metre) Twickenham No. 1 Twickenham No. 5 Barnes No. 6 Smoke so2 Smoke so2 Smoke so2 -
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The total of premises registered within the Borough at the end of 1972 and the number of such premises which had been subjected to a general inspection in the year are as follows :
Total number of registered premises. Number of general inspections during year. -
Page 55
the technical and general assistants. The assistance given by the pupil public health inspectors has also been greatly appreciated.
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Page 56
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 -
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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. -
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Continued from previous page...
1972 1971 1970 -
Page 57
completely revised in 1972. Using the 18 municipal wards as units to ensure an even distribution, test baits were laid in approximately 20 manholes throughout each ward. A final total of 354 manholes were test baited and later re-examined for indications of rat activity.
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(1.) INSPECTIONS, for purposes of provisions as to health.
Premises Number on Register Number of Inspections Written Notices Occupiers prosecuted -
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(2.) C ases in which DEFECTS were found.
Particulars Number of cases in which defects were found Number of cases in which pros*' cutions were instituted Found Remedied Referred To H.M. Inspector By H.M. Inspector -
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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 63
Table I. SCHOOL POPULATION (as at 25.1.73)
No. of schools Number on Registers Total Boys Girls -
Page 64
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) -
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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 66
Table IV. Defects found by medical inspection in the year ended 31st December, 1972. 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) -
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Table IV. — continued. TABLE B. — SPECIAL INSPECTIONS.
Defect code number Defect or disease Pupils requiring treatment Pupils requiring observation -
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Table V. Recorded incidence of certain defects found to require treatment at periodic inspection per 1,000 pupils examined.
1972 1971 -
Page 68
Table VI. Number of children examined other than at Periodic Medical Inspections:
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Table VII. CLINICS.
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Table VIII. Eye Diseases, Defective Vision and Squint.
Number of cases known to have been dealt with -
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Table IX.
Age Group. First Tests Failures TOTAL TOTAL % of Col. 2 (1) (2) (3) (4) -
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Table X. DISEASES AND DEFECTS OF EAR, NOSE AND THROAT.
Number of cases known to have been dealt with -
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Table XI. (a) Audiometer Tests — Routine
Age Group 1st Tests * Re-tests. Total % of Col. 1 (1) (2) (3) (4) -
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(b) Audiometer Tests — Specials
Age. 1st Tests. Re-teats. Failures. Total. % of Col. 1 (1) (2) (3) (4) -
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Table XII. INFESTATION WITH VERMIN.
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Page 72
Table XIII. DISEASES OF THE SKIN (excluding uncleanliness — see Table XII.).
Ringworm : Number of cases known to have been treated. -
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Table XIV. OTHER TREATMENT GIVEN.
Number of cases known to have been treated. -
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Table XV. HANDICAPPED PUPILS. Pupils ascertained during the year requiring education at a special school:
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RESIDENTIAL SPECIAL SCHOOLS — Table XVI.
Blind Partially Sighted Deaf Partially Hearing Educationally Subnormal Maladjusted Delicate Physically Handicapped Speech Defects Epileptic TOTAL -
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RESIDENTIAL SPECIAL SCHOOLS — Table XVI. continued
Blind Partially Sighted Deaf Partially Hearing Educationally Subnormal Maladjusted Delicate Physically Handicapped Speech Defects Epileptic TOTAL -
Page 78
Dr. Robin Higgins— The following table summarises the number of cases referred, seen and treated at the Richmond Child Guidance Clinic during 1972 : —
Referred Seen Under Intensive Treatment Under Supervision or Annual Review -
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Referring Agents:
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Page 78
Dr. Agnes Main— The following table summarises the number of cases referred, seen and treated at the Twickenham Child Guidance Clinic during 1972.
Referred Seen Under Intensive Treatment Under Supervision or Annual Review -
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Referring Agents:
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Table XVII. Child Guidance Treatment.
Number of oases known to have been treated. -
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Table XVIII. Orthopaedic and Postural Defects.
Number of cases known to have been treated. -
Page 81
Table XIX. Number of pupils treated by Speech Therapists under arrangements made by the Authority.
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Table XX. Types of cases treated during the year.
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Table XXI.
Age 5—9. Age 10—14. Age 15+ -
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The next table shows a wider range of treatment but not divided into age groups Table XXII.
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Page 83
Meals. The number of children receiving mid-day dinners at maintained schools on a selected date in 1972 was as follows:—
Date Number of dinners Number of children in School % of children having dinner -
Page 83
Milk. The number of pupils present and number taking milk under the Milk-in-Schools Scheme on the 3rd October, 1972 was as follows:—
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Page 84
Table XXIII. ROAD ACCIDENTS TO CHILDREN, 1972. Mr. M. S. Hebron, Borough Engineer and Surveyor, has kindly supplied th following details of road accidents to children under 16 years of age:—
Casualties Total Casualties Month (1) Accidents (2) Fatal (3) Serious (4) Slight (5) Total (2) + (3) + (4) -
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Table XXIV. DEATHS OF SCHOOLCHILDREN. It is with regret that I include the following details of local schoolchildren living in the Borough who died in 1972:—
Sex Age Cause of Death. M F