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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
Hillingdon 1970
[Report of the Medical Officer of Health for Hillingdon]
- Published
- 1971
- Pages
- 180
- Tables
- 124
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Page 13
General Statistics
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Page 13
Vital Statistics
Total Live Births: Male Female Total -
Page 14
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Page 15
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Page 15
The following table shows the incidence of infectious disease in the Borough during 1970:
DISEASES Ages of Cases Notified Totals Deaths Under One Year 1 to 2 3 to 4 5 to 9 10 to 14 15 to 24 25 and Over 1970 1969 1970 1969 -
Page 16
The number ot notifications of measles received in each of the past six years illustrates the bi-annual outbreaks of measles which have been the pattern in recent decades until the introduction of a measles vaccination programme affected the natural history of the disease.
Year 1965 1966 1967 1968 1969 1970 -
Page 16
New Notifications 1970
Year Total Pulmonary Non - Pulmonary Under 15 Over 15 Total Under 15 Over 15 Total -
Page 17
VENEREAL DISEASES The following table shows the reported number of new cases of residents of the Borough treated at various Hospitals during the year:
Hospital Number of new cases in the year Totals all Venereal conditions Syphilis Gonorrhoea Other Venereal conditions Primary and Secondary Other -
Page 17
Number of new cases, resident in the Borough, treated in the Special Clinic at Hillingdon Hospital:
Year Syphilis Gonorrhoea Other Venereal Conditions Total -
Page 20
MEDICAL EXAMINATION OF COMMONWEALTH IMMIGRANTS The total number of Commonwealth Immigrants referred to the medical inspectors over the last five years was:
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Page 21
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Page 21
Pulmonary Tuberculosis Forty persons were discovered to have active pulmonary tuberculosis during the year, compared with 68 in 1969.
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Page 22
Statistics
1.1.70 to 30.6.70 1.7.70 to 31.12.70 Total -
Page 22
Sources of Aircraft
Jan. 1st-June 30th July 1st-Dec. 31st Total Aircraft Passengers Aircraft Passengers Aircraft Passengers -
Page 22
Sources of Aircraft
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Page 23
Immunisations
-
Page 27
There are currently no midwives undertaking ante-natal clinics in the surgeries of family doctors, but arrangements were completed during the year to allow midwives undertaking such clinics in other areas to visit Hillingdon residents who are attended by a family doctor practising outside the Borough.
Number of women in attendance Number of sessions held by Total number of Sessions For ante-natal examination For post-natal examination Medical Officers Midwives -
Page 32
Number of patients treated
Medical Surgical Infectious Disease Tuberculosis Maternal complications Other -
Page 33
The standard charge for the service is 8/- per hour, but all persons unable to pay this are assessed in accordance with the Council's scale. Recipients of Department of Health and Social Security pensions are not required to pay for the service nor are patients suffering from toxaemia of pregnancy needing complete bed rest.
Aged 65 or over Aged under 65 Total Chronic sick and tuberculosis Mentally Disordered Maternity Others -
Page 35
The number referred since 1965 are shown below:
Medical Social Total -
Page 36
Only 3 cases of malignancy were found in 1970. Their ages ranged from 30 to 51; one had had no children, the others 5 and 6 respectively; one had a cervical erosion, the others appeared clinically normal. All were referred to appropriate hospital specialists through their general practitioners, and are being followed up.
Laurel Lodge Northwood Minet Ruislip Yiews/ey Industry -
Page 37
Number of Persons Treated
By local Authorities By voluntary organisations Total -
Page 37
Number of Treatments
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Page 37
RECUPERATIVE HOLIDAYS During the year recuperative holidays were arranged for 29 adults who were recovering from recent illness. In 19 other cases in which requests for assistance in arranging recuperative holidays were received, the patients could not be placed on holiday either because of deterioration in their physical condition or because of difficulty in finding accommodation which would be suitable for their age and handicap.
Adults School Children Arranged Taken -
Page 38
The maximum daily charge is 38/., but only one mother was paying this amount on 31st December, 1970. All mothers are assessed according to the Council's scale, and the charge is made according to income.
Quarter Ended No. of children on register at end of quarter Total Attendances Number of Days Open Average Daily Attendances Under 2 2.5 years Under 2 2.5 years Total -
Page 43
RESIDENTIAL HOMES FOR THE AGED The Council's Residential Homes at 31st December, 1970 were:
Name of Home Address No. of Beds -
Page 44
The following is a summary of admissions and discharges during the year:
Admissions Discharges To where discharged Hospital Home Address Other Address Deaths -
Page 44
The table below shows by age groups all admissions to residential accommodation during 1970:
MALES FEMALES Grand Total Under 30 30-49 50-64 65-74 75-84 85 & over Total Under 30 30-49 50-64 65-74 75-84 85 a over Total -
Page 45
WAITING LIST Details of aged persons awaiting admission to the Council's residential Homes on 31st December, 1970 are as follows:
Male Female Total -
Page 45
Number of persons in Residential Accommodation (including Voluntary Organisation Homes) at 31 st December, 1970 in various age groups:
Under 30 30-49 50-64 Total Under 65 65-74 75-84 85 a over Total 65 a over Total All Ages -
Page 47
HANDICAPPED PERSONS—GENERAL CLASSES At 31st December, 1970 there were 951 names on the register of handicapped persons and the following table shows an analysis of their disabilities and age groups:
Major Handicaps Under 16 16-29 30-49 50-64 Over 65 Total -
Page 48
The following table shows the changes which occurred during 1970:
No. on Register 31.12.69 Additions Removals No. on Register 31.12.70 -
Page 48
The following table shows the number of persons on the blind register at 31st December, 1970 in age groups:
-7 7 2 3 4 5-70 77-75 16-20 27-29 30-39 40-49 50-59 60-64 65-69 70-74 75-79 80-84 85-89 90 + Total -
Page 49
EMPLOYMENT OF THE BLIND This table shows the employment position as at 31st December, 1970. (These figures do not include those persons in residential Homes.)
Male Female Total -
Page 49
The following table shows the age groups of persons on the partially sighted register at 31st December, 1970:
-1 1 2 3 4 5-10 11-15 16-20 21-29 30-39 40-49 50-59 60-64 65-69 70-74 75-79 80-84 85-89 90 + Total -
Page 49
Of those who fall into this category the following table shows the employment position:
Persons near and prospectively blind Others substantially handicapped Male Female Total Male Female Total -
Page 51
Highgrove House
Admitted Rehoused Discharged Mead House Welfare Houses Other addresses -
Page 51
Mead House
Admitted Rehoused Discharged Highgrove House Welfare Houses Other addresses -
Page 51
At 31st December, 1970 the total number of persons in temporary accommodation was as follows:
Families Men Women Children Total -
Page 54
1970 Referrals—Mental Illness (1969 figures in brackets)
Referred by Under 16 Aged 16 years & over Total M F M F -
Page 54
Hospital Admissions by Mental Welfare Officers 1970 (1969 Figures in Brackets)
Mental Health Act, 1959 Total -
Page 55
Visits made by Mental Welfare Officers (1969 figures in brackets)
Mental Illness -
Page 55
This hostel does accommodate suitable cases from other Boroughs. The number of residents in the Hostel over the whole year was 45. These came from the following Authorities:
Males Females -
Page 55
At the end of the year 15 patients were in residence from the following Authorities
Males Females -
Page 56
Number of known cases of subnormality at 31st December, 1970 (1969 figures in brackets)
Subnormal Severely Subnormal Total Under 16 years Over 16 years Under 16 years Over 16 years -
Page 56
The position at the 3 Training Centres at 31st December, 1970 was as follows:
London Boroughs of: Surrey County Council Barnet Brent Ealing Hillingdon Hounslow -
Page 60
Informal Foster Care Placement as at 31st December, 1970
Subnormal Severely Subnormal Under 16 years Over 16 years Under 16 years Over 16 years Male Female Male Female Male Female Male Female -
Page 65
The results of chemical analysis of water from these three supplies are as follows:
Colne Valley Water Co. Rickmansworth and Uxbridge Valley Water Co. South-West Suburban Water Co. -
Page 66
The results of the bacteriological tests carried out on the various sources of water supply are given in the following table:
Source of Supply Satisfactory Unsatisfactory Total -
Page 68
SCOPE The work of the section concerns the protection and improvement of the environment under the following headings:
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Page 69
Monthly Averages for Smoke and Sulphur Dioxide in Microgrammes per Cubic Metre for 1970
Month 76 High St., Northwood west Mead Clinic, South Ruislip Coldharbour Lane, Hayes Grange Park School, Lansbury Dr., Hayes Dragonfield, High Street, Uxbridge Oak Farm School, Long Lane, Hillingdon Drayton Hall, Station Rd„ West Drayton Smoke SO2 Smoke SO2 Smoke SO2 Smoke SO2 Smoke SO2 Smoke SO2 Smoke SO2 -
Page 70
The result of the smoke control programme to date has had a beneficial effect over the whole of the Borough but the advantage of living in a well established smoke control area surrounded by other smoke control areas can be seen by comparing the winter and summer smoke levels at the recording stations in the different areas.
STATION Date in operative Smoke Control Area Smoke January 1970 June 1970 Ratio January* -
Page 74
The following table gives details of the number of samples of raw milk taken and the results:
Brucella Ring Test Guinea Pig Inoculation T.T.C. Test Negative Positive Negative Positive Negative Positive -
Page 75
There are two plants within the Borough where milk is pasteurised and bottled. These are registered by this Authority and also licensed at five yearly intervals. Both are regularly inspected, samples of milk and washed bottles and churn rinses taken and submitted to the Public Health Laboratory for examination to check the effectiveness of the process and the efficiency of the cleaning.
Bottles Churns Satisfactory Unsatisfactory Satisfactory Unsatisfactory -
Page 75
The following table shows the results of milk samples taken from catering establishments and, in the case of dispensers, illustrates that insufficient attention is given to the proper cleaning of equipment.
Churns and Dippers Dispensers Milk Packs Satisfactory Unsatisfactory Satisfactory Unsatisfactory Satisfactory Unsatisfactory -
Page 76
The results of all milk samples taken for the statutory tests are set out in the following table:
Pasteurised— Methylene Blue and Phosphatase Tests Sterilised— Turbidity Test U.H. T.— Colony Count Satisfactory Unsatisfactory Satisfactory Unsatisfactory Satisfactory Unsatisfactory -
Page 76
Similar trouble was experienced with similar machines by other users within the Borough and they have now discontinued their use. Of the 81 cream samples examined—53 or 65% were classed as unsatisfactory.
Satisfactory Unsatisfactory -
Page 77
Results of ice cream samples:
Vehicles Premises -
Page 77
Results of all samples taken:
Grade No. Taken Percentage -
Page 78
Regulations and the application of the stamp implies that the Inspector has carried out an inspection in accordance with these detailed requirements.
Number of carcasses Inspected and Condemned (pounds weight) Cattle excluding Cows Cows Calves Sheep and Lambs Pigs -
Page 78
Condemnation (All Causes)—Quantities pound weight:
Cattle Calves Sheep Pigs Carcass Offal Carcass Offal Carcass Offal Carcass Offal -
Page 79
The specimens submitted during the year and the results obtained were as follows:
Specimens Surface Plate Count at 35°C Conforms Salmonella Non-faecal faecal -
Page 80
Details of Poultry Processed
Chickens Hens Ducks Pheasants Turkeys Total -
Page 81
Unfit Food Surrendered
Class of Food Weight (lbs) -
Page 82
The following tables give details of the foods sampled together with the result and findings.
PRODUCT PROCURED Adulterated, below standard or otherwise not complying with prescribed requirements PRODUCT PROCURED Adulterated, below standard or otherwise not complying with prescribed requirements Formally taken Informally taken Formally taken Informally taken Formally taken Informally taken Formally taken Informally taken -
Page 83
Samples Examined in the Departmental Laboratory
Food Departmental (Chemical) Total Satisfactory Unsatisfactory -
Page 83
76 samples of milk were examined by the Public Health Laboratory for the presence of antibiotics and all were found to be satisfactory. A total of 508 food and drug samples were examined, 25 or 4.8% were classed as unsatisfactory. Details of the action taken regarding these samples are set out in the following table.
Product No. Contravention Action -
Page 84
Details of these complaints were as follows:
Food Foreign Matter Mould Type of Foreign Body -
Page 84
Seven prosecutions were taken as a result of food complaints; details are set out in the following table. A further six prosecutions are awaiting court hearings at the time of writing the report.
Offence Statute Trade of Defendant Fine Costs Total -
Page 86
The various classes of food premises and businesses within the Borough are shown in the following table:
Type of Business Total number -
Page 87
These prosecutions are summarised in the following table:
Statute Trade/Occupation of Defendant Fine and costs Remarks -
Page 91
at the end of 1970 in respect of the four Improvement Areas declared by the Borough is shown below:
Area No. No. of houses lacking amenities in the area No. improved No. still to be improved Remarks Owner/ occupier Tenants willing Tenants unwilling -
Page 94
Unfit Houses made Fit
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Page 95
Other Houses in which Defects were Remedied
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Page 97
Licensed Sites in the Borough
Temporary Licenses Permanent Licenses -
Page 100
The accident occurred to a window-cleaner cleaning windows inside the London Airport buildings. The fall was from the comparatively low height of 12 feet. The ladder was examined and showed no defects. Such accidents indicate the need for extreme care to avoid over reaching when working on large areas of glazing. This is the first fatality to be notified to this Authority.
No. Reported Action Recommended Fatal Non -Fatal Prosecution Formal Warning Informal Advice -
Page 100
In addition, 13 further accidents were notified which, because they did not take place on registered premises or for other reasons were not technically notifiable, are not included in the statistical tables.
Cause Offices Retail Shops Wholesale Warehouses Catering Establishments Fuel Storage Depot Fatal NonFatal Fatal NonFatal Fatal NonFatal Fatal NonFatal Fata/ NonFatal -
Page 101
Details of the number of persons employed on out-work and the types of trades at which they are employed is set out below:
Notifications from Factory Occupiers within the Borough Type of work No. of Outworkers -
Page 102
Inspections
Premises Number on register Number of Inspections Written notices Occupiers prosecuted (7) (2) (3) (4) (5) -
Page 102
Defects
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 (V) (2) (3) {4) (5) (6) -
Page 105
taining excessive amounts of lead and one (toy guitar) had a celluloid plectrum. Details are given below:
Satisfactory Toys Unsatisfactory Toys Article Country of Origin Article Country of Origin Reason -
Page 106
PROPERTIES OTHER THAN SEWERS
Type of Property Non-agricultural Agricultural -
Page 106
OTHER PESTS 735 complaints of infestation were received, details of which are given below:
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Page 108
Fourteen containerised imports of food were examined during the year all of which were found to be satisfactory. Details of the cargoes and their country of origin are given below:
Products Number of Containers Weight Origin Tons Cwts Qtrs Lbs -
Page 108
Two companies supply the whole of the airport with mains water. Regular samples are taken from aircraft and submitted for bacteriological examination. 377 samples were taken during the year with the following results:
Satisfactory Unsatisfactory -
Page 109
With the formation of the Borough a small laboratory was set up tor the purpose ot carrying out simple screening tests and examinations in connection with the Council's responsibilities for food and drug examination, the operation of the atmospheric pollution measurement stations and other matters. It has been possible over the years to expand the work carried out in this laboratory with a resultant saving in cost and a technical assistant is now employed on laboratory work and associated sampling duties. Details of chemical tests in connection with food have been set out elsewhere and the following is a summary of all the examinations carried out.
Type of Examination Satisfactory Unsatisfactory Total number of Tests -
Page 111
EFFLUENT SAMPLES
Sample No. 1 2 3 4 5 6 7 8 -
Page 115
During 1970, the Council's housing points scheme continued in operation and all applications received by the Director of Housing in which medical factors were put forward for consideration were referred to this Department. The number of applications for this year, at 540, is almost 100 less than the record total of 637 received by the Department in 1969. The total number of applications for rehousing or transfer of accommodation which were considered by this Department during 1970 was nevertheless the second highest since the inception of the Borough.
Year New Applications Transfers Total Special recommendation and points No recommendation Total Support No support Total -
Page 115
Review of 353 applications for rehousing because of medical factors:
Primary Source of Medical referral Number Number Supported Proportion Supported -
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Further information concerning the above referrals requested from: Number Number Supported Proportion Supported -
Page 116
The following table indicates the nature of the medical conditions for which housing applicants sought support from this Department:
Medical Condition New Applications Transfers -
Page 117
Visits were made to long-stay immigrants so that they may be made aware of the health and social facilities available, particularly to children. The Department was notified of all new arrivals in the Borough. Visits are made to all recent immigrants by the public health inspectors.
Country issuing passport Notifications Received Successful visits completed -
Page 118
All such premises were inspected by a Principal Medical Officer and found to be of a satisfactory standard. The number of premises licensed and the type of treatment offered is shown in the following table:
Treatment Carried Out Number of Premises -
Page 119
The total number of cases considered for medical assessment during 1970 was, at 2,233, the highest figure for any year to date. The relatively small number of teachers examined (and only those taking up their first teaching post are routinely medically examined) was more than offset by the rise in the number of other staff assessed. It is interesting to note that despite the increase in the total number of assessments carried out during 1970, the number of people actually medically examined was the lowest so far and at 516 represented 23% of the total. Of these 276 were in categories requiring routine medical examinations (e.g. teachers, students, etc.) so that in only 12% (240) of those cases in which discretion could be exercised, based on scrutiny of completed medical questionnaires, was a medical examination considered necessary.
1966 1967 1968 1969 1970 -
Page 120
From Home Address:
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Page 120
The trend towards cremation as opposed to burial has been noticed for some years, and it is one of the objectives of the Council to encourage cremation in appropriate cases.
Year Total Cremations Year Total Cremations -
Page 125
The steady increase in infestation which has been noted on a national scale in recent years is a matter of some concern, especially in view of recent reports suggesting that head lice are acquiring resistance to the current methods of treatment.
1969 1970 -
Page 130
Child Guidance Centres
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Page 131
Sources of referrals
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Page 133
Handicapped Pupils Register for 1970
Category No. of Children Placed in No. of Other Children Ascertained (See Separate Table) Total New Cases Referred to Local Education Authority during 7970 Day Special Schools Day Special Classes Residential Special Schools Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls -
Page 134
Handicapped Children under 5 years of age
Category Year of Birth 1966 1967 1968 1969 1970 Total -
Page 143
Co-ordination among Education, Health and the new Social Services Departments will be of paramount importance if the changes made are to lead to real advances in the standard of education which even the most afflicted children can receive.
Year of Birth Normat Environment Hospital Cases Other Placings Grand Total Section 57 Cases Informal Cases Leavesden Hospital Section 57 Cases Leavesden Hospital Informal Cases Other Hospitals Section 57 Cases Other Hospitals Informal Cases Section 57 Cases Informal Cases Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls -
Page 144
TABLE A—PERIODIC MEDICAL INSPECTIONS
Age Groups Inspected (By year of Birth) Number of Pupils Inspected Physical condition of pupils Inspected Pupils found to require treatment (excluding dental diseases and infestation with vermin) Satisfactory Unsatisfactory For defective vision (excluding squint) For any other conditions in Table 5 (SH) Total individual pupils (1) (2) (3) (4) (5) (6) (7) -
Page 145
TABLE C—DEFECTS FOUND BY PERIODIC AND SPECIAL MEDICAL INSPECTIONS DURING THE YEAR 1970 T = Requiring Treatment 0 = Requiring Observation
Defect or Disease Periodic Inspections Special Inspections Entrants Leavers Others Total -
Page 146
TABLE D— PUPILS TREATED AT SCHOOL CLINICS Eye Diseases, Defective Vision and Squint
Number of cases known to have been dealt with -
Page 147
TABLE E—SCHOOL DENTAL SERVICE STATISTICS
Attendances and Treatment Ages Ages Ages 15 and over Total 5-9 10-14 -
Page 148
TABLE F—ORTHOPTIC CLIIMIC During the year 45 patients were discharged, a few of these being referred to other areas for continuation of orthoptic treatment. Monthly Attendance Record
New Patients Attending for Exercises Attending for test and for Observation Total -
Page 149
TABLE G—HANDICAPPED CHILDREN NOT ATTENDING SPECIAL SCHOOLS OR CLASSES
Categories Pre-School but placed in day nurseries Pre-School but recommended for: Attending Ordinary School Receiving Home Tuition Total Special School Ordinary School and satisfactorily placed but recommended for Special School For a Trial Period Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls -
Page 150
TABLE H—SCHOOL CLINICS
Premises School Health Sessions Dental Clinics Speech Therapy Ophthalmic Clinics Immunisation and Vaccination -
Page 151
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Premises School Health Sessions Dental Clinics Speech Therapy Ophthalmic Clinics Immunisation and Vaccination -
Page 155
CLINICS FOR THE EXPECTANT MOTHER
Premises Ante-Natal Clinic Mothercraft and Relaxation -
Page 156
CAUSES OF DEATH
Cause of Death Sex Total all Ages Under 4 weeks 4 weeks and under 1 year AGE IN YEARS 1 to 4 5 to 14 15 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 & over -
Page 157
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Cause of Death Sex Total all Ages Under 4 weeks 4 weeks and under 1 year AGE IN YEARS 1 to 4 5 to 14 15 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 a over -
Page 158
ATTENDANCES AT CHILD HEALTH CENTRES 1970
Cavendish Pavilion Thurs. a.m. & p.m. Elers Road Mon. p.m., Thurs. p.m. Grange Park Mon. p.m., Thurs. p.m. Harefield Mon. p.m., Thurs. p.m. Harm onds worth Thurs. p.m. Haydon Hall, Eastcote Mon. p.m.. Wed. a.m. Hayes End Thurs. a.m. & p.m. Ickenham Wed. p.m., Fri. a.m. Laurel Lodge Mon. p.m., Tues. a.m., Thurs. p.m. Manor Farm Thurs. a.m. Et p.m. -
Page 159
ATTENDANCES AT MOBILE CHILD HEALTH CENTRES 1970
Barra Hall Circus 1st Et 3rd Tues. a.m. Charville Estate 1st, 2nd Et 4th Mori. a.m. Cowley 1st, 2nd, 4th Et 5th Fri. p.m. Cranford Cross Estate 1st Et 3rd Wed. a.m. Glebe Estate 2nd Et 4th Wed. p.m. Harllngton Mon. p.m. Northwood, The Grange 2nd & 4th Thurs. p.m. Sipson 1st Et 3rd Fri. a.m. Wise Lane Estate 2nd Et 4th Wed. a.m. Yeading Tues. p.m. -
Page 160
CHILDREN ON OBSERVATION REGISTER
Category Year of Birth 1966 1967 1968 1969 1970 -
Page 161
Primary Immunisation—Disease
Year of Birth Totals 1969 Totals 1970 1969 1968 1967 1963-66 Others under 16 -
Page 161
Re-inforcing Doses—Vaccine
Year of Birth Totals 1969 Totals 1970 1969 1968 1967 1963-66 Others under 16 -
Page 162
During the year the following vaccinations of children were undertaken:
Age Vaccination Re-vaccination Generalised Vaccinia 1970 1970 1969 1970 1969 -
Page 162
DEATHS FROM CANCER
Male Female Total 1969 1970 1969 1970 1969 1970 -
Page 162
Rates per 1,000 of population
-
Page 163
PRIORITY DENTAL SERVICE STATISTICS
Attendances and Treatment Children under 5 Expectant and Nursing Mothers -
Page 164
Statistics
Cases Visited Number of Cases -
Page 165
DEATHS UNDER ONE YEAR ARRANGED IN DAYS WEEKS AND MONTHS
Causes of Death 1st Day 2nd Day 3rd Day 4th Day 5th Day 6th Day 7th Day 8th-74th Day 15th-2lst Day 22nd-28th Day Total under 7 Month 7 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 7 0 Months 7 7 Months Total