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
Hillingdon 1971
[Report of the Medical Officer of Health for Hillingdon]
- Published
- 1972
- Pages
- 192
- Tables
- 120
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Page 13
Vital Statistics
Male Female Total -
Page 14
Infant Deaths (under 1 year of age):
Male Female Total -
Page 15
Infectious Diseases Dr. C. Lydon— Deputy Medical Officer of Health The following tables show the number of cases of infectious diseases notified to the department during 1971:
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 1971 1970 1971 1970 -
Page 16
It is confidently expected that the incidence of measles in the community in future years will be considerably reduced and the pattern of the disease will continue to be reviewed with interest.
Year 7 965 1966 7 967 1968 1969 1970 1971 -
Page 17
The types of salmonella organisms identified during the year were as follows
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Page 17
Infectious diseases cases admitted to St. John's Hospital direct from Heathrow Airport (not notified on weekly return):
-
Page 18
The incidence of tuberculosis in this country has decreased dramatically over the past twenty-five years, particularly in young adults among whom the highest notification rates used to occur. There has been an apparent slowing-down in the rate of decline in notifications of tuberculosis in young adults which some have suggested is associated with the reported high notification rates in young immigrants. From the age distribution of cases shown in the table on page 15, and from the nationality distribution shown below, it would not appear that infected young immigrants make a major contribution to the notified cases of tuberculosis in this area.
Nationality No. of cases notified 1971 1970 -
Page 19
The following table indicates the incidence of pulmonary and non-pulmonary tuberculosis in those over and under twenty-five years of age over the past five years: Tuberculosis Notifications 1967-71
Year Under 25 years Over 25 years Total -
Page 21
The following are the returns made to this department in respect of residents of the Borough by physicians in charge of centres for the treatment of venereal disease in the Greater London area:
Hospitals NUMBER OF NEW CASES Totals all Venereal Conditions Syphilis Gonorrhoea Other Genital Infections Other Conditions Primary and Secondary Other -
Page 25
Admissions to St. John's Hospital, Uxbridge included:
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Page 28
The Annual Conference of the Association of Sea and Air Port Health Authorities was held in Southwark on 30th June, 1st and 2nd July, and was attended by the Chairman of the Health Committee, the Director of Health Services and the Principal Medical Officer.
1967 1968 1969 1970 1971 -
Page 28
IMMUNISATIONS
Vaccinations against Smallpox Vaccinations against Cholera -
Page 36
For those with communication difficulties it is important that the children should be surrounded by speech to stimulate the desire to communicate before training in a special school is commenced.
Category (handicap) Number -
Page 37
During 1971, 730 abortions were conducted at hospitals in Hillingdon. The aim of a public health service should be to prevent such unwanted pregnancies and so avoid the need for treatment which can be so traumatic to the personality and which is itself not without risk.
Medical Social Total -
Page 38
It is pleasing to record the grateful thanks of the department to the teams of cytologists and technicians who provide so much assistance with this work, and especially to those at Hillingdon Hospital who were under considerable pressure during the middle of the year.
Elers Road Laurel Lodge Minet North -wood Ruislip Yiewsley Industry -
Page 39
Number of Persons Treated
By local Authorities By voluntary organisations Total -
Page 39
Number of Treatments
-
Page 45
HEALTH EDUCATION 1971
Talks given by Number of talks given Audience reached Total persons reached -
Page 46
This gives an acceptance figure of 81.7% which though high is less than last year (83.6% 1970). The figures for 1971 and the preceding three years are as follows in the table.
Year Children Eligible Children Tested Children Vaccinated Children not Vaccinated (Heaf positive) Percentages -
Page 49
The following table gives details of persons placed on recuperative holidays during 1971 and the preceding four years.
Adults School Children Arranged Taken -
Page 59
WATER SUPPLY The Borough is supplied with water from three water companies: Rickmansworth and Uxbridge Valley Water Company, who supply the major part of the Borough, Colne Valley Water Company, and South West Suburban Water Company, who supply part of Harlington. 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. Appearance Clear and bright Clear and bright Clear and bright -
Page 60
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 63
The report is in the same form as that for 1970 and is divided into sections as follows:
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Page 65
Monthly Averages for Smoke and Sulphur Dioxide in Microgrammes per Cubic Metre for 1971
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 66
Continued from previous page...
STATION Date in operative Smoke Control Area Smoke January 1971 June 1971 Ratio January -
Page 68
They may be divided as follows:
Covered Pools Open Pools -
Page 68
Swimming Pool Samples
Satisfactory Unsatisfactory Total -
Page 69
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 -
Page 70
Both are regularly inspected and samples of milk and washed bottles together with churn rinses are taken and submitted to the Public Health Laboratory for examination, as a check of the effectiveness of the process and the efficiency of the cleaning methods.
Bottles Churns Satisfactory Unsatisfactory Satisfactory Unsatisfactory -
Page 70
The use of disposable packs is increasing and has done much to reduce the hygiene failures from this source.
Churns and Dippers Dispensers Milk Packs Satisfactory Unsatisfactory Satisfactory Unsatisfactory Satisfactory Unsatisfactory -
Page 70
Premises registered and licensed Premises registered and licensed in accordance with the Milk and Dairies (General) Regulations, 1959 and the Milk (Special Designation) Regulations are as follows:
-
Page 70
The results of all milk samples taken for the statutory tests are set out in the following table.
Pasteurised— Phosphatase test Sterilised— Turbidity test UHT— Colony Count Untreated— Methylene Blue test Satisfactory Unsatisfactory Satisfactory Unsatisfactory Satisfactory Unsatisfactory Satisfactory Unsatisfactory -
Page 71
The results of cream samples submitted for Methylene Blue test are as follows:
Satisfactory Unsatisfactory -
Page 71
Ice Cream Results of ice cream samples:
Vehicles Premises -
Page 71
Results of all samples taken:
Grade No. Taken Percentage -
Page 72
Details of the animals slaughtered and inspected together with the quantities of meat condemned and reasons for condemnation are set out in the following tables:
Number of carcasses Inspected and Condemned Cattle excluding Cows Cows Calves Sheep and Lambs Pigs -
Page 72
Condemnation (All Causes)—Quantities pound weight:
Cattle Calves Sheep Pigs Carcass Offal Carcass Offal Carcass Offal Carcass Offal -
Page 73
period when visits are made to supervise and advise on hygienic practices. At the processing establishment birds which show evidence of disease on evisceration are retained for examination by the Public Health Inspector, in accordance with the recommendation of the Ministry of Agriculture, Fisheries and Food. Details of the poultry processed are given in the following table:
Chickens Hens Ducks Pheasants Turkeys Geese Total -
Page 73
Unfit Food Surrendered
Class of Food Weight (lbs) -
Page 74
Examined by Public Analyst
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 75
Samples Examined in the Departmental Laboratory
Food Departmental (Chemical) Total Satisfactory Unsatisfactory -
Page 75
examined, of which 30 or 5-3% were classed as unsatisfactory. Details of the action taken regarding these samples are set out in the following tabie.
Product No. Contravention Action -
Page 76
The complaints received are classified in the following tables:
Food Foreign matter Mould Other Type of foreign body -
Page 76
Details of six prosecutions taken as a result of food complaints are set out in the following table. Further prosecutions are awaiting court hearings at the time of writing the report.
Offence Statute Trade of Defendant Fine Costs Total -
Page 78
The various classes of food premises and businesses within the Borough are shown in the following table:
Type of Business Total number -
Page 79
Bacteriological Examination
Type of Food Satisfactory Suspicious Unsatisfactory Total -
Page 80
awaiting hearing, two for contraventions under the General Regulations and one under the Markets, Stalls and Delivery Vehicles Regulations. Details of the prosecutions in 1971 are summarised below:
Statute Nature of Business/ Occupation of Defendant Fine and costs Remarks -
Page 80
at the port of entry increased rapidly during the year. Details of the imports examined and their country of origin are given below:
Product No. of Containers Tons Cwt Stones Lbs Country of Origin -
Page 82
The action taken during the year is reported below in the following tables: Unfit Houses (not capable of repair at reasonable expense) (Housing Act, 1957)
-
Page 82
Clearance Areas and Individual Unfit Dwellings Since the 1st April, 1965 the Council have made 49 Demolition Orders, 33 Closing Orders and declared 43 Clearance Areas.
-
Page 84
The position at the end of 1971 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 Suspended Notice -
Page 86
Details of Improvement Grant Applications received and given Grants in 1971 are as follows: Standard Grants
Owner/Occupier Tenanted -
Page 87
Improvement Grants (Discretionary)
Owner/Occupier Tenanted -
Page 87
Unfit Houses made Fit
-
Page 88
Other Houses in which Defects were Remedied
-
Page 89
Both the temporary and permanent site conditions are based on the Department of the Environment's model standards.
Licensed Sites in the Borough Temporary Licenses Permanent Licenses -
Page 90
The following table shows the various types of premises and numbers employed.
Class of Premises No. of Registered Premises No. of Registered Premises receiving one or more general inspections during the year No. of Persons Employed -
Page 90
various works as shown in the table below were served. Except where referred to in the paragraph on the legal proceeding the defects were remedied by informal action.
Defect Number of Premises -
Page 91
The accident due to an explosion occurred in an office when for photographic purposes an attempt was being made to create with chemicals the fog conditions so prevalent in the London Area before the advent of smoke control.
Type of premises No. Reported Action Recommended Fatal Non-Fatal Prosecution Formal Warning Informal Advice -
Page 92
Inspections
Premises Number on register Number of Inspections Written notices Occupiers prosecuted (1) (2) (3) (4) (5) -
Page 93
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 (1) (2) (3) (4) (5) (6) -
Page 93
Details of the number of persons employed as out-workers and the types of place at which they are employed is set out below:
Type of work No. of out-workers -
Page 96
Details of toys sampled are given in the following table:
Satisfactory Toys Unsatisfactory Toys Article Country of Origin Article Country of Origin Reason -
Page 97
Properties other than sewers
Type of Property Non-agricultural Agricultural -
Page 98
Insect Pests Complaints of insect pests doubled during the year, being 1,480 as compared with 735 for 1970. Details of these complaints are as follows:
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Page 98
Imported Food Since the opening of the cargo terminal at the south west corner of the Airport, which is in the Urban District of Staines, this work has decreased to negligible proportions. Details of the food inspected are given below:
Article lbs Article lbs -
Page 99
Water Supply Two companies supply the whole of the airport with mains water. Regular samples are taken from aircraft and submitted for bacteriological examination. 366 samples were taken during the year with the following results:
Satisfactory Unsatisfactory -
Page 100
DEPARTMENTAL LABORATORY During the year, the facilities of the laboratory were extended to include chromatograph determinations to identify colouring matter in food and flammability tests on fabrics. Tests in connection with food have been detailed elsewhere and the following is a summary of the remainder of the examinations carried out:
Type of Examination Total number of tests -
Page 101
Effluent Samples
Sample No. 1 2 3 4 5 Date taken 14.1.71 10.3.71 10.5.71 20.7.71 2.11.71 -
Page 105
The following table gives a summary of the cases referred over the last five years:
Year New Applications Transfers Total Special recommendation or points No recommendation Total Support No support Total -
Page 107
Static X-ray Centres
-
Page 107
Mobile Units
-
Page 107
The table also includes the number of successful visits at which contact was made with the immigrants during the year.
Country issuing passport Notifications Received Successful visits completed -
Page 108
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 109
OCCUPATIONAL HEALTH SERVICES Due chiefly to a sharp increase in the number of students medically examined prior to admission to teachers training college, the total number of medical assessments issued during 1971 was at 2,255 the greatest for any year since the inception of the Borough. Of the four hundred 14TT forms completed (examination required by the Department of Education and Science) three hundred and four were for students and ninety-six for newly trained teachers taking up their first appointment.
1967 1 968 1969 1970 1971 -
Page 111
On 1st January, 1971, the Director of Health Services took up additional duties as medical referee to the Joint Committee. The Deputy Medical Officer of Health and a Principal Medical Officer were appointed during the year to assist with such duties.
Year Total Cremations Year Total Cremations -
Page 115
CLINICS FOR THE EXPECTANT MOTHER
Premises Ante-Natal Clinic Mothercraft and Relaxation -
Page 116
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 117
Continued from previous page...
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 118
ATTENDANCES AT CHILD HEALTH CLINICS 1971
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. Harmondsworth 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., Thurs. p.m. Manor Farm Thurs. a.m. & p.m. -
Page 119
ATTENDANCES AT MOBILE HEALTH CENTRES 1971
Barra Hall Circus 1st & 3rd Tues. a.m. Charville Estate 2nd, 4th & 5th Mon. a.m. Cowley 1st, 2nd. 4th B 5th Fri. p.m. Cranford Cross Estate 1st & 3rd Wed. a.m. Glebe Estate 2nd & 4th Wed. p.m. Harlington Mon. a.m. Northwood, The Grange 2nd B 4th Thurs. p.m. Sipson 1st B 3rd Fri. a.m. Wise Lane Estate 2nd B 4th Wed. a.m. Yeading Tues. p.m. -
Page 120
CHILDREN ON OBSERVATION REGISTER
Category Year of Birth 1967 1968 1969 1970 1971 -
Page 121
IMMUNISATION The following table shows the numbers of children immunised during the year at Council Clinics or by private medical practitioners: Primary Immunisation—Disease
Year of Birth Total 1971 Total 1970 1971 1970 1969 1968 1964-67 Others under 16 -
Page 121
Re-inforcing Doses—Vaccine
Year of Birth Total 1971 Total 1970 1971 1970 1969 1968 1964-67 Others under 16 -
Page 122
SMALLPOX VACCINATION During the year the following vaccinations of children were undertaken:
Age Vaccination Re-vaccination Generalised Vaccinia 1971 1971 1970 1971 1970 -
Page 122
DEATHS FROM CANCER
Male Female Total 1970 1971 1970 1971 1970 1971 -
Page 123
PRIORITY DENTAL SERVICE STATISTICS
Attendances and Treatment Children under 5 Expectant and Nursing Mothers -
Page 124
Statistics
Cases Visited Number of Cases -
Page 125
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-14th Day 15th—21 st Day 22nd-28th Day Total under 1 Month 7 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months Total -
Page 142
The numbers of children tested this year are very similar to those of last year, but the number found to have a hearing loss is less: 427 in 1971, 467 in 1970.
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Page 143
Child Guidance Centres
-
Page 144
Continued from previous page...
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Page 148
Health Education in Schools 1971
Number of Talks Given Total Audience Reached Schools -
Page 150
A visit was made with some of these young patients to Dr. Sperryn's Physical Medicine Out-patients' Department at Hillingdon Hospital to obtain wheelchairs for the school use.
Type of Patient Number of new patients referred in 1971 -
Page 153
Handicapped Pupils Register for 1971
Category No. of Children Placed in No. of Other Children Ascertained (See Separate Table) Total New Cases Referred to Local Education Authority during 1971 Day Special Schools Day Special Classes Residential Special Schools Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls -
Page 153
Handicapped Children under 5 years of age
Category Year of Birth 1967 1968 1969 1970 1971 Total -
Page 155
(E) Educationally Sub-Normal Pupils
-
Page 157
(F) Epileptic
-
Page 157
(G) Maladjusted
-
Page 158
(H) Physically Handicapped
-
Page 159
The school, however, accepts children with a variety of physical handicaps. The 25 children on the roll are as follows:
-
Page 159
Martindale School for Physically Handicapped Children, Hounslow, has accepted 15 children from Hillingdon:
-
Page 160
(1) Speech Defect
-
Page 160
(J) Delicate
-
Page 161
Multiple Handicaps
-
Page 163
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 (including squint) For any other conditions in Table C Total individual pupils (1) (2) (3) (4) (5) (6) (7) -
Page 163
TABLE B—OTHER MEDICAL INSPECTIONS
-
Page 164
TABLE C— DEFECTS FOUND BY MEDICAL INSPECTION
Defect Code No. Defect or Disease Periodic Inspections Special Inspections Entrants Leavers Others Total (T) (O) (T) (O) (T) (O) (T) (O) (T) (O) (1) (2) (5) (4) (5) (6) (7) (8) (9) (10) F. Re. F. Re. -
Page 165
TABLE D—PUPILS TREATED AT SCHOOL CLINICS Eye Diseases, Defective Vision and Squint
Number of cases known to have been dealt with -
Page 165
Diseases and Defects of Ear, Nose and Throat
Number of cases known to have been dealt with -
Page 165
Diseases of the Skin
Number of pupils known to have been treated -
Page 165
Child Guidance Treatment
Number known to have been treated -
Page 166
TABLE E—SCHOOL DENTAL SERVICE STATISTICS
Attendances and Treatment Ages 5-9 Ages 10-14 Ages 15 and over Total -
Page 168
TABLE G—SCHOOL CLINICS
Premises School Health Sessions Dental Clinics Speech Therapy Ophthalmic Clinics Immunisation and Vaccination -
Page 169
Continued from previous page...
Premises School Health Sessions Dental Clinics Speech Therapy Ophthalmic Clinics Immunisation and Vaccination -
Page 170
TABLE H—HANDICAPPED CHILDREN NOT ATTENDING SPECIAL SCHOOLS OR CLASSES
Category Pre-schoo/ but placed in Day Nurseries Pre-school but recommended for Attending ordinary School Receiving Home Tuition If compulsory school age not attending School but recommended for Special School 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 Boys Girls -
Page 171
ORTHOPAEDIC
Sessions First Attendance Total Attendance -
Page 171
SPEECH THERAPY
-
Page 171
HEALTH VISITORS/CLINIC NURSES/HEALTH ASSISTANTS Visits and Sessions for School Health Service
-
Page 172
SCABIES 1971
Schools where Investigations made Date No. of Cases