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 1972
[Report of the Medical Officer of Health for Hillingdon]
- Published
- 1973
- Pages
- 200
- Tables
- 119
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Page 13
Vital Statistics
Total Live Births: Male Female Total -
Page 14
Continued from previous page...
Infant Deaths (under 1 year of age): Male Female Total -
Page 17
The following table shows the incidence of infectious diseases during 1 972.
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 1972 1971 1972 1971 -
Page 18
The types of salmonellae organisms identified were as follows:
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Page 19
The number of cases of measles notified during 1972 was the lowest on record, and this no doubt reflects the increasing effectiveness of the vaccination programme. It should, however, be remembered that measles is likely to be a particularly difficult disease to control in this way and continued viaorous action is necessary.
Year 1966 1 967 1968 1969 1970 1971 1972 -
Page 19
Tuberculosis Notifications 1968-72
Year Under 25 years Over 25 years Total -
Page 20
TUBERCULIN TESTS AND BCG VACCINATIONS FOR YEAR ENDING 31st DECEMBER 1972
Contacts: 1972 1971 -
Page 20
VENEREAL DISEASE 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 21
Infectious diseases cases admitted to St. John's Hospital direct from Heathrow Airport (not notified on weekly return).
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Page 25
The conditions for which admission was requested included:
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Page 26
The reasons for recommending refusal were:
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Page 26
Number of immigrants X-rayed:
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Page 27
Pulmonary Tuberculosis Twenty-seven persons were found to have active pulmonary tuberculosis on arrival during the year. This figure compares with 33 in 1971 and 40 in 1970. The country of origin was as follows:
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Page 27
Fifty immigrants were landed on condition that they contacted their destination health departments within a specified number of days. These immigrants came from:
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Page 27
The analysis of the thirteen active cases was:
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Page 28
STATISTICS
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Page 28
IMMUNISATIONS
Vaccinations against Smallpox Vaccinations against Cholera -
Page 34
Family Planning Attendances 1972
Service given Number seen by FPA IPPF Brook Advisory Number seen by local authority Total -
Page 35
Abortions The number of abortions conducted at hospitals in Hillingdon was as follows
1971 1972 -
Page 36
In addition 163 women were referred to their family doctors for further advice about conditions of varying severity.
Elers Road Laurel Lodge Minet North -wood Ruislip Yiewsley Industry -
Page 37
Number of Persons Treated
By local Authorities By voluntary organisations Total -
Page 37
Number of Treatments
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Page 44
STUDY DAY/TRAINING COURSES
Talks Given By Length of Course Audiences Total No. of Persons -
Page 44
HEALTH EDUCATION DURING 1972
Talks Given By No. of Talks Audience Total Persons Reached -
Page 45
The following table gives details of BCG vaccinations carried out during 1972 and the preceding 3 years for children in the 2nd year of secondary school life.
Year Children Eligible Children Tested Children Vaccinated Children not vaccinated (Heaf positive) Percentage of eligible children tuberculin tested -
Page 47
Computer Statistics
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Page 51
The number of persons placed on recuperative holidays during the past five years is given in the following table.
Adults School Children Arranged Taken -
Page 55
The results of chemical analysis of water from these three companies are as follows:
Colne Valley Water Co. Rickmansworth and Uxbridge Valley Water Co. South West Suburban Water Co. -
Page 56
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 62
Monthly Averages for Smoke and Sulphur Dioxide in Microgrammes per Cubic Metre for 1972
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 63
There are 23 swimming pools in the Borough of all sizes from small hotel pools to public baths. They are divided as follows:
Covered Pools Open Pools -
Page 64
Details of the samples taken and the results obtained are set out in the following table.
Satisfactory Unsatisfactory Total -
Page 65
The following table gives details of the number of samples of raw milk taken and the result obtained.
Brucella ring test Guinea pig inoculation TTC Test Negative Positive Total Negative Positive Total Negative Positive Total -
Page 65
The following table shows the results of the washed bottles and churn rinses submitted for laboratory examination:
Bottles Churns Satisfactory Unsatisfactory Satisfactory Unsatisfactory -
Page 65
The results of all milk samples taken for the statutory tests are set out in the following table:
Pasteurised—Phosphatase test Untreated-—Methylene Blue test Satisfactory Unsatisfactory Satisfactory Unsatisfactory -
Page 66
The Public Health Laboratory Service applies the methylene blue test to cream and any failure indicates the need for closer examination of the handling and storage of the product. The failures reported were invariably due to excessively long storage or storage at incorrect temperatures. The results of cream samples submitted for methylene blue test are as follows:
Satisfactory Unsatisfactory Total -
Page 66
Results of all samples taken:
Vehicles Premises -
Page 67
Results of ice cream samples:
Grade No. Taken Percentage -
Page 67
There is one privately owned slaughterhouse in the Borough where cattle, sheep and pigs are slaughtered. All the carcasses are inspected in accordance with the Meat Inspection Regulations 1963 to 1966. 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:
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Page 68
Condemnation (All Causes) Quantities Pound Weight
Cattle Calves Sheep Pigs Carcass Offal Carcass Offal Carcass Offal Carcass Offal -
Page 69
Unfit Food Surrendered
Class of Food Weight (lbs) -
Page 69
The number of food complaints has again risen which has been the regular pattern except for 970. The comparative figures are:
1967 1968 1969 1970 1971 1972 -
Page 70
The complaints are classified in the following table:
Food Foreign Matter Mould Other Type of Foreign Body -
Page 71
Details of twelve prosecutions taken as a result of food complaints:
Offence Statute Trade of Defendant Fine Costs Total -
Page 71
FOOD AND DRUGS ACT 1955 Samples examined in the Departmental laboratory
Food Satisfactory Unsatisfactory Total -
Page 72
Examined by the 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 73
A further 37 samples of milk were examined by the public health laboratory for the presence of antibiotics, all but one of which were found to be satisfactory. A total of 503 food and drug samples were examined of which 29 or 5-8 per cent were classed as unsatisfactory. Details of the action taken regarding the unsatisfactory samples are set out in the following table:
Product No. Contravention Action taken -
Page 74
Seven prosecutions were taken for hygiene offences, five being in respect of contraventions of the Food Hygiene (General) Regulations and two for contraventions of the Food Hygiene (Market Stalls and Delivery Vehicles) Regulations. Prosecutions concerning food hygiene contraventions found at two restaurants and a bakers shop are due for hearing in 1973. Details of the prosecutions taken are summarised below:
Statute Nature of Business/ Occupation of Defendant Fine Et Costs Remarks -
Page 75
The various classes of food premises and businesses within the Borough are shown in the following table:
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Page 76
Bacteriological Examination
Type of Food Satisfactory Suspicious Unsatisfactory Total -
Page 77
In conjunction with the food hygiene laboratory, at the Central Public Health Laboratory, Colindale, samples of sausages were submitted for examination for the presence of salmonella organisms. Samples were taken from two national sausage manufacturers and two local producers. Details of the results obtained are set out in the following table:
Producer Number Examined Number Found Positive Salmonella -
Page 78
Continued from previous page...
Products No. of Containers Tons Cwts. Stones Lbs. Origin -
Page 82
of tenanted dwellings to provide missing standard amenities where the tenants were willing to have the improvements and to pay an increased rent. Twelve statutory notices have been satisfactorily complied with resulting in 12 more improved houses in these areas. The position at the end of 1972 is shown in the following table:
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 85
Details of Improvement Grant Applications received and given in 1972 are as follows: Standard Grants
Owner/ Occupier Tenanted -
Page 85
Improvement Grants (Discretionary)
Owner/Occupier Tenanted -
Page 86
the show houses were used to exhibit the types of fireplaces which would be eligible for grant in the current smoke control area programme. In addition to the show houses, mobile exhibitions were arranged as follows:
Date Location -
Page 87
Unfit Houses made Fit
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Page 87
Other Houses in which Defects were Remedied
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Page 88
The following table shows the number of licensed sites in the Borough. Four new licences were issued during the year, and the site conditions as in the case of existing licences were based on the model standards of the Department of Environment.
Temporary Licenses Permanent Licenses -
Page 89
OFFICES, SHOPS AND RAILWAY PREMISES ACT, 1963 There are 3,174 registered premises in the Borough employing 34,306 persons. 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
4,905 visits were made to this class of premises during 1972 and 523 Notices requiring various works as shown in the table below were served. Except where referred to in the paragraph on legal proceedings the defects were remedied by informal action.
Defect Number of Premises -
Page 91
Table 1
Type of premises No. Reported Action Recommended Fatal Non -Fatal Prosecution Formal Warning Informal Advice -
Page 91
Table 2
Cause Offices Retail Shops Wholesale Warehouses Catering Establishments Total all Non-Fatal Fatal Non-Fatal Fatal Non-Fatal Fatal Non-Fatal Fatal Non-Fatal -
Page 92
Details of the number of persons employed as out-workers and the category of work they undertake is set out below:
Type of work No. of out-workers -
Page 93
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 96
Nineteen toys were submitted for analysis of which 6 were found to contain lead in excess of that permitted by the regulations. Details of these toys are given in the following table:
Satisfactory Toys Unsatisfactory Toys Article Country of Origin Article Country of Origin Reason -
Page 97
A detailed questionnaire was filled in relating to 1,000 premises of varying types. Details of the premises inspected found to be infested with rats and mice are contained in the following table:
Type of Property Non-agricultural Agricultural -
Page 98
Details of these complaints are as follows:
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Page 99
331 samples were taken during the year with the following results:
Satisfactory Unsatisfactory -
Page 100
Bacteriological Examinations
Type of Examination Total number of tests -
Page 105
HOUSING ALLOCATION—MEDICAL FACTORS The following table gives a summary of the applications for re-housing by the Council and for transfer of accommodation submitted over the last five years for assessment of the medical factors which are being put forward by the applicants to further a claim for priority consideration.
Year New Applications Transfers Total Special recommendation or points No recommendation Total Support No support Total -
Page 106
Analysis of Medical Factors
Medical Condition New Application Transfers -
Page 106
LONG STAY IMMIGRANTS The following table gives the number of advice notices received during the year from ports and airports relating to the arrival of immigrants in the Hillingdon area.
Country issuing passport Number of notifications received during the year from ports and airports relating to arrival of immigrants Successful visits paid to immigrants during the year -
Page 107
Visit of Mass X-ray Unit to Hayes—March/April 1972
Site Number X-rayed 1969 visit -
Page 107
CHEST X-RAY Static X-ray Centres
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Page 109
Details of the number of premises licensed and the type of treatment offered are shown in the accompanying table:
Treatment Carried Out Number of Premises -
Page 109
OCCUPATIONAL HEALTH SERVICES The following table gives the details of medical assessments carried out during 1972 and for the previous four years.
1968 1969 1970 1971 1972 -
Page 110
PUBLIC MORTUARY The number of bodies received and post mortem examinations carried out during 1972 at the Council's mortuary in Kingston Lane, Hillingdon were:
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Page 110
BREAKSPEAR CREMATORIUM The Borough Council continues with the Harrow Borough Council to be a constituent member of the Breakspear Crematorium Joint Committee. The Crematorium is situated in Breakspear Road, Ruislip, and the Director of Health Services is the medical referee.
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 75 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 1972
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. p.m. Laurel Lodge Mon. p.m., Thurs. p.m. Manor Farm Thurs. a.m. & p.m. -
Page 119
ATTENDANCES AT MOBILE CHILD HEALTH CENTRES 1972
Barra Hall Circus 1st & 3rd Tues. a.m. Charville Estate 2nd. 4th. 5th Mon. a.m. Cowley 1st. 2nd, 4th & 5th Fri. p.m. Cranford Cross 1st & 3rd Weds. a.m. Glebe Estate 2nd & 4th Fri. a.m. Harlington 1st, 2nd, 3rd. 4th Ft 5th Mon. p.m. Hayes Baths 1st, 2nd. 3rd. 4th Ft 5th Weds, p.m Northwood, The Grange 2nd Ft 4th Thurs. p.m. Sipson 1st. 3rd & 4th Fri. a.m. Wise Lane Estate 2nd Ft 4th Weds, a.m Yeading 1st, 2nd. 3rd. 4th Ft 5th Tues. p.m. -
Page 120
CHILDREN ON OBSERVATION REGISTER
Category Year of Birth 1968 1969 1970 1971 1972 -
Page 121
Primary Immunisation—Disease
Year of Birth Total 1972 Total 1971 1972 197 1 1970 1969 1965-68 Others under 16 -
Page 121
Re-inforcing Doses—Vaccine
Year of Birth Total 1972 Total 1971 1972 1971 1970 1969 1965-68 Others under 16 -
Page 122
DEATHS FROM CANCER
Male Female Total 1972 1971 1972 1971 1972 1971 -
Page 123
DEATHS FROM CANCER OF THE PANCREAS
Total QUARTER March June Sept. Dec. -
Page 124
PRIORITY DENTAL SERVICE STATISTICS
Attendances and Treatment Children under 5 Expectant and Nursing Mothers -
Page 125
HOME NURSING AND MIDWIFERY STATISTICS Day Nursing Service
Place where first treatment of year took place Number of persons treated during year Under 5 5 to 64 65 and over Total -
Page 125
Total visits paid by Home Nurses—122,249, of these 392 were of over one hour's duration.
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Page 126
HEALTH VISITING SERVICE
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Page 126
Statistics
Number of Cases Number of cases included in col. (1) seen at special request of Hospital G.P. Cases visited (1) (2) (3) -
Page 127
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 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months Total -
Page 136
The figures demonstrate the trend.
Year 1969 1970 1971 1972 -
Page 136
Since the nursing service can only inspect a school at intervals, it is important that one of the parents in a family should examine the heads of the children weekly and where infestation is present carry out energetic treatment of the whole family to eliminate this condition.
1971 1972 -
Page 149
Dental Survey of five year old schoolchildren
School No. of children examined % Caries Free % with Caries A verage d.e.f. -
Page 149
Dental Survey
Females Males Overall -
Page 151
D.E.F. Distribution
No. d.e.f. teeth Female Male Overall -
Page 153
Health Education in Schools and Colleges
Talks given by No. of Talks Audiences Total Nos. reached -
Page 158
Handicapped Pupils Register for 1972
Category No. of Children Placed in No. of other children ascertained (See Separate Table) Total New Cases during 1972 Day Special Schools Day Special Classes Residential Schools Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls -
Page 159
Handicapped Children under 5 years of age
Category Year of Birth 1968 1969 1970 1971 1972 Total -
Page 168
The following table covers all children for whom the London Borough of Hillingdon has some responsibility and provides factual evidence of steps taken to identify these children and any problems which they present in school or in the home. 97.1 6% of these children have been formally ascertained as handicapped pupils (category E-educationally subnormal) by the London Borough of Hillingdon Local Education Authority.
Year Group Moorcroft School Leavesden Hospital Other Platings (see below) At Home Total On HPR (E) ESN No. Ascertained 1972 No. Examined 1972 Boys Girls Boys Girls Boys Girls Boys -
Page 168
Other Placements
Boys Girls Boys Girls -
Page 169
Health Visitors Health visitors made 217 visits to the homes of these children during the year. As a result of these visits recommendations were made in 36 cases for the following matters to be further investigated:
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Page 170
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 171
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) (3) (4) (5) (6) (7) (8) (9) (10) F. Re. F. Re. -
Page 172
TABLE D—PUPILS TREATED AT SCHOOL CLINICS Eye Diseases, Defective Vision and Squint
Number of cases known to have been dealt with -
Page 173
Speech Therapy
Number known to have been treated -
Page 173
TABLE E—SCHOOL DENTAL SERVICE STATISTICS
Attendances and Treatment Ages 5-9 Ages 10-14 Ages 15 and over Total -
Page 174
TABLE F—ORTHOPTIC CLINIC Monthly Attendance Record
New Patients Observation Treatment Total -
Page 175
TABLE G—HANDICAPPED CHILDREN NOT ATTENDING SPECIAL SCHOOLS OR CLASSES
Category Pre-school but placed in Day Nurseries Pre-school but recommended for Attending ordinary School Receiving Home Tuition Of 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 176
TABLE H—SCHOOL CLINICS
Premises School Health Sessions Dental Clinics Speech Therapy Ophthalmic Clinics Immunisation and Vaccination -
Page 177
Continued from previous page...
Premises School Health Sessions Dental Clinics Speech Therapy Ophthalmic Clinics Immunisation and Vaccination -
Page 178
ORTHOPAEDIC
Sessions First Attendance Total Attendance -
Page 178
HEALTH VISITORS/CLINIC NURSES/HEALTH ASSISTANTS Visits and Sessions for School Health Service
-
Page 179
SCABIES 1972
Schools where Investigations made Date No. of Cases