[Report of the Medical Officer of Health for Hounslow]

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whooping cough protection. The number of children under the age of 16 years who completed primary courses or were given re-inforcing injections during the year was as under—

	Primary course	Reinforcing injections

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South West Middlesex Group Hospital Management Committee West Middlesex Hospital Isleworth

The following are the main hospitals—	Cases admitted	Approx No of available staffed beds

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Continued from previous page...

	Cases admitted	Approx No of available staffed beds

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The demand for the Council's directly-provided service increased slightly during 1965. At the end of the year 17 weekly clinic sessions were being held compared with 14 during the earlier months and a total of 808 clinic sessions were held at which 1,060 patients made 5,560 attendances for treatment as follows—

Category of patient	First attendances		Re-attendances	Total attendances
Category of patient	New cases	Old cases	Re-attendances	Total attendances

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The following are the details of domiciliary visits undertaken during the year under the Council's directly-provided service—

Category of patient	First visits		Subsequent visits	Total visits
Infirm persons	New cases 123	Old cases 250	1,723	2,096

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School Population At the end of the year the maintained school population was as shown below—

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The examinations carried out during the year were as follows—

	Special Examinations	Re-examinations

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The examinations carried out during the year were as follows—

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The numbers of children tested during the year were—

	1st test	Re-test	Total

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Some indication of the types of handicap dealt with at the unit during the year is given overleaf—

	Martindale School Pupils	Outpatients

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The psychiatrist saw 97 new cases with an age and sex distribution as under.

Age	Male	Female

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Handicapped Pupils requiring education at Special Schools approved under Section 9 (5) of the Education Act 1944 or Boarded in Boarding Homes

During the calendar year ended 31s December 1965		Blind	Partially sighted

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Continued from previous page...

Deaf	Partially hearing	Physically Handicapped	Delicate	Maladjusted	Educationally sub-normal	Epileptic	Speech defects	Total

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Table 1

School	Total examined	Caries free		No.	Decayed, missing, filled
		Caries free			All teeth Average	Canines & molars Average
		No.	%		DMF per child	No.	DMF per child

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Table 3

School	Total no. examined	Number receiving regular dental care
		GDS	LADS

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Table 1 Medical inspection of pupils attending maintained primary and secondary schools (including nursery and special schools) a. Periodic Medical Inspections

Age groups inspected (by year of birth)	No. of pupils who have received a full medical examination	Physical condition of pupils inspected
		Satisfactory	Unsatisfactory

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Pupils found to require treatment (excluding dental diseases and infestation with vermin)

For defective vision (excluding squint)	For any other condition	Total individual pupils

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Table 2 Defects found by Periodic and Special Medical Inspections

Defect or Disease			Number of defects found at
			Periodic medical inspections		Special inspections
			Requiring treatment	Requiring to be kept under observation	Requiring treatment	Requiring to be kept under observation

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Table 3 Treatment known to have been provided by the Council, at Hospitals etc

Condition	No. of cases known to have been dealt with

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Table 4 Infestation with Vermin

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Table 5 Dental Inspection and Treatment

	Number of pupils
	Age 5-9	Age 10-14	Age 15 & over	Total

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Table 5 Dental Inspection and Treatment continued

	Number of pupils			Total
	Age 5-9	Age 10-14	Age 15 & over	Total

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Noise nuisances —Three hundred and three inspections were made in connection with 36 complaints of the following types.

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Swimming bath Annual attendance Maximum on any one day

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Regulations 1960—

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Table 1 Causes of death at different periods of life for 1965

Cause of death	Total all ages		Age group Under 4 weeks		4 weeks and under 1 year		1-4		5-14		15-24		25-34		35-44		Age group 45-54		55-64		65-74		75 and over
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

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Table 2 Infant deaths according to age and cause 1965

Cause of death	Age in Days under 1	1	2	3	4	5	6	Age in Days 7-13	14-20	21-28	Months		3	4	5	6	7	8	9	10	11	Total
Cause of death	Age in Days under 1	1	2	3	4	5	6	Age in Days 7-13	14-20	21-28	1	2	3	4	5	6	7	8	9	10	11	Total

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Table 3 Corrected notifications of infectious diseases 1965

Disease	Age in years		1	2	3	Age in years		10-14	15-19	20-34	35-44	45-64	65 and over	Age unknown	Cases admitted to hospital
	Total	Under 1				Age in years
	Total	Under 1				4	5-9

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Table 4 Venereal disease patients treated at West Middlesex Hospital Persons dealt with for the first time and found to be suffering from:

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Table 5 Ophthalmia Neonatorum

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Table 6 Vaccination and immunisation Completed primary courses—number of persons under age 16

Type of vaccine	Year of birth		1963	1962	1958-61	Others Total under age 16
Type of vaccine	1965	1964	1963	1962	1958-61	Others Total under age 16

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Reinforcing doses—number of persons under age 16

Type of vaccine	1965	1964	1963	1962	1958-61 Others Total under age 16

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Table 7 Smallpox vaccination persons aged under 16

Age at date of vaccination	Number of persons vaccinated or revaccinated during 1965
Age at date of vaccination	Number vaccinated	Number revaccinated

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Table 8 Midwives who notified their intention to practise within the London Borough of Hounslow during the year 1965

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Table 9 Deliveries attended by domiciliary midwives during 1965

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Table 10 Health Visiting

Number of visits paid by Health Visitors during 1965	First visits	Total visits

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Table 11 Home Nursing

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Table 12 Home Help

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Table 13 New cases of Tuberculosis notified formally or otherwise to the Medical Officer of Health and deaths ascribed to Tuberculosis during 1965

Age in years	Pulmonary	New cases	Non-pulmonary		Deaths
Age in years	Pulmonary	New cases	Non-pulmonary		Pulmonary		Non-pulmonary
	M	F	M	F	M	F	M	F

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Table 14 Tuberculosis Summary of the work of chest clinics

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Table 15 Ante-natal and post-natal clinics

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Table 16 Ante-natal mothercraft and relaxation classes

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Table 17 Care of premature infants Number of premature babies born alive to mothers normally resident in the Borough, but excluding babies born in maternity homes or hospitals in the National Health Service

Born at home or in a private nursing home	Born at home or in a private nursing home and nursed entirely at home, or in a private nursing home
	number born	died during first 24 hours	survived to end of 28 days

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Table 18 Child welfare centres

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Table 19 Day nurseries provided by the Borough Council as at 31st December 1965

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Table 20 Mother and Baby Homes Provided by Voluntary Organisations with which the Borough Council made arrangements under Section 22 National Health Service Act 1946

Name and address of Home	Number of beds
	Total	Cots

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Table 21 Priority Dental Service Expectant and nursing mothers and pre school children

Number of cases			Number of persons examined during the year

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Continued from previous page...

Admissions				Average length of stay in weeks
Total number of women admitted		Number of admissions for which the Council accepted financial responsibility		Ante-natal		Post-natal	Shelter

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Table 22 Mentally disordered patients under the care of Borough at 31st December 1965

	Mentally ill				Total	Sub-normal and severely sub-normal
	Under age 16		Aged 16 and over			Under age 16		Aged 16 and over		Total
	M	F	M	F		M	F	M	F	Total

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Table 23 Number of patients referred during year ended 31st December 1965

Referred by	Mentally ill				Total	Sub-normal and severely sub-normal
	Under age 16		Aged 16 and over			Under age 16		Aged 16 and over		Total
	M	F	M	F		M	F	M	F	Total

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Table 24 Work of mental health social workers April-December 1965

	Mental illness	Mental subnormality

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Table 25 Ministry of Agriculture, Fisheries and Food. Prevention of Damage by Pests Act 1949. Report for 12 months ended 31st December 1965

		Non-agricultural		All other (including business premises)	Total	Agricultural
		Local Authority	Dwelling houses (inc. council houses)

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Table 25 continued

	Non-agricultural		All other (including business premises)	Total	Agricultural
	Local Authority	Dwelling houses {inc. council houses)

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Table A. Registrations and General Inspections

Class of Premises	Number of premises registered during the year	Number of premises registered at end of year	Number of registered premises receiving a general inspection during the year

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Table C. Analysis of persons employed in registered premises by workplace

Class of Workplace	Number of persons employed

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what may be considered 'suitable and sufficient' in During the month of November 1965, a sample offices and shops in the expectation that when survey was carried out and the results are tabulated statutory standards are prescribed they will be broadly below in the manner suggested in paragraph 3 of the on similar lines. Circular.

Lumens per square foot at working place	Offices	Shops
Lumens per square foot at working place	Offices	Selling areas	Other parts

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Table 27 Factories Act 1961 Part I of the Act 1. Inspections for purposes of provisions as to health made by Public Health Inspectors

Premises		Number on Register	Inspections	Number of Written notices	Occupiers prosecuted

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2. Cases in which defects were found

	Number of cases in which defects were found				Number of cases in which prosecutions were instituted
	Found	Remedied	Referred
			To HM Inspector	By HM Inspector

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Table 27 continued 3. Outwork—Part VIII of the Act

Nature of Work	Section 110				Section 111
	No of Outworkers in August list required by Section 110(l)c	No of cases of default in sending lists to the Council	No of prosecutions for failure to supply lists	No of instances of work in unwholesome premises	Notices served	Prosecutions

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Table 28 Meterorology Extract from records supplied by the Chief Engineer, Mogden Sewage Works

Week ending 1965	Barometer		Temperature (C°)		Days with rainfall	Total rainfall (inches')
Week ending 1965	Highest	Lowest	Max	Min	Days with rainfall	Total rainfall (inches')

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Table 28 continued

Week ending 1965	Barometer		Temperature (C°)		Days with rainfall	Total rainfall (inches)
Week ending 1965	Highest	Lowest	Max	Min	Days with rainfall	Total rainfall (inches)

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Table 29 Wind direction Summary of daily records for 52 weeks

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List of Clinics held in the borough at 31st December 1965 Except for infant welfare and minor ailments attendance at all clinics is by appointment

Clinic	Infant welfare	Ante-natal	Immunisation	Chiropody	Dental	School

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Hounslow 1965

64 tables in this report

whooping cough protection. The number of children under the age of 16 years who completed primary courses or were given re-inforcing injections during the year was as under—

South West Middlesex Group Hospital Management Committee West Middlesex Hospital Isleworth

Continued from previous page...

The following are the details of domiciliary visits undertaken during the year under the Council's directly-provided service—

School Population At the end of the year the maintained school population was as shown below—

The examinations carried out during the year were as follows—

The examinations carried out during the year were as follows—

The numbers of children tested during the year were—

Some indication of the types of handicap dealt with at the unit during the year is given overleaf—

The psychiatrist saw 97 new cases with an age and sex distribution as under.

Handicapped Pupils requiring education at Special Schools approved under Section 9 (5) of the Education Act 1944 or Boarded in Boarding Homes

Continued from previous page...

Table 1

Table 3

Table 1 Medical inspection of pupils attending maintained primary and secondary schools (including nursery and special schools) a. Periodic Medical Inspections

Pupils found to require treatment (excluding dental diseases and infestation with vermin)

Table 2 Defects found by Periodic and Special Medical Inspections

Table 3 Treatment known to have been provided by the Council, at Hospitals etc

Table 4 Infestation with Vermin

Table 5 Dental Inspection and Treatment

Table 5 Dental Inspection and Treatment continued

Noise nuisances —Three hundred and three inspections were made in connection with 36 complaints of the following types.

Swimming bath Annual attendance Maximum on any one day

Regulations 1960—

Table 1 Causes of death at different periods of life for 1965

Table 2 Infant deaths according to age and cause 1965

Table 3 Corrected notifications of infectious diseases 1965

Table 4 Venereal disease patients treated at West Middlesex Hospital Persons dealt with for the first time and found to be suffering from:

Table 5 Ophthalmia Neonatorum

Table 6 Vaccination and immunisation Completed primary courses—number of persons under age 16

Reinforcing doses—number of persons under age 16

Table 7 Smallpox vaccination persons aged under 16

Table 8 Midwives who notified their intention to practise within the London Borough of Hounslow during the year 1965

Table 9 Deliveries attended by domiciliary midwives during 1965

Table 10 Health Visiting

Table 11 Home Nursing

Table 12 Home Help

Table 13 New cases of Tuberculosis notified formally or otherwise to the Medical Officer of Health and deaths ascribed to Tuberculosis during 1965

Table 14 Tuberculosis Summary of the work of chest clinics

Table 15 Ante-natal and post-natal clinics

Table 16 Ante-natal mothercraft and relaxation classes

Table 17 Care of premature infants Number of premature babies born alive to mothers normally resident in the Borough, but excluding babies born in maternity homes or hospitals in the National Health Service

Table 18 Child welfare centres

Table 19 Day nurseries provided by the Borough Council as at 31st December 1965

Table 20 Mother and Baby Homes Provided by Voluntary Organisations with which the Borough Council made arrangements under Section 22 National Health Service Act 1946

Table 21 Priority Dental Service Expectant and nursing mothers and pre school children

Continued from previous page...

Table 22 Mentally disordered patients under the care of Borough at 31st December 1965

Table 23 Number of patients referred during year ended 31st December 1965

Table 24 Work of mental health social workers April-December 1965

Table 25 Ministry of Agriculture, Fisheries and Food. Prevention of Damage by Pests Act 1949. Report for 12 months ended 31st December 1965

Table 25 continued

Table A. Registrations and General Inspections

Table C. Analysis of persons employed in registered premises by workplace

Table 27 Factories Act 1961 Part I of the Act 1. Inspections for purposes of provisions as to health made by Public Health Inspectors

2. Cases in which defects were found

Table 27 continued 3. Outwork—Part VIII of the Act

Table 28 Meterorology Extract from records supplied by the Chief Engineer, Mogden Sewage Works

Table 28 continued

Table 29 Wind direction Summary of daily records for 52 weeks

List of Clinics held in the borough at 31st December 1965 Except for infant welfare and minor ailments attendance at all clinics is by appointment

Continued from previous page...