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Sutton 1967

[Report of the Medical Officer of Health for Sutton]

Published
1968
Pages
146
Tables
97

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97 tables in this report

  • Page -
    Table - BLIND - Age group 50 - 64 amend as follows:-
    DeleteInsert
  • Page 11
    1 in 8 of the population was aged 65 years or over at the 1961 Census. (a)
    DistrictArea in AcresCensus PopulationRegistrar General's Estimate of mid-year population
    195119611964196519661967
  • Page 11
    (b) Population by Age Groups Registrar General's Estimate of Mid-Year Population 1967
    Under 1 year1-4 years5 - 14 years15 - 64 years65 years & over
  • Page 12
    (d) Population by Sex and Age - 10% Census 1966 (in brackets Census 196l)
    AgeMalesFemalesTotal
  • Page 13
    Acreage, Population, Private Households and Dwellings - 10% Census 1966
    AreaAcreage 1PopulationPrivate households and dwellings, 10% Census 1966
    Total PersonsMalesFemalesPersons per acre for the London Borough of SuttonPrivate households'Population in private householdsStructurally separate dwellings occupiedRooms OccupiedDensity of occupation
    Persons per room% of Persons at more than 1½ per room
  • Page 14
    (e) Acreage, Population, Private Households and Dwellings - Census 1961
    AreaAcreagePopulationPrivate households and dwellings, 1961
    19511961Private house- holdsPopulation in private householdsStructurally separate dwellings occupiedRooms occup-piedDensity of occupation
    PersonsPersonsMalesFemalesPersons per acre
    Persons per room% of Persons at more than l£ per room
  • Page 15
    (f) Socio-economic grouping (Males and Females) from 10% Census 1966
    Percentage
  • Page 16
    (g) Causes of death at different periods of life during 1967 (Figures in brackets are for 1966)
    Cause of DeathSexTotal all agesUnder 4 Weeks4 Weeks & under -1 yearAge in Tears
    1515253545556575 & over
  • Page 17
    Continued from previous page...
    Cause of DeathSexTotal all agesUnder 4 Weeks4 weeks & under 1 yearAge in Years
    1515253545556575+
  • Page 18
    (h) Deaths from all causes
    MaleFemaleTotalCrude rate per 1,000 Home PopulationAdjusted rate per 1,000 Population (comparability factor 0.90)
  • Page 18
    Deaths from certain causes:-
    Category195019601961196219631964196519661967
  • Page 19
    (i) Suicide
    MaleFemaleTotal
  • Page 19
    (J) Infant Deaths
    AgeTotalLegit.Illegit.TotalLegit.Illegit.TOTAL
  • Page 19
    (k) Infant Mortality Rates
  • Page 20
    (l) Births 1st January - 31st December, 1967.
    LIVESTILLLive Birth Rate per 1,000 Home Population
  • Page 25
    (a) Infectious Diseases notified during the period 1st January to 31st December, 1967
    DiseaseUnder 55 - 1415 - 4445 - 6465 or overage unknownTotal
    MFMFMFMFMFMFMF
  • Page 26
    (b) Immunisation and Vaccination - 1st January - 31st December, 1967
    Type of ProtectionCompleted Primary CoursesReceived Reinforcing doses (Booster)
  • Page 27
    The following table shows the percentages immunised.
    London Borough of SuttonChildren born in 1966Smallpox (Children under 2) (4)
    Whooping Cough (1)Diphtheria (2)Poliomyelitis (3)
  • Page 28
    (c) Venereal Diseases The following table gives the relevant figures:-
    New Cases 1967Croydon HospitalMiddlesex HospitalSt.Thomas' HospitalSt.Bart's HospitalSt.Helier HospitalTOTAL
  • Page 28
    I am indebted to the Director of the Unit for the following statistics:—
  • Page 29
    Where there are families appropriate arrangements are made for their protection against infectious disease and the mothers and children receive the normal health supervision available to the community as a whole.
    Country where passport was issued as stated by Port Health.No. of advice notes received during 1967 from ports and airports relating to the arrival of immigrants.No. of first successful visits paid during 1967No. of Pulmonary Tuberculosis notifications received in respect of immigrants during 1967
  • Page 33
    Births 1st January to 31st December, 1967
    (a)(b)
  • Page 34
    PREMATURITY The following table gives details of premature births and stillbirths notified in the London Borough of Sutton during the period 1st January - 31st December 1967 as adjusted by transferred notifications:
    PREMATURE LIVE BIRTHSPREMATURE STILL BIRTH
    Weight at BirthBorn in Hospital DIEDBorn at home or in a Nursing Home DIEDTransferred to Hospital on or before the 28th day.Born at home or in a Nursing HomeBorn in Hosp ital
    TOTALWithin 24 hrs of birthBetween 1 and 7 daysBetween 7 and 28 daysTOTALWithin 24 hrs of birthBetween 1 and 7 daysBetween 7 and 28 daysTOTALWithin 24 hrs of birthBetween 1 and 7 daysBetween 7 and28days
  • Page 35
    This table emphasises the serious loss of infant lives associated with prematurity and during the first month of life. The size of the problem can most simply be shown as follows:
    TotalNon PrematurePremature*
  • Page 35
    Similarly, reports submitted by hospital maternity units and domiciliary midwives on patients discharged from their care after confinement are in standard form providing for the easy recording of congenital abnormalities and 'at risk' factors.
    19661967
  • Page 37
    TABLE I Number of cases on Register
    Year of BirthTOTAL
    196219631964196519661967
  • Page 37
    TABLE 2 Number of cases with severe or multiple handicaps
    As atYEAR OF BIRTHTOTAL
    196219631964196519661967
  • Page 38
    YEAR OF BIRTH
    Handicap or Defect19631964196519661967TOTAL
  • Page 40
    Number of children who attended during period 1st January to 31st December 1967
    First attendancesNo. of Sessions held by
  • Page 41
    The Ministry of Social Security issues vouchers for free issue in necessitous cases.
    National Dried Milk (tins)Cod Liver Oil (bottles)Orange Juice (bottles)A & D Tablets (Packets)
  • Page 41
    1. Clinic Sessions
  • Page 42
    2. The case load for children aged 0-5 years
    0-11 - 50-5Families
    196519661967196519661967196519661967196519661967
  • Page 42
    Home Visits
    Children 0-5Persons over 65Mentally disorderedPersons discharged from Hosp.Expectant MothersHandicapped PersonsSchool Children
    IllnessSubnormal
  • Page 42
    This condition must be diagnosed at once if brain damage is to be minimised.
    Screeningtests of hearingRetestsReferredto AudiologistReferred to E.N.T.Dept.Referred to Partially Hearing Unit
  • Page 43
    I give below the figures for the year, of sessions held at Shotfield Clinic alone, one of the eight permanent centres.
    ClinicNo. of Sessions
  • Page 44
    Health Education is a developing service and health visitors are taking every opportunity to give talks in school where Head Teachers are making class periods available for this purpose.
    Health EducationR.M.I.Pre MedHygieneImmunisationGen.Meds. in ClinicsMisc.
  • Page 46
    HOME NURSING
  • Page 46
    DOMICILIARY MIDWIFERY
    Number of domiciliary confinements attended by Midwives under N.H.S. arrangementsNumber delivered in institution but discharged to D.M. before the 10th day.
    Doctor bookedDoctor not bookedTotal
  • Page 46
    The following table analyses the reasons for these emergency admissions :-
    (1) In Labour(2) In Pregnancy
  • Page 48
    (d) During the calendar year 1966, home nurses made a total of 128,440 (ll8,737) visits as follows :-
    Ante-NatalMidwiferyGeneral NursingTOTAL
  • Page 50
    The following information gives the numbers of patients served
    Total during yearOn books at end of year
  • Page 51
    Before leaving the home mothers are assisted to find accommodation and employment and in making arrangements for the care of their babies.
    MOTHER AND BABY HOMES
    Name and address of HomeProvided by s
    "The Haven " 2 Camden Road, SuttonSutton & District Moral Welfare Association
    Part BNumber of cases admitted during yearNumber of beds at end of yearAverage duration of stay
  • Page 52
    The following table gives details of work undertaken during 1967:
    Attendances and TreatmentExpectant and Nursing MothersChildren Under 5
  • Page 53
    No praise is too high for the way in which they support the sick and the elderly in their own homes over long periods of time, often in the face of great difficulties.
    Home Help to Households for Persons:
    Aged 65 or over on first visitChronic Sick and T.B.Mentally DisorderedMaternityOthersTotal
  • Page 63
    Accident Returns
    0-1 yrs1-4 yrs5-14 yrs15-24 yrs25-44 yrs45-64 65+ yrs yrsAge not statedTOTAL
  • Page 68
    SECTION 2 IMMUNISATION
    DATES WHEN IMMUNISEDDATE OP BOOSTERS IP ANY
    1st2nd3rd1st2nd3rd
  • Page 72
    Medical Inspection of Pupils attending Maintained Primary and Secondary Schools (including Nursery and Special Schools) TABLE A. Periodic Medical Inspections 1st January - 31st December, 1967
    Age Groups Inspected (by year of birth)No. of Pupils who have rec'd a full medical examinationPhysical of Pupils Satisfactory No.Condition Inspected Unsatisfactory No.No. of Pupils found not to warrant medical exam- ationPupils found to require treatment (excluding dental diseases and infestation with vermin
    For defective vision(exclud -ing squint)For any other conditionTotal Individual Pupils
    (1)(2)(3)(4)(5)(6)(7)(8)
  • Page 74
    DEFECTS FOUND BY PERIODIC AND SPECIAL MEDICAL INSPECTIONS NOTE: All defects, including defects of pupils at Nursery and Special Schools, noted at periodic and special medical inspections are included in this table, whether or not they were under treatment or observation at the time of the inspection. This table includes separately the number of pupils found to require treatment (T) and the number of pupils found to require observation (0)
    Defect Code No.Defect or DiseasePeriodic InspectionsSpecial Inspections
    EntrantsLeaversOthersTotal
  • Page 77
    RESULTS OP SURVEY OF THE TEETH OF 5 YEAR OLD CHILDREN
    SchoolABCDEFGH
  • Page 78
    School Dental Service, 1st January to 31st December, 1967
    1. Attendances and Treatment5-9 years10 - 14 years15 years & overTotal
  • Page 79
    2. Orthodontics
  • Page 79
    3. Prosthetics
    Ages 5 - 9Ages 10 - 14Ages 15 & overTotal
  • Page 79
    5. Inspections
  • Page 79
    6. Sessions
  • Page 82
    The agencies initiating referral were:-
  • Page 86
    Handicapped Pupils requiring Education at Special Schools approved under Section 9 (6) of the Education Act 1944 or Boarding in Boarding Homes during the year 1st January to 31st December 1967
    BlindPartially SightedDeafPartially hearingPhysic -ally handicappedDelicateMaladjustedE.S.N.EpilepticSpeech DefectsTOTAL
  • Page 87
    The number of day pupils receiving mid-day meals and milk per day both at maintained and non-maintained schools in September 1967 was s-
  • Page 92
    The following table shows the age groups, (a) of old people actually in homes and (b) of old people on the waiting list.
    Under 6667/7070/8080/9090/100Over 100
  • Page 93
    Classification of Disabilities and Age Groups
    DisabilitiesUnder 1616 - 2930 - 4950 - 6465+Total at 31/3/68Total at 31/3/67
  • Page 96
    Holidays for the Handicapped After circularising all registered handicapped persons, the final holiday arrangements for 1967/68 were as indicated below:-
    CentreHandicapped PersonsBlind PersonsEscorts
  • Page 97
    Age Periods of Registered Blind and Partially-Sighted Persons BLIND
    Years0-55-1516-4950-6465 +Total
  • Page 97
    Register of Blind and Partially-Sighted Persons Notification of suspected blindness received in the course of the year for whom examination was arranged with consultant ophthalmologists, with the following results:
    Notification from:TOTALCertified BlindRESULT OF EXAMINATION
    Certified Partially- SightedFound not blind or partially-sighted.
  • Page 98
    Movement on Blind and Partially-Sighted Registers 'A' BLIND
  • Page 99
    Blind and partially-sighted persons registered as new cases (excluding re—certification and transfers from other areas during period:— Age at Date of Registration
    Years0-1516-2930-4950-6465+TOTAL65-69Further breakdown of 65+
    70-7980-8485-9090+
  • Page 99
    Training and Employment of Blind and Partially-Sighted Persons
    EMPLOYEDNOT EMPLOYED
    Children receiving educationOpen IndustryIn Work shopsHomeworkers SchemeAwaiting PlacementIncapable of workNot avail able for workTOTAL
  • Page 100
    BLIND
    HomeworkersWorkshop EmployeesEmployed in Open Industry
  • Page 108
    Inspection and Action taken under Statutory Powers.
  • Page 109
    Housing Act, 1957 - Part IV (Overcrowding). All known cases of overcrowding were reviewed during the year and as a result 7 dwellings were found to be still overcrowded, involving 7 families with 42 equivalent adults in occupation.
  • Page 109
    BENT ACT. 1957. The following details show the action which has been taken during the year:-
  • Page 110
    Part II - Application for Cancellation of Certificates:
  • Page 110
    The articles and number of complaints received are summarised below :
    ArticleNo.ArticleNo.
  • Page 111
    Milk. Classification of the milk samples and the results of the tests are as follows
    Designation under which soldNo. of samplesMethylene Blue TestPhosphatase TestTurbidity Test
    SatisfactoryUnsatisfactorySatisfactoryUnsatisfactorySatisfactoryUnsatisfactory
  • Page 111
    Advice was given following the receipt of unsatisfactory reports and further samples obtained until a satisfactory result was achieved. Other Poods.
  • Page 112
    Unsound Pood. The following quantities of food found to be unsound, diseased or unwholesome and unfit for human consumption were surrendered and destroyed :-
    Type of PoodUnwrapped PoodWrapped Pood
    lbs.ozs.Number of Containers
  • Page 114
    Food Samples - Chemical Analysis 1967
    FormalInformalAdulteratedTotal
    FormalInformal
  • Page 117
    Details of the samples taken, and results, are set out below :-
    No, of SampleDescriptionOrgano-chlorine Insecticides p.p.m.Fly TestOrgano-phosphorus Insecticides p.p.m.
  • Page 118
    Continued from previous page...
    No. of SampleDescriptionOrgano-chlorine Insecticides p.p.m.Fly TestOrgano-Phosphorus Insecticides p.p.m.
  • Page 119
    INSPECTION OF FOOD PREMISES AND ACTION TAKEN
    SAMITARY ACCOMMODATIONFOOD STORAGE AND PREPARATION ROOMS
    No. of PremisesNo. of Premises registered under Sec.16 of Food & Drugs ActRepairedCleansed and/or DecoratedLighting providedWashing Facilities (incl. Hot and Cold Water)Nail Brush and Soap provided'Wash Your Hands' NoticesRepairedCleansed and/or DecoratedLighting providedVentilation providedWashing Facilities for Food and EquipmentFirst Aid Materials providedAccommodation for Clothing providedAccumulations removed
  • Page 121
    SUMMARY OF AIR POLLUTION MEASUREMENT FOR 1967
    StationBEDDINGTQN & WALLINGTON NO. 1.CARSHALTQN NO. 2.SUTTON & CHEAM NO. 3.
    HighestLowestAverageHighestLowestAverageHighestLowestAverage
    SmokeSo2SmokeSo2SmokeSo2SmokeSo2SmokeSo2SmokeSo2SmokeSo2SmokeSo2SmokeSo2
  • Page 123
    Two thousand, two hundred and eighty-eight samples were examined by the Company's Chemist & Bacteriologist during the year: see table below :-
    No. of bacteriological examinationsNo. of full chemical analysesNo. & % of samples showing Coli-Aerogenes in 100 ml. (excluding B.Coli I)No. & % of samples showing Bo Coli present in 100 ml. of sample (Type I)Total No. of Coli-Aerogenes organisms in 100 ml. of sample
  • Page 124
    (ii) The number of samples collected and the bacteriological and chemical analyses of the supply from the above sources after treatment are shown as follows :-
    Bacteriological Results - Yearly Averages, 1967. After Treatment
    Number of SamplesAgar plate count per ml.Coliform countE. coli count
    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 124
    Average Results of the Chemical Examination of Water, 1967. Milligrammes per litre (unless otherwise stated)
  • Page 125
    Lead content (mg/l. Pb) water from main taps in consumers' premises
    No. of SamplesPer cent
  • Page 126
    The number of persons employed in the classes of premises as reported to the Minister of Labour at the end of the year is as follows
    Class of PremisesTotal Number Registered at end of YearNumber of Persons Employed
  • Page 126
    Preliminary notices were served relating to non-compliance with the Act in respect of the following
    Notices
    Served during 1967Complied (incl. Notices served in 1966)
  • Page 127
    Factories and Outworkers. Inspections for the purpose of provisions as to health :-
    Premises (1)No. on Register (2)Number of -
    Inspections (3)Written Notices (4)Occupiers Prosecuted (5)
  • Page 127
    Cases in which Defects were Found:
    PremisesNumber of cases in which defects were foundNumber of cases in which prosecutions were instituted
    FoundRemediedReferred -
    to H.M. Inspectorby H.M. Inspector
    (1)(2)(3)(4)(5)(6)
  • Page 128
    Outwork (sections 133 and 134)
    Nature of WorksSection 133Section 134
    No. of outworkers in Aug. list required by Sect. 133(1)(C)No. of cases of default in sending lists to the CouncilNo. of prosecutions for failure to supply listsNo. of instances of work in unwholesome premisesNotices servedProsecutions
    (1)(2)(3)(4)(5)(6)(7)
  • Page 130
    The number of bodies, on all of which autopsies were performed, admitted during the year was as follows :-
  • Page 130
    Summary of Complaints, Inspections and Work Done. Investigations were made with regard to 41799 complaints, as follows :-
  • Page 131
    Twenty-two thousand, four hundred and eighteen inspections and re-inspections were made for the purposes set out below
  • Page 132
    Continued from previous page...
  • Page 132
    Eight hundred notices were served concerning the following matters
  • Page 132
    Formal notices were served under the following Acts
  • Page 133
    As a result of investigations made and notices served, the following work was carried out
  • Page 138
    The following table gives the numbers registered as at 31st December, 1967
    Nurseries & Child Minders Regulation Act 1948National Health Service Act, 1946 Section 22.
    Premises Ragistered at end of yearDaily Minders registered at end of yearDaily Minders receiving fees from the Authority at the end of year
    FactoryOther Nurseries
  • Page 139
    The following medical examinations were undertaken during 1967:-