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
Sutton 1968
[Report of the Medical Officer of Health for Sutton]
- Published
- 1970
- Pages
- 152
- Tables
- 110
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Page 14
Population by Age Groups
Registrar General's Estimate of Mid-Year Population. Under 1 year 1-4 years 5-14 years 15-64 years 65 years and over Total all ages -
Page 15
Population by Sex and Aee - 10% Census 1966 (in brackets Census 1961)
Age Males Females Total -
Page 16
Acreage, Population, Private Households and Dwellings - 10% Census 1966
Area Acreage Population Private households and dwellings. 10% Census 1966 Total Persons Males Females Persons per acre for the London Borough of Sutton Private households Population in private households Structurally separate dwellings occupied Rooms Occupied Density of occupation Persons per room % of Persons at more than l½ per room -
Page 17
Acreage, Population, Private Households and Dwellings - Census 1961
Area Acreage Population Private households and dwellings. 1961 1951 1961 Private households Population in private households Structurally separate dwellings occupied Rooms occupied Density of occupation Persons Persons Males Females Persons per acre Persons per room % of Persons at more than 1½ per room -
Page 19
Causes of death at different periods of life during 1968 (Figures in brackets are for 1967)
Cause of Death Sex Total all Ages Under 4 Weeks 4 weeks & under 1 year 1- 5- 15- AGE IN YEARS 65- 75 & over 25- 35- 45- 55- -
Page 20
Continued from previous page...
Cause of Death Sex Total all Ages Under 4 Weeks 4 weeks & under 1 year AGE IN YEARS 1- 5- 15- 25- 35- 45- 55- 65- 75 & over -
Page 21
Continued from previous page...
Cause of Death Sex Total all Ages Under 4 Weeks 4 Weeks & under 1 year 1- 5- 15- AGE IN YEARS 65- 75 & Over 25" 35- 45- 55- -
Page 22 23
Causes of death at different periods of life during 1969
Causes of Death Sex Total all ages Under if weeks 4 Weeks & Under 1 year 1-4 5-14 15-24 25-3 35-44 45-54 55-64 65-74 75 & over -
Page 24 25
Causes of death at different periods during: 1969
Causes of Death Sex Total all ages Under 4 weeks 4 Weeks & Under 1 year 1-4 5-14 15-24 25-34 35-44 45=54 55-64 65-74 75 & over -
Page 26
Deaths from all causes:
Male Female Total Crude rate per 1,000 Home Population Adjusted rate per 1,000 Population (Comparability factor 1968/69 0.91 -
Page 26
Deaths from certain causes
Category 1950 1960 1965 1966 1967 1968 1969 -
Page 27
Suicide
Suicide Rate per 1,000 deaths Total as % of total deaths Rate per 1,000 population Male Female Total Male Female Total -
Page 27
Infant Deaths
MALES FEMALES Age Legit. Illegit. Total Legit. Illegit. Total TOTAL -
Page 28
Infant Mortality Rates
1969 1968 1967 -
Page 29
Births 1st January - 31st December, 1967
LIVE STILL Legit Illegit Total Legit Illegit Total -
Page 29
1st January - 31st December, 1968
LIVE STILL Legit Illegit Total Legit Illegit Total -
Page 30
Births 1st January - 31st December, 1969
LIVE STILL Legit Illegit Total Legit Illegit Total -
Page 31
Vital Statistics - Greater London 1969
L.B. Sutton Greater London Inner London Outer London -
Page 33
Infectious Diseases Notified During The Period 1st January to 31st December. 1968.
DISEASES Under 5 5-14 15 - 44 45 - 64 65 or over age unknown TOTAL M F M F H F M F M F M F M F -
Page 34
Infectious Diseases Notified During The Period 1st January to 31st December, 1969.
DISEASE Under 5 5-14 15 - 44 45- 64 65 or over age unknown TOTAL M F M F M F M F M F M F M F -
Page 35
The following: table shows the percentages immunised bv 31.12.1969.
Children Born in 1967. Children Born in 1968. Whooping cough Diphtheria Poliomyelitis Whooping cough Diphtheria Poliomyelitis Smallpox (Children under 2). -
Page 36
Immunisation and Vaccination - 1st January - 31st December, 1968 & 1969.
Type of Protection Completed Primary Courses Received Reinforcing doses (Booster). 1968 1969 1968 1969 -
Page 37
Notifications from Treatment Centres applicable to Sutton, of new cases during the last three years are as follows:-
1967 1968 1969 -
Page 37
I am indebted to the Director of the Unit for the following statistics:-
1966 1967 1968 1969 -
Page 38
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 Authority. Number of advice notes received during 1968 and 1969 from ports and airports relating to the arrival of immigrants Number of first successful visits paid during 1968 and 1969 Number of Pulmonary Tuberculosis notifications received in respect of immigrants during 1968 & 1969 (A) 1968 1369 1968 1969 1968 1969 -
Page 40
Births 1st January, 1968, to 31st December, 1969.
(a) In the area including those normally resident elsewhere (b) Resident in the area including those born elsewhere, i.e. (a) adjusted by inward and outward transfers 1969 1968 1967 1969 1968 1967 -
Page 41
PREMATURITY The following table gives details of premature births and stillbirths notified in the London Borough of Sutton during the period 1st January 1968 - 31st December 1968 as adjusted by transferred notifications: (1967 figures in brackets)
PREMATURE LIVE BIRTHS PREMATURE STILL- BIRTH Weight at Born in Hospital Born at home or in a Nursing Home Transferred to Hospital on or before the 28th day. Born at home or in a Nursing Home Born in Hospital DIED DIED T o T A L Within 24 hrs of birth Between 1 and 7 days Between 7 and 28 days T o T A L Within 24 hrs of birth Between 1 and 7 days Between 7 and 28 days T o T A L Within 24 hrs of birth Between 1 and 7 days Between 7 and 28 days -
Page 42
PREMATURITY The following table gives details of premature births and stillbirths notified in the London Borough of Sutton during the period 1st January 1969 ~ 31st December 1969 as adjusted by transferred notifications5 (1968 figures in brackets).
Weight at Birth PREMATURE LIVE BIRTHS PREMATURE STILLBIRTHS Born in Hospital Born at home or in a Nursing Home Trransferred to Hospital on or before the 28th dav Born at home or in a Nursing Home Born in Hosp. DIED DIED T o T A L Within 2k hrs. of birth Between 1 and 7 days Between 7 and 28 days T o T A L Wi thin 2k hrs of birth Between 1 and 7 days Between 7 and 28 days T o T A L Within 2k hrs. of birth Between 1 and 7 days Between 7 and 28 days -
Page 43
These tables emphasise 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
Total Non Premature Premature* 1969 1968 (1967) 1969 1968 (1967) 1969 1968 (1967) -
Page 43
CONGENITAL ABNORMALITIES It is a responsibility of the Medical Officer of Health to submit a confidential report to the Registrar General on congenital abnormalities detected at or shortly after birth. The following table shows the total notified to the Registrar General:-
1967 1968 1969 -
Page 45
Table I Number of cases on Register
As at Year of Birth TOTAL 1964 1965 1966 1967 1968 1969 -
Page 45
Table 2 Number of cases with severe or multiple handicaps
As at YEAR OR BIRTH TOTAL 1964 1965 1966 1967 1968 1969 -
Page 46
This table shows the number of children with each type of defect born in each of the last five years, but as some children have more than one defect the sum total of defects is not the same as the total number of cases on the Register. The figures given in this table include the cases shown in Table 2.
Handicap or Defect YEAR OF BIRTH TOTAL 1965 1966 1967 1968 1969 -
Page 47
Continued from previous page...
YEAR OF BIRTH Handicap or Defect 1965 19b6 1967 1968 1969 TOTAL -
Page 50
Child Welfare Centres
YEAR 1st Attendances of Children Born in: No. of Sessions held by No. of Children referred elsewhere for consultant advice No. of Children on "At Risk" register at end of year 1969 1968 1964/67 1963/66 1962/65 TOTAL Total Attendances Asste Medical Officers G.P's employed on sessional basis Total No, of Sessions -
Page 51
Issues 1st January 1968 to 31st December 1969
Year National Dried Milk (tins) Cod Liver Oil (bottles) Orange Juice (bottles) A & D Tablets (packets) -
Page 52
1. Clinic Sessions
1969 1968 1967 -
Page 52
2. Health Visitors case load for children aged 0-5 years
0-1 yr. 1-5 yrs. 0-5 yrs. Families 1969 1968 1967 1969 1968 1967 1969 1968 1967 1969 1968 1967 -
Page 52
3. Home Visits
1969 1968 1967 -
Page 53
Children failing hearing tests can be referred for more detailed examinations at the Audiology Clinic. The numbers so referred are as follows:
Age New Cases Total Consultations Ref. ENT Dept. Ref. Partially Hearing Unit -
Page 55
The following tables give some indication of the volume of work carried out:-
HOME NURSING 1969 1968 1967 -
Page 55
DOMICILIARY MIDWIFERY
Year Number of domiciliary confinements attended by Midwives under N.H.S. arrangements No. delivered in institution but discharged to D.M. before the 10th day. Total No. of visits made by D.M. Doctor booked Doctor not present Total Doctor present Doctor not present -
Page 56
The following table shows the number of visits made by midwives to give ante-natal care:-
Total visits made during the year: -
Page 56
(b) Refresher Courses for Midwives, District Nurses and Pupil Midwives
Refresher Course attended: 1969 1968 1967 -
Page 56
Pupil Midwifery Training
1969 1968 1967 -
Page 57
(c) The following table shows the work undertaken at the Ante-Natal and Post-Natal Clinics during 1968 and 1969:-
No. of Sessions held by No. of women in attendance No. of attendance Total No. of Sessions Medical Officers Midwives For A.N. Exam. For P.N. Exam. M.O. Sessions Midwife Sessions Total Attendances -
Page 57
(d) Ante-Natal. Mothercraft and Relaxation Classes Number of women who attended during 1968 and 1969:-
Year Institutional booked Domiciliary booked Total Total No. of attendances during year -
Page 58
During the period 1st January 1968 to 31st December 1969, the following notifications were received from midwives:-
1969 1968 1967 -
Page 59
The following information gives the number of patients served.
Total during year Number of patients on books at the end of year 1969 1968 1967 1969 1968 1967 -
Page 60
MOTHER AND BABY HOMES
Name and address of Home: Provided by: "The Haven" 2 Camden Road, Sutton. Sutton & District Moral Welfare Association Type of admission Number of cases admitted during year Number of beds at end of year Average duration of stay 1969 1968 1967 1969 1968 1967 -
Page 62
The following table gives details of work undertaken during the period under review:-
Attendances and Treatment Expectant and Nursing Mothers Children Under 5 1969 1968 1967 1969 1968 1967 -
Page 63
Home Help to Households for Persons:
1968 Aged 65 or over on first visit Chronic Sick and T.B. Mentally Disordered Maternity Others Total -
Page 63
CERVICAL CYTOLOGY During the years 1968/69, the scheme of cervical screening was continuously extended as is shown on the following table:-
1969 1968 1967 -
Page 64
Classification of smears
Class No. of smears No. referred to G.P. 1969 1968 1967 1969 1968 -
Page 64
The following table gives the total number of cases attended and the total number of treatments:-
1969 1968 1967 -
Page 69
The following tables will indicate the tremendous increase in the volume of work necessarv due to the amendment of the acts:-
Year Approved for registration during the year: No. who cancelled registration during the year: Child Minders Day Nurseries Child Minders Day Nurseries -
Page 70
Continued from previous page...
Nurseries & Child Minders Regulation Act 1948 National Health Service Act,1946. Section 22. Premises Registered at end of year Daily Minders registered at end of year Daily Minders receiving fees from the Authority at the end of year Factory Other Nurseries -
Page 71
The following medical examinations were undertaken during 1968 and 1969:-
1969 1968 1967 -
Page 72
Table (a) Periodic Medical Inspections 1st January - 31st December 1969
Age Groups Inspected (by year of birth) No. of Pupils who have received a full Medical Examination PHYSICAL CONDITION of Pupils Inspected No. of Pupils found not to warrant Medical Examination (See Note 1 above) Pupils found to require treatment (excluding dental diseases and infestation with vermin) Satisfactory Unsatisfactory For defective vision (excluding squint) For any other condition recorded at Part II Total Individual Pupils No. No. (1) (2) (3) (4) (5) (6) (7) (8) -
Page 73
Table (b) Periodic Medical Inspections 1st January - 31st December 1968
Age Groups Inspected (by year of birth) No. of Pupils who have received a full Medical Examination PHYSICAL CONDITION of Pupils Inspected No. of Pupils found not to warrant Medical Examination Pupils found to require treatment (excluding dental diseases and infestation with vermin) Satisfactory Unsatisfactory For defective vision (excluding squint) For any other condition Total Individual Pupils (No.) (No.) (1) (2) (3) (4) (5) (6) (7) (8) -
Page 74
The following table shows the total number of children inspected and the total number of cases of infestation:-
Year No. of children examined. No. found to be infested. -
Page 75
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 Disease PERIODIC INSPECTIONS Special Inspections Entrants Leavers Others Total 1969 1968 1967 1969 1968 1967 1969 1968 1967 1969 1968 1967 1969 1968 1967 -
Page 76
Continued from previous page...
Defect Code No. Defect or Disease PERIODIC INSPECTIONS Special Inspections Entrants Leavers Others Total 1969 1968 1967 1969 1968 1967 1969 1968 1967 1969 1968 1967 1969 1968 1967 -
Page 79
SCHOOL DENTAL SERVICE
1. Attendances & Treatment 5-9 years 10-14 years 15 years & over TOTAL 1969 1968 1967 1969 1968 1967 1969 1968 1967 1969 1968 1967 -
Page 80
2. Orthodontics
1969 1968 1967 -
Page 80
5. Prosthetics
Ages 5-9 Ages 10-14 Ages 15 & over Total 1969 1968 1969 1968 1969 1968 1969 1968 -
Page 80
4. Anaesthetics General anaesthetics administered by Dental Officers
1969 1968 -
Page 80
5. Inspections
1969 1968 -
Page 80
6.Sessions
1969 1968 -
Page 81
The co-operation of teachers in this respect is much appreciated.
1969 1968 -
Page 82
The agencies initiating referral were:-
1969 1968 1967 -
Page 82
Psvchiatrist Sessions
1969 1968 1967 -
Page 83
Psychiatric Social Worker Sessions
1969 1968 1967 -
Page 83
School Psychological Service
Source of Referrals 1969 1968 -
Page 84
Main Recommendations made:
1969 1968 -
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 years 1st January-31st December 1968 and 1969.
Blind Partially Sighted Deaf Part ially Hearing Physically handicapped Delicate Maladjusted E.S.N. Epileptic Speech Defects Total -
Page 88
This has proved most valuable in helping to decide a child's most suitable future placement.
1969 1968 -
Page 89
Tuition has also been arranged at the following hospitals:-
1968 1969 -
Page 90
The number of day pupils receiving mid-day meals and milk per day both at maintained and non-maintained schools was :-
1968 1969 -
Page 96
Inspection and Supervision of Food Premises:
1968 1969 -
Page 97
Articles of food containing foreign bodies or mould were as follows:-
Article No. No. 1968 1969 1968 1969 -
Page 97
Classification of the milk samples and the results of the tests are as follows:-
Designation under which sold No. of Samples Methylene Blue Test Phosphatase Test Turbidity Test Satisfactory Unsatisfactory Satisfactory Unsatisfactory Satisfactory Unsatisfactory 1968 1969 1968 1969 1968 1969 1968 1969 1968 1969 1968 1969 1968 1969 -
Page 99
Continued from previous page...
Unwrapped Food Wrapped Food Number of Containers 1968 1969 1968 1969 lbs. ozs. lbs. ozs. -
Page 100
Food Samples - Chemical Analysis 1968 and 1969
Formal Informal Adulterated Total Formal Informal 1968 1969 1968 1969 1968 1969 1968 1969 1968 1969 -
Page 101
Continued from previous page...
Formal Informal Adulterated Total Formal Informal 1968 1969 1969 1968 L968 1969 1968 1969 1968 1969 -
Page 108
Details of the samples taken, and results, are set out belows:-
No. of Sample Description Organo-chlorine Insecticides p.p.m. Fly Test Organo-phosphorus Insecticides p.p.m. -
Page 109
Continued from previous page...
No. of Sample Description Organo-chlorine Insecticides p.p.m. Fly Test Organo-phosphorus Insecticides p.p.m. -
Page 110
INSPECTION OF FOOD PREMISES AND ACTION TAKEN 1968
SANITARY ACCOMMODATION FOOD STORAGE AND PREPARATION ROOMS No. of Premises No. of Premises registered under Sec.16 of Food & Drugs Act Repaired Cleansed and/or Decorated Lighting provided Washing Facilities (incl. Hot and Cold Water) Nail Brush and Soap provided 'Wash Your Hands' Notices Repaired Cleansed and/or Decorated Lighting provided Ventilation provided Washing Facilities for Food and Equipment First Aid Materials provided Accommodation for Clothing provided Ac cumulations removed -
Page 111
INSPECTION OF FOOD PREMISES AND ACTIOS. TAKEN 1969
SANITARY ACCOMMODATION FOOD STORAGE AND PREPARATION ROOMS No. of Premises No. of Premises registered under Sec.l6 of Food & Drugs Act Repaired Cleansed and/or Decorated Lighting provided Washing Facilities (incl. Hot and Cold Water) Nail Brush and Soap provided 'Wash Your Hands' Notices Repaired Cleansed and/or Decorated Lighting provided Ventilation provided Washing Facilities for Food and Equipment First Aid Materials provided Accommodation for Clothing provided Accumulations removed -
Page 113
LONDON BOROUGH OF SUTTON SUMMARY OF AIR POLLUTION MEASUREMENTS FOR 1968
Stations:- Beddington & Wallington No.2 Carshalton No.4 Sutton & Cheam No.8 Highest Lowest Average Highest Lowest Average Highest Lowest Average Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 -
Page 115
SUMMARY OF AIR POLLUTION MEASUREMENTS FOR 1969
Stations:- Beddington & Waillington No.2 Carshalton No.4 Sutton & Cheam No.8 Highest Lowest Average Highest Lowest Average Highest Lowest Average Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 Smoke So2 -
Page 118
Bacteriological Results-Yearly Averages, After Treatment
Number of Samples Agar plate count per ml. Coliform count E, 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 118
Average Results of the Chemical Examination of Water (Milligrammes per litre (unless otherwise stated)
1968 1969 1969 1968 1969 Thames Thames Merton Thames Thames Merton -
Page 119
Lead content of water from main taps in consumers' premises
Lead content (mg/l Pb) Samples of water standing in lead pipe overnight Samples of water after running the tap -
Page 120
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 premises Total Number Registered at end of Year Number of Persons Employed -
Page 121
Preliminary notices were served relating to non-compliance with the Act in respect of the following:-
Notices Served during 1968 1969 Complied (Inc. Notices served in 1967) 1968 1969 -
Page 121
Factories and Outworkers. Inspections for the purpose of provisions as to health:-
Premises No. on Register Number of- Inspections Written Notices Occupiers Prosecuted (1) (2) (3) (4) (5) 1968 1969 1968 1969 1968 1969 1968 1969 -
Page 122
Cases in which Defects ware Found:
Premises 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) '68 '69 '68 '69 '68 '69 '68 '69 '68 '69 -
Page 122
Outwork (sections 133 and 134)
Nature of Works Section 133 Section 134 No. of outworkers in Aug. list required by Sect. 133(1)(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 (1) (2) (3) (4) (5) (6) (7) 69 68 69 68 69 68 69 68 69 68 69 68 -
Page 125
SUMMARY OF COMPLAINTS, INSPECTIONS AND WORK DONE Investigations were made with regard to 6,192 complaints, as follows:-
1968 1969 -
Page 128
As a result of investigations made and notices served, the following work was carried out:-
1968 1969 -
Page 135
Classification of Disabilities and Age Groups
Under 16 16-29 30-49 50-64 65+ Total at 31.12.69 Total at 31.12.68 -
Page 135
Deaf
-
Page 137
Holidays for the handicapped After circulating all registered handicapped persons, the final holiday arrangements for 1969/70 were as indicated below
Centre Handicapped Persons Blind Persons Escorts -
Page 137
giving a net increase over a two year period of 45. Age period of Registered Blind and Partially-sighted person.
YEAR 1968 BLIND PARTIALLY SIGHTED 0-4 5-13 16-49 50-64 65+ TOTAL. 0-4 5-15 16-49 50-64 65+ TOTAL. -
Page 138
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YEAR 1969 BLIND PARTIALLY SIGHTED 0-4 5-15 16-49 50-64 65+ TOTAL. 0-4 5-15 16-49 50-64 65+ TOTAL. -
Page 138
Notifications of suspected blindness recevied in the course of the period under review for whom examinations were arrangeed with consultant opthalmologist yielded the following results:-
Notification from: TOTAL Certified BLIND Certified P/S Found not to be Blind or P/S Re-exams 1968 1969 1968 1969 1968 1969 1968 1969 1968 1969 -
Page 140
Education, Training and Employment of Blind and Partially-sighted Persons.
BLIND Children receiving education EMPLOYED Open Industry In Workshops (Sheltered) Home-workers Scheme NOT EMPLOYED Incapable of work/education Not available for work TOTAL 1968 1969 1968 1969 1968 1969 1968 1969 1968 1969 1968 1969 1968 1969 -
Page 140
The foregoing table indicates the work done in the education and employment of the blind and partially-sighted, and gives some indication of the variety of occupations carried out in open and sheltered employment; a detailed list of occupations is given:-
BLIND Homeworkers No, Occupation No. Occupation No. Occupation -
Page 143
Rehousing of Special Categories
1968 1969