[Report of the Medical Officer of Health for Sutton]

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AREA AND POPULATION Population tables on this occasion have been restricted to the Registrar General's estimated mid-year population and population by age-groups.

Area in Acres	Census Population
	1971	1961	1951

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Population by Aqe-Groups - Census 1971 Years of Birth

1966/71	1956/65	1936/55	1921/35	1906/20	1896/1905	Before 1896

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Rateable Value

1st April 1971/72	1st April 1970/71	1st April 1969/70

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The following statistics have been supplied by the Registrar General:-DEATHS FROM ALL CAUSES

	Male	Female	Total	Crude rate per 1,000 Home Population	Adjusted rate per 1,000 population (Comparability factor 0.89)

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Deaths from certain causes

Category	1971	1970	1969	1968	1967	1960	1950

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The number of deaths by cause and sex and age groups is given in full in Table 1 in the Appendix to this report. Infant Deaths

Age Under 1 year of age		MALES			FEMALES
		Legit.	Illegit.	Total	Legit.	lllegit.	Total	TOTAL

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Infant Mortality Rates

	England & Wales 1971	London Borough of Sutton 1971 1970

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BIRTHS 1st January - 31st December 1971

LIVE					STILL
Legit.		lllegit.		Total	Legit.		lllegit.		Total

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Infectious Diseases Notifided during the period 1st january 1971 - 31st December 1971

Disease	1971	1970

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IMMUNISATION AND VACCINATION 1st JANUARY - 31st DECEMBER 1971

Type of Protection	Completed Primary Courses		Receiving Reinforcing Doses (Boosters)
Type of Protection	1971	1970	1971	1970

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VENEREAL DISEASE Notification of new cases of Sutton residents from hospital treatment centres during the last 3 years are as follows

	1971	1970	1969

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MASS RADIOGRAPHY The Director of the Mass Radiography Unit has supplied the following statistics

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The number of long-stay immigrants in the Borough remains remarkably small and the majority are employed in hospitals.

County where passport was issued as stated by Port Health Authority	Number of advice notes received during 1971 from ports and airports relating to the arrival of immigrants		Number of first successful visits paid during 1971		Number of Pulmonary Tuberculosis notifications received in respect of immigrants during 1971

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Maternal and Child Health Births Notified by Medical Practitioners or Midwives - 1st January - 31st December 1971

(a)			(b)
In the area including those normally resident elsewhere			Resident in the area including those born elsewhere, i.e. adjusted by inward and outward transfers

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Prematurity Full schedule showing statistics will be seen in Table II in the Appendix to this report.

		Total		Non-Premature		Premature
		1971	1970	1971	1970	1971	1970

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Issues 1st January - 31st December 1971

National *Dried Milk (packets)		Cod Liver Oil (bottles)		*Orange Juice (bottles)		A & D Tables (packets)	Children's Vitamin Drops

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Clinic Sessions

	1971	1970

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2. Health Visitors Case Load for children aged 0 - 5 years

0 - 1 year		1-5 years		Families

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The work of the Audiology Clinic has increased during 1971. This is due to the awareness of the importance of early detection of hearing loss in young children and the necessity for early treatment. The number referred during 1971 is as follows :-

Age		New Cases		Total Consultations		Referred to E.N.T. Dept.		No. of Hearing Aids issued
Years		1971	1970	1971	1970	1971	1970	1971	1970

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In addition to the sessions at clinics sessions were commenced at three of the old people's homes in the borough.

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HOME NURSING The following table gives some indication of the volume of work carried out by the home nurses

	1971	1970

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The total number of cases during the year 1971 was as follows

	Total during year		Number of patients on books at end of year.
	1971	1970	1971	1970

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DOMICILIARY MIDWIFERY The following table gives some indication of the volume of work carried out by the domiciliary midwives:-

No. of domiciliary confinements attended by midwives under NHS arrangements during 1971						No. of confinements attended by D.M. in hospital		No. delivered in institution but discharged to D.M. before 10th day		Total No. of visits made by D.M.		Ante-Natal cases visited by D.M.
Doctor Present		Doctor not present		Total		No. of confinements attended by D.M. in hospital				Total No. of visits made by D.M.		Ante-Natal cases visited by D.M.
1971	1970	1971	1970	1971	1970	1971	1970	1971	1970	1971	1970	1971	1970

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Summoning of Medical Aid During 1971 medical aid was summoned under the Midwives Act 1951 by midwives in the following number of cases:-

For domiciliary cases:	1971	1970

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Notification from Midwives During 1971 the following notifications were received from midwives:-

	1971	1970

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Refresher Courses for Midwives, District Nurses and Pupil Midwives

Refresher Course Attended:	1971	1970

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The following tables indicate the work carried out during 1971

	1971	1970

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Classification of Smears

Class	Number of Smears
	1971	1970

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The following cases were treated at sessions held at the majority of the Council's clinics, at day centres, as well as at the Council's old people's homes and old people's homes run by voluntary organisations, and also at chiropodist's surgeries.

	1971	1970

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Handicapped Pupils The following table shows the number of handicapped children attending primary and high schools as at 31st December, 1971:-

	1971	1970

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The co-operation of teachers in this respect is much appreciated.

	1971	1970

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The number of day pupils receiving midday meals per day both at maintained and non-maintained schools during 1971 was as follows:-

	1971	1970

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The number of day pupils receiving milk in maintained and non-maintained schools was as follows:-

	1971	1970

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Medical Examinations undertaken during 1971:-

	1971	1970

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Continued from previous page...

	1971	1970

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The complaints relating to foreign bodies or mould involved the following foods:

Article		Article

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FOOD PREMISES INFRINGEMENTS OF FOOD HYGIENE (GENERAL) REGULATIONS 1970

	No. of Premises	No. of Inspections Carried out in premises	No. of Premises registered under Sec. 16 of Food and Drugs Act	Unsatisfactory Sanitary Accommodation	Unsatisfactory Washing Facilities	Defective and Dirty Premises	Ventilation and Lighting Inadequate	Washing Facilities for Food and Equipment Unsatisfactory	First Aid Materials Inadequate	Accumulations and Refuse Storage Inadequate	Unsatisfactory Food Storage and Displays	Unsatisfactory Personal Hygiene	Miscellaneous

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The following quantities of food found to be unsound, diseased or unwholesome and unfit for human consumption were surrendered and destroyed:-

	lbs		lbs

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The following table shows the results from samples taken for bacteriological examination:-

Designation under which sold	No. of Samples	Methylene Blue Test		Phosphatase Test		Turbidity Test
Designation under which sold	No. of Samples	Satisfactory	Unsatisfactory	Satisfactory	Unsatisfactory	Satisfactory	Unsatisfactory

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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

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Preliminary notices were served relating to non-compliance with the Act in respect of the following:-

	Notices
	Served	Complied (inc. Notices served in 1970)
	1971	1971

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3.3 ACCIDENTS REPORTED

Workplace	Number Fatal	Reported Non Fatal	Total No. Investigated	Action Recommended
Workplace	Number Fatal	Reported Non Fatal	Total No. Investigated	Prosecution	Formal warning	Informal advice	No action

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ANALYSIS OF REPORTED ACCIDENTS

	Offices	Retail Shops	Wholesale warehouses	Catering establishments open to public, canteens	Fuel Storage Depots

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3.4 FACTORIES ACT 1961 Inspections for the purpose of provisions as to health:-

Premises	No. on Register	Inspections	Written Notices	Uccupiers Prosecuted
(1)	(2)	(3)	(4)	(5)

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Cases in which Defects were found:-

Premises	Number of cases in which defects were found				Number of Cases in which prosecutions were instituted
	Found	Remedied	Referred
	Found	Remedied	to H.M. Inspector	by H.M. Inspector
(1)	(2)	(3)	(4)	(5)	(6)

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Outwork (Sections 133 and 134)

Nature of Works	Section 133			Section 134
Nature of Works	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)

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LOCATION

Approximate Position		Order Confirmed	Order In Force

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Fifty-nine complaints with regard to noise were received from members of the public during the year, all of which were brought to a satisfactory conclusion without statutory action.

Number of :-	Industrial remises	Commercial Premises	Roadworks Construction Demolition etc.	Domestic Premises	Other*	TOTAL

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5.2 INSPECTION AND ACTION UNDER STATUTORY POWERS

	Total Number of Properties Affected

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5.3 FORMAL ACTION UNDER THE HOUSING AND PUBLIC HEALTH ACTS The number of houses in respect of which formal notices were served requiring repairs:-

	Housing Acts	Public Health Acts

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The number of bodies, on all of which autopsies were performed, admitted during the year was as follows

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CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE DURING 1971 TABLE I

Causes of Death		Sex	Total all ages	Under 4 weeks	4 weeks and under 1 year	1-4	5-14	15-24	25-34	35-44	45-54	55-64	65-74	75 and over

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CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE DURING 1971

Causes of Death		Sex	Total all ages	Under 4 weeks	4 weeks and under 1 year	1-4	5-14	15-24	25-34	35-44	45-54	55-64	65-74	75 and over

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CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE DURING 1971

Causes of Death		Sex	Total all ages	Under 4 weeks	4 weeks and under 1 year	1-4	5-14	15-24	25-34	35-44	45-54	55-64	65-74	75 and over

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CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE DURING 1971

Causes of Death	Sex	Total all ages	Under 4 weeks	4 weeks and under 1 year	1-4	5-14	15-24	25-34	35-44	45-54	55-64	65-74	75 and over

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PREMATURITY TABLE II The following table gives details of premature births and stillbirths notified in the London Borough of Sutton during the period 1st January 31st December 1971 as adjusted by transferred notifications; (1970 figures in brackets).

Premature Live Births												Premature Stillbirths
Born in Hospital				Born at home or in a Nursing Home				Transferred to Hospital on or before the 28th day				Born in Hospital	Born at Home or in a Nursing Home
Total Births	DIED			DIED				Total Births	Within 24 hrs. of birth	Between 1 and 7 days	Between 7 and 28 days
Total Births	Within 24 hrs. of birth	Between 1 and 7 days	Between 7 and 28 days	Total Births	Within 24 hrs. of birth	Between 1 and 7 days	Between 7 and 28 days	Total Births	Within 24 hrs. of birth	Between 1 and 7 days	Between 7 and 28 days

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NUMBER OF CASES ON REGISTER

As at	Year of Birth						TOTAL
As at	1971	1970	1969	1968	1967	1966	TOTAL

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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 of Defect	Year of Birth
Handicap of Defect	1971	1970	1969	1968	1967	Total

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Continued from previous page...

Handicap or defect	Year of Birth
Handicap or defect	971	1970	1969	1968	1967	Total

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Number of children who attended during period 1st January 1971 to 31st December 1971

YEAR	1st Attendances of Children Born in:				No. of Sessions held by				No. of children referred elsewhere for consultant advice
YEAR	1971	1970	1967/69	TOTAL	Total Attendances	Asst. Medical Officers	G.P.s employed on sessional basis	Total No. of Sessions	No. of children referred elsewhere for consultant advice

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Number of children who attended during period 1st January 1970 to 31st December 1970

YEAR	1st Attendances of Children Born in:				No. of Sessions held by				No. of children referred elsewhere for consultant advice
YEAR	1970	1969	1965/68	TOTAL	Total Attendances	Asst. Medical Officers	G.P.s employed on sessional basis	Total No. of Sessions	No. of children referred elsewhere for consultant advice

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TABLE VI DENTAL CARE OF MOTHERS AND YOUNG CHILDREN

Attendances and Treatment	Expectant and Nursing Mothers		Children under 5
Attendances and Treatment	1971	1970	1971	1970

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TABLE VII MADICAL INSPECTION OF PUPILS ATTENDING MAINTAINED PRIMARY SCHOOLS (INCLUDING NURSERY AND SPECIAL SCHOOLS) TABLE(a) PERIODIC MEDICAL INSPECTIONS 1st JANUARY - 31st DECEMBER, 1971

Age Groups Inspected (By year of birth)	No. of Pupils who have received a full medical examination	Physical Condition		No. of Pupils not selected for examination	Pupils found to require treatment (excluding dental diseases and infestation with vermin)
		Satis.	Unsatis.
		Satis.	Unsatis.		For defective vision (excl. squint)	For any other condition	Total Individual Pupils
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

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TABLE VIII 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 (O).

Defect Code No.	Defect or Disease		Entrants		PERIODIC INSPECTIONS						Special Instructions
			Entrants		Leavers		Others		Total		Special Instructions
			1971	1970	1971	1970	1971	1970	1971	1970	1971	1970

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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 inspection. This table includes separately the number of pupils found to require treatment (T) and the number of pupils found to require observation (O)

Defect Code No.	Defect or Disease		Entrants		PERIODIC INSPECTIONS						Special Inspections
			Entrants		Leavers		Others		Total		Special Inspections
			1971	1970	1971	1970	1971	1970	1971	1970	1971	1970

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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 (O).

Defect Code No.	Defect or Disease		Entrants		PERIODIC INSPECTIONS						Special Inspections
			Entrants		Leavers		Others		Total		Special Inspections
			1971	1970	1971	1970	1971	1970	1971	1970	_ 1971	1970

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SCHOOL DENTAL SERVICE

1. Attendances and Treatment	5-9 years		10-14 years		15 years and over		TOTAL
	1971	1970	1971	1970	1971	1970	1971	1970

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Continued from previous page...

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TABLE X CHILD GUIDANCE CLINIC - STATISTICS 1970

Psychiatric sessions	1971	1970

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Source of Referrals other than by the Child Guidance Clinic during 1971

	1971	1970

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Handicapped pupils requiring education at Special Schools approved unser Section 9(6) of the Education Act, 1944, or Boarding in Boarding Homes during the years 1st January - 31st December 1971 and 1970.

	Blind		Partially Sighted		Deaf		Partially handicapped		Physically handicapped		Delicate		Maladjusted		E.S.N.		Epileptic		Speech Defects		Total
Children newly assessed as needing special educational treatment at special schools	71	70	71	70	71	70	71	70	71	70	71	70	71	70	71	70	71	70	71	70	71	70

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

Sutton 1971

71 tables in this report

AREA AND POPULATION Population tables on this occasion have been restricted to the Registrar General's estimated mid-year population and population by age-groups.

Population by Aqe-Groups - Census 1971 Years of Birth

Rateable Value

The following statistics have been supplied by the Registrar General:-DEATHS FROM ALL CAUSES

Deaths from certain causes

The number of deaths by cause and sex and age groups is given in full in Table 1 in the Appendix to this report. Infant Deaths

Infant Mortality Rates

BIRTHS 1st January - 31st December 1971

Infectious Diseases Notifided during the period 1st january 1971 - 31st December 1971

IMMUNISATION AND VACCINATION 1st JANUARY - 31st DECEMBER 1971

VENEREAL DISEASE Notification of new cases of Sutton residents from hospital treatment centres during the last 3 years are as follows

MASS RADIOGRAPHY The Director of the Mass Radiography Unit has supplied the following statistics

The number of long-stay immigrants in the Borough remains remarkably small and the majority are employed in hospitals.

Maternal and Child Health Births Notified by Medical Practitioners or Midwives - 1st January - 31st December 1971

Prematurity Full schedule showing statistics will be seen in Table II in the Appendix to this report.

Issues 1st January - 31st December 1971

Clinic Sessions

2. Health Visitors Case Load for children aged 0 - 5 years

The work of the Audiology Clinic has increased during 1971. This is due to the awareness of the importance of early detection of hearing loss in young children and the necessity for early treatment. The number referred during 1971 is as follows :-

In addition to the sessions at clinics sessions were commenced at three of the old people's homes in the borough.

HOME NURSING The following table gives some indication of the volume of work carried out by the home nurses

The total number of cases during the year 1971 was as follows

DOMICILIARY MIDWIFERY The following table gives some indication of the volume of work carried out by the domiciliary midwives:-

Summoning of Medical Aid During 1971 medical aid was summoned under the Midwives Act 1951 by midwives in the following number of cases:-

Notification from Midwives During 1971 the following notifications were received from midwives:-

Refresher Courses for Midwives, District Nurses and Pupil Midwives

The following tables indicate the work carried out during 1971

Classification of Smears

The following cases were treated at sessions held at the majority of the Council's clinics, at day centres, as well as at the Council's old people's homes and old people's homes run by voluntary organisations, and also at chiropodist's surgeries.

Handicapped Pupils The following table shows the number of handicapped children attending primary and high schools as at 31st December, 1971:-

The co-operation of teachers in this respect is much appreciated.

The number of day pupils receiving midday meals per day both at maintained and non-maintained schools during 1971 was as follows:-

The number of day pupils receiving milk in maintained and non-maintained schools was as follows:-

Medical Examinations undertaken during 1971:-

Continued from previous page...

The complaints relating to foreign bodies or mould involved the following foods:

FOOD PREMISES INFRINGEMENTS OF FOOD HYGIENE (GENERAL) REGULATIONS 1970

The following quantities of food found to be unsound, diseased or unwholesome and unfit for human consumption were surrendered and destroyed:-

The following table shows the results from samples taken for bacteriological examination:-

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:-

Preliminary notices were served relating to non-compliance with the Act in respect of the following:-

3.3 ACCIDENTS REPORTED

ANALYSIS OF REPORTED ACCIDENTS

3.4 FACTORIES ACT 1961 Inspections for the purpose of provisions as to health:-

Cases in which Defects were found:-

Outwork (Sections 133 and 134)

LOCATION

Fifty-nine complaints with regard to noise were received from members of the public during the year, all of which were brought to a satisfactory conclusion without statutory action.

5.2 INSPECTION AND ACTION UNDER STATUTORY POWERS

5.3 FORMAL ACTION UNDER THE HOUSING AND PUBLIC HEALTH ACTS The number of houses in respect of which formal notices were served requiring repairs:-

The number of bodies, on all of which autopsies were performed, admitted during the year was as follows

CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE DURING 1971 TABLE I

CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE DURING 1971

CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE DURING 1971

CAUSES OF DEATH AT DIFFERENT PERIODS OF LIFE DURING 1971

PREMATURITY TABLE II The following table gives details of premature births and stillbirths notified in the London Borough of Sutton during the period 1st January 31st December 1971 as adjusted by transferred notifications; (1970 figures in brackets).

NUMBER OF CASES ON REGISTER

Continued from previous page...

Number of children who attended during period 1st January 1971 to 31st December 1971

Number of children who attended during period 1st January 1970 to 31st December 1970

TABLE VI DENTAL CARE OF MOTHERS AND YOUNG CHILDREN

TABLE VII MADICAL INSPECTION OF PUPILS ATTENDING MAINTAINED PRIMARY SCHOOLS (INCLUDING NURSERY AND SPECIAL SCHOOLS) TABLE(a) PERIODIC MEDICAL INSPECTIONS 1st JANUARY - 31st DECEMBER, 1971

SCHOOL DENTAL SERVICE

Continued from previous page...

TABLE X CHILD GUIDANCE CLINIC - STATISTICS 1970

Source of Referrals other than by the Child Guidance Clinic during 1971

Handicapped pupils requiring education at Special Schools approved unser Section 9(6) of the Education Act, 1944, or Boarding in Boarding Homes during the years 1st January - 31st December 1971 and 1970.