[Report of the Medical Officer of Health for Tottenham]

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STATISTICAL SUMMARY. Year ended, 31st December, 1945.

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Table I STATISTICS OF TOTTENHAM FOR THE LAST TWENTY YEARS.

Year	Population	Deaths	Death Rate	Births	Birth Rate	Infantile Deaths	Infant Death Rate	Number of Cases.
Year	Population	Deaths	Death Rate	Births	Birth Rate	Infantile Deaths	Infant Death Rate	Puerperal Fever and Puerperal Pyrexia	Scarlet Fever	Diphtheria	Typhoid Fever	Small-Pox

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Table II Deaths during the year 1945 in the Borough of Tottenham, classified according to Diseases

Cause of Death	Males	Females	Totals

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Table 111 Infantile Deaths in Ages and Sexes during the year 1945.

Cause of Death.	Under 1 week.	1—2 weeks.	2—3 weeks.	3—4 weeks.	Total under 4 weeks.	1—3 months.	3—6 months.	6—9 months.	9—12 months.	Total deaths under 1 year.	Males.	Females.

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The following examinations were made during the year in the Council's Laboratory:—

Swabs (Throat and Nasal).	Negative.	Positive.	Total.

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The oxygen resuscitator was used on seven occasions.

Month.	Mileage Ambulances	Mileage School Buses	Total.

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No action was taken under the Scabies Order, 1940.

Age and sex distribution	Males	Females	Total

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Summary of Tuberculosis Cases.

Age Periods.	New Cases.				Deaths.
	Pulmonary.		Non-Pulmonary.		Pulmonary.		Non-Pulmonary.
	Males	Females	Males	Females	Males	Females	Males	Females

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Non-pulmonary cases affecting:—

	Male.	Female.	Total.

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table IV Table of Cases of Infectious Disease coming to the knowledqc of the Medical Officer of Health during the year 1945 in the Borough of Tottenham, classified according to Diseases and Ages.

Notifiable Disease.	Males.	Females	Under one.	1—2	2—3	3—4	4—5	5—10	10—15	15—20	20—35	35—45	45—65	65 & over.	Total Cases Removed to Isolation Hospital by Council

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Repair of Houses by the Council.

	£.	s.	d.

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In this table, the original degree of infestation is indicated as follows:— * .. Infested, but bugs not evident on cursory examination. .. Badly infested, bugs evident. * .. Very badly infested, bugs abundant and immediately obvious. **** .. (One exceptionally bad case).

Treatment.	Individual houses in undermentioned Roads.	Original Infestation Category.	Observation at Inspection.
Treatment.	Individual houses in undermentioned Roads.	Original Infestation Category.	1 week later.	3 weeks later.

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RESULT OF A THIRD VISIT OF INSPECTION.

Treatment.	Individual houses in roads.	Date of Revisit.	Remarks.

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Table Showing Number of Treatments.

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SCHOOL MEDICAL AND DENTAL STAFF. Table VII.— School Medical and Dental Staff.

Name of Officer.	Proportion of whole time devoted to
Name of Officer.	School Medical Service.	Public Health.

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School Nursing Staff. (Excluding Specialist Nurses such as Orthopaedic Nurses).

	Number of Officers	Aggregate of time given to S.M.S. work in terms of whole time Officers.

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ROUTINE MEDICAL INSPECTION. Table I.—Medical Inspections of Children attending Primary and Secondary Schools—Year ended 31st December, 1945. A.— Routine Medical Inspections.

(1) No. of routine Inspections according to age groups:—

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Table II.—Classification of the Nutrition of Children Inspected during the year under review in the routine aos groups .

Inspections.	A. (Excellent).		B. (Normal).		C. (Slightly Sub-Normal).		D. (Bad).
	No.	0/ /o	No.	%	No.	0/ /o	No.	%

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Table III. Group I.— Treatment of Minor Ailments (excluding Uncleanliness.) Total number of defects treated or under treatment during the year under the Authority's Scheme 5,327 Group II.— Treatment of Defective Vision and Squint.

	Under the Authority's Scheme.

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With the return of all the evacuated children, however, the position, as the figures show, has more than recovered itself during the year under review.

Period.	Total meals served.

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Children certified by the School Medical Officer as in need of Institutional Treatment have been registered at the following Schools:—

Mentally Defective.
School.	Boys.	Girls.

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Continued from previous page...

School.	Boys.	Girls.

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Treatment of Defective Vision and Squint.

	Under the Authority's Scheme.
	Pre-School.	School.	Adolescents.	Totals.
Errors of refraction (including squint)	Pre-School.	School.	Adolescents.	Totals.

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Summary of Returns.—

		1943	1944	1945

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TABLE "A" acute otitis media 1943. SCHOOL CHILDREN.

Diagnosis.	Total (Ears).	Tonsils and Adenoids.		Treatment.				Results.
Diagnosis.	Total (Ears).	Tonsils and Adenoids.		Ionisations.	Antiseptic Treatment.	Tonsils & Adenoids Treatment: Nasal Treatment.	Tonsils & Adenoids Operation.	Cured.	Improved.	Still under Treatment or Observation.	Left School or Treatment Lapsed.	Referred to Hospital for Operation.	Did not Attend or Declined Treatment.

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table "a" acute otitis media 1944. SCHOOL CHILDREN.

Diagnosis.	Total (Ears).	Tonsils and Adenoids.		Treatment.				Results.
Diagnosis.	Total (Ears).	Tonsils and Adenoids.		Ionisation.	Antiseptic Treatment.	Tonsils & Adenoids Treatment: Nasal Treatment.	Tonsils & Adenoids Operation.	Cured.	Improved.	Still under Treatment or Observation.	Left School or Treatment Lapsed.	Referred to Hospital for Operation.	Did not Attend or Declined Treatment.

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TablE "a" acute otitis media 1945. SCHOOL CHILDREN.

Diagnosis.	Total (Ears).	Tonsils and Adenoids.		Treatment.				Result.
	Total (Ears).	Tonsils and Adenoids.		Ionisation.	Antiseptic Treatment.	Tonsils & Adenoids Treatment: Nasal Treatment.	Tonsils & Adenoids Operation.	Cured.	Improved.	Still under Treatment or Observation.	Left School or Treatment Lapsed.	Referred to Hospital for Operation.	Did not Attend or Declined Treatment.
	a	b		C	d	e	f	G	h	I	j	k	l

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TABLE "B" CHRONIC SUPPURATIVE OTITIS MEDIA, 1943. SCHOOLCHILDREN.

Diagnosis.			Totals (Ears).	Diagnosis.						Tonsils and Adenoids.	Treatment.					Results.
	Chronic Tympanic Sepsis, Complicated by:—			Granulations: Simple Polypii.	Mastoid Disease.		Enlarged Tonsils and Adenoids.	Nasal Catarrh: Rhinitis: Sinusitis.	External Otitis, Eczema.		Primary (Ear).			Collateral (Nose and Throat).		Cured.	Improved.	Still under Treatment: Observation.	Left School or Treatment Lapsed.	Referred to Hospital for Operation.	Did not attend or Declined Treatment.
	Chronic Tympanic Sepsis, Complicated by:—			Granulations: Simple Polypii.	Old Operation.	No Operation.	Enlarged Tonsils and Adenoids.	Nasal Catarrh: Rhinitis: Sinusitis.	External Otitis, Eczema.		\| Ionisation.	Antiseptic Treatment. Cautery, etc.	Mastoid Operation.	Tonsils/Adenoids. Conservative Treatment. Nasal Treatm.	Tonsils and Adenoids Operation.	Cured.	Improved.	Still under Treatment: Observation.	Left School or Treatment Lapsed.	Referred to Hospital for Operation.	Did not attend or Declined Treatment.

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TABLE B "B" CHRONIC SUPPURATIVE OTITIS MEDIA, 1944. SCHOOLCHILDREN.

		Diagnosis.							Treatment.					Results.
Chronic Tympanic Sepsis, Complicated by:—	Totals (Ears).	Granulations: Simple Polypiii.	Mastoid Disease.		Enlarged Tonsils and Adenoids.	Nasal Catarrh: Rhinitis: Sinusitis.	External Otitis, Eczema.	Tonsils and Adenoids.	Primary (Ear).			Collateral (Nose and Throat).			Improved.	Still under Treatment: Observation.	Left School or Treatment Lapsed.	Referred to Hospital for Operation.	Did not attend or Declined Treatment.
			Old Operation.	No Operation.					Primary (Ear).			Collateral (Nose and Throat).
			Old Operation.	No Operation.					Ionisation.	Antiseptic Treatment.	Mastoid Operation.	Tonsils/Adenoids. Conservative Treatment. Nasal Treatm.	Tonsils and Adenoids Operation.	Cured.

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TABLE "B" CHRONIC SUPPURATIVE OTITIS MEDIA 1945. SCHOOLCHILDREN.

		Diagnosis.						Treatment.					Results.
Chronic Tympanic Sepsis, Complicated by:—	Totals (Ears).	Granulations: Simple Polypii.	Mastoid Disease.		Enlarged Tonsils and Adenoids.	Nasal Catarrh : Rhinitis: Sinusitis.	External Otitis, Eczema.	Primary (Ear).			Collateral (Nose and Throat).		Cured.	Improved.	Still under Treatment: Observation.	Left School or Treatment Lapsed.	Referred to Hospital for Operation.	Did not attend or Declined Treatment.
			Old Operation.	No Operation.				Primary (Ear).			Collateral (Nose and Throat).
			Old Operation.	No Operation.				Ionisation.	Antiseptic Treatment. Cautery, etc.	Mastoid Operation.	Tonsils/Adenoids. Conservative Treatment. Nasal Treatm.	Tonsils and Adenoids Operation.

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TABLE "C" nose and throat conditions 1943. SCHOOL CHILDREN.

Diagnosis. Primary Conditions.	Totals.	Tonsils and Adenoids.	Secondary Conditions.				Treatment.					Results.
			Otitis Media.	Deafness.	Nasal Catarrh.	Enlarged Tonsils and Adenoids.	Diastolisation.	Antiseptic Treatment.	Proetz Displacement.	Tonsils and Adenoids.		Cured.	Improved.	Still under Treatment or Observation.	Left school or Treatment Lapsed.	Referred Hospital for Operation.	Did not attend or Declined Treatment.
			Otitis Media.	Deafness.	Nasal Catarrh.	Enlarged Tonsils and Adenoids.	Diastolisation.	Antiseptic Treatment.	Proetz Displacement.	Conservative Treatment.	Operative Treatment.	Cured.	Improved.	Still under Treatment or Observation.	Left school or Treatment Lapsed.	Referred Hospital for Operation.	Did not attend or Declined Treatment.
a	b	C	d	E	f	g	h	i	j	K	l	m	n	0	p	Q	r

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TABLE " C " NOSE AND THROAT CONDITIONS 1944. SCHOOL CHILDREN.

Diagnosis. Primary Conditions.	Totals.	Tonsils and Adenoids.		Secondary Conditions.				Treatment.					Results.
				Otitis Media.	Deafness.	Nasal Catarrh.	Enlarged Tonsils and Adenoids.	Diastolisation.	Antiseptic Treatment.	Proetz Displacement.	Tonsils and Adenoids.		Cured.	Improved.	Still under Treatment or Observation.	Left school or Treatment Lapsed.	Referred Hospital for Operation.	Did not attend or Declined Treatment.
				Otitis Media.	Deafness.	Nasal Catarrh.	Enlarged Tonsils and Adenoids.	Diastolisation.	Antiseptic Treatment.	Proetz Displacement.	Conservative Treatment.	Operative Treatment.	Cured.	Improved.	Still under Treatment or Observation.	Left school or Treatment Lapsed.	Referred Hospital for Operation.	Did not attend or Declined Treatment.

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NOSE AND THROAT CONDITIONS 1945. TAB LE "C" SCHOOL CHILDREN.

Diagnosis. Primary Conditions.	Totals.	Tonsils and Adenoids.	Secondary Conditions.				Treatment.					Results.
			Otitis Media.	Deafness.	Nasal Catarrh.	Enlarged Tonsils and Adenoids.	Diastolisation.	Antiseptic Treatment.	Proetz Displacement.	Tonsils and Adenoids.		Cured.	Improved.	Still under Treatment or Observation	Left school or Treatment Lapsed.	Referred Hospital ^ for Operation.	Did not attend or Declined Treatment.
			Otitis Media.	Deafness.	Nasal Catarrh.	Enlarged Tonsils and Adenoids.	Diastolisation.	Antiseptic Treatment.	Proetz Displacement.	Conservative Treatment.	Operative Treatment.	Cured.	Improved.	Still under Treatment or Observation	Left school or Treatment Lapsed.	Referred Hospital ^ for Operation.	Did not attend or Declined Treatment.
a	B	C	d	e	F	g	H	i	j	k \| l		m	n	0	p	Q	r

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1943. TABLE "D" MISCELLANEOUS CASES.

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1944. TABLE "D" miscellaneous cases.

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1945. TABLE "D" miscellaneous cases.

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The treatment being by nature a lengthy process, no very conclusive results can be shown in this short period.

Nature of Defect.	Number of Cases Treated.	Discharged —Cured.	Treatment continued into 1946.	Left School.	Miscellaneous.

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Environmental conditions. —In this series environmental circumstances seem to have no effect upon the incidence of disease, except for the question of sharing a bed:—

	Cases.	With Rheumatism.

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Summary of Cases Treated by Penicillin.

Schedule of Defects.	Total No. of Cases.	Cases Cured.	Treatment Discontinued.

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MATERNITY AND CHILD WELFARE SERVICE CLINICS.

Clinic.	Address.	Monday.	Tuesday.	Wednesday.	Thursday.	Friday.	Saturday.

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The population of the Borough as estimated by the Registrar-General is 110,600 as compared with the pre-war estimated population of 144,400.

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DETAILS OF HOME VISITING BY HEALTH VISITORS.

Expectant Mothers.		Children under 1 year.		Over 1 yr.	Totals.
First Visits.	Re-visits.	First Visits.	Re-visits.	Re-visits.	Totals.

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The following table shows the types of infant feeding and their incidence in the total infant population of the Borough.

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The following table shows the attendances of infants and children under five years of age at the Municipal Health Centres:—

Centre.	Sessions.	Weighings . Infant Attendances .	New Cases.	Weighings. Over 1 year Attendances .	New Cases.	Examined by Doctor.

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Table of Attendances at Toddler Clinics.

Health Centre.	Sessions held.	Appointments made.	Actual Attendnaces.
Health Centre.	Sessions held.	Appointments made.	New.	Re-exams.	Total.

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Percentage of Defects.

Ear, Nose or Throat	Dental	Vision	Malnutrition	Debility after Ac. Sp. Fevers	Emotional	T.B. Family History	No Defects Found

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The arrangement with the School Health Service for children under five to attend the special clinics has continued during the year. Consultations and treatment were as follows:—

Clinics.	No. of Consultations.	No. of Treatments.

Page 63

Attendances at Ante-Natal Sessions.

Centre.	Sessions.	Attendances .	Cases.	PostNatal.

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The following table shows the various institutions in which the confinements took place:—

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Record of Municipal Midwifery Cases.

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The following table shows the final results in each of the 14 cases of Puerperal Pyrexia notified during the year:—

Doctors' Cases.	Midwives' Cases.	Occurred in Hospitals outside District.	Total.	Final Results.
Doctors' Cases.	Midwives' Cases.	Occurred in Hospitals outside District.	Total.	Recovered	Died.

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WAR-TIME NURSERIES.

Nurseries.	Children ; Places.	Opened	Attendances, 1945.										Total.	Days Open.	Av. Daily Attendance
			January to March.		April to June.		July to September.		October to December.		Total.
			January to March.		April to June.		July to September.		October to December.		Under 2	Over 2

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

View report tables

Tottenham 1945

52 tables in this report

STATISTICAL SUMMARY. Year ended, 31st December, 1945.

Table I STATISTICS OF TOTTENHAM FOR THE LAST TWENTY YEARS.

Table II Deaths during the year 1945 in the Borough of Tottenham, classified according to Diseases

Table 111 Infantile Deaths in Ages and Sexes during the year 1945.

The following examinations were made during the year in the Council's Laboratory:—

The oxygen resuscitator was used on seven occasions.

No action was taken under the Scabies Order, 1940.

Summary of Tuberculosis Cases.

Non-pulmonary cases affecting:—

table IV Table of Cases of Infectious Disease coming to the knowledqc of the Medical Officer of Health during the year 1945 in the Borough of Tottenham, classified according to Diseases and Ages.

Repair of Houses by the Council.

In this table, the original degree of infestation is indicated as follows:— * .. Infested, but bugs not evident on cursory examination. ** .. Badly infested, bugs evident. *** .. Very badly infested, bugs abundant and immediately obvious. **** .. (One exceptionally bad case).

RESULT OF A THIRD VISIT OF INSPECTION.

Table Showing Number of Treatments.

SCHOOL MEDICAL AND DENTAL STAFF. Table VII.— School Medical and Dental Staff.

School Nursing Staff. (Excluding Specialist Nurses such as Orthopaedic Nurses).

ROUTINE MEDICAL INSPECTION. Table I.—Medical Inspections of Children attending Primary and Secondary Schools—Year ended 31st December, 1945. A.— Routine Medical Inspections.

Table II.—Classification of the Nutrition of Children Inspected during the year under review in the routine aos groups .

Table III. Group I.— Treatment of Minor Ailments (excluding Uncleanliness.) Total number of defects treated or under treatment during the year under the Authority's Scheme 5,327 Group II.— Treatment of Defective Vision and Squint.

With the return of all the evacuated children, however, the position, as the figures show, has more than recovered itself during the year under review.

Children certified by the School Medical Officer as in need of Institutional Treatment have been registered at the following Schools:—

Continued from previous page...

Treatment of Defective Vision and Squint.

Summary of Returns.—

TABLE "A" acute otitis media 1943. SCHOOL CHILDREN.

table "a" acute otitis media 1944. SCHOOL CHILDREN.

TablE "a" acute otitis media 1945. SCHOOL CHILDREN.

TABLE "B" CHRONIC SUPPURATIVE OTITIS MEDIA, 1943. SCHOOLCHILDREN.

TABLE B "B" CHRONIC SUPPURATIVE OTITIS MEDIA, 1944. SCHOOLCHILDREN.

TABLE "B" CHRONIC SUPPURATIVE OTITIS MEDIA 1945. SCHOOLCHILDREN.

TABLE "C" nose and throat conditions 1943. SCHOOL CHILDREN.

TABLE " C " NOSE AND THROAT CONDITIONS 1944. SCHOOL CHILDREN.

NOSE AND THROAT CONDITIONS 1945. TAB LE "C" SCHOOL CHILDREN.

1943. TABLE "D" MISCELLANEOUS CASES.

1944. TABLE "D" miscellaneous cases.

1945. TABLE "D" miscellaneous cases.

The treatment being by nature a lengthy process, no very conclusive results can be shown in this short period.

Environmental conditions. —In this series environmental circumstances seem to have no effect upon the incidence of disease, except for the question of sharing a bed:—

Summary of Cases Treated by Penicillin.

MATERNITY AND CHILD WELFARE SERVICE CLINICS.

The population of the Borough as estimated by the Registrar-General is 110,600 as compared with the pre-war estimated population of 144,400.

DETAILS OF HOME VISITING BY HEALTH VISITORS.

The following table shows the types of infant feeding and their incidence in the total infant population of the Borough.

The following table shows the attendances of infants and children under five years of age at the Municipal Health Centres:—

Table of Attendances at Toddler Clinics.

Percentage of Defects.

The arrangement with the School Health Service for children under five to attend the special clinics has continued during the year. Consultations and treatment were as follows:—

Attendances at Ante-Natal Sessions.

The following table shows the various institutions in which the confinements took place:—

Record of Municipal Midwifery Cases.

The following table shows the final results in each of the 14 cases of Puerperal Pyrexia notified during the year:—

WAR-TIME NURSERIES.

In this table, the original degree of infestation is indicated as follows:— * .. Infested, but bugs not evident on cursory examination. .. Badly infested, bugs evident. * .. Very badly infested, bugs abundant and immediately obvious. **** .. (One exceptionally bad case).