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0d. Swimming Baths Seven samples of water were taken during the year from the swimming baths at the Council's Public Baths and submitted for chemical analysis. Two samples were also taken from the open-air swimming pool in Victoria Park which is maintained by the London County Council. All the samples were reported by the Public Analyst as being in a satisfactory condition. Medical Examination of Council's Staff The Medical Officer of Health carried out the following medical examinations of members of the Council's staff:- Appointments and inclusion within Superannuation Scheme 84 Inclusion within Sick Pay Schemes 69 Absent through illness for over one month 50 Others 22 International Certificates of Vaccination and Inoculation Arrangements continued during the year for the authentication by the Medical Officer of Health of Certificates of Vaccination and Inoculation.
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These certificates are required by persons proceeding abroad from this country and the purpose of the authentication is to provide information to health authorities abroad that the signature of the person issuing the certificate is that of a registered medical practitioner. Land Charges Act, 1925 Information concerning sanitary notices and Orders outstanding on premises in the Borough and also details of drainage systems are provided to the Town Clerk in respect of applications under the above Act. Enquiries in respect of 372 premises were dealt with during the year. 44 SECTION G GENERAL PROVISION OF HEALTH SERVICES OTHER THAN THOSE PROVIDED BY THE BOROUGH COUNCIL 1. (a) Laboratory Facilities Bacteriological examinations are carried out by the Public Health Laboratory Service (directed by the Medical Research Council for the Ministry of Health) at the laboratory , County Hall, S.E.1. This laboratory is available for both medical and sanitary bacteriology.
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A stock of specimen outfits is maintained at the Public Health Department and these are issued to medical practitioners upon request. (b) Ambulance Facilities The London County Council which undertook responsibility for the provision of ambulance transport within the administrative County of London on the coming into force of the National Health Service Act, 1946 , continued to provide this service during 1963 2. Hospitals The following Hospitals in the Borough continued to be administered by the North East Metropolitan Regional Hospital Board:- Total bed complement * Bethnal Green Hospital 301 Mildmay Mission Hospital 56 Queen Elizabeth Hospital for Children (with a branch at Banstead) 232 ★ These figures do not necessarily represent beds staffed and in use. The London Chest Hospital designated a Teaching Hospital and under th control of a Board of Governors, is also situated within the Borough and the Tuberculo: Dispensary established at this Hospital, which serves Bethnal Green and part of the Borough of Hackney , continued to function during the year.
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The Little Folks Home at Bexhill is associated with the Queen Elizabeth Hospital for Children , and has a complement of 40 beds. 45 3. Personal Health Services The following information regarding the operation of the personal health services in the Borough during 1963 , has been furnished by Dr. A .L. Thrower, Divisional Medical Officer (Division 5) London County Council. (a) Services Available Day Nurseries Pritchards Road , E.2 University House , Sugar Loaf Walk , E.2. Maternity and Child Welfare Centres Greenwood , Peel Grove , E. 2. Rochelle. Club Row , E .2. School Treatment Centres:- Bethnal Green School Treatment Centre , Lyte Street, E.2. Rochelle Street Treatment Centre , Rochelle Street, E. 2. Foot Clinic Bethnal Green School Treatment Centre , Lyte Street, E.2.
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(b) Statistics Infant Welfare and Toddlers Sessions 1. Total number of children who attended during the year and who were born in (i) 1963 576 (ii) 1962 - under 1 337 1962 - over 1 98 (iii) 1958 - 1961 403 Infant Welfare Sessions 2. Total attendances 7 ,375 3. Total medically examined 3 ,299 46 Toddlers Sessions 1. Total attendances 368 2. Total medically examined 357 Ante and post natal clinics Total attendances 1 ,347 Health Visiting 1. Number of children visited who were born in:- 1963 663 1962 688 1958 - 61 1 ,563 2. Number of persons aged 65 and over who were visited 55 3. Number of mentally disordered persons visited 6 4.
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Number of persons visited who were discharged from hospital (other than mental hospital) 69 5. Number of tuberculous households visited 32 6. Number of infectious households visited (other than TB) 29 7 . Total effective visits 7 ,617 8. Total unsuccessful visits 2 ,400 Births (to residents) 1. Number of premature live births during the year 62 2. Number of such infants who died within 28 days of birth 5 47 Child minders 1 . Number of voluntary child minders registered and receiving fees at 31st December , 1963 14 2 . Number of statutorily registered minders at 31st December, 1963 - 3 . Number of children being minded (i) by voluntary minders 16 (ii) by statutory minders - Diphtheria Immunisation 1 .
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Number of children who completed a full course of primary immunisation and who at the date of the final injection were:(a) under 5 years 593 (b) aged 5 years and under 15 years (immunised in schools and centres and by general practitioners) 102 2. . Number of children given reinforcing injections 880 Vaccination 1. . Number of children vaccinated and revaccinated (all ages under 15) 56 Home Help Service Number of cases provided with home help service:- Maternity T.B. 65 plus Others (under 65) Total Northern District Office (Bethnal Green and part of Stepney and City of London) 6 23 832 195 1,056 Eastern District Office (Poplar and part of Stepney and Bethnal Green) 24 12 941 135 1 ,112
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Ack 2/11/65 Ac 4366 Public Health Dept BET 69 Metropolitan Borough of Bethnal Green ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH FOR THE YEAR 1964 s. a. boyd, M.D. (Vienna). D.P.H., Medical Officer of Health METROPOLITAN BOROUGH OF BETHNAL GREEN ANNUAL REPORT of THE MEDICAL OFFICER OF HEALTH For the Year 1964 S. A. BOYD, M.D.
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(Vienna)., D.P.H., iledical Officer of Health INDEX Page Public Health Committee 2 Staff 3 Vital Statistics 8 Causes of Death 9 Sanitary Circumstances of the Borough 11 Housing 22 Inspection and Supervision of Food 24 Prevalence of, and Control over, Infectious Disease 33 Genera.1 Provision of Health Services other than those provided by the Borough Council 37 PUBLIC HEALTH COMMITTEE Chairman; Councillor B.A. McCarthy Vice-Chairman: Alderman (Mrs.) A.M. Sivill Alderman H.J. Stubbs, J.P. Councillor R.H. Hare Councillor D.A. Bales " W. Hilliard " E. Bishop " A.M. Praag " (Mrs.) D.M. Couling " (Mrs.) B.L. Tat " J. Docherty " E.G.
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Walker Ex-Officio Members; The Worshipful the Mayor (Councillor L.A. Coan, J.P.) Alderman G.M. Browne " A.C. Jacob Councillor W.J. Griffiths " (Miss) II. Morsman " J. Orwell " A. Stocks Council's Representatives on the London County Council (Division 5) Health Committee: Alderman (Mrs.) A.M. Sivill and Councillor (Mrs.) D»M. Couling STAFF OF PUBLIC HEALTH DEPARTMENT Medical Officer of Healths S.A. BOYD, M.D.(Vienna), D.P.H. Public Health Inspectors Senior Public Health Inspector E.F. Swash ø Senior Housing Inspector and Deputy Senior Public Health Inspector S.R. Slater ø m District Inspectors J.W. Parton (left April, 1964) A.V.
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Sullivan ø (left January, 1964) D. Jenner ø m F.R. Hunter ø R.E. Williams m G.M. fimborne ø m (commenced November, 1964) T.E. Jones ø m (commenced November,1964) Administrative and Clerical Staff, etc. ' Chief Clerk J.E. Pestell Senior Clerk S.A. Wright Assistant Clerks R.F. Marshall C.ff. Foxton T.E. Oldfield General Clerk Mrs. J.E. Ingrey Junior Clerk F.C. Tulley Housing Assistant W.G. Kidson Pupil Public Health Inspectors P.J. Barnes D.R. Bower Health Officer Mrs.J.M.Harrold, S.R.N., R Assistant Welfare Officers Mrs. 0. Haga, S.R.N. Miss H.A.
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Haygarth, R.F.N, (commenced September, 1964) Other Employees Disinfectors 3 Female Cleansing Attendants 2 Rodent Operatives 4 ø Certified Public Health Inspector m Certified Meat, etc. Inspector 3 HEALTH DEPARTMENT, 227/233, Commercial Road, Stepney, E.l. To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Bethnal Green. Mr. Mayor, Ladies and Gentlemen, I have the honour to report on the health and sanitary circumstances of the Borough for 1964. This is the last Annual Report for Bethnal Green Council, as its independent existence will terminate on the 31st March, 1965. Perhaps this is an opportune time to pause and reflect on what was achieved over the years since May 1956, when I had the honour to become Medical Officer of Health for the Borough.
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Slum Clearance I represented 16 Areas for Slum Clearance and, together with individial Closing Orders dealt with 1,479 properties in this period which is one-tenth of the total number of dwellings in the Borough. This is not the sum total of slum clearance activities which so radically transformed Bethual Green into a pleasantly modernised area with a surprising number of new dwellings, since it does not include the slum clearance work of the London County Council. Clean Air Act. 1956 The implementation of this Act had a very slow start, indeed in the early days it looked very much as though it would not commence at all. The Council was greatly concerned that the price of smokeless fuel would be an added burden on the finances of the ratepayers, but, unexpectedly, a change of attitude to Clean Air came about and I was instructed to proceed with establishing smokeless zones. I had the advantage of the experience of those Boroughs who had started earlier.
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The Borough was divided into five areas and it was intended to complete the work in 5 years but subsequently it was found that this period could be reduced. The Orders were made as follows: 4 Smoke Control Area 1. 2. 3. 4. 5. Year Order Made 1959 1960 1961 1962 1962 The year following the making of each Order it became operative, with the exception of Area 4 where one solitary chimney of a factory burning wood waste held up progress. Eventually agreement was reached with the firm concerned but this Order did not become operative in 1963 and even failed to do so in 1964 (it will become operative on 1st July, 1965). Bethnal Green is in the fortunate position of having a large Park within its boundaries and there at least no contamination of air is taking place.
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Nevertheless this Borough was considered one of the blackest spots in London from the Clean Mr point of view, and I am pleased to report that the task of making the whole Borough a Smoke Control Area has now been completed. I know that this will contribute in no small measure to the well-being of the population. Old People's Welfare This is a service in which I have always been greatly interested. It is obvious that it is a problem which will demand more and more attention since there are increasing numbers of retired people living in the community. A number of amenities are provided for the old people by various voluntary organisations which perform excellent work in serving this section of the community. The Public Health Department's main task should be to locate those who are unable or unwilling to accept the services provided by the voluntary organisationsj unable because they may be physically incapacitated, unwilling because they may have isolated themselves to such an extent that they have to be guided back into society.
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There is a third large group who are well able to look after themselves or perhaps live with their families and who need no help, but even these should be known to us in case the picture changes as it so quickly can in old age. It was considered that in the population of Bethnal Green there must be some 9,000 Old Age Pensioners and it was my objective, with the help of the three Old People's Visitors, to get as many of them as possible known to the department. In 1963 some 1,200 became known which increased to over 5,000 by the end of 1964. Although this represented a high percentage of the total number of aged persons I had hoped to improve on this figure. It was intended to have every one on the list visited once a year at least and more often to those who needed attention depending on conditions found.
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5 I am sure that our activities have contributed to the well-being of the aged by visiting and bringing to their notice the various services available by statutory and voluntary organisations. Food Hygiene In this field perhaps standards did not rise to the extent I would have liked to see. The Pood Hygiene (General) Regulations 1960 gave us a powerful weapon to improve conditions generally but there are so many snail businesses which come and go with such rapidity that it is extremely difficult over a short period to institute improvements. I would pay that the better food establishments have improved beyond measure over the last eight years I have been in the Borough but I must confoss this improvement very often was undertaken by the proprietor himself without action by my Department. Owners must have found it to be good business to show a high standard of cleanliness. At the other end of the scale the very poor shops still remain very poor or have improved only slightly -there is much work yet to be done.
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The unsatisfactory standards of hygiene in Street Markets caused me to recommend to the Public Health Committee on a number of occasions that licences for the sale of open foods should not be granted. In 1959 the Committee agreed with my recommendations and referred them to the Street Trading Committee who resolved that no new applications for licences to sell meat, fish and poultry should be considered. It follows that in due course the sale of all such open foods in the street markets of the Borough will cease. The foregoing are some of the positive contributions that were made to environmental health improvement. Perhaps the most important negative point is that in the past 8 years there has not been a serious outbreak of infectious disease this may be due not so much to my vigilance as to the fact that such outbreaks occur only on rare occasions in this country.
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Statistics; During 1964 the Registrar-General estimated the population to be 46,420 as compared with 50,940 in 1957, a reduction of 4,520; it is considered that no further reduction will take place, but possibly a slight increase in the future. As to causes of death I have to report again, as I have done in previous years, on the number of deaths from cancer of the lung. There were 31 male and only 3 female deaths from this disease. The difference is remarkable and no doubt due to the fact that in times past women did not smoke. I am afraid in years to come this marked 6 difference will be greatly reduced, and that the number of such deaths among women will increase as their use of the "noxious weed" increases. Of the men 16 died before the age of 65 and all the women beyond that age.
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The second cause of death showing a marked difference between the sexes is coronary disease, the figures being 60 males and 35 females. Of the male deaths 25 occurred before the age of 65, and of the females 3 occurred before that age. Other causes of death of special interest are motor vehicle accidents, being 6 deaths in all, 4 male and 2 female distributed at random between the ages of 5 and 65. Under the heading of other accidents, there were 4 deaths, 2 male and 2 female. The cause of death in these cases very often is due to accidents in the home. A matter of special note is the number of suicides for the year which totalled 11, 6 males and 5 females. This is a most unusual occurrence for Bethnal Green and I hope it is but an isolated instance.
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The three last mentioned causes of death must be considered preventable and should be taken note of and followed up to observe the trend. Action has been taken with the aid of Health Education to reduce road accidents and home accidents. The Council is conscious of the problem of suicide amongst people who become isolated and unable to cope with their problems and is contributing to support the functions of the Samaritan organisation, accepting that there is need for preventive work in this field. In conclusion, I wish to thank the Chairman and Members of the Public Health Committee for their encouragement and support and I acknowledge too the co-operation of other Chief Officers and their staffs. I wish also to convey my appreciation to every member of the Department and as this address is a survey of the past eight years I wish, to thank those members of the staff who have worked with me and who have since retired or transferred to other posts. I have the honour to be, Your obedient Servant, S. A. BOYD,
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Medical Officer of Health August, 1965* 7 SECTION A VITAL STATISTICS Live Births; Number 825 Rate per 1,000 population 17.7 Illegitimate Live Births (per cent of total live births) 10.8 Stillbirthss Number 17 Rate per 1,000 total live and stillbirths 37 Total live and stillbirths Rate per 1,000 population 18.1 Infant Deaths (deaths under 1 year) 14 Infant Mortality Rates: Total infant deaths per 1,000 total live births 16.9 Legitimate infant deaths per 1,000 legitimate live births 16.3 Illegitimate infant deaths per 1,000 illegitimate live births 22.4 Neo-natal Mortality Rate (deaths under 4 weeks per 1,000 total live births) 3.1 Early Neo-natal Mortality Rate (deaths under 1 week per 1,
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000 total live births) 6.1 Perinatal Mortality Rate (stillbirth and deaths under 1 week combined per 1,000 total live and stillbirths) 26.1 Maternal Mortality (including abortion) Number of deaths 1 Rate per 1,000 total live and stillbirths 1.2 Death Rate per 1,000 estimated population 10.5 During 1964 the Registrar-General estimated the population as 46,420 which is 330 more than in the previous year. The causes of death are shown in Table 1, which follows: 8 Table 1 CAUSES OF DEATH CAUSE OF DEATH ALL AGES Age Groups Total M F -1 1- 5- 15- 25- 35- 45- 55- 65- 75- 1 Tuberculosis, respiratory 2 1 1 - - - - 1 - - - - - 2 Tuberculosis,
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other - - - - - - - - - - - - - 3 Syphilitic disease - - - - - - - - - - - - - 4 Diphtheria - - - - - - - - - - - - - 5 Whooping Cough - - - - - - - - - - - - - 6 Meningococcal infection - - - - - - - - - - - - - 7 Acute Poliomyelitis - - - - - - - - - - - - - 8 Measles - - - - - - - - - - - - - 9 Other infective and parasitic diseases - - - - - - - - - - - - - 10 Malignant neoplasm, stomach 17 11 6 - - - - - 2 - 7 2 6 11 Malingnant neoplasm, lung,
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bronchus 34 31 3 - - - - - - 5 11 11 7- 12 Malignant neoplasm, breast 6 - 6 - - - - - 1 2 1 1 l 13 Malignant neoplasm, uterus 6 - 6 - - - - - - 2 1 3 14 Other malignant and lymphatic neoplasms 49 28 21 - - - 1 - 2 5 8 11 22 15 Leukaemia, aleukaemia 1 1 - - - - - - - - 1 - 16 Diabetes 8 1 7 - - - - - - - 2 - 5 17 Vascular lesions of nervous system 47- 19 28 - - - - - 1 4 10 15 17 18 Coronary disease,
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angina 95 60 35 - - - - 1 4 2 21 27 40 19 Hypertension with heart disease 3 2 1 _ - - - - - - - 1 2 20 Other heart disease 34 16 18 - - - - 2 mm 2 4 7 19 21 Other circulatory disease 21 8 13 - - - - - 2 7 12 22 Influenza - - - 1 - - - - - - - - _ Table 1 (Contd.)
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cattse of death all ages Age Groups Total M P -1 1- 5- 15- 25- 35- 45- 55- 65- 75- 23 Pneumonia 44 21 23 3 - - - - - - 7 11 23 24 Bronchitis 42 26 16 - - - - - - 1 11 15 15 25 Other diseases of respiratory system 4 2 2 - - - - - - - 1 1 2 26 Ulcer of stomach and duodenum - - - - - - - - - - - - - 27 Gastritis,
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enteritis and diarrhoea 3 2 1 1 - - - - - - - 2 - 28 Nephritis and nephrosis 3 - 3 — - - - - - 1 - 1 1 29 Hyperplasia of prostate 1 1 - - - - - - - - - - 1 30 Pregnancy, childbirth, abortion 1 - 1 - - - - 1 - - - - - 31 Congenital malformations 5 3 2 5 - - - - - - - - - 32 Other defined and ill-defined diseases 36 16 20 4 - 2 1 - 1 1 4 8 15 33 Motor vehicle accidents 6 4 2 - - 1 1 1 1 - 2 - - 34 All other accidents 4 2 2 - 1 2 - - - - 1 - - 35 Suicide 11
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6 5 - - - 1 1 - 2 5 1 1 36 Homicide and operations of war 2 - 2 1 - - - - 1 - - - - Males - 261 - 6 1 3 1 5 10 15 72 65 83 Females 224 8 - 2 3 2 3 12 25 60 109 GRAND TOTAL, 485 14 1 5 4 7 13 27 97 125 192 SECTION B SANITARY CIRCUMSTANCES OF THE BOROUGH Water Supply Water for domestic purposes in the Borough is obtained in all cases from the Metropolitan Water Board. Bacteriological and chemical examination of the water is carried out at frequent intervals by the Metropolitan Water Board, but following complaints two samples from domestic premises were submitted for chemical analysis and reported upon as satisfactory.
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Notices were sent to the Board in 25 cases where wastage of water due to defective pipes or fittings was observed. Luring the year 493 new premises were certified as having a proper and sufficient water supply in accordance with Section 95 of the Public Health (London) Act, 1.936, In addition to the supply from the Metropolitan Water Board, there are four wells in use in the Borough. These are as followss Attached to Council's Public Baths 1 (not used for domestic purposes) Attached to a hospital 1 (used for all purposes) Supplementary supply for industrial purposes 2 (used for refrigeration purposes only) These wells are sampled at regular intervals. Sewerage and Sewage Lisposal Arrangements for sewerage and sewage disposal in the Borough are adequate.
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Sanitary Inspection of theBorough Following the 1,707 complaints of insanitary conditions, defects were found requiring the service of Intimation Notices in 946 cases, in accordance with the Public Health (London) Act, 1936. Of these, Statutory Notices were required in 255 instances and legal proceedings were instituted in 12 cases. In addition, 22 notices in accordance with the London Comity Council (General Powers) Act, 1955 > Section 27, were served. In connection with the supervision of drainage works a total of 1,165 inspections were made during the year and an ever increasing amount of time is spent by the Inspectors in the examination of drawings submitted for proposed new buildings or amendments to existing buildings. Fifty-two notices in accordance with Section 25 of the London County Council (General Powers) Act, 1955, were served. Defects covered related mainly to chokages and defects in drains requiring urgent attention.
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In 16 instances the necessary work was carried out by the Council and the expenses incurred recovered from the owners of the properties. Table 2 RECORD. OF VISITS Bakehouses 15 Baker Shops 43 Butchers 100 Canteens 95 Confectioners 104 Eel and Pie Shops 7 Pish Curers 3 Pried Fish Shops 18 Fruit and Greengrocery 86 Grocers 192 Ice Cream 131 Licensed Premises 246 Milkshops 94 Restaurants 259 Slaughterhouses (Poultry) 2 Street Stalls 150 Miscellaneous Pood Premises 175 ?
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415 Food Poisoning 23 Complaints Investigated 1,707 Aged and/or infirm Persons 44 Factories 1,142 Outworkers 115 Housing Enquiries 246 Houses Let in Lodgings 58 Drainage Works 1,165 Rent Act 5 Smoke Observations 141 Shops Act 296 Miscellaneous 1,976 Re-inspectIons 4,574 Clean Air Act 62 Total 13,698 13 Table 3 SANITARY DEFECTS IN CONNECTION WITH WHICH NOTICES WERE SERVED Dirty and/or dilapidated rooms 452 Defective drains and choked w.c.'s 143 Defective and dirty w.c.
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's 571 Defective water supply 17 Defective paving 20 Defective gutters and rain water pipes 148 Defective roofs 240 Dampness 259 Defective dustbins 37 Smoke Nuisances 32 Accumulation of refuse 99 Other defects 909 Total 2,927 Supply of Dustbins In 10 cases during the year notices were served on Owners of properties in accordance with Section 12 of the London County Council (General Powers) Act, 1954. requiring the provision of new dustbins. Legal Proceedings It was found necessary on 12 occasions during the year to take legal proceedings to enforce compliance with the requirements of Notices served. In two of these cases Prohibition Orders were made by the Justices with the infliction of costs amounting to £6.0s.0d. Premises; 64 and 60, Fuller Street. In one case a Closing Order was granted. No costs. Premisess 50, Pollard Row.
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In 9 cases summonses were withdrawn owing to the nuisances being abated prior to the date of hearing, the defendants paying expenses amounting to £12.12s.0d. 14 Factories, Workshops and. Workplaces The provisions of the Factories Act, 1961 are administered by H.M. Inspector of Factories of the Ministry of Labour and National Service, in conjunction with the local sanitary authority. Close co-operation is maintained between the two, and defaults found in the course of visits to factories are notified between one and the other according to the body responsible for remedial measures. The principal duties of the sanitary authority are the enforcement of Sections 1,2,3,4,6 and 7 of the Factories Act, 1961, insofar as non-power factories are concerned, and Section 7 only in respect of power factories.
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Factories and Workplaces in this Borough carrying on a variety of trades number 1,233 and a total of 1,909 inspections and reinspections were made during the year. The following Tables give details of work carried out under the Factories Act, 1961 during the year;- 15 Table 4 INSPECTIONS FOR THE PURPOSE OF PROVISIONS AS TO HEALTH Premises Number on Register Number of Inspections Written Notices Occupiers Prosecuted 1. Factories in which Sections 1,2,3,4 and 6 are to be enforced, by Local Authorities 459 579 114 2. Factories not included (l) in which Section 7 is enforced by the Local Authority 757 1,056 255 3.
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Other premises in which Section 7 is enforced by the Local Authority 18 274 2 - TOTALS 1,233 1,909 371 16 Table 5 CASKS III WHICH DEFECTS WERE FOUND Particulars No. of Cases in which Defects were found No.of cases in which prosecutions were instituted Found Remedied Referred To E.I.I. Inspector By H.M.
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Inspector Want of cleanliness 26 22 3 __ - Overcrowding - - - - - Unreasonable temperature - - - - - Inadequate ventilation; 1 1 1 - - Ineffective drainage of floors - - - - - Sanitary conveniencess- (a) Insufficient 1 1 l 1 - (b) Unsuitable or defective 527 445 - 15 - (c) Not separate for sexes - - - - - Other offences against the Acts (not including offences relating to outwork) 152 121 4 1 TOTALS 707 588 9 17 - Outworkers (Section 155(l)(c)) Twice yearly, February and August, the Factories Act, 1961, requires all employers of outworkers in the Borough to forward to the Local Authority a list giving the names and addresses of all persons employed by them in homework during the previous six months.
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Of the 590 names of outworkers which appeared on the employers lists received in August, 122 were given as residing within the Boroughs in addition, 100 names of outworkers residing in Bethnal Green were forwarded from other Councils. Number of Outworkers in August lists required by Section 133(l)(c) Wearing apparel (making etc.) 134 Curtains and furniture hangings 18 Brushes 2 Boxes 62 Lampshades 2 Christmas Crackers, etc. 3 Umbrellas 1 222 Section 135. There was no case of default in sending lists to the Council. Section 154. There was no instance of work being carried on in unwholesome premises. Offices. Shops and Railway Premises Act, 1965 This Act came into operation during the year giving the appropriate authorities the powers to secure the health, safety and welfare of employees with relation to the following matters 1.
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Cleanliness, overcrowding, temperature, ventilation and lighting of premises. 2. Adequate sanitary conveniences and washing facilities. 3. Adequate supply of wholesome drinking water and sufficient and suitable accommodation for clothing. 4. Proper seating to be provided for sedentary work. 5. Suitable sufficient facilities for persons employed to work in shop premises who eat there. 18 6. Provisions about the fencing of exposed parts of machinery and the avoidance of exposure of young persons to danger in cleaning machinery and the training and supervision of persons working at dangerous machines. 7. Power for the Minister to make regulations for securing health and safety and for controlling noise and vibration. 8. Prohibition of heavy work likely to cause injury. 9. Provision for adequate first aid. 10. Adequate fire precautions and means of escape in case of fire. 11. Proper notifica.tion of accidents.
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Up to the end of the year, 256 applications for registration (Form OSR.l) were received by the Department. Disinfection and Dlsinfestation The following is a summary of the routine work carried out by the disinfecting staff during the year;- Number of rooms disinfested 1,491 Articles of clothing, bedding, etc. submitted to steam disinfection 1,210 Articles disinfected by formalin 364 Hospital mattresses, pillows, etc. disinfected 10,294 Number of articles destroyed by request 1,131 760 sites, yards, etc. were treated with insecticide and 447 rooms were disinfested prior to rehousing of occupants by the Borough Council. Personal Cleans in,Station During the year, 3 persons had baths for verminous conditions at the Personal Cleansing Station, simultaneous disinfection of clothing being carried out. In addition, 8 persons received treatment for Scabies at the Station.
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Public Health Inspectors visit and advise in all cases of scabies and in those cases where verminous conditions persistently recur. During the year the mobile bathing equipment for the cleansing, by consent, of aged persons in their own homes where the persons concerned are so enfeebled as not to be able to attend at the Personal Cleansing Station was used on 805 occasions. This is a complicated and difficult service but one which is most worth while and for which the homebound and often disabled persons concerned are very thankful. 19 Laundry Service for Incontinent Persons The arrangement with Hackney Borough Council for the laundering of articles of bed linen and personal clothing from incontinent persons continued during the year. There were 976 collections and deliveries compared with 174 during 1963 This service continued to expan . during the year particularly during the latter part when a regular twice-weakly collection of soiled articles was ensured.
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Twenty-six cases received the service in 1964 and the twice-weekly collection resulted in several hundreds of items being laundered. Prevents on of Damage by Pests Act, 1949 During the year, 266 complaints of infestation by rats or mice were received and in most cases of rat infestation smoke tests of the drainage of the premises affected were carried out by the rodent operatives under the supervision of the Public Health Inspectors. Systematic baiting and poisoning was carried out by the Rodent Operatives, with satisfactory results. In accordance with the suggestion of the Ministry of Agriculture, Fisheries and Pood, all sewers under the control of the Council were baited twice during the year.
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National Assistance Act, 1948 Under Section 47 of the National Assistance Act, 1948, as amended by the National Assistance (Amendment) Act, 1951 provision is made whereby a court of summary jurisdiction may make an order for the removal of ill, infirm or incapacitated persons who are not receiving proper care and attention. During the year five applications were made for orders for removal to hospital or institution, and removal orders were granted in each instance. Old People's Welfare The Old People's Welfare Committee, comprising representatives of the Council and the various local organisations and social settlements, continued to provide all possible assistance to old people in the Borough by the provision of clubs, meals-on-wheels, chiropody, holidays and outings, etc. The Department's three welfare visitors continued to assist in 20 the provision of all possible help to aged and infirm persons in the Borough and during the year under review they carried out 10,331 visit and interviews.
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2,011 new cases were added to the register and 243 cases were removed therefrom. At the end of the year, there were 3,828 cases on the register. Offensive Trades There are two premises in the :3orough carrying on offensive trades, one being the business of a fur skin dresser and the other a poultry slaughterhouse. Six inspections were made in 1964, notice being served. Rag Flock and Other Filling Materials Act, 1951 This Act provides for the licensing by the local authority of all premises used for the manufacture and/or storage of filling materials to which the Act applies, and for the registration of certain premises where such materials are used in upholstering, stuffing or lining of bedding, toys, baby carriages, etc There are no premises in the Borough where rag flock or other filling materials are manufactured but 20 premises are registered for the use of such aterials in the trades conducted therein.
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Pet Animala Act1_1951 The operation of this Act is very important in Bethnal Green on account of the well-known Sunday morning dog market which has been held in Bethnal Green for many years and which serves both vendors and purchasers throughout the whole of the County of London and even beyond. During the year 8 licences for the sale of pet animals were granted in respect of shops and 49 licences in respect of stalls. Common Lodging Houses There are no Common Lodging Houses in the Borough. Clean Air Turing the year, the Minister of Housing and Local Government confirmed No.4 Smoke Control Order which comes into operation on 1st July, 1965. This area, covers the last outstanding portion of the Borough which had not been subject to such control. 21 SECTION C HOUSING Clearance Areas During the period under review representation of unfit properties included in the agreed slum clearance programme continued.
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The following areas were so dealt with:- Linden Buildings (Bethnal Green Borough Council) Gathorne Street Do Alias Road (London County Council) Nelson Gardens Do Wennington Road Do Areas which were the subject of Public Inquiry during the year were as follows:- Fountain Street (Bethnal Green Borough Council) Gathorne Street Do Pollard Street Do (Mansford Buildings) Alias Road (London County Council) Closing of Unfit Houses Twenty closing orders were made during the year under Section 17 of the Housing Act, 1957. Thirty-nine closing orders were made under Section 18 of the Act in respect of parts of buildings found to be unfit for habitation. Housing Statistics Inspections of dwelling-houses during the years:- No. of initial visits to dwelling houses on complaint 1,707 No. of dwelling houses inspected with a view to action under Part II of the Housing Act, 1957 2,697 No.
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of dwelling houses visited for any other reason 4,354 Total number of re-inspections for any of the reasons set out above 4,803 No. of unfit or defective houses made fit or repaired as a result of informal action 989 22 Action under Statutory Powers Public Health (London) Act. 1936 Number of houses in which defects were remedied after service of formal notice:- (a) By Owners 501 (b) By Local Authority in default of owners 16 23 SECTION D INSPECTION AND SUPERVISION OF FOOD The following table gives the number of food premises in the Borough, by type of business, the number registered under Section 16 of the Food and Drugs Act, 1955, or the Milk and Dairies (General) Regulations, 1959, inspections made thereat and notices served. Table 6 INSPECTION OF FOOD PREMISES Type Number in Borough Number Registered isits Notices served Bakehouses 15 43 3 Bakers Shops
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16 - 33 2 Butchers 40 35 104 9 Canteens 58 - 56 8 Confectioners 59 - 70 7 Eel and Pie Shops 7 7 13 1 Fish Curers 3 3 5 - Fried Fish Shops 10 10 21 1 Fruiterers/Greengrocers 42 - 71 6 Grocers 71 3 198 17 Ice Cream Premises 126 126 259 7 Licensed Premises 124 - 309 49 Milkshops and Dairies 85 85 234 9 Miscellaneous 42 - 52 2 Poultry Slaughterhouses 1 - 4 1 Preserved Food 2 1 9 1 Res taurants 66 - 286 31 Schools Meals Kitchens 24 - 54 - Street Stalls 195 - 23 7 Wholesale Food 7 - 17 2 Totals 993
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270 1861 163 24 Food Hygiene (General) Regulations 1960 Continuing the Council's policy of improving and maintaining higher standards of hygiene and cleanliness in the many food shops and stalls in the Borough, the Food Hygiene (General) Regulations 1960 were extensively applied. Sixty-three notices under the Regulations were served in respect of the following contraventions: Regulation No. Particulars Number of contraventions 5. Food business carried on at premises where conditions might expose food to risk of contamination. 17 6. Equipment used in food preparation not kept clean or in good order. 34 8. Persons engaged in handling food failing to prevent it being exposed to risk of contamination. 13 9. Persons engaged in handling food either not personally clean or indulging in the use of tobacco. 2 14. Sanitary conveniences either not clean or unsuitable or lacking "hand washing" notices. 44 15.
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Proper supply of water either lacking or insufficient. 2 16. Inadequate hand-washing facilities or such facilities not maintained in clean and proper state. 12 17. First-aid materials either lacking or insufficient. 1 18. Accommodation for storage of staff clothing either lacking or insufficient. 7 19. Inadequate facilities for washing food and equipment. 5 21. Unsuitable or insufficient means of ventilation to food rooms. 3 22. Food room communicating with sleeping place. 1 23. Food rooms in unclean, unsuitable or defective condition. 111 24. Accumulations of refuse or waste material in food rooms. 8 25 Regulation No. Particulars Number of contraventions 25. Food improperly stored above certain temperature. 1 26. Food stall not kept in clean and proper condition. 4 27.
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Food stalls without suitable covered receptacles for waste or lacking in adequate screening. 5 28. Food stalls without adequate personal cleansing facilities. 3 29. Transport of meat in dirty vehicle. 1 During the year legal proceedings in respect of food premises were taken as follows:- Food and Drugs Act, 1955 1) Selling a steak and kidney pie which contained mould. Defendants were fined £40, with £10.10s.0d costs. Defendants appealed against conviction. The appeal was dismissed and Council awarded 50 guineas costs. 2) Selling bread and butter, the butter spread thereon consisting of a mixture of not more than one part butter and not less than one part margarine. Defendants were fined £20, with £5.0s.0d costs. Food Hygiene (General) Regulations, i960 Failing to refrain from the use of tobacco while handling open food in a food room.
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In 6 cases, defendants were fined a total of £60, with £2 costs in one case. Summonses were taken out against occupiers of food premises in respect of the undermentioned offences, and the Justices imposed fines and awarded costs to the Council as follows:- l). (i) Permitting water ice to be so placed as to involve risk of contamination. (ii) Failing to keep clean the compartment containing a sanitary convenience. 26 (iii) Failing to keep clean the floor, drainage channels and gratings of a food room. (iv) Failing to keep the ceiling of a food room clean and in such good order, repair and condition as to enable it to be effectively cleaned. Total fines £55. Costs £3.3s.0d. 2). (i) Failing to keep in efficient order a sanitary convenience. (ii) Failing to provide lighting and ventilation to the compartment containing a sanitary convenience.
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(iii) Failing to provide and maintain a wash-hand basin. (iv) Failing to provide and maintain an adequate supply of hot water. (v) Failing to ensure that works affecting the structure of a food room were completed so as to enable it to be effectively cleaned and prevent risk of infestation by rats, mice and insects. Total fines £50. Costs £3.0s.0d. 3). (i) Failing to refrain from the use of tobacco while handling open food in a food room. (ii) Failing to affix and maintain a clearly legible notice requesting users to wash their hands after using the sanitary convenience. (iii) Failing to provide and maintain a supply of soap, a nail brush and clean towel. (iv) Failing to keep the floor of a food room in such good order, repair and condition as to enable it to be effectively cleaned.
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(v) Allowing refuse and filth to accumulate in a food room Total fines £40. Costs £3.3s.0d. 4). (i) Failing to keep clean the food preparation table. (ii) Failing to maintain the food preparation table in such good order, repair and condition as to enable it to be thoroughly cleaned. (iii) Failing to affix and maintain a clearly legible notice requesting users to wash their hands after using the sanitary convenience. (iv) Failing to provide and maintain a wash-hand basin. (v) Failing to keep clean the sink used in a food room. 27 (vi) Failing to keep clean the walls, floor, windows and woodwork of a food room. Total fines £35. Costs £3.3s.0d. 5). (i) Failing to maintain the food preparation table in such good order, repair and condition as to enable it to be thoroughly cleaned.
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(ii) Failing to refrain from spitting. (iii) Failing to affix and maintain a clearly legible notice requesting users to wash their hands after using the sanitary convenience. (iv) Failing to provide and maintain for the wash-hand basin an adequate supply of hot water. (v) Failing to provide and maintain a supply of soap, a nail brush and clean towel. (vi) Failing to provide and maintain bandages, dressings and antiseptic for first-aid treatment. Total fines £30. Costs £5.0s.0d. 6). (i) Failing to keep clean the serving counter of stall. (ii) Failing to provide and maintain an adequate supply of clean and wholesome water. (iii) Failing to provide and maintain a supply of soap, a nail brush and clean towel. (iv) Failing to keep clean the basins, pails and cloths used in the food business.
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Total fines £4. Costs £1.0s.0d. Unsound Food During the year under review the Public Health Inspectors examined and took appropriate action in relation to unsound food on 101 occasions. Details of the food together with quantities are set out as follows:- Tons Cwts. Lbs. Tinned Ham 81 16 14¾ Other Tinned Meat 5 33¾ Carcase Meat 62¼ Carrots 5 60 Various 14 82 7 72¾ 28 Other Foodstuffs Fruit 834 tins Vegetables 94 " Frozen Foods 376 packets Sweet Confectionery 63 " Steak and Kidney Pies 2 Various 9 tins, 3 jars, 1 packet. In addition, 2 gallons of Water Ice were seized at food premises in the Borough, condemned and destroyed.
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Also, a large quantity of sweet confectionery and 133 containers of various foodstuffs were surrendered after fires at two food shops in the Borough, condemned and destroyed. Milk Sampling Seven formal samples of milk (6 genuine, 1 irregular) were taken as follows:- Milk 3 Hot Milk 4 (of which 1 irregular) Proprietor of restaurant interviewed by Medical Officer of Health and assurances given that technique of filling containers and heating milk would be safeguarded in future. Swimming Baths Nineteen samples of water were taken by the London County Council from the swimming baths at the Council's Public Baths for chemical and bacteriological analyses. All were satisfactory. 29 0£ Table 7 SUMMARY OF ANALYST'S REPORTS Mr.W.B.Chapman, B.Sc.,F.R.I.C., is Public Analyst for the Borough and Mr.J.H.Barker, B.Sc.,F.R.I.C. is Deputy Public Analyst.
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Both these officers are on the staff of the Scientific Branch of the London County Council. Out of a total of 129 samples (18 formal and 111 informal) examined by the Public Analyst during 1964, 34 samples were found to be adulterated or irregular, 3 formal and 31 informal, as follows ARTICLE SAMPLES TAKEN FORMALLY SAMPLES TAKEN INFORMALLY Total number of samples taken No. taken Genuine Adulterated or Irregular No.
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taken Genuine Adulterated or Irregular Bread and Butter 1 - 1 3 1 2 4 Canned preparations - - - 9 7 2 9 Dried Fruit - - - 3 4 4 8 Fats - - - 8 8 - 8 Meat and Meat preparations 2 1 1 7 4 3 9 Milk 7 6 1 - - - 7 Preserves - - ~ 14 5 9 14 Soft Drinks - 1 - - 5 4 l 5 Wilisky and Sherry 8 ; 0 i - - - 8 Various i - 57 47 10 57 Total 18 15 3 111 80 31 129 Table 8 Action taken in regard to samples reported by the Public Analyst to be not genuine:- Sample No.
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Article Result of Analysis Action 1 Tomato Paste Contained excessive amount of copper Further samples to be taken 3 Beetroot containing glass Broken glass present having similar physical characteristics to glass of jar Greater care in inspection of containers to be taken 8 Hot Milk Contained 14 per cent extraneous water Technique of filling containers and heating milk to be safeguarded in future 11 Bread slices Contained small amount of dark coloured dough containing a poppy seed and fragments of carbon Verbal caution. No danger to health - No further action 26 Pork Luncneon Poll Contained only 60 per cent total meat Further samples to be taken 28 Liver Sausage Contained only 64 per cent total meat Letter of caution 35 Bread slices Contained small amount of dark coloured dough containing particles of burnt crust Letter of caution. No danger to health No further action.
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50 Pork Luncheon Meat Contained only 65 per cent meat Further samples to be taken 52 Frozen Peas Contained small accumulation of fibrous parts of pea plant No danger to health No action. 53 Sultanas Contained dark material consisting principally of fragments of sultanas No danger to health No action 31 54 Honeycomb Crunch Contained fragments of fly Legal proceedings instituted but subsequently withdrawn on technicality 55 Bread Contained portion of dough containing charred crust and traces of oil No danger to health no action 64 Chocolate Nougat Bar Contained particle consisting of dental filling material No action 66 Frozen Runner Beans Contained fibrous material from plants, probably thistledown No action 71 Bread and Butter Spreading consisted of 3 parts margarine to 1 part butter Further sample taken.
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See No.74 72 Bread and Butter Spreading consisted of 1 part margarine to 4 parts butter Further samples to be taken 74 Bread and Butter Spreading consisted of equal parts of butter and margarine Prosecutions Fine £20, Costs £5- 76 Heat Patty Mould present on pie. Unfit for human consumption when received On account of delay, impossible to certify that at time of sale, food was unfit for human consumption 77 Orange Drink Contained metal foil bottle cap which had been subjected to cleansing process Verbal caution. No danger to health no further action 90 Mixed Cut Peel Contained only 57 Per cent soluble solids whereas not less than 64 per cent should be present Letter sent to distributor With regard, to 14 irregular samples, the label in each case failed to comply with the requirements of the Labelling of Food Order, 1953. All these irregularities have been dealt with satisfactorily.
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32 Ice Cream Seven samples of ice cream were submitted, to the Methylene Blue Test and graded as follows:- Grade 1 2 Grade 2 2 Grade 3 1 Grade 4 2 The sample graded 3 was followed by further samples from the. manufacturer concerned; these samples were reported as satisfactory. In the case of the two samples graded 4, one retailer ceased the manufacture of ice cream and the other case was referred to the / borough concerned. SECTION E PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASE The total number of notifications of infectious disease, excluding Food Poisoning, during 1964 was 546 as compared with 442 in 1963 and 662 in 1962. The number of cases notified is shown in Table 9 which follows and requires no special comment 33 Table 9 INFECTIOUS DISEASE NOTIFICATIONS DISEASE Age in years Total Notified Corrected Figure Removed to Hospital 0-1
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1-2 3-4 5-14 15-24 25-44 45-64 65- Diphtheria - - - 1 1 - - 2 - 2 Scarlet Fever - 5 16 24 3 - - - 48 46 5 Puerperal Pyrexia - - - - - - - - - - - Ophthalmia Neonatorum 2 - - - - - - - 2 2 - Erysipelas - - - - - 1 4 - 5 5 2 Meningococcal Infection - - - - - • - - - - - Acute Encephalitis - - - - - - - - - - - Acute Poliomyelitis - - - - - - - - - - - Acute Pneumonia - - - - - - 1 1 2 2 1 Paratyphoid 'B' - - -
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- - _ - - - - - Dysentery 2 11 12 19 5 8 3 2 62 62 14 Measles 27 95 100 129 1 - - - 352 351 17 Whooping Cough 7 6 10 13 - - - - 36 34 10 Scabies - - 2 4 3 2 1 1 13 13 2 Pulmonary Tuberculosis - - - 1 1 11 9 - 22 22 - Meninges and C.N.S.
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- - - - - - - - - - - Other forms - - 1 - - - 1 2 2 2 TOTALS 38 117 140 191 14 23 18 5 546 539 53 34 Tuberculosis During the year formal notifications (corrected) under the Public Health (Tuberculosis) Regulations, 1952, were received in respect of 22 cases of respiratory tuberculosis and two non-respiratory as compared with 32 respiratory cases and three non-respiratory cases for the previous year.
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The following table gives details of the age and sex incidence of these cases:- Table 10 Primary Notification Age Periods 0- 1- 2- 5- 10- 15- 20- 25- 35- 45- 55- 65- Total Respiratory males - - - - - - 1 1 6 3 5 - 16 Respiratory females - - - - l - - 2 2 1 - - 6 Non-respiratory males - - - - - - - - - - - 1 1 Non-respiratory females - - - 1 - - - - - - - - 1 In addition to the above, information was received of 18 other cases by transfers from other areas. There were two deaths during the year certified as being due to tuberculosis and death accounted for 17 removals from the Register.
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Sixteen other cases were removed as cured, 25 cases taken off the register were transfers to other areas, and four cases were taken off as "lost trace". The following table shows the number of cases on the Tuberculosis Register at the end of 1963, variations which have taken place during the year, and the number of cases remaining on the Register on the 31st December, 1964. 35 Table 11 Pulmonary Non-Pulmonary Total Males Females Males Females No. of cases on register 1.1.64 331 250 49 51 681 No. of cases notified during 1964 16 6 1 1 24 Other cases added to register during 1963 11 6 1 - 18 358 262 51 52 723 No.
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of cases removed from register during 1963 36 21 2 3 62 Remaining on register 31.12.64 322 241 49 49 661 Contacts or Carriers of Infectious Disease. Circular 115/48 of the Ministry of Health empowers the Medical Officer of Health to issue certificates to persons who have teen in contact with or who are carriers of infectious disease, thus enabling them to claim sickness benefit under the National Insurance Acts, when he deems it necessary to require a contact or carrier of infectious disease to stay away from work. During the year under review two such certificates were issued. 36 R6/68