Ac 4378 BER 56 Borough of Bermondsey REPORT ON THE SANITARY CONDITION OF THE BOROUGH OF BERMONDSEY For the Year 1943 BY D. M. CONNAN, M.D., D.P.H., Medical Officer of Health BER 56 Borough of Bermondsey REPORT ON THE SANITARY CONDITION OF THE BOROUGH OF BERMONDSEY For the Year 1943 BY D. M. CONNAN, M.D., D.P.H., Medical Officer of Health TABLE OF CONTENTS PUBLIC HEALTH DEPARTMENT— PAGE Public Health Committee 4 Maternity and Child Welfare Committee 4 Staff 5 VITAL STATISTICS— Area 8 Population 8 Births 8 Deaths 9 Marriages 9 Infantile Mortality Rates 10 Deaths from Tuberculosis 10 Vital Statistics of District 11 Causes of Death 12 Infantile Mortality, Causes of Deaths 14 INFECTIOUS DISEASES— Diseases Notifiable 15 Diphtheria Prevention 15 Disinfection 16 Cleansing Station 16 Bacteriological Laboratory 17 Food Poisoning 17 Insulin for Diabetic Patients 17 Nursing 18 Cases Notified in 1943 19 Cases Notified for last ten years 20 TUBERCULOSIS— New Cases and Deaths 21 Period between Notifications and Deaths 21 Nursing, Extra Nourishment and Shelters 22 Tuberculosis Allowances 22 Work of the Tuberculosis Dispensary 23 Summary of Notifications 24 Cases on the Register 25 LIGHT TREATMENT, ELECTRO-THERAPY AND MASSAGE— Work done in the Solarium 26 MATERNITY AND CHILD WELFARE— PAGE Fairby Grange Convalescent Home 27 Child Life Protection 27 Home Helps 27 Work of the Health Visitors 28 Attendances at Centres 29 Extracts from Vital Statistics, 1943 30 DENTAL TREATMENT— Particulars of Children Treated 31 Particulars of Treatment and Work for 1943 32 CONSULTATION AND OTHER CLINICS— X-ray Department 33 Post-Natal and Special Clinics for Women 34 Heart Clinic 34 Ophthalmic Clinic 34 Foot Clinic 34 PROPAGANDA 35 SANITARY ADMINISTRATION— Housing 36 Housing Act, 1936 —Overcrowding 36 Eradication of Bed Bugs 36 Inspections and Proceedings 36 Work of the District Inspectors 39 Factories and Workshops —Homework 40 Factories and Workshops —Inspections 41 Bakehouses 42 House, Trade and Market Refuse 42 Offensive Trades 42 Mortuary 42 Street Markets 43 Drainage Work 43 Work of Factories and Shops Inspector 43 FOOD CONTROL— Imported Food Regulations —Samples taken 44 Unsound Food —Shops and Stalls 44 Milk Premises 45 Milk Licences 45 Milk Sampling 45 Pharmacy and Poisons Act, 1933 45 Food and Drugs —Samples Taken 46 Food and Drugs—Prosecutions 46 Unsound Food —Wharves, etc 47 Work of the Wharves and Food Inspectors 48 HEALTH SERVICES 49 PUBLIC HEALTH DEPARTMENT PUBLIC HEALTH COMMITTEE, 1943. Chairman Councillor E. J. GIBSON 1942-3, 1943-4 Vice-Chairman „ S. R. WEIGHTMAN 1942-3, 1943-4 Alderman Mrs. L. M. Brown. Councillor Miss E. L. Johnson. „ M. Mahoney. „ A. V. Kidd. „ A. V. Parker. „ F. C. Langton. „ E. Snowdon. „ C. J. Lee. Councillor H. A. Beal. „ G. Loveland. „ Mrs. E. V. Coyle. „ Mrs. M. F. Lowery. „ Mrs. M. Cushing. „ Mrs. A. E. Martin. „ A. M. Downing. „ Mrs. W. L. Miller. „ Mrs. D. Downing. „ Mrs. F. A. Powell. „ W. L. Ellis. „ Mrs. J. V. Snowdon. „ Mrs. L. A. Glasson. „ A. E. Winch. „ Mrs. F. Humphreys. Ex-officio. Councillor A. C. STARR, J.P., L.C.C., Mayor of Bermondsey, 1942-3, 1943-4. MATERNITY AND CHILI) WELFARE COMMITTEE, 1943. Chairman Alderman Mrs. L. JONES, M.8.E., 1942-3, 1943-4. Vice-Chairman Councillor Mrs. F. A. POWELL, 1942-3, 1943-4. Alderman Mrs. L. M. Brown. Councillor Mrs. A. M. Hatcher. „ Rev. L. Davison, L.C.C. „ Mrs. F. Humphreys. Councillor D. Bradley. „ Mrs. M. F. Lowery. „ Mrs. E. V. Coyle. „ Mrs. F. J. Melvin. „ Mrs. M. Cushing. „ Mrs. W. L. Miller. „ Mrs. D. Downing. „ Mrs. K. Potter. n E. J. Gibson. „ Mrs. J. V. Snowdon. „ Mrs. L. A. Glasson. Co-opted Members. Mrs. L. J. Benwell. Mrs. K. E. Smith. Mrs. M. Donoghue. Mrs. D. Topley. Mrs. A. P. Henley. Mrs. F. Whitnall. Ex-officio. Councillor A. C. STARR, J.P., L.C.C., Mayor of Bermondsey, 1942-3, 1943-4. STAFF: MEDICAL OFFICER OF HEALTH. D. M. Connan, M.D., B.S.(Lond-), M.R.C.S., L.R.C.P., D.P.H. SANITARY INSPECTORS : J. G. Frankson, Senior Inspector. G. F. J. Toll, Wharves and Food Inspector. H. E. Butcher, Wharves and Food Inspector. W. C. Tapsfield, Wharves and Food Inspector. F. L. Richardson, Drainage and Markets Inspector. H. J. Bailey, Food and Drugs Inspector. W. A. Campbell, Factories and Shops Inspector. District Inspectors. F. J. Carpenter. W. A. Pilson. *A. W. Hancock. O. W. R. Smart (retired. Dec., 1943) L. T. Knott. W. F. Smith. Flora Mercer. TUBERCULOSIS DISPENSARY. Deputy Medical Officer of Health and Clinical Tuberculosis Officer— C. H. C. Toussaint, M.R.C.S., L.R.C.P., D.P.H. Assistant Medical Officer and Assistant Tuberculosis Officer *H. T. Levi, M.8., Ch.B. Tuberculosis Nurse —Celia Clapson. LADY ALMONER. Florence Child. LIGHT TREATMENT CENTRE. Medical Officer in Charge—Florence L. Telfer, M.D., D.M.R.E. Nurse in Charge—Mrs. Dorothy Cottier. Solarium Nurses—Estelle Jagot, Muriel Coleby, Mrs. Joyce Turner and Helen Failes. Masseuses —Grace Keevil and Zoe Ellis. MATERNITY AND CHILD WELFARE. Assistant Medical Officers for Maternity and Child Welfare- Florence L. Telfer, M.D., D.M.R.E. Aileen A. Nicol, M.8., Ch.B., D.P.H. {resigned Octcber, 1943) Eva G. August, M.8., B.S. Lond. (commenced October, 1943) Health Visitors. Barbara Anderson. Mrs. Avis Knott. Edith Riley. Sarah Bowles. Elizabeth Lawrence. Florence Robson. Lucy Brown. Olive Oram. Isabel White. Mrs. Phyllis Carson. Kathleen Parry. Edith Crundwell. Gwendolen Riches. FAIRBY GRANGE CONVALESCENT HOME. Matron—Anne O'Meara. Sister—Gladys Coleby. * At present serving in H.M. Forces. POST-NATAL AND SPECIAL CLINICS FOR WOMEN. Consultant Gynaecologist —Gladys Dodds, M.D., D.P.H., M.R.C.0.G., F.R.C.S. (Eng.). OPHTHALMIC CLINIC. Consultant Ophthalmic Surgeon—Victoria E. Brander, M 8., Ch.R, D.P.H., D.O.M.S. X-RAY SECTION. Radiologist—Florence L. Telfer, M.D., D.M.R.E. Radiographers —C. F. Lumley and Dora Gibb. DENTAL DEPARTMENT. Municipal Dental Surgeon—Grantley Smith, L.M.S.S.A., H.D.D., R.C.S. (Edin.), L.D.S., R.C.S. (Eng.). Assistant Dental Surgeon—W. H. Shapland, L.D.S., R.C.S. (Eng.). Dental Nurses—Mrs. Daisy Hodgson and Winifred Lander. Prosthetic Assistants —G. W. Clarke, W. B. Monger and T. H. Baggott. FOOT CLINIC. Chiropodists—Ethel Cook, Mrs. Florence Rock, Mary Bradley, and E. F. Part. PUBLIC ANALYST. A. Prideaux Davson, A.R.C.Sc, F.1.C., F.C.S. PROPAGANDA AND ADMINISTRATIVE OFFICER. H. W. Bush, F.1.P.A., M.R.I.P.H.H. CLERICAL STAFF. F. W. Smith, Chief Clerk. *H. D. White, General Clerk. C. W. Whye, General Clerk. *J. L. Springett, General Clerk *F. R. Parker, General Clerk. *F. H. Mummery, General Clerk. J. A. Blake, General Clerk. Mrs. Joyce Sharp, General Clerk J. F. M. Brooker, General Clerk. (resigned December, 1943). H. J. Smith, General Clerk. *S. R. Weightman, General Clerk. C. H. Harris, General Clerk. *Nellie Simms, Junior Clerk. *J." W. J. Saward, General Clerk. *A. E. Gambrell, Junior Clerk. Alice Jones, General Clerk. J. T. Bryant, Junior Clerk. *F. Cornwell, General Clerk. DISINFECTING AND CLEANSING STATION. A. Manning, Supervisor. PUBLIC HEALTH DEPARTMENT, MUNICIPAL OFFICES, SPA ROAD, S.E.16. * At present serving in H.M. Forces. Borough of Bermondsey. ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH. To the Mayor, Aldermen and Councillors of the Borough of Bermondsey. Sir, Ladies and Gentlemen, I have the honour to submit my Annual Report for the year 1943. There is no matter which requires special comment. Staffing difficulties have increased. Thanks are due both to the Staff and to the Council and especially to the Chairmen of 0 the two Committees for unfailing help. I am, Sir, Ladies and Gentlemen, Your obedient Servant, D. M. CONNAN. I.-VITAL STATISTICS. AREA. The area of the borough (exclusive of area covered by water) is 1,336 acres. POPULATION. Estimate of Registrar-General Census 1931 1921 to 30th June, 1942 to 30th June, 1943 111,542 44,440 * 119,452 * Not available for publication. BIRTHS. The total number of births belonging to the borough registered during 1943 was 925, consisting of 470 males and 455 females. The number for 1942 was 814. DEATHS. The total number of deaths belonging to the borough registered during 1943 was 761, consisting of 420 males and 341 females. The number for 1942 was 673. MARRIAGES. The total number of marriages in the borough in 1943 was 458, being 108 below the number for 1942, and 534 below the average for the last 10 years. The figures have been supplied by the Superintendent Registrar. Year No. Rate 1,007 18.77 1933 1934 19.91 1,050 1935 1,027 20.00 1936 19.32 970 1937 1,090 22.07 1938 941 19.32 1939 1,258 26.35 1940 1,186 33.13 1941 725 32.79 1942 29.97 666 Average for years 1933 —1942 992 24.16 1943 458 * * Not available for publication. (10) INFANTILE MORTALITY. Year Whole Borough London No. of Deaths Rate per 1,000 Births No. of Deaths Rate per 1,000 Births 1933 92 61 3,377 60 1934 100 64 3,832 67 1935 103 69 3,229 58 1936 92 60 3,691 66 1937 84 59 3,309 60 1938 65 45 3,130 57 1939 45 37 2,409 47 1940 40 35 2,062 48 1941 32 61 1,543 57 1942 38 47 2,035 50 Average for years 1933-1942 69 54 2,862 57 1943 2,284 51 49 53 TUBERCULOSIS OF THE RESPIRATORY SYSTEM. In the following Table will be found particulars of deaths from Tuberculosis of the Respiratory System since the year 1933. Sub-District Bermondsey Rotherhithe St. Olave Whole Borough London Year No. No. No. No. Rate No. Rate 1933 68 23 8 99 0.92 3530 0.82 1934 64 22 4 90 0.86 3227 0.76 70 23 5 0.95 2847 0.68 1935 98 51 22 79 0.79 2848 1936 6 0.69 1937 63 22 2 87 0.89 2888 0.71 1938 42 23 1 66 0.68 2590 0.64 1939 38 21 6 65 0.72 2650 0.70 1940 43 21 4 68 0.95 2687 0.87 1941 34 17 1 52 1.18 2552 1.10 1 1942 34 13 48 0.93 2164 0.90 Averages for years 1933- 1942 51 21 4 75 0.89 2798 0.79 1943 30 15 4 49 * 2204 * * Not available for publication. VITAL STATISTICS OF WHOLE DISTRICT DURING 1943 AND PREVIOUS YEARS. Population estimated to Middle of each Year 2 Births Total Deaths registered in the District Deaths of Residents registered in Public Institutions etc. beyond the District 11 Deaths of Non-Residents registered in Public Institutions, etc., in the District 10 Net Deaths at all Ages belonging to the District Total Deaths in Public Institutions in the District 9 No. 3 Rate 4 Under 1 Year of Age At all Ages No. 12 Rate 13 Year 1 No. 5 Rate per 1,000 Births registered 6 Rate 8 No. 7 1933 107,300 1,500 14.0 1,216 11.3 720 215 339 1,340 12.5 72 48 1934 105,060 1,557 14.8 77 49 1,223 11.6 784 229 310 1,304 12.4 102,700 1,487 14.5 99 1,142 11.1 314 1,201 1935 67 756 255 11.7 1936 100,400 1,545 15.4 76 49 1,136 11.3 723 175 328 1,289 12.8 1937 98,790 1,421 14.4 61 43 1,148 11.6 741 245 309 1,212 12.3 97,420 1,439 14.8 60 1,002 10.3 488 271 1,072 1938 42 201 11.0 1939 *95,500 ‡90,210 1,275 13.4 31 10.7 445 1,010 11.2 40 968 201 243 1940 71,590 1,232 17.2 35 28 1,483 20.7 829 304 373 1,551 21.7 1941 44,220 756 17.1 23 44 874 19.8 569 259 432 1,047 23.7 1942 44,440 814 18.3 36 44 673 15.1 520 285 285 673 15.1 86,742 1,302 15.4 58 44 13.3 237 320 14.4 Averages for years 1933-1942 657 1,170 1,086 † 925 † 31 † 517 228 276 761 1943 34 713 † * For calculation of Birth Rate. † Not available for publication. ‡For calculation of Death Rate. CAUSES OF, AND AGES AT, DEATHS DURING THE YEAR 1943. Causes of Death Deaths at the subjoined ages of "Residents" whether occurring in or beyond the District. All Ages Under 1 1 and under 2 2 and under 5 5 and under 15 15 and under 25 25 and under 45 45 and under 65 65 and upwards All Certified 761 49 3 4 20 23 68 190 404 Causes Uncertified - - - - - - - - - Typhoid and Paratyphoid Fever 2 - - - 1 - 1 - - 1 1 Cerebro-spinal Fever - - - - - - - Scarlet Fever - - - - - - - - - Whooping Cough 2 2 - - - - - - - Diphtheria 2 - - 1 1 - - - 2 Tuberculosis of Respiratory System 49 1 - 1 10 16 19 2 - Tuberculosis —other forms 3 - - - 3 - - - - 5 - - - - 1 4 Syphilitic Disease - - Influenza 4 - - - - - - 1 3 Measles - - - - - - - - - Acute Poliomyelitis and Polioencephalitis - - - - - - - - - Acute Infectious Encephalitis - - - - - - - - - Cancer of Buccal Cavity and Œsophagus (Males only) - - - - - 1 - 6 7 - - - 1 - Cancer of Uterus 3 - 2 - Cancer of Stomach and Duodenum 19 - - - - - 1 9 9 5 Cancer of Breast 8 - - - - - 3 - 3 37 47 Cancer of all other sites 87 - - - - - 1 Diabetes 1 - - - - - - - CAUSES OF, AND AGES AT, DEATHS DURING THE YEAR 1943—continued. Causes of Death Deaths at the subjoined ages of " Residents " whether occurring in or beyond the district. All Ages Under 1 1 and under 2 2 and under 5 5 and under 15 15 and under 25 25 and under 45 45 and under 65 65 and upwards Heart Disease - 1 2 26 170 - - 14 127 Other Diseases of the Circulatory System 31 - - - - 1 6 24 - Bronchitis 46 1 1 - - - 2 9 33 Pneumonia 73 5 2 - 1 5 20 40 - Other Respiratory Diseases 17 - - - - - 1 7 9 9 Ulceration of the Stomach or Duodenum - - - - - 3 3 3 Diarrhœa (under 2 years of age) 10 10 - - - - - - - Appendicitis 1 - - - - - - 1 - Other Digestive Diseases 11 - 1 - - - 2 8 — Nephritis 17 - - 1 1 6 - - 9 Puerperal and Post-abortive Sepsis 1 - - - - 1 - - — - Other Maternal Causes 2 - - - 2 - - - Premature Births 11 11 - - - - - - - Congenital Malformations, Birth Injury, Infantile Diseases - - 19 19 - - - - - Suicide - 2 - - - - 1 1 - Road Traffic Accidents 3 - - - 1 - 2 - - Other Violent Causes 40 - - 1 4 3 8 9 15 - All Other Causes 52 - 1 7 3 11 14 16 INFANTILE MORTALITY. Deaths from Stated Causes at Various Ages under One Year of Age, 1943. Cause of Death Under 1 week 1—2 weeks 2—3 weeks 3—4 weeks Total under 1 month 1—3 months 3—6 months 6—9 months 9—12 months Total under 1 year Measles - - - - - - - - - - Scarlet Fever - - - - - - - - - - - - - - - - - - 2 2 Whooping Cough Diphtheria - - - - - - — — — - Influenza — — — — — — — — — — Cerebro-spinal Meningitis — — — — — — — — — — Tuberculous Meningitis — — — — — — — — — — Other Forms of Meningitis — — — — — — — 1 — 1 Tuberculosis of Respiratory System — — — — — — - 1 — 1 Other Tuberculous Diseases — — — — — — — — — — Syphilis — — — — — 1 — — — — 1 Bronchitis 1 — — — 1 1 1 1 — Pneumonia (all forms) 1 — — 1 2 1 1 — 5 — other Respiratory Diseases — — — — — — — — — — Diarrhœa and Enteritis — — — — 2 6 1 1 10 — Congenital Debility and Malformation, Premature Birth 15 18 3 1 — — 22 2 1 — Injury at Birth 5 — — — 5 — - — — 5 — Other Causes 2 — - 2 1 — — 3 — II.-INFECTIOUS DISEASES. The following diseases are notifiable : — Anthrax Acute Polioencephalitis Acute Poliomyelitis Acute Primary Pneumonia Acute Influenzal Pneumonia Cholera Cerebro-Spinal Meningitis Continued Fever Diphtheria Dysentery Enteric Fever and Typhoid Encephalitis Lethargica Fever Erysipelas Glanders Hydrophobia in Man Malaria Measles Membranous Croup Ophthalmia Neonatorum Plague Puerperal Pyrexia Puerperal Fever Scarlet Fever and Scarlatina Relapsing Fever * Scabies Small-pox Typhus Tuberculosis—all forms Whooping Cough * A notification is not required where, to the knowledge of the medical practitioner, a case of scabies has occurred in the house and has been notified within the four weeks immediately preceeding the date on which he first became aware of the disease in the case he is attending. DIPHTHERIA PREVENTION. The appended table shows the attendances at the Schick Clinics during the year. No. of Sessions Total Attendances No. of New Patients Clinic 147 597 Public Health Centre, Grange Road 2,878 L.C.C. Schools 104 953 2,844 Totals 251 1,550 5,722 (15) DISINFECTION. The figures showing the work done in the disinfecting station are set out below. Beds 444 Pillows 1,893 Blankets 3,742 Pillows (cases) 975 Bolsters 346 Quilts 920 „ (cases) 143 Sheets 907 Books — 115 Miscellaneous 4,152 Cushions 106 Verminous Clothing 1,094 Mattresses 8 „ Bedding 720 Overlays 1,690 Scabies, Clothing 4,120 7,680 new tabs were used to replace those taken off mattresses, palliasses, and cushions before disinfection. Number of rooms disinfected 801 Number of air raid shelters disinfected 12 Number of mattresses and other articles destroyed 158 Furniture, Floorcloth, etc., destroyed 8 Loads CLEANSING STATION. Verminous persons cleansed Adult Females 82 Adult Males 138 Children 2,156 Persons treated for Scabies : — Number Number of treated baths given Adult Females 442 1,154 Adult Males 224 765 Children, Females (School Age) 406 2,002 Children, Males ( „ „ ) 398 2,240 Children, Females (Under School Age) 100 261 Children, Males ( „ „ „ ) 115 334 BACTERIOLOGICAL LABORATORY. The work done in the Laboratory during the year is set out in the appended table. Examined for Total Examinations 1942 1943 Results of Examination Positive 1942 1943 Negative 1942 1943 Diphtheria (specimens taken by Medical Officer of Health 355 272 1 4 354 268 Ditto (taken by general practitioners) 256 428 8 12 248 416 Diphtheria (total specimens taken) 611 700 9 16 602 684 Phthisis 339 367 69 45 270 322 Various 13 20 1 — 12 20 Total specimens taken 963 1,087 79 61 884 1,026 FOOD POISONING. Two cases of Food Poisoning were notified to me during the year under The Public Health (London) Act, 1936, Section 182. INSULIN FOR DIABETIC PATIENTS. Twenty-four patients have been supplied during the year as compared with twenty-two patients in 1942. (The Public Health (London) Act, 1936, Section 227.) (18) NURSING. The St. Olave's District Nursing Association and the Rotherhithe Queen's Nursing Association were amalgamated on the 15th May, 1943. The following table shows the number of patients nursed under the Council's Scheme. Disease St. Olave's District Nursing Association Rotherhithe Queen's Nursing Association Totals whole Borough Cases Visits Cases Visits Cases Visits Pneumonia 38 675 6 94 44 769 43 — Broncho-pneumonia 3 — 3 43 27 318 1 12 28 330 Bronchitis 1,323 Influenza 85 2 24 87 1,347 Measles 70 849 6 50 76 899 Whooping Cough 8 124 3 134 11 258 Tuberculosis: — __ ... ... (a) Respiratory System 23 983 4 220 27 1,203 (b) Other Forms 1 49 - - 1 49 Puerperal Pyrexia 3 15 2 12 5 27 Puerperal Fever — — — — — — Pregnancy and Labour 63 909 — — 63 909 Diseases of the Digestive System 8 44 2 14 10 58 Infantile Diarrhœa (under 2 years) 2 55 — — 2 55 Discharging Ears 2 24 1 7 3 31 Discharging Eyes 19 389 — — 19 389 Post-operative cases:- (a) Tonsils & Adenoids — - — - — — (b) Other cases - — - — — - Other diseases 91 1,191 1 12 92 1,203 443 6,991 28 579 471 7,570 Totals CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1943. NOTIFIABLE DISEASE NUMBER OF CASES NOTIFIED Bermondsey Rotherhithe St. Olave Total Cases removed to Hospital At Ages—Year 1 2 3 4 5 6 Total 1 2 3 Total St. John St. Olave St.Thomas Total At all Ages 0 to 1 1 to 5 5 to 10 10 to 15 15 to 20 20 to 25 25 to 65 35 to 45 45 to 55 55 to 65 65 & upwards Diphtheria (including Membranous Croup) 74 1 22 29 5 6 3 5 2 1 — — 8 4 8 7 11 6 44 11 6 23 4 1 7 74 6 2 Erysipelas 21 — — — 1 1 2 1 6 5 5 2 1 1 5 5 1 15 1 2 1 4 2 — — 2 4 — Scarlet Fever 197 4 71 90 21 6 3 2 — — — 23 16 20 11 18 11 99 29 37 21 87 4 7 — 11 182 — Cerebro-Spinal Meningitis 7 1 — — 1 — — — — 3 — — — — — 3 1 2 4 — — — — 5 — 1 7 — 1 1 — Malaria 1 — — — — — — 1 — — — — — — — — — — — — — — — — — Ophthalmia Neonatorum 7 7 — — — — — — 2 1 3 1 4 — — — — — — — — — 4 — 3 — — — Enteric Fever 3 — 1 — — — — 1 — 1 — — — 1 — — 1 2 — — 2 — — — 3 — — — 2 3 6 2 — — 1 — — 2 — 2 1 1 7 1 6 1 8 — — 11 15 1 1 — — Dysentery — 1 1 Acute Polio-Myelitis 2 2 — — — — — — - — — - - 1 — — 2 — — — — — — — — — 3 — — — — — — — 3 Puerperal Fever 3 — — — — 1 1 — — 1 — — — 2 — 1 — — — 10 — — — — — 2 5 3 — — — 1 2 1 — 1 1 6 2 1 1 4 — — — 7 Puerperal Pyrexia — Pneumonia (Acute Primary and Acute Influenzal) 112 7 18 15 66 14 23 3 4 13 7 20 12 9 8 2 8 45 — 1 — 1 7 21 6 13 7 13 10 10 Whooping Cough 208 40 113 54 - - - - - — — 1 20 23 23 27 43 4 140 28 20 58 4 5 1 52 59 49 220 38 59 18 115 1 9 10 73 Measles 345 27 192 106 14 1 1 2 2 — — — 34 31 42 5 — 62 17 8 3 2 13 14 34 42 14 90 Scabies 283 9 40 52 44 39 17 30 22 15 5 10 35 22 30 180 — Tuberculosis — Respiratory System 109 — 8 1 4 18 18 21 12 13 12 2 18 8 20 11 6 74 13 3 29 4 2 — 6 11 13 — Other forms of Tuberculosis 14 — 1 1 1 3 1 1 1 1 1 1 — 2 3 2 3 1 1 — 2 - 6 1 6 — 2 2 Totals 1411 98 471 360 103 78 53 77 57 52 30 32 168 121 211 141 176 869 178 217 480 28 30 4 62 428 85 52 CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEARS 1934-1943. Notifiable Disease. 1934 1935 1937 1938 1939 1940 1941 1942 1936 1943 Small Pox 7 — — — — — — — — — Diphtheria (including Membranous Croup) 372 273 207 167 187 135 56 89 72 74 Erysipelas 73 53 39 28 57 35 43 48 39 21 Scarlet Fever 597 367 266 167 200 112 243 75 128 197 Cerebro-Spinal Meningitis 2 2 4 10 3 8 29 18 2 7 Acute Polio-Myelitis and Acute Polio-Encephalitis — — 1 1 7 - 3 - 2 — Ophthalmia Neonatorum 6 6 1 10 5 2 — 1 7 5 Anthrax 1 — — 1 1 1 — — 1 — Enteric Fever 2 3 15 5 2 — 2 1 2 3 Puerperal Fever 2 3 6 1 1 — 2 1 — 3 Puerperal Pyrexia 13 19 9 13 10 9 11 3 — 10 Encephalitis Lethargica 2 2 - — — — — 15 - - Dysentery 3 1 43 26 2 6 11 7 15 — Malaria — — — — — — — 2 — 1 Malaria (Induced) — — — — — 2 — — 1 — Pneumonia (Acute Primary and Acute Influenzal) 121 125 170 112 121 104 99 112 55 113 Whooping Cough — 103 275 101 383 25 274 93 208 — Measles — — 7 85 889 39 229 381 600 345 Scabies — — — — — — — — — 283 Tuberculosis- Respiratory System 141 129 147 94 97 106 100 109 142 112 32 Other forms of Tuberculosis 34 34 31 18 20 6 9 19 14 Totals 1,371 1,004 966 1,145 1,730 973 855 1,120 1,120 1,411 (21) III.—TUBERCULOSIS. In Table I are set out particulars of new cases and deaths during the year, and Table II shows the period elapsing between notification and death. TABLE I. TUBERCULOSIS, 1943 NEW CASES AND DEATHS. AGE PERIODS NEW CASES DEATHS Pulmonary NonPulmonary Pulmonary NonPulmonary F. M. F. M. F. M. F. M. 0 — 1 — — — 1 — — 1 5 1 — — 3 — — — 5 — — — 2 1 2 — — 10 1 — 1 3 2 1 — 1 15 9 11 3 2 3 — — — 20 6 2 2 3 18 — — — 25 2 4 — 14 11 2 1 — 35 1 11 — 7 8 — — — 45 3 — 10 — 11 1 2 — 55 12 1 1 — 6 1 — — 65 and upwards 2 — 1 — 2 — — — 67 61 11 7 37 12 — 3 TABLE II. TUBERCULOSIS, 1943—PERIOD BETWEEN NOTIFICATION AND DEATH. Period Between Notification and Death Respiratory System Other Forms Males Females Total Percentage of Total Deaths Males Females Total Percentage of Total Deaths Not notified 2 2 4 8.16 — 1 1 33.33 0-1 month 5 3 8 16.33 2 2 66.67 — 1-3 months 2 2 4.08 — — — — — 3-6 months 5 14.29 — 2 7 — — — 6-12 months 2 3 5 10.20 — — — — 1-2 years 6 6 12.25 — — — — — 2-5 years 7 - 7 14.29 — — — — — Over 5 years 8 2 10 20.40 — — — 37 Totals 12 49 100.00 — 3 3 100.00 NURSING, EXTRA NOURISHMENT AND SHELTERS. District Nurses visit many patients suffering from Tuberculosis and being treated at home; 1,252 visits were paid by the nurses in 1943. A limited provision is made for the supply of extra nourishment to tuberculous persons, and this usually takes the form of eggs and milk; 123 patients received help in this way during the year. The scheme for the provision of shelters has been continued, and 2 shelters are at present in use. TUBERCULOSIS ALLOWANCES MADE UNDER MINISTRY OF HEALTH MEMO. 226/T. During the period June to December, 1943, 69 applications were considered. Allowances were approved in 44 of these, whilst 25 patients were found to be ineligible. Of this latter number six afterwards became entitled to, and received, allowances, whilst 19 cases originally approved lapsed on various changes of circumstances. RETURN SHOWING THE WORK OF THE DISPENSARY DURING THE YEAR 1943. Diagnosis Pulmonary Non-Pulmonary Total Grand Total Adults Children Adults Children Adults Children M. F. M. F. M. F. M. F. F. M. F. M. A. —New Cases examined during the year (excluding contacts): — ~l i "i r 1 l i_ I I \ (a) Definitely tuberculous 38 29 1 3 3 2 2 1 41 31 3 4 79 (b) Diagnosis not completed - - - - — — - - 20 10 — — 30 (c) Non-tuberculous — — — — — — 241 160 22 20 443 — — B. —Contacts examined during the year:— .1 I . I I I i II l! ' I I (a) Definitely tuberculous 2 9 1 — — — 2 9 — 1 12 — — (b) Diagnosis not completed — — — — — — — 2 3 — 2 7 — (c) Non-tuberculous — — — — — — 100 205 70 67 442 — — C. —Cases written off the Dispensary Register as:— - „ ' _ il (a) Recovered 26 27 5 7 5 7 13 7 31 34 18 14 97 (b) Non-tuberculous (including any such cases previously diagnosed and entered on the Dispensary Register as tuberculous) — 885 — 341 365 — (23) — 92 — 87 — — — D.—Number of Cases on Dispensary Register on December 31st:— I I I I (a) Definitely tuberculous 215 24 18 23 16 13 16 238 213 37 34 197 522 — — — — — — 22 13 — 2 37 (b) Diagnosis not completed — — 1. Number of cases on Dispensary Register on January 1st 628 7. Number of visits by Tuberculosis Officers to homes (including personal consultations) 523 2. Number of cases transferred from other areas and cases returned after discharge under Head 3 in previous years 10 8. Number of visits by Nurses or Health Visitors to homes for Dispensary purposes 1,010 3. Number of cases transferred to other areas, cases not desiring further assistance under the scheme, and cases "lost sight of" 89 9. Number of :— (a) Specimens of sputum, etc., examined 282 (b) X-ray examinations made in connection with Dispensary work 1,609 4. Cases written off during the year as Dead (all causes) 38 5. Number of attendances at the Dispensary (including Contacts) 3,142 10. Number of "Recovered" cases restored to Dispensary Register, and included in A (a) and A (b) above — 6. Number of consultations with medical practitioners:— 11. Number of " T.B. plus " cases on Dispensary Register on December 31st 165 (a) Personal 85 (6) Other - 12. Number of Artificial Pneumothorax Refills 537 Age Periods 0 to 1 1 to 5 5 to 10 10 to 15 15 to 20 20 to 25 25 to 35 35 to 45 Total (all ages) Total Notifications 45 to 55 55 to 65 65 and upwards — 1 7 11 59 70 Pulmonary, Males — 5 8 4 10 11 2 — 3 10 5 2 1 50 63 3 1 — „ Females 14 11 — 1 — — — 2 1 1 1 9 Non-Pulmonary Males 1 7 — 1 — 1 — 2 — — 7 9 „ Females 1 2 — — New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by formal notification : — 0 to 1 1 to 5 5 to 10 10 to 15 15 to 20 20 to 25 25 to 35 35 to 45 45 to 55 55 to 65 65 and upwards Total Age Periods — — 1 4 — Pulmonary Males — 2 — — — 1 8 1 — 3 — „ Females — — 1 1 1 4 — 11 — — — 4 Non-Pulmonary Males — 1 1 — 2 — — — „ Females — — — — — — — — — — — — Returns rendered under the PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930. 1st QUARTER, 1943. Respiratory System Other Forms M. F. M. F. Number of Cases on Register at commencement of Quarter 335 263 76 73 Number of Cases notified during Quarter 18 9 1 1 Inward Transfers, Un-notified Deaths, etc. 3 2 1 Number of Cases removed from the Register 20 14 9 — 3 Number of Cases remaining on the Register at end of Quarter 336 260 66 74 2nd QUARTER, 1943. Respiratory System Other Forms M. F. M. F. Number of Cases on Register at commencement of Quarter 336 260 74 66 Number of Cases notified during Quarter 16 12 2 2 — Inward Transfers, Un-notified Deaths, etc. — 3 1 Number of Cases removed from the Register 25 25 5 5 Number of Cases remaining on the Register at end of Quarter 327 250 64 71 3rd QUARTER, 1943. Respiratory System Other Forms M. F. M. F. Number of Cases on Register at commencement of Quarter 64 71 327 250 Number of Cases notified during Quarter 15 13 1 1 Inward Transfers, Un-notified Deaths, etc. 3 3 1 — Number of Cases removed from the Register 17 12 1 — Number of Cases remaining on the Register at end of Quarter 254 328 66 71 4th QUARTER, 1943. Respiratory System Other Forms M. F. M. F. 328 254 66 71 Number of Cases on Register at commencement of Quarter Number of Cases notified during Quarter 10 15 3 3 — 12 Inward Transfers, Un-notified Deaths, etc. 2 3 1 30 Number of Cases removed from the Register 26 8 Number of Cases remaining on the Register at end of Quarter 310 62 246 62 (25) IV.—LIGHT TREATMENT, ELECTRO-THERAPY AND MASSAGE. The following table shows the work done in the Solarium during 1943. Total Number of Attendances 16,388 Number of Treatments 26,515 Massage 5,274 Physical Exercises 1,012 Medical Electricity 2,254 Diathermy 2,995 Q-Ray Pad 447 Peat Baths 27 Insufflations 44 Local Treatments — Radiant Heat 6,723 Ultra Violet Light 2,123 General Ultra Violet Light 5,616 Number of Medical Examinations 1,624 Number of New Cases 578 Number of Discharges 496 V-MATERNITY AND CHILD WELFARE. FAIRBY GRANGE CONVALESCENT HOME. The total number of patients received into the home during the year, including mothers, babies and toddlers, was 381, a substantial increase on the figures for 1942. Number of women admitted 181 Number of babies admitted 82 Number of toddlers admitted 118 CHILD LIFE PROTECTION. There were no foster-mothers in the borough during the year. HOME HELPS. The number of cases in which home-helps were provided during the year was 25. HEALTH VISITORS. The following table shows the work done by the Municipal and Voluntary Centres and Health Visitors during 1943 :— District Births Notified Visits to Infants and Children Visits to Expectant Mothers Visits to Cases of Infectious Disease Unclassified or Special Visits Attendances at Centres & Clinics Health Talks Puerperal Pyrexia and Fever Ophthalmia Neonatorum Measles Whooping Cough Tuberculosis Post-Infectious Disease First Visits Re-visits Under 1 year 1—5 years Primary Visits Revisits 56 67 666 773 44 169 — 1 38 28 3 — 243 250 — Miss Anderson Miss Baird 38 77 530 710 43 218 — 4 18 — 431 — 43 — 243 Miss Bowles 6 9 39 84 4 5 — — — 1 — — 62 167 — Miss Brown 33 59 327 513 46 86 — — 25 13 1 — 147 255 — Miss Crundwell 36 65 475 557 12 73 — 2 42 25 1 1 198 92 — Miss Hesketh 64 64 967 673 15 121 — 3 32 16 — 2 468 253 — Miss Oram 66 76 474 733 54 95 4 — 32 19 — 776 231 — — Miss Parry 60 62 624 1126 61 252 — — 20 34 148 215 — 29 — Miss Riches 38 128 434 59 121 — 2 67 22 1 239 144 — 840 2 79 537 571 36 — — 12 — 279 — Miss Riley 81 86 1 44 158 Miss Robson 64 82 735 1057 39 — 94 153 — — — — 18 14 153 Miss White 35 41 466 883 35 100 6 1 20 10 8 119 470 146 — Salomon's Centre 37 46 415 1268 176 299 — — 3 — — — — — — Totals 614 855 6689 9788 624 1778 10 13 384 207 3555 ATTENDANCES AT MATERNITY AND CHILD WELFARE CENTRES. The following table shows attendances at Maternity and Child Welfare Centres during 1943 : — Name of Centre Children's Consultations Ante-natal Clinic Sewing Class Gynæcological Clinic No. of Sessions New Cases Total Attendances No. seen by Doctor No. of Sessions New Cases Post- Natal Cases Total Attendances No. of Sessions No. of Attendances No. of Sessions New Cases Total Attendances Under 1 year 1-5 years Under 1 year 1-5 years Public Health Centre, Grange Road 152 283 29 5,127 2,054 3,143 78 243 3 1,574 — — 46 162 514 Community Centre 52 12 638 617 708 — — — 46 272 — — — 33 — 45 77 8 1,212 544 1,027 — — — — — — — — — Bermondsey Gospel Mission 103 211 24 3,652 1,297 2,597 97 61 — — — Rotherhithe Town Hall 1,448 — — 207 103 100 12 1,025 1,886 — — — — — — — — 2,052 — Central Hall Salomon's Centre 98 68 12 490 663 — — — 1,049 202 294 1,893 — — — Totals 553 772 97 6,027 10,024 64 4,915 46 272 46 162 514 13,730 377 744 EXTRACTS FROM VITAL STATISTICS, 1943. Births. Registered— Total Males Females Live Births Legitimate Illegitimate 884 41 470 23 455 18 Total Males Females Stillbirths 25 9 16 Rate per 1,000 total (live and still) births 26 Notified within 36 hours of birth— (1) Live Births, 612. (2) Stillbirths, 16. (3) Total, 628. Total Males Females Deaths 761 420 341 Maternal Deaths. Deaths from puerperal causes:— Deaths. Rate per 1,000 total (live and still) births Puerperal Sepsis 1 1.05 Other puerperal causes 2 2.11 Total 3 3.16 Death Rate of Infants under 1 year of age. All Infants per 1,000 live births 53 Legitimate infants per 1,000 legitimate live births 52 Illegitimate infants per 1,000 illegitimate live births 73 Health Visitors. Visits paid by Health Visitors during the year:— To Expectant Mothers To Infants under 1 (1) First Visits, 624. (1) First Visits, 855. (2) Total Visits, 2,402 (2) Total Visits, 7,544 To Children, 1—5 Total Visits, 9,788 Convalescent Homes for Children under 5. Number of Beds, 16. Number of Children under 5 received during the year 200 Day Nurseries. Number of day nurseries 8. Deaths from Cancer (all ages) 124 Deaths from Measles (all ages) Nil Deaths from Whooping Cough (all ages) 2 Deaths from Diarrhœa (under 2 years of age) 10 (31) VI.—DENTAL TREATMENT. The attached tables summarise the work which has been done at the two dental centres during the year. TREATMENT OF CHILDREN DURING 1943. Age Group Number Examined Number Treated Number of Extractions Anæsthetics Number of Fillings Number of Scalings Number of Attendances for Orthodontics CENTRE Local General PUBLIC HEALTH Under 5 years 162 114 397 — 91 — — — 370 323 868 116 235 93 3 Over 5 years CENTRE, GRANGE — ROAD. Totals 532 437 1265 116 326 93 3 — 98, ROTHERHITHE NEW ROAD. Under 5 years 85 68 251 — 75 12 — — Over 5 years 245 359 680 43 194 118 9 — Totals 330 427 931 43 130 9 269 — 862 2196 159 595 223 12 — Totals both Centres 864 (32) DENTAL TREATMENT CARRIED OUT DURING 1943. Type of Case Number of Patients Examined Number of Patients Treated Number of Extractions Anæsthetics Number of Scalings Number of Repairs to Dentures Number of Attendances CENTRE Number of Dentures Fitted Number of Fillings Local General PUBLIC HEALTH CENTRE, GRANGE ROAD Maternity Cases 757 656 2213 366 315 184 65 255 71 2260 Women 730 625 1593 408 213 223 38 240 72 2081 Men 902 743 112 53 73 1024 1760 224 185 2075 Tuberculosis Cases 9 39 2 6 — 4 — 50 14 13 Children (Table I.) 532 437 1265 116 326 93 - 4 909 3 Totals 3057 2629 6870 1646 968 730 159 684 220 7375 98, ROTHERHITHE NEW ROAD Maternity Cases 306 391 1364 117 217 50 42 140 16 1196 Women 258 429 896 210 133 127 50 127 39 1165 Men 163 917 78 38 963 19 407 281 58 121 Children (Table I.) 427 269 — 742 330 931 43 130 9 — Totals 1057 1654 4108 651 697 365 139 388 74 4066 Totals both Centres 4114 4283 2297 1665 1095 298 1072 294 11441 10978 VII.-CONSULTATION AND OTHER CLINICS. X-RAY DEPARTMENT. The following table shows the work done in this Department during 1943: — Total number of Attendances 4,210 Number of Individual Cases 4,005 Number of New Cases 3,338 Number of Screenings 2,023 Analysis of Films: — Bones 143 Gastro-intestinal Tract 137 Chests 3,620 Other Examinations 42 Air Training Corps 119 POST-NATAL AND SPECIAL CLINICS FOR WOMEN. The total number of attendances during the year was 514. The number of new patients was 162, the majority of whom were suffering from menopausal or menstruation disorders. Suitable cases were treated at the Clinic, others being referred to their own doctors or to hospitals. Four patients were found to be suffering from carcinoma. HEART CLINIC. The total number of new patients sent up for investigation during the year was 104, of which number 50 were found to be suffering from cardiac disease. These patients come by appointment and are sent by their own doctors; 47 sessions were held during the year. OPHTHALMIC CLINIC. Fifty-six sessions were held during the year, the number of new patients being 375 and the total attendances 577. FOOT CLLNIC. Attendances during the year are shown in the following table: — Clinic Men Women Total Bermondsey 1,628 4,660 6,288 Rotherhithe 3,289 1,299 4,588 Totals 10,876 2,927 7,949 VIII.-PROPAGANDA. The following is a list of lectures, demonstrations and cinema film shows given during the year:— Youth Organisations 94 attended by 5,415 Schools 66 „ 8,495 Civil Defence Personnel 61 „ 2,950 First Aid Groups, W.V.S., etc. 14 „ 684 Other Adult Organisations 47 „ 3,280 General Public for Salvage Drives, National Savings, etc. 18 „ 4,607 300 25,431 IX.-SANITARY ADMINISTRATION HOUSING. During the year 1943, no areas were represented or declared by the Council. No new flats or cottages have been erected during the year. HOUSING ACT, 1936—OVERCROWDING. There are no reliable statistics available with regard to overcrowding,- owing to the many changes in the occupation of houses which are still taking place. Out of a total of just over 600 applications for housing accommodation in the Borough, about 40 families were living in overcrowded circumstances, and about 165 families had no separate accommodation. ERADICATION OF BED BUGS. The following table shows the fumigations carried out during 1943: — Infested Disinfested Council houses or flats 183 183 Other houses or flats 174 174 INSPECTIONS, PROCEEDINGS, ETC. Hereunder will be found particulars of Inspections, Proceedings, etc., for the year 1943 : — Inspection of Dwelling-Houses during the Year :— (1) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 4,075 (b) Number of Inspections made for the purpose 23,371 (2) (a) Number of dwelling-houses (included under sub-head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 and 1932 820 (b) Number of Inspections made for the purpose 835 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 1 (4) Number of dwelling-houses (exclusive of those referred to under the preceding subhead) found not to be in all respects reasonably fit for human habitation Nil Remedy of Defects during the Year without Service of Formal Notices : — Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers 1,043 Action under Statutory Powers during the Year :— (A) Proceedings under Sections 9, 10 and 16 of the Housing Act, 1936 :— (1) Number of dwelling-houses in respect of which notices were served requiring repairs Nil (2) Number of dwelling-houses which were rendered fit after service of formal notices : — (a) By owners Nil (b) By Local Authority in default of owners Nil (B) Proceedings under Public Health Acts :— (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 1,567 (2) Number of dwelling-houses in which defects were remedied after service of formal notices :— (a) By owners 524 (b) By Local Authority in default of owners Nil (C) Proceedings under Sections 11 and 13 of the Housing Act, 1936 :— (1) Number of dwelling-houses in respect of which Demolition Orders were made Nil (2) Number of dwelling-houses demolished in pursuance of Demolition Orders Nil (D) Proceedings under Section 12 of the Housing Act, 1936 :— (1) Number of separate tenements or underground rooms in respect of which Closing Orders were made Nil (2) Number of separate tenements or underground rooms in respect of which Closing Orders were determined, the tenement or room having been rendered fit Nil REGISTERED PREMISES— Number on Register at end of 1943 Number of Prosecutions Premises Number of Inspections 3 Common Lodging Houses - 62 Seamen's Lodging Houses 3 10 - 135 Milkshops.. 256 - Houses let in lodgings 410 1,015 - Ice Cream Premises 97 - - Offensive Trades (including Poultry Slaughter-houses) 13 - 49 SMOKE NUISANCES — Number of observations 16 Number of notices Nil Number of complaints Nil Number of summonses Nil WATER SUPPLY TO TENEMENT HOUSES— Premises supplied Nil Prosecutions Nil SALE OF FOOD — Number of premises used other than ice-cream premises, milk-shops and cowsheds 358 Number of inspections 1,141 RAG FLOCK ACT, 1911, and PUBLIC HEALTH LONDON) ACT, 1936 :- There are three premises in the District where rag flock is used and three inspections were made during the year. WORK OF DISTRICT INSPECTORS. 1943. 1 2 3 4 5 6 7 8 10 11 12 14 17 18 20 21 22 19 15 9 13 16 23 House-to-House Special Inspections Complaints Infectious Diseases Rat Survey Offensive Trades Outworkers' Bi-Annual Inspection Underground Conveniences Drains Tested Other Calls and Visits Chimney Watched Bakehouses Common and Seamen's Lodging Houses Butchers Fishmongers, Friers and Curers Food Stores Fruiterers and Greengrocers Ice Cream Markets Restaurants and Eating Houses Destruction of Food Various TOTALS Visits Ints. District No. 1 34 893 167 65 125 — 2 27 1506 — 10 13 33 26 48 19 — — 41 26 — 3035 82 — 3 20 1 53 123 31 — 36 — 6058 No. 2 137 921 595 126 60 1 3909 22 9 11 446 — — — „ No. 3 3 885 236 176 4 2 28 835 23 2 34 18 199 9 — 38 37 2529 78 — — — — — No. 4 285 1171 370 137 8 52 1656 13 11 41 26 75 — — — — 3 4 — 12 3864 276 — — 626 22 1513 „ No. 5 5 703 106 73 71 8 1 14 5 40 3 — 2 18 36 — 3246 222 — — — „ No. 6 188 792 182 90 83 1 30 1153 15 20 21 10 138 10 3 36 38 — 2810 197 — — — — 168 1375 149 2 26 1984 41 35 6 67 15 32 59 „ No. 7 292 128 — — 30 4 — — 4413 246 — 2468 610 — 30 132 196 227 219 — Total 11 254 12556 656 — 20 6740 72 820 787 77 1567 FACTORIES AND OTHER PREMISES. HOMEWORK. NATURE OF WORK (1) Outwork in Unwholesome Premises, Section 111 Outworkers' Lists, Section 110 Lists received from Employers Outworkers resident in Bermondsey received from other Districts Notices served on Occupiers as to keeping or sending lists (8) Prosecutions Instances (11) Notices served (12) Prosections (13) Lists (2) Outworkers Failing to send lists (10) Resident in Bermondsey Failing to keep lists (9) Resident in other Districts (5) Contractors (3) Workmen (4) Contractors (6) Workmen (7) Wearing Apparel— I 10 (1) Making, etc. 3 3 25 1 - - - - - - - (2) Cleansing and washing - - - - - - - - - - - - - Fur pulling - - - - - - - - - - - - Umbrellas, etc. 2 - - - - - - - - - - Sacks 2 11 5 - - - - - - - - - Paper, etc., Boxes, Paper Bags - 9 - - - - - - - - - - - Brush making - 2 - - - - - - - - - - - - - Combs, etc. - - - - - - - - - Upholsterers - - - - - - - - - - - Cycle Engineers - - - - - - - - - - - - - - - Coathangers - - - - - - - - - - - - - Carding of buttons, etc. - - - - - - - - Onion Peeling - - - - - - - - - - - - Games and Toys - - - - - - - - - - - - 3 - Fancy Goods - - - - - - - - - - 1 - - - - 26 - - Total 5 14 30 - FACTORIES AND OTHER PREMISES. INSPECTION. Number of Premises Written Notices Inspections 3,756 36 Factories with mechanical power Factorieswithout mechanical power 1,518 25 Other Premises under the Act (including works of building and engineering construction but not including outworkers' premises) 337 16 5,611 Total 77 DEFECTS FOUND. Number of Defects Particulars Found Remedied Referred to H.M. Inspector Want of Cleanliness (S.1.) 51 51 - Overcrowding (S.2.) - - - Unreasonable Temperature (S.3.) 1 1 1 - Inadequate Ventilation (S.4.) 1 - Ineffective Drainage of Floors (S.6.) - - - Sanitary Conveniences (S.7.) — Insufficient 5 5 - Unsuitable or Defective 31 31 - Not separate for Sexes - - - Other Offences (Not including offences relating to Home Work or offences under the Sections mentioned in the Schedule to the Ministry of Health (Factories and Workshops Transfer of Powers) Order, 1921, and re-enacted in the Third Schedule to the Factories Act, 1937.) 17 17 - Total 106 106 - BAKEHOUSES. In Use Not in Use Underground Above ground Underground Above ground 25 10 4 6 25 of these are Factory Bakehouses HOUSE, TRADE AND MARKET REFUSE. The following table shows the amount of house, trade and market refuse disposed of during 1943: — Disposal Loads tons cwts. qrs. House Refuse to Barge 5,829 2 9,127 10 Trade Refuse to Barge 1,943 1,433 5 3 345 13 Street Markets Refuse to Barge 316 2 Totals 3 8,117 10,877 9 OFFENSIVE TRADES. The offensive trades on the Register are as follows: — Fellmongers 3 Fatmelters 1 Glue and size makers 3 Dresser of Fur Skins 6 MORTUARY. The Public Health (London) Act, 1936, Section 234, requires the Borough Council to provide a proper place for the reception of dead bodies before interment. The London County Council acts as agent for the Borough Council in this matter and receives into the mortuary at St. Olave's Hospital those bodies for which it is the duty of the Borough Council to provide. A fee of one guinea per body is paid by the Borough Council for this service. Number of infectious bodies removed Nil Total number of bodies removed 12 STREET MARKETS. The market scheme continues to work smoothly and satisfactorily. Number of Licences in operation 160 Income £722 14s. 0d. There were no prosecutions during the year. DRAINAGE WORK. Hereunder will be found particulars of drainage work, etc., carried out by the Drainage Inspector during 1943:— Drains Tested 203 Visits to Shelters 567 Other Visits 1,016 WORK OF THE FACTORIES AND SHOPS INSPECTOR. Shops. Visits 25 Notices served under Shops Act, 1934 Nil Notices served under Public Health (London) Act, 1936 1 Factories (with mechanical power). Visits 177 Notices under Factory Act, 1937 32 Notices under Public Health (London) Act, 1936 1 Factories (without mechanical power). Visits 108 Notices under Factory Act, 1937 18 Notices under Public Health (London) Act, 1936 7 Workplaces. Visits 137 Notices served 16 Visits to Offensive Trade premises 49 Chimneys watched 16 Visits to Underground Conveniences 277 Other calls and visits 400 X.-FOOD CONTROL. PUBLIC HEALTH (IMPORTED FOOD) REGULATIONS, 1937. FOOD AND DRUGS ACT, 1938. Twenty-four samples were taken during the year by the Senior Inspector and Wharves Inspectors. UNSOUND FOOD. The general inspection of food in shops and on stalls forms part of the duty of the District Sanitary Inspectors. Food, in the quantities stated, came under the notice of the Inspectors during the year, and being found unfit for human consumption was destroyed or disposed of for animal feeding purposes. Weight Description of Food lbs. tons cwts. qrs. - Fish 1 3 25 - 12 Dairy Produce 1 - Meat - - - 1 Various - 4 3 10 Total 8 - 19 - MILK PREMISES. MILK AND DAIRIES (AMENDMENT) ACT, 1922. FOOD AND DRUGS ACT, 1938. Two milk sellers were registered under the above Acts during 1943, and two were removed from the Register, making a total of 135 milk sellers on the Register at the end of the year under report. MILK (SPECIAL DESIGNATIONS) ORDER, 1936. During the year under report the following licences were granted: — Dealers' Licences. To sell Tuberculin Tested Milk 10 To sell Pasteurised Milk 27 Supplementary Licences. To sell Pasteurised Milk 11 To sell Tuberculin Tested Milk 6 All premises used for the sale of milk are regularly inspected to ensure that the standard of cleanliness laid down is maintained. MILK SAMPLING. Samples of milk, both for bacteriological and chemical examination, are taken from milksellers, and special arrangements are made for the sampling of the milk supplied to all schools in the borough. The total number of samples submitted for analysis during 1943 was 400, of which number 29 were taken from schools. For Chemical (i.e., Fat and non-Fatty Solids) Examination. Liquid Milk, undesignated 242 Sterilized Milk 92 Pasteurised Milk (informal) 30 Condensed Milk (informal) 9 373 For Bacteriological Examination. Pasteurised Milk (from schools) 29 Pasteurised Milk (other than from schools) 4 For tubercle bacilli 2 For brucella abortus 1 36 PHARMACY AND POISONS ACT, 1933. Thirty-one premises were entered on the Council's list for the year under report. As a result of samples being purchased, it was found that eight contraventions of the Act occurred, poisons being sold wrongly by unlisted vendors. Warnings were given in all cases. FOOD AND DRUGS. During the year, 1,210 samples were submitted by the Food & Drugs Inspector, of which number 14 were found to be either adulterated or not complying with the requirements of the Food and Drugs Act, 1938. Boracic Lint 1 Epsom Salts 2 Gelatin 2 Grape Fruit Flavoured Beverage 1 Milk 1 Spice, Mixed 1 Vinegar 5 Winter Warmer 1 14 PROSECUTIONS IN CONNECTION WITH SAMPLES TAKEN DURING 1943. Adulteration or Infringement Sample Remarks No. 242 Vinegar 56.2% deficient in Acetic Acid Fine £2. Costs £3 3S. 849 Vinegar Fine £1. Costs refused. 20.5% deficient in Acetic Acid 884 Malt Vinegar Dismissed under P. of O. Act. Costs £1 1s. 17.7% deficient in Acetic Acid SUMMARY. £ s. d. Fines 3 0 0 Costs 4 4 0 £7 4 0 PUBLIC HEALTH (IMPORTED FOOD) REGULATIONS, 1937. Quantity Unsound Articles Disposed of for purposes other than human food Released for disposal under other Sanitary Authorities Destroyed Weight Weight Weight Tons cwts. qrs. lbs. Tons cwts. qrs. lbs. Tons cwts. qrs. lbs. Cereals 10 364 7 2 10 - - - - 0 0 0 22 174 55 15 0 19 28 5 1 10 2 20 Dairy Produce 13 0 8 14 14 1 8 0 1 2 1 1 2 Fish 0 80 Fruit 9 2 0 0 2 14 1 5 0 23 Meat 2 2 15 0 1 12 0 1 1 8 0 11 2 Tea 12 0 3 15 - - - - 1 1 5 Various 20 16 0 3 50 10 3 6 1 17 1 26 9 0 Vegetables 153 2 9 19 7 1 5 2 13 669 5 2 23 52 7 1 10 285 13 0 16 Total 1 2 3 4 5 6 7 8 9 10 11 Food Factories Food Stores Food Wharves and Depots Milksellers Pharmacy and Poisons Condemnation of Food Nuisances Found Intimations Served Food Control Number of Samples taken Various Visits Food and Drugs Imported Food Regulations Milk (Special Designation) Order Samples of Milk for presence of Tubercle Bacilli Milk for Bacillus Abortus Pharmacy and Poison Jam Butter and Margarine Other (48) Mr. Toll 271 - 105 433 393 1332 - - 205 - - - - 12 - - - - - Mr. Butcher 64 122 793 1220 - - - 13 - - 293 362 19 - - - - 12 433 472 - - - Mr. Tapsfield 3 110 10 - - - - 42 1317 208 - 3 - 27 - - 256 20 - - 487 Mr. Bailey - 59 1214 - 2 1 1 33 - 3 Totals 61 988 1658 27 3 1224 25 181 256 726 487 802 33 2 1 3869 1 XI.-HEALTH SERVICES. The detailed list of health services shown in previous Annual Reports has not been published this year, owing to the frequent changes in the services necessitated by war conditions. All services are being maintained as fully as possible, and up-to-date information regarding the time-tables of all Centres and Clinics, the Ambulance Facilities afforded by the London Ambulance Service of the London County Council, Obstetric and Puerperal Fever Consultants and other services will be supplied on application to the Medical Officer of Health, Telephone No. BERmondsey 2109. Printed by ASH & CO., LTD., Holyrood Street, Bermondsey, London, S.E.i.