URBAN DISTRICT COUNCIL 0 F F E L T H A M ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH 19 4 3 Medical Officer of Health (part time) F.H. Woods, M.R.C.S., L.R.C.P, Dr, Woods was called to the services at the outbreak of hostilities. Deputy Medical Officer of Health (part time) D. McCarthy, M.B., CE. B. Chief Sanitary Inspector, R, J. Rowdon, C.R.S.I,, M.S.I.A, Sanitary Inspector, F. V. Bell, M.R. San. I., M.S.I.A. Feltham Middx. June, 1944. Council Offices, Feltham. Mr, Chairman, Ladies and Gentlemen, I beg to present my Annual Report on the Health and Sanitation of your District during 1943. The District is divided into three Wards: Bedfont, Peltham and Hanworth with a total acreage of 4,935, The estimated population is 36,000 (mid, 1943), (Registrar General), This is a slight decrease compared with 1942. - 1 - The day population is increased by people working at the various factories and shops A small number continue to work at agriculture. The sum represented by a penny rate is £1,100 All classes of inhabited houses 10,096 Working-class dwellings 9,392 New workings class dwellings erected nil Total number of new houses erected nil VITAL STATISTICS , Total Male Female Live births Legitimate 668 319 349 Illegitimate 30 17 13 Total 698 336 362 Birth rate per 1.000 of the estimated resident population - 19,38 Still Births Legitimate 18 8 10 Illegitimate 1 1 - Total 19 9 10 Rate per 1,000 total births live and still) - 26,49 Deaths , 297 151 146 Death rate pgr 1,000 of the estimated resident population - 8,25 Deaths from puerperal causes (Headings 29 and 30 of the Registrar-General is Short list) Deaths Rate per 1,000 total (Live and still) births, No, 29 Puerperal Sepsis - - No, 30 Other Maternal Causes 1 1,39 Total 1 1,39 Death rates of infants under cone year of age All infants per 1,000 live births 57,27 Legitimate infants per 1-000 legitimate live births 44,91 Illegitimate infants per 1,000 Illegitimate live births 100,00 Total Rate per 1,000 of estimated population. Deaths from Cancer (all ages) 41 1.13 „ „ Measles (all ages) - - Whooping Cough (all ages) - - Rate per 1,000 live births „ „ Diarrhoea (under two years) 5 7.16 The Birth, Death and Maternal Mortality rates for England and Wales in 1943 were Birth Rate 16.5 Still Birth Rate 0.51 Death Rate 12.1 Puerperal Sepsis 0.39 Others 1.45 Total Maternal Mortality Rate 1.84 CAUSES OF DEATH IN YOUR AREA Male Female Total 1 Typhoid and paratyphoid fevers - - - 2 Cerebro-spinal fever - - 3 Scarlet fever - - - 4 Whooping Cough - - - 5 Diphtheria - - - 6 Tuberculosis of the respiratory system 8 10 18 7 Other forms of tuberculosis 1 1 2 8 Syphilitic disease 2 - 2 9 Influenza 4 2 6 10 Measles - - - 11 Acute poliomyelitis and polioencephalitis - - - 12 Acute infectious encephalitis - - - 13 Cancer of buccal cavity and eosophagus (M) uterus (F) 1 3 4 14 Cancer of stomach and duodenum 1 3 4 15 Cancer of breast - 3 3 16 Cancer of all other sites, 13 17 30 17, Diabetes 1 1 2 18 Intra-cranial vascular lesions 8 12 20 19 Heart disease 30 35 65 20 Other diseases of the circulatory System 6 2 3 21 Bronohitis 13 7 20 22 Pneumonia 10 10 20 23 Other respiratory diseases 2 - 2 24 Uloeration of the stomachl or duoderm 4 - 4 25 Diarrhoea (under two years of age) 2 3 5 26 Appendioitis 1 - 1 27 Other digestive diseases 4 6 10 28 Nephritis 2 2 4 29 Puerperal and post-abortive sepsis a - - - 30 Other maternal cause - 1 1 31 Premature birth 4 3 7 32, Congenital malformations,, birth injury, infantile disease 5 6 11 33 Suicide - 2 2 34 Road traffic accidents 5 1 6 35 other violent causes 7 7 14 36 All other causes 17 9 26 151 146 297 2 NOTIFIABLE DISEASES OTHER THAN TUBERCULOSIS Disease. Total Nos. Notified Admitted to hospital Deaths Diphtheria 4 4 - Measles 100 3 - Whooping Cough. 54 6 - Pneumonia 2 - 20 Scarlet fever 105 87 - Cerebro-spinal fever - - - Puerperal Pyrexia 2 2 - Ophthalmia Neonatorium 1 1 - Erysipelas 2 - Poliomyelitis, - - Scarlet Diph- Puerps Erysip- Pneu- Whooping Age Periods Fever theria Pyroria elas. monia Measlesl cough. Under 1 year - - - - - 2 - 1-2 years - - - - - 4 8 2-3 " 5 - - - - 17 9 3-4 " 7 i - - - - 14 7 4-5 " 5 - - - - 16 9 5-10 " 61 1 - - - 40 21 10-15 " 9 - - - - 5 - 15-20 " 3 3 - - - - - 20-35 " 4 - 1 1 - 2 - 35-45 " 1 — 1 1 1 - - 45-65 " - - - - 1 - - over 65 " - - - - - - - Total 105 4 2 2 2 100 54 Crhthalmia Neonatorium Notified 1 cases treated at home - Cases treated in hospital 1 Vision unimpaired 1 Total blindness - Death - Tuberculosis Age Periods New Cases Deaths Respira tory Non- Respiratory Respiratory Non- Respiratory M F M F M F M F Under 1 year - 1 - - - - - - 1-5 years - 5 1 - - 1 - 1 5-15 " 2 5 1 2 - 2 1 - 15-25" 3 11 - 1 - 2 - - 25-35 " 10 7 - 2 2 1 - - 35-45 " 6 1 - 1 1 2 - - 45-65 " 6 - - - 5 2 - - Over 65 " - - - - - - - _ Total 27 31 2 6 8 10 1 1 The general health of the population in this District has on the whole been very good during 1943, 3 / 2. There are now five active.day nurseries for children in the District three at Feltham, one at Hanworth and one at Bedfont. 3. Anti-Diphtheria immunisation is being carried out satisfactorily. 4. There is a slight decroase in the birth rates and the death rate compared with 1942. 5. The Infant death rate and deaths from appendicitis are markedly reduced. 6. There is a slight decrease in deaths from Tuberculosis and Cancer. There were no deaths from diphtheria and puerperal sepsis. 7. The District is still in urgent need of more houses as there is unnatural and uncomfortable overcrowding. d, McCarthy, Deputy Medical Officer of Health, June. 1944. * I CHIEF SANITARY INSPECTOR'S REPORT Council Offices, Feltham, Middx, Dr. D. McCarthy, M, B. Ch. B. Deputy Medical Officer- of Health. Sir, During a large portion of 1943 the office was without the services of Mr. Bell, Sanitary Inspector, through illness. He recommenced duties the latter part of the year. This meant that only the most important work was carried out, such as food examination, water sampling, and disinfestation. Trouble was experienced through crickets at the House Refuse Dump, -ultimately this was overcome, Numerous complaints were received on various matters and these were dealt vL th as far as possible. The work of disinfection after infectious disease has received prompt attention. Rats and Mice (Destruction) Act. 1919. A survey of the District was prepared and forwarded to the infestation Branch of the Ministry of Pood upon the Council agreeing to undertake this work vithin the District, I attended the courses held in London on the subject. Arrangements have been made with the Civil Defence to use some of their personnel if required, SUMMARY OF SANITARY WORK AND IMPROVERMENTS Eradication of Bed Bugs (1) The number of Council houses infested, 16 ( The number of Council Houses disinfested 16 The number of other houses infested, 28 The number of other houses disinfested, 28 (2) The methods employed for freeing infested houses from bugs are the removal of all woodwork etc,, and spraying with "Pyagra" insecticide or fumigating with "Cimex" . In certain cases fumigation with hydrogen cyanide gas is carried out. The furniture etc., of new tenants is inspected before removal to Council houses -and if necessary is treated with insecticide. (4) The work of disinfestation is carried out by the local authority, except when hydrogen cyanide gas is used, when a contractor is employed, Infectious Disease The following number of rooms have been disinfected after cases of infectious disease Impetigo 1 Tuberculosis 21 Cancer 1 Measles - Whooping Cough - Scarlet Fever - Diphtheria 9 Erysipelas - Typhoid Fever - Pneumonia - Cerebro Spinal Fever _ Scabies - Total 136 .• - v' - s - Milk ( Special designations) Regulations, 1936 to 1941. The number of persons licensed in the district to sell or bottle:- Tuberculin Tested 4 Accredited - Pasteurised 4 Supplementary Licences:- Tuberculin Tested 3 Accredited 1 Pasteurised 4 INSPECTION AND SUPERVISION OF FOOD. Carcases Examined at Slaughter-houses and butcher’s and Butcher’s shops. Beasts. Calves• Lambs. Pigs. Number killed - - - 66 Number inspected - - - - diseases excluding Tuberculosis. Whole' carcase condemned - - - - Carcases of which some part or organ condemned - - - - Percentage affected with disease other than tuberculosis - - - - Tuberculosis only. Whole carcase condemned - - - - Carcases of wihch some part or orgam condemned - - - 5 Percentage affected with tuberculosis - - - 7.57 Meat Inspected at Distributing Depot No 16. The following number of hole carcases have been examined:- Beasts. Sheep Calves. Pigs,. 1 - 1 43 In addition a large number of quarters, parts of carcases and organs have been examined. The following has been declared unfit for human consumption; Whole carcases Beasts. Calves. Sheep. Pigs. Tuberculosis. - - - - other Disease. - - 12 - Part Carcases and organs Total: 2 tons 2 cwts . 87 lbs. In addition the following amount of canned meat was found to be unfit for human consumption- 1 ton 9 cwts. 98 ibs I am. air Tour obedient bervant. R. J. ROWDON. June, 1944. Chief Sanitary Inspector. 6