SLAUGHTER-HOUSES. Two slaughter-houses were licensed under the Food and Drugs Act 1938, but slaughtering ceased during January, 1940, when government control came into operation. (c) ADULTERATION, ETC. Particulars not available. SECTION F. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. DIPHTHERIA IMMUNISATION. HAYES COTTAGE HOSPITAL Number of sessions 49 Number of attendances 1,803 Number of certificates issued 249 Number of re-tests 269 Percentage of failure to immunise 7.43 Successfully immunised 92.57 NOTIFIABLE DISEASES (other than Tuberculosis) DURING THE YEAR, 1940. Disease Total Cases Notified Cases admitted to Hospital Total Deaths Scarlet fever 93 70 1 Diphtheria 56 48 3 Enteric fever 1 1 - Pneumonia 18 14 46 (all forms) Puerperal pyrexia 2 2 - Erysipelas 5 2 - Cerebro-spinal fever 10 8 4 Poliomyelitis 1 1 - Ophthalmia neonatorum 3 - - Measles 175 - - Whooping cough 82 - 1 Encephalitis lethargica 1 1 1 Smallpox - - - HAY 16 THIRTY-SIXTH ANNUAL REPORT (ABRIDGED) on the HEALTH of the URBAN DISTRICT OF HAYES AND HARLINGTON Middlesex J. STANLEY LLOYD, M.D., F.R.C.S.Edin. Medical Officer of Health 1940 THE URBAN DISTRICT COUNCIL OF HAYES AND HARLINGTON MEMBERS OF THE COUNCIL, 1940. Chairman: COUNCILLOR G.H. STINTON, J.P. Vice-Chairman: COUNCILLOR R.R.A. JOHNSON. COUNCILLORS: L. AYERST, MRS. I.E. DOWNER, L.M. GRAVES, J.P., MRS. A.B. GREENHEAD, E.K. HARDING, A.N. HARTLEY, E.G. HARTLEY, W.C. LAING, A.C. NICHOLS, A. OGDEN, D. PAGE, G. PRATT, A. SIMPSON, W.R.F. SMART, P.G. SOULSBY, L. STRINGER, W. SUTCLIFFE. PUBLIC HEALTH COMMITTEE, 1940. Chairman: COUNCILLOR L.M. GRAVES, J.P. I COUNCILLORS: L. AYERST, MRS. I.E. DOWNER, MRS. A.B. GREENHEAD, A.N. HARTLEY, E.G. HARTLEY, G. PRATT, A. SIMPSON, P.G. SOULSBY, G.H. STINTON, J.P., (ex-officio). STAFF OF THE PUBLIC HEALTH DEPARTMENT. Medical Officer of Health: J. STANLEY LLOYD, M.D., F.R.C.S.Edin. Medical Officer in Charge of Diphtheria Immunisation Clinic, Hayes: GUY BOUSFIELD, M.D., B.S.Lond. Chief Sanitary Inspector, Inspector under the Shops Acts and Petroleum Inspector: RICHARD BILL, Cert. R. San. Inst., and Certified Meat Inspector. Deputy Chief Sanitary Inspector: LAURENCE BURKE. Additional Sanitary Inspector: S.H.G. STEVENS. Temporary Additional Sanitary Inspector: E.G. DRAYSON (joined H.M. Forces 9th March, 1940). Assistant Sanitary Inspector (and Temporary Assistant Shops Inspector): C.E. ALLARD (from 7th Dec. 1940). Clerk and Temporary Assistant Shops Inspector: C.E. ALLLRD (to 6th Dec. 1940). Clerk: F.E. POLLARD. S.E C T I 0 N A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA. Area (acres) 5,161 Population (census 1931) 23,646 Population (Mid-year, 1940) Registrar-General's Estimate: Working Population Figure 55,200 Number of inhabited houses end of 1940 15,331 Rateable value £362,444 Sum represented by a penny rate Gross £1,548.13.11 Net (Est.) £1,429.11. 7 UNEMPLOYMENT - 1940. Males Females Total January 1,206 746 1,952 February 1,099 685 1,784 March 813 658 1,471 April 612 679 1,291 May 462 562 1,024 June 239 453 692 July 194 492 686 August 182 468 650 September 203 334 537 October 195 450 645 November 124 354 478 December 57 322 379 3. AVERAGE UNEMPLOYMENT PER MONTH. 1940 1939 1938 1937 Males 449 699 1,012 555 Females 517 631 650 288 966 1,330 1,662 843 1940 Unemployed (males) - decrease of approx. 36 per cent compared with 1S39 figures. 1940 Unemployed (females) - decrease of approx. 18 per cent compared with 1939 figures. 1940 Total Figures - decrease of approx, 27 per cent compared with 1939 figures. EXTRACTS FROM VITAL STATISTICS OF THE YEAR. Live Births - Total M. F. Birth Rate per 1,000 of the estimated resident population Legitimate 1,128 567 561 Illegitimate 38 19 19 21.1 Stillbirths 27 17 10 Rate per 1,000 total (live and still) births 22.6 Deaths 466 248 218 Death Rate per 1,000 of the estimated resident population 8.44 The Areal Comparability Factor for adjusting the local death rate to that for the whole country after talcing into consideration age and sex is 1.55. The adjusted death rate is, therefore, 13.1. Deaths from puerperal causes Deaths. Rate per 1,000 total (live and still) births. Puerperal sepsis 0 0.000 Other puerperal causes 2 1.675 Total 2 1.675 Death rate of infants under one year of age - All infants per 1,000 live births 77.9 Legitimate infants per 1.000 legitimate live births 73.6 Illegitimate infants per 1,000 illegitimate live births 200.0 M. F. Total Deaths from Cancer (all ages) 19 29 48 Deaths from Measles (all ages) 0 0 0 Deaths from Whooping Cough (all ages) 1 0 1 Deaths from Diarrhcea (under 2 years of age) 11 7 18 4. CAUSES OF DEATH DURING 1940. Causes of Death. Males. Females. All Causes 248 218 1. Typhoid and Paratyphoid Fevers - - 2. Cerebro-spinal Fever 4 - 3. Scarlet Fever 1 - 4. Whooping Cough 1 - 5. Diphtheria 3 - 6. Tuberculosis of respiratory system 13 11 7. Other forms of tuberculosis 5 4 8. Syphilitic diseases - - 9. Influenza 1 3 10. Measles - - 11. Ac. polio-myelitis and polio-encephalitis - - 12. Ac. infantile encephalitis - 1 13. Cancer of buccal cavity and oesophagus (M), uterus (F), - 2 14. Cancer of stomach and duodenum 10 5 15. Cancer of breast - 9 16. Cancer of all other sites 9 13 17. Diabetes 4 1 18. Intra-cranial vascular lesions 14 16 19. Heart disease 55 40 20. Other diseases of circulatory system 3 12 21. Bronchitis 17 9 22. Pneumonia (all forms) 28 18 23. Other respiratory diseases 1 4 24. Ulcer of stomach and duodenum 3 - 25. Diarrhœa (under 2 years of age) 11 7 26. Appendicitis 2 1 27. Other digestive diseases 2 2 28. Nephritis 1 3 29. Puerperal and post-abortive sepsis - - 30. Other maternal causes - 2 31. Premature birth 11 12 32. Congenital malformations, birth injuries, infantile diseases, 13 4 33. Suicide 6 4 34. Road traffic accidents 6 1 35. Other violent causes 19 17 36. All other causes 5 17 Deaths of Infants under 1 year Total 47 44 Legitimate 42 41 Illegitimate 5 3 Live births Total 588 580 Legitimate 568 560 Illegitimate 20 20 Stillbirths Total 17 9 Legitimate 17 9 Illegitimate 0 0 Population (Mid-Year) 55,200 (Figures furnished by the Registrar-General). 5. BIRTH-RATES, CIVILIAN DEATH-RATES, ANALYSIS OF MORTALITY, MATERNAL MORTALITY, AND CASE-RATES FOR CERTAIN INFECTIOUS DISEASES IN THE YEAR 1940. England and Wales, London, 126 Great Towns and 148 Smaller Towns (Provisional Figures based on Weekly and Quarterly Returns.) England and Wales 126 County Boroughs and Great Towns including. London 148 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 Census London Administrative County Hayes and Harlington Rates per 1,000 Civilian Population BIRTHS:- Live 14.6 16.0 15.7 13.7 21.1 Still 0.55 0.64 0.55 0.44 0.49 DEATHS:- All Causes 14.3 15.8 12.8 17.8 13.1 Typhoid and Paratyphoid fevers 0.00 0.00 0.00 0.00 0.00 Smallpox - - - - - Measles 0.02 0.02 0.02 0.01 0.00 Scarlet fever 0.00 0.00 0.00 0.00 0.02 Whooping cough 0.02 0.02 0.02 0.00 0,02 Diphtheria 0.06 0.07 0.05 0.01 0.05 Influenza 0.32 0.29 0.30 0.18 0.07 NOTIFICATIONS:- Smallpox 0.00 - - - 0.00 Scarlet fever 1.63 1.53 1.57 0.82 1.68 Diphtheria 1.16 1.29 1.21 0.61 1.01 Enteric fever 0.07 0.06 0.10 0.06 0.02 Erysipelas 0.33 0.36 0.30 0.35 0.09 Pneumonia 1.20 1.37 1.00 0.87 0.33 Cerebro-spinal fever 0.32 0.33 0.29 0.28 0.18 Whooping cough 1.34 1.29 1.35 0.22 1.49 Measles 10.24 9.23 9.99 1.78 3.17 Rates per 1,000 Live Births Deaths under 1 year of age 55 61 54 50 78 Deaths from Diarrhœa and Enteritis under 2 years of age 4.6 5.9 4.4 5.8 15.4 Rates per 1,000 Total Births (i.e. Live and Still) MATERNAL MORTALITY (EXCLUDING ABORTION):- Not available Puerperal Sepsis 0.52) 0.000 Others 1.64) 1.675 Total 2.16) 1.675 NOTIFICATIONS:- , Puerperal fever 11.96 13.90 9.73 3.34 1.675 Puerperal pyrexia 13.30 6. SECTION B. GENERAL PROVISION OF HEALTH SERVICES FOR THE AREA. Similar to previous years. SECTION C. SANITARY CIRCUMSTANCES OF THE AREA. WATER. - Four samples taken from the Supplies of the Rickmansworth and Uxbridge Valley Water Co, and the Wood End Park Estate were examined by the Clinical Research Association Ltd. and found to be fit for drinking. Twenty-three samples of the South West Suburban Water Co.'s supply taken by this authority and five neighbouring authorities were found to be fit for drinking. In addition one sample was taken from a Well used in the preparation of food and was found to be unsatisfactory. DRAINAGE AND SEWERAGE. RIVERS AND STREAMS. CLOSET ACCOMMODATION. PUBLIC CLEANSING. No important changes from last year. SANITARY INSPECTION OF THE AREA. 1. - COMPLAINTS. During the year 270 complaints were received with respect to the following matters, viz.:- Choked and defective drains 53 Insanitary or dilapidated condition of houses and premises 116 Offensive accumulations or deposits 5 Cesspools overflowing 7 Rats 18 Other nuisances 71 270 2. - INSPECTION OF DISTRICT. Number of houses and premises inspected (ordinary) 1,638 „ „ houses inspected and particulars recorded (Housing Act, 1936) 19 „ „ houses and premises re-inspected 2,186 „ „ miscellaneous visits 585 „ „ food inspections 1,088 „ „ visits to slaughter-houses 149 „ „ „ „ dairies, cowsheds and milk-shops 31 „ „ „ bakehouses and factories 103 „ „ „ re water supplies 33 „ „ „ „ cases of infectious disease 608 „ „ „ „ offensive trades 23 „ „ „ „ petroleum stores 54 „ „ smoke observations and visits to works 40 „ „ inspections of tents and vans 57 „ „ public urinals inspected 76 „ „ verminous premises inspected 91 „ „ premises disinfected 142 „ „ inspections under the Shops Acts 754 „ „ „ (Housing Act, 1936; overcrowding) 247 „ „ under the Food and Drugs Act 48 7,972 3. - NOTICES SERVED. Served. Complied with. Outstanding. Informal notices 387 366 21 Statutory notices Section 57, Food & Drugs Act, 1938 3 2 1 Section 93, Public Health Act, 1936 2 1 1 4. - SUMMARY OF SANITARY IMPROVEMENTS CARRIED OUT. Drainage. Number of drains examined, exposed, etc. 49 Drainage systems reconstructed 3 Defective drains unstopped, repaired, etc. 46 Manholes built, altered or repaired 6 Fresh air inlets fixed or repaired 1 Glazed sinks provided - Cesspools repaired - Water Closets. Defective flushing cisterns renewed or repaired 13 New pans provided 10 W.C. apartments repaired, cleansed, etc. 34 Urinals reconstructed or repaired 1 Privies and pail-closets converted to W.C.'s 1 General Repairs, etc. Roofs reapired and made weatherproof 9 Eaves, gutters, repaired or renewed 11 Damp walls re-pointed or rendered damp-proof 34 Defective brickwork of external walls repaired — Defective brickwork and plaster work of internal walls repaired 5 Defective wood floors repaired 3 Defective stairs repaired 1 Handrails provided = Lighting and ventilation increased - Defective tile, brick or concrete floors repaired - Defective doors repaired 3 Defective ceilings repaired 12 Defective windows repaired, made to open or renewed 17 Rooms cleansed 27 Defective stoves, coppers, etc., repaired 4 Sink waste pipes trapped or repaired 4 Insufficient water supply increased 7 Defective yard pavings repaired 2 Offensive accumulations removed 9 New dustbins provided 30 Food stores provided - Lighting, etc., of food stores improved - 5. - SHOPS. No important changes from last year. 6. - CAMPING SITES. 7. - SMOKE ABATEMENT. 8. - SWIMMING BATHS AND POOLS. 9. - ERADICATION OF BSD BUGS. SCHOOLS. 8. THE FACTORIES ACT, 1937 One hundred and three inspections of factories with and without mechanical power have been made. There are sixty-five factories with mechanical power and four factories without mechanical power on the register, classified as under:- Factories with mechanical power. Aircraft 1 Ink 1 Bakehouses 8 Jams 1 Bicycle repairs 1 Joinery 2 Boot repairs 8 Mineral waters 1 Builders' materials 1 Motor repairs 4 Caravans 1 Music rolls 1 Cheese 1 Oil blending 1 Chemical engineers 1 Pianos 1 Cocoa, etc. 1 Printing 3 Corrugated cardboard 1 Radio 2 Crisps 1 Rubber 1 Electric transformers 1 Slab partitions 1 Engineering 11 Tar macadam 1 Fire extinguishers 1 Valet service 1 Firewood 1 Wire 1 Furniture 2 Wood block floors 1 Glazed tiles, etc. 1 Factories without mechanical power. Bakehouse 1 Smith 1 Motor repairs 2 1. - INSPECTIONS. Premises Number of Inspection Written Notices Occupiers Prosecuted Factories with mechanical power 99 8 Nil Factories without mechanical power 4 - Other premises under the Act (including works of building and engineering construction but not including Outworkers' premises) - - 103 8 2. - DEFECTS FOUND. Particulars Number of Defects Found Remedied Nuisances under the Public Health Acts:- Want of cleanliness 7 7 Want of ventilation Nil Nil Overcrowding Nil Nil Want of drainage of floors Nil Nil Other nuisances 1 1 Sanitary accommodation Insufficient Nil Nil Unsuitable or defective 15 15 Not separate for sexes Nil Nil Offences under the Factories Act:- Other offences Nil Nil Total 25 23 OFFENSIVE TRADES. Sixteen fish friers were licensed by the Council up to the 30th September 194C, (after which under the Public Health Act, 1936 this business ceased to be an offensive trade). In addition three fat extractors were licensed, SECTIOND. HOUSING. 1. - INSPECTION OF DWELLING-HOUSES DURING THE YEAR. (1) (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 1,657 (b) Number of inspections made for the purpose 3,843 (2) (a) Number of dwelling-houses (included under head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 and 1932 19 (b) Number or inspections made for the purpose 47 (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 preceeding sub-head) found not to be in all respects reasonably fit for human habitation 28 2. - 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 16 3. - 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 (2) Number of dwelling-houses in which defects were remedied after service of formal notices- (a) By owners Nil (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 ???ors 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 4. - HOUSING ACT, 1936 - PART IV. - OVERCROWDING. Particulars not available. 10. SECTION E. INSPECTION AND SUPERVISION OF FOOD. (a) MILK SUPPLY. Samples of designated milks submitted to the bacteriologist during the year passed the prescribed tests. There is one producer in the district licensed by the County Council under the Milk (Special Designations) Orders for the production of accredited milk. Two milk dealers were licensed during the year to produce pasteurised milk. The table below gives particulars of the other thirty-four licenses granted duri the year:- Designation Dealer's Licence Supplementary Licence Pasteurised 16 6 Tuberculin Tested 6 6 No refusal or revocation of licenses to retailers has been made. There are now thirty-one persons registered in accordance with the Food and Drugs Act, 1938, as under:- Wholesale Traders or producers of Milk 8 Retail Purveyors of Milk with premises in the district 10 Retail Purveyors of Milk whose premises are outside the district 13 Total 31 (b) MEAT. CARCASES EXAMINED AND MEAT CONDEMNED, 1940. Cattle Calves Sheep and Lambs Pigs Number killed 63 7 8 197 Number examined 63 7 8 197 ALL DISEASES EXCEPT TUBERCULOSIS Whole carcases condemned - - - 1 Carcases of which some part or organ was condemned 2 - - 4 Percentage of the number inspected affected with disease other than tuberculosis 3.11 - - 2.54 TUBERCULOSIS ONLY - Whole carcases condemned - - - - Carcases of which some part or organ was condemned 8 - - 1 Percentage of the number inspected affected with tuberculosis 12.69 - - .51 11. SLAUGHTER-HOUSES. Two slaughter-houses were licensed under the Food and Drugs Act 1938, but slaughtering ceased during January, 1940, when government control came into operation. (c) ADULTERATE ON, ETC. Particulars not available. SECTION F. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. DIPHTHERIA IMMUNISATION. HAYES COTTAGE HOSPITAL Number of sessions 49 Number of attendances 1,803 Number of certificates issued 249 Number of re-tests 269 Percentage of failure to immunise 7.43 Successfully immunised 92.57 NOTIFIABLE DISEASES (other than Tuberculosis) DURING THE YEAR, 1940. Disease Total Cases Notified Cases admitted to Hospital Total Deaths Scarlet fever 93 70 1 Diphtheria 56 48 3 Enteric fever 1 1 — Pneumonia 18 14 46 (all forms) Puerperal pyrexia 2 2 - Erysipelas 5 2 — Cerebro-spinal fever 10 8 4 Poliomyelitis 1 1 — Ophthalmia neonatorum .. 3 — — Measles .. .. .. .. .* 175 — — Whooping cough .. .. .. .» 82 - 1 Encephalitis lethargica 1 1 1 Smallpox .. .. .. .. - - - j .LYSIS OF THE TOTAL CASES. At Ages under 1 year 1 2 3 3 4 4 5 5 10 10 15 15 20 20 35 35 45 45 65 65 and over Scarlet fever 2 1 8 9 6 30 10 6 8 1 4 Diphtheria - 1 2 6 3 29 8 4 2 1 — - Enteric fever - - - - - - - - 1 — — — Pneumonia 1 1 - - - 1 - 4 3 2 4 2 Puerperal pyrexia - - - - - - - - 2 - - - Erysipelas - - - - - - - - 3 - 1 1 Cerebro-spinal fever 1 - 1 - - 1 - 3 3 1 - Poliomyelitis — 1 - - - - - - - - - - Ophthalmia neonatorum 3 - — - - - - - - — - - Measles 6 8 11 9 15 112 3 9 2 - - - Whooping cough 5 9 10 10 9 38 - - - 1 - - Encephalitis lethargica - - - - - - - - 1 - - - - - - - - - - - - - - — 12. TUBERCULOSIS. New cases and Mortality during 1940. Age Periods New Cases Deaths Respiratory NonRespiratory Respiratory NonRespiratory M. F. M. F. M. F. M. F. 0 - - - - 1 - 1 2 1 1 1 - 3 - - 1 2 5 - - - - - - - - 15 5 2 - 1 3 4 2 - 25 6 12 - 4 2 5 - - 35 6 2 - - 4 1 1 - 45 6 3 3 - 2 - - - 55 1 - - - 1 1 - - 65 and upwards - - - - - - - - Total 25 20 3 8 13 11 5 4 The ratio of non-notified tuberculosis deaths to total tuberculosis deaths is 39.3 per cent. No action has been taken under the Public Health (Prevention of Tuberculosis) Regulations, 1925, relating to tuberculous employees in the milk trade, nor under the Public Health Act, 1936, Section 172, for the compulsory removal to hospital of persons suffering from tuberculosis. (September, 1941.)