SECTION E. PREVALENCE OF. AND CONTROL OVER INFECTIOUS DISEASES. DIPHTHERIA IMMUNISATION. Number of sessions. 151 Number of attendances. 7,327 Number of injections given. 5,175 Number of re-tests. 870 Successfully immunised. after one 794 course of or 91.26 p.c. Percentage of failure to immunise. injections. 8.74 p.c. (These were all successfully immunised after a second course of injections). NOTIFIABLE DISEASES (other than Tuberculosis) DURING THE YEAR, 1941. Disease. Total Cases Notified Cases admitted to Hospital. Total Deaths Scarlet fever 99 85 2 Diphtheria 30 30 5 Enteric fever 3 3 1 Pneumonia 34 32 42 (all forms) Puerperal pyrexia 6 6 2 Erysipelas 7 3 — Cerebro-spinal fever 3 3 2 Poliomyelitis 1 1 - Ophthalmia neonatorum 1 1 — Measles 936 11 3 Whooping cough 265 5 1 HAY 17 THIRTY-SEVENTH 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. 1941 THE URBAN DISTRICT COUNCIL OF HAYES AND HARLINGTON MEMBERS OF, THE COUNCIL, 1941. Chairman: COUNCILLOR W.R.F. SMART, J.P. Vice-Chairman: COUNCILLOR P.G. SOULSBY. COUNCILLORS: L. AYERST, A.J. COLE, 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, J.P., G. PRATT, A. SIMPSON, L. STRINGER, W. SUTCLIFFE, W.H. TURNER. PUBLIC HEALTH COMMITTEE, 1941. Chairman: COUNCILLOR L.M. GRAVES, J.P. COUNCILLORS: L. AYERST, MRS. I.E. DOWNER , MRS. A.B. GREENHEAD, E.G. HARTLEY, G. PRATT, A. SIMPSON, W.R.F. SMART, J.P.(ex-officio), P.G. SOULSBY, W.H.TURNER. STAFF OF THE PUBLIC HEALTH DEPARTMENT. Medical Officer of Health: J. STANLEY LLOYD, M.D., P.R.C.S. Edin. Medical Officers in Charge of Diphtheria Immunisation Clinic: GUY BOUSFIELD, M.D., B.S. Lond, (to July, 1941). MARY L. LLOYD, M.A., M.B., Ch.B., D.P.H. (from July, 1941). 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. Assistant Sanitary Inspector (and Temporary Assistant Shops Inspector): C.F. ALLARD. Clerks: F.E. POLLARD (joined H.M. Forces 9th May, 1941;. S. GEORGE (from 26th May, 1941). SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA. Area (acres) 5,161 Population (census 1931) 23,646 Population (Mid-year, 1941) Registrar-General's Estimate: Working population Figure Number of inhabited houses end of 1941 Rateable value Sum represented by a penny rate UNEMPLOYMENT - 1941. Males. Females. Total. January 59 260 319 February 21 185 206 March 31 145 176 April 13 97 110 May 54 99 153 June 21 86 107 July 67 79 146 August 58 110 168 September 43 73 116 October 43 73 116 November 26 69 95 December 35 55 90 AVERAGE UNEMPLOYMENT PER MONTH. 1941. 1940 Males 39 449 Females 111 517 150 966 1941 Unemployed (males) -decrease of approx. 91 per cent compared with 1940 figures. 1941 Unemployed (females)-decrease of approx. 79 per cent compared with 1940 figures 1941 Total Figures - decrease of approx. 84 per cent compared with 1940 figures. EXTRACTS FROM VITAL STATISTICS OF THE YEAR. Live Births Legitimate Illegitimate. (Birth Rate per 1,000 of (the estimated resident (population 18.82 Stillbirths. (Rate per 1,000 total (live (and still) births 33.58 Deaths. (Death Rate per 1,000 of (the estimated resident (population 8.36 3 EXTRACTS FROM VITAL STATISTICS OF THE YEAR (Contd.) Deaths from puerperal causes Rate per 1,000 total (live and still) births. Puerperal sepsis 1.81 Other puerperal causes 3.65 Total 5.44 Death rate of infants under one year of age All infants per 1,000 live births. 56.34 Legitimate infants per 1,000 legitimate live births. 53,63 Illegitimate infants per 1,000 illegitimate live births. 100.00 M. F. Total Deaths from Cancer (all ages) 22 23 45 Deaths from Measles (all ages) 1 2 3 Deaths from Whooping Cough (all ages) - 1 1 Deaths from Diarrhoea (under 2 years of age). 10 7 17 Deaths from Tuberculosis of respiratory system (all ages). 21 18 39 Deaths from Tuberculosis (other forms) (all ages) 1 5 6 Deaths from Heart Disease (all aces). 46 40 86 Deaths from Bronchitis (all ages). 18 15 33 Deaths from Pneumonia (all forms) (all ages). 21 21 42 SECTION B. GENERAL PROVISION OF HEALTH SERVICES FOR THE AREA. Similar to previous years. SECTION C. SANITARY CIRCUMSTANCES OF THE AREA. WATER. - Six 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-five samples of the South West Surburban Water Co's supply taken by this authority and five neighbouring authorities were found to be fit for drinking. 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 213 complaints were received with respect to the following matters, viz:- Choked and defective drains 57 Insanitary or dilapidated condition of houses and premises. 72 Offensive accumulations or deposits 16 Cesspools overflowing. — Rats. 9 Other nuisances. 59 213 4 . 2.-INSPECTION OF DISTRICT. Number of house and premises inspected (ordinary) 1,425 „ „ houses inspected and particulars recorded (Housing Act, 1936). 21 „ „ houses and premises re-inspected 1,854 „ „ miscellaneous visits 589 „ „ food inspections. 355 „ „ visit to dairies, cowsheds, and milk-shops. 41 „ „ „ „ bakehouses and factories. 123 „ „ „ re water supplies. 16 „ „ „ „ cases of infectious disease 1,532 „ „ „ „ offensive trades. 7 „ „ „ „ petroleum stores. 23 „ „ inspections of tents and vans 13 „ „ public urinals inspected. 80 „ „ verminous premises inspected. 84 „ „ premises disinfected. 143 „ inspections under the Shops Acts. 166 „ „ (Housing Act- 1935; overcrowding) 153 „ „ under the Food and Drugs Act. 3 6,628 3. - NOTICES SERVED. Served Complied with Outstanding Informal notices 401 384 17 Statutory notices:- Section 95, Public Health Act, 1936. 10 10 Section 75, Public Health Act, 1936. 1 1 - Section 75 factories Act, 1937 2 2 4. - SUMMARY OF SANITARY IMPROVEMENTS CARRIED OUT, Drainage Number of drains examined, exposed, etc. 84 Drainage systems reconstructed. - Defective drains unstopped, repaired, ,etc. 84 Manholes built altered or repaired. 1 Fresh air inless fixed or repaired. - Glazed sinks provided. - Cesspools prepared — Water Closets. Defective flushing cisterns renewed or repaired 17 New pans provided 7 W.C. apartments repaired, cleansed, etc. 26 Urinals reconstructed or repaired. - Privies and paid-closets converted to W.C.'s. 1 5 4. - SUMMARY OF SANITARY IMPROVEMENTS CARRIED OUT (Contd.) General Repairs, etc. Roofs rrpaired and made weatherproof. 6 Eaves, gutters, repaired or renewed. 10 Damp walls re-pointed or rendered damp-proof. 16 Defective brickwork of external walls repaired 1 Defective brickwork and plaster work of internal walls repaired. 6 Defective wood floors repaired. 1 Defective stairs repaired. — Handrails provided. 1 Lightiing and ventilation increased. — Defective tile, brick or concrete floors repaired. 2 Defective doors repaired. 2 Defective ceilings repaired. 14 Defective windows repaired, made to open or renewed. 4 Rooms cleansed. 25 Defective stoves, coppers, etc., repaired. 4 Sink waste pipes trapped or repaired. 15 Insufficient water supply increased. 11 Defective yard pavings repaired. 3 Offensive accumulations removed. 10 New dustbins provided. 22 Food stores provided. _ Lighting, etc., of food stores improved. — 5. - SHOPS 6. - CAMPING SITES. 7. - SMOKE ABATEMENT 8.- SWIMMING BATHS AND POOLS. 9. - ERADICATION OF BED BUGS. No important changes from last year. THE FACTORIES ACT, 1937 1. - INSPECTIONS. Premises. Number of Inspections. Written Notices. Occupiers Prosecuted. Factories with mechanical power 119 13 Nil. Factories without mechanical power, 4 - Other premises under the Act, (Including works of building and engineering construction but not including Outworkers premises). - • 123 13 6 2.- DEFECTS FOUND Particulars. Number of defects. Found Remedied. Nuisances under the Public Health Acts.:- Want of cleanliness. 20 18 Want of ventilation. Nil Nil Overcrowding. Nil Nil Want of drainage of floors. Nil Nil Other nuisances. Nil Nil Sanitary accommodation Insufficient. 3 3 Unsuitable or defective. 4 4 Not separate for sexes. Nil Nil Offences under the Factories Act:- Other offences. Nil Nil Total. 27 25 OFFENSIVE TRADES. There are three establishments carrying on the offensive trade of fat extracting. SECTION D. 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). 1,446 (b) Number of inspections made for the purpose. 3,300 (2) (a) Number of dwelling-houses (included under head (l) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 and 1932 21 (b) Number of inspections made for the purpose. 49 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation Nil (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 34 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 27 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 7 3. - ACTION UNDER STATUTORY POWERS DURING THE YEAR (Contd.) (b) Proceedings under Public Health Acts:- (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied 9 (2) Numbers of dwelling-houses in which defects were remedied after service of formal notices - (a) by owners 9 (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 4. - HOUSING ACT, 1936 - PART IV. - OVERCROWDING. Particulars not available. SECTION E. INSPECTION AND SUPERVISION 0F FOOD. (a) MILK SUPPLY Sample s 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 vear to produce pasteurised milki The table below gives particulars of the other twenty-five licenses granted during the year Designation. Dealer's Licence. Supplementary Licence. Pasteurised 9 6 Tuberculin tested. 6 4 No refusal or revocation of licenses to retailers has been made. There are now twenty-eight 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 9 Retail Purveyors of Milk whose premises are outside the district. 11 Total. 28 (b) MEAT. There was no slaughtering carried out in the district in 1941. (c) ADULTERATION, ETC. Particulars not available. 8 SECTION E. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. DIPHTHERIA IMMUNISATION. Number of sessions. 151 Number of attendances. 7,327 Number of injections given. 5,175 Number of re-tests. 870 Successfully immunised. after one course of injections. 794 or 91.26 p.c. Percentage of failure to immunise. 8.74 p.c. (These were all successfully immunised after a second course of injections). NOTIFIABLE DISEASES (other than Tuberculosis) DURING THE YEAR, 1941. Disease. Total Cases Notified Cases admitted to Hospital. Total Deaths Scarlet fever 99 85 2 Diphtheria 30 30 5 Enteric fever 3 3 1 Pneumonia 34 32 42 (all forms) Puerperal pyrexia 6 6 2 Erysipelas 7 3 — Cerebro-spinal fever 3 3 2 Poliomyelitis 1 1 - Ophthalmia neonatorum 1 1 — Measles. 986 11 3 Whooping cough 265 5 1 ANALYSIS OF THE TOTAL CASES. At ages. Under 1 year. 1- 2 2- 3 3- 4 4-5 5- 10 1015 15- 20 2035 3545 4565 65 and over. Scarlet fever - 3 3 8 10 62 2 4 4 3 - - Diphtheria 2 4 1 3 2 10 3 2 2 1 - - Enteric fever — — — — 1 - 2 — - - - - Pneumonia 2 1 1 — 2 2 1 3 10 8 3 1 Puerperal pyrexia — — — — — — — — 4 2 - - Erysipelas — — — — - — _ - 1 2 3 1 Cerebro-spinal fever — — — - — 1 - 1 1 - - Poliomyelitis — — 1 — — — — - - - - - Ophthalmia neonatorum 1 — — — — — — - — — — — Measles 34 99 110 125 106 454 34 8 16 - - - Whooping cough 20 27 48 52 26 88 1 - 2 1 - - 9 ! S j ! S. ; '2yi.V!'J • ! - ; - 1 j ; C* V j r . ' ! ! 1 ... ' . TUBERCULOSIS. New cases and Mortality during 1941. Age Periods. New Cases Deaths. Respiratory I NonRespiratory. Respiratory NonRespiratory M. F. M. F. M. F. M. F. 0 1 - - - - - - 1 1 2 - — - 1 - - 5 2 1 1 3 — — - 1 15 6 10 1 3 4 5 — 2 25 6 13 — 1 2 9 — — 35 6 5 1 - 6 2 — - 45 3 2 — — 3 — - — 55 5 1 — — 3 1 — — 65 and upwards. 2 1 - - 1 - - - Total. 31 35 3 7 19 18 - 3 The ratio of non-notified tuberculosis deaths to total tuberculosis, deaths is 11.1 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. (October, 1942).