PREVALENCE OP, AND CONTROL OVER, INFECTIOUS DISEASE (Contd.) NOTIFIABLE DISEASES (other than Tuberculosis) DURING THE YEAR, 1942. Disease Total Cases Notified Cases admitted to Hospital Total Deaths. Scarlet fever 196 165 1 Diphtheria 74 72 9 Pneumonia 30 29 32 (all forms) Meningococcal meningitis 10 10 1 Puerperal pyrexia 4 4 - Erysipelas 4 4 - Encephalitis lethargica 1 1 - Ophthalmia neonatorum 2 2 - Measles 549 5 - Whooping cough 91 2 2 Dysentery 9 9 — HAY l8 THIRTY-EIGHTH ANNUAL REPORT (ABRIDGED) on the HEALTH of the URBAN DISTRICT OF HAYES AND HARLINGTON Middlesex. J. STANLEY LLOYD, E.D., F.R.C.S. Edin. Medical Officer of Health 1942 THE URBAN DISTRICT COUNCIL OF HAYES AND HARLINGTON MEMBERS OF THE COUNCIL, 1942. 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, 1942. Chairman: COUNCILLOR E.K. HARDING. COUNCILLORS: L. AYERST, MRS. I.E. DOWNER, L.M. GRAVES, J.P., MRS. A.B. GREENHEAD, G. PRATT, A. SIMPSON. 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: MARY L. LLOYD, M.A., M.B., Ch.B., D.P.H. Chief Sanitary Inspector, Inspector under the Shops Acts, and Petroleum Inspector: RICHARD BILL, Cert. R. San. Inst., and Certified Meat Inspector. Additional Sanitary Inspector: S.H.G. STEVENS. Assistant Sanitary Inspector (and Temporary Assistant Shops Inspector): C.F. ALLARD. Clerks: S. GEORGE (joined H.M. Forces 8th August, 1942) P. ROWLEY (from 4th August, 1942) SECTION A. STATISTICS AND SOCIAL CONDITIONS OF THE AREA. Area (acres) 5,161 Population (census 1931) 23,646 UNEMPLOYMENT - 1942 Males Females Total. January 35 47 82 February 62 32 94 March 50 47 97 April 41 26 67 May 37 54 91 (Figures not available after May, 1942) AVERAGE UNEMPLOYMENT PER MONTH. 942 1941[/##] Males 45 39 Females 41 111 86 150 1942 Unemployed (males) - increase of approx. 13% compared with 1941 figures. 1942 Unemployed (females) - decrease of approx. 63% compared with 1941 figures, 1942 Unemployed total figures - decrease of approx. 43% compared with 1941 figures. EXTRACTS FROM VITAL STATISTICS OF THE YEAR Birth Rate per 1,000 of the estimated resident population 20.16 Rate per 1,000 total (live and still) births 20.67 Death Rate per 1,000 of the estimated resident population 7.33 Deaths from puerperal causes Rate per 1,000 total (live and still) births Puerperal sepsis 2.45 Other puerperal causes 1.63 Total 4.08 Death rate of infants under one year of age:- All infants per 1,000 live births 52.77 Legitimate infants per 1,000 legitimate live births 48.802 Illegitimate infants per 1,000 illegitimate live births 104.48 3 EXTRACTS FROM VITAL STATISTICS OF THE YEAR (Contd.) M. F. Total. Deaths from Cancer (all ages) 37 25 62 Deaths from Measles (all ages) - - - Deaths from Whooping cough (all ages) 2 - 2 Deaths from Diarrhoea (under 2 years of age) 7 4 11 Deaths from Tuberculosis of respiratory system (all ages). 8 10 18 Deaths from Tuberculosis (other forms (all ages) 3 5 8 Deaths from Heart Disease (all ages) 38 46 84 Deaths from Bronchitis (-all ages) 11 12 23 Deaths from Pneumonia (all forms) (all ages). 16 16 32 SECTION B. CENERAL PROVISION OF HEALTH SERVICES FOR THE AREA. Similar to previous years. SECTION C. SANITARY CIRCUMSTANCES OF THE AREA WATER - Five 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, together with twenty-six samples of the South West Suburban Water Co's supply taken by this authority and five neighbouring authorities. A sample from the St. George's Nursery supply was found to be unfit for use in the preparation of food. 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 431 complaints were received with respect to the following matters, viz.:- Choked and defective drains 87 Insanitary or dilapidated condition of houses and premises 191 Offensive accumulations or deposits 9 Cesspools overflowing 1 Rats 25 Other nuisances 118 431 4 2.- INSPECTION OP DISTRICT. Number of houses and premises inspected (ordinary) 1095 „ „ houses inspected and particulars recorded (Housing Act , 1936) 3 „ „ houses and premises re-inspected 1666 „ „ miscellaneous visits 352 „ „ food inspections 182 „ „ visits to slaughter houses 14 „ „ „ „ dairies, cowsheds, and milk-shops. 25 „ „ „ „ bakehouses and factories 30 „ „ „ re water supplies 10 „ „ „ „ cases of infectious disease 669 „ „ „ „ petroleum stores 49 „ „ inspections of tents, vans and sheds 221 „ „ verminous premises inspected 95 „ „ premises disinfected 248 „ „ inspections under the Shops Acts 136 „ „ „ (Housing Act, 1936; overcrowding) 41 4,836 3. - NOTICES SERVED. Served. Complied with. Outstanding. Informal notices. 215 194 21 Statutory notices Section 75, Public Health Act, 1936. 13 13 - Section 93, Public Health Act, 1936. 5 5 - Section 268 Public Health Act, 1936. 1 1 - 4.- SUMMARY OP SANITARY IMPROVEMENTS CARRIED OUT. Drainage. Number of drains examined, exposed, etc. 79 Drainage systems reconstructed - Defective drains unstopped, repaired, etc. 79 Manholes built, altered or repaired - Fresh air inlets fixed or repaired - Glazed sinks provided - Cesspools repaired - Water-Closets. Defective flushing cisterns renewed or repaired 21 New pans provided 7 W.C. apartments repaired, cleansed, etc. 19 Urinals reconstructed or repaired - Privies and pail-closets converted to W.C.'s. - General Repairs, etc. Roofs repaired and made weatherproof. 9 Eaves-gutters, repaired or renewed. 13 Damp walls re-pointed or rendered damp-proof. 19 Defective brickwork of external walls repaired 2 5 4. - SUMMARY OF SANITARY IMPROVEMENTS CARRIED OUT(Contd.) General Repairs, etc. (Contd.) Defective brickwork and plaster work of internal walls repaired 6 Defective wood floors repaired 10 Defective stairs repaired - Handrails provided 1 Lighting and ventilation increased 1 Defective tile, brick or concrete floors repaired - Defective doors repaired 3 Defective ceilings repaired 31 Defective windows repaired, made to open or renewed 5 Rooms cleansed 15 Defective stoves, coppers, etc., repaired - Sink waste pipes trapped or repaired 19 Insufficient water supply increased 12 Defective yard pavings repaired 1 Offensive accumulations removed 4 New dustbins provided 31 Food stores provided Lighting, etc., of food stored improved - 5.- SHOPS 6.- CAMPING SITES. 7.- SMOKE ABATEMENT 3.- 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 26 4 Nil Factories with out mechanical power 4 - Other premises under the Act, (including work of building and engineering construction but not including Outworkers' premises.) - - 30 4 2.- DEFECTS FOUND. Particulars Number of defects Found Remedied Nuisances under the Public Health Acts Want of cleanliness 6 4 Want of ventilation Nil Nil Overcrowding Nil Nil Want of drainage of floors Nil Nil Other nuisances Nil Nil Sanitary accommodation Insufficient Nil Nil Unsuitable defective. 3 3 Not separate for sexes Nil Nil Offences under the Factories Act :- Other Offences Nil Nil Total 9 7 6 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) 1098 (b) Number of inspections made for the purpose 2764 (2) (a) Number of dwelling-houses (included under sub-head (l) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 and 1932 3 (b) Number of inspections made for the purpose 7 (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 82 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 74 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 ox' dwelling-houses in respect of which notices were served requiring defects to be remedied 3 (2) Number of dwelling-houses in which defects were remedied after service of formal notices - (a) by owners 3 (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. 7 4.- HOUSING ACT, 1936-PART IV.- OVERCROWDING. Particulars not available. 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 twenty-one licenses granted during the year.:- Designation. Dealer's Licence Supplementary Licence. Pasteurised 7 4 Tuberculin Tested 6 4 No refusal or revocation of licenses to retailers has been made. There are now twenty-nine persons registered in accordance with the Food and Drugs Act, 1938, as under:- Wholesale Traders or Producers of Milk 9 Retail Purveyors of Milk with premises in the district 9 Retail Purveyors of Milk whose premises are outside the district Total 29 (b) MEAT. There is no Ministry of Food slaughterhouse in this district. (c) ADULTERATION ETC. Particulars not available. SECTION F. PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES. DIPHTHERIA IMMUNISATION. Number of sessions 90 Number of attendances 2,983 umber of prophylactics given 2,328 Number of post-Schicks 273 Number of re-tests 128 Percentage of failure to immunise 6.59 Percentage successfully immunised 93.41 8 PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASE (Contd.) NOTIFIABLE DISEASES (other than Tuberculosis) DURING THE YEAR, 1942. Disease Total Cases Notified Cases admitted to Hospital Total Deaths. Scarlet fever 196 165 1 Diphtheria 74 72 9 Pneumonia 30 29 32 (all forms) Meningococcal meningitis 10 10 1 Puerperal pyrexia 4 4 - Erysipelas 4 4 - Encephalitis lethargica 1 1 - Ophthalmia neonatorum 2 2 - Measles 549 5 - Whooping cough 91 2 2 Dysentery 9 9 — ANALYSIS OF THE TOTAL CASES Disease At ages. Under 1 year 1 2 2- 3 3- 4 4- 5 510 10- 15 1520 2035 3545 4565 65 and over Scarlet fever 2 4 9 10 14 128 16 3 8 2 — - Diphtheria 3 3 2 4 5 24 14 5 10 3 1 - Pneumonia — - - 1 - 4 1 1 5 13 4 1 Meningococcal meningitis 1 1 - 2 - 2 - - 1 2 - 1 Puerperal pyrexia - - - - - - — - 4 — — — Erysipelas 1 - - - - - - 1 1 - 1 — Encephalitis lethargica - 1 - - - - - - - - - — Ophthalmia neonatorum 2 - - - - - - - - - - - Measles 15 30 46 69 67 306 11 1 4 - - - Whooping cough 10 13 7 8 12 39 1 1 - - - - Dysentery 1 — 3 3 1 1 - - - — — - TUBERCULOSIS New cases and Mortality during 1942. New Cases Deaths Respiratory NonRespiratory Respiratory NonRespiratory M. F. M. F M F M F 0 — — - - - - - - 1 1 — — 2 - - - 1 5 2 2 2 3 — — - 2 15 6 7 3 4 - 1 - - 25 11 9 — 1 4 6 1 1 35 10 3 — 1 2 2 1 1 45 4 1 1 1 1 1 1 - 55 2 - 1 - - - - - 65 and upwards 1 — — — 1 — — — Total 37 22 7 12 8 10 3 5 The ratio of non-notified tuberculosis deaths to total tuberculosis deaths is 3,9 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 cumpulsory removal to hospital of persons suffering from tuberculosis. (October, 1943.)