PEN 17 PENGE URBAN DISTRICT COUNCIL. ANNUAL REPORTS of THE MEDICAL OFFICER of HEALTH and the CHIEF SANITARY INSPECTOR for 1939. Chairman of the Council' Mr.J.Smith,J.P., Vice Chairman of the Council: Mr .F.Theobald. PUBLIC HEALTH COMMITTEE. Chairman; Mr.A.Emery. Mr.H.Allder. Mr.J.B.Geale, J.P. Mr.R.C,S.Barnett. Mr.P.P.Hodes, J.P. Mr.G.R.Deal. Mr.O.E.Prince. Mr.P.W.Foreman. Mr.J.Smith, J.P. Mr.F.Theobald. Co-opted Members of Maternity and Child Welfare Section; Mrs.M.Barson, Mrs,F.Dixon, Miss Fannie Moore and Mrs.A.Theobald. Representatives on the Joint Maternity Home Committee: Mr .R. C .S. Barnett, Mr. J. B.Geale, J. P., Mr.F.P.Hodes , J. P., Dr.S.Pope, Mr.F.Theobald and Mrs.A.Theobald. PUBLIC HEALTH DEPARTMENT. Staff. x Medical Officer of Health and Medical Officer to the Maternity and Child Welfare Centre: R.Wilkinson, M.D. (Brux.), M.R.C.S. (Eng.), L.R.C.P. (Lond.) Chief Sanitary Inspector: R .T.Pearce, Cert. S.I.E.B. (Lond.) Cert.Insp. of Food, S.I.E.B. (Lond.) Sanitary Inspector and Shops Act Inspector; E.G.Thomas, Cert. R.S.I. Cert.Insp. of Pood, R.S.I. Health Visitor Miss E.M.Dell, Cert. C.M.B., Trained Nurse. (Retired 31/3/39) Miss V.M.Evans, S.R.N., S.C.M., H.V's Cert. (Appointed 8/6/39) Clerks; R.W.Rixson, Cert. S.I.B. H Miss A.G.Mitchell. H Part-time Officer. Town Hall, Anerley, S.E.20. November, 1940. To the Chairman and Members of the Urban District Council of Penge. Mr.Chairman and Gentlemen, I beg to present an abridged Annual Report on the health of the District for the year ending the 31st December, 1939. STATISTICS AND SOCIAL CONDITIONS OF THE AREA. Area (acres) 770 Population (Census 1931)27,771 Population (Estimated middle of 1939,R.G.) For birth rate 25,740 For death rate 4,900 Number of separately rated inhabited dwellings (end of 1939) according to rate books (approximate) 6,817 Rateable value £211,151 Sum represented by 1d. rate £803 The Manager of the Employment Exchange informed me that there were 777 men and 123 women unemployed in the Penge Urban District at the end of the year, compared with 778 and 123 respectively in 1938. The Out-door relief given during the year amounted to £16,927.2s.11d, of which £1,628.1s.2d. was to able-bodied unemployed and their families, and the balance to the unemployable from age or other causes. This compares with an amount of £19,370.8s.l0d. of which £2,931.18s .9d. was to able-bodied unemployed and their families, in the year 1938. VITAL STATISTICS. Total. Male . Female. Live- ) Legitimate 367 182 185 Births) Illegitimate 22 10 12 Birth rate per 1,000 of estimated resident population, 15.1 Still- Legitimate 20 8 12 Births ) Illegitimate - - - Still-birth rate per 1,000 total (live and still) births 48.8 Deaths 315 148 167 Crude Death Rate per 1,000 of the estimated resident population, 12.6 Adjusted Death Rate per 1,000 of the estimated resident population. 11.6 Deaths from puerperal causes: Deaths Rate per 1,000 total (live and still births) Puerperal sepsis 1 2.44 Other puerperal causes 2 4.88 Total 3 7.32 Deaths of Infants under one year of age: Legitimate 17. Illegitimate 2. Total 19. Death rate of Infants under one year of age: All infants per 1,000 live births 48.8 Legitimate infants per 1,000 legitimate live births 46.3 Illegitimate infants per 1,000 illegitimate live births 90.9 Deaths from Cancer (all ages) 46 " " Measles (all ages) l " " Whooping Cough (all ages) - " " Diarrhoea (under two years of age) 3 Births. The live births registered during the year numbered 389, equal to a birth rate of 15.1 per 1,000, compared with 16.2 for 1938. Deaths. "The corrected number of deaths was 315, equal to a crude death rate of 12.6 per 1,000. The factor for adjusting the Death Rate for the district, given by the Registrar-General, is 0.92. This areal comparability factor makes the Adjusted Death Rate 11.6 per 1,000, compared with a rate of 11.4 per 1,000 for 1938. Of the 315 deaths during the year, 173 or 54.9 per cent were of persons over 65 years of age. Maternal Mortality. There were three maternal deaths during the year, equal to a rate of 7.32 per 1,000 total births. The average maternal mortality rates per 1,000 live births for the last ten years (1930 to 1939 inclusive), are as follows:- England and Wales 3.87 Penge 3.54 Infantile Mortality. The number of deaths under one year of age was 19, corresponding to rate of 48.8 per 1,000 births, compared with the rate of 67.4 for 1938. Ten deaths occurred amongst infants who had attended the Child Welfare Centre. Comparative Vital Statistics. The following table shows the comparative figures for 1939: Rate per 1,000 Population. Death rate per 1,000 population. Deaths under one year per 1,000 population. LiveBirths Stillbirths Penge 15.1 0.77 11.6 48 England and Wales 15.0 0.59 12.1 50 126 County Boroughs and Great Towns including London. 14.8 0.59 12.0 53 148 Smaller Towns (resident populations, 25,000 to 50,00 at Census, 1931) 15.6 0.57 11.2 40 London 12.3 0.44 11.9 48 GENERAL PROVISION OP HEALTH SERVICES FOR THE AREA Ambulance Facilities. During the year the Council's motor ambulance responded to 675 calls; 310 for private removals and 365 for accidents. There is a co-ordination scheme between the ambulance services of Penge, Beckenham and Bromley, which works satisfactorily. Maternity and Child Welfare Centre. The Maternity and Child Welfare Centre was held, as "before, at the Council's School Clinic, 17, Oakfield Road, on Tuesday and Wednesday afternoons. In consequence of the ground floor rooms of the School Clinic being used as a first aid post as from the beginning of the war, the accommodation for the Maternity and Child Welfare Clinics has been slightly restricted since that date. To avoid large gatherings of mothers and infants, an extra eekly session for weighing babies, etc. was commenced on the 3rd November, 1939. Medical Officer's Consultations Infants 1392 Nursing Mothers 561 Post-Natal 29 Ante-Natal 452 2434 Total attendance of children at the Centre 6686 Individual children who attended 718 Average weekly attendance of children 128.5 Total attendance of nursing mothers 1138 Individual nursing mothers who attended 124 Average weekly attendance of nursing mothers 21.8 Total attendance of expectant mothers 756 Individual expectant mothers who attended 190 Average weekly attendance of expectant mothers 21.6 The following amounts were expended in supplying milk gratis to 60 expectant mothers and 187 nursing mothers and infants during the year: Dried Milk £322.5s.11d. Fresh Milk £11.13s.0d. HOSPITALS. There are no changes to. report in connection with the hospital services. Cases admitted to the County' Hospital, Farnborough, Kent, from this district numbered 549 compared with 486 during the year 1938. Maternity Home. The Penge and Beckenham Joint Maternity Home, Croydon Road, Beckenham, was closed for the reception of patients on the 5th September, there being no provision for protecting the patients. Penge mothers admitted to the Home up to that time totalled 48. Work on the new Home was delayed but it was possible to open a small part by the end of the year. The following table gives the number of mothers admitted annually for the last five years: Year. Total cases admitted. Penge cases. Beckenham cases. 1935 323 97 226 1936 339 98 241 1937 319 81 238 1938 333 91 242 1939 246 48 198 The average period spent in the Home during the year by each patient was 14 days. Health Visiting. One Health Visitor and a part-time Nurse are employed, and the following, shows the number of visits paid: First visits to infants under one year 381 Subsequent visits to infants under one year 1084 Visits to children between the ages of one and five years 2477 First visits to expectant mothers 149 Subsequent visits to expectant mothers 28 Visits to tuberculosis cases 188 Visits to foster children 35 Miscellaneous visits 115 Child Life Protection. Number of foster-parents on the Register: (a) at the beginning of the year 6 (b) at the end of the year 9 Number of foster children on the register: (a) at the beginning of the year 7 (b) at the end of the year 13 (c) who died during the year - No legal proceedings were taken. Dental Treatment. Where necessary, expectant and nursing mothers and children are referred to the Dental Surgeon for treatment and during the year this was done in 47 cases. HOUSING. Number of new houses erected during the year (containing 30 maisonettes) 15 Number of new self-contained flats erected during the year (1block) 16 In addition, 11 houses were converted into 33 self-contained flats. 1. Inspection of dwellinghouses during the year:- (1) (a) Total number of dwellinghouses inspected for housing defects (under Public Health Act or Housing Acts) 490 (b) Number of inspections made for the purpose 520 (2) (a) Number of dwellinghouses (included under sub-head (l) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 and 1932 15 (b) Number of inspections made for the purpose 15 (3) Number of dwellinghouses found to be in a state so dangerous or injurious to health as to be unfit for human habitation Nil (4) Number of dwellinghouses (exclusive of those referred to under the preceding sub-head) found not to be in all respects reasonably fit for human habitation 459 2. Remedy of Defects without service of formal notices: Number of defective dwellinghouses rendered fit in consequence of informal action by the Local Authority or their officers 427 3. Action under Statutory Powers: A. Proceedings under Sections, 9,10 and 16 of the Housing Act, 1936 (1) Number of dwellinghouses in respect of which notices were served requiring repairs 2 (2) Number of dwellinghouses which were rendered fit after service of formal notices:- (a) By owners - (b) By Local Authority in default of owners 2 B. Proceedings under Public Health Acts. (1) Number of dwellinghouses in respect of which notices were served requiring defects to be remedied 30 (2) Number of dwellinghouses in which defects were remedied after service of formal notices: (a) By owners (b) By Local Authority in default of owners 1 C. Proceedings under Sections 11 and 13 of the Housing Act, 1936 D. Proceedings under Section 12 of the Housing Act, 1906. — 4. Housing Act, 1936 - Overcrowding. (a) (i) Number of dwellings overcrowded at the end of the year 34 (ii) Number of families dwelling therein 37 (iii) Number of persons dwelling therein:- Over 10 years 175 Under 10 years 62 (b) Number of new cases of overcrowding reported during the year 30 (c) (i) Number of cases of overcrowding relieved during the year 33 (ii) Number of persons concerned in such cases: Over 10 years 145 Under 10 years 46 PREVALENCE OP, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES. Diphtheria. Twenty cases were notified (compared with 34 the previous year) seven of them being nasal. Hospital treatment was provided in 18 cases and there were no "return" cases. There were four deaths from diphtheria during the year. Anti-diphtheritic serum was used for the treatment of 10 cases, 76,000 units being supplied. Scarlet Fever. There were 56 cases of Scarlet Fever notified (as against 149 in 1938) and 43 of these were removed to hospital. Five cases occurred whilst inmates of London Hospitals. Three families had two or more cases. There was one "return" case. The type of the disease was mild and no deaths occurred. Puerperal Pyrexia. Six cases were notified and removed to hospital and one proved fatal. Non-notifiable diseases. The following cases were notified to me from the local Elementary Schools: Measles l; Whooping Cough 4. Disinfection. Rooms fumigated 230 Mattresses disinfected 184 Blankets disinfected 624 Pillows disinfected 457 Miscellaneous articles disinfected 1232 Bacteriological Work. Bacillus found. Bacillus not found. Total. Diphtheria. County Laboratory. 9 105 114 Diphtheria. Clinical Research Association. 6 27 33 Tuberculosis. County Laboratory 17 92 109 Tuberculosis. Clinical Research Association. - 1 1 Typhoid. County Laboratory. - 1 1 Haemolytic streptococcus. County Laboratory. - 16 16 32 242 274 Notifiable diseases (other than Tuberculosis) during the year 1939. Disease. Total cases notified. Cases admitted to hospital. Total Deaths. Scarlet Fever 56 43 - Diphtheria 20 18 4 Puerperal Pyrexia.. 6 6 1 Pneumonia 12 o 23 (all forms) Erysipelas 9 3 - Measles 4 - 1 Malaria 1 1 - Cancer. The Cancer Death Rate per 1,000 population was 1.84 compared with 1.95 in 1938. Prevention of Blindness. No action was taken under Section 176, Public Health Act, 1936. Tuberculosis. No action was necessary under the Public Health (Prevention of Tuberculosis) Regulations 1925, or Section 172 Public Health Act, 1936. Total Primary cases notified. Total cases admitted to Sanatoria and Hospitals. Total Deaths . Pulmonary (Males) 12 12 9 '' (Females) 10 15 11 Totals 22 20 Non- pulmonary (Males ) 1 1 - " (Females) - 1 4 Totals 1 2 Seventeen of the 20 deaths from Pulmonary Tuberculosis were of cases notified in this district. None of the 4 cases of other forms of Tuberculosis who died during the year had been notified. New Tuberculosis Cases and Mortality during 1959. Age period. X New Cases. Deaths. Respiratory Nonrespiratory Respiratory. Nonrespiratory M. F. M. F. M. F. M. F. 0—1 - - - - - - - - 1—5 - - - 1 - - - 4 5—15 1 - 2 - 1 - - - 15—25 6 7 - 1 1 7 - - 25—35 5 6 - - 2 - - - 35—45 5 5 - - 2 2 - - 45—55 5 2 - - 2 1 - - 55—65 1 - - - 1 1 - - 65 and upwards 1 1 - - - - - - Totals 18 19 2 2 9 11 - 4 X Cases previously notified in other districts and transferred to Penge are included in these figures. There were 160 cases on the register at the end of the year. Male Female Total Pulmonary 58 64 122 Non-pulmonary 25 15 38 81 79 160 I am, Mr.Chairman and Gentlemen, Your obedient Servant, ROBERT WILKINSON. Medical Officer of Health. Causes of Death in Penge Urban District, 1939. REGISTRAR-GENERAL'S FIGURES. Causes of Death. . Males. Females. All causes 143 167 •1 Typhoid and paratyphoid fevers — — 2 Measles — 1 3 Scarlet Fever — — 4 Whooping Cough — — 5 Diphtheria 2 2 6 Influenza. 4 2 7 Encephalitis lethargica 1 — 8 Cerebro-splnal fever — — 9 Respiratory tuberculosis 9 11 10 Other tuberculosis — 4 11 Syphilis 1 — 12 General paralysis of the insane, etc. 3 — 13 Cancer 12 34 14 Diabetes 1 3 15 Cerebral haemorrhage, etc 2 6 16 Heart disease 43 39 17 Aneurysm — — 13 Other circuatory diseases 11 8 19 Bronchitis 7 1 20 Pneumonia (all forms) 10 13 21 Other respiratory diseases 3 1 22 Pepticulcer 4 — 23 Diarrhoea (under 2 years) 3 — 24 Appendicitis — 1 25 Cirrhosis of liver — — 26 Other liver diseases — — 27 Other digestive diseases 3 2 23 Nephritis 3 3 29 Puerperal sepsis — 1 30 Other puerperal diseases — 2 31 Congenital causes, etc 7 2 32 Senility 4 10 33 Suicide 2 - 34 Other violence 4 5 35 Other defined diseases 9 15 36 Ill-defined or not known — — 37 Diarrhoea (2 years and over) -— 1 Special causes (included in No.35 above) — — Small-pox — — Poliomyelitis — — Polioencephalitis — — Deaths of Infants under 1 year. Total 15 4 Legitimate 13 4 Illegitimate 2 — Live Births Total 192 197 Legitimate 182 185 Illegitimate 10 12 Still births Total 8 12 Legitimate 8 12 Illegitimate 1 — Population (estimated middle of 1939 . R. G.) For death rate 24,900 For birth rate 25,740 Notifiable Diseases (other than Tuberculosis) during the Year 1939. Cases notified. At ages - Years. Cases admitted to Isolation Hospital At all ages. Under 1 1 to 2 2 to 3 o to 4 4 to 5 5 to 10 10 to 15 15 to 20 20 to 35 35 to 45 45 to 65 65 and upwards Scarlet Fever 56 - 1 4 2 11 21 7 4 6 - 43 Diphtheria 20 - - 3 - 1 12 2 1 1 - - - 18 Puerperal Pyrexia 6 - - - - - - - - 4 2 - - 4 Pneumonia 12 - 1 - - - - - 1 - 4 4 2 - Erysipelas 9 - 1 - - - - - 1 1 1 2 3 - Measles 4 1 2 - - - - - 1 - - - - - Malaria 1 - - - - - - 1 - - - - - - Totals. 108 1 5 7 2 12 33 10 8 12 7 6 5 65 Deaths of notified cases - Diphtheria, 3 aged 6, 7 and 5 years. Pneumonia, 3 aged 58, 62 and 50 years. Puerperal pyrexia, 1 aged 38 years. Town Hall, Anerley, S.E.20. November, 1940. To the Chairman and Members of the Urban District Council of Penge. Mr. Chairman and Gentlmen, I have the honour to place before you the Annual Report on the work of the Sanitary Inspectors for the year ended the 31st December, 1939. Three hundred and sixty nine written intimation notices and 32 Statutory Notices were served under the Public Health and Housing Acts. Three hundred and thirty seven intimation notices and 29 Statutory Notices were complied with. The Council did the work required by 19 notices served under Section 24 of the Public health Act, 1936, one notice served under Section 79 of the Public Health Act, 1936, and two notices served under Section 9 of the Housing Act, 1935. Legal proceedings were taken for non-compliance with notices served regarding nuisances caused by general housing defects, with '•he following results:- 1. Order made to comply with Notice within 14 days. Defendant ordered to pay £1.1,0. costs. 2. Order made to comply with Notice within 7 days. Defendant ordered to pay £2.2.0. costs. The drainage systems of 34 houses were partially relaid and 47 cleared, Premises or occupations which can be controlled by byelaws or Regulations. No. in District. No. of visits. Notices served. Not ices complied Slaughter Houses 2 344 1 1 Common Lodging Houses. 5 55 4 4 Houses let in lodgings 53 25 9 9 Dairies 9 33 1 1 Stables. 22 25 - - Fried Fish Shops 7 15 - - Butchers Shops 25 89 1 1 SUMMARY OF INSPECTIONS AND VISITS The following summary shows the number of visits and inspections made:- Inspections through complaints received 359 Inspections re defective dustbins 22 Inspections under the Housing Consolidated Regulations 15 Visits' re cases of infectious diseases. 184 Visits' re transferable deaths 60 Visits' re overcrowding and measurement of rooms 120 Houses let-in-lodgings and Common Lodging Houses 80 Slaughter houses 344 Bakehouses 20 Dairies 33 Milkshops 30 Meat Shops 89 Fish Shops 15 Ice Cream Shops 25 Other Food Shops, Stores and Stalls 190 Urinals 21 Stables 25 Visits under Rats and Mice (Destruction) Act 62 Factories 84 Visits under Shops Acts 113 Smoke observations 30 Inspections and re-inspections of work in hand and various visits 1855 Drain tests 72 SUMMARY OF WORK EXECUTED DURING THE YEAR. Water Supply:- Water supply re-instated to houses 7 Water service pipes repaired 29 Draw-off taps provided on the rising main 2 Cisterns cleansed, covered or covers repaired 6 Water Closets:- New pans and traps fixed 41 Flushing apparatus renewed or repaired 29 Foul pans and traps cleansed 10 Connections of flushing pipes to pans made good 5 Seats and doors provided or repaired 19 Ventilation provided or improved 6 Flooring or paving repaired 5 Artificial light provided 4 Drainage:- Drains tested with smoke, water or colour 72 Drains cleared 47 Houses re-drained 2 Houses with drains partially relaid 32 Inspection chambers constructed or improved 14 Interceptors provided 3 Soil and ventilation pipes fixed or repaired 16 Sinks, lavatory basins and baths provided 20 Sinks repaired 2 Waste pipes renewed or provided 21 Waste pipes repaired or trapped 13 Waste pipes cleared 6 Fresh-air-inlets provided or repaired 4 Grids provided to gullies 2 Dampness: Houses with Walls re-pointed or rendered 14 Dampness in ground floor rooms remedied 21 Roofs repaired 86 Gutters repaired or renewed 39 Rain water pipes repaired or renewed. 12 Ventilation under floors provided or improved 4 Water service pipes repaired 29 Window sills repaired 11 Cleanliness:- Dirty rooms, etc. cleansed 581 Verminous rooms fumigated 113 Miscellaneous:- Houses with defective floors, joists, etc. repaired 31 Houses with defective plaster repaired 76 Houses with new sash lines provided to windows 13 Houses with windows frames, etc. repaired 15 Houses with yards or forecourts paved or repaired. 11 Houses with scullery paving repaired 5 Houses with air bricks renewed 9 Mouses with stairs repaired 8 Houses with with fireplace jambs and mantels repaired 8 Ventilation and light of rooms provided or improved 7 Kitchen stoves repaired or renewed 26 Scullery coppers repaired or renewed 6 Other stoves repaired or renewed 29 Doors repaired or renewed. 10 New dustbins provided 30 Premises with miscellaneous defects repaired, etc. 28 Overcrowding abated 33 Animals removed 4 Accumulations removed 16 Smoke nuisances abated 6 1VJ INSPECTION AND SUPERVISION OF FOOD. Milk supply At The end of the year there were 9 premises registered as dairies. In addition, 42 persons were registered to sell milk in sealed containers only. The analysis of 60 informal samples obtained during the year show the foilowing average:- Fat 3.65% Solids not fat 8.85% The following licenses were issued under the Milk (Special Designations) Orders:- Dealers ' Licenses:- Tuberculin tested milk 2 Pasteurised milk 4 Supplementary Licenses:- Tuberculin tested milk 3 Pasteurised milk 2 Meat. Most of the meat sold in the district is obtained from the London Meat Market. Visits were paid to meat purveyors' premises from time to time and attention drawn to the requirements of the Public Health (Meat) Pegulations. Slaughterhouses. There weire two registered slaughterhouses in the district and these were visited on 344 occasions to inspect carcases therein. Carcases Inspected and Condemned. Cattle excluding Cows . Cows. Calves. Sheep and Lambs. Pigs. Number killed (if known) 48 31 359 780 181 Number inspected 48 31 359 748 181 All diseases except Tuberculosis: Whole carcases condemned - - 1 - 2 Carcases of which some part or organ was condemned 7 5 2 6 - Percentage of the number inspected affected with. diseases other than tuberculosis 14.5 16.1 0.8 0.8 1.1 Tuberculosis only. Whole carcases condemned - 2 - - - Carcases of which some part or organ was condemned 5 7 2 - 5 Percentage of the number inspected affected with tuberculosis 10.4 29.0 0.5 - 2.7 The total weight of meat surrendered and condemned at the slaughterhouses was as follows:- cwts. qrts. lbs. Tuberculous meat 14 3 7 Diseased non-tuberculous meat 2 3 3 Total 17. 2. 10. Other Foods. There are fourteen bakehouses in the district, one being underground. The Council considered a report on this basement bakehouse and they were not satisfied that it was suitable for use as regards light and ventilation. A Notice was served upon the occupier requiring him to terminate the use. of the premises as a bakehouse. He appealed against the notice before the local Court of Summary Jurisdiction and it was agreed to adjourn the hearing of the appeal sine die on account of the war. Defects found at two bakehouses were remedied after informal action. In addition to visits to the slaughter houses, 402 visits were made to premises and stalls where foods are prepared, stored or exposed for sale, and, with a few exceptions, these were found to be kept in a satisfactory condition,, The following list shows the amount of food which was surrendered and then condemned from shops and stalls, and afterwards destroyed:- Bacon 41bs. Beef (tinned)12 lbs. Cherries 1tin Cod fillets 28 lbs. Eggs.52 Huss.56 lbs. Peas.1 tin Periwinkles 112 lbs. Pigs' Kidneys 28 lbs. Pork. 2 lbs. Tomatoes 168 lb Turkey 8 lbs. Total weight. 3cwts. 3qtrs 6 lbs. Adurteration, etc. The Kent County Council administers the Food and Drugs (Adulteration) Act in this District. Their Inspector took 82 samples of various foods during the year and all were found to be genuine. In addition 60 informal samples of new milk were purchased by your Inspectors and submitted for analysis. One sample was 12.7, deficient in fat and had 5, of added water but further samples taken in this case proved to be genuine. Factories Act, 1957. Visits paid to factories total 84 and in addition to verbal intimations regarding small defects, 10 written notices were served and complied with. A considerable amount of time was spent by your Inspectors on work in connection with the Air Raid Precautions services of the district. I am, Mr,Chairman and Gentlemen, Your obedient Servant, R. T. PEARCE. Chief Sanitary Inspector.