R417 LIBRARY URBAN DISTRICT COUNCIL OF RUISLIP-NORTHWOOD ANNUAL REPORT of the Medical Officer of Health for the year 1937 G. CLARK, M.B., D.P.H., D.T.M. & H. Medical Officer of Health. Inspector Mornings, 9 a.m. to 10 a.m., or by appointment. Alterations since Publication of Report. Page I. Public Health Department and Office removed to:— No. 19 Haliowell Road, Northwood. Telephone: Northwood 1400 (Ex. 24) Page 16 do. do. URBAN DISTRICT COUNCIL OF RUISLIP-NORTHWOOD PUBLIC HEALTH DEPARTMENT. Public Health Officers of the Local Authority. Medical Officer of Health (part time)— G. Clark, M.B., D.P.H., D.T.M. & H. Sanitary Inspector Housing Inspector Whole Time : Shops Inspector S. P. Bristow, C.R.S.I., M.S.I.A. Petroleum Inspector Chief Sanitary Inspector. Meat and Foods Inspector Assistant Inspector Whole Time: L. C. Gould, Cert. S.I.B., M.S.I.A. Junior Clerk Whole Time: E. H. Box. Public Health Department and Office— Council Offices, Oaklands Gate, Northwood. (Tel.: Northwood 1400, Extension No. 24.) Time of attendance of Medical Officer of Health and Sanitary Inspector—Mornings, 9 a.m. to 10 a.m., or by appointment. At other times:— To Dr. G. Clark, Medical Officer of Health, 18, Sandy Lodge Way, Northwood. Telephone: Northwood 1798. Or to Mr. S. P. Bristow, Chief Sanitary Inspector, 6, Rofant Road, Northwood. Telephone: Northwood 1403. Maternity and Child Welfare. Medical Officers, Middlesex County Council: Northwood, Eastcote and Ruislip. Medical Officer—Miss C. I. Wright, M.B., B.S., D.P.H. South Ruislip and Ruislip Manor. Medical Officer—Mrs. A. M. Burn, M.B., Ch.B., D.P.H. 1 Health Visitors and School Nurses. Northwood : Miss M. C. Brimacombe, S.R.N., S.C.M., 43, Hallowell Road, Northwood. ,, Miss N. Smith, S.R.N., S.C.M., 94, Victoria Road, South Ruislip. Eastcote: Miss K. S. Martin, S.R.N., S.C.M., 378a, Oxleay Court, Alexandra Avenue, Harrow. Ruislip: Miss N. M. Cooper, S.R.N., S.C.M., 55, Pinner View, Harrow. „ Miss M. E. Hurst, S.R.N., S.C.M., Flat 43, Byron Court, Byron Road, Harrow. South Ruislip: Miss C. F. Whitbread, S.R.N., S.C.M., 6, Meadow Way, Weald Village, Harrow. Midwives. Nurse R. J. Carter, S.C.M., 123, Pavilion Way, Eastcote. (Tel. No.: Pinner 489.) Nurse E. G. Smith, S.R.N., S.C.M., "Eothen," Northwood Road, Harefield (Tel. No.: Harefield 33). Nurse R. E. Temple, S.R.N., S.C.M., 49, Potter Street, Northwood Hills, Northwood. (Tel. No.: Northwood 1475). Registrar of Births and Deaths and Vaccination Officer. Mr. A. W. Finch. Attends at Northwood: Council Offices, Tuesdays, 10 a.m. to 11 a.m., and Fridays, 10 a.m. to 10.45 a.m. Attends at Ruislip : Mrs. Riddles' Shop opposite Church, every Monday, 3 to 3.45 p.m. The Head Office of the Registrar of Births and Deaths is at Roman's House, 281, High Street, Uxbridge. Hours of Attendance. Mondays. 9 to 10 a.m. and 5 to 7 p.m. Wednesdays. 9 to 11 a.m. Tuesdays. 4.30 to 5.30 p.m. Fridays. 5 to 7 p.m. Saturdays. 9 to 10 a.m. Births and stillbirths are required to be registered within 42 days by the father or mother personally, and deaths within 5 days by the nearest relative. The above is for the registration of births and deaths only, the registration of marriages can only be effected at the office of the Superintendent Registrar, at 38, High Street, Uxbridge. Telephone No.: Uxbridge 1420. PUBLIC ASSISTANCE DEPARTMENT. Relieving Officer. Mr. J. E. Harrison, 252, High Street, Uxbridge (Tel. No.: Uxbridge 26). 2 ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH, 1937. To the Chairman and Members of the Urban District Council of Ruislip-Northwood. Ladies and Gentlemen, I beg to submit my first annual report since I took over from Dr. Hignett on April 15th, 1937. This is the Thirty-third Annual Report since the formation of the Urban District, and is in accordance with the instructions contained in the circular of the Ministry of Health dated 4th October, 1937. It contains a record of the work of the Public Health Department for the year 1937. General Characteristics of the District. The Ruislip-Northwood Urban District Council area may be described as follows. It is more or less rectangular about 5| miles long with an average width of 2| miles; situated at the North-West corner of Middlesex, abutting on the Watford Rural District, Hertfordshire on the North, the Uxbridge Urban District, Middlesex on the West, Harrow Urban District, Middlesex on the East. The lowest level is about 109ft. at the South end, rising generally to 365ft. at the North end. The River Pinn flows from East to West through the centre of the District. The Urban District is now divided into four wards, namely: 1. North wood. 2. Eastcote. 3. Ruislip. 4. South Ruislip. The number of Councillors representing these wards is twentyone— North wood, 8. Eastcote, 4. Ruislip, 7. South Ruislip, 2. 3 General Statistics. Acreage of the District. Northwood Ward 1,979 Acres. Eastcote Ward 1,378 „ Ruislip Ward 1,790 „ South Ruislip Ward 1,437 ,, Total 6,584 „ Number of Inhabited Houses at end of June, 1936 9,088 „ „ „ „ „ 1937 10,994 Population at the time of the Census, 1901 3,560 „ „ „ 1911 6,217 „ „ „ 1921 9,113 „ „ „ 1931 16,038 Estimated population at end of June, 1933 19,140 „ „ „ „ 1934 22,647 „ „ „ „ 1935 28,473 „ „ „ „ 1936 35,535 The Number of Inhabited Houses and estimated Population of the Wards at June, 1937: Ward No. of inhabited houses Population Northwood 2,707 10,584 Eastcote 2,186 8,547 Ruislip 3,704 14,483 South Ruislip 2,397 9,372 Totals 10,994 42,986 The Registrar General's estimate of the resident population mid 1937, is 36,270. Rateable Value. Rateable value, March 31st, 1937, £370,913. Sum represented by a Id. Rate, March 31st, 1937, £1,734 3s. l0d. Poor Law Relief. The amount of out relief paid in Ruislip Parish during the year ending December 31st, 1937, was £533 0s. l1d. 4 Extracts from Vital Statistics for the Year 1937. Compiled from the figures supplied by the Registrar-General. Births. Births during 1937. M. F. Totals. Legitimate 257 342 599 Illegitimate 6 9 15 Totals 263 351 614 Total Births for 1936 was 532 Birth Rate. Birth Rate per 1,000 of population 19.68 Illegitimate Birth Rate per 1,000 of population .41 The Birth Rate for 1932 ,, 14.7 „ „ 1933 „ 13.9 „ „ 1934 „ 15.9 „ „ 1935 ,, 16.3 „ „ 1936 ,, 17.7 The Birth Rate for England and Wales for 1937 14.9 Stillbirths:— M. F. Totals. Legitimate 9 10 19 Illegitimate 1 — 1 Totals 10 10 20 Stillbirth Rate per 1,000 of population .55 „ „ Total Live and Stillbirths 27.24 Deaths. M. F. Total. Deaths during 1937 166 132 298 5 Death Rate. The Death Rate is 8.2 The Death Rate for 1932 „ 7.5 „ „ 1933 „ 8.4 „ „ 1934 „ 7.3 „ „ 1935 „ 8.2 „ „ 1936 ,, 7.8 The Death Rate from all causes for the whole of England and Wales for 1937 was 12.4 Infant Mortality. Deaths of Infants under one year of age:— M. F. Totals. Legitimate 16 12 28 Illegitimate 3 3 6 19 15 34 Infant Mortality Rate per 1,000 births 47.61 Legitimate ,, ,, ,, 39.21 ,, „ ,, Live Births 40.05 Illegitimate „ ,, Births 8.4 „ ,, ,, Live Births 400 The Infant Mortality Rate for 1931 was 47.8 „ „ „ 1932 23.2 „ „ „ 1933 „ 49.8 1934 „ 11.7 „ „ „ 1935 „ 31.8 „ „ „ 1936 „ 39.4 The Infant Mortality Rate for England and Wales for 1937 58.0 6 S.D. 55. Birth-rates, Death-rates, Analysis of Mortality Maternal Death-rates, and Case-rates for certain Infectious Diseases in the year 1937. England and Wales, London, 125 Great Towns and 145 Smaller Towns. (Provisional Figures based on Weekly and Quarterly Returns) England and Wales. 125 County Boro's. and Great Towns including London. 145 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 Census). London Administrative County. Rates per 1,000 Population. Births : Live 14.9 14.9 15.3 13.3 Still 0.60 0.67 0.64 0.54 Deaths: All Causes 12.4 12.5 11.9 12.3 Typhoid and Paratyphoid fevers 0.00 0.01 0.00 0.00 Smallpox — — — —. Measlee 0.02 0.03 0.02 0.01 Scarlet, fever 0.01 0.01 0.01 0.01 Whooping Cough 0.04 0.04 0.03 0.06 Diphtheria 0.07 0.08 0.05 0.05 Influenza 0.45 0.39 0.42 0.38 Violence 0.54 0.45 0.42 0.51 Notifications: Smallpox 0.00 - 0.00 — Scarlet fever 2.33 2.56 2.42 2.09 Diphtheria 1.49 1.81 1.38 1.93 Enteric fever 0.05 0.06 0.04 0.05 Erysipelas 0.37 0.43 0.34 0.44 Pneumonia 1.36 1.58 1.20 1.18 Rates per 1,000 Live Births. Deaths under 1 year of age 58 62 55 60 Deaths from Diarrhoea and Enteritis under 2 years of age 5.8 7.9 3.2 12.0 Maternal Mortality : Puerperal Sepsis 0.97 Not available. Others 2.26 Total 3.23 Rates per 1,000 Total Births (i.e., Live and Still). Maternal Mortality : Puerperal Sepsis 0.94 Not available Others 2.17 Total 3.11 Notifications: Puerperal fever 13.93 17.59 11.52 4.15 Puerperal pyrexia 14.34 7 Summary of Causes of Death, 1937. Diseases. Disease. Males. Females. Totals. 1. Typhoid and Paratyphoid Fevers - - - 2. Measles - - - 3. Scarlet Fever - - - 4. Whooping Cough — — - 5. Diphtheria 1 — 1 6. Influenza 4 4 8 7. Encephalitis Lethargica 1 1 2 8. Cerebro-Spinal Fever — 1 1 9. Respiratory Tuberculosis 10 8 18 10. Other Tuberculosis 1 - 1 11. Syphilis — — — 12. General Paralysis of insane, etc. 1 — 1 13. Cancer 29 24 53 14. Diabetes 1 1 2 15. Cerebral haemorrhage, etc. 2 4 6 16. Heart disease 32 23 55 17. Aneurysm — — — 18. Other circulatory diseases 4 15 19 19. Bronchitis 4 2 6 20. Pneumonia all forms 13 8 21 21. Other respiratory 3 1 4 22. Peptic ulcer — — — 23. Diarrhoea, etc. (under 2 years) 1 1 2 24. Appendicitis 1 1 2 25. Cirrhosis of Liver 3 — 3 26. Other diseases of liver — — — 27. Other digestive 7 4 11 28. Nephritis acute and chronic 3 2 5 29. Puerperal sepsis — — — 30. Other puerperal causes — — — 31. Congenital debility, Premature birth, etc. 11 9 20 32. Senility 1 1 2 33. Suicide 2 4 6 34. Other violence 11 9 20 35. Other defined diseases 20 9 29 36. Ill defined causes — — — All Causes: Totals 166 132 298 General Provisions of Health Services in the Area. Hospitals. Fever Hospital. The Isolation Hospital is situated outside the district at Hillingdon, Uxbridge. Ruislip-Northwood is one of the four authorities included in the Joint Hospital Board. 8 The general maintenance charges of the Uxbridge Joint Hospital are based on the production of the rates according to the rateable value of the Constituent Authorities. The four Local Authorities included in the Joint Hospital Board are:— Representatives. Uxbridge Urban District Council 4 Ruislip-Northwood Urban District Council 5 Hayes and Harlington Urban District Council 3 Yiewsley and West Drayton Urban District Council 2 The accommodation provided at the Hospital is:— Nos. 1 and 2 Blocks, Scarlet Fever, about 50 Beds and Cots. No. 3 Block, Diphtheria, about 20 Beds and Cots. No. 4 Block, Observation Wards, about 12 Beds and Cots. Smallpox Hospital. The Middlesex County Council have contracted with the London. County Council to provide the necessary transport and accommodation for cases of smallpox. In the event of any medical practitioner in the district having a suspicious case he should communicate per telephone to me a follows:— To the Council Offices— Telephone No.: Northwood 1400, Extension 24. On Week-days from 9 a.m. to 5.30 p.m. On Saturdays from 9 a.m. to 12.30 p.m. Arrangements will then be made if necessary to obtain the assistance of an expert to help in the diagnosis of the case with the least possible delay. 9 The North wood, Pinner and District Hospital (Northwood War Memorial), Pinner Road, Northwood. This Hospital is maintained entirely by voluntary subscriptions and is not subsidized by the Local Authority, H.S.A. and H.S.F. Vouchers accepted. The accommodation now provided is as follows:— Public Wards: Private Wards: Women's Ward, 12 beds. Five Single Rocms Men's Ward, 8 beds. Two Double Rooms (4 beds). Children's Ward, 6 beds. One Observation Room Kitchen. Administrative Quarters. Operating Theatre. X-Ray Room. There is generally a waiting list for the Private Wards. For further information apply to Secretary, Mr. H. M. Maskell at the Hospital. Tel.: Northwood 567. Tuberculosis Sanatoria. Provided and maintained by the Middlesex County Council. Tuberculosis Dispensary. The Tuberculosis Dispensary is provided by the Middlesex County Council. Medical Officer: Dr. A. S. Hall, M.A., M.B., B.Ch., M.R.C.P. Address: 53, Greenhill Crescent, Harrow. Telephone No.: Harrow 1820. Hours of Attendance: Mondays, 10.30 a.m. Thursdays, 2.30 p.m. Second and fourth Wednesdays in each month at 6 p.m. 10 Maternity Hospitals. The North wood, Pinner and District Hospital will admit cases to private wards for operative midwifery. Patients seeking admission to Hillingdon County Hospital need no longer make application to the Relieving Officer. Admission is arranged by the Medical Superintendent, and any necessary inquiries into financial circumstances are carried out through the Almoner at the Hospital. Hillingdon County Hospital, Uxbridge. Telephone No.: Uxbridge 1782. Medical Practitioners can obtain admission for urgent cases by making application direct to the Medical Superintendent by telephone (see above). Medical practitioners should make a practice of leaving a note at the patient's home, giving particulars of the illness of the patient in order that the note may accompany the patient to the Hospital. Relatives should be informed that they must attend at the Almoner's Office at the Hospital in order to give necessary information with regard to means, etc. For non-urgent cases instructions should be given that they should apply to the Almoner at the Hospital, and should take with them a note giving the reason for the recommendation and any particulars which may be considered likely to be of assistance to the Hospital Staff. It is no longer necessary to apply to the Relieving Officer. Maternity Homes. Miss B. Powell-Jenkins, Athene Nursing Home, West Hatch Manor, Ruislip. Telephone No.: Ruislip 659. Miss F. M. C. Jackson, Resthaven, The Drive, Northwood. Telephone No. Northwood 564. Miss A. I. Serginson, Restholme, Brickwall Lane, Ruislip. Telephone No.: Ruislip 185. 11 Midwives. Middlesex County Council. Nurse R. J. Carter, 123, Pavilion Way, Eastcote. Telephone No,: Pinner 489. Nurse E. G. Smith, Eothen, Northwood Road, Harefield. Telephone No.: Harefield 33. Nurse R. E. Temple, 49, Potter Street, Northwood Hills, Northwood. Telephone No.: Northwood 1475. Ruislip Nursing Association. Nurse P. C. Lane, S.R.N., S.C.M., 6, Cheyne Court, High Street, Ruishp. Nurse E. L. Loynes, S.R.N., S.C.M., 6, Cheyne Court, High Street, Ruislip. Telephone No.: Ruislip 3480. Midwives in Private Practice. Nurse A. E. Geenan, 6, Victoria Road, Ruislip Manor. Nurse C. Harman, 1, Hatherleigh Road, Ruishp Manor. Nurse M. G. Hunter, Hope Villa, Victoria Road, Ruishp Manor. Nurse F. M. C. Jackson, Resthaven Nursing Home, The Drive, Northwood. Nurse E. Plummer, Restholme Nursing Home, 29, Brickwall Lane, Ruishp. Nurse A. Serginson, Restholme Nursing Home, 29, Brickwall Lane, Ruislip. Nurse D. A. Shepherd-Hoskings, 2, Brickwall Lane, Ruishp. Nurse L. Whitehead, Elsinore, West Hatch Manor, Ruislip. Nurse A. F. Young, 90, West End Road, Ruislip. Venereal Diseases Treatment Centres. Arrangements have been made by the Middlesex County Council with the principal London Hospitals for the treatment of these cases. Information as to times of attendances can be obtained from the Medical Officer of Health. Nursing of Infectious Diseases. No special arrangements are made. 12 Professional Nursing in the Home. General Nursing. The Queen's Institute of District Nursing. District Nurses: Northwood District: Nurse M. C. Steven, S.R.N., S.C.M.. Address: 25, Hallowell Road, Northwood. Telephone No.: Northwood 1544. Ruisli'p and South Ruislip: Nurse L. Duckworth, S.R.N., S.C.M. Nurse P. C. Lane, S.R.N., S.C.M. Nurse E. E. Loynes, S.R.N., S.C.M. Address : 6, Cheyne Court, High Street, Ruislip. Telephone No. : Ruislip 3480. Church Army Nurses. Northwood.—Holy Trinity Parish, Sister N. A. Holmes, 168, Hallowell Road, Northwood. Emmanuel Parish, Sister A. Cooper, 121, High Street, Northwood. Eastcote—A Nurse maintained by the Eastcote Nursing Association visits in Eastcote. Name and address : Nurse A. E. Locke, c/o Miss Joel, Fore Street, Eastcote. Telephone : Ruislip 2340. Ruislip.—The following Nurse is working in the neighbourhood : Nurse D. A. Shepherd-Hoskings, 2, Brickwall Lane, Ruislip. Telephone No. : Ruislip 2374. British Red Cross Society. Middlesex Branch. Ruislip-Northwood Division. Voluntary Aid Detachments Nos. 114 and 116. During the year classes and examinations were held in First Aid, Home Nursing and First Aid in Chemical Warfare, these classes will continue during 1938. The members of the detachments are still doing a large amount of voluntary work at the local hospitals, clinics, and assistance has been rendered in urgent cases in the home. Medical practitioners, nurses, and persons interested should communicate with the Divisional Honorary Secretary, Mr. S. P. Bristow, 6, Rofant Road, Northwood, Telephone: Northwood 1403, who will be pleased to give any further information concerning the activities of the Society. 13 Infectious Diseases. Disease. Total Cases Notified. Cases admitted to Hospital. Total Deaths. Smallpox — — — Scarlet Fever 138 99 — Diphtheria 22 20 1 Enteric Fever — — — (including Paratyphoid) Typhoid — — — Malaria — — — Cerebro Spiral Meningitis — — 1 Encephalitis Lethargica — — 2 Puerperal Fever 1 — — Puerperal Pyrexia 4 — — Pneumonia 19 — 21 Erysipelas 17 — — Chicken Pox (non notifiable) — — — Totals 201 119 25 The Case Rate of Infectious diseses per 1,000 of population Ruislip-Northwood Urban District. England and Wales. No. of Cases. Case Rate. Case Rate. Smallpox Nil. Nil. Nil. Scarlet fever 138 3.8 2.33 Diphtheria 22 .6 1.49 Enteric — 0.05 Erysipelas 17 .46 0.37 Pneumonia 19 .52 1.36 The Rates for Puerperal Fever and Puerperal Pyrexia are calculated in relation to the number of births registered and not in relation to the population. Ruislip-Northwood Urban District England and Wales Number of Cases Case Rate Case Rate Puerperal Fever 1 1.6 13.93 Puerperal Pyrexia 4 6.5 i.e., Live and Still Births. In the case of Puerperal Fever the figures relate to the 39 weeks ended 2nd October, 1937, conditions previously so notifiable being notified subsequently to that date as cases of Puerperal Pyrexia. 14 Number of women dying in, or in consequence of, child-birth : From Puerperal Sepsis Nil. From Other Puerperal Causes Nil. Ophthalmia Neonatorum. Notified Gases Vision unimpaired Vision impaired Total Blindness Deaths Treated At Home | In Hospital - - - - - - Tuberculosis. New Cases and Mortality during 1937. Age Periods. New Gases. Deaths. Pulmonary. Nov-Pul. Pulmonary. Non-Pul. M. F. M. F. M. F. M. F. 0 1 1 1 5 1 1 10 1 15 1 1 1 20 4 1 1 25 8 3 3 1 35 9 1 2 3 45 3 1 5 2 55 65 and upwards Totals 23 10 1 2 10 8 1 15 Infectious Disease Cases Admitted during 1937. During 1936 the following number of cases were admitted to the Hospital: District Scarlet Fever Diphtheria Mumps C.S.M. Typhoid Haemolytic Strep Suspected Meningitis TOTALS Uxbridge U.D.C 119 25 1 2 1 3 1 — — 152 Buislip-Northwood U.D.C. 99 20 — — — — — — — 119 Hayes and Harlington U.D.C 171 12 — — — — — — — 183 Yiewsley and West Drayton U.D.C 41 11 — — — — — — — 52 Totals 430 68 1 2 1 3 1 — — 506 Additional and Special Cases: From Hillingdon Institution, etc., chargeable to Middlesex C.C 9 19 — — — — — — — 28 Staines Joint Hospital: Chargeable against Staines Joint Hospital Board. 8 — — — — — — — 8 17 19 — — — — — — — 36 Deaths in Hospital: District. Uxbridge U.D.C. — 2 — — — — — — — 2 Ruislip-Northwood U.D.C — 1 — — — — — — — 1 Hayes and Harlington U.D.C. 2 — — — — — — — — 2 Yiewsley and West Drayton U.D.C 1 — — — — — — — — 1 Middlesex County Council — 1 — — — — — — — 1 Totals 3 4 — — — — — — — 7 Deaths Percentage: Year 1935—1.71 (10 in 583 cases). Year 1936—.958 (6 in 626 cases). Year 1937—1.291 (7 in 542 cases). Mortuary. During the year there were 24 admissions to the Mortuary at the Depot, Pinner Road, Northwood. Application for use of the Mortuary to be made to:— The Public Health Department, Council Offices, Northwood. Telephone No.: Northwood 1400, Extension 24. Or after office hours to:— Mr. H. J. Cox, 101, High Street, Northwood. 16 Ambulance Facilities. Infectious Cases. A Motor Ambulance is provided by the Uxbridge Joint Hospital Board for the removal of infectious cases, bedding and clothing. Non-Infectious Cases. Regulations. The Ambulance will be available for use in case of accident or other sudden or urgent disability and the use of the Ambulance cannot be reserved in advance. The Ambulance shall not in any case be used for a removal to a place distant more than 30 miles by road from the Council Offices, Oaklands Gate, Northwood. The Council will not in any circumstances be liable for delay in the removal or for the non-removal of private cases. The Council will also not be liable for damage, loss or injury to any patient or to any person accompanying such patient. If the Ambulance is required for the removal of maternity cases, the patient must be accompanied by some responsible person in charge of the patient in addition to the Driver and Attendant. The Ambulance will be in sole charge of a driver provided by the Council. Hire of Ambulance. Telephone: Calls by telephone should be given as follows: 8 a.m. to 5.30 p.m. Mondays to Fridays Northwood 1110. Saturdays 8 a.m. to 12.30 p.m. At other times Northwood 995. Scale of Charges. (a) Use of Ambulance in case of Accident or Sudden Illness in a public place in the district No charge. (b) Use of Ambulance for private calls, for conveyance of persons to and from places within the District, or to the Hillingdon Hospital or Uxbridge Cottage Hospital (including waiting time and, if required, the services of an Attendant) 7 /6, unless the charge calculated on Scale (c) is less than this charge. 17 (c) For other calls For first 12 miles 1/3 per mile or part thereof. For additional mile 1 /- per mile or part thereof. Waiting Charge 4/- per hour or 1/- per quarter of an hour or part thereof. For extra man (if required) 2/- per hour, or 6d. per quarter of an hour or part thereof. Any incidental charges such as washing of blankets, etc. Actual cost to the Council. With respect to cases of persons to be removed to Hillingdon County Hospital, in all but very urgent or accident cases the Ambulance of the County Authorities should be arranged for by application direct to the Hospital. Laboratory Facilities. Bacteriological examinations are carried out by the Clinical Research Association for the District Council. In cases where the doctor in attendance certifies that, in his opinion the patient is not in a position to pay, the cost of the examination will be defrayed by the Council. Diphtheria Antitoxin. The arrangement made for the supply of Diphtheria Antitoxin by the chemists is as follows:— Northwood: Mr. H. B. Sharman, 31, Green Lane. Eastcote : Mr. T. T. Johnson, 7, Field End Parade. Ruislip: Mr. I. AP. Vychan Jones, 64, High Street. Mr. A. C. Dungworth, 56, Victoria Road. Antitoxin will be supplied by the above chemists, free to medical practitioners, for patients who are unable to pay for the supply, provided that their doctor gives a certificate to the chemist to that effect. Diphtheria Immunisation. The immunisation scheme inaugurated last year has been carried on and a steady if some what slow response has been forthcoming. The Clinics have been held in the morning at: Northwood: Assembly Rooms, Hallowell Road, 11 a.m., Tuesday. Eastcote : Eastcote House, Eastcote Road, 11 a.m., Wednesday. Ruislip: Manor Farm, High Street, 11 a.m., Thursday. For the forthcoming year the Northwood Clinics will be held at 18 the Public Health Offices, and a clinic will be opened for South Ruislip at the County Council Welfare Centre, Dawlish Drive. The numbers treated up to the end of the year were as follows: Applications received 356 Children received one dose 6 ,, two doses 3 ,, three doses 287 Of those who have had the complete course 183 have been Schick Tested and 17 were found to be reactors. All reactors receive a further injection of 1.5 c.c.s. of T.A.M. and are subsequently re-tested. In connection with the Diphtheria Immunisation Scheme I should like to place on record my appreciaton of the help given by the Officers and Members of the Ruislip Northwood Division of the British Red Cross Society who have been of great assistance to me. All applications for immunisation are to be made on consent cards to be obtained from the Welfare Centres, Health Visitors, Schools and the Public Health Department. Clinics and Treatment Centres. Maternity and Child Welfare. There are five Welfare Centres holding meetings weekly; the Medical Officer attends each week, and two Ante Natal Clinics are held weekly. Welfare Centres. Locality and Address Day Time Medical Officer. Northwood— Methodist Assembly Room, Hallowell Road Tuesday 2.30 p.m. Dr. C. I. Wright. Eastcote— Eastcote House, High Road Wed. 2.30 p.m. Do. Ruislip— Manor Earm, High Street Thurs. 2.30 p.m. Do. Ruislip Manor— Lady Banks Council School, Dawlish Drive Mon., Wed. & Friday 2.30 p.m. Dr. Burn. Ruislip South— Legion Hall, West End Road Tues. 2.30 p.m. Do. 19 Ante Natal Clinics. Locality and Address. Day. Time. Medical Officer. Northwood— Methodist Assembly Room, Hallowell Road N.B.—Second and fourth Fridays. Midwives Clinic First and third Friday in month. 2 p.m. Dr. Wright. Ruislip Manor— only. Lady Hanks Council School, Dawlish Drive Thursday 2 p.m. Dr. Burn. 20 Attendances at Ante Natal Clinic. Postnatal. Ruislip Manor 23 359 146 207 6 - - - - - Attendances at Maternity and Child Welfare Centres. Number of Sessions held. Total No. of Attendances. Expectant Mothers. Mothers Infants Children New Old New Old New Old New Old Northwood 52 3967 4 10 54 1827 52 939 11 1070 Eastcote 51 4162 4 3 92 1886 74 1093 29 981 Ruislip 52 5611 3 10 127 2454 109 1537 47 1324 Ruislip Manor 99 10459 10 59 190 4796 168 3193 63 1980 Ruislip S. 52 3320 9 31 64 1351 59 949 32 825 Northwood. Eastcote. Ruislip. Ruislip Manor. Ruislip South. Highest attendance 113 120 147 220 190 Lowest attendance 31 39 48 42 23 Average attendance (Mothers) 36 39 50 51 28 Average attendance (Children) 40 43 58 54 36 Home Visits by Health Visitors. First Visits Foster Children Expectant Mothers. Re-Visits. Foster Children. No. of Homes visited. Expectant Mothers. Babies under 1 year. Children 1 to 5. Babies under 1 year. Children 1 to 5. Northwood 19 86 13 1 97 169 200 3 527 Eastcote 22 102 27 1 23 209 439 3 838 Ruislip 12 119 15 1 10 71 144 — 414 Ruislip Manor 28 262 25 3 34 254 255 18 762 Ruislip South 22 103 30 2 33 171 250 17 728 Cases attended by Midwife. Nurse E. G. Smith is the County Council Midwife for Northwood and Harefield and attended 25 confinements as Midwife and 4 as Maternity Nurse during the year. Nurse R. J. Carter and Nurse R. E. Temple were appointed as County Council Midwives under the Midwives Act 1936 and commenced duty on 1st October, 1937. During the period from 1st October to 31st December, 1937, Nurse Carter attended 5 confinements as Midwife and 3 as Maternity Nurse. Both these midwives and Nurse E. G. Smith who acts as relief midwife only in the Ruislip Northwood area, attend the Maternity and Child Welfare Centres in the Ruislip Northwood District. Nurse R. E. Temple was not resident in Northwood until January, 1938, but during the period from 1st October to 31st December was engaged in relief duties in Northwood and other areas. The County Council's Health Visitors attend the following Welfare Centres: Northwood: Miss M. C. Brimacombe and Miss N. Smith. Eastcote: Miss K. Martin. Ruislip: Miss M. E. Hurst. Ruislip Manor: Miss N. M. Cooper and Miss M. E. Hurst. South Ruislip: Miss C. F. Whitbread. 21 School Clinics. School Clinics are held under the Management of the Middlesex County Council as follows:— Locality and Address. Day & Time. Medical Officer. School Nurse. Northwood— Junior School, Pinner Road Tuesdays 9.30 a.m. Dr. C. I. Wright Miss M. C. Brimacombe Ruislip Manor— Victoria Hall, Dulverton Road Fridays 9.30 a.m. Do. Miss N. M. Cooper. ADOPTIVE ACTS. The following Acts have been adopted to the extent indicated : Act. Extent of Adoption. Public Health Acts Amendment Act, 1890 The whole. Private Street Works Act, 1892 The whole. Public Health Acts Amendment Act, 1907 Parts II., III., IV*., VI.† and Section 95 Small Dwellings Acquisition Acts, 18991923. The whole. Local Government and Other Officers' Superannuation Act, 1922 The whole. Public Health Act, 1925 Parts II., III., IV., and V., expect Section 44 (Part III.); Subject to the conditions that Sections 52 and 54 (Part V.) are not in force in the area covered by No. 1 Town Planning Scheme Restriction of Ribbon Development Act, 1935 Sections 2 (2) and 1 (1) of this Act have been applied to a portion of Field End Road, Eastcote. * Subject to amendments in Sections 25, 27, 35, 38, and 59. † Subject to an amendment in Section 76. BYE-LAWS AND REGULATIONS. Bye-Laws are in force in relation to: 1. New Streets and Buildings. 5. Offensive Trades. 2. Slaughterhouses. 6. Cemeteries. 3. Houses Let in Lodgings. 7. Recreation Grounds. 4. Removal of Snow. 8. Collection of Refuse. Regulations have been made with respect to: (a) Cemeteries. (b) Drainage of Buildings. (c) Management of Golf Course. 22 Drainage and Sewerage. The whole of the soil sewers in the Council's area now discharge into the sewers of the West Middlesex Drainage Scheme. Collection and Disposal of House Refuse. Controlled tipping on the Council's Refuse Dump off Field End Road, Eastcote, is still in progress and is proving a very satisfactory method of disposal. The weekly collection of refuse is carried out by four Karrier motor dust vans. Trade Refuse. Regulations for the collection of Trade Refuse in the district by the Council are briefly summarized as follows : 1. Council will collect and dispose of trade refuse from shops and business premises with the exception of offal. 2. Where house and shop are jointly occupied one bin per week will be collected free. 3. Schedule of charges: Each dust bin 6d. per week. Per load 7/6 Per half load 4/- Schools. All the Schools in the Urban District are under the management of the Middlesex County Council. 23 Water Supply. The whole of the district is supplied by the Colne Valley Water Company, with the exception of the following: Cottages in Field End Road, South Ruislip 4 Cottage, Rayson's Hill, Eastcote 1 House, Ladygate Lane, Ruislip (Artesian well) 1 Total 6 Eastcote. Coteford Close, 1919-1920 34 Wiltshire Lane, 1926 20 Wiltshire Lane, 1927 20 Total for Eastcote 74 Ruislip. Clack Village, 1919-1920 59 Reservoir Road, 1919-1920 22 St. Martin's Lane, 1929 12 Breakspear Road, 1929 18 Total for Ruislip 111 Northwood Cemetery Cottage, prior to 1914 1 Northwood Depot Cottages, 1927 4 Ruislip Sewage Works Cottage, prior to 1914 1 Ruislip Sewage Works Cottages, 1927 2 8 Total 429 Northolt Junction Estate. This Estate is situate between West End Road and the Great Western and L. & N.E. Joint Railway Line, close to Northolt Junction Station. There is a great improvement on this Estate and at the end of the year there were only 31 hutments in occupation, a number of temporary buildings have been demolished. 24 Housing. The Council have provided the following houses:— Northwood. Pinner Road Site, 1919-1920 114 „ during 1925 12 „ „ „ during 1926 28 Townsend Way during 1930 12 „ „ during 1931 70 Total for Northwood 236 Caravans. During the year there were many gipsy caravans throughout the district, and a number of complaints were received; in several cases it was found necessary for the Council to take action and remove the vans. Milk Supply. The Milk and Dairies Order, 1926. There are the following persons on the Registers:- Retail Purveyors 29 Wholesale Traders and Producers 10 Dairies 13 Cowsheds 10 Retail Purveyors from outside district 6 Milk (Special Designations) Order, 1936. The following licences were granted for the sale of:— "T.T." Milk 7 Pasteurised Milk 14 Do. Producers 1 The following supplementary licences were granted for the sale of:— "T.T." Milk 5 Pasteurised Milk 5 In addition to the above licences one farm in the district is producing and selling "T.T." milk and one farm producing and selling "Accredited" milk. Meat and Food Inspections. There are two slaughterhouses in the district. Killing takes place three days per week at each slaughterhouse. Slaughterhouses. Public Slaughterhouses Nil Registered do. 2 Licensed do. Nil They are kept clean but their situation is not suitable. 25 Bakehouses. Sixteen in number, these are kept in a satisfactory condition. Food Shops and Stores. Visits are paid to premises where food is prepared, stored and sold. Sale of Food and Drugs Act, Etc. This is administered by the Middlesex County Council. Shops Acts, 1912-1936. During the year 104 inspections, enquiries and special observations were carried out under the above Acts, in 22 cases proprietors were warned for minor offences. Ventilation no complaints. Temperature ditto Sanitary conveniences; in several cases it was found necessary to call the occupiers attention to separate accommodation for sexes and intervening ventilated space, etc. This matter is receiving attention. Swimming Baths and Pools. There is only one public bathing place in the Urban District, viz.: Ruislip Reservoir, Ruislip Common, this bathing establishment has a Club House and Cafe, it is frequently visited; the premises are kept in excellent condition. Verminous Premises and the Eradication of Bed Bugs. During the year thirteen houses were found to be bug infested to the following extent: Council Houses Private Houses A. A Trace 2 3 B. Medium — 5 C. Serious — 4 D. Doubtful — 1 Total 2 13 26 Treatment. At the two council houses spraying was carried out by the Council and the tenants with vermicide and so far no further complaints have been received. In the case of the 13 private houses, Three Cases. A. Two fumigated with Cimex, one cleansed by owner. Five Cases. B. Five fumigated with Cimex. Four Cases. C. One fumigated with Cimex, three fumigated by contractors, British Insecticides, Ltd. One Case. D. One house cleansed by owner. In addition to the above two private houses were reported infested with fleas, and one Council House with Martin Bugs; these premises were successfully dealt with by the owners. Sanitary Inspection of District. Premises inspected on complaint 307 Premises inspected for nuisances, etc., under Public Health Acts 285 Premises inspected re infectious disease 120 Premises inspected re non-notifiable disease, etc 17 Inspection and enquiry into cases of contact with smallpox and other diseases 15 Premises under periodical inspection, about 100 Visits to Cowsheds 40 „ Dairies 32 ,, Bakehouses 49 „ Offensive Trades 16 „ Slaughterhouses 317 „ Private Slaughtering — „ Factories 77 ,, Workshops 48 „ Food Shops 29 „ Shops, Shops Acts 104 , Tents, Vans and Sheds 128 Council Houses Inspected 218 27 Sanitary Work. Drains inspected 421 Drains tested 20 Drains unstopped 79 Drains flushed and cleansed 9 Drains repaired 25 Drains re-constructed or part re-constructed 10 Premises disinfected after illness or infectious disease, etc. 125 Clothing and bedding disinfected after illness or infectious disease, etc. 110 Refuse removal complaints 4 New Sanitary Dustbins provided by Owners 90 New Sanitary Dustbins provided by Council (proceedings taken and costs recovered) Nil Number of Statutory Notices served 0 Number of Informal Notices 153 Legal Proceedings Cases — Methods of Disinfection. House Disinfection.—Walls are sprayed with 5 per cent. Lysoform. The rooms are then sealed up and fumigated with Formalin. After twelve hours the rooms are opened and soap and disinfeoting solution is provided. The work is personally supervised by the Sanitary Inspectors. Ditches, Water Courses and Ponds of Stagnant Water. The water courses have been cleaned out and sprayed. Rentokil Solution is used for spraying ponds, etc. Information as regards spraying private watercourses, etc., will be given at this office. 28 Meat Inspection. Carcases Inspected and Condemned. Cattle excluding Cows. Cows Calves. Sheep & Lambs Pigs Number Killed 9 — 106 1007 586 Number Inspected 9 — 106 1007 586 All diseases except Tuberculosis. Whole carcases condemned — — — 1 — Carcases of which some part or organ was condemned 2 — — 18 14 Percentage of the number inspected affected with disease other than Tuberculosis 22.22 1.88 2.38 Tuberculosis only. Whole carcases condemned 1 — — — — Carcases of which some part or organ was condemned 2 — 2 — 25 Percentage of the number inspected affected with Tuberculosis 33.33 1.88 4.26 Housing Statistics. Number of New Houses erected during the year, i.e., Houses, Bungalows and Flats: (a) Total (including numbers given separately under (b) 2,005 (b) (i) By the Local Authority Nil (ii) By other Local Authorities Nil (iii) By other bodies and persons Nil 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) 119 (b) Number of inspections made for the purpose 303 (2) (a) Number of dwelling-houses (included under head (1) above) which were inspected and recorded under the Housing Consolidated Regulations, 1925 20 (b) Number of inspections made for the purpose 50 29 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation 10 (4) Number of dwelling-houses (exclusive of those referred to under the preceding sub-head) found not to be in all respects reasonably fit for human habitation 11 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 11 3. Action under Statutory Powers during the Year:- (a) Proceedings under sections 17, 18 and 23 of the Housing Act, 1930: (1) Number of dwelling-houses in respect of which notices were served requiring repairs Nil (2) Number of dwelling-houses which were dered 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 6 (2) Number of dwelling-houses in which defects were remedied after service of formal notices: (a) By owners 6 (b) By local authority in default of owners Nil (c) Proceedings under sections 19 and 21 of the Housing Act, 1930: (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 20 of the Housing Act, 1930: (1) Number of separate tenements or underground rooms in respect of which Closing Orders were made Nil 30 (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, 1935. Overcrowding: (a) (i) Number of Dwellings overcrowded at the end of the year 3 (ii) Number of families dwelling therein 3 (iii) Number of persons dwelling therein 20 (b) Number of new cases of overcrowding reported during the year 3 (c) (i) Number of cases of overcrowding relieved during the year 3 (ii) Number of persons concerned in such cases 16 (d) Particulars of any cases in which dwelling houses have again become overcrowded after the Local Authority have taken steps for the abatement of overcrowding Nil (e) Any other particulars with respect to ing conditions upon which the Medical Officer of Health may consider it desirable to report Nil Factories, Workshops and Workplaces. There are 58 Factories and 44 Workshops in the district. 1.—Inspection of Factories, Workshops and Workplaces, including Inspections made by Sanitary Inspector. Premises. (1) Number of Inspections (2) Written Notices. (3) Occupiers Prosecuted (4) Factories (Including Factory Laundries) 78 2 — Workshops (Including Workshop Laundries) 48 — — Workplaces (Other than Outworkers' premises) — — — Total 126 2 — 31 2.—Defects found in Factories, Workshops and Workplaces. Particulars. (1) No. of Defects. No. of offences in respect to which Prosecutions were instituted (5) Found. (2) Remedied (3) Referred to H.M. Inspector. (4) Nuisances under the Public Health Acts:— Want of cleanliness 2 2 Want of ventilation Overcrowding Want of drainage of floors Other nuisances 6 2 Sanitary accommodation Insufficient unsuitable or defective not separate for sexes Offences under the Factory and Workshop Acts:— Illegal occupation of underground bakehouse (s. 101) Other Offences (Excluding offences relating to outwork and offences under the Sections mentioned in the Schedule to the Ministry of Health (Factories and Workshops Transfer of Powers Order, 1921). Total 8 4 — — I am, Your obedient Servant, G. CLARK, M.B., D.P.H., D.T.M. & H. Medical Officer of Health. 32