Rul 11 REPORT OP THE MEDICAL OFFICER OF HEALTH FOR THE TWO YEARS 1941 & 1942 URBAN DISTRICT COUNCIL OF RUISLIP-NORTHWOOD PUBLIC HEALTH DEPARTMENT. Public Health Officers of the Local Authority. Medical Officer of Health (part time). L. D. BAILEY C.B.,M.C.,M.R.C.S.,L.R.C.P.,D.P.H. Senior Sanitary Inspector and Shops Inspector. S. P. BRISTOW C.R.S.I. ,M.S.I.A. District Sanitary Inspectors. L. C. GOULD Cert.S.I.B.,M.S.I.A. H. C. KELLY do. do. Junior Clerk. E. H. BOX (on Active Service) Public Health Department and Office: 19 Hallowell Road, Northwood. Tel: Northwood 1400 Ext.No.24 Time of attendance of Medical Officer of Health and Sanitary Inspectors Medical Officer of Health - By Appointment. Sanitary Inspectors - 9 - 10 a.m. or by appointment. MATERNITY AND CHILD WELFARE. Medical Officers. Middlesex County Council: Northwood, Eastcote & Ruislip - Miss C. I.Wright ,M.B. ,B.S.,D.P.H. Ruislip Manor - Mrs.M.M.Osborn,M.R.C.S.,L.R.C.P. South Ruislip - Miss G.Malmberg,M.B.,B.S.,D.P.H. Midwives, Middlesex County Councili: Nurse R.J.Carter, 123 Pavilion way, Eastcote. Tel: Pinner 489. Nurse D.A.James, 34 Manor Way, Ruislip. Tel: Ruislip 3101. Nurse A.M. Shepherd, 118 Shenley Avenue, Ruislip. Tel: Ruislip 4673. Nurse R.E. Temple, 49 Potter St.,Northwood Hills, Northwood. Tel: Northwood 1475. Midwives. In Private District Practice. Nurse E.A.Geenan, 142 Victoria Road, Ruislip. Nurse C.Harman, 1 Hatherleigh Road, Ruislip. Nurse F.M.C.Jackson, 'Resthaven', The Drive, Northwood. Nurse M.J.Urie, 26 Torcross Rord, South Ruislip. Maternity Homes. Miss F.M.C. Jackson, 'Resthnven; The Drive," Northwood. Tel: Northwood 564. Miss B.Powell Jenkins, St.Helens Nursing Home, 75 Manor Way, Ruislip. Tel: Ruislip 5059. Miss N.L.Worboys Victoria Nursing Home, The Manor, Miss J.B.M.Johnson Maxwell Rd.,Northwood. Tel:Northwood 2092. Miss F.A.Young, 'Frankford', 90 West End Rord, Ruislip. Tel: Ruislip 2548. Health Visitors end School Nurses, Middlesex County Council. Northwood Miss M.C.Brimacombe, S.R.N.,S.C.M., 3 Marlow Court, Pinner Road, Harrow. " Miss J.A.Wiseman, S.R.N.,S.C.M., 13 Hillierd Road, Northwood. " Miss N.Smith, S.R.N.,S.C.M., 18 Rutland Road, West Harrow. Eastcote Miss K.S.Martin, S.R.N.,S.C.M., 2a Imperial Court, Imperial Drive, Harrow. Ruislip Miss N.M.Cooper, SeR.N.,S.C.M., 38 Windmill Hill, Ruislip. " Miss R.Coulthard, S.N.R,,S.C.M., 9 Chestnut Grove, Sudbury. u Miss N.M.Lines, S.R.N.,S.C.M., 30 Larne Road, Ruislip. Sth.Ruislip & part Eastcote Miss O.B.Elliott, S.R.N.,S.C.M., 10 College Drive, Ruislip. " Miss C.F. Whithread, S.R.N.,S.C.M., 6 Meadow Way, Weald Village, Harrow. Clinics and Treatment Centres, Middlesex County Council. Welfare Centres. Northwood - Methodist Assembly Room, Hallowell Road. Monday 1.30 p.m. weighing session. Tuesday 1.30 p.m. Dr. C.I.Wright. Eastcote - Eastcote House, High Road. Wednesday 9.30 a.m. & 1.30 p.m. Dr.C. I.Wright. Ruislip - New Church Hall, Bury Street. Thursday 9.30 a.m. & 1.30 p.m. Dr.C.I.Wright. Ruislip Manor, The Health Centre, Lady Bankes School, Dawlish Drive. Monday 1.30 p.m. Wednesday 9.30 a.m. & 1.30 p.m. Friday 1.30 p.m. Dr.M.M.Osborn. Sth.Ruislip - St.Mary's Hall, The Fairway, Tuesday 1.30 p.m. Dr. G.Malmberg. Ante-Natal Clinics. Northwood - Methodist Assembly Room, Hallowell Road, First and third Friday in month at 1.30 p.m. Dr.C.I.Wright. Eastcote - Eastcote House, High Road. First, third & Fifth Monday in month at 1.30 p.m. Midwives, 2nd & 4th " " (Dr.C.I.Wright. Ruislip Manor, The Health Centre,Lady Bankes School, Dawlish Drive. Thursday l.45 p.m. Dr.M.M.Osborn. Sth.Ruislip - St.Mary's Hall, The Fairway. Monday 1.30 p.m. Dr.G.Malmberg. Midwives, first & third Wednesdays in month at 2 p.m. School Clinics. Northwood - Junior School, Pinner Road. Tuesdays 9.30 a.m. Medical Officer - Dr.C.I.Wright, School Nurse - Miss M,C.Brimacombe, Ruislip Manor, The Health Centre, Lady Bankes School, Dawlish Drive. Friday 9.30 a.m. Medical Officer - Dr.C.I.Wright, School Nurse - Miss N.M.Cooper. School Dental Clinics. Northwood - Junior School, Pinner Road. Daily by appointment. Dental Officer - W.G.C. Hackman, L.D.S. Ruislip Manor, The Health Centre, Lady Bankes School, Dawlish Drive, Daily by appointment. Dental Officer - Dr. H. Deutch PROFESSIONAL NURSING IN THE HOME. General Nursing. The Queen's Institute of District Nursing. District Nurses. Northwood Nurse M. Prior, S.R.N. ,S.C.M. , 7 Hawthorne Court. Tel: Northwood 1544 Ruislip & Nurse L.Duckworth,S.R.N.,S.C.M. 6 Cheyne Court, South Ruislip.) Nurse P.C.Lane, S.R.N.,S.C.M., High Street, Nurse M.Poole, S.R.N. ,S.C.M. Ruislip.Tel:3480 Nurse E.Davis, 35 Meadow Way, Eastcote. Tel: Pinner 3407. 2 Church Army Nurses. Northwood - Holy Trinity Parish, Sister A.E.Wintle, Copse Cottage, Rickmansworth Road. Eastcote Nursing Association Nurse A.E.Locke, 'Homeside', Pore Street, Eastcote. Tel: Ruislip 2340 GENERAL PROVISIONS OF HEALTH SERVICES IN THE DISTRICT Infectious Diseases Hospital is situated at Hillingdon, Uxbridge. Tel: Uxbridge 128. Small Pox Hospital. Middlesex County Council have a contract with the London County Council to provide the necessary transport and accommodation. Any suspicious case should be reported to the Medical Officer of Health. Tuberculosis Sanatoria Provided and maintained by the Middlesex County Council. Medical Officer Dr.A. S.Hall, M.A.,M.B. ,B.Ch.,MR.C.P. Redhill County Hospital, Edgware. Tel: Edgware 3406. Patients resident in the Urban District of Ruislip-Northwood will attend the Chest Clinic at Uxbridge, the address is: The Middlesex County Chest Clinic, Local County Offices, 259 High Street, Uxbridge. Tel: Uxbridge 2093. Medical Officer in charge Dr. J.T.N.Roe, M.D.,D.P.H., Times of attendance:- For new cases in first place by appointment only. For other cases, Mondays & Thursdays 2 p.m. Wednesdays & Fridays 10 a.m. Venereal Disease. Arrangements have been made by the Middlesex County Council for treatment of cases at London Hospitals. Information can be obtained from the Medical Officer of Health. A V.D. clinic is held at Hillingdon County Hospital: Mondays & Thursdays 8.30 a.m. - 8 p.m. Tuesdays 8.30 a.m. - 7 p.m. Wednesdays & Fridays 8.30 a.m. - 6.30 p.m. Saturdays 8 a.m. - 12. noon. Posters are displayed throughout the district drawing attention to the dangers of Venereal Disease. The Hospitals in this district for treatment are Hillingdon County Hospital, Uxbridge and Shrodell's Hospital, Vicarage Road, Watford. All the large London Hospitals also provide facilities for treatment. Hospitals. Hillingdon County Hospital, Hillingdon, Uxbridge. General and Maternity. For admission application should be made to the Medical Director at Hillingdon, Uxbridge. Tel: Uxbridge 1782. Northwood Pinner & District Hospital, Pinner Road, Northwood. General. For admission application should be made by doctor in attendance. Tel: Northwood 567. Registrar of Births and Deaths, and Vaccination Officer, Mr. A.W.Finch. Middlesex County Council. Attends at Northwood; Council Offices. Fridays 9.30 to 1L30 a.m. " " Ruislip: Methodist Church Room, Torrington Road, Ruislip Manor, Wednesdays & Thursdays 2 - 4 p.m. The Head Office of the Registrar of Births and Deaths is Local County Offices, High Street, Uxbridge. Tel: Uxbridge 2093. Hours of attendance: Mondays 9 - 11 a.m. & 2 - 4 p.m. Tuesdays 9-11 a.m. Wednesdays 9-11 a.m. Thursdays 9-11 a.m. Fridays 2-4 p.m. Saturdays 9-10 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. -3- ' ,'i A . " The foregoing is for the registration of births and deaths only; the registration of marriages can only he effected at the office of the Superintendent Registrar at 38 High Street, Uxbridge. Tel: Uxbridge 1420. Public Assistance Department, Middlesex County Council. Relieving Officer, Mr. J.E.Harrison, Local County Offices, High Street, Uxbridge, Tel: Uxbridge 2093 Schools. All the schools in the Urban District are under the management of the Middlesex County Council. 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. Hire of ambulance, calls by telephone should be given as follows: Monday to Friday 8 a.m. to 5.30 p.m. Northwood 1110 Saturday 8 a.m. to 12.30 p.m. At other times Northwood 995. Laboratory Facilities. Bacteriological examinations are carried out by the Ministry of Health Emergency Pathological Service. Receiving Depots for Swabs & Pethological Specimens for Examination. Medical Practitioners can leave swobs and specimens in receiving boxes provided at the following places in the Urban District. These specimens will be collected daily by the Laboratory Messenger, and it is hoped will prove more convenient, and speed up the results of examinations. Address. Position of Receiving Boxes. Northwood Public Health Office, 19 Hallowell Road. Inside front entrance door on shelf. Eastcote Eastcote House, High Road, Back entrance. Inside back entrance, in vestibule. Ruislip. Fire Station, Eastcote Road. In main vehicle shed, on wall left hand side of doors. South Ruislip. Fire Station, Station Approach. Back of front door to watch room. Diphtheria Immunisation. The immunisation clinics continued throughout 1941 and 1942 at Northwood, Eastcote, Ruislip and South Ruislip. During these years 4100 persons received treatment under the Council's scheme. Repeated reminders have been issued in the form of advertisements in the local press, through the Principals of Schools, Health Visitors and the Women's Voluntary Services, which have had good effect in bringing the matter to the notice of the population. Up to the date of this report one child who had received the first inoculation was admitted to the Uxbridge Isolation Hospital as suffering from Diphtheria, but no serious immunised case has been reported. 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.A.P.Vychan Jones, 64 High Street. Ruislip Manor - 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. -4- . Insulin In accordance with the Ministry's Circular No: 2734 dated January 4th, 1943, the Council have considered the supply of insulin either free of cost or at a reduced price to persons of slender means, suffering from diabetis. The arrangements are as follows:- Application should he made to the Medical Officer of Health when the necessary application forms will be supplied to the applicant. The case will then he considered hy the appropriate Committee of the Council, and the applicant notified in due course. Milk Supply. The Middlesex County Council are responsible for the taking of samples for analysis as to quality of milk. A number of complaints were received regarding dirty milk bottles, in each case the matter was taken up with the Dairy concerned. Samples for cleanliness are taken monthly, and with one exception the samples were found to be satisfactory. 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 ,, Population Registrar General's Estimate Population 1938 40,820. ,, ,, ,, ,, 1939 47,760 ,, ,, ,, ,, 1940 51,740 ,, ,, ,, ,, 1941 54,000 ,, ,, ,, ,, 1942 54,540 Birth Rate. Total Births during 1938 825 ,, ,, ,, 1939 982 " " " 1940 960 ,, ,, ,, 1941 949 ,, ,, ,, 1942 1114 Birth rate per 1000 of Population 1938 20.21 ,, ,, ,, ,, ,, ,, 1939 20.54 ,, ,, ,, ,, ,, ,, 1940 19.05 ,, ,, ,, ,, ,, ,, 1941 17.57 ,, ,, ,, ,, ,, ,, 1942 20.4 Death Rate. Total deaths during 1938 322 ,, ,, ,, 1939 398 ,, ,, ,, 1940 444 ,, ,, ,, 1941 473 ,, ,, ,, 1942 466 Death rate per 1000 of Population 1938 7.9 ,, ,, ,, ,, ,, ,, 1939 8.16 ,, ,, ,, ,, ,, ,,1940 8.6 ,, ,, ,, ,, ,, ,, 1941 8.7 ,, ,, ,, ,, ,, ,, 1942 8.5 Infant Mortality. Deaths of infants under 1 year during 1938 34 ,, ,, ,, ,, ,, ,, 1939 50 ,, ,, ,, ,, ,, ,,1940 40 ,, ,, ,, ,, ,, ,,19141 35 ,, ,, ,, ,, ,, ,,1942 52 - 5 - Infant Mortality rate per 1000 Births 1938 41.21 ,, ,, ,, ,, ,, ,, 1939 50.9 ,, ,, ,, ,, ,, ,, 1940 42.1 ,, ,, ,, ,, ,, ,, 1941 37.3 ,, ,, ,, ,, ,, ,, 1942 47.1 INFECTIOUS DISEASES. Disease. Total Cases notified. Adm: to Hospital. 1941 1942 1941 1942. Smallpox — - - - Scarlet Fever 129 166 91 122 Diphtheria 26 23 25 18 Paratyphoid 2 2 1 - Typhoid 1 - - - Dysentery 1 4 — — Erysipelas 9 21 1 1 Pneumonia 55 75 - 1 Puerperal Pyrexia 8 5 - - Ophthalmia Neonatorum 1 2 — - Tuberculosis Puly. 30 42 — — Tuberculosis Non.Puly 6 14 - - Poliomyelitis 1 a. 1 1 - Malaria 1 1 - — Whooping Cough 505 91 - — Cerebro Spinal Fever 14 11 6 3 Measles 592 1005 8 7 Polio-Encephalitis - - 1 - TOTALS 1382 1463 134 152 SCABIES. Arrangements have been made with Mount Vernon Hospital for the diagnosis and treatment of Scabies. Patients may attend at 10 a.m. every Tuesday. 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 Total. 5 In all cases where water mains have been damaged by enemy action, water samples have been taken after the repair of main, and forwarded to the Public Health Laboratory for analysis, and in each case the final sample has been reported satisfactory. Drainage & Sewerage. The whole "of the soil sewers in the Council's area discharge into the sewers of the West Middlesex Drainage Scheme. - 6 - SANITARY INSPECTION OP DISTRICT 1941 1942 Premises Inspected Total Visits Premises Inspected Total Visits. Public Health Acts. Houses inspected for nuisances 147 329 106 336 Verminous premises 23 104 28 97 Caravans 8 37 14 126 Ponds,ditches, watercourses insects etc. - 10 11 29 Animals,pigs poultry etc. 22 40 21 37 Yards passages and footpaths 399 415 159 167 Other nuisances 31 193 47 76 Water supplies 13 33 3 3 Drainage Inspected or tested 359 859 643 838 Infectious disease general enquiries 456 653 Military billets. 11 17 - - Hospital discharges 149 228 Rats & Mice Destruction Act. Premises visited 26 31 12 15 Housing Acts. Houses inspected etc. 17 28 108 245 Pood & Drugs Act. Poodshops and cafes 64 79 22 35 Bakehouses 18 23 10 11 Unsound food 30 54 129 226 Pish shops 11 17 10 10 Cowsheds end Dairies 22 24 5 5 Milk vehicles 5 5 - 2 Slaughtering 1 3 5 11 Shops Acts. Premises visited 5 14 12 14 Factory Acts. Premises visited 15 21 18 29 Outworkers visited - 1 4 8 Petroleum Acts. Premises visited - 20 - - Council Houses Houses inspected 158 295 89 154 Requisitioned Houses Houses visited 40 84 7 13 Civil Defence Pood decontamination - 152 - 90 Liaison 1 1 9 79 Casualty Services - 40 •• 31 Wardens' Posts 3 6 1 4 Shelters 87 94 3 21 Pire prevention Business premises Premises visited - - 37 63 Miscellaneous General enquiries etc. — 652 — 312 Premises disinfected 132 180 Bedding & Clothing steam disinfected 97 130 Rats & Mice referred to Middlesex County Council 20 5 Informal action 253 450 Nuisances abated 365 431 - 7 -