Meltham UDC: Annual Report of the Medical Officer of Health (1938) by R. Gellatly

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MELTHAM

Urban District Council

Annual Report

WE tHe

MEDICAL OFFICER OF HEALTH

FOR THE YEAR

Eli Collins & Co., Ltd., Printers, ‘‘Hxpress’’ Office, . Holmfirth.

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Annual Report OF THE

Medical Officer of Health

For the Year 1938.

Dudd House, Meltham. poly, 1989:

To the Chairman and Members of the Meltham Urban District Council. Mr. Chairman, Miss Haigh and Gentlemen, [ have the honour of presenting for your consideration my Annual Report on the health and sanitary circumstances of your district for the year 1938.

PUBLIC HEALTH OFFICERS.

The Public Health Officers of the Council during the year were :— Dr. Robert Gellatly, M.D.C.M., Medical Officer of Health; Mr. R. G. Suddick, Sanitary Inspector. The appointment of Medical Officer of Health is a part- time one. The Sanitary Inspector is also Building Surveyor and Water Engineer to the Council and devotes his whole time to the duties of those offices. A contribution to the salaries of the Officers is made by the County Council under arrangement with the Ministry of Health.

STATISTICS AND SOCIAL CONDITIONS OF THE AREA. The area and population of the District were increased as from April Ist, 1938, by the inclusion of part of the former South Crosland Urban District. AREA.—The area of the district is 5,906 acres. POPULATION.—The population at the 1931 Census of Meltham Urban District was 5,051, and the Registrar- General's estimate of the resident population of the extended district at the middle of 1938 is 5,039. The number of inhabited houses at the end of 1938, according to the Rate Book, was 1,704.

RAINFALL during the year, 58.13 inches.

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The rateable value of the district on the 1st April, 1938, was £28,129, and a penny rate produced £110 2s. 2d. for 1938. The principal industries now carried on in the district are cotton thread weaving, woollen manufacture, silk dress- ing, brick making, mixed farming and poultry keeping. The mdustries carried on im the district cammet be) said tobe detrimental to the health of those engaged therein.

VITAL STATISTICS. (Comparability figure 0.97 equal to a population of 4,950) LIVE BIRTHS... I 65 35 30} of the estimated (Illegitimate . a >a. resident popula- tion 13°53 I Rate per 1,000 total

Total M. jo) ot Rate per 1,000

Legitimate ao ie STILL BIRTHS [legitimate QO & Still Births)

Births 28-985.

DEATHS _... See sg 61 26 35 Death Rate per 1,000 of the estimated resi- dent population 12°32 The Births for 1938 show an increase from the year 1937,

and Deaths have decreased.

a Rate per 1,000 total Deaths from Puerperal causes: (Live we suit) Puerperal Sepsis a ae oe a sae le Other Puerperal Causes coh ne Total... ass ae eh ie Were ee 14

Death Rate of Infants under one year of age :— All Infants per 1,000 Live Births .. 7: ee 2085 Legitimate Infants per 1,000 Legitimate Live Births 30.769

Illegitimate Infants per 1,000 Illegitimate Live

Births Ss ce We sik ‘ea eal Deaths from Cancer (all ages)... pues Deaths from Measles (all ages) zh oe Tae. Deaths from Whooping Cough (all ages). See

Deathe from Diarrhoea (under 2 years of age) ws NAL,

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The causes of death were :— M,. Diphtheria er ms ee eae Influenza ... es at a a Tuberculosis of Respiratory System... 2 Cancer, Malignant Disease 2 } Diabetes ... a fax ee ca 8 3 Cerebral Hemorrhage ... on a 4 Heart Disease ... “im a te 9 Other Circulatory Diseases... war 0) Appendicitis Fs ee ia Pneumonia (all forms)... a ite 12 0) Other Respiratory Diseases ... eo Peptic Ulcer Sai na ite ~ I Other Digestive Diseases a ieee Acute and Chronic Nephritis ... 3 Cirrhosis of Liver os an Kau TO Other Liver Diseases ... ie cow 1 O

Cerebro-Spinal Fever ia an Congenital Debility, Premature Birth,

Malformations, etc. ih, we I Senility ae a Aa swat Oo 2 Violence ... a a we I Other Defined Diseases inet 5 Suicide... bs oa re 1 Bronchitis... in aoe poe 0) Puerperal Causes ie tn tee I

Whooping Cough

GENERAL PROVISION OF HEALTH SERVICES IN THE AREA.

There are no developments or changes since my last Annual Report.

Water Supply. During the year the water supply has been satisfactory and adequate. The Council’s supply was analysed thirteen times during the year and found to be satisfactory.

Sewerage and Drainage. The sewage works have been found to be overloaded at times during the year, and the Council have engaged a Consulting Engineer to submit a report on the matter.

Rivers and Streams. No action found necessary in regard to pollution.

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Closet Accommodation. Eighteen conversions during the year. The closets of each type remaining at the end of 1938 are :— Total. Private. Common.

Water Closets 3 MOOT <a... Ole. Lae Earth Closets a6 MAD nese i en te Tum Closets... ef een I eee 63

1348 1013 339

The Council supply ash bins on request to property owners at a small margin above cost price, and in approved cases make a grant of £2 and free ash bin where Owners convert to water closet.

Public Cleansing.

Amount of refuse removed during year ... 1885 tons. Mileage covered by cleansing waggon ... 5885

The refuse is disposed of at the Wood Bottom tip on the controlled system.

The total cost of removal and disposal of the refuse for the past year was £873 Os. Od.

Sanitary Inspection of the Area.

INSPECTIONS. we dee 3S ee: Outstand- NATURE. Number. |Informal.| Formal. |Complied I ing at end with, of year, Infectious Diseases.... 3 — — — —_ 6 axe 6 ae — =e — Ordinary Nuisances .. 158 59 2 59 2 VCH OS oases 131 49 28 21 Coweweds 2c... 380 9 — 9 — sss 244 5 — 3 — Slaughter Houses .... 306 aoa — — — Privies and Pail Closets 209 oa 352 — Workshops, Workplaces 142 6 — 6 — . eile so 4 — — — — 1 — 1 ~—

Shops Act. Ventilation and Temperature.

The usual inspections have been made, and means of raising and maintaining a reasonable temperature were asked for in one case and provided by the firm concerned.

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Smoke Abatement. Observations have been taken of certain chimneys in the area during the year. The amount of smoke given out was not such as to justify any formal action by the Council. Experiments are being made at certain premises in an attempt

to reduce the amount and density of smoke emitted.

Swimming Baths.

There are none in the area at present.

Eradication of Bed Bugs. One house was found to be infested. It was treated with Zaldecide, the work being carried out by the Council’s em- ployees. Houses of tenants selected for a Council house

tenancy are inspected for vermin.

Schools.

The following are the particulars relating to the water

supply to the Schools in the area, viz. :—

Meltham ... ... .... Water from Council’s Main. Meltham Mills... Do. PIGS... aie ee Do. Wilshaw ... ........ Water from Private Supply.

It has not been found necessary during the year to close any schools for the purpose of checking the spread of in-

fectious disease.

Factories, Workshops and Workplaces.

These have been visited during the year and found to be

satisfactory.

Extra duties have been placed on the Department by the new Factories Act, and it has not been possible to com- plete the inspection of premises requiring Certificates of Fire Escapes, etc., but these will be dealt with as soon as possible.

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6 HOUSING. >

Number of new Houses erected during the year : (a) Total (including numbers given separately under {b) ) (b) With State assistance under the Housing Acts :— By the Mecar Authority... oe eee (Il) By other bodies or persons )

18

Inspection of Dweliing-Houses during the year. 1. (a) Total number of dwelling-houses inspected for housing defects (under Public Health or Housing Acts) 63 (b) Number of inspections made for the purpose 131 2. (a) Number of dwelling-houses which were in- spected and recorded under the Housing Gonsolidated Regulations, 1925 and 1932... 14 (b) Number of inspections made for the purpose 32 3. Number of dwelling-houses found to be in a state

so dangerous or injurious to health as to be unfit for human habitation ae snd ale:

4. Number of dwelling-houses (exclusive of those felerred to under the preceding sub-lead) found not to be in all respects reasonably fit for human habitation ... es ie

Remedy of Defects during the Year without service of Formal Notices. Number of defective dwelling-houses rendered fit

im consequence of informal action of the Local Authority or their Officers... op ties

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

(2) Number of dwelling-houses which were ren- dered fit after service of formal notices :-— (a) By owners ... - (b) By Loeal Authority in setae of owners : ie. <0

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B.—Proceedings under Public Health Acts :— (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied... a ry: fe oo (2) Number of dwelling-houses in which defects were remedied after service of formal

notices :— (a) By owners... fe aie 8 (b) By Local Authority in default of owners ae ens ee ee 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 ee

(2) Number of dwelling-houses demolished in pursuance of Demolition Orders _... ore

D.—Proceedingss under Section 12 of the Housing Act, 1936 :— (1) Number of separate tenements or under- ground rooms in respect of which Closing Orders were made _... a a omg ae

(2) Number of separate tenements or under- ground rooms in respect of which Closing Orders were determined, the tenement or room having been rendered fit 1B fe: OD

Two Clearance Areas were declared in 1938, the Meltham U.D.C. (Westgate) Clearance Area, comprising 10 houses with a population of 36, and the Meltham U.D.C. (Hudders- field Road) Clearance Area, comprising 6 houses with a population of 16. An Inquiry was held in October, 1938, and the Orders were confirmed by the Minister of Health.

Fifteen houses were in course of erection on the Broad- lands Estate for the displaced tenants, ten being completed by the end of the year.

Housing Act, 1936. Overcrowding. (a) (1) Number of dwellings overcrowded at the end of the year ... Fi ed ae nx Ah (11) Number of families dwelling therein ... 14

(111) Number of persons dwelling therein ... 75}

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(b) Number of new cases of overcrowding reported

during the year (c) (1) Number of cases of overcrowding relieved 2

during the year (11) 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 abate-

ment of overcrowding... ae Ke ce gO

INSPECTION AND SUPERVISION OF FOOD.

(a).—MIiLk SUPPLY. There are tour Accredited=producers im the area. The local Co-operative Society also sell sterilised milk. The supply and distribution of the milk is in the hands of the

producers, the farmers.

Nineteen samples of milk were taken and sent to the County Laboratory for examination by the Methylene Rene Reduction Test. Of these, 11 were satisfactory and 8 un- satisfactory. In addition, samples are taken from the Accredited

producers by Officers of the County Council.

Alterations and improvements have been made in a number of cowsheds as the result of representations made

by the Department. Inspection of the dairies and cowsheds is carried out regularly. The Ministry of Agriculture’s Veterinary Inspector

also visits in connection with inspection of milch cows.

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(b) Meat, &c.

A regular system of meat inspection has been carried out,

and the Sanitary Inspector inspects every animal slaughtered

in the area. ‘The following are particulars of the inspections : Cattle Sheep excluding I Cows. I Calves. and Pigs. Cows. Lambs. ae 320 58 8 I 1100 I 523 Number inspected ............ 520 58 8 I 1100 I 323 All Diseases (excepting Tub-

erculosis) whole careases

condemned ........ eS ee, — — — a =

Carcases of which some part or organ was condemned A ob oe — 4 3

Percentage of number inspect- ed affected with disease other than Tuberculosis.| 343% |517%| — |0°36%|0°93%

Tuberculosis only — Whole carcases condemned a — pe ii eae

Carcases of which some part or organ was condemned 28 7 _

Percentage of the number inspected affected with Tuberculosis. .........-.0...| 10°31% I 12°06} — — |216%

Visits have been paid to shops and stores in the district, and, generally speaking, these are well kept. There are four bakehouses in the district. The premises have been inspected by the Sanitary Inspector, and are clean and satisfactory. There has been no reported case of Food Poisoning

during the year.

(c).—ADULTERATION, &C.

The Council is not the Local Authority under the Food and Drugs Act, etc., etc.

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PREVALENCE OF, AND CONTROL OVER, INFECTIOUS DISEASES.

Arrangements have been made to obtain a supply of Diphtheria Anti-toxin at the Isolation Hospital. The recently developed artificial methods of immuniza- tion against diphtheria have been used both privately and by the County Council at Schools and Clinics. Prevalence of disease at Schools is notified by the School Attendance Officer, and action taken. The District was free from any serious outbreak of non- notifiable infectious disease during the year.

a a eel SN ae ces

Notifiable Diseases (other than Tuberculosis) during the year 1938.

Disease es. Cae ee Scarlet co. asc 2 2 (0) Sur 1 ] Cerebro-Spinal Meningitis ANALYSIS. Woder..| 1-5 I 5-10 10-15) 15-20 I 45 and over Searlet Fever...... — 1 1 = aes — d — — _ Cerebro-Spinal es a ae Sx Meningitis. . rz a MEOW Sete Soo sa — 2 — 2 = TUBERCULOSIS

During the year two deaths were registered in the district as due to Tuberculosis.

New Cases and Mortality during 1938.

ee NEW CASES. DEATHS. Periods. Pulmonary. Non-Pulmonary. Pulmonary, |Non-Pulmonary 1—5 ee ee ef 10 Sy I ae ce ee LS — — — os — —- 20 ] = = — 1 — as _ 35 a 1 — — = — je Fes 45 ee eee I 55 eee cas Ge eee aces 65 eee eee a |e Total, al <2 —- — 2 pe a

The notification of tuberculosis is satisfactory.

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1] PREVENTION OF BLINDNESS.

No action taken during the year.

AMBULANCE SERVICE.

The Council maintain an Ambulance for use in accident cases and the removal of serious cases of non-infectious ill- ness when certified to be necessary by a doctor.

An Ambulance for cases of infectious disease is run by the Colne and Holme Joint Hospital Board from the Hospital

at Meltham. ————_> ———

In conclusion I should like to pay a tribute to the Chair- man and Members of the Council, the Clerk and Officials for the assistance and courtesy extended to me during the year, and to the Sanitary Inspector for his loyal co-operation in my work. I am, Miss Haigh and Gentlemen,

Your obedient servant,

R. GELLATLY.

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Birth-rates, of Mortality,

Death-rates, Maternal Death-rates, and Case-rates for certain infectious Diseases in the year 1938.

ee England and London 126 Towns

Wales,

Great and 148 Smaller Towns.

(Provisional Figures based on Weekly and Quarterly Returns).

Births— Live Still

Deaths— All Causes Typhoid and Paratyphoid Fevers Smallpox ... wis a Measles z Scarlet Fever Whooping Cough Diphtheria a Influenza ...

Notifications— Smnallpox ... Searlet Fever Diphtheria Enteric Fever Erysipelas Pneumonia

Deaths under 1 year of age...

Deaths from Diarrhoea and Enteritis under 2 years of age :

Maternal Mortality— Puerperal Sepsis... Others Sc Total

Maternal Mortality— Puerperal Sepsis... Others ms Total

Notifications— Puerperal Fever ee Puerperal Pyrexia ;

England

126 148 es Smaller Towns County Boro’s (Resident London and Populations |Administr?ve Great Towns 35 County including 50000 at os London 1931 Census)

Rates per 1,000 Population.

Pod, 15:0 15-4 13:4 0-60 0°65 0:60 0:48 11-6 ey 11-0 11-4 0:00 0:06 0:00 000 0:00 — 0:00 ae 0:04 0:05 0:03 0:06 0-01 0:01 0-01 0:01 0:03 0:03 0:02 0:03 0:07 0:07 0:06 0:05 Ot 0:10 O-1l 0:06 0:00 0:00 0:00 = 24) 2°60 2:58 2°05 1-58 1:65 1:53 1:90 0:03 0:03 0:04 0:05 0:40 0-46 0°39 0:46 1:10 1:28 0:98 0:98 Rates per 1,000 Live Births. 53 57 51 57 55 1 36 13:1 2°19 Not available 3-08 ||

0:86 od aot

14-42

Not available

18:08 12:51

Rates per 1,000 Total Births (ie. Live & still)

aie

pO OD WG


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