THE HEALTH - Archive

40
ir*\ 18 JAN1971 » %;ca£# THE HEALTH of SAFFRON WALDEN RURAL DISTRICT in the year 1968

Transcript of THE HEALTH - Archive

Page 1: THE HEALTH - Archive

ir*\ 18 JAN1971 »

%;ca£#

THE HEALTH

of

SAFFRON WALDEN RURAL DISTRICT

in the year

1968

Page 2: THE HEALTH - Archive

/

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THE HEALTH of

SAFFRON WALDEN RURAL DISTRICT

in the year

1968

being the

ANNUAL REPORT of the

Medical Officer of Health J. A. SLATTERY,

M.R.C.S., L.R.C.P., D.P.H.

Medical Officer of Health. Saffron Walden Rural District Council; Medical Officer of Health, Borough of Saffron Walden;

Area Medical Officer, Essex County Council, West Essex Health Area.

together with the

REPORT of the

Chief Public Health Inspector A ARMES, F.R.S.H., F.A.P.H.I.

Chief Public Health Inspector Saffron Walden Rural District Council

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SAFFRON WALDEN RURAL DISTRICT COUNCIL

PUBLIC HEALTH COMMITTEE

(As at 31st December, 1968)

Chairman

Councillor R.C. Heath

Vice-Chairman

Councillor Mrs. M. Leonard

Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor Councillor

Major D.D. Bannerman R.A.H. Barltrop Mrs. H.M. Bruno J.H. Caton Mrs. G.C. Clarke Mrs. V.M. Cox N.F. Cross Mrs. B. Davis A. Edge B. E. Erith D.J. Evans P. Harding R.C. Heazel H.B. Hughes J. Hurwitz H.A. Knight Miss G. Lempriere Mrs. S.L. Lloyd Mrs. J.M.D. Muir Commander C.H. Pollock Mrs. J.M. Northridge Mrs. R.M. Pullman Miss G.E. Riche D.A.W. Thesiger Mrs. P.M. Trigg W.G. Turner Mrs. E.M.A. Whitehead C. Wright

Ex- Officio Members

Chairman of the Council

Councillor G.C.S. Curtis

Vice-Chairman of the Council

Councillor Mrs. E.M. Keith

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PUBLIC HEALTH STAFF

J.A. Slattery, M.R.C.S., L.R.C.P., D.P.H. Medical Officer of Health

D.E. Forsythe, M.R.C.S., L.R.C.P., D.P.H. Deputy Medical Officer of Health

Mrs. D.M. Redfern, Secretary

A. Armes, F.R.S.H., F.A.P.H.I., Chief Public Health Inspector

G.E. Hawthorn, M.R.S.H., Deputy Chief Public Health Inspector

N.L. Good, F.R.S.H., M.A.P.H.I., Additional Public Health Inspector

B. M. Curtis, Student Public Health Inspector

J.A. Duerden, Technical Assistant

Mrs. P.E.J. Saich, Secretary

Miss E. Tracey Shorthand Typist

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SAFFRON WALDEN RURAL DISTRICT COUNCIL

To the Chairman and Members of

Public Health Department, 69, High Street, Saffron Walden.

Saffron Walden Rural District Council

Mr. Chairman, Ladies and Gentlemen,

I have the honour to submit the Report for 1968 concerning the health of Saffron Walden Rural District. I took up my appointment in September of that year.

The Registrar General's estimated mid-year population of 19,740 represents an increase of 510 over the previous year. Births during 1968 amounted to 360 and deaths to 204. There was therefore a natural increase of 156. The remaining 354 is the Registrar's estimate of the number of people who have come to live in the District during 1968. You will note in the statist¬ ical table that the birth rate has risen slightly while the rate for England and Wales continues to fall. I think the inference one can draw from these figures is that those who are coming to live in the villages are in the main young couples about to begin their families.

The Death Rate remains lower than that for England and Wales. It is difficult to make a comparison between the individual causes of death in 1968 with earlier years because the causes have been grouped under different headings in the latest figures. However, it is possible to select a few conditions and comment upon them. Deaths from cancer of the lung are the highest recorded since the war though there is considerable fluctuation from year to year. Deaths from respiratory disease also vary from year to year but do not show any consistant tendency to increase. Of the four infant deaths, three were attributed to pneumonia and one to complications of delivery.

Notifications of infectious disease showed a very marked decline in 1968 due entirely to a reduction in measles. In April a scheme for vaccination of children age 4-7 years was begun and it continued throughout the year. There is no doubt that these vaccinations prevented the usual spread of wild measles virus through the child population. Salmonella infection was notified on four occasions during the year. Each case was a separate incident. As a rule it is difficult to trace the source of isolated infections and this was true on each of these occasions. Salmonella infection is widespread among farm animals, pets and wild life, and there are many opportunities for food to become contaminated.

A number of visits were made during the year to elderly people living alone. Many of these people are visited by health visitors or welfare officers. It was not necessary to take action under Section 47 of the National Assistance Act 1948.

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It remains for me to record my appreciation to the staff of the Rural District Council and in doing so to mention particularly the Clerk and Chief Public Health Inspector for the help and advice they have given me on many occasions.

I am, Mr. Chairman, Ladies and Gentlemen,

Your obedient servant,

J.A. SLATTERY,

Medical Officer of Health

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SECTION A

PROVISION OF MEDICAL SERVICES

1. General Practitioner Services

These are provided by ten doctors who practice from surgery premises within the Rural District and by over twenty other practitioners from Cambridgeshire, Hertfordshire including Bishop's Stortford, Saffron Walden Borough and neighbouring parts of Essex.

2. Hospital Services

These services are provided by hospitals in the East Anglian Regional Hospital Board and the North-East Metro¬ politan Regional Hospital Board. The hospitals which serve the Rural District are those in Saffron Walden, Cambridge, Newmarket and Bishop's Stortford.

Certain special facilities are provided as follows:-

Cases of Infectious Diseases requiring hospital care are admitted to Brookfields Hospital, Cambridge.

Maternity Cases are accommodated at Newmarket General Hospital, Cambridge Maternity Hospital and Herts & Essex Hospital, Bishop's Stortford.

Geriatric Units in charge of a Consultant Geriatrician have been established at Chesterton Hospital, Cambridge, Herts & Essex Hospital, Bishop's Stortford and St. James' Hospital, Saffron Walden and six beds are reserved for geriatric patients at Saffron Walden General Hospital. Particular attention is paid to rehabilitation.

Chest Clinics serving the Rural District are available at Saffron Walden General Hospital, Castle Hill, Cambridge and the Herts & Essex Hospital, Bishop's Stortford.

Treatment of Venereal Diseases is provided at the Clinic at Addenbrooke's Hospital, Cambridge and at the Herts & Essex Hospital, Bishop's Stortford.

3. Essex County Council Health Services

Apart from Ambulance and Mental Health Services, these are administered on an area basis, the Saffron Walden Rural District cones within the West Essex Health Area.

The Area Office is situated at Moot House Annexe, The Stow, Harlow (Tel: Harlow 25331). The following services and clinics are provided:-

Health Visiting This service exists particularly to advise mothers concerning the health of their children especially those under school age. The health visitor has, in addition to a wide nursing training, specialised training and experience v/hich equips her to deal with many other social problems concerning the family and also the elderly and tuberculous.

The Health Visitors serving the Rural District are at present:- Mrs. R. Hurst, Miss E.F. Jones, Miss A. Kicolle and Mrs. P. Patteson. They are based at the Essex County

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Council Health Services Clinic, 69 High Street, Saffron Walden Tel: Saffron Walden 2194 and have a Branch Office at Hargrave House, Stansted, Tel: Stansted 2055*

District Nurse and Midwifery These services are carried out by the following District Nurse/Midwives resident in the Rural District:-

Mrs. P.G. Clare, Nurses House, Gt. Sampford (Gt. Sampford 222)

Mrs. V. Cook, 10 Rookery Close, Gt. Chesterford (Gt. Chesterford 517)

Miss M.K. Everett, Nurses Bungalow, Elsenham (Stansted 2304)

Mrs. A. King, 9 Spencers Road, Gt. Chesterford(Gt. Chesterford 495)

Mrs. M.I. Lewis, 17 Croasdaile Road, Stansted (Stansted 3050)

Mrs. A. Molineux, 'Woodcroft', Cambridge Road, Stansted (Stansted 2180)

Mrs. F. Patmore, 1 Rainsford Road, Stansted (Stansted 3256)

Miss K.R. Vinall, 'Ladram', Thaxted Road, Wimbish (Radwinter 430)

Mrs. J. Wheeler, 6 Mailers Lane, Manuden (Stansted 2348)

Home Help Service and Neighbourly Help Service

Applications for these services should be made to the Area Medical Officer, West Essex Area Health Office, Moot House Annexe, The Stow, Harlow (Tel: Harlow 25331)* The organiser for the Saffron Walden area is Mrs. I.R. Lanham.

Relaxation Classes for expectant mothers are held by appointment at Saffron Walden and Stansted.

Care of Children u the Rural District are

to School Age Child Health sessions in eld normally from 2-4 p.m. as follows:

ASHDON

CHRISHALL

CLAVERING

DEBDEN

ELSENHAM . .

GT. CHESTERFORD

GT. SAMPFORD

HADSTOCK ..

NEWPORT

RICKLING GREEN

SAFFRON WALDEN

Baptist School Room

Methodist Church Hall

Village Hall

Memorial Hall

R.A.F. Debden

Parish Hall ..

Village Institute

Village Hall

Village Hall

Village Hall ..

Parish Room

County Health Services Clinic, 69 High Street

4th Thursday

2nd Thursday

3rd Thursday

4th Y/ednesday

1st Thursday

1st Friday

1st Wednesday

1st Thursday

4th Thursday

2nd Wednesday

2nd Wednesday

Every Friday

Every Wednesday

3rd Tuesday

STANSTED. The Quaker Hall

WIDDINGTON .. .. Village Hall

Facilities are available either by the family doctor or at the Clinics for immunization against diphtheria, tetanus, whooping cough, measles and poliomyelitis.

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Cervical Cytology Clinic By appointment at the Health Services Clinic, 69 High Street, Saffron Walden.

Health of the School Child Routine medical inspections are carried out in this area on school entrants. For other age groups a selective scheme exists. Special examinations are carried out as required. School children can be immunized against diphtheria, tetanus and poliomyelitis. Children of secondary school age can be given B.C.G. vaccination.

Dental Service - treatment for school children is given at 69 High Street, Saffron Walden and inspections are carried out in schools.

Chiropody Clinics for the elderly, physically handicapped and ante-natal mothers are held at Stansted, Manuden and Saffron Walden, by appointment.

The Mental Health and Ambulance Services are administered directly by the County Medical Officer, Health Department, 85-89, New London Road, Chelmsford.

Mental Welfare Officers for the West Essex Area are based at Harlow and can be contacted during normal office hours at Harlow 27421, at other times the Princess Alexandra Hospital, Harlow 26791 will be able to give the name and telephone number of the mental welfare officer on emergency call.

A Combined Training Centre for mentally handicapped children and adults is situated in Station Street, Saffron Walden.

A day and night Ambulance Service is provided and there is an Ambulance Station at Saffron Walden.

Persons requiring an ambulance in an emergency should dial '999' and ask for an ambulance (where there is no dialling system it is sufficient to lift the receiver and ask for an ambulance).

Non emergency calls are only accepted from a hospital, a doctor or nurse, or other competent person, such as a mental welfare officer. Calls should be made to Chelmsford 51131.

4. Laboratory Service

Bacteriological services for the Rural District are provided by the Public Health Laboratory, Tennis Court Road, Cambridge.

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SECTION B

STATISTICS

1. GENERAL

Area (acres) . 78,223 Population (Registrar General's estimate

for mid-year 1968). 19,740 Population (Census 1961) . 18,140 Rateable value (April 1st, 1968) . £644,356 Sum represented by a Penny Rate

(year ended 31.3.68) £2,482 Number of inhabited houses . 7,084 Density of Persons per acre . 0.252 Density of Houses per acre . 0.091 Average number of occupants per house .. .. 2.79

2. VITAL STATISTICS

(a) Live Births (total).. 360 Males Females

Legitimate .. .. 170 169 Illegitimate .. .. 10 11

(b) Live Birth rate per 1,000 population:- Crude Rate .. .. .. .. .. .. 18.2 Adjusted rate

(Comparability Factor 1.12) .„ .„ 20.4 Rate for England and Wales .. .. .. 16.9

(c) Illegitimate live births per cent of total live births .. .. 5.8

(d) Stillbirths . 3 Stillbirths rate per 1,000 live

and stillbirths .. .. .. .. 8.2

(e) Infant deaths (Deaths under 1 year).. .. 4 Infant mortality rate (Deaths under

1 year per 1,000 live births) .. 11 Infant mortality rate for England

and Wales .. .. .. 18 Neo-Natal mortality rate (Deaths under

4 weeks per 1,000 live births) .. 2.8 Perinatal mortality rate (Stillbirths

and Deaths under 1 week combined per 1,000 live and stillbirths) .. 11

(f) Maternal mortality . NIL

(g) Total deaths all ages . 204

(h) Death rate per 1,000 population:- Crude Rate .. .. .. 10.3 Adjusted rate

(Comparability Factor 0.90).. .. 9.3 Rate for England and 7/ales .. .. .. 11.9

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SECTION C

Prevalence of and Control over Infectious and other Diseases

(l) Notifiable Diseases

Notifications of the following infectious diseases were received during the year.

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SECTION D

SANITARY CIRCUMSTANCES OF THE AREA

Sewerage and Sewage Disposal

I am indebted to the Council's Engineer and Surveyor (Mr. J.S.Y. Molineux) for the following report which relates to the position at the 31st December, 1968.

Littlebur.y Sewerage Scheme

Construction was completed during 1967 and the scheme became operative with the completion of the Great Chesterford Sewage Disposal Works to which Littlebury flows are pumped.

Great Chesterford Sewerage Scheme

The construction of this scheme was completed during the year and the scheme became operative in November.

Newport Sewage Disposal Works

Construction nearing completion in respect of these new works to replace the existing inadequate facilities.

Hempstead and Great Sampford Sewerage Scheme

This scheme started during the year and is progressing well.

Radwinter Sewerage Scheme

All sewage flows from Radwinter will be pumped to Great Sampford Sewage Disposal Works for treatment. Construction is due to commence early in 1969.

Elmdon and Chrishall Sewerage Scheme

Both these schemes have been submitted to the Ministry for approval.

Central Sludge De-Watering Plant

Construction has been completed and the plant was brought into operation in March.

Stoney Common Sewerage Scheme

Construction has been completed and the sewers are now in use.

Blsenham, Henham and Ugley Sewerage Schemes

Regrettably it would appear that there is likely to be further delay on this scheme pending further investigation by the Ministry of Housing and Local Government.

7/icken Bonhunt Sewerage Scheme

A scheme for the drainage of this village has been submitted to the Ministry for approval.

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Little Chesterford Sewerage Scheme

A scheme for the drainage of this village has been submitted to the Ministry for approval.

Hadstock Sewerage Scheme

A scheme for the drainage of this village has been submitted to the Ministry for approval.

General

The Rural District comes within the areas of the Lee Conservancy Catchment Board, the Great Ouse River Authority and the Essex River Authority. The Catchment Board and River Authorities continue to exercise vigilance on the sampling of effluent discharged from the sewage disposal works to ensure that the Rural District Council complies with the high standard set by them.

HOUSING

Despite economic pressure the Council has made steady progress in the field of housing generally. The various types of dwellings now forming the Council's pool of housing enables families to be transferred to dwellings more suitable for their needs thus releasing larger houses for younger or larger family units.

The system whereby sub-standard houses vacated by allocation of Council houses are dealt with under the Housing Acts prevents such dwellings becoming "clearing houses" for Council tenant selection and encouragement given to owners to improve, by Grant aid, usually results in modernisation of these sub-standard properties. The result of this operation can be seen in all villages by the steady general improvement in housing conditions

All the Council's hopes in relation to the elderly people's flatlets at Mead Court. Stansted, have been realised and thanks are due to the Warden (Mrs. Heard), the local general medical practitioners, Red Cross, Meals on Wheels volunteers and others who have contributed towards the success of this scheme. We look forward to the provision of a similar block, preferably in the Newport area in the future.

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Page 19: THE HEALTH - Archive

REPORT OF THE CHIEF PUBLIC HEALTH INSPECTOR

FOR THE YEAR 1968

PREFACE

To the Chairman and Members of the Saffron Walden Rural District Council.

Mr, Chairman, Ladies and Gentlemen,

In this, my twenty-third annual report, I have endeavoured to present

a brief version of the activities carried out by your public health

inspectorate in connection with environmental matters; also inoluded are

the statistics required by various Government Departments.

Although the public health inspector has a wide range of statutory duties and must necessarily operate legislation which imposes penalties, sometimes heavy, for non-compliance try those concerned, his most inportant

function is to give technical advice to owners and others to bring about

not only compliance but improvement in conditions relating to public health.

Housing is a field in which this operates most successfully,

particularly when, as applies in this District, the Department is concerned in rehousing. Private properties thus emptied can immediately be dealt with

under the relevant sections of the Housing Acts (repair, closure, etc.)

and this action can be combined with encouragement to an owner or purchaser to make full use of grant-aid to carry out complete reconditioning and

modernisation.

Moreover, the fact that advice on tenancy selection is the concern of this Department means that, during the investigation of applicants' housing

conditions, useful knowledge is acquired as to the overall housing picture in the area.

The White Paper "Old Houses into New Homes" presented by the Minister

of Housing and Local Government in April, indicates the Government's firm intention to put greater emphasis on improvement of older houses and the

proposals outlined should, if accepted, certainly assist in improving the

4*5 million dwellings which the 1967 sample survey in England and Wales revealed as needing fairly extensive repair and/or the provision of basic amenities.

Improvement in housing conditions must necessarily be related to the

provision of main sewerage and the progress shown in this latter respect,

with the completion of contracts in some of the larger villages, is welcomed.

Technological changes in industry and farming are bound to produce problems which might have an effect on environment, and it is hoped that

those responsible for planning decisions will not fail to seek the opinion of other departments before giving final approval to projects which could materially affect the health and comfort of inhabitants of the area. In

this respect, factory farming, has already thrown up the problem of disposal

of liquid waste and, as yet, no satisfactory solution has been found to deal with this bye-product of what is almost a new "industry".

The serious flooding which occurred in the early autumn proved the

ability and willingness of staff of all departments to deal with a sudden crisis despite the daily pressures which persist; the Council has already

paid tribute to the voluntary organisations and the R.A.F. whose efforts quickly brought about restoration to normal conditions.

17

Page 20: THE HEALTH - Archive

Co-operation among chief officers and the staff of all departments of the Council is not oonfined to crisis conditions, and I should again like

to record my thanks to my colleagues in this respect. Thanks are also due to members of my own staff for their outstanding help and support and to members of the Counoil for their continued confidence.

I am, Mr. Chairman, Ladies and Gentlemen,

Your obedient servant,

A. ARMES

Chief Public Health Inspector

18

Page 21: THE HEALTH - Archive

CHIEF PUBLIC HEALTH INSPECTOR'S REPORT

for the year 1968

During the year 4*377 visits were carried, out and these are classified,

below. (Figures for 1967 are shown, in brackets, for comparison).

Housing

Inspections in connection with Slum Clearance, Repairs,

Overorowding, Improvement Grants, etc. 742 (717)

Dwelling houses inspected in detail in connection with

Slum Clearance, Improvement Grants, Rent Acts, etc.. 170 (158)

Investigations and re-inspections regarding Council

house applications. 496 (695)

Inspections of Council houses regarding transfers,

cleanliness, management, lodgers, etc. 491 (400)

Public Health:

Inspections and revisits regarding Public Health

Nuisances. 139 (86)

Inspections regarding proposed new drainage........ 48 (53)

Inspections and revisits regarding defective drainage.. 316 (284)

Inspections regarding proposed sewerage schemes. 457 (99)

Inspections and revisits in connection with Moveable

Dwellings. 100 (148)

Visits regarding Infectious Diseases. 66 (102)

Visits in connection with Refuse and Night Soil

Collection. 578 (547)

Inspections regarding Water Supplies (other than

visits for routine sampling).... 24 (2l)

Number of Water Samples collected from main

supplies, etc. 159 (188)

Food Premises and Food Inspections:

Inspections of Food Shops, Restaurants, Canteens,

Licensed Premises, School Kitchens, Dairies, etc.... I69 (152)

Visits to Ice-Cream Premises. 172 (144)

General:

Inspections of Factories, Offices, Shops, Outworkers' Premises, etc. 117 (77)

Visits in connection with Rodent and Pest Control

(not including Operator's Visits).. 54 (109)

Miscellaneous Visits (Swimming pools, Animal

Boarding Establishments, etc., eto.). 79 (89)

Total number of visits. 4,377 (4,069)

The various sections of the work of the department are commented on in the pages which follow.

19

Page 22: THE HEALTH - Archive

HOUSING

(a) Housing demand and building programme!

In Deoember, 1968, the Council considered, the Eleventh Report of the

Joint Housing Sub-Committee. This Report contained the following

information:-

Existing Council dwellings:

Four-bedroom type houses. 12 Three-bedroom type houses. 716 Two-bedroom type houses. 110 One-bedroom type bungalows and flats. 67

Two-bedroom type bungalows and flats. 310

Total: 1,215

Total number of Applications for Housing Accommodation. 532

Number of such Applicants considered as "Priority"

(This is determined after investigation of housing circumstances.

Future programmes are based on this figure).

Overcrowded or "bedroom deficiency". 1

Applicants (with children) sharing homes. 26 Applicants (without children) sharing homes. 13

Applicants occupying sub-standard houses. 67

Applicants awaiting marriage. 22 Elderly applicants unsatisfactorily housed. 50

Miscellaneous (Eviction Orders, urgent medical

reasons, etc.). 9

188

Deliberations regarding this Eleventh Report continued into

the early months of 1969 when meetings were held to consider

con^irehensive proposals for Newport and Stans ted (and adjoining

villages).

During 1968, the number of dwellings completed or under con¬

struction was as follows

Number of Council dwellings completed during 1968...

Number of Council dwellings under construction at

31.12.68.. Number of private dwellings constructed during 1968. Number of private dwellings under construction at

31.12.68.

(b) Selection of Tenants:

During the year, the Tenancy Committee dealt with tenancy selection

in respect of 36 new dwellings and 30 existing dwellings falling vacant. At each meeting the Committee was presented with up-to-date information

regarding each applicant's housing circumstances, together with reports on "under-occupation" of Council houses and applications for transfers

and exchanges.

36 (85)

42 (29)

70 (144)

132 (266)

20

Page 23: THE HEALTH - Archive

Tenants selected daring the year were chosen on the following

grounds s-

Sharing homes. 11 Bad housing conditions....... 20

Elderly people unsatisfactorily housed. 14

Overcrowded or "bedroom deficiency"...

Eviction Orders or Formal "Notices to Quit". 9

Caravan occupiers... 4

On Medical grounds. 7

Homeless families. 1 Transfers and exchanges. 28

Details of 28 Transfers and Exchanges

From one-bedroom dwelling to bedsitter flatlet. 1 From two-bedroom dwellings to three-bedroom

dwellings. 8 From three-bedroom dwelling to one-bedroom dwelling. 1 From three-bedroom dwellings to two-bedroom

dwellings... 10 From three-bedroom dwellings to more suitable three-

bedroom dwellings... 8

152 new applications for housing accommodation were

received during the year. These were categorised, after

investigation, as follows:-

Overcrowded or "bedroom deficiency". 2

Sharing homes. 23

Bad housing (disrepair, etc.). 15

Lack of amenities... 50

Under formal "Notice to Quit" or Court Orders. 1 Awaiting marriage. 13

Occupying "tied" houses. 21

Occupying temporary accommodation. 3 To be nearer place of employment... 3

Elderly people unsatisfactorily housed. 14 Miscellaneous. 6 Families living apart (due to lack of housing).. 1

36 existing tenants made application for transfer to other accommodation more suitable for their needs.

173 names were withdrawn from the list of applicants for the following reasons

Purchased own houses. 7 Found other accommodation. 5 Housed by other local authorities. 9 Removed from district. 27 Deceased. 2

No reply to "follow up" circular. 19 Applications withdrawn. 10

Granted tenancies. 66 Granted transfer or exchange. 28

21

Page 24: THE HEALTH - Archive

(c) Council House Management»

79 Council tenants were authorised to take lodgers, permission only being granted where investigation showed that overcrowding or other unsatisfactory housing conditions would not be caused. An

additional weekly charge of 5/“d. is payable but certain tenants axe exempt (i.e. pensioners) in accordance with regulations.

7 tenants were warned regarding non-compliance with Tenancy Agreements (cleanliness, decoration, etc.), but in each case such informal action brought about an improvement.

(d) Action taken under the Housing Acts:

Action taken bry the Housing, Sub-Standard Properties, Committee

to bring about repair, closure or demolition of unfit dwellings was

as follows (figures for 1967 in brackets)i-

Number of Informal Repair Notices served. Number of Informal Notices complied with. Number of houses fully surveyed for housing defects. Number of Statutory Repair Notices served

(Section 9). Number of houses rendered fit after service of

Statutory Notices.

Number of Demolition or Closing Orders made. Number of houses demolished in pursuance of

Demolition Orderss (a) EJy owners...... (b) By R.D.C.

Number of Demolition Orders replaced by Closing Orders.

Number of houses voluntarily demolished by owners

following informal action or acceptance of Undertakings.

Number of houses included in Clearance Orders

confirmed during the year.

Number of houses demolished in consequence of Clearance Orders.

Houses in existing Clearance Areas revoked under Section 24, Housing Act, 1961.

Number of Undertakings accepted from owners

(Section 16, Housing Act, 1957).

Number of dwellings rendered fit after acceptance of Undertakings.

Number of families rehoused from dwellings included above...

Number of persons rehoused from dwellings

included above....

32 41

30 (30 170 (134)

12 (24)

9 (7) 1 (-)

3 (-) 1 (-)

- (-)

2 (12)

- (-)

- (3)

- (-)

14 (23)

10 (18)

27

68

(Note: The above figures do not include other properties

improved in connection with Improvement Grants - see Paragraph (f) ).

(e) Housing Acts - "Slum Clearance Programme11:

Progress made in connection with action regarding unfit

dwellings since 1945 is shown below (figures in brackets show the position at the end of 1967)1-

Page 25: THE HEALTH - Archive

(i) Houses subject to Demolition Orders and Closing 8 (11)

(26) (ii) Houses demolished after issue of Demolition

Orders and Closing Orders. 30 (iii) Houses subject to Undertakings accepted

from owners (Section 16).. 108 (105) (iv) Houses rendered fit after acceptance of

Undertakings. 122 (112) (v) Houses voluntarily demolished by owners

following action under the Housing Acts... 53 (51) (vi) Houses in existing Clearance Areas

demolished. 9 (9) (vii) Houses in existing Clearance Areas

regarded as demolished and reconstructed or Orders revoked. 31 (31)

(viii) Demolition and Closing Orders revoked after dwellings rendered fit. 11 (n)

(ix) Houses in existing Clearance Areas. 6 (6)

Total number of properties dealt with up to 3lst December, 1968. 376 (362)

The number of unfit properties included, in the returns submitted to the Minister of Housing and Local Government in 1955 and 1965 totalled. 425

(f) Improvement Grants:

Every encouragement is given to property owners to take advantage of grant-aid in the improvement and reconditioning of properties. Upon enquiries being received a detailed survey of the dwelling is carried out so that owners are made aware of the works of improvement and repair required to comply with the standards.

Discretionary Grants are based on the "approved expense" cal¬ culated by the Engineer and Surveyor (Mr. J. S. Y. Mclineux) whose co-operation in this work is appreciated. The Council always gives sympathetic consideration to applications for loans to cover that part of the cost not met try grant-aid.

To-date no applications have been received from tenants for compulsory action in respect of improvements under the 1964 Act.

Prom the following tables it will be noted that, whilst the number of Discretionary Grants received showed a marked drop, applica¬ tions for Standard Grants more than doubled. This may be accounted for by the increases in building costs which make complete recondition¬ ing expensive and for which the maximum Grant (£400) has remained static for many years whereas larger Standard Grants have become available where bathrooms have to be provided by extensions or where the absence of a sewer makes the provision of a septic tank necessary.

The White Paper, entitled "Old Houses into New Homes", presented to Parliament in April, 1968 gives promise of radical changes in the present legislation and the prospect of larger Discretionary and Standard type grants.

23

Page 26: THE HEALTH - Archive

Nevertheless, the improvement and modernisation of over 700

dwellings in the District, hy virtue of grant-aid, has made a con¬ siderable impact on the general housing conditions in the area and, undoubtedly, justifies the cost and administrative problems involved.

During the year ending 31st December. 1968, the following grants

were dealt with (1967 figures in brackets;»-

Discretionary Grants;-

Number of Grants approved by the Council.. 19 (33) Total "Approved Expenses" incurred by

owners in approved schemes. £18,024 (£28,321) Total sum of Grants approved. £6,872 (£10,593)

Number of schemes completed. 25 (28) Total sum of grants paid. £8,593 (£9,336)

Average grant per house. £343 (£333)

Standard Grants:-

Number of Grants approved. 55 (22) Number of schemes completed. 26 (20)

Total sum of Grants paid. £5,886 (£3,892)

Average grant per house. £227 (£194)

The total progress made in both Grant schemes from their

coniinanoement up to 3lst December, 1968, was as follows : -

Discretionary Grants:-

* Number of dwellings concerned in Grants approved. 576

Total "Approved Expenses" incurred by owners in

approved schemes. £411,191 Total sum of Grants approved. £173,598 Number of schemes completed. 501

Total sum of Grants paid. £153,907

* 278 properties owner/occupied.

298 properties occupied by tenants (including 18

flatlets for elderly persons).

Standard Grantss-

* Number of Grants approved..

Number of schemes completed.... Total sum of Grants paid.

258

189

,039

Amenities provided in the completed Standard Grant schemes:-

Saths.

Wash-hand basins.... Hot water supplies..

161

168 178

Water closets. Ventilated food stores. Piped water supplies.

172 126

7

* 204 owner/occupied. 54 occupied by tenants.

24

Page 27: THE HEALTH - Archive

(g) Rent Act (Certificates of Disrepair)»

No action had to be taken under this legislation during the

year.

MOVEABLE DWELLINGS

When applications for Planning Permission in respect of caravans

are made they are also investigated by this department so that informa¬

tion is available when successful applicants approach the Council for licences under the Caravan Sites and Control of Development Act, I960.

At the end of the year 9 licences relating to individual caravans

were in force under the latter Act, and 3 sites licensed for more than one caravan; 2 of these were in respect of holiday camping sites.

The Caravan Sites Act 1968, which came into force during the year

provided for the acquisition of sites by County Councils to provide adequate accommodation for gipsies residing in or resorting to the area.

As the R.D.C. had already deoided to give support to the provision

of one or more small sites for this purpose, talks began with officials

of the County Council regarding the selection of a site.

In the meantime, itinerant van dwellers continue to occupy, for

short periods, small parcels of land alongside roads and village greens and, on their departure, accumulations of litter, scrap metal,

etc., had to be cleared.

WATER SUPPLIES

Main water supplies throughout the area are the responsibility of

the Lee Valley Water Company who carry out a regular sampling programme

to check on the purity of water. In addition, samples are submitted,

by this department, for bacteriological and chemical examination, and this procedure is also carried out in connection with a private supply to a group of dwellings remote from the public mains.

The table below indicates the sampling programme carried out and

results obtained. Failure,and consequent replacement,of pumping equipment contributed to the unsatisfactory samples obtained from the

private supply. Users were advised until the supply was brought back to a satisfactory condition.

Supply

No. of Samples submitted for

Bacteriological Examination.

Number

Complying

with Standard.

Number found

not to

comply with Standard.

Stansted Area (Stansted Works) 26 26 Southern Area (Henham Works) 22 22 -

Central Area (Newport Works) 22 22 -

Western Area (Wenden Works) 21 21 -

Eastern Area (Hempstead Works) 20 20 mm

Hadstock (South Cambs. R.D.C.) 10 10 -

Elsenham (Private supply) 38 29 9

Totals s 159 150 9

25

Page 28: THE HEALTH - Archive

Following severe flooding which took place in the autumn of 1968,

three private wells were found to be contaminated, and it was some weeks before sampling indicated that the wells could be safely used.

Swimming Poolst

There are no public swimming baths in the District, but regular

sampling was carried out from 2 school swimming pools. Whenever

results showed a diminution of standard, the appropriate County Council

department was informed.

SEWERAGE AND DRAINAGE

The Engineer and Surveyor (Mr. J. S. Y. Molineux) presented to

his Committee during the year, schemes for providing main sewerage for the parishes of Wicken, Widdington, Little Chesterford and Hadstock,

and it was agreed to submit these to the Ministry for approval, to¬ gether with a scheme for the extension of the disposal works at Stansted.

Tenders for the sewer and disposal works to serve Hempstead and Great Sampford were accepted and work was in progress by the end of

the year, and the tender in connection with the Radwinter scheme was also accepted.

At the close of 1968, Mr. Molineux reported that the Birohanger (Stoney Common) works were progressing satisfactorily as was the

construction of the new disposal works at Newport.

Two important completions which took place during the year were the Central Sludge Disposal Plant at Stansted and the Great Chesterford

and Littlebury sewerage schemes.

The Council gave consideration to the question of providing a

cesspool emptying service and the officers concerned were instructed

to prepare a report as early as possible.

REFUSE COLLECTION AND DISPOSAL

The Contractors continued to provide a satisfactory service of weekly refuse collection throughout the District and disposal was

carried out at the three tips now in use. Discussions continued re¬

garding the centralisation of disposal, and it is hoped that this will

be effected before the existing contract expires in 1970.

Every encouragement is given to householders to use the "special

collection service" dealing with large disused articles which cannot

be dealt with during normal collection. There is little doubt that,

if such a scheme was operated in all areas, the problem of illicit dumping of suoh material would be overcome.

During the year, 127 loads of such junk were collected and disposed of at a cost of £386. 13s. Id.

Despite the fact that arrangements have been made with a

contractor for the collection of worn-out vehicles, at a small charge,

it was necessary to deal with 8 such vehicles which had been abandoned.

26

Page 29: THE HEALTH - Archive

Litter baskets erected throughout the area in co-operation with

parish councils are emptied by the refuse oontraotors.

Waste paper, salvaged during refuse oolleotion, is baled and

despatched to the paper mills and the following figures indicate the

amount dealt with and income received*-

1968 1967

T. C. Q. T. C. Q*

Weight of paper sold .. 95- 5- 2. 100. 15. 0. Income received .. .. £847. 14b> 0d. £868. 5b. 3d.

Private contractors, employed by the Council, carry out weekly

collection of night soil in the parishes of Great Chesterford, Littlebury and part of Newport. The firm also operates a private

scheme for about 155 householders in other parishes.

RODEN T CONTROL

A part-time rodent operator is employed to carry out free treat¬

ment at private dwellings and regularly treat refuse tips, sewage works, etc. Sewers are also regularly test-baited to detect rat infestation

which is immediately dealt with.

Where business premises are treated, the full cost is charged} agricultural premises are not serviced by the Council. It was necessary

to ask two farmers to deal with rat infestations discovered on agricul¬ tural land.

A summary of rodent control work during the year is shown in the following table:-

Type of Property

Non/Agricultural Agricultural

Number of properties inspected

following notification .. 327 -

Number of properties inspected

for reasons other than .. notification .. .. .. 27 2

Number infested by:-

a) RATS . 303 2

b) MICE . 35 -

Number of premises treated by Rodent Operator .. .. .. 326 -

The destruction of 20 wasps' nests was carried out on request by

householders whenever this was possible, a charge of 10/-d being made in each case.

27

Page 30: THE HEALTH - Archive

F ACTORIES ACTS

Details of factories registered and inspections made, eto., are

given in the following tables.

4 outworkers were included in lists reoeived under Section 110 -

the dwellings occupied by outworkers were visited during the year.

1* INSPECTIONS for purposes of provisions as to health.

Premises No. on

Register No. of

Inspections Written Notices

Occupiers Prosecuted

Factories in which Sections 1, 2, 3, 4 & 6 are to be enforced by Local Authorities. 4 3

.

Factories not included in (i) in which Section 7 is enforced by the Local Authority. 59 30 4

Other premises in which Section 7 is enforced by the Local Authority (excluding out-workers1 premises). 8 8 - -

Totali 71 41 4 -

28

Page 31: THE HEALTH - Archive

2. CASES in which defects were found

No. of Cases in which Defects were found No. of Cases in which Proseoutio ns were instituted.

Particulars

Found Remedied

Reft

to H.M. Inspector

srred

by H.M. Inspector

Want of clean¬ liness (S 1).

. . .

Overcrowding (S 2). - - - - -

Unreasonable temperature (S 3). a. a.

Inadequate ven¬ tilation (S 4). _

Ineffective drainage of floors (S 6). mm . . .

Sanitary- conveniences

(S 7): (a) insufficient ,b) unsuitable

or defective 4 4 4

(c) not separate for sexes .

Other offences against the Act (not in¬ cluding offences re¬ lating to Outwork).

TOTALj 4

1-

4 - 4 -

29

Page 32: THE HEALTH - Archive

FOOD AND FOOD PREMISES

(a) MEAT INSPECTION:

There are no licensed slaughterhouses in the District; meat

supplies are obtained from wholesale suppliers outside the area.

(b) MILK AND ICE-CREAM:

Milk production is controlled by the Ministry of Agriculture,

Fisheries and Food and licensing and supervision of pasteurisation plants and of dealers in Designated Milk is dealt with by the

Essex County Council.

Visits were paid to each of the Milk Distributors and Dairies registered by the District Council and conditions were found to be

satisfactory.

88 vendors of ice-cream are registered by the District Council under the Essex County Council Act, all ice-cream retailed being pre-wrapped by the manufacturers.

An unregistered mobile vendor was found to be using an unsatis¬

factory vehicle and storing ice-cream in unhygienic premises; steps were taken towards prosecution and, consequently, the business was

given up.

147 samples of ice-cream were collected at random from retailers 1 premises and submitted to the Cambridge Public Health Laboratory. Results were classified as follows 1-

M.H. Provisional Grade 1. 109 M.H. Provisional Grade II. 32

M.H. Provisional Grade III. 3

M.H. Provisional Grade IV. 3

(c) OTHER FOODS:

Subsequent to notification by wholesalers and retailers, the

following foodstuffs were surrendered on being found unfit for human

consumption; steps were taken to ensure that such food was properly

destroyed:-

Butchers' Meat. 304 lbs. Ice-Cream. 43 Packets

Frozen Fish. 91 lbs.

Other Frozen Foods.... 31 Packets Various canned foods. Ill lbs.

Visits were paid to the only set of water cress beds in the

District; samples taken of cress and of water flowing through the

beds were adjudged to be of satisfactory standard.

Complaints regarding 'foreign bodies' in carbonated lemonade

were fully investigated and referred to the authority in whose area

manufacture was carried out. Subsequently, a visit was paid to the

premises concerned since when no further trouble has occurred.

Action concerning infested pre-packed nuts resulted in the with¬

drawal of all stocks concerned.

JO

Page 33: THE HEALTH - Archive

Potatoes consigned from a farm in the District were found to be

contaminated with diesel oil; inspection revealed the accidental cause of the contamination and all affected stocks were destroyed.

Following the discoveiy of large numbers of blown cans of imported

canned tomatoes, samples were submitted to the public analyst who

certified that the food was sound, overfilling being the cause of the

bulging containers.

(d) FOOD PREMISES, RESTAURANTS, CANTEENS, ETC;

There are 184 food premises in the District classified as followsi-

Butchers ' Shops.. 8

General Stores (grocery and provisions). 53 Bakehouses. 3

Bakers' and Confectioners' Shops. 2

Sweet Shops. 6 Greengrocers. 1

Fishmongers. 1

Poultry Dressing Depots. 1 Bacon Curing Establishments. 1

Wholesale Provision Merchants. 1

Cafis, Restaurants and premises serving meals. 16 Canteens. 4

Licensed Premises. 65

School Kitchens and Central Cooking Depots. 5 Schools serving meals. 16

Preserve manufacture. 1

9 of the above premises are registered under Section 16 of the

Food and Drugs Act for the preparation or manufacture of sausages or preserved food, etc.

All food premises were visited as often as possible and action

was taken during the year to deal with the following contraventionsi-

Repairs to floors, walls, etc. 4 Need for re-decoration. 7

Insufficient or unsatisfactory toilet facilities. 3

Insufficient or unsatisfactory washing facilities. 7 Lack of cleanliness.... 3

Unsatisfactory ventilation. 2

Unsatisfactory washing-up facilities. 1

Unsatisfactory provision for refuse and kitchen waste.. 1

It was not possible to carry out regular routine inspection of

birds at the turkey processing establishment, but occasional visits and examinations were made and advice given.

Following severe flooding which occurred in certain areas during the autumn, affected food premises were inspected and proprietors advised on procedure.

With the coming into force of the Imported Food Regulations 1968, containerised consignments of bacon are delivered to a local wholesale depot and inspection is carried out on arrival.

31

Page 34: THE HEALTH - Archive

INFECTIOUS DISEASES

Investigations were carried out and the requisite action taken in connection with 8 cases of scarlet fever, 2 of infective hepatitis, and

7 cases of salmonella typhi-murium.

Visits were paid to farm premises on receipt of reports of salmonella outbreaks among pigs, poultry and calves. Human handlers of the animals

and birds were advised as to precautions necessary to avoid infection and check specimens were forwarded for laboratory examination.

THE OFFICES. SHOPS & RAILWAY PREMISES ACT. 1963

The inspection of premises registered under this Act continued through¬ out the year and the following are extracts from the Report forwarded to

the Minister of Labour under Section 60 of the Acti-

TABLE A - REGISTRATIONS AND GENERAL INSPECTIONS

Class of

premises

Number of

premises registered during the year

Total number

of registered

premises at end of year

Number of

registered premises receiving a general inspection

during the year

(1) (2) (3) (4)

Offices 1 15 3

Retail shops 6 32 11

Wholesale shops,

warehouses - 4 1

Catering estab¬

lishments open

to the public,

canteens 2 5 4

Fuel Storage depots - 1 1

Totals 9 57 20

TABLE B - NUMBER OF VISITS OF ALL KINDS BY INSPECTORS TO REGISTERED

PREMISES - 62

(in addition 6 visits were paid to premises which were found to be outside the scope of the Act).

32

Page 35: THE HEALTH - Archive

TABLE C - ANALYSIS OF PERSONS EMPLOYED IN REGISTERED PREMISES BY

WORKPLACE:-

Class of workplace Number of persons employed

(1) (2)

Offices 210

Retail shops 128

Wholesale departments, warehouses 82

Catering establishments open to

the public 13

Canteens 10

Fuel storage depots 4

Total 447

Total Males 260

Total Females 187

TABLE D - EXEMPTIONS:-

PARTS I - IV (space (Sec.5(2), temperature (Sec.6),

sanitary conveniences (Sec.9)> washing facilities (Sec.lO)) :- NIL

TABLE E - PROSECUTIONS:- NIL

Number of inspectors appointed under Section 52(l) or (5) of the Act . 3

Number of other staff employed for most of their time

on work in connection with the Act .. Nil

Analysis of Contraventions found:-

Section 4 " 6

" 7 " 8 " 9

" 10

" 11

" 12

" 16

Want of cleanliness.

Unsatisfactory temperature or absence

of proper thermometers. Unsatisfactory ventilation. Inadequate lighting.

Unsuitable or inadequate sanitary conveniences.

Unsuitable or inadequate washing facilities.

Unsatisfactory supply of drinking water.

Absence of suitable clothing accommodation.

Unsatisfactory floors, passages or stairs.

4

9 2 2

4

3

1

3

2

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Analysis of Contraventions found (Continued from previous page)«-

Section 17 - Inadequate fencing of machinery. 4

" 24 - Inadequate First-Aid facilities. 4

Failure to provide the requisite

information to employees. 13

Total contraventions. 51

21 Preliminary Notices were served in respect of these contraventions and 17 such Notices were complied with by the end of the year.

One notifiable accident was reported during the year - this was investigated, but action was not deemed necessary.

MISCELLANEOUS

3 Licences were renewed under the Animal Boarding Establishments Act, 1963, after reinspections of the premises concerned.

One licence was renewed under the Diseases of Animals (Waste Food) Order concerning the boiling of waste food for animal feeding.

Reports of infestations caused by ants, flies, crickets, animal fleas and cockroaches were fully investigated and advice given as to the proper use of disinfestation agents.

Nuisance complaints investigated related to pig keeping, manure

spraying, fumes from com drying plants and poultry keeping - all these were successfully dealt with by informal action.

Similar action resulted in the abatement of alleged noise nuisances caused by dogs barking, radios used inconsiderately, and also by a temporary generating plant.

An appeal was issued through the local branch of the National Farmers Union in connection with the safe disposal of containers used for pesticides.

Reports in connection with Searches under the Land Charges Act

respecting 748 properties were forwarded to the Clerk of the Council.

A. ARMES Chief Public Health Inspector

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