[Report 1909] / Medical Officer of Health, Patrington R.D.C.
- Patrington (England). Rural District Council.
- Date:
- 1909
Licence: Attribution 4.0 International (CC BY 4.0)
Credit: [Report 1909] / Medical Officer of Health, Patrington R.D.C. Source: Wellcome Collection.
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![/ WITH DR. COATES’ COMPLIMENTS. JIh'ak lIouKO, I'airiiig't.on, Jamuiry Int, 1!)10. To the DiNtriet Couiuil of l^vlriniftoii, 1 preoeiit luy foiii tiH'iith aii'iuiai »lwil- iiiig witli the heallli of tliis district ’or the year ending JkH'envbor Ulst, KMK). 'I’ho iwpiilation of tlio district is t\stiinaU'd at 7,d‘il. Tlie numbt'ir of births has boon IH-t; tliat is 8 Jiioro t.lian Inst year. Of tlu*)0 4 won' ill(“gitiniato—a proiH)rtion of one in •ft), coinpaivd with one in 19.5 ia tho {wovioxis ywir. 'i'ho total luiiirbor of males born in 1909 was 9H, a.iul tho 'minvbor of females 86. The birth-imto fivr 191)9 is 2(i.20 per l.tXK), compared with 25.(Xi in 1908. Tho average foy tho last ten years is 2:1.74. The birth¬ rate of tile blast Hiding for 1908 was 23.7. T'he births took place as follows.— First Second Tliinl. Fourtli. Quarter. Quarter. Quarter. Quarter Males . 33 .... 15 .... 25 .... 25 Females .. 24 _ 20 26 .... 16 One hundred and sixty-fonr children have been yai.tei>nat.e<l out of the 184 births. Daring tho i>ast year 92 iierisons have died, viz., 49 males and 43 females. This is at the rate of 13.10 per 1,000, compared witih 13.24 in the previous year, ami 14.3 the average for the past ten years. The death-rate of the East I’icling for 1908 tvas 14.3. The average age at death for this district is; For males .50.89 years, and for females .57.32 years. The average age of all deaths is 49 years 2 months 1 day, compared with 49 years 3 month's 15 days in 1908. The average duration of life in England is 46 years 3 moliths. The relativie number of deaiths at the various ages come out at:— Under 1 year ... 10 Average per 1.000 . i64 Average for East (R'iding (1906)..,. 106 Average for East Riding Rural Distriots (1908). 95 Average for Bast Riding Urtoan Disfcricta (1906) . 125 Average for 10 years (Patrington).. 110 Over 1 year and under S years. 2 Over 5 years and under 15 years. 4 Over 15 years and under 25 yeai-s. 3 Over 2i5 years and under 65 years. 25 Over 65 years ... 46 I append the mortality of chief Eluax>peaii •connhies for contrast:— Annual Of 1,000 mortality children per 1,0()0 under 1 year inhabitants. there die Sweden and Norway . .... 1C3 Einglajid . .... 145 Switzerland . . 21 .... .... 104 Franc© . 1 6>R Germany . . '25 _ .... 230 Spain and Portugal... . 26 .... .... 180 Italy . . 26 _ fl ft5 lAiu^ria . _ 254 Hung ary . . 30 .... 244 _ . . 300 Averas'a for all Biiixyne_ 27 _ .... 245 Ten 'inquests have been held in 1909—4 acciclents, 1 suicide, 1 natural causes, 1 found drowned, 2 heart disease, and 1 blood poisoning. Three persons belonging tO' this di.'-triot clied in the Eiast Riding Asylum. Three none-residents liave been accidentally drowned, and one person unknown has been washed up. The following have been the chief causes of death :—Diphtheria, 1; phthisis, 9; cancer, 6; bronchitis, 7; pneumonia, 4; alcoholism, 2; heart, 25; accidents, 4; suicide, 1; and all other causes, 33. No d0ath.s took place at Frodilngham, Hilston, Kilnsea, Owthorne', or Tun.stall. No birth,s took place at Hilston or Out N ewton. The deaths took place as follows:— First Second. Third. Fonirth. Quarter. Quarter. Quarter. Quarter. Males . 14 .... 10 .... 11 .... 14 Females .. 15 .... 7 _ 5 _ 16 T append a table showing at a glance (1) •the births, (2) the deaths, (3) the average death-rate, (4) the average birth-rate, and (5) the average age at death in the following parishes:— Death Rat© per Births. Death®. 1,000. Birth Rate per 1,000. Average age at deaAh. Biirstwiolc . . 9 3 6.18 18.55 31.66 Burton Pidsea .... 12 7 24.64 42,25 28.71 {Easington . . 6 3 8.45 11.69 65.33 Frodingham ... . 3 0 0. 42.85 0. Halsham . 18.18 13.63 41.93 Hilston . . 0 0 0. 0. 0. Hollym . . 7 3 14.28 33.33 27.97 Holmpton . . 3 2 11.76 17.64 46. Keyingham ... . 14 2 3.66 25.68 37.16 Kilnsea . . 6 0 0. 50.00 0. Ottringham ... . 10 S 10.86 21.73 76.8 Out Newton . . 0 1 27.77 0. 37. Owstwick . . '5 1 •12.5 62.5 17. Owthorne . . 3 0 0. 25. 0. Patrington ... . 24 21 19.48 22.26 63.63 Patrirston Union.. 0 7 133.35 0. 68.71 Pauli . . 19 7 12.36 33.56 57.17 Rimswell . . 4 2 1.44 28.98 64 Roos . . 8 4 9.25 19.44 47.5 Ryehill . 9,0'9 31.81 41.12 Skeflfling . .. 4 3 21.73 28.98 83 Sunk 'gland . 11 4 10.98 30.21 55.27 Thoriignmihald . 9 2 7.3B 33.08 44.5 Tun.stall . 0. 58.82 0. Waxholme . . 2 3 50.84 33.89 67.66 Welwick . . 5 4 14.28 17.85 38.77 Wiriestead .... . 4 2 12.82 25.64 38.04 C'mpared with this. the following table shows the average for the past ten years. 1899-1908 Avge. Av^je Avge Deaths Avge under 1 Pop. Births. Deaths. Year Burstwick .... 10.6 5.6 1.2 Burton Pidsca .... 279.3 7.6 2.5 6 Ea,sington . 8.2 3.8 1.0 Frodingham .. . 69.4 2.6 .5 .3 Halgham . . 224.2 3,1 3.0 .2 Hilston . _ 30.1 7 .3 0. Hollym . . 228.4 5.0 3.7 .9 Holmpton _ _ 176,1 3.3 2.3 3 Keyingham .. . 650.6 12.4 7.9 1.8 Kilnsea . . 135.6 4.5 2.6 1.1 Ottringham .. . 4710 9.4 8.0 1.4 Out Neiyton 37.4 .7 .3 0 ■Owstwiok . . 81.8 3.4 .4 0. Owthorne .... R8.7 2.7 1.3 .5 Patrington ... . 1082.2 22.4 17.7 2.6 Patrington Union 45 1 1.3 6.5 0 Pauli . . F64.6 16.7 6.6 1.2 Rimswell . . 134.4 4.7 2.0 .6 Roos . . 446.2 0.7 7.6 .7 Ryehill . . 228.1 6.8 3.2 .6 Skeffling . . 137.4 3.5 1.5 .2 Sunk Tsl-uid .. . 381.4 9.8 3.2 .8 Thorngnmbald .... 276,6 7.6 3.9 .6 Tiinstall . _ 105.9 2.3 1.1 .2 Waxholme .... . 61.6 .4 .8 .2 Welwick . .... 287.4 7.3 4.7 1.3 Winestead .... _ 162,8 4.3 1.7 .1 The number of juhabited houses in the distr’ct is 1.649; the average number of people j>er house is 4.27. For the whole of the East Rid'ng 4.5. The .acreage is 61,420 for this district; the density of population is one person to 8.7 acres, compared with 7.7 the Ba«t Riding rural average and 5 acres the entire Riding average. The infantile mortality is 10. against 16 ti>o previous year. The average for the past ten years is 18.7. One death of an illegiti¬ mate child under one year has been recorded. Th''S6 are distinct improvements on previous years. The cancer I'aic is o)ie in 15.:13, as against 0.110 in 15.5 in 1908. 'I'lie average for Englaml ami Wales is one in 30. Tlio average age at death from cancer is 65.6 yeara. Two Mist's were males and four females. The average age at ileath fi'om heart affection is 68.4. The lung diseases— jihthi'-is, bronchitis, and imenmonia aver¬ age ;1H.3 years. Nine deatills took jilace fi'oin phthisis, compared with 7 tho pravious .year. Si.vty-d'wo cases of notifialble infections diseases have been notihetl to me during 1909, as agaiii't 41 in 1908. Tlie ca.ses ivere: Diphtlieria, 26; erysiipelas, 21; scarlet fever, 12; enteric fever, 3. Death oeciirrcd: Diphtheria, 1, which is at the rate of 10.86 per 1,0(M) deaths, or .14 ]>er 1,000 of tlie population. 'i'he total number of people receiving in and out relief belonging to thi.s union is 184, or one in .38. Tn 1908 there were 196, or one in .36. Tlie average for England and Whiles is one in 39. The 'niimjber cf pauper lunatics helonging to the union is 2.5, or one in 360 (iniclmliing W^ithernsea,, which is in this union), or 2 per 1,000, as compared with 3.0 in 1908 for the whole East Riding, and 3.-42 for England and W'ale.s. For the East Riding the num¬ ber of pauper lunatics is OaXO in 350. The rainfall of Patri’ngtoin for last year avas 27.89 inches. The most rain fell in Auiguslt (5.66), and the driest month avas January^ (0.64). The average rainifall per month is 2.32 inches, compared with 1.64 in 1908. Euri.ii'g the year 220 childre*n have been exclu'decl by special certificates for various complaints from the schools of the districts avithin this area :— Male. Female. Chicken po.x . ... 26 Typhoid fever .. 0 Ringworm . 1 lileasles .. .. 65 Infl Lienza . 9 Diphtheria . 1 Mumps . . 1 .. 3 Scarlet fever . . 7 . 4 Eczema . 2 The .special nuimber of cases excluded from each school, including the unaffected mem¬ ber's of the same families, were :—Withern- sea, 112; Keyingham, 26; Pauli, 36; Welwick, 1; Btrrton Pidsea, 5; Ottringham, 4; Hollym, 15; Ryehill, 2; Burstwick, 17; Spur’n Head, 2. Three schools have been closed for m- fectiens diseases, viz., Hollym for measles, Bunton Pidsea for diphtheria, and Spurn for measles. To more effectively cope with school hygiene a number of regulations have been made by Section 13 of the Education Act of 19C7, the School Medical Officer obtaiinilng more poiwer over Hh© esclnsion of fji'ok chil¬ dren. It aims at co-operaition with the Medical Officers of Hc'^tli. The School Medical Officer can mioiw exclude for (1) To prevent the spread cf disease; (2) uncleanly or veimiinous conditToin of the scholar; (3) fOr physical or mental defects, or owing to the state of liealtili. Tlie School Medical Officer must now app'rove of the ciosuire of the schools : this indicates the desirability of a working arrangemant between the Medical Officer of Health and the School IMedioal Officer. The Medical Officer of Health is still responsible for dealing with outbreaks of infeictious disease, and 'he still must take such steps as are consistent with the public interest to prevent the spread' of infection. Similarly, suspected cases should cniiitinue to be notified by teachers to the Medical Officer of Health and the School Medical Officer, for it is the. prompt exclusion of first cases which will stave off an epidemic. Briefly, scarlet fever fhioiiXd be excluded until peel¬ ing has ended, and fourteen days afiter the disinfection cf the honse. Diphtheria contacts should be excluded for at least four weeks after recovery, or until .swabs show negative examination. Measles should b? excluded 21 days after recovery. Chicken pox the same. Mumps one month. W-'hoon- ing cougfli at least six weeks. These rules ap'ly to all children attending school from infected houses, and shonkl also apply to att?ndan(Je at Sunday schools, Ohurches, chapels, cr any public gatheriings. Children under the age of five will be excluded from all schools on the first case of diphtheria being notified and confirmed. The ontbreak 0(f diphtheria at Burton Pidsea caused nn- ne-cessavy panic. The origin was distinctly traceable to what is kriiown as carriers from a distance. Diiitheretic infection may re¬ main in the throat of an infected pa'tient for a prolonged period extending np to months. Ti’cre has only bean one case of anthrax notified bv the police dnri’ng 1909. This was at Iloll.nn. Ikie cleansing of milk cows is one which T am afraid is not receiving the attention it de.serves from the persons responsible for the milk supply of this dis¬ trict. It is absolutely of the highesit im- portaiii'ce that not only should the utensils b' kept srnpu]onsly clean, but tbet the milkers themselves should give .spcial at¬ tention to the cleansing of the udders and their own hands. Milk is one of the fluids wh'ch bacteria, e-p c'ally those affeetiing the alimentary canal, thrive in, and all milk shouhl he sti'ained and boiled before giving it to children. I oannot too stiiongly im- pre 6 on the dairy people the supreme im¬ portance of cl'aml^ness ib evei’y detail con¬ nected with the management of tlvis most imp rtant artkle of food. 'ITiere are 42 cowsheds registei’cd in the Patrington area. The Inspector has in- spo'.'tod th so, aixl reports oli Diem from time to time. Some of them won hi do with a lit 11^ imi>rovcineii)it. Din ing the year a pToscention was niuler- ■takeii by niysellf and the Ekluica.tion Depart¬ ment of the County Council in rcganl to a cliild attending the Patrington seluxds wlx,so coil'd i t ioin wa^ deplorabUy filthy. A con- i-iction was obtained against the male and female defendants, wIik) were sentenced to thr e and four month.s ri'epectively. This oonvict un. was the firat one nixler the new Childnn Act in England, and 1 draw at¬ tention to it agaili hecanse if dh'ihlren are so neglecited and vorminonis as to materially iiffr'ot their health, the persons having the chiarge of them can he .siunmanily t'onvioted an<l sentenced to prison for such offence; The child in the afor('me’ivtione<l ease was tak n from the iiaronts’ oust.ody and sent to a spec al sdh ol, where he will he trained to be a useful eilizen. I am sorry to iword the fact that your Council, after reqn.sHng from me a report on the -anitary condition of hous 8 at Welwick, and after receiving a co”demnat ry riport from me, and a similar eonfirmatoiy report from your Sani¬ tary Insiiector, neglected the obvious duty of pr cpiddig at the ik-ssious for an onler to close. OiK^ o.nnot uini.CTstand an aiitiiority serving a per-on with a not.ce of unsanitary propei'ty, and after tli(“ laiidloixl himself aiMj iicscct!, aiul asks |ilie Council to obtain a clusiiiig i.rdter, ilrapping the entire business and consider ng it sati-faotorily disposed of. 'J’he result has been that the East Riding County Oouiicil, owing to the default of the Patrington Riiial Hi strict Council, hael to initiate j>i'LC'('diiiigs and obtain the heces- sai’.vf onler tor olo^ure at a greater expense than your Council would have been at, and tile ultimate cost will fall upon the rate¬ payers of tills district. 1 trust that the Council will in future, for its own dignity, do its < wn work, amd not have the odium of anothec Ijody undertaking the work, and charging tlie Patrington Co'uncil -with the expiiiisP. Tlicrp is no isolation hospital withimi this area at present. During 1909 thirteen^ nuis¬ ances have been complaimd of, and, in ad¬ dition, 45 sanitar.v matters have been iiisiiected ami ])ut right. During the year six well waters were analysed, and one of these ivas coudenined. There are eljiven w’orkshops regisltered under the Factory and Workshop Act. These have been inepected from time to time, and found in proper order. All pei-rans under IG must be certified by the respective factory surgeons before they can be employed even as apprentices to dressmakei's. This has rather been more honoured imi the breach than in the olbserv- aiice in the past. 1 also deeply regret the dilaitortness in proceeding withi the flushing of the Patrington drains. 1 have called at¬ tention amnually to this neglect for 10 years. The local Sanitary Committee, the Patring- ton Parish Council, has unanimously passe<l resolutions requesting your Beard to proceed with the work. They have themselvee placed a suitable plot of land at youi- disposal, w’here water cab be obtained, and from which source a satisfactory flushing system could be well and oheaply maintained. It so happens that this year we have (bad au ex¬ ceptional amount of rainfall, and the neces¬ sity for flushing has not been so apparent, but sooner or later w© shall have a dry season, with noxious smeUs orming from.' the main drain, ond consequent epidemics. Tt is the Oouncirs duty to attend to this. Tlie drainage system of Patrtngton is good, although I eomstantly maintain it should never have been permitted witbout some tOrm of flushing hartng been arrauged for, and it cannot be satisfactory until this is dene. I do most sincerel3’^ hope that the Cto'Uincil will remedy this defect, especially as it is the wisli of the in habitants, apart from the greater sainitary reason of protect- iiia: the liealtli of the ratepa^^ers. After my earnest request lart year, I am surprised that the Council cannot see the danger of so long delaying a much-nee dec! impro-vement. Nothing more has been heard of tibe sch'me for suppliiiig tbe district witb water. There should be some systematic analj^sis of the existing supplies to check contaminated water. The Keyingham drains have not Ijeem cleaned out as frequently as they sbould have been, and I am sorry to saj^ that what 1 prediotad has happeined-^liat an outbreak of diphtheria has been caused, in my opinion, from the O'peu drain on tlie roadside leading from the inn to tbe schools. The schools have had to be closed. I ask the Cbiuneil to seriously consider Keyingham. It is not sufficient to do away with the settlin.^pits, wh oh were aU right if they had been at¬ tended to properly. The outfall is not at all ©atistbetory, and sihonld be dealt with, as early as possible. Thrty-fi've bacteriological examinatioins have been made of swabs from li.nfectious cases; 19 have been positive and 16 negative. These examinations have been well worth the ©X'peu'se, and a,re oertainly most valuable and neces'.sar}’ from ,a public health point of view. The schools cf the East Riding have been inspected, some of them in this district by the County CounciTs Medical Officea-; 96.8 have sati.rtactory clothing and foot gear; 83.6 are satisfactory from the point of nutri¬ tion, and 94.9 from a cleanliness standpoint. This is eminently satisfactory. It is to be hoped that the parents will carry out the reooinmendations Oif the School Aledical Officer in regard to children snffeniug from curable conditions, and have these attended to at the earliest opportunity. IVith the advent of 1910 comes into opera¬ tion the Housing and Town Planning Act, one of tlie most valuable measures pas-sed in the interests of the health of the people. A local autlroTity can now make a closing order in the case of insanitary property, and an appeal against this order iniist lae made to the Local Government Board instead of to the Petty Sessional Court. Again, if a land¬ lord lets property to ivorking classes, aud <!oes not keep the premises in reasonable re¬ pair, and in all respects fit for habitation, the local authority may s iwe h’m with a notice to do the necessary work, whicQi they iniKst specify, alul if he feels agrievrd he can appeal to the Lncal Govemmenit Board. Ihis fulfills a hmg-feli want, beca-iise thei'e ar© many preni'srs, not necessardy insani¬ tary, which are still rot fit for hab trtion. These can now he dealt ivith effectively, ac d without so cumbrous a proceeding as for¬ merly. Y'Our Council do not po-sess an^' building regulations. If 31011 had such it woiilil pre¬ vent people bnildiing houses suiting therni- selyes without any regard to sanita.ri’’ re¬ el uircinients. 1 have drawn the attention of the Humber Coiiiservaney Boaixl to the nnsatistbetcry condition of the water supply of the Trinity Lifebivat Cottar's at Sepurii.' Owing to the qiiantity of birds alighting at Spurn t’ e water gets contaminated with nitrow'nous inattoT, aii'd^ the spray of the sea during a storm is often thrown over the roofs, and so ns carried to the tanks. These tanks are not snfficionitly often cleaned out, and there exists no arrangement l>y which the waiter inight be filtered. 1 have had coiiimiinica- tions with the Board, hut the matter has not yet been srt’sfactorily dealt with. •A iifAv cemetery has l>een provided f-'r AA ithernsea within your Councirs area, and this I have certified as a satisfactory site The year has been a satisfactory one from the hvgienio staiulixiint, and, as usual, com¬ pares very favcnrahly with other districts.— A'^ours, &c., AV. H. COATES, Meilioal Officer of Health and Analvs>t, M.A.. ALB.. ALR.C.a.. L.R.C.P., L.S.A., L.S.Sc., F.C.S., L.S., and L.M., Bl.irrister-at-Laav.](https://iiif.wellcomecollection.org/image/b29983733_0003.jp2/full/800%2C/0/default.jpg)
