1. !Y rni O B Ar / RIPON & PATELEY BRIDGE RURAL DISTRICT COUNCIL ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH AND PUBLIC HEALTH INSPECTOR For the Year 1971 Digitized by the Internet Archive in 2018 with funding from Wellcome Library https://archive.org/details/b30035971 RIPON & PATELEY BRIDGE RURAL DISTRICT COUNCIL ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH AND PUBLIC HEALTH INSPECTOR For the Year 1971 RIPON AND PATELEY BRIDGE RURAL DISTRICT COUNCIL as at 31.12.71 Chairman of the Council: Councillor G. Gill Vice-Chairman of the Council: Councillor A. Renton Members of the Public Health and Planning Committee: Chairman: Councillor G. Gill Vice-Chairman: Councillor A. Worsnop Coun. Mrs. E. Atkinson Coun. J. Love P. Atkinson D. M. Beardsell J. Bedell A. Brooke W. C. Coates Mrs. E. M. Crompton G. B. Deacon A. E. Dixon Mrs. B. M. Elliott D. W. Fattorini S. Y. P. Gardner G. Gill J. S. Houseman J. H. Howell T. G. Levitt H. Lowcock, M.B.E. F. McWilliam Mrs. M. Ralston A. Renton, H. Salter F. G. Sowray F. Spence C. Swires J. Taylor, J.P. J. C. Turner L. G. Webster G. W. Whitley Miss R. B. Wood, J.P. A. Worsnop Chairman of the Housing Committee; Councillor P. Atkinson PUBLIC HEALTH OFFICERS OF THE COUNCIL Medical Officer of Health: N. V. Hepple, M.D., B.S., B.Hy., D.P.H. Deputy Medical Officer of Health: Mary Poison, B.Sc., M.B., Ch.B., D. Obst., R.C.O.G. Chief Public Health Inspector: K. Parker, M.A.P.H.I., M.Inst. P.C., M.R.S.H. (Left 4/7/71) N. W. Kirk, M.A.P.H.I., M.R.S.H. (As from 4/7/71) Additional Public Health Inspector: S. Kendall, M.A.P.H.I., M.R.S.H. (Commenced 1/9/71) Clerical Staff: Mrs. E. Grant Mrs. S. Lupton Miss J. M. Derrick Telephone Number: The Council Offices, Pateley Bridge 241 Pateley Bridge. To the Chairman and Members of the Ripon and Pateley Bridge Rural District Council. Mr. Chairman, Ladies and Gentlemen, I have the honour to present for your consideration the Annual Report on the work of your Public Health Department and the health of the district during the year 1971. In April, 1974, the health service administration will be reorganised so as to bring the existing three parts of the service under an Area Health Authority, and the office of Medical Officer of Health will disappear after an existence of 127 years. The new local government district authorities will continue to be responsible for environmental health, and will continue to need medical advice on various aspects of their work. Arrangements will have to be made so that a Community Physician will be available for these purposes. The Report contains details as usual of the environmental work of the public health inspectors and also of the health services administered by the County Council. I have the honour to be, Mr. Chairman, Ladies and Gentlemen, Your obedient Servant, N. V. HEPPLE, Medical Officer of Health. STATISTICS Registrar General’s estimate of population (mid 1971) .. 13,580 Area (in acres) .. .. .. .. .. .. 75,009 Number of inhabited houses, March 31st, 1971 .. 4,849 Rateable value, March 31st, 1971 .. .. .. £446,433 Sum represented by a penny rate, March 31st, 1971 .. £1,807 SOCIAL CONDITIONS OF THE AREA Ripon and Pateley Bridge Rural District is a large area consisting of the old Ripon Rural Area together with the Pateley Bridge Rural District. The former consists of low lying land around Ripon City, whilst the latter embraces the upper parts of Nidderdale together with the extensive surrounding tracts of high land. It contains the town of Pateley Bridge. The whole area is agricultural in character. EXTRACTS FROM VITAL STATISTICS FOR THE YEAR 1971 Live Births: Male Female Total Legitimate 105 97 202 Illegitimate 9 4 13 Total 114 101 215 Crude birth rate per 1,000 population 15.8 Adjusted birth rate 17.6 Comparability Factor 1.11 Still Births: Male Female Total Legitimate 2 — 2 Illegitimate — — — Still birth rate per 1,000 total (live and still) births Male Female 9.2 Total Deaths 102 72 174 Crude death rate per 1,000 population , , # # 12.8 Adjusted death rate .. 12.9 Comparability Factor Maternal Mortality: Puerperal Sepsis Other Maternal Causes Deaths 1.01 Rates per 1,000 total births Infantile Mortality: Legitimate Illegitimate Male Female Total 1 3 4 Death rate of infants under 1 year of age: All infants per 1,000 live births Legitimate infants per 1,000 legitimate births Illegitimate infants per 1,000 illegitimate births 18.6 19.8 NOTES ON VITAL STATISTICS Births The birth rate of 17-6 was the same as in 1970 and higher than the national rate of 16-0. Deaths The death rate of 12-9 showed an increase compared with the previous year. The rate for England and Wales was 11 -6. The principal causes of death were as follows:— Heart diseases (excepting Ischaemic heart disease) .. 20 Ischaemic heart disease .. .. .. .. 44 Cerebrovascular disease .. .. .. .. 33 Malignant neoplasms, Leukaemia, including neoplasms of lymphatic and haematopoietic tissue 28 Pneumonia, bronchitis, emphysema and asthma .. 9 Together these groups accounted for more than three quarters of the deaths from all causes. Natural Increase of Population The number of births exceeded the number of deaths by 41. Infantile Mortality: 4 children died under the age of one year, giving an infantile mortality rate of 18-6 per 1,000 live births. This compared with a rate of 30-7 for the previous year and 17-5 for England and Wales. 3 babies died aged two, four, and six days respectively and 1 aged eight months. The causes of death were congenital abnormalities 2, respiratory distress syndrome 1, and bronchiolitis 1. Maternal Mortality: There were no maternal deaths in the Ripon and Pateley Bridge Rural District during 1971. Causes of Death Registrar-General’s Return 1971 Cause Male Female Total 1 Cholera — — — 2 Typhoid fever — — — 3 Bacillary dysentery and amoebiasis — — — 4 Enteritis and other diarrhoeal diseases .. — — — 5 Tuberculosis of respiratory system — — — 6 Other tuberculosis, including late effects.. — — — ! 7 Plague — — — 8 Diphtheria .. — — — 9 Whooping cough .. — — — 10 Streptococcal sore throat and scarlet fever — — — 11 Meningococcal infection .. — — — 12 Acute poliomyelitis — — — 13 Smallpox. — — 14 Measles — — _ 15 Typhus and other rickettsioses — — — 16 Malaria — — — 17 Syphilis and its sequelae .. 1 — i 18 All other infective and parasitic diseases — — — 19 Malignant neoplasms. Leukaemia, including neoplasms of lymphatic and haematopoietic tissue 21 7 28 20 Benign neoplasms and neoplasms of unspecified nature 1 1 21 Diabetes mellitus .. 1 1 2 22 Avitaminoses and other nutritional deficiency 23 Anaemias — — — 24 Meningitis .. — — — 25 Active rheumatic fever — _ — 26 Chronic rheumatic heart disease 2 — 2 27 Hypertensive disease 5 1 6 28 Ischaemic heart disease 25 19 44 29 Other forms of heart disease 4 8 12 30 Cerebrovascular disease 11 22 33 31 Influenza — 32 Pneumonia .. 3 1 4 33 Bronchitis, emphysema and asthma 3 2 5 34 Peptic ulcer — 35 Appendicitis — — — 36 Intestinal obstruction and hernia _ _ _ 37 Cirrhosis of liver 1 _ 1 38 Nephritis and nephrosis 1 — 1 39 Hyperplasia of prostate 2 — 2 40 Abortion — _ _ 41 Other complications of pregnancy, childbirth and puerperium 42 Congenital abnormalities .. — 2 2 43 Birth injury, difficult labour and other anoxic and hypoxic conditions 44 Other causes of perinatal mortality 1 _ 1 45 Symptoms and ill-defined conditions 3 _ 3 46 All other diseases 9 6 15 47 Motor vehicle accidents 3 3 48 All other accidents . 3 2 5 49 Suicide and self-inflicted injuries 2 1 3 _50 All other external causes — Total 102 72 174 GENERAL PROVISIONS OF HEALTH SERVICES IN THE AREA 1. Public Health Officers of the Authority The names and qualifications are set out on page 3. 2. Mortuary The Council provides a mortuary and post-mortem room at Pateley Bridge. 18 bodies, 13 males and 5 females, were taken there during 1971. REMOVAL TO SUITABLE PREMISES OF PERSONS IN NEED OF CARE AND ATTENTION No action was taken during 1971. HEALTH SERVICES PROVIDED BY THE COUNTY COUNCIL REPORT OF DIVISIONAL MEDICAL OFFICER FOR 1971 DIVISION No. 7 CONTENTS 1. Population 2. Divisional Staff 3. School Health Service 4. Speech Therapy 5. Cardiac Clinic 6. Child Guidance Clinic 7. Care of Mothers and Young Children 8. Midwifery 9. Health Visiting 10. Home Nursing 11. Vaccination and Immunisation 12. Prevention, Care and After-Care of Tuberculosis 13. Cervical Cytology 14. Chiropody 15. Registration of Nursing Homes 16. Registration of Old People’s Homes 17. Medical Examination of Staff, etc. 18. Health Education 1. POPULATION The estimated populations of the areas are as follows:— Harrogate Borough .. 63,470 Ripon City .. .. .. 11,800 Knaresborough Urban District .. 11,700 Nidderdale Rural District .. 17,730 Ripon and Pateley Bridge Rural District .. .. .. 13,580 Total.. .. 118,280 2. DIVISIONAL STAFF Medical Officers: N. V. Hepple, M.D., B.S., B.Hy., D.P.H., Divisional Medical Officer. Isobel B. Alexander, M.B., Ch.B., D.P.H., Senior Departmental Medical Officer. Mary Poison, B.Sc., M.B., Ch.B., D.Obst., R.C.O.G., Senior Departmental Medical Officer. A. W. I. Hall, M.B., B.Chir., Departmental Medical Officer. Margaret Briggs, M.B., Ch.B., Departmental Medical Officer. *P. C. N. Clarke, M.R.C.P., D.C.H., Paediatrician. *P. A. I. MacLeod, M.B., Ch.B., F.R.F.P.S., Orthopaedic Surgeon. "■Rosemary Hawe, M.B., Ch.B., B.A.O., D.O., Ophthalmologist. *W. S. Suffern, M.D., M.R.C.P., Cardiologist. ■"Elizabeth Gore, M.D., D.P.M., Consultant Psychiatrist, Child Guidance Clinic. Anastasia Holroyd, M.A., M.B., B.S. Katherine H. Odling-Smee, M.B., Ch.B. Marjorie Parsons, M.B., Ch.B. Isobel Critchley, M.B., Ch.B. Margaret E. Manning, M.B., Ch.B. * Part-time from Regional Hospital Board. \ ( Clinic doctors working on a sessional basis Dental Officers Mr. K. Cowell, L.D.S. Mr. M. Hattan, L.D.S. Mr. P. R. Oldfield, L.D.S. Mr. G. A.Thompson, L.D.S. (part-time, Orthodontic Consultant). Mr. R. F. Grainger, L.D.S. (part-time) Mr. M. Hollings, L.D.S. (part-time) Dental Assistants Full-time .. .. .. .. .. 3 Part-time .. .. .. .. .. .. 3 Child Guidance Staff (part-time) Psychologists .. .. .. .. .. .. 2 Psychiatric Social Worker .. .. 1 Remedial Teacher .. .. .. .. 1 Clerical .. .. .. .. 2 Speech Therapists Full-time .. .. .. .. .. .. .. 2 Part-time .. .. .. .. .. .. .. 1 Nursing Staff Divisional Nursing Officer .. .. .. .. 1 Nursing Officers (Health Visitor).. .. .. .. 2 Nursing Officer (Home Nurse) .. .. .. .. 1 Nursing Officer (Home Nurse Midwife) .. .. 1 Health Visitors who are also school nurses .. .. 18 Health Visitor (part-time) .. .. .. .. 1 Health Visitor employed on Hospital Liaison Duties .. 1 Tuberculosis Health Visitor (part-time) .. .. .. 1 Assistant Health Visitors .. .. .. .. 3 Assistant Health Visitors (part-time) .. .. .. 6 Home Nurses .. .. .. .. .. .. 13 Home Nurses (part-time) .. .. .. 3 Home Nurse Midwives .. .. .. .. 11 Midwives .. .. .. .. 4 Administrative Divisional Administrative Officer .. .. .. 1 Clerical .. .. .. .. .. .. .. 16 Clerical (part-time) .. .. .. .. .. .. 1 Domestic Staff, etc. Cleaners (part-time) .. .. .. .. 12 Caretaker, Health Centre, Knaresborough Road .. 1 3. SCHOOL HEALTH SERVICE A. School Medical Inspections All new entrants to schools are medically examined but subsequent examinations are done on a selective basis. In 1971 there was a slight decrease in the number of pupils given a full medical examination and this was due, in the main, to the introduction of selective examinations for the school leaver age groups. Defective vision requiring treatment formed 32-79% of the total defects. No. of Pupils found not to warrant a medical examination Pupils treat! dent infesta found to nent (exc al disease tion with require uding s and vermin) Age Groups born No. of pupils who have received a full medical examination Physical C o Pupils In rondition spected For defective vision (excluding squint) For any other condition recorded at Part II Total Individual pupils Satisfactory Unsatisfactory 1967 and later 39 39 _ _ 1 5 6 1966 931 931 — — 28 149 169 1965 568 568 — — 21 103 123 1964 188 188 — 327 11 32 40 1963 345 345 — 580 31 85 106 1962 164 164 — 78 10 34 16 1961 172 172 — 53 8 24 30 1960 219 219 — 675 21 46 63 1959 143 143 — 430 19 24 39 1958 60 60 — 28 6 20 25 1957 47 47 — 28 7 7 13 1956 and earlier 170 170 620 18 23 37 TOTAL 3,046 3,046 — 2,819 181 552 667 B. Other Inspections Number of Special inspections .. .. .. .. 502 Number of re-inspections .. .. .. .. .. 742 Total .. .. 1,244 C. Infestation with Vermin (a) Total number of individual examinations of pupils in schools by School Nurses or other authorised persons 8,518 (b) Total number of individual pupils found to be infested 220 (c) Number of individual pupils in respect of whom cleansing notices were issued (Section 54(2), Education Act, 1944) . 18 (d) Number of individual pupils in respect of whom cleansing orders were issued (Section 54(3), Education Act, 1944) .. .. . — 2-6% of the children examined were found to have dirty heads, compared with 1-6% in 1970, and 1-7% in 1969. D. Periodic and Special Inspections Defect or Disease Entr ants Leavers Others Total Special Inspections (T) (O) (T) (O) (T) (O) (T) (O) (T) (O) Skin 37 25 8 6 59 36 104 67 4 11 Eyes (a) Vision 29 72 18 28 134 127 181 227 42 85 (b) Squint 15 17 1 — 18 13 34 30 — 9 (c) Other — 5 — 2 2 10 2 17 — 7 Ears (a) Hearing 2 70 — 5 18 55 20 130 — 5 (b) Otitis Media 2 9 1 2 9 10 12 21 — 6 (c) Other — 2 — 2 5 1 5 5 — 2 Nose and Throat.. 10 52 2 1 33 60 45 113 2 8 Speech 21 18 — — 26 21 47 39 3 5 Lymphatic Glands 1 6 — — 4 6 5 12 1 1 Heart 1 7 1 3 14 14 16 24 2 14 Lungs 16 17 2 5 35 25 53 47 1 14 Developmental: (a) Hernia — 3 — — 5 1 5 4 — — (b) Other 6 19 — 4 22 40 28 63 2 7 Orthopaedic (a) Posture — 3 1 — 2 6 3 9 — — (b) Feet 22 42 3 3 44 70 69 115 5 19 (c) Other — 7 2 3 7 14 9 24 — 6 Nervous System: (a) Epilepsy — 2 — — 10 8 10 10 1 2 (b) Other 18 65 1 4 34 78 53 147 1 6 Psychological: (a) Development 1 5 1 2 9 16 11 23 1 5 (b) Stability — 12 1 2 10 27 11 41 1 1 Abdomen 5 3 — 3 9 13 14 19 1 Other 15 7 — 1 16 22 31 30 7 4 (T) Treatment. (O) Observation. Eye Diseases, Defective Vision and Squint Number of Cases known to have been dealt with External and other, excluding errors of refraction and squint .. 249 Errors of refraction (including squint) 279 Total 528 Number of Pupils for whom spectacles were prescribed 221 Diseases and Defects of Ear, Nose and Throat Number of Cases known to have been dealt with Received operative treatment— (a) for diseases of the ear (b) for adenoids and chronic tonsillitis (c) for other nose and throat conditions 168 56 Received other forms of treatment .. 29 Total 253 Total number of pupils in schools who are known to have been provided with hearing aids:— (a) in 1971. — (b) in previous years 12 Orthopaedic and Postural Defects Number of pupils known to have been treated at clinics or out-patient departments 3 Pupils treated at school for postural defects — E. Handicapped Pupils These are children who, by reason of physical or mental disability, need special educational treatment in ordinary or special schools. 359 children were on the register at the end of the year as detailed below:— Category In ordinary school In special school Not attending school Home tuition Blind . 1 3 _ _ Partially sighted .. 7 4 — — Deaf — 7 — — Partially hearing .. 10 7 — — Educationally sub-normal 71 117 6 — Epileptic .. 5 3 — Maladjusted 19 17 _ Physically handicapped . 45 16 1 — Delicate _ 1 — — Double defect *11 t7 tl — Total 169 182 8 — *1 Phys. Hand/Malad. f4 Phys.. Hand/Esn J1 Phys. Hand/Esn. 1 Part Sight/Esn. 2 malad/Esn. 6 Phys. Hand/Esn. 1 Phys. Hand/Ment. Retarded 2 ESN./Epileptic 1 Part. Sight/Malad. F. Audiometry Routine testing of school children from the age of seven years was continued by health visitors who have received special training in the use of the pure-tone audiometer. 1,572 school children in this group were tested in 1971, of whom 46 were referred for further investigation. The health visitors are also trained in the methods of testing the hearing of the pre-school children from the age of six months onwards. 4. SPEECH THERAPY A further Speech Therapist was appointed who works 3 days per week in Harrogate and Ripon and the rest of her time in another Division. This extra help has been of great assistance. 153 new cases were treated during the year and the treatment of 124 others was continued. Most of the treatment is carried out in schools but the Speech Therapists attend Dragon Parade Clinic, Harrogate, and Alma House Clinic, Ripon, and 37 domiciliary visits were made. 5. CARDIAC CLINIC During 1971 a total of 11 sessions of the Cardiac Clinic were held, when 109 children made a total of 115 attendances. There were 15 new cases referred to the Cardiac Clinic, but these were children found to have heart defects at routine school medical examination. It is now the practice for infants with heart defects to be seen at the Paediatric Clinic at Harrogate General Hospital and, with the inevitable discharge of older children and no “intake” of babies, Cardiac Clinics can only be held at infrequent intervals. During the period under review 5 children were transferred to the adult Cardiac Clinic at Harrogate Hospital, while 3 others left the area and 12 were returned to the care of their general practitioners. 2 children were referred to the Cardiac Unit in Leeds for further investigation. 6. CHILD GUIDANCE CLINIC 127 new cases, 89 boys and 38 girls, were seen during 1971. 116 of these cases were referred from this Division as follows:— Divisional Medical Officer Boys .. 21 Girls 13 Total 34 General Practitioners .. .. 16 6 22 Head-teachers 16 4 20 Parents 7 6 13 Paediatrician . . .. 13 5 18 Others 6 3 9 79 37 116 Dr. Elizabeth Gore, the Consultant Psychiatrist, reports below: “The total of new cases referred in Division 7 shows an increase of 15 over the year, with a relative increase in the number of girls. A very much larger number of cases were referred to the clinic from the Paediatrician, but these, except for two cases, were referred for advice only. There was also an increase in the number of cases referred from General Practitioners. Mr. Popplewell took up his appointment as Remedial Teacher in January, 1971. He has continued and developed the work in the morning play therapy group, with slightly bigger numbers. It is a matter of great concern that this work, which we consider so valuable in saving children from being recommended for residential placement, must apparently be discontinued after Easter because the premises now being used will no longer be available and no alternative accommodation can be found. During 1971 the Social Services Departmen* was being developed and we are glad to feel that we have a fruitful and close relationship with the department in Harrogate. Mutual discussions have helped to prevent duplication of work, and we have been able in a number of instances to hand over cases and families for supervision by the Social Services Department where this was more appropriate. We have also found the Department helpful in cases where the children are away at school. This has meant that we have had more time to work with the other children and their families. In addition the development of the School Counselling system and a closer cooperation with the Educational Welfare Department has meant that, where suitable, they have been able to deal in whole or in part with children with whom we might otherwise have been heavily involved. These contacts have been in addition to the ones already established with Health Visitors, Head Teachers and a number of the Family Doctors. Most importnat perhaps had been the continued close contact with Dr. Hepple and his Medical Officers. We have continued to have Social Work Students from Leeds, from the West Riding and also students taking their Diploma in Primary Education from Leeds University, and a number of others”. 7. CARE OF MOTHERS AND YOUNG CHILDREN (a) Births Return of Births Notified in the Divisional Area during the Year Bir THS Domiciliary Institutional Details Live Still Live Still Total (a) Primary notifications 45 — 2,087 24 2,156 (b) Add Inward Transfers — — 62 — 62 (c) Total Notifications received 45 — 2,149 24 2,218 (d) Deduct Outward Transfers 1 — 596 9 606 (e) Total adjusted births 44 — 1,553 15 1,612 Analysis of Institutional Births Born in (a) Hospitals 1,552 15 (b) Maternity Homes 1 — (c) Nursing Homes — — Total 1,553 15 Only 3.8% of births to residents of the Division took place at home. (b) Ante-Natal and Post Natal Clinics Total No. of a) *-* i a q “c 5!« s s § P/N 1 1 1 g.i 2” 23 aia 5 3sfl c> A/N 38 85 m n •s a Sgi III o <3 8 P/N 1 1 1 u. o: . o Z gf §-s S-S e 8 * ° A/N 1-H <N <N § . Total 28 45 rn W) 3 T3 2 13 ja a o '55 S- 8 1 a a **» Hospital Med. Staff 1 1 l General practitioners employed on sessional basis 1 1 1 Midwives (excluding mother- craft & relaxation) 28 45 ro r- d Z Local Health Authority 1 Officers 1 1 I Name and Address of Ante-natal/Post-natal Clinic (whether held at Infant Welfare Centre or other premises) 2, Dragon Parade, Harrogate Fysche Hall, lies Lane Knaresborough Totals (c) Ante-Natal Mothercraft and Relaxation Classes. (d) Infant Welfare Centres In addition, the Mobile Clinic provides infant welfare centre services in the rural areas as follows:— Killinghall Hampsthwaite Bishop Monkton Lead Lane, Ripon Burton Leonard Staveley Scotton Burnt Yates Ramsgill Lofthouse Glasshouses Heyshaw Lane End Darley Burley Avenue, Army Premises Markington Bishop Thornton Shaw Mills Birstwith H.M.S. Forest Moor Burley Avenue, Army Premises Studley Roger Aldfield Sawley Grantley Winksley Nunwick Copt Hewick Skelton Kirkby Malzeard Grewelthorpe Ripon Army Camp Hunsingore Whixley Marton Grafton Little Ouseburn Great Ouseburn Green Hammerton Kirk Hammerton Nun Monkton Moor Monkton Rufforth Friday 55 Friday 99 Friday 99 99 Monday 9 9 99 99 99 99 99 Monday 9 9 99 99 99 99 Tuesday 99 99 99 99 99 99 99 Tuesday 99 99 Wednesday 99 99 99 99 99 Wednesday Fortnightly 99 Monthly 99 Monthly 99 99 Monthly 99 99 99 99 99 99 Monthly 99 99 99 99 99 Monthly 99 99 99 99 99 99 99 Monthly 99 99 Monthly 99 55 55 55 55 Monthly (e) Routine Tests on Young Babies One type of mental handicap is caused by an inability to metabolise one of the amino acids in food. In order to prevent damage to the brain of these children it is essential to find them within the first weeks of life and give them a special diet. All babies therefore have a routine blood test on their sixth day, either in the maternity hospital or at home by County Council midwives, in order to exclude this disability. No cases were discovered during the year. Congenital dislocation of the hip is a crippling deformity which is most largely prevented by early ascertainment and treatment. Fortunately there is a simple test—the Ortolani test—which can be carried out by nursing and medical staff when young babies are first seen. Seven children were referred for specialist opinion during 1971. Two of these were confirmed as cases and four were referred for further investigation. Three children were found not to have dislocated hips. (f) Dental Care The arrangements for dental treatment of expectant and nursing mothers continue. (g) Care of Premature Infants A premature infant can be defined for practical purposes as one which weighs 5? lbs. or less at birth. These small infants are particularly liable to damage from cold and feeding difficulties and need special care. The County Council provides specially heated incubater cots for ambulance transport of these children. During 1971 there were 93 live and 10 stillbirths on infants of 5? lbs. or less born to mothers normally resident in the division. 84 of these survived over twenty-eight days and 9 died in the first four weeks. (h) Inspection of Children at Day and Residential Nurseries and County Children’s Homes Medical inspections and immunisation are carried out at the Day and Residential Nurseries and County Children’s Homes by the medical staff of the Department. In addition all children in the residential nurseries and homes are examined on admission and discharge and any medical problems dealt with. 8. MIDWIFERY The midwifery staff of the Division consists of 1 Nursing Officer (Home Nurse Midwife), 4 whole-time midwives and 11 midwives who are also home nurses. In addition to attending 40 home confinements in 1971, the midwives visited 1,071 hospital and maternity home patients who went home before the tenth day. 314 of these patients were discharged home at forty-eight hours, 309 were discharged after forty-eight hours but up to and including the fifth day and 448 after the fifth but before the tenth day. Twice daily visits are made during the first three days of puerperium and daily visits thereafter, up to the tenth day. Owing to the shortage of accommodation in the maternity units of the Harrogate and Ripon Hospitals and the York Maternity Home, applications for maternity beds made on social grounds are investigated by the domiciliary midwives. The Obstetric Flying Squad from the Harrogate Hospital was called out on 3 occasions during the year. Analgesia Analgesia was administered by County Council midwives to domiciliary patients as follows:— Trilene 11 Pethidine 3 Trilene and Pethidine 12 9. HEALTH VISITING 2 Nursing Officers (Health Visitor), 19 full-time health visitors, 2 part-time health visitors, 3 full-time assistants to health visitor and 6 part-time assistants to health visitor were employed in the Division at the end of the year. All the full-time health visitors are attached to general practitioners. 1 full-time health visitor and 1 part-time health visitor do tuberculosis visiting and maintain liaison between the Health Department and the chest physicians. Another is largely occupied with the admission and discharge of elderly people to hospitals, old people’s homes and Part III accommodation, working closely with the Geriatric Unit at Knaresborough Hospital. Like the rest of the nursing staff, the health visitors work under the general direction of the Divisional Nursing Officer. The following table shows categories of visits made:— No. of cases i.e., first visits 1. Total number of cases .. 9,005 2. Children born in 1971 1,682 3. Children bom in 1970 1,532 4. Children bom in 1966-69 2,958 5. Total number of children in lines 2-4 6,172 6. Persons aged 65 or over (excluding “domestic help only” visits) 1,561 7. Number included in line 6 who were visited at the special request of a general practitioner or hospital . . 782 8. Mentally disordered persons .. 39 9 Number included in line 8 who were visited at the special request of a general practitioner or hospital .. 26 10. Persons, excluding maternity cases, discharged from hospital (other than mental hospitals) 108 11. Number included in line 10 who were visited at the special request of a general practitioner or hospital .. 79 12. Number of tuberculous households visited (i.e., visits by health visitors not employed solely on tuberculosis work). 40 13. Number of households visited on account of other infectious diseases 32 14. Other cases 1,053 10. HOME NURSING 13 home nurses, 3 part-time home nurses, and 11 home nurse- midwives were nursing in the Division at the end of the year. Almost all the Home Nurses are attached to General Practitioners. The following table gives classification of the work carried out: Classification No. of cases attended by Home Nurses during the year No. of visits paid by Home Nurses during the year Medical 1,742 52,341 Surgical 443 12,711 Infectious diseases 8 163 Tuberculosis 26 263 Maternal complications 73 653 Other 35 289 Totals 2,327 66,420 Patients included above who were aged 65 or over at the time of the first visit during the year .. 1,684 50,295 Children included above who were under 5 years of age at the time of the first visit during the year 34 169 Patients included above who have had more than 24 visits during the year .. 669 51,179 11. VACCINATION AND IMMUNISATION Protection is offered against diphtheria, whooping cough and tetanus, poliomyelitis, measles, and rubella. (a) Vaccination of Persons under 16 years completed during 1971 Completed Primary Courses Year of Birth Others under age 16 Type of vaccine or dose 1971 1970 1969 1968 1964- 1967 Total Triple (Diphtheria/Tetanus/ Whooping Cough) 16 1,061 280 20 4 _ 1,381 Diphtheria/Tetanus — 15 5 2 9 2 33 Diphtheria — — — — — — — Tetanus — 1 — — 1 8 10 Poliomyelitis 17 1,077 288 24 19 16 1,441 Measles 1 429 378 87 100 3 998 Rubella — — — — — 1,720 1,720 Reinforcing Doses Year of Birth Others under age 16 Type of vaccine or dose 1971 1970 1969 1968 1964- 1967 Total Triple (Diphtheria/Tetanus/ Whooping Cough) _ 24 14 5 104 17 164 Diphtheria/Tetanus — 1 4 6 936 126 1,073 Diphtheria — — 1 — 6 6 13 Tetanus — — 3 3 27 122 155 Poliomyelitis 1 24 18 10 1,047 92 1,192 (b) Vaccination Against Smallpox The Local Authority vaccination scheme was terminated in July, 1971, in response to Government policy. The numbers in different age groups vaccinated or re-vaccinated during the first half of the year are shown below:— Age at Date of Under Vaccination 1 1 2—4 5—15 Total No. Vaccinated 8 3 6 5 22 No. Re-vaccinated -- 2 4 6 12 (c) B.C.G. Vaccination B.C.G. Vaccination was again offered to all children 13 years of age and over attending schools in the area. The following are details of work carried out:— 1. No. of Medical Officers (including Divisional Medical Officer) approved to undertake B.C.G. Vaccination 5 2. Acceptances (a) No. of children offered tuberculin testing and vaccination if necessary (whether the offer was made during thp year or previously) .. .. 1,642 (b) No. of (a) found to have been vaccinated previously .. .. .. .. .. .. 46 (c) No. of acceptances .. .. .. .. .. 1,473 (d) Percentage of acceptances .. .. .. 89.70% 3. Pre-Vaccination Tuberculin Test (a) No. of children 2(c) tested.. .. 1,410 (b) Result of Heaf Test: (i) Positive .. .. 97 (ii) Negative .. .. 1,237 (iii) Not ascertained .. 76 (c) Percentage positive .. .. .. .. 6.87% 4. Vaccination No. vaccinated following negative Heaf Test .. 1,161 12. PREVENTION, CARE AND AFTER-CARE OF TUBERCULOSIS The Chest Physicians hold sessions once a week at Scotton Banks Hospital, twice a week at Harrogate General Hospital and once a week at Ripon and District Hospital. The health visitors who do tuberculosis visiting attend the clinics at the Harrogate and Ripon Hospitals. The Chest Physician reports as follows:— 13 names were added to the Tuberculosis Register during 1971. 7 males and 4 females were suffering from pulmonary tuberculosis, 1 male from T.B. spine, and 1 female child from tubercular meningitis. In addition there was one posthumous notification of pulmonary tuberculosis in a female. 24 names were removed from the register. 6 males and 3 females recovered from pulmonary tuberculosis and 1 female from T.B. hip; 5 males and 2 females died; 2 males and 3 females left the district; and 2 males who were suffering from pulmonary tuberculosis were lost sight of. 211 contacts were seen at the Harrogate Chest Clinic during the course of the year. In addition two groups of school children were examined. One was a group of 25 children of various ages and from various schools who were contacts of a school dentist living in another area. This group was checked at Harrogate Chest Clinic. The other was a group of 16 boys who were contacts of a pupil teacher and were seen at Scotton Banks Chest Clinic. Tine testing was carried out as follows:— Harrogate Chest Clinic and Scotton Banks Hospital .. 127 Negative results .. .. .. .. .. .. 55 Positive results .. .. .. .. .. .. 72 Vaccinated .. .. .. .. .. .. .. 52 Babies vaccinated at birth .. .. .. .. .. 19 13. CERVICAL CYTOLOGY A screening test for the detection of cancer of the cervix is offered to all married women. Sessions were held once or twice weekly at the Clinic, 2 Dragon Parade, Harrogate, once or twice monthly at Alma House Clinic, Ripon, and as required at the Health Centre, Pateley Bridge. Tn addition 13 sessions were held in suitable office premises for the convenience of the staff. 838 women attended the Harrogate sessions, 259 women attended the Ripon sessions, 18 women attended the Pateley Bridge sessions, and 241 women attended the sessions held in the office premises. There were 5 positive smears. It is desirable to repeat the smear test at least every five years and in certain circumstances possibly each year. Women over the age of thirty, especially those with large families and particularly those in the lower income groups are the ones most at risk. There are still large numbers of women in these groups who have never come forward for a test. 14. CHIROPODY Much pain and disability is associated with minor foot ailments, many of which are amenable to treatment. The chiropody service provides this for old people, expectant and nursing mothers, and for the physically disabled. Periodic sessions are held in Harrogate, Ripon, Knaresborough, Pateley Bridge, Boroughbridge, Poppleton, Nun Monkton, Whixley, Kirk Hammerton, Bishop Monkton, Burton Leonard, Kirkby Malzeard, Grewelthorpe and Great Ouseburn. Many of these are organised by voluntary associations on behalf of the department, and I am very grateful to those who undertake this valuable voluntary work. There is also a domiciliary service for those who are unfit to attend a clinic session. The chiropodists work part-time and the demand for their services tends to outstrip the service available. 15. REGISTRATION OF NURSING HOMES There were 15 registered nursing homes with a total of 314 beds in the Division at the end of the year. Twenty visits of inspection were made. 16. REGISTRATION OF OLD PEOPLE’S HOMES The 28 old people’s homes registered in the area were visited by the Divisional Medical Officer in conjunction with the Divisional Welfare Officer. 17. MEDICAL EXAMINATION OF STAFF, etc. A total of 403 medical examinations of staff, etc. were carried out during the year. New members of the West Riding staff are medically examined only if they have a significant medical history or are over forty-five years old, a policy which reduces work for the medical staff. The medical examinations carried out were in the following categories:— West Riding County Council .. .. .. .. 61 District Councils in the Division .. .. .. 7 Other Authorities .. .. .. .. .. .. 12 Applicants for Training Colleges .. .. .. .. 141 Employment of Children (including in entertainments) .. 73 School Meals Staff .. .. .. .. .. 109 18. HEALTH EDUCATION Health education has continued along much the same lines as in previous years, but nearly all the health visitors, midwives and district nurse/midwives have taken an active part in this year’s programme. Health education in schools has been extended to include some of the primary schools where we have had a small programme on general health. In Granby Park Secondary Modern School we have had two programmes running—an intensive course for selected girls on mothercraft and a programme for girls and boys on general health subjects. We have been active with Girl Guides, Brownies and Red Cross, giving lectures on child care, home nursing (by two district nurses), and accident prevention, etc. and have acted as examinees at a number of examinations especially for the Brownies, who are very keen on home accident prevention. The interest shown in relaxation classes is very encouraging and, in Ripon, one session in the course of eight is given in the evening so that both husbands and wives can attend together. In Harrogate a number of people have been unable to attend classes because they are still at work. An evening class was attempted but was poorly attended and we are now thinking along the lines of about three evening classes early in pregnancy for working “mothers-to-be” followed by a short day-time course when they are free to attend. We are also thinking of a class for late bookings. A mothers’ afternoon club at Ripon has been established and is well attended as are the other three clubs at Harrogate, Knares- borough and Pateley Bridge. Talks, lectures and film shows on a variety of subjects have been given to Youth Clubs, Friendship Clubs, etc. by various members of staff and this side of health education is much enjoyed. AMBULANCE SERVICE This is a separate service in the West Riding. There is an Ambulance Station in Harrogate with a Superintendent Ambulance Officer in charge. Sub-depots in both Ripon and Pateley Bridge are manned by members of the respective divisions of the St. John Ambulance Brigade who give excellent service. Communication is maintained by short wave radio. HOSPITALS UNDER THE MANAGEMENT OF THE REGIONAL HOSPITAL BOARD B eds Name Situation Purpose Adults Children Harrogate & District General Hospital Knaresborough Rd., Harrogate Medical, Surgical, Maternity 239 25 Carlton Lodge Maternity Home Leeds Road, Harrogate Maternity 13 — Royal Bath Hospital Cornwall Road, Harrogate Rheumatic Diseases 160 — Yorkshire Home Cornwall Road, Harrogate Chronic Sick Cases 71 — Ripon & District Hospital Firby Lane, Ripon Medical, Surgical, Maternity 50 7 St. Wilfrid’s Hospital Thistle Hill Hospital Princess Road, Ripon Thistle Hill, Chronic Sick 32 Scotton Banks Knaresborough Ripley Road, Geriatrics 51 Hospital Knaresborough Ophthalmic 4 — Do. do. Paediatrics — 21 Do. do. General Surgery 26 — Do. do. Gynaecology 27 — Do. do. Diseases of Chest 72 — Do. do. Young Chronic Sick 34 — Do. do. Medical 22 — Do. do. Private Wing Sect. 5 do. Sect. 4 16 8 — Knaresborough Hosp. Stockwell Road, Knaresborough Chronic Sick 134 <D a x £ HH 0.2 o 5 Pi PQ - D ■a >. Q. rt & o 0) ts Under 1 year 1 year 2 years 3 years 4 years 5— 9 years 10—14 years 15—19 years .. 20—24 years 25—34 years 35—44 years 45—54 years 55—64 years 65—74 years 75 and over Age unknown.. Total (all ages) 34 .22 "v >* Nonparalytic 6 <u +-» 3 Paralytic H I I I - ■3 13 -C Post infectious H x-.S Uh 1 1 1 1 II 1 1 1 1 1 1 1 II 1 1 .hr <d ' Q£ s II 1 1 1 1 II 1 1 II 1 1 1 1 1 Under 1 year 1 year 2 years. 3 years 4 years 5— 9 years 10—14 years 15—19 years 20—24 years 25—34 years 35—44 years 45—54 years 55—64 years 65—74 years 75 and over Age unknown Total (all ages) .. 1 n - Induced Therapeutically Accidentally | c3 Abroad 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 «-» In Great Britain 2 1 1 1 II 1 1 1 1 1 II 1 1 1 1 1 a X) • *—« L, O U IX, II 1 1 1 1 II 1 1" 1 1 1 1 1 - -C > S'- ■*-» 2 II II 1 1 1 1 1 1 1 1 II II 1 , CO O ’co ♦e o u. 1 II 1 1 II 1 1 1 1 II 1 1 1 1 CL. u. o *2 • CO S II 1 1 1 II II 1 II 1 1 1 1 1 Under 1 year 1 year 2 years 3 years 4 years 5— 9 years 10—14 years 15—19 years 20—24 years 25—34 years 35—44 years 45—54 years 55—64 years 65—74 years 75 and over Age unknown Total (all ages) Yellow fever Pu 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Relapsing fever Typhus fever Plague 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Under 1 year 1 year 2 years . 3 years 4 years 5— 9 years 10—14 years 15—19 years 20—24 years 25—34 years 35—44 years 45—54 years 55—64 years 65—74 years 75 and over Age unknown Total (all ages) Measles 146 notifications were received compared with 876 in 1970, which gave a notification rate of 2.30 per 1,000 population. Scarlet Fever There were 35 notifications during the year, compared with 19 in 1970, a rate of 0.55 per 1,000 population. Whooping Cough 43 cases were notified, compared with 3 in the previous year, giving a notification rate of 0.68. Infective Jaundice 7 cases were notified in 1971 compared with 8 in 1970. The notification rate was 0.11 per 1,000 population. Ophthalmia Neonatorum. One case was notified. It was probably due to Streptococcus pneumonial infection and made a good recovery. Paratyphoid Fever A ward orderly aged twenty-six was discovered to be excreting S. paratyphi B after a cholecyestomy in Leeds. The source of infection remained obscure. Food Poisoning 13 cases were notified during the year, 2 of which occurred in August and 7 in September. All were due to Group B Salmonella infection and occurred sporadically. Two were thought to be due to frozen chicken, one to steak, and one to ice cream bought at a seaside town. The source of infection was not discovered in the other cases. Tuberculosis There were 7 new cases of pulmonary tuberculosis and 2 of non- pulmonary tuberculosis notified during the year. The Corporation gives priority to cases of tuberculosis who need rehousing. The following table gives details from the Tuberculosis Register: Pulmonary Non- Pulmonary M F M F Total Number on Register at 1st January, 1971 . 73 30 — 3 106 New notifications in 1971 5 2 1 1 9 Number restored to Register — — — — — Number added to Register otherwise than by notification 1 — — — 1 Number removed from Register in 1971 . 10 6 — — 16 Number on Register at 31st December, 1971. 69 26 1 4 100 Ji £_ 1 i M 0.2 V3 Si (D 3 Menir anc C.N. Qh ^ 8§ Under 1 year. 1 year . 2 years 3 years 4 years 5— 9 years 10—14 years 15—19 years .. 20—24 years 25—34 years 35—44 years. 45—54 years 55—64 years 65—74 years 75 and over. Age unknown.. Total (all ages) 40 .22 i -3 PP V >% E Si & CL "o Q> PP Oh Id C 3 •E o 23 o Oh Under 1 year 1 year 2 years 3 years 4 years 5— 9 years 10—14 years 15—19 years 20—24 years 25—34 years 35—44 years 45—54 years 55—64 years 65—74 years 75 and over Age unknown Total (all ages) .. 41 S'3 ?i cd 8 3 S3-H (-1 (U X) 1 1 .2 j3 '8 rt < >> * *-» -D < cti o-c O C/3 ^ O -- O. Uh nJ *5h V5 2 1 1 1 1 II 1 1 II 1 1 1 1 II 1 ider 1 year year years years years — 9 years —14 years —19 years —24 years —34 years —44 years —54 years —64 years —74 years and over ;e unknown 8 5b «j “W- $ o H % UH 1) DC C* 3 ^ S w o. bu 1 13 Under 1 year 1 year 2 years 3 years 4 years 5— 9 years 10—14 years 15—19 years 20—24 years 25—34 years 35—44 years 45—54 years 55—64 years 65—74 years 75 and over Age unknown Total (all ages) 43 Scarlet Fever 3 cases were notified compared with 1 in the previous year, giving a notification rate of 0-22 per 1,000 population. Measles 2 notifications were received compared with 81 in 1970, a notification rate of 0.15 per 1,000 population. Whooping Cough. 9 cases were notified which gave a notification rate of 0-66 per 1,000 population. There were 4 cases during the previous year. Infective Jaundice 2 cases were notified during 1971 compared with 10 the previous year. This gave a notification rate of 0J5 per 1,000 population. Tuberculosis No new cases of pulmonary tuberculosis were notified during 1971. The following table gives details from the Tuberculosis Register: Pulm< anary Non-Pulmonary Total M F M F Number on Register at 1st January 1971 . 10 2 — 12 New notifications in 1971 .. — — — — — Number restored to register — — _ — Number added to Register other- wise than by notification — — — — — Number removed from Register in 1971 . 3 1 — — 4 Number on Register at 31st December, 1971 7 1 8 ANNUAL REPORT OF THE CHIEF PUBLIC HEALTH INSPECTOR FOR THE YEAR 1971 To the Chairman and Members of the Ripon and Pateley Bridge Rural District Council. Mr. Chairman, Ladies and Gentlemen, I have pleasure in presenting my Annual Report on the work of the Public Health Department. Two refuse collection vehicles in the fleet were replaced during the year, one with a new 50 cu. yds. Norba compression vehicle and one with a second hand Norba of the same size and capacity, thus enabling the Department to continue to give the weekly collection of refuse in all the villages in the district. The two men employed in the Rodent Control Department have continued to give a very efficient service for the control of rats, mice and other domestic pests, in private and business premises throughout the area. There remains an unsatisfied demand for this service and I feel that on any Local Government Reorganisation this aspect of the work of the Department should be given every opportunity to expand. The sampling of private water supplies, ice cream and cooked meats has been increased together with the regular sampling of retail milk from producer retailers. This enables the Department to keep control over the raw milk produced with regard to the diseases brucellosis and tuberculosis together with the keeping quality of the product. The provision of a public sewer in the villages of High Grantley and Winksley is urgently required and as new development at Winksley continues, nuisances are occurring from lime to time from disposal of final effluent drainage from septic tanks. In conclusion I would like to thank the Chairman and Vice- Chairman of the Public Health and Planning Committee together with the staff of the Health Department for their help and support. Mr. Kendall, who joined the Department in September, is proving to be a very capable officer. Yours faithfully, NEVIL W. KIRK, Chief Public Health Inspector. NOTICES FOR ABATEMENT OF NUISANCES Outstanding at 31/12/70 Issued in 1971 Abated in 1971 Outstanding at 31/12/71 Informal 12 25 36 1 Statutory i 5 6 — SANITARY ACCOMMODATION No. of houses provided with water closets .. .. 4,871 No. of houses provided with pail closets, chemical closets or earth closets .. .. .. .. .. .. 139 No. of pail closets, etc., converted to water closets with Conversion Grant .. .. .. .. .. 1 The Council makes a grant of £25 or half the cost, whichever is the less, towards the cost of conversion, or £40 or half the cost where septic tank drainage is necessary. SEWERAGE AND SEWAGE DISPOSAL SCHEMES No. of houses connected to sewers .. .. .. 3,326 „ „ with satisfactory PRIVATE drainage .. Not known „ „ with unsatisfactory drainage .. .. „ Sewage Disposal Schemes (i) Completed during the year:—none (ii) Under construction at year end:— Relaying of sewers and construction of pumping station at Pateley Bridge. (iii) Awaiting approval at year end:— New sewers for eastern end of Littlethorpe. (iv) In preparation at year end:— High Grantley and Skelton-on-Ure (Relaying of Sewers) Details of any part of the district requiring: (i) Sewers:— High Grantley and Winksley, and Mickley. (ii) Improvement of defective sewers:—none (iii) Sewage Disposal Works:— High Grantley and Winksley, and Mickley (iv) Improvement or extension of sewage disposal works:— None. (v) Attention to storm water overflows:—None List of Sewage Disposal Works and Pumping Stations Site Type of Works Villages or Properties Served Remarks 1. Aldfield Sedimentation & gravity filtration Aldfield Public 2. Birstwith Sewer and Ejector station. Treatment at Clint Works. Birstwith Public 3. Bishop Monkton Sedimentation & mechanical filtration Bishop Monkton Public 4. Bishop Thornton Sewer only. Treatment by Shaw Mills S.D.W’s. Bishop Thornton Public 5. Clint 2 Ejector Stations Sedimentation & mechanical filtration. Sludge Pump House. Birstwith & Clint Public 6. Clotherholme Sewer Only. Treatment by Ripon Corporation. Clotherholme Public 7. Copt Hewick Ejector Station only. Treatment by Ripon Corporation. Copt Hewick Public 8. Dacre Pumping Station only. Treatment at Darley. Wilsill, Smelthouses, Low Laithe, Summerbridge, Dacre Banks. Public 9. Darley Sedimentation and mechanical Filtration. 4 Pumping Stations 1 Sludge Pump House. Wilsill, Smelthouses, Low Laithe, Summerbridge, Dacre Banks, Darley. Public 10. Galphay Sewer & Pumping Station. Galphay Treated at Kirkby Malzeard S.D.W’s. Public 11. Glasshouses Sedimentation & mechanical filtration Bewerley, Bridgehousegate, Pateley Bridge, Glasshouses, Blazefield. Public 12. Grewelthorpe (North) Sewer & Pumping Station. Treatment at Kirkby Malzeard S.D.W’s. Grewelthorpe (part) Public 13. Grewelthorpe Sewer & Pumping Station. Treatment at Kirkby Malzeard S.D.W’s. Grewelthorpe (part) Public 14. Kirkby Malzeard Sedimentation & mechanical filtration Sludge Pumping Station. Kirkby Malzeard, Laverton, Galphay, Grewelthorpe Public Villages or Properties Site Type of Works Served Remarks 15. Laver ton Sewer & Pumping Station. Laverton Treatment at Kirkby Malzeard. Public 16. Littlethorpe Ejector Station only. Treatment by Ripon Corporation. Parts of Littlethorpe Public 17. Lofthouse Sedimentation & mechanical filtration. Lofthouse Public 18. Markington Ejector Station. Sedimentation & mechanical filtration. Recirculation Pumping Station. Markington, Ingerthorpe, Wormald Green. Public 19. Middlesmoor Sedimentation & mechanical filtration. Middlesmoor Public 20. North Stainley Ejector Plant followed by sedimentation and mechanical filtration. North Stainley Public 21. Nunwick Sedimentation and filtration Haldgarth, Nunwick (Housing Estate) On Site 22. Sawley Septic tank and mechanical filtration Sawley Public 23. Sharow Sewer only. Treatment by Ripon Corporation. Sharow Public 24. Shaw Mills Sedimentation and mechanical filtration. Shaw Mills, Bishop Thornton, Burnt Yates, Clint (part), Bedlam. Public 25. Skelton Pumping Station followed by sedimentation and mechanical filtration. Skelton, Newby (part) Public 26. Studley Ejector Station Septic tank and mechanical filtration. Studley Public 27. Wath Sedimentation and mechanical filtration. Wath Public 28. Winksley Sedimentation and mechanical filtration Winksley Public 29. Wormald Green Sewers & Ejector Station. Treatment at Markington. Wormald Green Public Table of Pail Closets Emptied by the Council Workmen District No. of Pails High & Low Grantley 3 Laverton 1 Pateley Bridge 1 Winksley 3 TOTAL 8 TANK EMPTYING SERVICE Total number of Domestic tanks on Register .. .. 867 „ „ Farm tanks on Register .. .. .. 274 ,, „ Business tanks on Register (other than farms) .. .. .. .. .. 28 „ „ Tanks out of area on Register .. .. 133 1,302 Total number of Domestic tanks emptied .. .. 263 „ „ Farm tanks emptied .. .. .. 72 ,, „ Business tanks emptied (other than farms) 13 „ „ Local Authority tanks emptied .. .. 12 „ „ Tanks Out of the Area emptied .. 42 402 The revenue from the Tank Emptying Service for the year was: £574.28 PRIVATE WATER SUPPLIES During the year 104 samples of water from private supplies were submitted for bacteriological examination to the Public Health Laboratory at Northallerton. Of these samples 63 were satisfactory and 41 unsatisfactory. Visits were made and advice given to owners of properties with contaminated supplies on the provision of Berkefeld Sterasyl Filters or the replacement by alternative new supplies of water. There were 66 visits or inspections made in connection with water supply. The expansion of the mains to supply properties in the Warsill area has been completed. PUBLIC WATER SUPPLIES I am indebted to the Engineer of the Claro Water Board for the information given below: The supplies have generally been satisfactory in quantity and quality, apart from slight problems from the spring supplies. The number of bacteriological analyses carried out was 223, and in the few instances where contamination has occurred, this has been due to the malfunctioning of one of the chlorinators. The supplies generally are not plumbo-solvent and no tests were carried out. The main supply is from Eagle Level Adit, and this has a natural average fluorine content of 1 00 parts per million. FOOD PREMISES The following visits were made to food premises in the area during the course of the year:— No. of Visits to Food Premises Butchers Shops .. .. .. .. .. . • 16 Bakehouses .. .. .. .. .. .. 9 Catering Establishments.. .. .. .. .. 76 Confectioners .. .. .. .. .. .. 6 Dairies .. .. .. .. .. .. .. 1 Fried Fish Shops .. .. .. .. .. 4 Greengrocers .. .. .. .. .. .. 3 Grocers .. .. .. .. .. .. .. 98 Ice Cream Premises .. .. .. .. .. — Licensed Premises .. .. .. .. .. 73 Mobile Food Premises and Snack Bars .. .. 3 Poultry Dressing Premises .. .. .. .. 121 Total .. 410 DISEASES OF ANIMALS ACT Anthrax A suspected case of Anthrax was discovered in a moribund beast at a knackers yard in the district. On further investigation by the Ministry the animal was found not to be infected. Waste Foods Order, 1957 Visits were made to all licenced premises in connection with the thorough boiling of Waste Foods as a precaution against possible spread of swine fever, foot and mouth disease, etc. CARCASES AND OFFAL INSPECTED AND CONDEMNED IN WHOLE OR IN PART FACTORIES ACT, 1961 Prescribed particulars on the administration of the Factories Act, 1961 1. Inspections for purpose of provisions as to health (including inspections made by the Public Health Inspector) Number of Premises No. on Register Inspections Written notices Occupiers prosecuted (i) Factories in which Sections 1, 2, 3, 4 and 6 are to be enforced by Local Authority .. 1 1 (ii) Factories not included in (i) in which Section 7 is enforced by Local Authority .. 35 23 1 _ (iii) Other Premises in which Section 7 is enforced by Local Authority (excluding out-workers’ premises) 2 2 Totals 38 26 1 Cases in which Defects were found Number of cases in which defects were found i Number of cases in which prosecutions were instituted Particulars Found Remedied Referred to H.M. Inspector Referred by H.M. Inspector Want of cleanliness 1 1 _ _ _ i Overcrowding .. — — — — — Unreasonable temperature Inadequate ventilation .. — — — — — Ineffective drainage of floors .. Sanitary Conveniences (a) Insufficient (b) Unsuitable or defective 1 1 (c) Not separate for sexes Other offences against the Act (not including offences relating to Outwork) 3 3 1 Total 5 5 — 1 — HOUSING No. of dwellinghouses in the district 5,011 1. No. of back-to-back houses included in above none 2. No. of single back houses included in above none 3. Estimated number of unfit houses in respect of which no representation has yet been made Details of future slum clearance programmes:— 48 The above figure mainly represents individual unfit dwellings in the District. 4. Number of houses included in Representations made during the year: (a) in Clearance Areas 0 (b) individual unfit houses 1 A. HOUSES DEMOLISHED Houses Persons Families Demolished Displaced Displaced In Clearance Areas Houses unfit for human habitation — Houses included by reason of bad arrangement — Houses on land acquired under Section 43(2) Housing Act, 1957 — Not in Clearance Areas As a result of formal or informal procedure under Sections 16 or 17 (1) Housing Act, 1957 — Local Authority owned houses certified unfit by the Medical Officer of Health — Houses unfit for human habitation where action has been taken under Local Acts — Houses included in unfitness Orders — Number of dwellings included above which were previously reported as closed — Houses Persons Families B. UNFIT HOUSES CLOSED Demolished Displaced Displaced Under Section 16(4), 17(1) and 35(1) Housing Act, 1957 and Section 26, Housing Act, 1961 1 1 1 Under Section 17(3) and 26, Housing Act, 1957 — — — Parts of Buildings closed under Section 18, Housing Act, 1957 — — — C. UNFIT HOUSES MADE FIT IN WHICH DEFECTS REMEDIED By owner By Local Authority After informal action by Local Authority 19 — After formal notice under:— (a) Public Health Acts — — (b) Sections 9 & 16, Housing Act, 1957 — — Under Sec. 24, Housing Act, 1957 — — D. UNFIT HOUSES IN TEMPORARY USE (HOUSING ACT, 1957) No. of separate Number of dwellings contained Houses in Column 1 (1) (2) Retained for temporary accommodation: (a) Under Section 48 — (b) Under Section 17(2) — (c) Under Section 46 — Licensed for temporary occupation under Section 34 or 53 E. PURCHASE OF HOUSES BY AGREEMENT Number of Houses (1) No. of houses in Clearance Areas other than those included in confirmed Orders or Compulsory Purchase Orders in the year 4 No. occupants of houses in Column 1 (2) 6 NO. OF FAMILIES REHOUSED DURING THE YEAR INTO COUNCIL OWNED DWELLINGS Number of No. occupants of Houses houses in Column 1 0) (2) (a) Clearance Areas, etc. 2 — (b) Overcrowding 2 — RENT ACT, 1957 (a) No. of certificates of disrepair — (b) No. of undertakings to execute repairs given by owners to the Local Authority — (c) No. of certificates of disrepair cancelled — _ 7. OVERCROWDING Any comments in connection with this problem: .. none 8. NEW DWELLINGS No. of new dwellings completed during the year: By the Local Authority .. .. .. .. 3 By Private Enterprise .. .. .. .. 63 9. GRANTS FOR IMPROVEMENT OF HOUSING ACCOMMODATION Formal Applications received during the year Applications approved during the year Number of dwellings completed during the year Improvements (a) Discretionary 39 34 27 (b) Standard Grants 43 43 42 Villages No. of Council Houses 1919- -1970 1971 Houses Bungs. Houses Bungs. Birstwith 30 Bishop Monkton .. 22 19 — — Bishop Thornton .. 14 — — — Bridge Hewick 8 — — — Copt Hewick 14 — — — Darley 32 26 — — Glasshouses 24 22 — — Grewelthorpe 12 _ — — Kirkby Malzeard .. 25 14 — — Littlethorpe 12 — — — Lofthouse 8 — — — Markington 42 — — — North Stainley 28 8 — — Nunwick .. 4 — — — Pateley Bridge 84 55 — 3 Sawley 6 4 — — Sharow 12 12 — — Shaw Mills 8 19 — — Skelton-on-Ure 26 6 — — Summerbridge 53 10 — — Winksley .. 8 Totals 482 195 — 3 Total number of dwellings — 680 MILK SAMPLES 61 samples of milk were obtained by the Department from retailers and producer retailers in the district, 58 of these samples being untreated T.T. milk and 3 pasteurised. 36 of the samples were subjected to examination for tuberculosis and none proved positive. A total of 227 churn and individual cow samples of milk were subjected to initial ring test for brucellosis and it was found necessary to culture 35 of these. Consequently it was necessary to serve Notices on the owners of infected animals under the Milk and Dairies Regulations, 1959 and the Food and Drugs Act, 1955, which prohibited the sale of milk from these animals without treatment. 61 samples were subjected to the methylene blue test for keeping quality and of these 14 were unsatisfactory. The 3 samples of pasteurised milk all passed the phosphatase test for keeping quality. ICE CREAM There are 50 premises registered for the sale of Ice Cream. During the year 27 samples of Ice Cream were submitted to the Public Health Laboratory with the following results: 24 Grade I; 3 Grade II. CARAVAN SITES Caravaning continues to increase in popularity in an area of such outstanding natural beauty. Existing caravan sites have been extended and a number of new sites are being developed to keep pace with the increasing demand. Regular visits are made to all the licensed caravan sites in order to ensure that Site Licence Conditions are complied with. The standard of the caravan sites in this area is very high. Table of Caravan Sites Showing Number of Caravans for which Licensed City of Ripon, Ure Bank Caravan Site, Sharow, Ripon 75 Holiday plus 24 tents Mr. J. H. Weatherhead, Riverside Caravan Site, Pateley Bridge 100 Holiday Mr. J. Burton, Heathfield Caravan Park, Pateley Bridge 180 Holiday Quarry Moor Caravan Park Ltd., Ripon 85 Residential Mr. J. S. Brayshaw, Yorkshire Hussar Inn, Markington 75 Holiday Mr. T. W. Atkinson, New Home Farm, Grewelthorpe 30 99 Mr. M. Houseman, Manor House Farm, Summerbridge 45 99 Mr. H. Walker, Studfold Farm, Lofthouse 45 99 Mr. L. Turton, Winksley Banks Farm, Winksley 20 99 Mrs. L. Simpson, Westfield House, Pateley Bridge 30 99 Mr. F. Spence, Braeside Caravan Site, Glasshouses 12 99 Messrs. W. Aldon & Son Ltd., Stumps Lane Caravan Site, Darley 10 Holiday Mrs. W. Calvert, Low Wood, Bewerley 30 Mr. E. P. Grayshon, Half Moon Inn, Fellbeck 26 55 Mr. P. C. Walker, Chequers Inn, Bishop Thornton 25 55 SCRAP METAL DEALERS ACT, 1964 At the present time 7 scrap dealers are registered in the district. ANIMAL BOARDING ESTABLISHMENTS ACT, 1963 Two establishments are licenced under this Act and no difficulties have been encountered in the running of them. OFFICES, SHOPS AND RAILWAY PREMISES ACT, 1963 The total number of registered premises under the above Act at the end of the year was 61 comprising 12 offices, 27 retail shops, 19 catering establishments and 3 fuel storage depots. The total number of visits to registered premises under the Act during the year was 68. 6 contraventions of the Act were found. RODENT CONTROL AND DISINFESTATION There are approximately 300 farms and business premises on contract for the distraction of rats and mice and 3,807 visits for inspection and treatment purposes were necessary by your two operators for the premises in question. Infestations of mice formed the major complaint in domestic dwelling houses and free treatment of these premises continued. These entailed 1,563 visits. Following the 10 per cent, test baiting of all sewers in the district five were found to be infested with rats. These installations together with sewage disposal works and refuse tips were given regular treatment as necessary. Warfarin still continues to be the most successful indirect poison against rats and the department has continued to use an alphach- lorolose based poison against mice with continued success. A number of Council houses and bungalows in Summerbridge were infested with a large species of spider (Tegenaria Derhamii). These infestations proved difficult to control. Domestic infestations of wasp nests, flies and other insect pests have also been treated. The following quantities were used:- Poisons Bait 672 lbs. Warfarin 732 stones oatmeal 448 lbs. Rodene Biotrol 28 lbs. Alphakil 7 lbs. Cymag 15-428 lbs. Alphachlorolose Income from Rodent Control Contracts—£1,846.88 PUBLIC CLEANSING The vehicles in use in the Department are as follows:— Date of Make of Vehicle Capacity Purchase Shelvoke & Drewry Pakamatic 20 cu. yds. Feb., 1964 Bedford/Yorkshire Cesspool Emptier 1,000 galls. June, 1965 Dennis Paxit III A 35 cu. yds. Aug., 1967 Weatherill Loading Shovel Feb., 1968 Shelvoke & Drewry Fore & Aft Freighter 35 cu. yds. July, 1969 Norba/Dennis 50 cu. yds. Mar., 1970 Norba/Dennis 50 cu. yds. July, 1971 Norba/Dennis 50 cu. yds. Sept., 1971 The increasing bulkiness of domestic refuse continues but the higher capacity compression vehicles used by the Council still result in saving of time in that tipping at the end of the day only is necessary. The majority of the district continues to enjoy a weekly collection of refuse, only isolated sections being served fortnightly. The free service of providing cu. ft. capacity polythene dustbins to all dwellinghouses under the Council’s Municipal bin scheme has continued and up to the end of 1971, 1,466 of these have been supplied. The number of houses now using polythene bin liners under the polythene bin liner scheme totals 326. Printed by Joseph Ward & Co. (Printers) Ltd. Wesley Place, Wellington Road, Dewsbury.