• ... Z»iM£ iA< ", '. * County Borough of Southampton. Annual Report ON THE Health of the County Borough of Southampton AND THE Fort of Southampton For the Year 1920, R. E. LAUDER, m.d., f.r.c.s. Ed., d.p.h., Medical Officer of Health of the County Borough and Port of Southampton, Medical Superintendent of the Borough and Port Fever Hospitals Digitized by the Internet Archive in 2018 with funding from Wellcome Library https://archive.org/details/b30117999 ANNUAL REPORT OF MEDICAL OFFICER OF HEALTH. To the Mayor, Aldermen, and Councillors. Mr. Mayor, Ladies and Gentlemen, I have the honour to submit for your information, m accordance with the order of the Ministry of Health, my Annual Report upon the condition of the public health, and a record of the administrative work carried out by the Health Department for the year 1920, together with the vital statistics of the Borough. A summary of the work done and action taken under the Factory and Workshops Acts, the Midwives’ Acts, and the Housing, Town Planning, etc., Act, is also included in the Report. Summaries are also included in the Report of the general public health work carried out in the Borough, and the action taken in respect of infectious disease and the measures adopted for the prevention and control of Tuberculosis. The health of the Borough was again very satisfactory, the death-rate 11.64 for the year being the lowest yet recorded in the Borough. The infantile mortality rate, 67.4, was also the lowest on record in Southampton. The Amnual Report on the health of the Port of Southampton for the year 1920 is appended at the end of the Borough Report. I am, Mr. Mayor, Ladies and Gentlemen, Your obedient Servant, R. E. LAUDER, Medical Officer of Health. REPORT. STATISTICAL SUMMARY FOR THE COUNTY BOROUCH OF SOUTHAMPTON. Acreage ,, (including tidal water and foreshore) ... ... ... ... ... Estimated civil population (see note below) Estimated total population (ditto) Number of persons per acre (civil popula- 11 o n) ... ... ... ... ... Number of Inhabited Dwelling Houses f Census, 1911) ... Ditto (estimated 1919) Births Birth Rate Death Rate ... ... ... ... ... ,, from Zymotic Diseases ... Average Death Rate (9 years, 1911—1920) Infantile Mortality, per 1,000 births registered Old Including Added Borough. Areas. 4,604 9,! 92 5,817 131,055 162,388 I3G399 162,732 28.5 22.9 20,275 22,700 28,000 3»i3i 3,234 23*91 23.87 11.64 11.72 0.83 0.85 14.42 - 67.4 67.4 POPULATION. The following estimates of population have been prepared by the Registrar-General for the calculation of the death-rate and birth-rate of the old Borough for the year 1920:— For the birth-rate ... ... ... 131,399 ,, death-rate ... ... ... 131,055 and for the Borough as extended on 9th November, 1920:— For the birth-rate ... ... ... 162,732 ,, death-rate ... ... ... 162,388 The death-rate population excludes all non-civilian males, whether serving at home or abroad. The birth-rate (and marriage-rate) population, on the other hand, is intended to include all the elements of the population contributing to the birth and marriage rates. It consists, therefore, of the death-rate or civilian population plus all non-civilian males enlisted from this country, whether serving at home or abroad. PHYSICAL FEATURES AND GENERAL CHARACTER OF THE DISTRICT. The old portion of the town is built on a peninsula,, sloping on the East to the River Itchen, and on the West to River Test, the land rising gradually to a height of over 260 feet to the north of the Borough. On the East side of the River Itchen, the land in the Borough rises to a height of 220 feet in the highest portion of Bitterne. Geological Formation:—The oldest geological formation that comes to the surface in the Borough is the London clay, which outcrops in the northern part of the Borough in the Portswood district. The next overlying formation is the Bagshot sand, into which the loamy top of the London clay passes up. The Bagshot sand is succeeded by the Bracklesham Beds,, which cover the greater part of the Borough. This thick formation consists of clays and loams and beds of sand, and sometimes green-sand. Overlying each of these beds is the Drift (gravel and loam), which generally rests unevenly, and sometimes very irregularly on the beds below it, often filling hollows, or pockets, in them. Thin though the gravel is, yet it is, perhaps, the most important bed, the greater part of the town being built on it or on the still thinner loam that sometimes caps it. The newest geologic formation is the alluvium, or marshland, of the Rivers, which occurs chiefly in separate strips along the Itchen and the Test. * Besides the above, there is the “ made ground,” that gradually grows by various processes over areas that have been inhabited for a long- series of vears. The Geologic Formations order are:— Recent Drift Tertiary Cretaceous of Southampton in descending ( made ground j Alluvium Loam or Brickearth Gravel 1 Bracklesham Beds * Bagshot Sand j London Clay ' Reading Beds Chalk CLIMATE. The climate of Southampton is mild and temperate. The mean temperature for the past ten years being 50.8. and for the year 1920 51.0 degrees. The sunshine during the same period averaged 1,610 hours per annum, and the rainfall 34.1 inches. The weather during the year 1920 was, on the average, cool and dull. The months of April and July were exceptionally sunless and wet, July being the wettest month of the year, over 5 inches of rain falling. The sunshine during 1920 in Southampton amounted to only 1,441 hours, being 169 hours below the average; the rainfall, however, was less than the average, the total registered being 31.7 inches. By the courtesy of the Director-General, Col. Sir C. F. Close, an abstract from the Meteorological Register kept at the Ordnance Survey Offices, Southampton, is included in the Report, page in. SANITARY CIRCUMSTANCES OF THE DISTRICT. Water Suppy. The water supply of the Borough is provided by the Southampton Corporation and by the South Hants Waterworks Company. The civil population supplied by each of these is, approximately, Corporation 88,000, South Hants Company (including added areas) 74,000. Both supplies are obtained from wells sunk in the chalk at the foot of the South Downs.* They provide a constant service, and both supplies are of exceptional purity. There are only 22 houses in the old Borough that have wells still in use for a domestic supply. These houses are on the outskirts of the Borough, and are too far from the mains to be supplied with a piped supply. Several houses in the added areas obtain their supplies from wells for domestic purposes. These are gradually being dealt with, and where found polluted, a wholesome supply is substituted. Rivers and Streams. The streams in the Borough are chiefly of a very small size, none of which was found polluted during the year. The Rivers Itchen and Test, on either side of the Borough, are large tidal rivers. The tidal water of the Itchen receives the effluents from the sewage disposal works of the Southampton Corporation, the Eastleigh Urban District, and those portions of the South Stoneham Rural. District, and the Itchen Urban District that have been added to the Borough. Hospital Accommodation. The provision of general hospital accommodation for the population is inadequate. The only large general hospital in the Borough, other than the Parish Infirmary, being the Royal South Hants and Southampton Hospital. This hospital, which has an accommodation of about 130 beds, has to provide for the needs of an area extending from ten to fifteen miles from Southampton, containing a population of over 200,000. Hospital accommodation for the Infectious Sick and for Tuberculosis is provided by the Southampton Corporation at their Isolation Hospital at Millbrook. The number of beds provided amounts to 152, of which about one-third are set aside as a Sanatorium for the insured and non-insured population of the Borough. The Hospital Ship, provided by the Corporation, is moored in the upper part of the Southampton Water, and contains 30 beds for the isolation of Small Pox and other infectious diseases arriving in the Port and occurring in the Borough. The Hospital at Millbrook Marsh, which is also provided for the treatment of small-pox and other diseases, consists of three huts for the isolation of patients, one observation hut, staff quarters, and fumigating hut and laundry. Closet Accommodation. All houses in the old Borough are drained on the water- closet system, with the exception of 13 privies and 24 cesspools provided for houses on the outskirts of the Borough. The houses are connected up as soon as the sewers are extended. In the districts annexed to the County Borough there are approximately 400 pail closets, 190 privies, and 150 cesspools. Some portions of the districts are not sewered, and in the districts that are sewered, 150 houses within the statutory distance of a sewer, are not drained. These houses are provided with pail closets, etc., the slop water being thrown on the surface of the garden of the premises, there being no organised collection of the contents of pail-closets, cess-pools, etc., in the areas that are drained. Outside the sewered areas the majority of the pails, privies, and cesspools are emptied and cleaned periodically by contractors under the supervision of the Borough Engineer’s Department. Scavenging. The scavenging of the Borough is carried out under the supervision of the Borough Engineer’s Department. The bulk of the house refuse is burnt in Refuse Destructors. VITAL STATISTICS. The Tabulated Statistics of Births, Infectious Diseases, and Deaths, which include only the old Borough, are given on pages 11, 98-109. A summary of the statistics relating to the areas added to the Borough on the 9th November, 1920, is given for the period 9th November—31st December, 1920. BIRTHS. The number of births registered during the year (52 weeks) amounted to 3,131, an increase of 533 over the previous year (53 weeks). The birth-rate was equal to a rate of 23.91 per 1,000, compared with 19.48 in 1919, and is 3.5 above the average of the previous five years. The excess of births over deaths during the year was 1,611, comparing favourably with 935 in 1919, and an average of 849 in the previous five years. The following are the birth-rates in the Municipal Wards for the year 1920:— Northam ... ... 28.1 Town ... 24.1 Millbrook ... ... 27.8 St. Denys ... 23.6 Trinity ... 27.4 Bevois ... 22.3 Shirley ... 25.9 Newtown ... 21.4 Freemantle ... 24.5 All Saints ... 19.Q Portswood St. Mary’s 24.4 24*1 Banister ... 13.8 Of the 3,131 births, 1,547 were males and 1,584 females, the proportion of male births being 976 males to every 1,000- females. The proportion in the previous two years was as follows:—1915, 1,022; 1916, 1,067; 1917, 967; 1918, 1,076; 1919, 1,065, and the average for the ten years 1910—1919, 1,044 males to every 1,000 females. The number of illegitimate births recorded was 160, compared with 214 in 1919, 162 in 1918, 152 in 1917, and 155 in 1916. The proportion of illegitimate births to every 1,000 births registered during the past eight years is:— 1912 ... 35 1915 ... 43 1918 64 1913 ••• 39 1916 ... 55 1919 ... 82 1914 ... 35 1917 ... 63 1920 ... 5i The proportion in England and Wales in 1920 was 47- The birth-rate in England and Wales was 25.4, and for the 96 great towns, including London, 26.2. DEATHS. The death-rate of the Borough for the year amounted to 11.64 Per 1,000. This rate is the lowest death-rate recorded in the Borough, and is 2.78 below the average for the previous nine years. The decrease compared with the previous year is principally due to the diminution in the number of deaths from Influenza, which amounted to 16, compared with 128 in 1919, and 344 in 1918. The total number of deaths from all causes registered in the old Borough amounted to 1,577, of which 121 were deaths of non-residents. Sixty-four deaths of residents of the Borough occurred in other districts of England and Wales. The corrected total of deaths is, therefore, 1,520, compared with 1,663 in 1919, and 2,049 in 1918. The deaths of males amounted to 797, and of females to 723. The death-rate in each of the Municipal Wards per 1,000 of the population was:— Banister ... ... 8.3 Freemantle ... 10.8 St. Denys... ... 8.3 Newtown ... 13.1 Millbrook ... ... 8.6 Northam ... 13.5 Bevois 8.9 St. Mary’s ... 14.6 Portswood ... 9-5 Trinity ... ... 15.8 Shirley All Saints 9.6 ... 10.7 Town ... 16.7 The death-rate in each of the old civil parishes of the Borough was: Town 13.9, Portswood 8.9, Shirley 9.5. The death-rate in England and Wales for the year 1920 was 12.4, and for the 96 great towns, including London, 12.5. The number of persons who die in Public Institutions and in Nursing Homes is increasing each year. The conditions now existing, and the difficulty of procuring nursing and other help make it necessary for many more persons to avail themselves of the facilities and accommodation provided in Institutions and in Nursing Homes. Of the 1,577 deaths registered in the Borough, 620, or 39.3 per cent., occurred in Public Institutions and Nursing Homes; the percentage ten years ago was 26.4. The Institutions in which the deaths occurred were: Isolation Hospital 55, Parish Infirmary 326, Workhouse 47, Royal South Hants and Southampton Hospital 139, Shirley Children’s Hospital 2, Nursing Homes 49, Eye Hospital 2. INFLUENZA. The cases of Influenza that occurred during the year were comparatively of a very slight and mild character. Sixteen deaths occurred, compared with 128 in 1919, and 344 in 1918. There was a mild outbreak in the spring and again in December. TABLE A. Showing Estimated Population, Birth Rates, Infantile Mortality and Death Rates in each of the Municipal Wards for the year 1920, together with the Averages for the nine years 1911-1919. 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X rt ~ • ,H o h d ^ -m Z, 0 s n rt P.2 On U-, n O -m m G Am O On O CO tv CM CnnO {v n)- O N n)- X X cm O n h no O co x m XNO m o cmv nno x cm in cn -c in co m m m Nj- on coco uo00 o> xnO X x°o tv m on cm cn xt (v in cn CMCMCMCMCMmCMMCMCICMC'ICM CMHMOO-tVMNO-ct-MTffOUO IO NO CM O 00 ON H CNOONOCOCOX VO 0 M O CONO OCnO m m M- h CO CO 0 CM CO CM On00 OnOG 00 CO O h' On On M M M M M CO M l 03 > cn Vn U M 03 is Hoi S 03 to -d M g o -a d " £.2 2 >C/3 co 0.2 > d 05 03 JO M d O o (13 o ■ sj <15 a 05 U (/) to d X) o V. 2 d 05 ■S-Q .s d3 P 05X 05 03 U ^0 O+J ^<pqpafeSc^PuLo m CM CO ^ 1/0 NO tv CO On O M M CO X NO CO 00 tv NO On CO CM Q£i d o u o m Includes deaths from Smallpox, Enteric Fever, Scarlet Fever, Diphtheria, Measles, Whooping Cough, and Diarrhoea and Enteritis under 2 years of age. VITAL STATISTICS—ADDED AREAS The District of the Itchen Urban District Council, with an area of 2,089 acres and an estimated population of 23,133, and a portion of the South Stoneham Rural District, with an area of 2,499 acres and an estimated population of 8,200, were annexed to the County Borough of Southampton as from the 9th November, 1920. The vital statistics relating to the period 9th November, 1920, to 31st December, 1920, in these Districts were a^ follows:— ADDED AREAS. Males. Females. Total. Rate. Births . 48 55 103 21.37 Deaths . 39 25 64 13*28 The birth and death rates in the old Itchen Urban District, and the portion of the South Stoneham Rural District added to the Borough for the period 9th November to 31st December, 1920, were:— Birth-rate. Death-rate. Itchen ... ... 22.76 13*48 South Stoneham 17.44 12.68 The cases of infectious disease notified in the added areas during the same period were:— Scarlet Fever ... ... 17 Diphtheria ... ... ... 41 Erysipelas ... ... ... 5 Pulmonary Tuberculosis ... 5 Non-pulmonary Tuberculosis (Glands of neck) ... 1 INFAMTSLE MORTALITY. The deaths of infants under one year of age recorded during the year amounted to 211, which is equal to a rate of 67.4 per 1,000 births registered during the same period. This rate is the lowest ever recorded in the Borough, and is 17.5 below the average rate for the five years 1915—1919, which was 84.9. In the 96 great towns of England and Wales the infantile •mortality rate for 1920 was 85. The decrease in the infantile mortality rate in Southampton during the past twenty years is shown in the following table:— Average 5 Period. years, 1897—1901 Infantile Mortality Rate. 159 j) ,, 1902—1906 120 ) j „ 1907—1911 I08 >y ,, 1912—1916 86 1917 • • • • • • 86 I9l8 • • • • • • 92 1919 • • • • • • • • « 73-6 1920 • • • • • • • • • 67.4 The great saving of infant life shown in the above table by the reduction in the infantile mortality rate will be better realised if it is pointed out that had the rate of the infant mortality remained at the same level in the year 1920 as it was in the five years 1897—1901 the number of deaths under one year of age would have been 498 instead of 211, or a saving of 287 lives of infants in one year alone. In the year 1920 the number of deaths of male infants amounted to 115, and the deaths of females 96. The rate per 1,000 births for each sex for the past nine years is shown in the following table:— I 91 I Males. I 56.6 Females. 112.8 Both Sexes i35-o 1912 ... 92.2 76.3 84.4 1913 ... 89.5 73-2 81.5 1914 ... 102.1 77.2 89.9 1915 ... 96.5 78.4 87.6 I9l6 ... 88.1 82. I 85.2 1917 ... 96.I 76.6 86.2 I9l8 ... 99.0 84*8 92.0 1919 ... 81 - 3 65.2 73-6 1920 ... 74-3 66.6 67.4 The deaths of illegitimate infants amounted to 16, which, calculated upon the number of illegitimate births registered .during the same period, is equal to an infantile mortality of 100, the rate for legitimate infants being 65. Similar rates for the past nine years parison:— Legitimate Infant Mortality Rate. are given for corn- illegitimate Infant Mortality Rate. 191 I . 128 • • • 366 1912 . 79 • • • 237 1913 ... . 77 • • • 191 1914 ... . 85 • • • 221 1915 ... ... ... 84 • • • 172 1916 . 82 • • • 135 1917 ... . 83 • • • >38 1918 ... ... 84 • • « 204 1919 ... . 68 • • • 136 1920 ... ... 65 • • • 100 The infantile mortality rate in 1920 in the Municipal Wards is given below, the average in years being shown for comparison:— the preceding nine Ward. 1920. Average 9 vears, 1911-1919. Banister . 26.6 • • 61.8 Millbrook . 34-4 • • 95-5 St. Denys . 36.4 • • 81.8 Shirley . 45-o • • 82.9 Bevois . 46.9 • • 94-5 Freemantle . 53-7 • • 8O.9 Portswood . 54-2 8l.8 All Saints . 61.2 72.0 Trinity . 70.3 • • 83-7 Newtown . 75-7 • • 73-o Northam 92.0 101.3 St. Mary’s . 94-9 110.6 Town . 134-0 • • 118.7 * Borough ... ... 67*4 • • • • 90.6 The Notification of Births Act came into operation in the Borough on the 9th March, 1908. This Act requires any person in attendance upon the mother, within six hours after the time of birth, to notify the Medical Officer of Health of such birth in writing within thirty-six hours of the birth having occurred. This Act (which was extended in 1915 and made compulsory) was passed in order that Health Authorities might obtain immediate notice of the occurrence of a birth, thus, making it possible for Health Visitors to give early instruction and advice to the mother as to the feeding and treatment of the child. Under the Registration Act, which allows a limit of six weeks within which a birth may be registered, it frequently occurs that registration of a birth is only obtained after death has taken place. During the year 76 deaths occurred among infants under four weeks of age, being 36 per cent, of all those that occurred under one year of age. The number of notifications received during the year under the Act amounted to 3,258, including 44 relating to stillbirths. The number of births registered (including non-residents) during the same period was 3,172. Of the 3,172 registered births, 117 were not notified under the Notification of Births Act; the percentage of registered births notified, therefore, was 96.3. The number of live births notified and percentage during the last five years is shown in the following table:— Notified by— 1916 1917. 1918. 1919. 1920. Doctors • • • • 245 129 I 10 154 272 Midwives • « • • I,8l I 1,840 1,908 2,256 2,545 Other persons present in the house at time of birth • ♦ • • 256 209 223 254 397 2,312 2,178 2,241 2,664 3»2i4 Percentage of live births notified • • • • 83-5 90-3 00 00 • 94.9 96.3 The following table shows the percentage of women in childbirth attended by Midwives and the percentage of still births to total births attended during the last io years:— Year. Number of Live Births Registered. Number of Live Births attended by Midwives. Number of Still Births attended by Midwives. Percentage of Live Births attended by Midwives to Births registered during same period. Percentage of Still Births among Births attended by Midwives. 1911 2849 1973 63 69.4 3-i iqi2 2806 1996 65 71.1 3.2 1913 2957 2023 56 68.4 2.7 1914 2949 2008 70 68. r 3-4 1915 2707 1938 66 71.6 3-3 1916 2770 1908 62 68.9 3-i 1917 2413 1840 62 76.3 3*3 1918 2533 1853 66 73.2 3-4 1919 2617 2155 75 82.4 3-4 1920 3172 2362 70 74-5 2.9 Maternity and Child Welfare. The Maternity and Child Welfare Act, 1918, made it obligatory on Local Authorities to establish a Maternity and •Child Welfare Committee. This Committee was appointed by the Council on November 9th, 1918, the constitution being the Health Committee, with the addition of two co-opted lady members to which Committee all matters concerning Maternity and Child Welfare were transferred. The scheme for dealing with Maternity and Child Welfare has increased considerably during the year. The premises, No. 2, East Park Terrace, adjoining the Municipal Dispensary and School Clinic, which were acquired in 1918, and converted into a Maternity Hospital and a Maternity and Child Welfare Centre, have proved of much value. Two Maternity Wards are provided on the second floor, containing four beds, with accommodation for the necessary nursing staff. The lower portion of the premises are adapted to provide an Ante-Natal and Maternity Centre and an Infant Clinic. The work at the Centre is largely educational and preventive, its main function being to advise expectant mothers on matters relating to their health, primarily in regard to conditions directly associated with pregnancy, but also as to general ailments which indirectly effect their physical welfare. The following report deals with the work carried out under the Scheme of the Local Authority in connection with Maternity and Child Welfare:— The work of the Department has continued to increase during 1920. Its activities may be classified in the following groups:— (1) Inspection of Midwives. (2) Ante-natal Clinic. (3) Maternity Home. (4) Mothers’ and Babies’ Welcomes. (5) Infant Clinic for children under 5. (6) General advice to Mothers at East Park Terrace. (7) Health Visiting in the Homes. (8) Grant of free milk and sale at cost price of dried milk. (9) Clinic for Venereal Diseases in Women and Children. Inspection of Midwives. The Act of 1918 came into operation on the 1st January, 1919, and extended the duties and obligations of Local Supervising Authorities. All books and forms required under the Acts have to be supplied gratis to Midwives by the Local Supervising Authority. The Midwife in any emergency must call in a medical practitioner, who is authorised to send his claim for fee to> the Local Authority, for payment. Such fee can be recovered from the patient or her husband if in the opinion of the Local Authority they are able to pay. The number of cases in which accounts were submitted to the Local Supervising Authority by medical practitioners during the year amounted to 31; the fee was recovered in two cases from the patient; in the other cases the financial circumstances of the family prohibited the fee being refunded by the patient or her husband. The supervision of Midwives is carried out by the Superintendent Health Visitor, under the direction of the Medical Officer of Health. iS The following notifications under the Act were received by the Local Supervising Authority during the year:— Notification of Intention to practice (including 10 from added areas taken over in November, 1920) 46 Record of sending for medical aid 270 Notification of Stillbirths 45 ,, ,, Puerperal Septicaemia 12 ,, ,, Ophthalmia Neona- torum 43 ,, ,, Artificial Feeding 20 Routine Inspection of Midwives 102 Special Visits of Enquiry 401 Stillbirths. Enquiry was made into each case of stillbirth notified. It was found that 21 were full term and 24 premature; 24 were macerated when born. Enquiry was also made as to the cause of the stillbirths; it was found that 7 were due to difficult labour (malpresenta- tion), 3 were monstrosities, 8 were due to ante-partum haemorrhage; in 17 cases there was a history of vaginal discharge during pregnancy, and previous stillbirths, and in 10 cases the cause was given as a fall or over exertion, no other reason being apparent. Ophthalmia Neonatorum. The Health Visitors paid 125 visits to 43 notified cases. A special enquiry was made at the end of the year, and it was found that in 24 cases there was no apparent injury as a result of the disease, 4 were still attending Hospital, 11 had died, and 4 had left the district (3 reported cured). With one exception all these cases were treated by Private Doctors or attended the Free Eye Hospital. Puerperal Fever. Twelve cases were notified, five of which proved fatal. Eleven of the notified cases were attended by Midwives. No want of care or fault on the part of the Midwife was found on investigation. Thorough disinfection was carried out in every case, both of the Midwife—her clothing and equipment, and where, indicated, her house—also the patient’s rooms, bedding, etc. Where necessary assistance was given in the nursing. Inspection of Midwives. Two untrained Midwives resigned their practice during the year, owing to age and other circumstances. The standard of work carried out by the Midwives is fanr. but the equipment carried by them is not adequate in every case. This is due to the high cost of nursing appliances. The conditions for which medical aid was sought by Mid- wives were:— Mother. Ante Partum Haemorrhage ... 8 Post Partum Haemorrhage ... 6 Premature Labour ... 15 Prolonged Labour ... 46 Mal-presentation 8 Retained Placenta 6 Ruptured Perineum ... 36 Rise of Temperature 17 General Condition Unsatisfactory ... 31 Infant. Premature Birth 13 Dangerous Feebleness 14 Malformation of Infant 7 Discharge from Eyes ••• 37 General Condition Unsatisfactory ... 33 Total ... 277 The Ante-Natal Clinic This Clinic was opened at the beginning of 1920 for the regular supervision of the health of expectant mothers. The patients are sent by Midwives for consultation, or by the Health Visitors, or after application for admission to the Maternity Home by the Matron. A certain number of mothers suffering from ailments following parturition or due to nursing are also seen. Those suffering from general diseases are referred to appropriate agencies elsewhere. By the end of the year the attendances numbered from fifteen to eighteen a week. Maternity Home. Patients are admitted to the Maternity Home after investigation of their home conditions, and after examination by the Medical Officer. Venereal cases needing in-patient treatment are admitted, but most of the mothers come owing to unsatisfactory home surroundings, especially overcrowding, and the impossibility of securing accommodation or help at home during the confinement. In the earlier part of the year admission was free, but in a good many cases it was possible for patients to pay moderate fees, and a charge for maintenance is now made according to the means of the patient. Some women needing in-patient treatment before labour have also been admitted, so that the Home has to some extent met the need for a pre-maternity ward. The Home is much appreciated, and there is an increasing demand for beds. Forty-six cases were admitted during the year, the average duration of stay being 23 days. There were no maternal deaths, and only one infant death (a very premature infant). The cases in which temperature rose above 100.4 for 24 hours were as follows:—1 Influenza, 2 Pyelitis, 1 Mastitis, 1 Gonorrhoea, 1 Phlegmasia alba dolens. Mothers' and Babies’ “ Welcomes’.” Medical consultations were commenced at Wmton Street and at Shirley at the beginning of the year. The mothers are invited to bring their children for supervision at regular intervals at these consultations. A number of small ailments requiring improvement in hygienic management are dealt with, and the more important cases referred to the Clinic. In May, the King Street “ Welcome ” was moved to larger premises in Albert Road, and a medical consultation started there. The attendances for medical advice were about 30 each afternoon by the end of the year. The Woolston voluntary “ Welcome ” was taken over by the Corporation in November, and brought into line with the other Municipal Welcomes with immediate success. Weighing of Infants. It is only possible to weigh babies up to 18 months old at the Welcomes. The weighing of each child was carried out on an average once a fortnight. Half the children attending are “ Toddlers,” that is, children over 18 months of age, which will explain the apparently small percentage of the infants weighed, when compared with the total attendances shown in the tables appended. Talks to Mothers. The talks (20 minute talks) have been on the following subjects:—Ante-natal conditions; maternal care and preparation for confinement; symptoms and signs of abnormality during pregnancy; care of the newly-born baby; feeding, breast and bottle; food values; care of the child up to school age; clothing children; care and teaching of boys and girls; home nursing; good citizenship—help each other. A full-time Instructress was appointed at the end of the year for instructing mothers in home dressmaking and cutting out of children’s and adults’ clothing. In connection with each Welcome there has been started flourishing Thrift Clubs and Help Each Other Fund, which the mothers manage themselves under direction, the object being to help each other in illness or extreme want through this fund. Large quantities of woollen and other suitable garments are made and sold to the mothers at cost price. Baby Welfare Workers’ Committee. Very valuable assistance in the work has been willingly given by the above Committee. They keep the registers, amuse the toddlers, administer the Tea Fund, keep the Thrift Club’s account, make and sell garments, organise concerts, outings in the summer and teas in the winter; and it is largely due to their efforts that the Welcomes are so popular. The British Red Cross Society have also given help by supplying V.A.D. members to assist the Health Visitors with the weighing. Their work has been of the greatest value. The following table gives particulars of work carried out at the Branch Welcomes during the year:— Branch Welcomes. Mothers. Babies. Babies Weighed. Medical Consultations. Health Talks. Winton Street 4.778 5,168 i,557 i,559 39 King St. and Eastern School ... 3.621 3,712 860 742 34 Shirley 2,315 2,289 516 652 35 *Woolston 167 178 59 41 4 Totals ... I0,88l n,347 2,992 2,994 112 *From the 9th November only. Arrangements were made for two new Welcomes to be opened early in 1921. These will not fully meet the needs of the Borough, as there are still areas too distant from a centre for the mothers’ convenience, and the older institutions are already fully attended. Infants’ Clinic for Children under 5. The Infants’ Clinic is held at 2, East Park Terrace on two mornings a week. The children are referred for treatment by (a) the medical officers of the “ Welcomes,” (b) the health visitors and midwives, (c) by friends, (d) occasionally by the hospitals and by private practitioners. Over five hundred new cases were seen during 1920, the increased unemployment bringing parents who could previously have gone elsewhere. The conditions dealt with are chiefly difficulties in infant feeding, diseases of nutrition, rickets, tuberculosis, congenital syphilis, and the common ailments of childhood, e.g., impetigo, and other skin complaints, otorrhoea, and rhinorrhoea. Early in the year a great many cases of whooping cough occurred, and arrangements were made to see them separately. Cases requiring surgical treatment are referred to the voluntary hospitals; children acutely ill are referred to their own doctor, or, if necessary, helped to secure the attendance of the Poor Law Medical Officer. Children requiring residential treatment are usually recommended for admission to Shirley Warren Infirmary owing to the pressure on hospital beds. More beds for cases of malnutrition in young infants are greatly needed in the Borough. * The following tables show the number of attendances for consultations and treatment at the Maternity Centre and Infants’ Clinic, No. 2, East Park Terrace; and at the Branch Welcomes:— Maternity Centre and Infant Clinic, No. 2, East Park Terrace. Number of interviews for general advice 1,788 Number of medical consultations:— New cases: Ante-natal ... 164 Mothers ... 146 Children ... 484 Old cases: Ante-natal ... 229 Mothers ... 284 Children ... 2,245 Total ... 3,552 Number of babies weighed . 1,585 Number of children who received medical treatment ... ... . 5°° General Advice to Mothers at East Park Terrace. In addition to medical advice and treatment, the staff at East Park Terrace spend a good deal of time in giving general advice to mothers in difficulty, e.g., as to their own or their children’s health, the finding of foster mothers, provision for the care of children during the mother’s illness, housing troubles, sanitary defects, financial worries, etc. Enquiries are made and the help of voluntary agencies enlisted where available. In addition, social workers consult the Department very often with regard to special cases under their care. Health Visiting in the Homes. The following is a record of visits made by the Health Visitors during the year:— Visits to expectant mothers ... ... ... 798 First visit to infants under one year of age 3,965 Re-visits to infants under one year of age 10,661 ,, ,, children over one year of age and under school age ... 5,600 Visits to cases under Ophthalmia Neonatorum Regulations ... 125 ,, ,, cases of Pneumonia, Measles, Chicken Pox and Mumps 146 Other visits ... ... ... ... ... 1,078 Grant of Free Milk, and Sale at Cost Price of Dried Milk. The grant of free milk, in cases where the Medical Officer certifies that it is necessary, has continued through the year, and owing to the rapid increase of unemployment the number increased considerably in the autumn. Each application is made through the Department, the family is visited, income, size of family, social and housing conditions reported on, and fresh or dried milk ordered according to the instructions of the Medical Officer of Health. The families are re-visited fortnightly, any changes noted and reported to< the medical officer. Milk has been granted to (a) expectant mothers, (b) nursing mothers, (c) babies under six months, (d) children between the ages of six months and five years. During the year the following grants of free fresh milk were made:— Average number on books Expectant Mothers ... ... ... 8 Nursing Mothers ... ... ... 62 Infants under 6 months ... ... 5 Infants between 6 months and 5 years of age ... ... ... ... 62 Total amount supplied in pints. 3.069 31.426 2,375 21,095 The following grants of free dried milk were also made:— Total Average amount number supplied on books. in lbs. Expectant Mothers ... ... ... 2 ... 146 Nursing Mothers ... ... ... 3 ... 322 Infants under 6 months ... ... 8 ... 836 Infants between 6 months and 5 years 32 ... 2,263 Free grants of Malt and Cod Liver Oil 5 ... 191 The sale of dried milk of various brands at cost price to those who cannot afford the trade price has been carried on both at East Park Terrace and at the Welcomes, and has proved a very useful branch of work, but at the same time entailing much extra work. During the year the total number of issues of dried milk amounted to 7,936, the weight in lbs. being 13,839. Clinic for Venereal Diseases in Women and Children. The venereal diseases clinic for women and children is open one afternoon and one evening a week. Intermediate treatment is given each morning when ordered. As a large number of the patients are expectant or nursing mothers and young children, the Clinic is run in close co-operation with the Maternity and Child Welfare Department, and especially with the ante-natal clinic, as great stress is laid on ante-natal treatment, both of syphilis and gonorrhoea for the protection of the child. Mothers who cannot make satisfactory arrangements at home are admitted from the Clinic to the Maternity Home, preferably some time beforehand, in order that special precautions may be taken. During the second half of the year a Wasserman test of blood from the umbilical cord was taken in every case confined in the Home. In addition to the special days a considerable number of young children are treated in the ordinary infant clinic for congenital syphilis as a matter of convenience. 20 INFANTILE MORTALITY, 1920. Deaths from stated causes at various ages under 1 year. Causes of Death. Under 1 week. 1-2 weeks. 2-3 weeks. 3-4 weeks. Total under 4 weeks. 4 weeks & under 3 months. 3 months & under 6 months. 6 months & under 9 months. 9 months & under 12 months. Total Deaths 1 under i year. 1 Small Pox ... • • • Chicken Pox # # . . . • • • • • • • • » Measles . # • • • ... ... 1 3 2 6 Scarlet Fever . . • • • ... ... • 0* Whooping Cough ... # . • • • . . . 1 1 1 4 2 1 9 Diphtheria and Croup • • ... . . . . . . . . . . . . . . . . . . 000 Erysipelas ... • • . • • • ... . . . . . . • • • . . . 1 i Tuberculous Meningitis ... • • . • • • , . . . . . . . . 1 . . . , . . i Abdominal Tuberculosis ... • • . • • • • • • ... ... ... 3 1 4 Other Tuberculous Diseases . • • • • • • • • • ... 1 1 2 Meningitis (not Tuberculous) . . # • • • 1 . . . 1 1 ... • • • ... 2 Convulsions . . . 1 1 • • • ... 2 2 1 2 • • • 7 Laryngitis. , . . ... . . . ... . . . .,. ... • • • ... Bronchitis ... . . . 1 2 3 7 6 4 1 21 Pneumonia (ail forms) , , . ... ... 1 1 7 4 5 5 22 Diarrhoea ... . . . ... ... ... . . . 2 5 5 3 15 Enteritis . . . . . . ... ... ... 8 8 2 3 21 Gastritis . . . ... ... ... ... 1 X • • • 2 Syphilis . . . . . . . . . 1 I 2 3 I 1 8 Rickets # * . • • • ... ... ... ... 1 1 ... ... 2 Suffocation, overlying . * • 1 X . . . . . . 2 . . . • • • ... ... 2 Injury at Birth . . , 2 ... ... . . . 2 ... ... ... ... 2 Atelectasis ... , , . 4 ... • ••• ... 4 ... ... • • • • • • 4 Congenital Malformations . . 3 2 2 . . . 7 2 X • • • . . . 10 Premature Birth ... , . 34 4 4 ... 42 2 ... • • • ... 44 Atrophy, Debility and Marasmus 3 2 • • • . . . 5 4 3 3 • • • 15 Other Causes • • 2 • • * 1 2 5 2 2 • • * 2 n Totals • 50 11 8 7 76 I41 44 30 20 2 11 BIRTH RATE, MORTALITY DEATH RATE, AND INFANTILE IN SOUTHAMPTON SINCE 1882. Year. Birth Rate. Death Rate. Infantile Mortality. Average Five Years. Birth Rate. Death Rate. Infantile Mortality. 1882 32.1 18.3 13D 1883 34-6 20.9 137 1884 3i-7 16.9 114 h 31.8 18.6 134 1885 30.5 19.0 146 1886 30.1 18.0 140 J 1887 3i-3 18.7 145 1888 3i-3 16.9 126 1889 30.6 16.3 117 30.6 17.5 128 1890 28.5 17-5 129 1891 31-3 18.0 123, 1892 28.6 21.5 148s 1893 29-5 19-5 157 1894 30.2 16.0 119 r 29.8 18.6 145 1895 30.4 18.7 155 1896 30.4 17.2 146^ 1897 30.4 17.3 156] 1898 29.8 17.3 153 1899 29.6 19.1 178 y 29.6 17.6 159 1900 28.3 17.6 152 1901 30.0 16.6 154 J 1902 29.1 15.7 I24N 1903 29.4 14.1 114 1904 27.5 14.2 114 27.6 14.6 120 1905 26.0 15.1 133 1906 26.0 13.8 H3' 1907 24.3 13.6 i o3 \ 1908 25.4 13.6 113 1909 25.3 13-9 106 24.8 13-7 108 1910 24.9 12.4 79 1911 23-9 15*2 135 ' 1912 23-3 13.2 84] 1913 23.8 12.9 82 1914 23-9 13-9 90 w 23.0 13-9 86 1915 21.9 14.8 88 1916 22.0 14 • 5 85 1917 18.8 14-5 86 • . • • • • • • • 1918 19.8 17.9 Q2 • • • • • • • • • 1919 19-5 13.0 74 • • • • • • • • • 1920 23-9 xx .6 67 • • • • • • ... THE INCIDENCE OF NOTIFIABLE INFECTIOUS DISEASES. The following is a total of the notifications received during the year, also the rate per 1,000 of the population; Notified Rate per 1000 of Population Diphtheria ... 324 ... 2.472 Erysipelas ... 58 ... O.443 Scarlet Fever 136 ... I.O38 Enteric Fever 12 ... 0.092 Puerperal Fever ... 12 ... 0.092 Cerebro-Spinal Fever I ... O.OO8 Encephalitis Lethargica ... 12 ... 0.092 Ophthelmia Neonatorum ... 43 ••• *13-73 Pulmonary Tuberculosis ... 358 ... 2.732 Other forms of Tuberculosis 28 ... 0.214 Pneumonia ... 63 ... O.47I Malaria 15 1,062 ... O.II5 *Rate per 1000 births. MORTALITY FROM ZYMOTIC DISEASES. The death-rate from diseases usually classified as the chief epidemic diseases, namely: Small Pox, Scarlet Fever, Diphtheria, Enteric Fever, Measles, Whooping Cough, and Diarrhoea, and Enteritis among children under two years of age, amounted to 0.83 per 1,000 of the population. The death-rate per 1,000 of the population from the diseases specified above for the past five years is shown in the following table:— * Small Pox 1916 .000 1917 .OOO 1918 .OOO 1919 .008 1920 .000' Scarlet Fever •043 .000 .009 .000 .000 Diphtheria .138 .104 .148 .148 .130 Enteric Fever .043 •035 ,052 .031 .008 Measles .078 .217 •455 .008 .168 Whooping Cough .232 .070 •157 •039 •I99> Diarrhoea & Enteritis under 2 years of age .310 •383 .400 .187 .329 Total Zymotic - - —- - -- Death-rate ,:d- 'T 00 6 0.809 1.230 .421 0.834 The following table shows the number of cases of notifiable disease recorded in the Borough during the past five years :— Disease. 1916. 1917. 1918. 1919. 1920. Small Pox 1 — — 1 Scarlet Fever ... 187 117 58 91 136 Diphtheria 172 153 145 271 324 Enteric Fever 23 23 26 11 12 Continued Fever — — — — -- Puerperal Fever 8 4 5 10 12 Erysipelas 49 33 35 53 58 Cerebro-Spinal Fever 5 5 2 2 1 Poliomyelitis ... 4 1 — 5 — Ophthalmia Neonatorum ... 80 62 64 58 43 Pulmonary Tuberculosis 273 268 297 314 358 Other Forms of Tuberculosis 49 44 35 33 28 Measles 802 1970 2082 73 — German Measles 174 133 62 26 — Encephalitis Lethargica — — — 4 12 Pneumonia — — —. 126 63 Malaria — •— — 25 15 Trench Fever... — — — 2 — Dysentery — — — 1 — rotal ••• 1827 2813 2811 1106 1062 Ophthalmia Neonatorum was made compulsorily notifiable on ist April, 1914; Encephalitis Lethargica on the 1st January, 1919, and Pneumonia, Malaria, Trench Fever and Dysentery on ist March, 1919. The notification of Measles and German Measles ceased 31st December, 1919. There were i,527 visits and re-visits made to houses in which infectious diseases occurred, and inquiries were made relative to the probable source of infection, and the isolation of the patient. Information was also given concerning the precautions necessary to be taken to prevent the spread of disease, and in the case of measles advice as to treatment and nursing of patients where a medical man was not in attendance. In connection with school absentees, 384 visits were made where non-notifiable infectious diseases occurred. Of the cases notified in the Borough under the various Acts and Regulations, 505 were removed/ to the Isolation Hospital for treatment. Sanitary defects' were found in 92 houses in which cases occurred. No further cases occurred in the Borough during the year. SCARLET FEVER. The number of cases of Scarlet Fever notified during the year amounted to 136, which is 45 more than in the previous year, but is 117 below the average of the past ten years. No death from Scarlet Fever was registered, only one death from the disease having occurred during the past four years. The number of cases notified and deaths resulting from the % disease for the past ten years were :— 1910 • • • Cases. ... 219 Deaths. 2 Percentage. O.92 1911 ... 195 5 2.56 1912 ... 288 2 O.69 *9*3 ... I77 2 I-13 1914 ••• 344 10 2.9I I9I5 ... 430 2 O.47 1916 ... 187 5 2.6 7 1917 ... 117 0 0.0 1918 • • • ... 58 1 1.72 I9I9 ... 91 0 0.0 1920 ... 136 0 0.0 In addition to the 136 cases notified in the old Borough, 17 cases were notified in the districts added to the Borough on the 9th November, 1920. One hundred and one of the cases notified were removed to the Isolation Hospital, which is equal to a percentage of 74.3 compared with 76.9 in 1919 and 86.2 in 1918. In addition to the cases admitted to the Isolation Hospital from the old Borough, 22 from neighbouring districts, and 5 cases in the added areas were admitted for treatment. The following table gives particulars of cases of Scarlet Fever notified in the Borough, shewing the number treated in the Isolation Hospital, the period of detention and the number of “ return ” cases since 1911 :— Average Admitted period in No. of Cases Year. Cases notified. to Hospital. Hospital (days). “ return ” cases. treated at home. I9II ... 195 171 34-o 0 24 1912 ... 288 235 32.0 0 53 I9I3 ... 177 136 34-o 4 I914 — 344 235 30.5 I 109 I9I5 ... 430 262 32.3 2 168 1916 187 130 35 -1 I 57 1917 ... 117 95 40.7 0 22 1918 ... 58 50 32.7 0 8 1919 91 70 36.0 0 21 1920 136 101 38.4 0 35 DIPHTHERIA. The number of cases of Diphtheria notified during the year amounted to 324, which is 53 more than in the previous year, and 18 above the average of the past five years. The disease was most prevalent in the Shirley and Mill- brook Wards of the Borough. Seventeen deaths occurred among the cases notified in the Borough, the percentage of deaths to cases being considerably lower than the average. The number of cases notified and deaths recorded during the past eight years are shown in the following table:— Cases. Deaths. Percentage. 1911 • • • • • • ••• 352 23 6-53 1912 • • • • • • ... 192 19 9.90 1913 • • • • • • — 357 30 8.40 1914 • • • • • • ... 450 39 8.67 1915 • • • • • • ... 346 39 11.27 1916 • • • • • • ... I72 16 9-3° 1917 • • • • • • ••• 153 12 7.84 1918 • • • • • • ... 145 17 ir.7 I9I9 • • • • • • 271 *9 7.0 1920 • • • • • • ... 324 17 5-25 In addition to the cases recorded above, 41 cases of Diphtheria were notified from the 9th November to 30th December in those districts annexed to the County Borough of Southampton. Two hundred and seventy-one of the cases notified were admitted to the Isolation Hospital for treatment, which is equal to a percentage of 83.6, compared with 75.6 in 1919 and 85.6 in 1918. In addition to the number specified above, three cases were admitted to the Isolation Hospital from the Port, 20 from the neighbouring districts, and 1 military case, and 17 cases from the added areas from 9th November to the end of the year. ENTERIC FEVER. The number of cases of Enteric Fever notified during the year amounted to 12, which is one more than notified in the previous year. Only one death occurred from Enteric Fever, which is the lowest number ever recorded in the Borough. The number of cases notified, and the deaths that occurred amongst cases notified in the Borough since 1911 are given in the following table :— Cases. Deaths. Percentage of Deaths amongst cases notified in 1911. 20 3 the Borough. 15.0 iqi2. ... 13 3 23.I 10T3. - 33 6 18.2 1914. ... 23 4 x7*4 1915. ... 25 8 32.0 1916. ... 23 3 13.0 IQI7 .. 23 4 17.4 191S ... 26 6 23.1 I9I9. 11 4 33.6 1920 ... 12 1 8.3 The above table does not include the deaths of persons who were landed in the Port suffering from Enteric Fever and who subsequently died from the disease in Hospitals in the Borough. One of the cases arrived home ill from South Africa. Two cases had eaten shell-fish prior to their illness, but in the remaining nine cases no evidence could be obtained that would point to the origin of the illness. MEASLES. This disease is not now compulsorily notifiable, the Regulations having been rescinded on the 31st December, 1919. An outbreak occurred in the early part of the year in the older portions of the Town, 22 deaths resulting, compared wfith only one in the previous year. OPHTHALMIA NEONATORUM. Forty-three cases of Ophthalmia Neonatorum were notified during the year, being equal to a rate of 13.73 Per 1,000 births. This was a large decrease compared with the previous year, when the rate was 22.3. The majority of the cases were treated at the Southampton Free Eye Hospital, and the remainder by private medical practitioners. PUBLIC HEALTH (PNEUMONIA, MALARIA, DYSENTERY, ETC.) REGULATIONS, 1918. These Regulations, which came into operation on the 1st July, 1919, conferred certain powers and duties on Health Authorities to prevent infection being conveyed by the handling of food by persons suffering from Dysentery or Enteric Fever, and to provide medical assistance or nursing in such cases where necessary. \ The following cases were notified during the year under these Regulations:—Pneumonia 63, Malaria 15, Trench Fever o, Dysentery o. All cases of pneumonia notified were visited by the Health Nurses, and assistance given if required. All the cases of Malaria were old-standing cases which had been contracted abroad. * CER EBRO-SPINAL FEVER. One case of this disease was notified in March, the patient being a child four years of age. The case was removed to the Isolation Hospital, and proved fatal. ACUTE POLIOMYELITIS. No case of this disease was notified during the year. ENCEPHALITIS LETHARCICA. A series of cases of Encephalitis Lethargica occurred in the Borough during the months April—July. Fourteen cases were brought to the knowledge of the Health Department, of which number seven, or 50 per cent., died. In the other cases the effect on the nervous system has been persistent, and in four cases severe. On enquiry early in 1921, three of the cases had been unable to return to their occupation, and one child was mentally affected. Thorough investigation and enquiry was made into each case, but no evidence could be obtained of communicability from one patient to another. The following table gives particulars of the cases:— Date of onset of Illness. Initials and Address. Age. Sex. Where Treated. After History (Feb.,1921) April 6 Alfred Place, Belvedere Road 19 M Home Died 16th Aug. May ii D.D., Oriental Terrace IO F Parish Inf’ry Mentally affected;: practically helpless. May 16 R.M., Malmesbury Road 12 M R.S.H. & S. Hospital Pains in legs and arms. May 21 F.W., Richmond Road 41 F Home Still drowsy and weak. May 24 E.C., Malmesbury Road 65 F Home Died 2nd June. May 24 M.B., Dock Street 3 F Parish Inf’ry Died 3rd June. May, end of G.S., Mi lib rook Road 46 M Home Tremors. Very weak and drowsy at times. Unable to resume occupation. June 15 L.K., Guildhall Terr., Millbank Street 37 M R.S.H. & S. Hospital Died 2nd July. June W.B., Lime Street 46 M Home Eyesight impaired. Unable to work. June 16 J.R., Standford Street 19 M Isolation Hospital Died 13th July. June 18 W.A.B., ’ Commercial Road 23 M Home Drowsy at times. Tremors. Talks less than before illness. July H W.F., Northumb’rl’d Rd. 39 M Home Facial paralysis. Tremors. General weakness. Unable to work. July 17 R.W., Cable Street 9 M Isolation Hospital Died 28th July. July 22 M.R., Waterhouse Lane Ii m’ths. M Home Died 14th Aug. ANTHRAX. On 20th June a man was certified to have died in the Royal South Hants and Southampton Hospital from septic cellulitis. On bacteriological examination of material taken from the patient, it was discovered he had been suffering from Anthrax. 3^ The following particulars show the probable source of infection:— The man, while shaving himself on the 12th June, cut a small pimple on his neck, which bled slightly. His neck becoming inflamed, he saw a medical practitioner on the 16th June, and was removed to the Royal South Hants and Southampton Hospital on the 17th June, where he died on the 20th June. The patient always shaved himself, using a brush issued to him when in the Army 17 months before, and he had used no other brush since then. This brush was bacteriologically examined at our Municipal Laboratory with negative results. The patient was employed as a stevedore by the Union Castle S.S. Co., and worked as a rule on the outward-bound steamers only, but on the 12th June (the day on which he cut himself) he worked on the s.s. “ Armadale Castle,” unloading a cargo of wool and skins from South Africa. Shaving Brushes. A number of shaving brushes were obtained from various shops in the Borough, and submitted to bacteriological examination at the Municipal Laboratory, and found to contain the spores of anthrax. The Ministry of Health was communicated with, and samples of the brushes submitted for their examination, which confirmed the result obtained at the Municipal Laboratory. The shaving brushes appeared to be of Japanese manufacture, and were surrendered by the dealers, the number destroyed being 345. RABIES. An outbreak of Rabies at the end of the year necessitated putting into force, on 2nd December, the provisions of the Rabies Order as to the muzzling of dogs, etc. Owing to fresh cases occurring, the Dangerous Rabies Order, requiring dogs to be on a lead in addition to being muzzled, was subsequently put into force. 3 7 The origin of the outbreak appears to have been caused by a dog belonging to a gipsy at Sholing. This dog in November attacked another dog at Sholing, and afterwards, on showing suspicious symptoms, was shot and buried by its owner. The dog that was bitten also developed suspicious symptoms, and later on was found to be suffering from Rabies. The body of the dog belonging to the gipsy was then exhumed, and found to have suffered from the same disease.. VENEREAL DISEASES. The Scheme established by the Local Authority for providing for the systematic diagnosis and treatment of Venereal Disease has been in operation since February, 1918. The arrangements made for diagnosis and treatment are as follows:— Municipal Dispensary, Nos. 1 & 2, East Park Terrace. Men. Monday, Tuesday, Wednesday and Friday, from 5 p.m. to 7 p.m. Women. Thursday ... ... 6.0 p.m. to 7.0 p.m. Friday ... ... 2.30 p.m. to 3.30 p.m. Royal South Hants and Southampton Hospital. Men. Thursday (new cases) ... 11.30 a.m. Thursday (old cases) ... 2.0 to 4.0 p.m. Women. Tuesday ... ... 10.30 a.m. Thursday ... ... 10.o a.m. to 12.0 noon Irrigation of cases of Gonorrhoea in women is carried out on five afternoons a week at East Park Terrace, Two beds at Maternity Wards at No. 2 East Park Terrace are set apart for treatment of Maternity cases complicated by Venereal Disease. Two beds are provided at the Royal South Hants and Southampton Hospital for patients suffering from Venereal Disease. The following summary will show the volume of work carried out; detailed returns relating to persons treated are given in subsequent tables:— Number of persons under treatment or observation East Park Terrace. Males. Females. R.S.H. Males. & S. Hos. Females. on 1st January, 1920 Number of persons dealt with for the first time during 1920 at the Out-Patient 946 76 316 158 Clinics Total attendances of all persons at the Out- Patients Clinics during 799 I l6 123 54 1920 Aggregate number of In- Patient days of 9.384 1,424 % C32I 658 ment given to persons ... — — 130 151 From the foregoing figures it will be seen that 1,092 persons were dealt with at the Clinics for the first time during the year 1920. This number was practically the same as in the year 1919, when 1,106 were dealt with. The total attendances amounted to 12,787,, compared with 10,121 in the previous year. The number of persons who were under treatment or observation at the end of the year was 1,481. The number of persons discharged from the outpatient clinic after treatment and observation amounted to 372. With regard to the facilities provided, the majority of the patients attend regularly for treatment. Owing chiefly, however, to the large floating population in the Borough, several of the cases are lost sight of, and some cases give fictitious addresses. Seamen and others proceeding to other ports are supplied with cards giving records of treatment, in order that the course may be continued at each port at which they call. Propaganda work has been carried out during the year by the Local Branch of the National Council for Combating Venereal Disease. Pathological Work. Wassermann tests are carried out in the Pathological Department of Charing Cross Hospital, London, and the following is the number of specimens which were submitted from Nos. i and 2, East Park Terrace ... ... ... 612 Royal South Hants and Southampton Hospital 258 Private Medical Practitioners ... ... ... 66 936 All other pathological work in connection with the Venereal Clinics is carried out at the Laboratory at No. 1, East Park Terrace. Medical practitioners in the Town have availed themselves freely of the facilities provided. The following is a record of the work carried out:— GONORRHCEA : — Urine Examinations—Bacteriological ... ... 79 Examinations of Pus, etc. ... ... ... 2590 Specimens from Doctors ... ... ... 221 2890 SYPHILIS :— Serum for Spirochaeta Pallida ... ... ... 78 Specimens from Doctors ... ... ... 15 93 Return Relating to All Persons Who Were Treated at the Treatment Centre at i, East Park Terrace, Southampton, During the Year Ended the 31 st December, 1920. Syphilis. Soft Chancre Gonorrhoea Conditions other than Venereal Total. Males Females Males Females Males Females Males Females Males Females i 1. Number of persons who, on the 1st January, 1920, were under treatment or observation for: 339 36 40 1 471 17 96 22 946 76 2. Number of persons dealt with during the year at or in connection with the outpatient Clinic for the first time and found to be suffering from Syphilis only . 237 34 237 34 Soft chancre only — — 40 — — — — — 40 — Gonorrhoea only — — — — 430 29 — — 430 29 Syphilis and soft chancre . 2 _ 2 _ — _ — — 4 — Syphilis and gonorrhoea 7 2 — — 7 2 — — 14 f Gonorrhoea and soft chancre . _ _ 1 — 1 _ — — 2 — Syphilis, soft chancre and gonorrhoea 1 — 1 — 1 — — — 3 — Conditions other than venereal — — — — — — 69 49 69 49 Total . 586 72 84 1 910 48 165 71 1745 192 3. Number of persons who ceased to attend the outpatient Clinic : (#) before completing a course of treatment for 88 17 3 188 25 279 42 (£>) after completion of a course of treatment, but before final tests as to cure of ... 1 5 4. Number of persons transferred to other Treatment Centres after treatment for: (died) 1 1 5. Number of persons discharged from the outpatient Clinic after completion of treatment and observation for : 38 1 10 1 109 9 38 71 195 82 6. Number of persons who, on the 1st January, 1921, were under treatment or observation for: 460 52 71 613 10 127 1271 62 7. Total attendances of all persons at the out-patient Clinic who were suffering from :. 3100 775 137 2 5907 579 240 68 9384 1424 8. Aggregate number of "Inpatient days” of treatment given to persons who were suffering from: — — For detection of For ■* Spirochetes. Gonococci. Other Organisms. Wassermann Reaction. 9. Examinations of Pathological material:— (<*) Specimens which were examined at, and by the Medical Officer of, the Treatment Centre 78 2669 1 (b) Specimens from persons attending at the Treatment Centre which were sent for examination to an approved laboratory . 612 Statement showing the services rendered at the Treatment Centre during the year, classified according to the areas in which the patients resided. Name of County or County Borough (or Country in the case of persons residing elsewhere than in England and Wales). Southampton Hampshire Liverpool Wiltshire London Scotland Kent Dorset Total A. Number of persons from each area dealt with during the year at or in connection with the out-patient Clinic for the first time and found to be suffering from :— Syphilis . 235 24 8 3 1 271 Soft chancre. 36 3 — — •- — 1 — 40 Gonorrhoea ... ... ... 399 47 3 1 4 3 — 2 459 Conditions venereal other than 113 4 — — — 1 — — 118 Total . 783 78 11 1 7 5 1 2 888 B. Total number of attendances at the out-patient Clinic of all patients residing in each area 10178 550 23 3 8 5 7 4 10808 C. Aggregate number of “ Inpatient days ” of all patients residing in each area. D. Numbei of doses of Sal- varsan sub- * 1. Out-patient Clinic 1501 126 10 16 10 1 1664 stitutes given 1 2. In - patient in the:— ^ Dept, to patients residing in each area. — — — — — — — — — Return Relating to All Persons Who Were Treated at the Treatment Centre at Royal South Hants and Southampton Hospital, Southampton, during the Year Ended the 31ST December, 1920. Syphilis. Soft Chancre. Gonorrhoea Conditions other than Venereal Total. Male Females Males Females Males Females Males Females Males Females 1. Number of persons who, on the 1st January, 1920, were under treatment or observation for: 193 119 11 82 26 30 13 316 158 ■2. Number of persons dealt with during the year at or in connection with the out-patient Clinic for the first time and found to be suffering from :— Syphilis only . 29 28 29 28 Soft chancre only ... ... ... ... ... ... Gonorrhoea only , ... ... 30 9 ... 30 9 Syphilis and soft chancre . ... Syphilis and gonorrhoea 5 ... ... 5 ... ... ... io _ Gonorrhoea and soft chancre . Syphilis, soft chancre and gonorrhoea Conditions other than venereal . ... • •• ... ... ... ... 54 17 54 17 Total 227 147 11 ... 117 35 84 30 439 212 .3. Number of persons who ceased to attend the outpatient Clinic («) before completing a course of treatment for: 60 32 69 8 129 40 (b) after completion of a course of treatment, but before final tests as to cure of . 53 34 11 12 14 76 48 4. Number of persons transferred to otherTreatment Centres after treatment for: 2 2 5. Number of persons discharged from the outpatient Clinic after completion of treatment and observation for : 48 24 13 10 61 34 6. Number of persons who on the 1st January, 1921, were under treatment or observation for: 64 57 23 3 1 87 61 7. Total attendances of all persons at the out-patient Clinic who were suffering from:— 989 494 267 133 65 31 1321 658 8. Aggregate number of “ Inpatient days” of treatment given to persons who were suffering from: 130 151 ... ... ... ... ... • •• 130 151 For detection of For Spirochetes Gonococci Other Organisms Wassermann Reaction 9. Examinations of Pathological material — (a) Specimens which were examined at, and by the Medical Officer of, the Treatment Centre 8 (b) Specimens from persons attending at the Treatment Centre which were sent for examination to an approved laboratory . 258 Statement showing the services rendered at the Treatment Centre during the year, classified according to the areas in which the patients resided. Name of County or County Borough (or Country in the case of persons residing elsewhere than in England and Wales). Glamorgan Yorkshire Glasgow London Southampton Hampshire Total A. Number of persons from each area dealt with during the year at or in connection with the out-patient Clinic for the first time and found to be suffering from :— Syphilis. 1 1 1 45 14 62 Soft chancre . . . ... ... ... ... •. • ... ... ... • . • Gonorrhoea ... ... ... ... ... 1 3 30 10 ... 44 Conditions other than venereal . ... ... ... 2 51 18 ... 71 Total . 1 1 1 6 126 42 ... 177 B. Total number of attendances at the out-patient Clinic of all patients residing in each area 2 1 3 9 1473 491 1979 “C Aggregate number of “ Inpatient days ” of all patients residing in each area .. 210 71 281 D Number of doses of Sal varsan s u b - “ ' Out-patient Clinic l 1 3 364 121 489 stitutes given in the:— to patients res area. 2. In-patient Dept. iding in each ) ... ... 10 ... 1 10 TUBERCULOSIS. The total deaths from all forms of Tuberculosis among residents of the Borough amounted to 166, from the following forms of the disease:— Pulmonary Tuberculosis Tuberculous Meningitis Tuberculosis of Peritoneum and Intes 11 in c s »». ... * * * »«■ «. Tuberculosis of Spine ... Tuberculosis of Glands of Neck Tuberculosis of Kidney Tuberculosis of Sternum Disseminated Tuberculosis 166 144 9 7 i i i 1 2 The total number of deaths recorded from all forms of the disease is 18 less than that of the previous year; Pulmonary Tuberculosis showing a decrease of 14 deaths,, and other forms of the disease a decrease of 4. The death-rate from Pulmonary Tuberculosis amounted to 1.10 per 1,000 persons living. This rate is 0.13 lower than 1918, and is 0.20 lower than the average for the past five years. The decrease is due to the reduced mortality of males, which were 30 less than in the previous year. The deaths of females showed an increase of 16. The death-rate for both sexes from Pulmonary Tuber* culosis since 1911 is shown in the following table:— Males. Females. Both Sexes 1911 ... 2.01 1.17 I.58 1912 ... 1.8l 0.88 i..S3 1913 ... ... I.52 0.92 1.21 1914 ... ... I.75 1.06 i-39 1913 ... I.94 1.05 1.45 1916 ... 1.63 1.19 i-39 1917 ... ... 2.II 0.92 1.42 1018 ... 2.l6 0.99 1.49 1919 ... ... I.92 0.65 1.23 1920 ... I.32 0.90 1.10 The percentage of deaths from Pulmonary Tuberculosis during the year to cases notified during the same period is appended with the comparative figures for 1912—1919:— Maks. Females. Both Sexes. 1912 . ... 52.5 39-6 47.2 1913 . ... 38.7 25.8 32.3 1914 . ... 45.6 37-2 41.8 1915 . ... 62.4 43-8 53-5 1916 . ... 53.2 66.7 59.0 1917 . ... 58.5 65.2 60.8 1918 . ••• 53-9 62.2 56.9 1919 ... ^ ... ... 66.5 3i-3 50-3 1920 ••• 39-3 40.1 39-7 Of the cases dying in 1919, the following table shows the years in which the primary notifications were received. Compulsory notification of all cases of Pulmonary Tuberculosis first came into operation on the 1st January, 1912:— 1912 ... . ... ... 1 1913 1 1914 — 3 1915 — 1916 2 1917 ... 6 1918 8 1919 24 1920 . ... 61 Un-notified ... ... ... ... 30 Transferable Deaths... ... ... 8 144 The mortality from Tuberculous Diseases other than Pulmonary was equal to a rate of 0.17 per 1,000 of the population, which is 0.3 lower than the previous year and 0.12 below the average of the previous 7 years. Table showing death-rates, per 1,000 of the population,, from Tubercular Diseases, from as far back as our records, extend:— Pulmonary. Other Tubercular Diseases. Total Tubercular Diseases. 1873-1876 (4 years) ... — — 2.79 1877-1880 (4 years) ... 2,11 0.68 2.79 1881-1885 (5 years) ... 1.86 0.63 2.49 1886-1890 (5 years) ... 1.72 0.50 2.22 ' 1891-1895 (5 years) ... 1.56 0.68 2.24 1896-1900 (5 years) ... 1.49 0.57 2.06 1901-1905 (5 years) ... 1.30 0.51 1.8l 1906-1910 (5 years) ... 1.25 0.41 1.66 1911-1915 (5 years) ... i-39 0-34 i-73 1916-1920 (5 years) ... i-33 0.25 1.58, Summary of Notifications Received UNDER the Public Health (Tuberculosis) Regulations, 1912, during. THE 52 WEEKS ENDED 1ST JANUARY, I92I. Form A ... ... ... ... 382 ,, 33 ... ... ... ... 12 ,, (3 ... ... ... ... 149 ,, D ... ... ... ... 143 686 Of the above total 392 were primary notifications* namely, Form A 380, Form B 12. The localization of the disease of these cases was:— Lungs ... ... ... 363 Hip ... ... ... 3 Meninges of Brain ... 3 Knee and Ankle ... 1 Shoulder ... ... 1 Ankle ... ... 1 Peritoneum and Intes- Cervical Glands ... 8 tines... ... ... 8 Kidney ... ... 2: Spine ... ... ... 2 TUBERCULOSIS. TABLE showing cases, case-rate, deaths, and death-rate from Pulmonary and Non-Pulmonary Tuberculosis in each of the Municipal Wards during the year 1920. dS TUBERCULOSIS. Average case-rates and death-rates per 1,000 of the population from Tuberculosis in Municipal Wards during the eight years 1913—1920.• Ward. C 'ase-Ratb. D1 £ATH RA1 'E. Pulmonary. Non- Pulmonary. Total. Pulmonary. Non- Pulmonary. Total. 1. Town 4.12 0.79 4.89 2.48 0.44 2.92 2. St. Mary’s 3.20 0.68 3-88 1.60 0.41 2 .01 3. Northam 2.89 0.62 3-5i 1.62 0-33 i-95 4. Trinity 2.47 0.52 2.99 i-39 0.24 1.63 5. Newtown 2.46 0.46 2.92 1.02 0.27 1.29 '6. All Saints 2-59 0.38 2.9 7 1.03 0.09 1.12 7. Bevois . 2.73 0.46 3-19 1.10 0.25 1-35 8. Banister 1.62 0.28 1.90 1.01 0.15 1.17 9. Freemantle ... 2 .68 0.30 2.98 1.20 0.20 1.40 10. Millbrook 2.92 0.33 3.25 1.32 0.20 1.52 xi. Shirley 2.42 0.39 2.81 0-93 0.24 1.17 12. Portswood 2-53 o.35 2.88 1.19 0.31 1.50 13. St. Denys . 2.80 0.77 3-57 0.90 0.28 1.18 Borough . 2.78 0.50 3.28 1-34 0.27 1.61 PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. SUMMARY OF NOTIFICATIONS DURING THE PERIOD from 4th JANUARY, 1920, to the ist JANUARY, 1921. ADMINISTRATIVE MEASURES FOR THE PREVENTION DIAGNOSIS, AND TREATMENT OF TUBERCULOSIS. Accommodation. Sanatorium: Two pavilions at the Isolation Hospital are set aside for the treatment of Tuberculosis. The total number of beds provided being 48. Dispensary: This is converted from a large, double- fronted house facing a public park, and situated centrally. It contains on the first floor: (1), a large waiting room, which is also used for the purpose of lectures by doctor and nurses to dispensary patients; (2), nurses’ room, where patients are first interviewed; (3), two dressing rooms, which lead from nurses’ room, and have additional doors entering the consulting room; (4), consulting room; (5), X-Ray room; (6), Medical Officer’s room for statistical work and records; (7), patients’ lavatory; (8), dispensary room.' On the second floor there are: (1), the laboratory; (2), dark room for photographic work; (3), rooms for health visitors, &c. The third floor contains caretaker’s quarters. The ground floor is used as a school clinic. The whole building is warmed and lighted by electricity. The Tuberculosis Dispensary, being under the same roof and under the same administration as the School Clinic, renders the co-operation between the two very complete, and greatly facilitates the reference to the Tuberculosis Dispensary from the School Clinic of cases which require a more detailed and thorough examination. With regard to insured patients, the co-operation is secured of medical practitioners, who submit quarterly reports to the Chief Tuberculosis Officer as to the progress of patients. Arrangements are made to visit “ Domiciliary ” cases with the private medical practitioner when desired, the Tuberculosis Officer attending for consultation. Cases in which the diagnosis of Tuberculosis is doubtful are followed up by the Health Visitors, and endeavours made to persuade them to attend the Dispensary for reexamination every three or six months. “ Home contacts ” who are ailing or suspected to be suffering from Tuberculosis attend the Dispensary for examination, or are referred by medical practitioners. Cases which are referred to the Dispensary for diagnosis undergo a careful physical examination, and an X-Ray photograph taken. In very doubtful cases the tuberculin test is used. Methods of Treatment. After a positive diagnosis, the following treatment is carried out, the patients being divided into five classes:— (1) Dispensary Treatment for the following cases:— (a) Non febrile patients with no sputum, satisfactory home conditions, sufficient nourishment, &c. (b) Non febrile patients with sputum, where the home conditions are satisfactory, and the patients can be relied upon to take every care. (2) Four weeks’ sanatorium residence, followed by dispensary treatment for the following cases:— (a) Non febrile cases who require hygenic instruction before dispensary treatment can be successful. (b) Patients who cannot be relied upon to exercise care with sputum without undergoing an educational course. (c) Cases where difficulty is experienced in commencing a course of tuberculin treatment owing to unreliability of the temperature records or the difficulty in securing adequate rest. (3) Two months’ sanatorium followed by dispensary treatment for the following:— (a) Fairly well marked cases, often running a temperature, with a good prospect of arrest of disease, and return to wage-earning capacity. (4) Two months’ educational sanatorium treatment, followed by domiciliary treatment for the following:— (a) Cases with a very bad prognosis, where temporary improvement and relief of troublesome symptoms can only be hoped for. 5 2 "5) Domiciliary treatment for the following:— (a) Patients with no prospects who are too ill to benefit by educational treatment. Some of these hopeless cases are removed to the Sanatorium for isolation purposes and nursing. (b) Hopeless cases in good homes. The Health Visitors visit the patients in their homes, and give advice and instructions. In cases of poverty, extra nourishment is given by the Board of Guardians, and malt and cod liver oil is supplied to necessitous cases free from the Dispensary. Record of Dispensary Work for the year 1920:— New Patients— Insured Dependents ... Others 201 204 44 449 Visits of Patients under Observation Insured Dependents Others 540 449 127 1,116 Visits of Patients under Treatment Insured Dependents ... Others 8,137 6,301 1,420 15,858 Grand Total ... ... 17,423 Visits paid by Health Nurses to Homes of Tuberculous Patients— Insured ... ... ... 2,221 Dependents ... ... ... 2,910 Others ... ... ... 534 5,665 Record of Number of Patients under Dispensary Treatment during 1920:— Non- Pre- Pulmonary. Pulmonary. Tubercular Number of patients under treatment on 1st January, 1920 ... 348 12 7 New cases treated 320 2 7 8 Cases transferred from Sanatorium ... 77 2 0 Cases transferred from Domiciliary treatment 0 0 0 Cases transferred from general supervision 10 3 0 Cases transferred to Sanatorium 106 2 0 Cases transferred to Domiciliary treat- 1x10 n t ••• ••• H 1 0 Cases lost sight of or left the Borough 21 0 0 Cases who have finished treatment during the year and are now under general supervision 134 2 0 Total number of notified cases under observation at the end of the year ... ... ... ... ... 1,278 Number of cases in Santorium on January 1st, 1921 22 Total number under Dispensary treatment on 1st January, 1921 ... 477 40 14 Comparison with 1919 shows that there were 50 fewer new cases examined. The number of visits paid by patients to the Dispensary was 17,423, or 2,082 less than in 1919. Regarding this latter figure, patients who were well enough were asked to visit once fortnightly, monthly, or three monthly, as the case required, thus accounting for the fewer number of visits paid. The number of visits paid by Health Visitors was 5,665, or 1,349 less than in 1919. This is accounted for by illness to staff and other new work being carried out by the Health Visitors. DIAGNOSIS. The routine method of examination detailed in the Report for 1912 has been carried out in 1920 in all cases. TABLE SHOWING THE NUMBER OF DIAGNOSES MADE DURING 1920, AND THE RESULTS OBTAINED. Found to be suffering from Found to be • Pulmonary Tuberculosis. Non- Pulmonary Tuberculosis. Pre-tub- ercular. Non- Tuber- culous. Totals. Previously notified cases ... 26 1 — 1 28 Sent by School Medical Officer for Diagnosis 17 22 14 18 7i Sent by Local Medical Practitioners for Diagnosis ... 197 38 12 36 283 Sent by War Pensions Committee 29 1 — 11 41 House contacts 10 4 5 7 26 Totals 279 66 3i 73 449 The number of cases sent by local medical practitioners was 283, or 14 less than in 1919. Those sent by Pensions Authorities was 41, being the same as in 1919. 26 house contacts were examined, 19 of whom were found to be suffering from tuberculosis in one of its forms. This work has been, unfortunately, restricted owing to pressure of work. RESULTS OF SANATORIUM TREATMENT. Pulmonary Cases: 22 cases were admitted in the First Stage of the Disease. 15 a )> jj j) Second ,, ,, >, 40 )> i) )) )j Third ,, ,, ,, 77 On discharge in 7 cases the disease was arrested, 20 showed much improvement, 15 showed improvement, 6 no change, n were worse, and 18 died in the Sanatorium. Non-Pulmonary Cases : Two cases were admitted to the Sanatorium, both cases were improved by their stay. The large number of cases admitted in stage 3 of the disease is due to the unfortunate degree of overcrowding existing during the year, owing to lack of accommodation. The course being necessary owing to the infectious character of the disease. The measure being educational, so that relatives may be protected by teaching the patient how to take care of himself. RESULTS OF TREATMENT IN PATIENTS DISCHARGED FROM THE MUNICIPAL SCHEME DURING 1920. Pulmonary Cases: Treatment was concluded under the scheme in 136 cases, of these in 60 cases the- disease was arrested, 18 showed much improvement, 6 showed improvement, and three were worse. There v/ere 39 deaths during the year. Seventy-eight were returned to full work, six to light work, and 3 were not likely to- work at all. In November there were added 406 cases of tuberculosis owing to the extension of the Borough, of these 270 had been notified and 136 suspect. These figures include the insured patients, but these cases (insured) do not come under the Scheme until the 1st January, 1921, of these during the two months, 38 cases presented themselves for examination. During the year there were in all ioo cases under treatment with tuberculin, of these there were 77 cases suffering from tuberculosis of the lungs, 20 cases suffering from tuberculous disease of the eyes and two were suffering from tuberculosis of bones; one case of kidney and badder infection. 71 cases showed marked improvement in their pulmonary conditions, and in six cases the tuberculin had to be withdrawn, owing to the patients being unsuitable. Of the 20 eye cases, very marked improvement was shown in 16 cases, and in the remainder there was improvement, but the attendances were irregular, the majority of the eye cases being children. The kidney and bladder case has shown improvement, and is still under treatment. In both cases of tuberculous bone disease the disease has been arrested. TABULATED RESULTS OF TREATMENT IN PULMONARY CASES. The tables which are appended show the results of treatment in those patients who were discharged from the Borough Sanatorium during the year 1920. A separate set of tables show the results for those patients who were discharged from active treatment under the Municipal Scheme during the same period. The patients have been placed in two groups, and show in separate tables, those with:— (a) Tubercle Bacilli found in sputum. (b) Tubercle Bacilli not found in sputum. (c) Summary of the two groups. The patients in each group have been classified as to the stage of the disease at the time of coming under treatment ; males and females being shown separately. The classification adopted being the Turban-Gerhardt (Imperial Board of Health). They have further been classified according to the method adopted in the Astor Report. On discharge they have been classified according to their economic condition (working capacity) and also as to their physical condition. The following are the details of the classification adopted :—- Turban-Gerhardt Classification (Imperial Board of Health). Stage I.-—Disease of slight severity, limited to small areas of one lobe ; that, for instance, in case of infection of both apices, does not extend ‘beyond the spine of scapula and the clavicle, or in the case of affection of one apex, frontal, beyond the second rib. Stage II.—Disease of slight severity, more extensive than I.* but affecting at most the volume of one lobe ; or severe disease, extending at most to the volume of one half lobe. Stage III.—All cases extending beyond II., and all such with considerable cavities. Classification of Patients, Astor Report. (1) Cases in which the disease can be diagnosed or is strongly suspected, but in which there is no evident impairment of the working capacity. (2) Cases of recent onset with some impairment of the working capacity, but without marked evidence of ill-health. (3) Cases of recent onset with evidence of acute illness. (4) Cases of a longer history of illness. In some of these cases permanent arrest of the disease may be hoped for, but in the majority, restoration to full working capacity for more than a comparatively short period is not to be looked for (5) Cases in which there is a permanent loss of working capacity. Many of these patients live for a considerable period in a condition of chronic ill-health. (6) Cases in which a fatal termination within six months is probable. Economic Condition on Discharge from Treatment. (1) No evident impairment of working capacity. (2) Some impairment of working capacity. (3) Marked loss of working capacity. (4) Very marked loss of working capacity. (5) Very marked loss of working capacity and progress unfavourable. (6) Probable fatal termination within 6 months. 03 biD cfl JG C/5 • CD s> co cd . 3.3 G & .2 O •*-< 1 rt G o a} <G n •*rj L_i CD c/3 G rt f-c G </) 03 C/5 <13 CD cd 6 l# HH CD <D cd g HH CD 13 w 0> HH cd Wh 0> *cd <13 be rt (/) 03 be cfl to «3 be cC (/) </> JO H 03 Total ft M CO co CO M CO M O 0 • • • • 00 0 G* • • • • M O UO * ; M ct : tv Tl • • • G O • • . • H M ft O • • • • "cd CO : M .. CO UO 05 0 • * • CD >> CM w M M ct M 00 rj Pu M . . ’ l • * • • l C/5 +■> O H cS bO iH A .2 v> ;3 c H : : : co ; • • • • • • </1 to &4 Q ' a uo M * M * • • 04 S.2 " 81 WcS Total CO CO WO Tf VO CO M IX CO ( o • • • • • • • • • • • • j in M U Two cases admitted to Sanatorium—Non-Pulmonary. o3 -a OO Tj- fl T3 • a, CJ co oo tv -**• vO tv oo tv -<h vO fl a -2 o CtS CJ CJ M in d o • t“J in in • *—* a T3 < d O VO d o cd l_j o ■a a in cd »o O 00 oo lO co o CO O vo JN N OO in a; u _ cd °u d o o o cs a O c3 td -d jcfl W 5 I. JU •—I cfl CO CJ a CO ^CJ 13 CO CJ 13 a v S fcj CJ S w Cj 00 bo 00 cd cd <0 ■4-> -M c/3 C/3 C/3 C/i j0> 13 s (/> 13 a CJ W <n rt ♦-* O H • <D bo aJ -a 0 tr> • : : co co 10 Th lO 0 rrl 13 0 • • • • • • ^ CA x • • • • ' 1 • • • • • * M <v CuO C3 0 , • y—i </) >> : m co : : o< 4 • • • • • • • • • • • • • • • • • • Oh 0 (/) • r—« 15 0 0} Tj- M Ov .a d a.2 o.ti • • • • • • • • 1 Wcj m co m w : 23 29 * * * VO d 0 • r-*4 (/) • rH a O 15 0 w rf m 1 A ^ ! VO • • • • • • • * • • ♦ • • • • • • • ; • • • • • • CO M CO OO CO CO M Ch M tn co m co : : M CO • to to vo co : : : : 00 1 jg . s ~ 8 « S 5 ~ | ~ 0 £ tn « rt « 53 g 53 § n ^ S fa £ S fa « £ fa ^ £ w w H CANCER. The deaths from Cancer amounted to 157. This is an increase of twenty compared with the previous year, and is 8 above the average of the previous five years. The death-rate from the disease was 1.22 per 1,000 of the population, the average for the previous 10 years being 1.16. The number of deaths of males and females and the death-rate from this disease of residents of the Borough for the past 10 years is appended:— Males. Females. Total. Death Rate. 1911 ... 60 65 125 I.05 1912 ... ••• 54 55 109 O.90 i9I3 ••• ••• 53 86 139 I .12 1914 ... bo 65 125 I 01 1915 ... ... 71 79 150 1.28 1916 ... 63 80 143 1.23 1917 ... 69 88 157 1-37 1918 ... ... 77 81 158 1.38 1919 ... 63 74 137 1.07 1920 ... ... 79 78 157 1.22 The incidence of deaths from Cancer in the Municipal Wards since 1911, is shown in the following table:— Table showing death-rate from Cancer in the Municipal Wards for the year 1920, and the average death-rate for the nine previous years, 1911 to 1919 :— Death-rate, Average Death-rate, Ward. 1920. 9 years, 1911—1919. 1. Town ... 1.41 I.42 2. St. Mary’s... ... O.91 1.02 3- Northam ... ... 1.00 I.07 4- Trinity ••• 2.35 1.22 5- Newtown ... ... 1.85 1-33 6. All Saints ... O.9I I .l6 7- Bevois ... O.93 1.60 8. Banister ... ... I.84 1.23 9- Fieemantle ... I.34 1.03 10 Millbrook ... ... O.67 I .07 11. Shirley ... 0.54 , 1.10 12. Portswood ... O.92 I . 12 13- St. Denys ... ... I.39 O.9I Borough ... 1.22 I. l6 BACTERIOLOGICAL LABORATORIES. The following report shows the amount of work carried out during the year at the Bacteriological Laboratories at No. I, East Park Terrace, and at the Isolation Hospital:— Bacteriological Laboratory, Municipal Dispensary, i, East Park Terrace. Diphtheria—- Specimens from Doctors 617 617 Sputa— Specimens from Doctors 207 T. B. Dispensary 508 715 Antiformin Method 12 Estimation of Albumen 313 325 Typhoid Group— Agglutination test for T.A.B. ... 10 ,, ,, ,, Dysentery 3 Faeces ... ... ... ... 7 20 Cerebro-Spinal Fever— Fluid ••• ••• • • ♦ 8 Contacts (Throat Swabs) 11 19 Vincent’s Angina— Throat Swabs 3 a Ringworm— Cases from Doctors 25 ,, ,, School Clinic 555 <_n 00 O Urine Examinations— Chemical and Microscopic 100 100 Gonorrhcea— Urine Examinations—Bacteriological 79 Examination of Pus, etc. 2W Specimens from Doctors 221 Syphilis— Serum for Spirochoete Pallida ... 78 Specimens from Doctors ... ... 15 Ducney’s Bacillus . 1 Pernicious Anaemia. Blood Films Examined ... ... 7 Anthrax. Shaving Brushes Examined ... ... 18 Samples of bristles ,, . 2 Miscellaneous Examinations . 7 Bacteriological Laboratory, Isolation Hospital Cerebro Spinal Fever Cases 20 Cerebro Spinal Fever Contacts ... 3 Widal’s Test (for Enteric) 14 Enteric Urines 12 Enteric Faeces 12 Tubercle Urine ... ... ... 4 Tubercle Faeces 4 Hoffmann Bacillus ... 15 Vincent’s Angina 1 Ear Discharge 12 Abscesses 4 Vaginal Discharges for Gonococci Swabs of nose and throat for 18 B. Diphtherias . . . i486 Sputa for B. Tubercle • • • 90 *In 14 cases Hoffmann B. succeeded Klebs Loffler B. during convalescence. In one case only was Hofmann B. found on admission, and proved to be the sole organism causing anginal symptoms. 0? ISOLATION HOSPITAL. Six hundred and ninety-five cases were admitted to the Isolation Hospital and Hospital Ship. This is an increase of 180 compared with the previous year, there being a larger number of cases of Scarlet Fever, Diphtheria, and Tuberculosis admitted. The following table shows the number and description of the cases admitted in each year since 1911:— Disease Admitted. 1911 1912 I9D3 1914 1915 1916 1917 1918 1919 1920 Small Pox. 1 5 1 2 2 6 Scarlet Fever 186 246 163 258 338 164 138 86 87 123 Diphtheria ... 294 163 244 316 349 224 219 177 247 295 Scarlet Fever and Diphtheria ■— — — — — — — 3 Enteric F^ver 24 36 3i 25 37 27 18 19 16 18 Tuberculosis 3i 96 195 182 162 118 126 152 117 189 Cerebro-Spinal Fever — 18 22 7 3 7 5 Measles and German Measles ... 25 22 22 7 62 j 01 205 91 19 3i Chicken Pox 4 9 — 8 3 1 1 10 7 Mumps . — — 9 6 36 26 2 3 Erysipelas ... ... . — — — — 2 3 3 — — Vincent’s Angina ... -—■ — — — — 2 — 1 Puerperal Fever ... — — — — — — — — 1 1 Influenza ... — — -- — — — — — — 4 Pneumonia... -- — — — — — «- — — 7 Encephalitis Lethargica ... — — — •- — — •— — — 3 Other Diseases 9 8 4 9 8 5 3 1 3 5 574 515 ISOLATION HOSPITAL. Cases Isolated for Treatment during the Year 1920. Fhis Table Shows all Admissions to the Isolation Hospital and Hospital Ship, and includes all Cases Removed from VESSELS IN THE PORT, CASES ADMITTED FROM NEIGHBOURING DISTRICTS. AND NAVAL AND MILITARY CASES. 03 0333 3 • Ifl (D-w 03 Si? CO 2 13 _ K <1 3 m-. X o> o o3 1 ''S I 1 ^ ^ o 1 [ ! MD OO I 3 2 o -*3-0 00 0 O M W M O CO O «o COn -tCOCOH o be s - ~ 3 fl'ftQ S**i 5j .. O HH M 03 & c CM CO H ^ o or m O IV 03 03 I S I I * I ?,M I I I CM oo 03 <u to u 03 o CO • rH Q w 0*0 >0 M *t H -t *tN <C) Tj- h w T3 03 ^ ft 03 £> ^ o3 be 3 OO ^ C3 On S-I o (J3 o W ft co 3 -jS ^ O 3 « O I "I I"II I I CO rQ CO 03 §1 rs o o 3 Q 3 3* CO O ffi o M COCOCOCOM ON N 3*i-3 O CM co M COOO HC H CM W ft CO •— 03 3 OJ o S I tf) T3 < PQ CO 3 2 <J bC-3* >» 3 03 7 3 -m 3 . S ft § ° co 3 CM O 3 03 la Ch 3 M CO CO COOO M OMONO 3 H CM 03 *H COOO M M CM M o CM CM H I 0° ! I 1 1 M CO Mil 1 1 00 CO Oc CO Q w t-4 hH H O £ w co Q W H O W tu co _ 3 < CG W Q4 co tr Q • u : ^ E 3 CJ 3 3 ’H *C 0) 03 m-> 33 ft 03 -M -t-> 3 33 CM ’3 -JT cgQQ 03 > 03 [ft 3 • : w .3 o i S 1 o C/) Hi? $ 03 t-M 3 "3 •"< Cl H to 3 • »“H : § : 3 co 3 X 'co 'ShP 0(7?^ 3 o 3-c 03 ft 3 ‘ 3 O 'be Sh • 3 :ft -M 03 ft CO 6 3 03 ftft 03 03 03 33 lHuu§ 3 ft ^ S 3 cn <v (/) a3 <7) . Q ft Vh 03 03 3 -»-» WO 03 03 *+-> O H Diphtheria. Out of 295 cases notified as Diphtheria 40 were found not suffering from the disease. They were diagnosed as follows:—36 Tonsillitis, 2 Scarlet Fever, 1 Vincents Angina, and 1 Hoffmann. The following table shows the details of the deaths from Diphtheria:— Initials. Age. Day of Disease on Admission No. of Days in Hospital H.D. 9 21 1 D.P. 4 6 7 F.L. 11 4 9 J.P. 11 4 5 E.B. 2 3 1 E.H. 39 3 1 H.M. 8 3 18 N.J. 4 5 8 M.V. 5 3 1 H.P. 10 6 13 S.S. 3 1 2 G.R. 5 4 7 E.R. 3 3 6 H.M. tIO a12 6 2 P.H. 4 4 8 L.F. 9 9 1 E.B. 4 4 1 N.S. 6 3 2 F.C. 5 4 3 G.P. 4 4 1 J.O.D. 7 4 7 H.R. 6 6 I Clinical Features, &c. Heart Failure. Tracheotomy — Died of Bronchopneumonia. Very Toxic—Constrictor paralysis. Very Toxic—Delirium—Vomiting. Laryngeal—• Tracheotomy — moribund on admission. Laryngeal — Died immediately on admission. Laryngeal — Glands much enlarged— very Toxic. Laryngeal—Toxic—Vomiting. Tracheotomy—moribund on admission. Toxic Vomiting—Heart Failure. Haemorrhagic—Heart Failure. Glands much enlarged—copious Nasal Discharge—Heart Failure. Very Toxic—Heart Failure. Tracheotomy—Heart Failure. Glands much enlarged—copious Nasal Discharge—very Toxic. Very Cyanosed —• Laryngeal— Tracheotomy. Very Toxic—Heart Failure. Haemorrhagic—-Glands much enlarged —very Toxic. Haemorrhagic—Glands much enlarged. Laryngeal—Pulseless on admission. Very Toxic—Heart Failure. Laryngeal—moribund on admission— Tracheotomy. Of these 22 deaths, 10 were males and 12 females. There were 6 Tracheotomy cases. Tracheotomy had been performed on 2 cases before admission. Both cases died subsequently, one of Heart Failure, and one of Broncho-Pneumonia. 4 cases were Tracheotomied after admission, of which 2 arrived moribund; one died 7 days later of Broncho-Pneumonia, and one recovered. Scarlet Fever. Of the 123 cases notified as Scarlet FevCr, 2 were found not suffering from the disease, and were diagnosed as, 1 Tonsillitis, and 1 Measles. . Two cases notified as Diphtheria were diagnosed as Scarlet Fever. Operations for Tonsils and Adenoids were performed on 8 cases—6.5 per cent, of the total number of cases admitted.. 29 cases were complicated with Purulent Nasal Discharge. 11 cases were complicated with Purulent Ear Discharge. Enteric Fever. Number Notified. Diagnosis Confirmed. Discharged. Died. 18 *3 9 4 Average number of days in Hospital, 39. The five cases not confirmed were diagnosed as follows:— 1 Menopausal disturbances, 1 Pyrexia, 1 food poisoning, l Encephalitis Lethargica, 1 Influenza. ISOLATION HOSPITAL AND HOSPITAL SHIP. The following table shows the districts from which cases were admitted during the year 1920. Disease Notified or Suspected. Boro*. Port New Forest Rural. Itchen Urban South Stone- ham Rural. Hurs- ley Rural Other Districts Military Cases. Total. Small Pox \ Scarlet Fever ... 98 3 9 — — 13 — —> 123 Diphtheria Scarlet Fever and 271 3 6 8 2 3 1 1 295 Diphtheria ... 3 — — — — — — — 3 Enteric Fever ... Cerebro - Spinal 8 9 1 '■ ■ 1 * ' 18 Fever t3 2 — — — — — — 5 Measles 3 27 — — — — — 1 3i Tuberculosis ... 112 — — — — — *76 1 189 Mumps ... — 3 — — -— — — — 3 Chicken Pox ... — 7 — — — — — — 7 Puerperal Fever — — — — 1 — — — 1 Influenza — 4 — — — — — — 4 Pneumonia Encephalitis “ 7 — "' — ■ / Lethargica ... Vincent’s Angina 2 — — 1 —• — — — 3 — — — — — — — 1 1 Other Diseases... 5 _ — — — — — — 5 Total 505 65 15 10 3 16 77 4 695 * Seventy cases admitted for the West Ham Insurance Committee, and six for the Jersey Insurance Committee, f Including two cases for observation. Comparative Mortality of Cases which were admitted to the Isolation Hospital with those treated at home or in other Institutions. Cases occurring in the Borough only:— Disease. Whole Borough Treated in the Isolation Hospital. Treated at Home and in other Institutions. Total Number of cases notified. Case Mortality per cent. Number of cases. Case Mortality per cent. Number of cases. Case Mortality per cent. Scarlet Fever 136 0.0 98 0.0 38 0.0 Diphtheria ... 324 5-25 271 O OO 53 7.55 s Enteric Fever 12 8.33 8 12.50 4 0.0 Totals. 472 3* 81 377 3.7i 95 4.21 DISINFECTING STATION. Although seriously handicapped by the want of a properly equipped disinfecting station—West Quay still being in the occupation of the Government during the year—a very considerable amount of disinfection was carried out at the disinfector at Cook Street, the quantity of articles disinfected being four times greater than in the preceding year. The following is a list of the articles disinfected:— Beds and Mattresses ... 9,241 Bolsters and Pillows . 7.012 Blankets and Quilts ... . 7.287 Sheets . 4.795 Counterpanes ... . 1.576 Books . 1,117 Sundries .48,411 Total ... 79.439 RATS AND MICE DESTRUCTION, In connection with the duties imposed under the Rats and Mice (Destruction) Act, 1919, a total of 4,535 visits were made by the Rats Officer, to streams, refuse tips, and all possible places likely to be infested with rats, and over 10,000 baits were laid, the number of dead rats found being 4,554- A large number of warehouses, marine stores, etc., have been rat-proofed during the year. Considerable outlay is imposed by the Act on the occupiers of houses where the measures taken to free their premises from rats entail the rat-proofing of the building. In the Borough there are about fourteen allotment areas, the majority of which are situated close tO' streams, the natural shelter of rats, and damage is done in some instances to growing crops. Some of the allotment holders have recognised their responsibility under the Act, and have taken steps for the destruction of rats, with good results. Arrangements have been made for mutual assistance by the County and Borough Staffs in dealing with lands, &c., adjacent to the Borough boundaries. SANITARY INSPECTION. Summary of Inspections and of Work Carried Out. General Inspection of Houses and re-visits ... • • • 22,514 Inspections on complaint ,, under the Housing Town Planning, Etc., 531 Act, and re-visits • • • 1,268 ,, of Factories • • • 46 ,, of Workshops and Workplaces ... • • • 1.306 ,, of Laundries • • • 38 ,, of Bakehouses • • • 476 ,, under the Shops Acts • • • 1.653 ,, of Slaughterhouses ,, of Butchers’ Shops • • • 2,526 • • • 2,379 ,, of Sausage Factories • • • 367 ,, of Wholesale Stores, Markets, etc. • • • 1,508 ,, of Fish Shops • • • 843 ,, of Horse Flesh Shops • • • 88 ,, of Dairies, Cowsheds, and Milkshops • • • 965 ,, of Ice Cream Factories and Shops • • • 12 ,, of Common Lodging Houses • • • 734 ,, of Houses let in Lodgings • „ • 425 ,, of Courts and Alleys • • • 414 ,, of Stable Yards, Mews, etc. 816 Visits re Infectious Disease ,, re Non-Notifiable Infectious Disease (School L527 Absentees) • • • 384 ,, to Schools • • • 66 Houses and Premises Disinfected Preliminary Notices served for the Abatement of 651 Nuisances • • • G459 Legal Notices served for the Abatement of Nuisances 657 Nuisances Abated by Verbal Notice ... 1,272 Drains Tested with Smoke ... 105 ,, Tested with Water ... 102 ,, found Defective... ... 6 7 Premises Drained to the Public Sewer ... 2 Drains cleared and repaired • • • 676 ,, reconstructed ... ... ... ... • • • 137 ,, retrapped • • • 197 ,, intercepted from sewer and ventilated • • • 138 Inspection chambers provided to house drains • • • 9i New soil pipes fixed on external walls of houses 25 Waterclosets reconstructed • . . 138 Urinals reconstructed and provided with means of flushing New watercloset pans fixed Water laid on to closets ... Ventilating shafts of house drains repaired ... Bath, sink, wastepipes, stackpipes, etc., disconnected from drains ... Sanitary sinks fixed in houses ... Damp walls of houses remedied... v Houses cleaned and whitewashed Roofs of houses repaired Eaves, guttering, and stackpipe repaired Rooms of houses efficiently ventilated... Window sashes made to open ... Flooring, Windows, etc., repaired Ground floor Ventilation provided under rooms Means of Light and Ventilation provided to Waterclosets Yards paved and drained Yard paving repaired Sanitary dustbins provided to houses ... Overcrowding in Houses abated Courts relimewashed Nuisances from keeping animals, etc., abated Manure Vaults constructed Manure and offensive matter removed Streams cleansed ... Cesspools emptied Cesspools abolished 24 270 184 22 1 IS 83 I5i 59 7 4.66' 30* 79' 52 309 53 15 79 211 153 *7 / 17 61 3 9i 2 1 ii WORK CARRIED OUT UNDER THE SOUTHAMPTON CORPORATION ACT, 1910. During the year 126 notifications were received with respect to the repair and alteration of drainage in compliance with Section 51 of the above Act. The following works were carried out and supervised by the Department after notification:— Premises drained to the Sewer ... ... ... ... 3 Drains reconstructed ... ... ... ... ... ••• 44 ,, cleared ... ... ... ... ... ... 61 ,, repaired ... ... ... ... ... ... 63 ,, ventilated ... ... ... ... ... ... 25 Intercepting traps fixed ... ... ... ... ... 32- Inspection chambers constructed ... ... ... ... 31 New traps fixed ... ... ... ... ... ... 65 New soil pipes fixed ... ... ... ... ... ... 10 Bath, sink, wastepipes, etc., disconnected from drains... 24 Sanitary sinks provided ... ... ... ... ... 11 Waterclosets reconstructed ... ... ... ... ... 8 Water laid on to waterclosets ... ... ... ... 38 New pans fixed in waterclosets ... ... ... ... 55 Urinals reconstructed... ... ... ... ... ... 2 Flushing apparatus provided to urinals ... ... ... 2 DRAINAGE UNDER THE NEW BUILDING BYE-LAWS. During the year 368 plans were submitted, of which 292 were approved and 76 disapproved. The approved plans comprise:— Dwelling-houses ... ... ... ... ... ... 107 Alterations and additions ... ... ... ... ... 22 Miscellaneous buildings, shop fronts, etc. ... ... 157 Houses completed ... ... ... ... ... ... 43 S t ab 1 c s ... ... ... ... ... ... ... x Alterations and additions ... ... ... ... 22 Miscellaneous buildings ... ... ... ... ... 21 Number of inspections during progress of work ... 1,817 Number of drains tested and retested ... ... ... 281 WATER SUPPLY FROM WELLS. Three samples of water were taken and submitted to the Public Analyst. Two samples on analysis were found to be unfit for drinking and domestic purposes; a public supply was laid on to the Houses. OFFENSIVE TRADES. The following offensive trades are carried on in the Borough:—Gut Scraper 1, Tallow Melter 1, Tripe Boiler 1, Dealers in Rags, Bones, etc., 9, Fish Friers 30. The premises are regularly inspected and were found' during the past year generally in a satisfactory condition. SLAUGHTERHOUSES. There is no Public Abattoir in the Borough, animals intended for food are slaughtered in private slaughterhouses, which renders difficult the work of supervision of meat prepared for sale. The number of slaughterhouses in use in the Borough as compared with the year 1914 is as follows:— 1914 Registered ... 12 Licensed ... 23 In Jan., 1920. II 21 In Dec., 1920. II Total ... 35 32 40 Eight of these are situated in the areas recently added. Two thousand five hundred and twenty-six visits were made, and the premises generally were kept in a satisfactory condition. FOOD. In carrying out the systematic inspection of food, the following visits were made to premises where food is prepared, stored, or sold:— Slaughterhouses ... ... ... 2,526 Butcher Shops ... ... ... 2,379 Sausage Factories ... ... ... 367 Wholesale Stores, Markets, etc. ... 1,058 Fish Shops ... ... ... ... 843 Ice Cream Factories and Shops ... 12 MEAT AFFECTED BY TUBERCULOSIS SEIZED OR SURRENDERED. In Slaughterhouses. In Shops. Weight. Carcases of Beef 32 19095 lbs. Pork j y A Wi XV • • • a a a • a a a a a 12 -— 1591 lbs. Part carcases of Beef . 34 1 3830 lbs. yy Pork ••• ••• aa. 22 4 339 lbs. The following is a summary of the diseased or unsound food destroyed during the year:— BEEF. Whole Carcases • • • • • • 38 Quarters • • • • • • 24 Livers ... • • • • • • 203 Lungs ... • • • • • • 103 Hearts ... • • • • • # 29 Tongues • • • • • 39 Mesenteries • • • • • • 53 Spleens • • • • • • 28 Heads • • • • • • 89 Offals • • • • • • 44 Kidneys • • • • • • 84 Tripes ... • • • • • • 18 Skirts • • • • • • 32 Sundry pieces of Beef • • • • » ♦ 3>44i Total weight of Beef ... 42,060 lbs. PORK. Whole Carcases ... . 18 Offals 33 Livers 3 Plucks 6 Heads 28 Sundry pieces of Pork ... . 564 Total weight of Pork ••• 3.319 ibs. MUTTON AND LAMB. Whole Carcases • • • • • • 38 Plucks ... • • • • • • 80 Livers ... • • * • • • 208 Sundry pieces of Mutton • • • • • • 6,648 Total weight of Mutton ... 9,381 lbs. VEAL. Whole Carcases ... • • • • • 2 Offals ... ... ... • • • • • 2 Sundry pieces of Veal ... • • • • • . 112 Total weight of Veal ... 258 lbs • FRUIT, VEGETABLES, ETC. io bags of potatoes. 43 bags of swedes. 21 crates of cabbage. 4 baskets of cauliflower. 65 baskets of cherries. 44 baskets of greengages. 24 boxes of pears. 187 crates of plums. 9 barrels of apples. I mat of figs. 56 lbs. dessicated cocoanut. 435 rabbits. 144 chicken. 30 ducks. 1,294 eggs. 14 boxes tomatoes. *5,024 lbs. of butter. 28 bs. of cheese. 28 lbs. of sausages. 1,421 tins of condensed milk. 159 tins of salmon. 425 tins of corned beef. 144 tins of crayfish. 97 tins of crab. 45 tins of fruit. 22 lbs. of flour. 614 lbs. of bacon. Total weight ... 21,935 bs. * Used lor manufacturing purposes. FISH. Sprats ... Mackerel Smoked Haddock Fresh Haddock Herrings Kippers Bloaters Codling Whiting Cods5 Roes Pollock ... Mixed Fish 8 barrels 50 boxes 247 boxes 5 boxes 101 barrels 272 boxes 30 boxes 4 boxes 22 boxes 1 box 1 box 1 box Shrimps Periwinkles Salmon ... Lobsters Crabs 13 bags 1 bag 15 42 3 Total weight of Fish ... 40,911. FOOD AND DRUGS ACT. Four hundred and forty-one samples were taken by the Inspectors during the year and submitted to the Public Analyst. One hundred and ninety-nine were formally purchased in accordance with the Act, and 242 were informal or test samples, 38 of the latter being milk samples. Sixteen, including informal samples, were found to be adulterated. Proceedings were taken in thirteen cases, convictions being obtained in seven, four being dismissed. Two summonses against a farmer were withdrawn, as the person alleged to be responsibe for the adulteration committed suicide. Article. Number of Samples. Genuine. Adulterated. Milk. 233 218 15 Butter 23 23 Cream 0 Q Margarine ... 58 57 1 Cheese 8 8 Lard 36 36 Pepper . 25 25 Flour 16 16 Linseed Meal 4 4 Cream of Tartar 4 4 Coffee 4 4 Seidlitz Powders ... 4 4 Olive Oil ... ... ... . 3 3 ■Salmon 2 2 Baking Powder 2 2 Bun Flour ... 2 2 Cream Powder 2 2 Condensed Milk 2 2 ‘Corn Flour ... 1 I Bread 1 I Sugar . 1 I Liquid Sweetener ... z I Totals ... ... ... 441 425 16 The following Table shows the number of articles analysed which were found to be adulterated, and the result of proceedings taken:— No. of sample Date. Article. Adulteration. Result of Proceedings. 17 Jan.19 Margarine i-59% excess moisture Test sample ; subsequent samples taken and proved genuine 21 „ 28 Milk tS.35% of added water Summons withdrawn 22 „ 28 do. 21.64% of added water Summons withdrawn 86 Mar. 8 do. 7.76% of added water Fined £5 103 „ 24 do. 4.1% of added water Fined £5 104 „ 24 do. 4.98% of added water, Fined £5 and 21.66% deficient in fat 118 » 30 do. 7*33% deficient in fat Vendor cautioned 133 Apl. 8 do. 15% deficient in fat Case dismissed on warranty 166 May 10 do. 20% deficient in fat Case dismissed on wrar- ranty; see samples Nos. 172, 173 and 174 172 173 174 „ 16 „ 16 ,, 16 do. do. do. 24% deficient in fat 'j 19.3% deficient in fat 1 22.6% deficient in fat ) Inclusive fine of £10, this being one consignment 210 June 15 do. 3.41% of added water No proceedings taken 213 ,, J5 do. 10% deficient in fat Case dismissed 347 Oct; 5 do. 11.17% of added water Case dismissed 374 » 25 do. 14.33% deficient in fat Fined cost of court, 4s. PUBLIC HEALTH (MILK AND CREAM) REGULATIONS, 1912 AND 1917, Report for the Year ended 31st December, 1920. I. Milk; and Cream not sold as Preserved Cream. (a) Number of samples examined for the presence of a Preservative. 233 8 (b) Number in which Preservative was reported to be present. Nil. Milk Cream ... ... 8 7 Percentage of Preservative found in each sample— 19%. •24%. •21%, •23%, • 24 %, •14%: Nature of Preservative in each case in Column (b) Boric Acid. Four of the samples taken were test samples, and of subsequent samples, three were unlabelled and contained a. preservative, and one was labelled as preserved cream. Action Taken Under the Regulations in regard to it. After affording an opportunity of furnishing an explanation in accordance with the Regulations, the offending retailers were cautioned by the local authority. 2. Cream sold as Preserved Cream. (a) Instances in which samples have been submitted for analysis to ascertain if the statements on the label as to preservatives were correct. (i) Correct statements made ... I (ii) Statements incorrect ... ... Nil. Total ... ... i (iii) Percentage of preservative found in each sample, .19%; Percentage stated on Statutory label, .4%. (b) Determinations made of milk fat in cream sold as preserved cream. (i) Above 35 per cent. ... ... 1 (ii) Below 35 per cent. ... ... Nil. Total ... ... 1 (c) Instances where (apart from analysis) the requirements as to labelling or declaration of preserved cream in Article V. (1) and the proviso in Article V. (2) of the Regulations have not been observed. Nil. (d) Particulars of each case in which the Regulations have not been complied with, and action taken. Nil. 3. Thickening Substances.—Any evidence of their addition to cream or to preserved cream. Action taken where found. Nil. DAIRIES, COWSHEDS, AND IVIILKSHOPS ORDERS, 1885-1886. There are now 187 purveyors of milk, including 29 cow- keepers, registered in the Borough. The total includes 6 purveyors of milk, who reside outside the Borough. During the year 20 purveyors of milk have ceased to sell milk, and their names have been removed from the Register. # One cowkeeper has been registered in accordance with the above Orders. Particulars. Town Proper. . Shirley, Freemantle, and Millbrook. Portswood and Bitterne Park. Bassett and Swaythling. Woolston, Itchen and Bitterne. Outside the Borough. Total. Number of Cowkeepers on Register • • • 8 4 7 10 • • • 29 Number of Purveyors of Milk on Register 9i 32 17 2 10 6 158 Number of Purveyors of Milk registered during the year ... 4 6 2 • • • , , , • • • 12 Number of Cowkeepers registered during the year . ... 1 ... • • • • • • 1 NUISANCES ABATED IN DAIRIES, COWSHEDS AND MILKSHOPS. Milkshops cleansed and whitewashed Dairies ,, ,, Cowsheds ,, ,, Drains repaired ... ,, cleared Dairies reconstructed Light and ventilation provided to Cowsheds ,, ,, Dairies . Cowsheds paved and drained ... Roofs repaired ... Yard paving repaired 242 62 116 2 3 1 2 2 2 4 1 / Total • 443 HOUSING. The general housing conditions are practically the same as set forth in the last Annual Report. The houses erected by the Corporation and by private enterprise have somewhat relieved the shortage of houses, but the conditions obtaining in the old portions of the Town remain unaltered. x^ Owing to the long interval of years since the last Census was taken (1911), it is difficult to give an accurate estimate of the number of dwelling houses in the Borough at the present time. It is estimated that there are about 22,700 ordinary dwelling houses in the old Borough, and 2,500 other buildings used as dwellings, such as Institutions, Inns, Shops, etc., making a total of 25,200, of which about four-fifths are of “ working class ” type. In the areas added to the Borough in November, it is estimated there are approximately 6,250 houses, about the same proportion as in the old Borough being of working class type. Cases of overcrowding discovered during the year have not been dealt with for the reasons stated in the last annual report, viz., the impossibility of obtaining other suitable accommodation for the displaced tenants. Systematic inspection has been carried out in various portions of the Borough during the year, both under the Housing Act and under the Public Health Acts, the particulars of which are shown in the following tabular statement: Unfit Dwelling Houses. 1. Inspection. (1) Total number of dwelling-houses inspected for housing defects (under Public Health Health or Housing Acts) ... ... ... 3,105 (2) Number of dwelling-houses which were inspected and recorded under the Housing (Inspection of District) Regulations, 1910 896 (3) Number of dwelling-houses found to be in a state so dangerous or injurious to health as to be unfit for human habitation Nil. (4) Number of dwelling-houses (exclusive of those referred to under the preceding subheading) found not to be in all respects reasonably fit for human habitation ... 1,883 2. Remedy of Defects without Service of formal Notices. Number of defective dwelling-houses rendered fit in consequence of informal action by the Local Authority or their officers ... 424 2. Action under Statutory Powers. A. Proceedings under Section 28 of the Housing Town Planning, etc., Act, 1919 Nil. B. Proceedings under Public Health Acts. (1) Number of dwelling-houses in respect of which notices were served requiring defects to be remedied ... ... ... 1,459 (2) Number of dwelling-houses in which defects were remedied— (a) by owners ... ... ... ... 1,39° (b) by Local Authority in default of owners ... ... ... ... Nil. C. Proceedings under Section 17 and 18 of the Housing, Town Planning, etc., Act., 1909 Nil. DETAILED LIST OF INSPECTIONS MADE UNDER HOUSING TOWN PLANNING, &c., Act, 1909. During the year 896 houses were inspected under the provisions of the above Act. The following is a list of Roads, Streets, etc., in which systematic inspection was carried out, the number of houses inspected, and the number of notices served. Road or Street Number of Houses Inspected Number of Notices served under Housing Acts. Number of Notices served under Public Health Act Albany Road. 48 35 Almond Road . 7 4 Andover Road . 37 19 Cawte Road. 25 7 Dyer Road. 24 16 Firgrove Road . 99 63 Grove Road (part of) . 16 9 Harold Road... 20 12 Howard’s Grove (part of) ... 41 38 Kingston Road . 25 18 Lisbon Road. 22 11 Lower York Street (part of) 11 8 Mansion Road . 28 7 Nelson Road. 82 70 Nightingale Grove. 8 3 Paynes’ Road .. 67 35 Queenstown Road. 44 22 Richmond Road . 105 65 Sir George’s Road. 43 25 Trafalgar Road . 2S University Road . 25 10 Wolseley Road . 9i 76 CORPORATION HOUSING SCHEME. The following table shows the number of houses the Corporation of Southampton is committed to and number at present occupied. Name of Scheme. Number of Houses to which Corporation is committed. Number of Houses occupied to date. Remarks. Freshfield ... 126 18 Contract. Hampton Park ... 180 99 Contract. Do. 52 — Contract. Do. 22 10 These are being constructed by South Stoneham Rural District Council, and when completed handed over to Corporation of Southampton. Woolston ... 24 12 Contract. Do. 6 flats 4 Direct Labour. Do. y 100 32 Direct Labour. In this scheme there are 176 houses. The Ministry has sanctioned the construction of 100 by direct labour. The scheme for the remainder of the houses, viz., 76, has been approved, but their construction by direct labour has not yet been sanctioned. No. of houses erected in Borough by private enterprise since December, 1918, to date is 93. No. of Houses in course of erection in Borough, 82. These houses are in addition to those erected by the Corporation of Southampton. HOUSES LET IN LODCINCS. There are 38 houses in the Borough registered under the Byelaws relating to Houses Let in Lodgings. Four hundred and twenty-five visits were made, and the houses generally were kept in conformity with the Byelaws. COMMON LODGING HOUSES. There are 14 common lodging houses in the Borough, with a registered accommodation for 530 persons. Applications for the registration of all houses were made previous to the 31st December by the registered keepers in accordance with the provisions of the Southampton Corporation Act, 1910. Seven hundred and thirty-four visits were made during the year, and the premises generally were kept in a- satisfactory condition. THE RAG FLOCK ACT, 1911. Eight samples of rag flock were taken and submitted to the Public Analyst, the result being as follows:— No. of Sample. Result of Analysis. 1 Chlorine as Chlorides, 7.5 parts per 100,000 2 7 7 17.5 77 77 3 7 7 22.5 : 7 i7 4 77 5-o 7 ' : 7 5 77 25.0 7 7 >7 6 77 7-5 77 77 7 77 3-75 77 77 8 7 7 7 7 6.25 77 77 Note.—The limit of Chlorine permitted by the Act is 30 parts per 100,000. FACTORY AND WORKSHOPS ACT. Report for the Year 1920. » SUMMARY OF VISITS DURING YEAR. Factories ... ... ... ... ... 46 Workshops and Workplaces ... ... ... 1,306 Bakehouses (including Factory Bakehouses) 476 Laundries (including Factory Laundries) ... 38 Visits re Sanitary Matters ... ... ... 1,103 Total ... ... 2,969 SHOPS ACTS, 1912 to 1920. During the year 1,647 visits of inspection have been made under the Act, and two letters of warning were sent to Shopkeepers for failing to post their Exemption Notices on the “ Early Closing ” day. During May a Shopkeeper was summoned for selling non- exempted goods after 1 p.m. on the “ Early Closing ” day, and fined 1 os. and costs; on October 12th two Shopkeepers were summoned for failing to close their Shops on their early closing day, the shops having been open on the previous Bank Holiday, contrary to Sec. 4, S.S. 5, of the Shops Act. Both defendants were fined 5s. The Shops (Early Closing) Act, 1920, which provides for the temporary continuance of the Order regulating the early closing of shops under the Defence of the Realm Regulations, became operative in December, and affects all shops within the provisions of the Orders as though a closing order with respect to the same had been made under the Shops Act, 1912. The Act remains in force until December 31st, 1920. WORKSHOPS. Trade. No. on Register. Employees. 1 Total. No. of Visits. Male. Female. Billiards Table Makers . i 3 • • • 3 1 Blacksmiths and Coachbuilders 40 134 • • • 134 51 Bedding Works ... . 2 4 10 14 6 Boot Makers and Repairers... 37 80 • • • 80 28 Brass Founders . 2 4 • • • 4 1 Brick Makers. 2 14 • • • 14 • • • Brush and Basket Makers. 3 7 • • • 7 4 Building Trades . Cabinet Makers and Upholsterers, 36 156 • • • 156 32 Toy Makers. Carpet and Upholstery Needle- 28 94 11 105 53 workers 4 5 20 25 8 Confectioners and Sugar Boilers ... 4 8 4 12 5- Coopers ... ... ... 1 2 2 2 Cycle Makers and Repairers. 23 57 57 57 Dressmakers, Underwear, etc. 82 • • • 638 638 125 Dyers and Cleaners ... 1 ... 3 3 1 Electricians and Engineers. 5 15 • • • 15 2 Feather Dressers and Furriers 2 3 4 7 3 Hearth Stone and Salt Merchants... 1 1 • • • 1 1 Iron and Steel Merchants . 1 9 • • • 9 2 Machine Ruling 1 1 2 3 1 Marine Store Dealers ... 8 14 18 32 331 Metal Polish Works. 1 2 ... 2 Mineral Water Works . 1 1 2 3 1 Modellers . 2 5 ... 5 2- Offensive Trades ... . 3 22 4 26 86 Organ Builders. 1 5 5 1 Perfumiers . 2 3 9 12 4 Photographers. 10 18 29 47 15 Piano Repairers 3 9 ... 9 4 Picture Framers, Gilders, etc. 3 15 . . . 15 5 Restaurant Kitchens ... 37 69 67 136 138 Sack Repairers... . 1 3 7 10 3 Saddlers and Harness Makers 11 29 ... 29 16. Sail and Tent Makers 3 28 2 30 5 Sauce and Pickle Works 2 2 6 8 9 Stonemasons ... 5 17 • • * 17 >7 Surgical Belt and Truss Makers 1 2 0 a* I Tailors • •• «.* ••• • • • ••• IOI 153 244 39 7 231 Ticket Writers and Engravers 8 12 12 6 Tin Plate Workers 13 42 • • • 42 16 Trunk and Bag Makers . 2 4 4 2 Umbrella Makers 1 2 2 4 1 Undertakers 5 11 ... 11 5 Watchmakers and Jewellers. 12 33 ... 33 9 Weight and Scale Makers ... 2 12 ... 12 2 Wholesale Packers and Dealers 3 25 18 43 7 Wine and Spirit Merchants... 5 3i ... 31 7 Yacht and Boat Builders . 5 36 ... 36 9 go FACTORIES. Trade. No. on Register. Employees. I Total. No. of Visits. Male. Female. Antiseptic Factories. 1 3 • • • 3 • 9 • Bedding Factories . 1 5 7 12 1 Blacksmiths and Coachbuilders 1 7 • • • 7 1 Boot Makers and Repairers... 20 59 • • • 59 3 Bottle Washing Factories . 1 6 • • • 6 • • • Brass and Iron Founders . 4 48 ... 48 • • • Brickyards . 1 20 • • • 20 2 Brush and Basket Makers ... 1 44 16 60 1 Building Trades . 16 274 • • • 274 5 Cabinet Makers . 4 17 • • • 17 1 Cement, Lime and Putty Works ... 3 45 ... 45 ... Confectioners and Sugar Boilers ... 2 5 2 7 ... •Cycle and Motor Works . 7 48 ... 48 6 Dressmakers . 1 • • • 37 37 • • • Dyers and Cleaners. 2 22 22 44 1 Engineers and Electricians. 8 79 • • • 79 4 Flag and Banner Makers . 1 1 11 12 • • • Lead and Paint Factories . 2 35 ... 35 • • • Margarine Factories.. I 59 49 108 • • • Mineral Water Factories . 5 45 26 71 • • • Nautical Instrument Makers 1 12 • • • 12 1 Oil Cake Factory . 1 90 38 128 1 Photographers and Picture Framers 2 3 23 26 ... Sailmakers 2 11 • • • 11 • • • Sausage Making Factories. 12 34 • • • 34 13 Seedsmen . 1 80 170 250 ... Ship and Yacht Builders . 7 2100 20 2120 2 Saw Mills and Joinery Works 3 114 • • • 114 2 Stonemasons . . 2 32 • • • 32 • • • Tobacco Factories . 1 80 890 970 • • • Wholesale Packers and Dealers 4 89 32 121 1 Wine and Beer Bottlers . 8 54 5 59 1 Totals 126 3521 1348 4869 46 NUISANCES ABATED IN FACTORIES. Inadequate sanitary accommodation remedied ... ... 5 Insanitary riverside privy abolished ... ... ... I Sanitary conveniences screened (to secure privacy) ... I Intervening ventilated space provided between W.C.s and Factory ... ... ... ... ... ... 3 Defective Urinal re-constructed ... ... ... ... i Water-closets re-constructed ... ... ... ... 6 ,, lighted and ventilated ... ... ... I ,, doors, seats, etc., repaired... ... ... i ,, cleansed and hmewashed ... ... ... i Workshops hmewashed ... ... ... ... ... I Total ... ... 21 NUISANCES ABATED IN WORKSHOPS. Premises drained to sewer ... ... ... ... ... I Drains re-laid, trapped and ventilated ... ... ... 2 ,, cleared and repaired ... ... ... ... 4 Sanitary accommodation provided to workshops... ... 4 Defective urinal re-constructed ... ... ... ... 1 Water-closets reconstructed ... ... ... ... 5 ,, seats, walls, roofs, etc., repaired... ... 5 ,, impervious floors laid ... ... ... 3 ,, lighted and ventilated ... ... ... 1 ,, cisterns, flush-pipes, etc., repaired ... 16 ,, cleansed and limewashed ... ... ... 13 Workshops cleaned and limewashed ... ... ... 32 Yard paving repaired ... ... ... ... ... 3 Defective roofs, ceilings, windows, etc., repaired ... 8 New sinks and waste-pipes fixed ... ... ... ... 2 Eaves, guttering, and stack-pipes fixed or repaired ... 5 Workshops ventilated ... ... ... ... ... 1 Nuisances caused by keeping poultry abated ... ... 2 Accumulations of manure, bones, etc., removed... ... 6 Total ... ... 114 REPORTS RECEIVED FROM H.M. FACTORY INSPECTOR. Fifty-six reports were received from H.M. Factory Inspector during the year, viz.:— Nature of Report. No. Sent in. Action Taken. New Workrooms or Change of Address ... 19 Workrooms Inspected, &c. Workshops Notified (already on L.A. Register or re-notified after Notice from Local Authority) ... 21 No Action Taken. Sanitary Defects 16 Notices served and Defects Remedied. Total 56 NOTIFICATIONS SENT TO H.M. FACTORY INSPECTOR. Eight notifications have been sent to H.M. Factory Inspector during the year, respecting new Workshops, change of address, or infringements of the Factory and Workshops HOMEWORK. During February 48 lists were sent in containing names and addresses of 127 Outworkers, and during August 48 lists containing names and addresses of 132 Outworkers. They are situated as follows:— February. August. Town District ... 76 75 Northam and Chapel ... 4 4 Bevois Town, Portswood and St. Denys 15 14 Freemantle and Shirley 23 24 Outside District 9 15 Totals ... ... ... 127 132 Of the 132 names received in August, 28 occupy premises registered as workshops, and of the remainder residing in the Borough 83 work on wearing apparel, 2 bootmaking, and 4 on upholstery needlework. The names and addresses of the outworkers living outside the Borough have, in accordance with Section 107 of the Factory and Workshops Act, been forwarded to the Authorities of the District in which they reside. One hundred and seventy-one visits have been made- j during the year to Outworkers’ premises, and 13 nuisances i abated, as follows:—- Drains relaid ... ... ... ... ... ... ... r Water-closets reconstructed ... ... ... ... I' ,, new cisterns and flush-pipes fixed... ... 2' ,, new seats and risers fixed ... ... ... r Defective roofs repaired ... ... ... ... ... • r Yard paving repaired ... ... ... ... ... ••• r New sinks and waste-pipes fixed ... ... ... ... I Workrooms limewashed ... ... ... ... ... 5 BAKEHOUSES. There are 127 Bakehouses on the Register, 27 being Factories, and 100 Workshops. Ninety-four of these were in use at the end of the year, and 33 were unoccupied. They give employment to 299 males and 48 females. Five Bakehouses have lapsed during the year, the ovens being demolished. One new bakehouse was constructed. Four hundred and seventy-six visits of inspection have been made during the year, and thirty-one nuisances abated. All occupied Bakehouses were re-limewashed twice during the year in accordance with the Regulations. TABLE C.—Bakehouses. No. on Register. No. in Use. Empl< Male. Dyees. Female. Total. No. of Visits Factories 27 27 170 39 209 81 Workshops ... 100 67 129 9 138 395 Totals ... 127 94 299 48 347 476 NUISANCES ABATED Drains relaid, trapped, and ventilated ... ... ... I Inspection chambers constructed ... ... ... ... 1 Water-closets reconstructed... ... ... ... ... 3 Roofs, floors, walls, etc., repaired ... ... ... ... 5 Defective windows repaired ... ... ... ... ... 1 ,, paving repaired ... ... ... ... ... 4 Eaves, guttering, repaired ... ... ... ... ... 1 Defective floor of bread store repaired ... ... ... I New sinks and waste-pipes fixed ... ... ... ... 1 NUISANCES ABATED—Continued. Bakehouses cleansed and limewashed (after notice) ... 3 Overcrowding abated ... ... ... ... ••• 1 Manure vault constructed ... ... ... ... ... 1 Accumulations of manure removed ... ... ... 6 Nuisances caused by keeping poultry abated ... ... 2 Total ... ... 31 GASES OF INFECTIOUS DISEASE OCCURRING IN HOMES OF EMPLOYEES OF FACTORIES AND WORKSHOPS, Three cases of Scarlet Fever and five cases of Diphtheria occurred in homes of persons employed in Factories and Workshops during the year. Five of these cases were removed to the Isolation Hospital, and three were isolated at home. The premises in which cases occurred were disinfected, and bedding removed for disinfection after the removal of patients to Hospital, or on recovery when isolated at home. The workers living in the houses in which Scarlet Fever cases occurred received a disinfecting bath, and had their clothes disinfected before resuming duties. In the case of Diphtheria, the workers in the houses had their throats bacteriologically examined, and were not allowed to return to work unless the result was negative. LAUNDRIES. There are 27 Laundries on the Register, 4 having lapsed during the year. Eleven of these use mechanical power, and 16 manual labour. Thirty-eight visits of inspection have been made during the year, and two nuisances abated, viz.— Drains cleared and repaired ... ... ... 1 Workrooms limewashed ... ... ... ... 1 • * * TABLE D.~ Laundries. No. on Register. No. of Visits. Factories Workshops Totals ... In addition to the foregoing, 1,103 visits have been made during the year, comprising re-visits to Factories, Workshops, Bakehouses and Laundries, serving notices, investigating complaints of nuisances, overcrowding, and various other matters. -: o :- The five following tables are inserted by request of the Secretary of State. FACTORIES, WORKSHOPS, WORKPLACES AND HOMEWORK. 1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES. Premises. Number of Inspections. Written Notices. Prosecutions. Factories (including Factory Laundries) 5i 4 • • • Workshops ... (Including Workshop Laundries) 1506 30 • • • Workplaces. (Other than Outworkers’ premises included in Part 3 of this Report) ... 138 9 • • • Total • %» ••• ••• 1695 43 • • • 2_DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES* Number of Defects. Number of Prosecutions. Particulars. • Found. Remedied. Referred to H.M. Inspector. -Nuisances under the Public Health Acts :— Want of Cleanliness 48 48 Want of Ventilation 2 2 ... ... Overcrowding ... ... 1 1 ... Want of drainage of floors ... ... ... Other nuisances ... 9i 9i ... [insufficient 9 9 Sanitary accommodation -< unsuitable or defective 14 14 not separate for . sexes . • • . . . Offences under the Factory and Workshop Act :— Illegal occupation of underground bakehouses (s. ioi) Breach of special sanitary requirements for bakehouses (s. 97 to 100) 3 3 Other Offences (Excluding offences relating to outwork which are included in Part 3 of this Report) ... ... ... ... ... Outwork in Infected Premises, Sections ioq, iio. •(on ‘601 suotpas) ^ suopnoasojcj ^ : : ; •(on *s) In ppera sjapjo ^ • • 3 *saouB;sui ^ ; ; ; Outwork in Unwholesome Premises, Section 108. •suoi^noasojcj £? • 3 3 *p9Ajas IT SaOipjvp -H. ; ; 3 •saouepuj m ; : — OUTWORKERS' LISTS, SECTION 107. Prosecutions. Failing to • send Lists. (10) ; : Failing to keep or permit inspection of Lists. (9) ; ; • Notices served on Occupiers as to keeping or sending Lists. (8) 0 : <N Lists received from Employers. Sending once in the year. (uaunpiOM) ^ sj9>poM;no • : - (saopepuoo) ~ saa^joApno • : • •spn 3 • : ; Sending twice in the year. (u9ra>poA\) ^ sj9^ioM;no co Th Tt“ M 01 IO 0« (sjopbj;uo3) ^ SJ9>[aoM;no — : • ‘ •s;siq 3 01 C3 VO 03 NATURE OF WORK. (1) Wearing Apparel— (1) making, &c. Furniture and upholstery Total 8*1 3 £ co £ Lkl fie: yj £ H O in tfl m 3. V oo VO 01 cl o . m I 3d •• u m O ■1* II 03 TO >> O Cj 03 CP 3d in •+-* 3 hh i—f o t-i •+■> O 3 ■8-° 03 „ • Cl, <n ‘ ^ 3 CD -d .2 £3 i-i ^ Pi o -p> o a) cp w 3 ffi .S •ffi <13 Pi K o 03 Pi W ~ < Pi 03 w 3d Pi -p> <13 *-> Pi d 03 o3 3 3 O Cl in o < Cp o £3 O In ->-> 3d --m o : « o <D £ * “ <73 -2 d d 03 03 &a T3 03 <3 • H -M o £ (/) <D a o ^ o< d H-h 0 - 3 CO 03 oo3d w 3 t3 . +-* 03 -c a p 2 03 Op H r?< 8 m Ph <1 o3 3 o3 O -4-i <V U ' 2. E y>'> ~>~‘ rO 5—< , .. cu T3 33 2 3 HE! 3 3 O • r—I +-> O o3 c/l •m Pi O Oip, 03 S ~ °C*3d oz -p> 3 O 1 s •• o> 2 £3 ■*-> "L bC : „ c , cn —i 03 Pi in 3 ' 3 3 3 Pi b£> in _ 03 3 -i-< O 3 Pi O w><3 tn »»-h 0) -4-> rr-i l-H y a) o ,3 3 PQ 1 03 • 3 £> CO a. o £ cn £ © 5 Q Ul £ HI CO 5 HI £ pi <13 0 VO CO 01 0 W a^ 10 M VO 3 • Pi 3 03 !>> 03 33 O T3 3 03 03 33 -ip -P> 3 M CO PI in - —-1 Pi " 03 bfi 03 03 33 -p> 3 O C/3 Cl, O 3d </) 33 m CP o ,3 m 3d Pi O in 03 m in 3 O <D • r-4 U 3d ■d 03 3 3d 3 3 3 m P-1 Pi 03 -p» C/3 •sb 03 E 3 O C/3 CP o 3d in 3d 3 O £ Pi 03 .3 a 3 3 •3 H TABLE t. SHOWING BIRTHS AND BIRTH RATES FOR WHOLE BOROUGH, AND THE OLD CIVIL PARISHES OF THE BOROUGH, FOR 10 YEARS-I91O-I919, COMPARED WITH THE YEAR 1920. Year. | Whole Be irough. I Town Proper. Portswood. | Shirley, Freemantle and Millbrook. | Total Birth } Total Birth Total Birth Total Birth Males. Females] Births. Rate. Births. Rate. Births.1 Rate. Births. Rate. 1910 1546 | 1380 2926 24.89 1581 25.1 56i 25.4 784 24.1 1911 ! 1430 1419 2849 23-94 1536 24-3 545 24,2 768 23.1 1912 1443 1363 2806 23.29 1493 23-5 5ii 22.1 803 23-7 *1913 1495 1462 2957 25.78 1543 23-7 579 24.1 835 23-7 1914 1499 1450 2949 23.87 i54i 24.0 564 23.6 844 23.8 1915 1368 1339 2707 21.91 1444 22.5 466 19-5 7 97 22.4 1916 1430 1340 2770 21.95 i43i 22.2 526 21.3 813 22.0 1917 1186 1227 2413 18.83 1291 19.7 45i 486 18.0 671 17-9 1918 1313 1220 2533 19.77 1306 19.9 19.4 74i 19.7 *1919 1340 1258 2598 19.48 1387 20.2 497 19.0 7i4 18.3 Aver- age 10 years. 1405 1346 2751 22.37 1455 22.5 519 1 21.7 705 21.9 1920 1547 ' 1584 3i3i 23.91 1610 24.1 | 611 23.8 910 23-7 *53 weeks. TABLE 2. SHOWING DEATHS AND DEATH RATES FOR THE WHOLE BOROUGH, AND THE OLD CIVIL PARISHES OF THE BOROUGH, FOR IO YEARS-I91O-I919, COMPARED WITH THE YEAR 1920. Year. Whole Borough. Town Proper. Portswood. Shirley. Freemantle and Millbrook* Total Death Death Death1 Death t Males. Females Deaths Rate. Deaths Rate. Deaths Rate. Deaths Rate. 1910 764 693 1457 12.39 875 13-9 215 9-7 367 11.3 1911 986 837 1823 15.23 1046 16.6 276 12.2 491 14.8 1912 842 745 1587 I3-I7 937 14.7 269 11.6 381 11.3 *i9I3 845 759 1604 12.90 928 14.2 274 11.4 402 11.4 1914 944 772 1716 13.89 1014 15.8 275 n-5 427 12.0 1915 919 809 1728 14.78 991 16.5 284 12.5 453 13-3 1916 822 855 1677 14.46 960 16.2 308 13.6 409 12.0 1917 871 790 1661 14-45 909 15-5 281 12.5 47i 14.0 1918 1066 983 2049 17.92 1226 21.0 336 15-0 487 14.5 *1919 8 77 786 1663 12.99 894 13-7 318 12.7 45i 12.0 Aver- age 10 years 894 803 1697 14.22 978 15.8 2 79 12.3 434 12.7 1920 797 723 1520 11.64 928 13-9 230 8.9 362 9-5 *53 weeks. ■c/5 fa h—l H i—i fa <J u o ■fa Q £ co fa O < HH ■Q fa •►—i fa xn co < fa CJ a eo UJ -i GQ < S- ■fa < fa fa tn H O £ »—t fa fa Q Q fa >—i fa ■*—< H O £ ■fa co C •w co 1—1 Q co fa O »—i H O fa fa £ fa o CO < o 'IBjidsojj o; paAora -aa sasea pagi:»on • M • JX ci 101 8 • • M • • • • Cl • • on Cl • • • • 9 # 495 •S/U3Q ns • VO H CO • • 01 . . • • • M 0 Cl • • 9 • OO CO •pOOAVS^JOJ • ix • CO • CO M • M CO • • • • 9 • 9 co M M • • • 00 vO *6 u a & 13 dt •Xaiaiqs • 0 • vo tX IX • Cl M • Cl uo • M • • IX • M 0 Cl W • • • 9 9 9 CT\ M •doojqilM • G\ tx vO • • to • CO H • • • M • VO CO Cl • • • 9 9 9 m M W o • *“^ a •3HtIBUI33Ih[ • CO • c* Cl CO • d co • • • Cl CO Ov M • M • • 00 m 03 o a3 •aa;siueg • 0* • b-i ci 0 • Cl . M • • • • • ♦ Cl M 0\ M M • • • 0 'jj a • pH •sioAsg • 0 • Cl Cl N H H • • • . VO M Cl d- Cl • • Tj- VO "d <o <J3 +-> •SQUIBS IIV • CMO H M • M M CO • W • • M CO 10 Cl d m • • Cl o. o £ (/) 4) c/> c3 o •umo;m.3]\j • fOH 0 d • Cl M M 9 • • • • lO CO Cl • M • • M lx •A;iuijx • d • M CO N H M CO M • • • • O • M lx Cl co • • 9 9 M OO a3 O H •uieq;aon • IX Cl Cl Cl • Cl M • M • • d" Cl co CO CO • • 0 Ov •s/jbh qs » m Cl O <M • M CO • • Cl VO X. Tr VO d • • * 9 94 'UAYOJ, ♦ M • M rj- M • • • Cl Ov Cl 10 "tf" CO • • 101 •spjBMdn pUB £9 >-t CO CO M d CO •■d <u s -*-> o ■SIB9A £9 aapun ig £b • vO Cl • M Cl • • • 2 II VO VO M M on (/) Ifa •SIB9^ £b aapun 3? £s . VO • Cl co t*- m • Cl • • M • • 9 co VO M 0\ VO M -1- VO • • 9 9 lx >o Cl C2 O c/) n3 O H-H o c3 <L> •saBaA 9z aapun 7g £1 • co co 00 to • CO M • • • • » • • covO OO • O • 9 • H • • lx m M i (U be •saB3i£ £1 aapun 29 £ . VO • 0 Cl co O w Ov • • • • • • • CO Tt* M VO Cl CO • • • M • * • vo in co u <v 03 6 3> £ < •sib a A. £ aapun 7g 1 • 0 • 10 Cl Cl • CO • • • M • • M Cl M CO 9*9 9 9 9 in O M UBaA 1 aapun ♦ CO • • • • • • co • -<r • • • M M ^ • vO 999 '*1“ m At all Ages. • ^co On d • Cl 10 CO H CO M CO d m M 9 9 rh co M vO M VO CO 00 vO • • Cl H • • M lx O _M . . • • • atorum ... Puerperal Fever Cerebro-spinal Fever • iL . . * 9 9 9 9 | Small-pox... Diphtheria Erysipelas Scarlet Fever Enteric Fever Ophthalmia Neon- Poliomyelitis Encephalitis Letha: gica Pneumonia Pulmonarv Tuber- culosis ... Other Forms of Tuberculosis Malaria Trench Fever Dysentery IOQ TABLE 4. Table Showing Deaths of Persons belonging to Southampton, CLASSIFIED ACCORDING TO AGES AND SEX FOR IO YEARS. AGES. SEX. Year 0 to 1 1 to 2 2 to 5 5 to 15 15 to 25 25 to 35 35 to 45 45 to 55 55 to 65 65 to 75 75 to 85 85 to 95 95 & Upwards JU § (D JV 73 a <v 1911 384 85 39 62 46 103 147 209 184 294 195 7i 4 986 837 1912 237 69 51 58 66 105 153 164 185 244 193 61 1 842 745 1913 241 57 44 71 52 103 129 151 226 246 221 61 2 845 759 1914 264 49 47 91 46 9i 148 191 227 257 236 63 6 944 772 I9i5 237 79 68 86 52 93 148 172 215 264 225 85 4 919 809 1916 236 43 57 47 55 64 148 190 218 267 259 85 8 822 855 1917 208 44 48 68 73 84 134 179 239 266 236 77 5 871 790 1918 233 81 109 96 141 189 211 203 247 271 208 56 4 1066 983 1919 191 29 46 75 79 109 130 207 203 259 244 87 4 877 786 1920 211 63 50 48 74 72 102 170 201 231 225 69 4 79 7 723 Total 1823 1587 1604 1716 1728 1677 1661 2049 1663 152° TABLE 5. Causes of Deaths in Southampton for 10 years, 1911 to 1920. Cause of Death. 1911 1912 1913 1914 1915 [ 1916 1917 1 1918 1919 1 1920 Enteric Fever 3 8 6 6 8 5 4 6 4 1 Small Pox .. • • • • • • • • • • • • ... 1 Measles 13 18 30 10 30 9 25 52 1 22 Scarlet Fever 5 2 2 10 2 5 • . > 1 ... ... Whooping Cough .. 18 35 10 IO 37 27 8 18 5 26 Diphtheria and Croup 23 19 30 39 39 16 12 17 19 17 Influenza .. 17 17 20 16 29 36 32 344 128 16 Erysipelas .. .. .. .. 3 3 • • • 2 3 1 1 • • • 4 5 Phthisis (Pulmonary Tuberculosis) 188 160 150 172 170 161 163 170 158 144 Tuberculous Meningitis .. 24 18 19 16 14 6 20 12 16 9 Other Tuberculous Disease 27 24 17 23 22 23 25 17 IO 13 Cancer, malignant disease 125 109 139 125 150 143 157 158 137 157 Rheumatic Fever .. 3 6 2 4 6 7 7 2 3 8 Meningitis .. 14 14 14 15 24 17 13 22 8 IO Organic Heart Disease 158 137 158 176 156 178 211 177 187 157 Bronchitis .. 126 144 137 133 163 182 1.39 147 136 112 Pneumonia (all forms) Other Diseases of Respiratory 129 103 88 121 118 98 96 184 136 134 Organs .. 23 27 27 19 33 15 23 36 16 11 Diarrhoea and Enteritis .. 178 39 55 61 47 52 69 56 30 47 Appendicitis and Typhlitis 9 13 12 12 12 IO 7 12 7 8 Cirrhosis of Liver .. 17 15 16 14 14 18 IO 2 2 7 Alcoholism 8 2 1 7 2 1 1 ... • • • 2 Nephritis and Bright's Disease .. 50 56 52 52 44 66 54 32 50 40 Puerperal Fever Other accidents and Diseases of 2 2 2 2 2 2 1 4 3 4 Pregnancy and Parturition Congenital Debility and Malforma- 4 10 8 4 9 4 4 4 1 15 tion, including Premature Birth 127 88 113 137 88 102 85 88 82 73 Violent Deaths, excluding Suicide 49 34 49 4i 53 32 47 47 49 35 Suicide 90 •• • • «• 11 13 7 12 5 7 6 5 12 7 Other Diseases 469 47i 440 477 448 454 441 436 458 440 Totals .. 1823 i587:i6o4ji7i6 1728 16 77 1661 2049 1663 1520 if) 13 19 JD 13 »n o *o 00 VO +-* t'v ci vo rxvo ovoh h-ctcc^mmmm<mco cnoo n cc co in 00 m in N OI M M -0" Mi CO CO M H CO O n ffitJiH N • h -t N ; ; m ; m m m CO ; -<0-vO INOO ; co ci -too N h com coioioh MM CO N IO N IT, N ; • H ^ m <n m . : ci 01 C4 cn oi co rj- • co UO-M VO a < to o “o N--M U-) UOO VO CO+-> Tt- VO O VO VO 01 • * CO M * • rj- 3 1 I I CM M CV CO M -On • 0C • • M CO * CO 01 oi oi co oi • co xh co oo • • H • c* CO in N <3\ CT\ M • * • • * CJ M vo : cj • m • cm m Th 01 • co <u Q w MH pH MH CG tG < mJ o m w CG < w in Ml Q ■ o . 1/3 tG C/3 W C/3 < W 03 M Q tj ■< « w z w O IH 03 > Ph 03 -M d W C/3 03 !■■■< C/3 M d : o : •o • w>.2 M r M J-i flj Jh .*0 O'* fO (15 • r-H Uh» QhXJ o ^ <D ■ - M 05 Ol r/2 >*» CO * ■ - to -4_> M 'vU MH . . 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Oi 3 3 mo « OO H-> 0\ mo vi N-MOO mom \o -*-» I'n mom in+-> vo mom m mom co-m mom «+j m mom M -t-> Cl m O «o 'h-> t-t Cl in m •*VO H Tt-W CO Ol Cl w CO vO m O co Cl Cl in <o m Tt- co H Cl Cl Cl M QO CM COM M Cl Cl CO o •^h Oi Cl Cl o 5 Cv Q w pH CO CO < •J o CO w CO < w co o 3 o u :X < o o cm cm cm • cm :3 .3: <U r—' r—l 0 3 3 cm ’—; ^ o o <cjcjD 0) o i)-mH iMh Tj* JEM o 3 s ^ . 2 . . . fc • 3 • i—i • cm * * * . 3 >? £ ►—I 3 . . . rl : -S : : W fog &h tti o ^ o ■£ P5 ^ tJ »«| g :H (/) <D r-i <D ^ -»-> « OS o gjy £ 0) u V <v ^ +-> 7" ^ ,_; P-1 <11—I <11—I X > « Q w c_> 53 Q o et Ph cm w Ml 3 -< O W K. o >> O Q ^ 2q o CO M tX) 3 &a a> 3 ; 13 co Ml 3 O < H 55 . O g E&Lsi <«•§.! 11 ~ |£ow X X io8 TABLE 7. CAUSES OF DEATH IN THE MUNICIPAL WARDS DURING THE YEAR 1920. Municipal Ward. • • • ^ **■ (/) 0 CD 1. Causes of Death. Town. St. Marys. Northam. Trinity. Newtown. All Saints. Bevois. Banister. Freemantle. Millbrook. Shirley. Portswood. St. Denys. No settled r< dence in Boi Total Deaths Enteric Fever 1 Small Pox * Measles 5 7 0 3 2 • • 2 • ■ 1 2: Scarlet Fever • • Whooping Cough 5 4 4 4 0 « • . 1 1 1 1 2 0 1 2i Diphtheria .. 2 1 1 1 2 1 • • 6 2 1 • • i; Influenza 6 1 2 I . • 2 1 3 . • i( Erysipelas .. r 1 1 1 1 j Phthisis Tuberculous 21 23 16 II 7 9 5 8 6 12 8 9 7 2 14' Meningitis Other Tuberculous 2 2 1 1 1 1 I • • ( Diseases 2 3 1 3 1 1 2 • • l; Cancer 17 12 12 22 16 9 8 15 11 7 6 9 13 • # I5i Rheumatic Fever .. 1 2 • « 1 2 • « 1 Meningitis Organic Heart • • 1 2 • • 3 I 1 2 I( Disease .. 22 19 16 11 16 10 8 6 12 9 10 9 8 1 15: Bronchitis U 17 17 11 8 7 5 I 13 8 3 4 4 , , II: Pneumonia (all forms) Other diseases of 22 20 13 21 8 9 5 1 1 i 4 8 3 8 4i 13' Respiratory System 2 1 . • 1 2 • • 1 1 1 1 • • • » 1 11 Diarrhoea & Enteritis 15 8 10 1 1 3 1 1 3 3 . . 1 , # 4: Appendicitis.. 1 1 1 2 , , 1 1 1 • • J Cirrhosis of Liver .. # # 1 2 1 1 • • 2 * J Alcoholism .. Nephritis & Bright’s 1 1 • • • • / Disease 3 5 3 5 2 3 3 2 2 4 5 1 1 1 4< Puerperal Fever Other accidents and Diseases of Preg- 1 2 1 • * i nancy & Parturition Congenital Debility & Malformation (including Premature 3 1 1 2 1 3 1 1 2 i‘ Birth) Violent Death (ex- 8 4 9 6 8 7 5 2 3 3 9 6 3 • • 7: eluding Suicide) .. 2 6 2 3 2 • . 3 3 1 3 3 3 3 1 3: Suicide 1 2 1 1 1 1 j Other Diseases 49 53 41 34 32 39 21 25 22 26 39 37 19 3 44< 191 92 Southampton and England and Wales for Twenty Years, 1901—1920. I IO9 Marriage Rate England and Wales. CiOO vO vD mvo CO CMO O N'O CiOO m In MMHHWHHMMMWMWMMMMMM <v rt lOM Cl W rh Cl rf- -^VO IN 00 oo 0 m ... rd O 0) . *H O U a .S Art 3 £ England & Wales. H toonoco moo w Oil0 O UOOi'OO M VO In CM O m m m n m m n o o too\o o m ci Ci cioo co MMMMMMMtHMIHW MMM ^ ^ 03 rt rn <u <V Tj Q PQ Southampton. -t rHo cooo mvo ci m nt- n Ooc mvo n tj- in innMMmMOMOlN moo oo Cioo oo oo ci Invo MMMMMMMMM M in x: +-> Zymotic Death Rate England and Wales. in -tt-vo n moo -o- m oi Oi 00 'tcmnNo mH 0+ : ; : : : ; ; : • nMIHMMMMMMCn Cj O Q .0 4-> O a Zymotic Death Rate. ■+■^1-0 m ci h co m 0 0 in rfoo o m m m m vo vo «n m -tincimNooco o oi o moo oo n -too MMMMntHOMH(OMOO>HMOOHOO N m in m in Oi n 0 ci ■*)- o mn mvo oo misio oi Death Rate England and Wales. 0 m ■+ n n ti 0 in m mvo moo o Intj-^-vooo ^t* VO VO 10 VO Deaths. Death Rate. vo in h n w 00 vo vo co'ti-n n ov 000 minoovo vo xt ^ 10 co fO.ro co N in co ci co xf- ^ co h CMO In O in H N N M- itNK M-vO OO In h QimO 00 ct incmH N-rCim -^oo Own Invo ■^■vo n Birth Rate England and Wales. mvo +01N 0 m mvo h moiHto ci ci oo nm tt- 00 00 00 In In Invo vo m> in t}- m m h O In INOO in nnnnnnnnnnnnnnnnMMMn Births Birth Rate. O h -<t- m o 0 mThmcnoi moo oicooooo m ci 0 ctiCMnvovo 'Tt-inmTj-mmmmw nao ooim mnnnnnnnnnnnnnnnMMMn m n m moo m in m oo vo cmo In ov in o m moo m rj- mvo Ovo m in In m n tj- o ini-o Kh mcim mmmmnnn'nnn'n'crnnnnn'crnm Population. Ci m n -rj- m r-^oo 0 w m-vi-iH noo oi h mNmin In 0 n Tt-vo 00 0 mmiNCiciM -j-'^t-m^-n mm m vo O ■'too n in m m Oi moo ^ Oi m m m In o O mvo*100 ci o n m mvo in c o' n m invo m -£vcT t-T oooowMMMMHMnnnMMMwnm WMMWMHtHMMMHHMMMMMHMM Year. m n m if mvo inoo c o m n m -rj- invo inoo 'c’o OOOOOOOOOMMMMI-'l-ll-iMMMn CiCiCiCiClCiCiCiCiCiCiCiCiCvCiCiCiCiCiCi mmmmmmmmmwmmmmmi-imi-iihm * * • * 53 Weeks. f Estimated Civil Population. Measles, Diarrhoea, Diphtheria, Scarlet Fever, Typhoid Fever and Small Pox. TABLE 9. Vaccination Returns for the County Borough of Southampton. (Prior to 1909 Returns were only available for the old Parish of the Town of Southampton.) Year. Births. Successfully Vaccinated. Died Unvaccinated. Insusceptible to Vaccination. Declarations of Conscientious objection Postponed and whereabouts unknown or removed to other districts. Percentage successfully Vaccinated. 1898 1847 1491 218 19 119 80.7 1899 1802 1425 245 12 120 79.1 1900 I75i 1414 217 7 113 80.7 1901 1821 1502 202 6 101 82.5 1902 1739 1466 163 3 107 84-3 1903 1697 1459 152 6 80 86.0 1904 1683 1435 167 9 72 85-3 1905 1543 1319 153 4 67 85-5 1906 1570 1312 150 6 102 83.6 1907 1504 1240 149 3 112 82.4 1908 1585 1203 134 9 239 75-9 1909 2681 1889 197 14 581 70.5 1910 2931 1863 187 5 651 225 63.6 1911 2851 1630 263 9 771 178 57.2 1912 2823 1524 164 8 908 219 54-o 1913 2886 1364 187 6 1055 274 47-3 1914 2972 1294 209 7 1176 286 43-5 1915 2559 1230 157 8 961 203 48.7 1916 2773 1321 189 6 1083 252 47-7 1917 2430 1194 161 3 983 226 45-o 1918 2532 940 172 12 1000 346 37-1 1919 2564 1057 157 10 1034 306 41.2 1920 3208 1384 ❖ * * * 43-8 * Figures not available I I I ANALYSTS DEPARTMENT. SALE OF FOOD AMD DRUGS ACTS, 1874-1907. Annual Report for the Year 1920. To the Worshipful the Mayor, Aldermen and Councillors of the County Borough of Southampton. Ladies and Gentlemen, I have the honour to report that the following work was done in the Borough Laboratory during the year 1920. 3.—Sale of Food and Drugs. The total number of Samples submitted during the year 1920, was 735, or 318 more than during the year 1919. Of the above numbers 441 were submitted by Inspectors, one by the Chief Constable, 176 by residents in the Borough, 111 by residents out of the Borough, and 6 from the Borough of Newbury. SAMPLES SUBMITTED BY INSPECTORS. Of the 441 samples submitted, 23, or 5.21 per cent, were adulterated. BUTTER. 23 Samples were analysed, and 1 Sample, or 4.34 per cent., was adulterated. The adulteration was 2.42 per cent, of moisture. Nine Samples were submitted as Cream. One was a sample of pure cream. One was a sample of preserved cream, duly labelled, and seven were samples of unlabelled preserved cream, and gave a per cent, of 77.77 adulteration. The amount of boric acid was not excessive, and well below the amount on label, not to exceed .4 per cent., the highest amount being .24 per cent. MILK. 233 Samples were received from Inspectors, and 15 Samples, or 6.4 per cent., were adulterated. TABLE I. DETAILS OF ADULTERATION. Milk. Nature and Amount of Adulteration. Action taken. Result. 21 18.35°/o added water Summoned 1 Summons 22 21.6496 ,, ,, )) )) ) Withdrawn 86 7-7% V ft Fined £$ 103 4 • 1 °/o 1? )) Fined £$ 104 21.6% fat deficient and 4.9% n i) Fined £$ added water 118 7-33°/o fat deficient Cautioned 133 lS-°°/o „ Summoned ) Dismissed on 166 20.0% „ n i Warranty 172 24.0% „ „) 173 19.396 ,, ,, V all one person n 75 Fined £ 10 174 22.6% „ 210 3.4196 added water No proceedings taken 213 10.096 fat deficient Summoned Dismissed 347 11.1796 added water n n 374 14.3396 fat deficient n v Fined costs Total fines and costs, £25 4s. RESIDENTS IN BOROUGH.—MILK. The number of Samples analysed were 176, of which 36, or 20.45 Per cent., were adulterated. The large number adulterated were chiefly deficient in fat, and it was during the cold and wet months of July and August which were exceptional. OUTSIDE BOROUGH.—MILK. ill Samples were analysed, and 5 samples, or 4.5 per cent., were adulterated. The number of samples analysed is greater in every Department under the Food and Drugs than in any previous year. SAMPLES FROM NEWBURY. These were few, and all milk of good quality. Section II.—Rag Flock Act. Eight samples were submitted, and all complied with the requirements of the Act. Section III.—D.O.R.A. ASSISTANT COMMISSIONER FOR ENFORCEMENT. Fifty-five samples were submitted, and consisted of Beer, Gin, Rum, and Whiskey. General. Borough Engineer’s Department ... Medical Officer’s Department 3 23 Borough Coroner’s 4 Police 1 Private 24 Water for Hardness ... 1088 ' J.' 019/1 ••• «•« ••• 1143 BOROUGH ENGINEER’S DEPARTMENT. These were two samples of mortar and one of paint which were analysed and reported upon. MEDICAL OFFICER’S DEPARTMENT. These were samples of water from the Borough supplies and wells; the samples from the Borough supplies have been reported upon to the Medical Officer, who dealt with them. BOROUGH CORONER. These were viscera, and the contents of two bottles for toxicological examination. CHIEF CONSTABLE. A sample of beer was analysed and reported upon. PRIVATE. These were various, and have been dealt with in each quarterly report. SUMMARY OF YEAR’S WORK. Food and Drugs ... ... ... 735 Rag Flock Acts ... ... ... 8 Public Health (Unsound Food) ... 3 Assistant Commissioner for Enforcement ... ... ... ... 55 General ... ... ... ... 1143 Total ... ... ... 1944 The fees received for analysis during the year 1920 amounted to £gy is. 3d. TABLE II. Nature of Article. Number of Samples. Number of Samples Adulterated. Percentage of Samples Adulterated. Baking Powder ... 6 ... ... Beer ... I ... ... Bread i ... ... Bun Flour 2 ... ... Butter 23 1 4-37 Cheese 8 ... ... Cream 9 7 77.77 Coffee 4 • • • ... Condensed Milk ... ... ... Flour... 17 ... Lard ... 36 ... ... Linseed Meal 4 ... ... Margarine 58 ... ... Milk ... 409 5i 12.47 Milk—Human 2 ... Olive Oil 3 ... Pepper 25 ... Salmon 2 • • • ... Siedlitz Powder ... 4 • • • ... Sugar 2 ... ... Totals ... 618 1 59 9-54 TABLE SHOWING RESULTS OF MILK SAMPLES IN THE BOROUGH FOR THE PAST SEVEN YEARS. Year ... 1914. *915- 1916. I9I7* 1918. 1919. 1920. Source Inspector’s. 1_ l Private. Inspector’s. 1 Private. 1 Inspector’s. 1 Private. 1 Inspector’s. 1 Private. 1 Inspector’s. 1 Private. 1 Inspector’s. 1 Private. Inspector’s. Private. 1 1 Total Solids 12.35 12.74 12.43 12.83 12.38 12-35 12.55 3.66 12.28 12.59 14.63 12.55 12.63 ! 12.52 12.50 Fat 3.66 3-73 3-38 3-9° 3-63 3-57 3-14 3-69 4.18 3-74 3-73 3.66 3.60 MONTHLY AVERAGES. Non-fatty Total Fat. Solids. Solids. January ... 3.82 8.97 12.79 February ... ••• 3-74 8.84 12.58 March ••• 3-54 8.83 12.37 April ... 3.52 8.92 12.44 May ... 3.60 8.79 12.39 June . ... 3.49 8.83 12.32 July . ... 3.76 8-59 12.35 August ... 3.60 8.80 12.40 September... ••• 3-83 8-95 12.78 October ... 3.84 8-95 12.79 November... ... 3.84 8.97 I2.8l December ... 3-97 9.12 13.09 June is the poorest month in fat ; July the poorest month in non-fatty solids ; and December the best in both fat and solids. The general average of milk samples for the year from all sources is 3.55% fat, and 12.2% total solids. I am, Ladies and Gentlemen, Your obedient servant, J. RRIERLEY, Public Analyst. SOUTHAMPTON Port Sanitary Authority. ANNUAL REPORT For the Year ended 31st December, 1920- port OF SOUTHAMPTON. The Port and Harbour of Southampton are controlled by the Southampton Harbour Board as constituted by the Southampton Harbour Act, 1913. The Port Sanitary Authority, which was permanently constituted by an Order of the Local Government Board dated 8th June, 1893, is “ the Mayor, Aldermen, and Burgesses of the Borough of Southampton acting by the Council.’’ It exercises Port functions in waters abutting upon the Urban Sanitary District of Southampton, and upon the-Rural Sanitary Districts of New Forest, South Stoneham, and Fareham. The limits of jurisdiction are “ so much of the said Port of Southampton as is comprised within the following lines; that is to say:— “ A straight line following and coincident with the common boundary of the Customs Ports of Southampton and Portsmouth, and drawn from Hill Head to that point in the said common boundary which is nearest to the Bramble Buoy; a straight line drawn from the last-mentioned point to the most northerly point of Calshot Castle, and a line coincident with the boundary of the said Port of Southampton, and drawn from the last-mentioned point up the stream called the Southampton Water, and following the said boundary to Hill Head aforesaid.” The Port Sanitary expenses are wholly borne by the County Borough of Southampton. Ports from whence Ships Arrive. Vessels arrive in the Port from almost all Ports of any importance in the world, but principally from the following:— (a) Foreign.—Channel Islands, Havre, Cherbourg, Hon- fleur, Bordeaux, Antwerp, Rotterdam, Hamburg, Bremen, ports in the Baltic, ports in Spain, Portugal, East Coast of North and South America, ports on the West, South and East of Africa, East and West Indies, India, China, Australia, and many vessels coming through the Suez Canal and Mediterranean, and from Norway and Sweden. (b) British.—Tyne District, Cardiff, Newport (Mon.), London, Glasgow, Cork, Plymouth. There is also occasional communication with several other Ports. Character of Trade.—Southampton is one of the chief passenger ports in the world, both inward and outward; also for immigrants, emigrants, and transmigrants. Imports: Consist chiefly of meat, butter, cheese, cocoa, coffee, grain, sugar, fruit and vegetables, hides, skins, and wool. Exports: Consist chiefly of manufactured articles. REPORT FOR THE YEAR, 1920. The statistics in the Tables in the following Report refer for the first time since 1913 to a full working year, the Port during the period from August, 1914, till May, 1919, being under Admiralty control. The passenger trade showed considerable expansion during the year, the vessels of several new lines making Southampton either their headquarters or a port of call for the embarkation or disembarkation of passengers. The number of passengers who left Southampton for places out of Europe, and not within the Mediterranean Sea, amounted to 107,370, compared with 23,^57 in the previous year. The number of passengers who arrived at Southampton from foreign ports, including Jersey, showed an increase of 170,091, the total arriving amounting to 284,685, compared with 114,594 in 1919. The number of passengers from ports on the Continent of Europe (including the Channel Islands) or within the Mediterranean Sea, showed a decrease, the number of persons who arrived being 88,588, compared with 113,413 in 1919. The commercial traffic of the Port has not been fully re-established since the war, the depression in trade and the unsettled condition of countries throughout the world delaying the return to even the normal volume of trade that passed through the Port before the War. PORT SANITARY ADMINISTRATION. Infectious Disease Regulations. During the year (July, 1920), the Ministry of Health issued “ The Port Sanitary Authorities (Infectious Diseases) Regulations, 1920,” which increased the duties and extended the power of Port Sanitary Authorities, with the object of securing a more effective means of preventing the introduction of infectious diseases into the Country. Owing to the conditions resulting from the war, and the prevalence of dangerous infectious diseases, in certain foreign countries, there is a great risk of importation of such diseases into a Port like Southampton, which is in communication with all countries in the world, and the chief transport port for the disembarkation of troops. Scope of the Regulations. The Regulations are an addition to the Regulations of 1907 dealing with Cholera, Yellow Fever and Plague, 'the definition of the term “ infectious disease ” in the Regulations of 1920, meaning any epidemic or acute infectious disease. Article 3 empowers the Medical Officer of Health to board any ship for the purpose of the Regulations, and to cause the ship to be brought to, and, if necessary, moored or anchored while it is visited and examined. Article 4 authorises the Medical Officer of Health to examine any person on board a ship (1) who is suffering from infectious disease or (2) who is reasonably believed to be verminous, or (3) where the Medical Officer of Health has reason to suspect infection on the ship. For the purpose of the examination the Medical Officer of Health may detain any such person either upon the ship or at some appointed place on shore. The Medical Officer of Health is empowered to cause any person who has been in contact with infectious disease on the ship or who is discovered to be verminous, and the clothing and effects belonging to any such person to be cleansed or disinfected, and to prohibit any such person from leaving the ship, or from leaving the ship only upon such conditions as may be specified in writing by the Medical Officer of Health. These conditions enable the Medical Officer of Health to secure the necessary information as to a person’s name and address and intended address after leaving the ship. Article 5 enables the Medical Officer of Health to cause any person who is suffering from any epidemic or acute infectious disease to be removed, if his condition so permits, to some Hospital. Article 6 makes the Master of a ship responsible for assisting in the prevention of the spread of infection, and requires him to notify the presence in his ship of dead rats, or mortality or sickness among rats. Article 7 imposes the duty on persons who have been in contact with infectious diseases, of furnishing to the Medical Officer of Health their names and intended destinations and addresses. Expenses. The Ministry of Health in the Circular accompanying the Regulations intimate that the Treasury will make a grant of one-half of the approved expenditure of Port Sanitary Authorities out of revenue. PRECAUTIONS ADOPTED TO PREVENT THE IMPORTATION OF INFECTIOUS DISEASE. The Port of Southampton being in direct communication with almost all countries in the world runs considerable dajnger of the importation of infectious disease, and many vessels arrive from Ports which are infected with Cholera, Yellow Fever or Plague. Vessels coming from infected Ports are dealt with under the Cholera, Yellow Fever and Plague Regulations 1907. The Officer of Customs is notified from time to time by the Port Medical Officer as to the ports he has reason to believe are infected with either of the aforesaid diseases. The Officer of Customs is further requested to detain all vessels arriving from such ports for examination by the Port Medical Officer. Such examination is carried out immediately the vessel has arrived alongside the Quay, and the vessel is not released from detention—i.e., no person is allowed to land until such time as the examination of the Port Medical Officer proves satisfactory. In .the event of any case or suspicious case of Cholera, Yellow Fever or Plague being found on board, the vessel is dealt with in accordance with the powers contained in the Regulations. With regard to vessels from “ non-infected ” Ports, the Port Sanitary Authorities (Infectious Diseases) Regulations 1920, as has already been mentioned, greatly extend the powers and enlarge the duties of the Port Sanitary Authority respecting such diseases as Small Pox, Typhus, etc. As in the case of vessels from “ infected ” Ports, vessels from non-infected are visited after arrival alongside the Quays. Homeward bound vessels which discharge passengers off Hamble, are waited on by tenders. An officer of the Port Sanitary Authority accompanies the tender and receives a report as to the health of the persons on board, and more particularly of those landed at Southampton. Infectious Cases. All cases of acute infectious diseases are removed in motor ambulances to the Southampton Isolation Hospital. Small pox cases are removed to the Small Pox Huts at Mill- brook Marsh, or to the Hospital Ship. Infectious cases; among troops on Transports are also dealt with, cases of small pox, scarlet fever, measles, etc., being removed for isolation to the Local Authority’s Hospital, other cases such as enteric fever, dysentery, malaria, etc., are removed to Netley Hospital or Haslar. DISINFECTION AND CLEANSING. The facilities for carrying out disinfection and cleansing are most inadequate. The position is exactly the same as last year; the Government Departments concerned have not yet restored or reinstated the disinfecting and bathing station at West Quay, which was removed by the War Department in 1918. As mentioned in the last annual report, all disinfection (both for the Town and Port) has to be carried out in the small temporary premises at Cook Street with only one set of disinfecting apparatus. MOTOR LAUNCH. The old steam launch which has been in use since 1894 being unsuitable owing to the many necessary repairs required to render her serviceable, it was considered advisable to replace her by the purchase from the Disposal Board of one of the Government small motor patrol boats. The motor launch is used for visiting and inspecting vessels at Redbridge, Hamble, etc., and for meeting vessels in the River when required. The launch is also used as a tender for the Hospital Ship for the transfer of patients and stores. The following tables give statistical information relating to shipping and passengers and crews entering the Port, also the cases of infectious diseases reported and landed, and how dealt with. SHIPPING ENTERING THE PORT SANITARY DISTRICT DURING THE YEAR 1920, The following table shows the number and tonnage of vessels entering the Port during the year, and the number inspected. TABLE A. Number Inspected. Number Number | By the By the reported of Number Tonnage. Medical Inspector to be Orders Officer of of defective Issued. Health. Nuisances. a b c d e f Foreign— Steamers 226 977 5i 5i Sailing ... 1 13 — — f 2,25s 2,303283 Motor ... — — — ■— Fishing ... — — — Total Foreign 2,258 2,303283 227 990 51 5i Coastwise—- Steamers f 6 2230 10 10 Sailing ... — 330 _ — ^8,007 1,024471 < Motor ... ■—■ — —■ ■—• Fishing ... 1 3 — Total Coastwise 8,007 1,024471 7 2563 10 10 Total Foreign & Coastwise 9,646 3.327754 234 3553 6l 1 61 Note.—Columns a and b do not include the number or tonnage of Transports entering: the Port, no records being available, but the inspection of these Vessels by the- Port Sanitary Staff is included in c to f. TABLE EL Statement showing, for the Poit of Southampton, the total number of passengers who left for places out of Europe and not within the Mediterranean Sea, and the total number of alien passengers who arrived from the Continent of Europe, for ten years, 1907-1910. (This table is supplied by the Eoard of Trade). Passengers. 1907 1908 1909 1910 1911 1912 1913 1914 1919 1920 No. of Passengers who left for places out of Europe and not within the Medi terranean Sea 82,423 60,690 80,521 87,735 85,226 93,755 113,720 52,376 23,557 107,370 No. of Alien Passengers who arrived from the Conti- 4 Not Not Not nent of Europe 36,435 17,722 30,999 32,892 25,514 37,221 70,771 avail- avail- avail- able able able Note.—Records for the period of the War are not available. TABLE C. Statement showing the number of passengers that arrived at the Ports of Southampton, London (including Queenborough), and Liverpool, from ports on the Continent of Europe, or within the Mediterranean Sea, and from places out of Europe, during the year 1920. (This table is supplied by the Board of Trade). Name of Port. Number of Passengers from Ports on the Continent of Europe or within the Mediterranean Sea. Number of Passengers from places out of Europe. Total. Southampton London (including Queen- *88,588 72,718 161,306 borough) 13,083 41,896 54,9/9 Liverpool 3,6y7 133,055 136,752 *Including Passengers from Channel Islands. No information is available with regard to the number of passengers carried coastwise. RETURN OF SHIPS’ TONNAGE, PASSENGER ARRIVALS, Etc., for THE YEARS, 1907-1920. C/3 a o +-> m G K pd d CL X CL G m m <D r—H d d m • rH rG H <D SC „ V <s> -G a —.' a <v - G 8 “tf -M M-l -M O O G £ « l_l (/) G 0t G fao-\ |hB £ G d m_. G ;3 °.gu pi 0t G M-J CO O p-< G Or Si Pi r° _ 13 <y c/t d ^ pi 'S PX o G o g JG - 3(flO £ CM 03 c£ CL toco O m CM OO 05C0 O' "+ OO CO m O 10 E.M0 O' CM »o 10 vo ip M M 1000 O Ots CM* CO •+ O' -+ M O' -+ M tv CO tv M CT\H CM CO tv O' CM 50 00 fOcOifiO OiO M 00 i/'5inccTco"'co'tvtv-ipiM ro o tv tv tv o o m m tvco moo O co 00 m concO + m •+ O C\ CO O m -+ rove CO CO fO to CO fO K tN O' O' tv 10 tv O' tv COCO O' O CO -rpcO tv -+OO CO 00 O'.cO cO tv tv tv CO OO O' -+CO uo u si sc ^ ^.a ■5 B > |o'E ►G •+ CO O 05 CM CO CO M M to Tt-co CM -+ m m coo -+ t7con o)co moo tv to to tOtVCOCOcOcO tv CM Tpto WMMMMMMMM 1-1 0t LG G in Pi 0t be G at <n m d Pm G o 5— • ^ >v oe St G pc ,G o > •—> CM IV 0"0 CM CO M CM -+ to CM CON O OtOcO COCMO W MOO CO O' Ct CO 00 CO O O CM CO COOO*' to H OO to tp COCOCOCOCOCOYM CM ■+ •+-I o LG a 3 £ «s ONOO N h O +NO O 00 OCONNOCO iOO CO C5CO TptVM OOO CM CM tv O CO coecTo 00" M-NO'C' to ■+ CO CO CO COcO O OO CO MMMMMMMM CM o Number ot Arrivals from Home Ports (Coasters). O O 00 co O co 10 tv tv tv COtvO OtTptVM M 05 O rp tP O'OO -cp m coco CO O M M M M M M M U-)CO 00 M M M M M M M G si MH H -*J OOP J-4 O O' -+00 OC CO -<p Ccco 0500 p, ^ O. >OCO -+ G-OO CM tv O'CO 10 03 ^ ^ tv tv OO OO tv tv 05 CM CO CM d 73 G Ci CM Ct Ct CM CM ct CM M CM a >.sp *»*«&#* + ■* Z H O U tv OO O'OMCMCO'+O'O a OOOmmmmmmcm (V (J\ On On On On O' On >. mmmmmmhmmm +-+- o g d u a o rO a o be .a "a "3 CD Pi V) M <U be G at in w o3 Pm m £ at Pi u 000000 -*-» M-> 4-> -*-» -M -4-> -*-» -M M-» +J -M -M d d ;3 d dd 05 M Ot at G d 1—1 03 G as at -*-> as 000000^ -M-M-M-t-t-M-MpT OS d d .d ,d .d .d 5 « rdrdrdrdrdx3i2 h; G at at -M at XJ rt • H O Pi at •- o ■n- at 03 M o at at o c be c -*—* M o ex at M -M G O lG at M ce G3 03 _at "c3 o at CO C/5 at at w at G3 OOOOOO -M -l-> -M +-* -M -M -M -M -M -t-> -M •^-1 •»—I • -- • ■ — . —H ■d'd'd ”d 03 03 C/5 d be d < d3 -M ■Mp at G3 OOOOOO d at C/5; O d G as "3 Pi -M- G O o 000000 a -P> -<-> -t-> +->-*-> ■*-> M -M -M 4-> -M M—I -t-> M d d d d d d 'd 'u at CL at LG at -P> at Pi d d d d d d m tv . m at M OOOOO M TpcO cO CD tv CM CM CM CO CO tv O Oc o 00 o\ 0 m ex, 0 o 0 m 05 ON Oc C?\ at M M M M as * « * * « Pi at > CM co M M Oc Oc d < Pi at d G G in at £ O PL at d3 Pc O M-M C/5 at pi d be d at JG H TABLE E. Statistical summary of ships, passengers, crew, and net tonnage of vessels entering the Port of Southampton from 1896 to 1920 : — Year. Number of Ships arrived from Number of Passengers landed from Number of Crew landed. Net Tonnage of Vessels entering the Port. Foreign. Home Ports. Continent of Europe (including Jersey). Foreign Countries other than in Europe. 1896 2,614 9,818 52,428 52,156 91,867 3,596,945 1897 2,587 10,134 54,oi5 59,363 90,545 3,849,553 1898 2,768 10,043 53,705 59,909 100,719 4,155,071 1899 2 791 9,538 58,574 65,978 103,748 4,257,035 1900 2,812 10,025 51,127 99,098 109,382 4,822,384 1901 2,873 10,233 53,o68 121,805 174,351 4,871,876 1902 3,012 10,955 60,269 223,060 189,598 5,355.291 1903 2,557 10,688 6i,935 89,368 179,761 4,373,993- 1904 2,560 10,805 61,789 77,o6i 124,849 4,630,138 1905 2,395 10,840 7o,74i 72,886 127,181 4-227,062 1906 2,555 11,013 76,212 72,925 135,551 4,487,304 1907 2,759 11,460 89,611 9i,5oo 158,454 5,662,585 1908 2,764 11,470 72,840 102,994 I7E343 5,878,566. 1909 2,848 11,908 90,089 78,228 166,260 6,314,410, 1910 2,848 11,986 91,505 78,578 163,229 6,399,101 1911 2,783 11,446 91,102 84,011 167,642 6;5I4,I52 1912 2,724 n,i73 93,214 80,052 167,556 7,021,578 1913 2,979 11.515 117,898 88,647 179,816 7,939,869 1914 2,296 5,6i7 89,334 50,600 128,731 4,674,696 1919 *>369 6,697 25,394 89,200 U4,50i 2,191,329 1920 2,258 8,007 88,588 151,142 154,541 3,327,754 The above summary does not include the number of passengers and crew remaining on board vessels which arrived in? Southampton Water to embark and disembark passengers. TABLE F. INFECTIOUS AND OTHER DISEASES. Table showing the number of cases reported by Vessels arriving in the Port of Southampton, and how they were dealt with during the year 1920 :— Disease. Total Cases reported, i ! _. How DEALT WITH. Removed to Borough Hospitals or Nursing Homes. Removed to Military or other Hospitals. Landed at other Ports before arriving at Southampton. Proceeded in Vessels to other Ports. Landed at Southampton, but did not proceed to Hospital. Died at Sea. Convalescent on Arrival. Appendicitis l6 9 7 Cerebro-Spinal Fever ... O O 2 . . . . . • • • . • . • 1 Chicken Pox 25 8 • . • 2 1 ... 14 Diarrhoea 147 • • • 12 • • • • • • • . . 135 Dysentery . 252 • • • 1 • . • • . • 1 250 Diphtheria 14 3 • • • 2 1 . . . 8 Enteric Fever ... 69 9 • • • 3 1 1 55 ,, (Carriers) 3 . . . 3 Para-typhoid Fever 29 1 • • • 28 ,, ,, (Carriers) 3 . . . 3 • • • Encephalitis Lethargica 1 • . • . . . 1 • . • Erysipelas 3 1 • . • . . . 2 Influenza 194 8 8 70 1 . . . 107 Measles ... 122 27 • • • 27 13 1 54 German Measles 5 1 • • • 1 3 Mumps ... 13 3 4 2 • • • ... 4 Malaria ... 355 . . . 1 • • • 1 2 35i Otitis Media 16 • • • 12 ... ... 4 Pneumonia 79 12 12 9 2 15 29 Pyrexia... 10 • • • 2 • . • 1 7 * Plague ... 2 • • • ... . . • • • • . . • 2 Relapsing Fever 4 • . • ... • . . • • • . . • 4 Scabies ... 16 • • • 16 • . • ... ... • • • Small Pox 6 • • • ... 3 ... ... 3 Scarlet Fever 7 3 • • • 4 ... ... • • • Tuberculosis 262 2 211 5 4 30 10 .. • Typhus Fever ... 54 • • • • • • 1 ... 53 Trachoma 9 4 • • • ... ... ... ... 5 Venereal Disease 524 454 • • • . . . 70 . • • ... Whooping Cough 12 ... ... ... 9 ... 3 Totals... 2255 84 748 H 1 O 00 26 109 3i 1129 * Convalescent Cases, I2Q TABLE C. INFECTIOUS DISEASES Reported by vessels arriving in the Port of Southampton during the 10 years 1911—1920: — Disease. 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 Small Pox 11 5 2 7 • • • 2 ... ... 72 6 Scarlet Fever 7 9 7 22 69 66 29 32 25 7 Enteric Fever 20 47 33 189 7800 5530 490 190 277 72 Para-typhoid Fever ... ••• • • • ... • • • 84 1316 392 81 139 32 Diphtheria 7 6 14 12 64 170 298 246 79 14 Typhus Fever ... ... ... ... • • • ... • • • • • • 170 54 Plague. ... 1 .... • • • • • • ... • • • • • • • • • 2 Cholera 3 • • • 1 • • • • • • 9 61 • • • 8 • • • Cerebro-Spinal Fever ... • • • • • • • • • 24 48 64 27 14 3 Pulm’ary Tuberculosis ••• • • • 230 346 971 2222 1691 1700 599 262 Measles 99 7i 164 251 35 28 66 IOI 46 122 DEATHS AT SEA. The following deaths were reported to have occurred on vessels on their voyage to Southampton and were buried at sea:— Apoplexy ... Dysentery ... Enteric Fever Malaria Heart Disease Septicaemia 4 Measles ... ... 1 1 Encephalitis ... 1 1 Pneumonia ... 15 2 Pulmonary Tuber- 5 culosis ... 10 1 Other Causes ... 12 INFECTIOUS DISEASE. The total number of cases of infectious disease reported by vessels on arrival at Southampton are shown in Table F, which includes all cases reported on the bills of health on both H.M. Transports and other vessels. Many of the cases reported on Transports were convalescent cases from India or the Mediterranean, who proceeded to Netley Hospital or Haslar Hospital for discharge, on furlough, or otherwise. This especially applies to the cases of plague, diarrhoea, dysentery, enteric fever, paratyphoid fever, malaria, typhus fever, tuberculosis, and venereal disease shown in the said table. The cases reported among the civil population of the Port who were suffering from infectious disease at the time of arrival, and the number of such cases removed to the Isola- tion Hospital, were:— Cases Notified. Cases removed to Isolation Hospital Scarlet Fever 3 3 Diphtheria ... 3 3 Enteric Fever 9 9 Para-Typhoid Fever... 3 i Erysipelas ... 3 — Cerebro Spinal Fever 2 — Pneumonia ... 16 2 Measles 35 7 Pulmonary Tuberculosis — 35 27 Influenza 4 — Whooping Cough 5 4 Chicken Pox io — Venereal Disease ... 49 / Mumps 4 — Malaria 11 3 The above cases are included in the total of infectious cases reported by vessels which arrived in the Port shown in Tables F. and G. PLAGUE. Two cases of Plague were reported on vessels arriving at Southampton. They were convalescent cases of troops who were being drafted from the Mediterranean to Netley Hospital for discharge. Rats. The fact that Plague may exist in rats, and from them be transmitted by certain means to human beings, renders it necessary to adopt special precautions with regard to ships coming from plague-infected ports. A rat order (issued under the Cholera, Yellow Fever, and Plague Regulations of 1907), setting forth the measures to be taken for preventing access of rats from the ship to the shore, is served upon the masters of vessels coming from plague-infected ports, and such ships are visited by the Inspectors at irregular times to ascertain that the necessary precautions are being carried out. The officers of the Port Sanitary Authority visit ships during the discharge of cargo to ascertain if any dead rats are found. When any are discovered they are submitted to post-mortem examination by the Port Medical Officer, and if any suspicious signs of Plague are found, a bacteriological examination is made. In addition, the rat-catcher periodically provides batches of rats caught on ships and in various parts of the Docks. These are submitted to post-mortem examination. Rat catchers are employed by the L. & S.W. Railway Company (Docks) and Shipping Companies, for the destruction of rats, the method employed being by trapping. The numbers caught are checked each day by the Port Sanitary Staff, and returns made to the Shipping Companies of the number caught on each vessel every week. After being killed, the bodies of the rats are destroyed in the furnaces of the pumping station or on board ship. The number of rats captured during the year on vessels and in the Docks and destroyed was 12,218 compared with 5,898 in 1919. The total number of rats captured on vessels from plague-infected ports amounted to 2,609. During the year 6 rats were bacteriologicaily examined at the Municipal Laboratory, but no condition suggestive of Plague was found. Eighty-nine vessels arrived from plague-infected ports which are shown in the following table. If) bo c Ul *- O Cl, Q H CJ ■W U-i •H-I E D o < hJ Oh o Pi fen £ o H Oh S < w Oh b o LD o Oh b o Oh w ffi H O i—i > ■t—H a pi < Ul ■OU CO CO UJ p m •+-> Hi O 00 T3 <u -H> <J <L> i <D P too qj E O Hi bo G ► i-H > • i—i Hi Hi P cn T) m m <D > m H E 3 V • .—I ■H H aj 00 m <u 'So jj jp r$ be a) .£ 3 £*-6 £ O 2-p -w (U <d rtrg > Ch H H o ^ CJ tn “|i2SS . ;5gS'S-S $ « ° o ^ > S ofo P *' 02 2 ’ Oh <mcimo__,„_OOn N(JlM CO—H —H —H —H VO O « « 0:2: £ £ £ O N'T) h W in K O In.nO On OnCO m H" H lf)H N0O ^ CO N * OO H- M H-—* —H .—I —< >-H H- H- m m <;4AOO •H r. W > -M O •C « o £ Q <d in tn <D > O £ T3 a 4) • h-> cn as'g T3 ID -*-> o CL> Oh if) P cn 'V <D H—* a <D > O) « r> ◄ O H \ * c > O <V U—. -4—) <v -H» G f tn o3 On O H- O On On ONJO m ■»*■ iO« O OM Nf COOO M M M u~> H" »0 H" On On OnOO *-< On coo COO 00 rf cooo M M M H • *-« • * " M - *—» • I 1 - ■ r-1 * H - r-— - -' ££ £ £ Z Z £ £ £ M Cl CO H- ir NO iNOO On O MMMMMchMChMCI On On Oi On ON O' Oi On ON ON Ok 0) .G * Forty-four Passengers landed by Tender from five vessels in Southampton Water, f Ten vessels proceeded forthwith ; not considered necessary to serve Rat Order. RATS. Number of rats captured on ships and about the Dock1' each month and destroyed for the year 1920: — Ships. Docks. January ... ••• 332 January ... 82 February ... ... 567 February ... ... 115 March ... •• • ••• ... 746 March ... ..r ... 145 April ... ... 1054 April * ... ... 134 May ... ••• 945 May • • • * • • ... 202 June ... ... 1249 June \ ^ ., . ... ... 152 July ... ... ... 832 July ... % 94 August ... ... 806 August ... ... 102 September ... to 0 00 September ... IOi October • • • • • • ... 1219 October ... ... 151 November ... ... 980 November ... ... 304 December ... ... 919 December ... 184 Total ..10452 Total ... 1766 CHOLERA. No case of Cholera was reported on any vessel arriving; in the Port during the year. SMALL POX. Six cases of Small Pox were reported by vessels on arrival at Southampton. Three of the cases were landed at other Ports (foreign) and three cases were military convalescents who were being transferred to England for discharge. No case was landed in the Port during the year. TYPHUS FEVER. Fifty-four cases were reported on the bills of health of vessels arriving here. One case was landed at a Mediterranean port, the other cases were convalescent military cases. ENTERIC FEVER AND PARA-TYPHOID FEVER. Seventy-two cases of Enteric Fever including 3 “ carriers ” and 32 cases of Para-Typhoid Fever also including 3 “ carriers,” were reported during the year. The 6 “ carriers ” were removed to Netley Hospital. Ten cases were removed to Hospital, 3 were landed at other Ports before arrival, and 1 case proceeded in the vessel to a Continental Port, and 83 were convalescent cases proceeding to military hospitals for discharge. SCARLET FEVER. Seven cases were reported, three of which were landed and removed to Hospital, and four were landed at other Ports before arrival. DIPHTHERIA. Fourteen cases were reported, three were landed at Southampton and removed to Hospital, two were landed at other Ports, and one proceeded in the vessel. INFLUENZA. One hundred and ninety-four cases were reported, 16 cases were removed to Hospitals on arrival, 70 were landed at other Ports, one proceeded in vessel, the other cases were convalescent on arrival. The cases were of a comparatively mild type. TUBERCULOSIS. Two hundred and sixty-two cases of Tuberculosis were reported, 211 of which were military cases, and proceeded to Military Hospitals. VENEREAL DISEASE. The cases of Venereal Disease reported amounted to 524, of which 454 were military cases, and were transferred to Military Hospitals. Several seamen availed themselves of the facilities provided for treatment at the Municipal Clinic, and on leaving the Port were given a card and particulars which would enable them to continue the treatment at other Ports in the British Isles, at which they might call. Handbills relating to the dangers of these diseases, and the facilities available for treatment in the Borough, were distributed on each ship arriving in the Port, and posted up in latrines in the Docks. DISINFECTION. Disinfection was carried out by the Port Sanitary Authority on 76 vessels. Bedding and other articles to the number of 16,287, including 67 parcels of effects, were removed toi the Disinfector at Cook Street, and to the Isolation Hospital for disinfection. WATER BARGES. The water barges for supplying vessels in the River with drinking water were frequently inspected, and found in a satisfactory and cleanly condition. These barges obtain their water from the Corporation supply. TRANSPORTS. Sixty-five Transports arrived at Southampton during the year, 62 of which were from foreign ports. The majority arrived from infected ports, and were boarded on arrival under the Cholera, Plague and Yellow Fever Regulations in conjunction with the Naval and Military Authorities in the Port. Statement showing the number of Transports which arrived in the Port during the year 1920, the Ports from which they arrived, and the number of military passengers and troops landed at Southampton. Whence. Number of Transports which arrived. Number of Crew landed. Number of Military passengers and troops landed at Southampton Alexandria 12 2349 10686 Bermuda ... 1 90 43i Bombay 26 5397 16067 Constantinople 9 1218 7°°5 Flensburg ... 1 57 55 Hango, Finland 2 372 899 Helsingfors... I 239 352 Port Said ... 4 574 4081 Queenstown 3 562 730 Reval 1 163 68 Shanghai 1 183 382 Vladivostock 4 851 2476 Totals 65 12055 42232 GENERAL SUMMARY OF INSPECTIONS, ETC., CARRIED OUT BY THE PORT SANITARY STAFF DURING THE YEAR 1920. Steamers (from foreign) ... ... ... ... 1,195: Sailing vessels (from foreign) ... ... ... 14 Motor vessels (from foreign) ... ... ... ... 8 Steamers (coastwise) ... ... ... ... ... 2,090= Sailing vessels (coastwise) ... ... ... ... 330 Motor vessels (coastwise) ... ... ... ... 146 Fishing vessels (coastwise) ... ... ... ... 4 Total: Steam, Sail, Motor, and Fishing vessels inspected 3,787 Crew (from foreign) on above vessels ... ... 150,057 Passengers (from foreign) ,, (including troops) 257,263, Crew (coastwise) ,, ... ... ... 27,311 Passengers (coastwise) ,, ... ... ... 40,766 Total: Crew and Passengers ,, (including troops) 475,397 British vessels ... ... ... ... ... ... 3,562’ Foreign vessels ... ... ... ... ... ... 225 Satisfactory sanitary condition ... ... ... 3,726* Defective ... ... ... ... ... ... 61 Re-visits ... ... ... ... ... ... 1,163; Number of Passengers landed by Tender ... 4,361 ,, rats caught and destroyed ... ... 12,218 ,, rats bacteriologically examined ... 6 ,, articles of bedding, etc., including 67 parcels of bedding and other effects removed for disinfection ... ... 16,287 ,, number of vessels from Plague-infected ports ... ... •*. ... ... 84 Showing number of Vessels inspected, including re-visits, with percentage of defects. Year. Vessels from Foreign visited. Coasting Vessels visited. Total Inspections. Number found defective. Percentage defective. 1911 1,677 3,125 4,802 81 r .09 1912 1,625 3,562 5,i87 93 1.79 1913 1,705 2,060 3,765 82 2.18 1914 * .844 2,\5 4 4,198 61 1-45 io-5 2,737 2,o6l 4,798 50 1.04 1916 3,128 1,279 4,407 38 0.86 1917 3,585 1,108 4,693 38 0.8 1918 3,407 609 4,oi5 23 0.5 1919 1,889 1,056 2,945 26 0.8 1920 1,217 2,570 OO 61 1.61 TABLE L. Table showing the total number of vessels visited, and Nationality, Description, and number defective from ist January to 31st December, 1920, inclusive, not including revisits. Nationality. Steam. Sail. Motor. Total. Defective. American 87 87 7 British ... 1,939 335 147 2,421 5i Brazilian... 1 • • • • • • 1 1 Belgian ... 8 • • • • • • 8 • • • Dutch 56 2 1 59 1 Danish ... 3 2 3 8 • * • French ... 16 6 1 23 1 'Greek 3 • • • • • • 3 » » ♦ Japanese 4 • • • • • • 4 • • • Norwegian 6 1 1 8 • • • Portuguese 1 • • • • • • 1 • • • Russian ... 1 • • • • • • 1 • • • Swedish ... 6 1 2 9 • • • Spanish ... 2 • • • • • • 2 ... Uruguayian I ••• • •• 1 • • • • • • 2,134 347 x39 GENERAL SANITARY CONDITION OE VESSELS. The sanitary condition of vessels using this Port was generally satisfactory. Most vessels, either on irrival, or during their stay, are inspected, and any defect found reported at the time to the officer in charge. As a rule the defect is at once seen to, but should there be any delay or refusal on the part of the officer an official notice is served forthwith, and the master ordered to abate the nuisance within a given time. On 61 vessels insanitary conditions were discovered. They were principally oif an unimportant character, and in the majority of cases were remedied after verbal notice had been given. In those cases where the vessel sailed before notice could be complied with—if the vessel was proceeding to a home port—information as to the non-compliance was forwarded to the Port Medical Officer of the district to which such vessel was proceeding. The insanitary conditions discovered consisted of the following:— No ash tray to stove in seamen’s quarters Leaky and defective ports in ship’s side ... Defective, foul, and choked condition of w.c.’s e t c. ... ... ... ... ... Damp condition of floors in crew’s quarters Defective ventilator in crew’s quarters Accumulation of dirty water in crew’s quarters g t c. ... ... ... ... ... Leaky steampipes in crew’s quarters Leaky condition of crew’s quarters Defective flushing pipes to crew’s w.c. ... Uncleanly crew’s quarters ... Alleged insufficient light and ventilation in crew’s Rotten vegetables in vegetable locker Drinking water alleged to be brackish ... urinals w.c. 1 18 21 2 I 9 4 14 5 12 quarters 3 I 1 The insanitary conditions discovered consisted of the- following (continued) :— Foul smell in crew’s quarters, due to ventilator from lower deck ... ... ... ... ... ... I Crew’s quarters infected with bugs ... ... ... 1 Damp condition of floors, due to refrigerator ... ... 1 Leaky hawse pipes in crew’s quarters ... ... ... 3 Broken stove in crew’s quarters ... ... ... ... 1 Insufficient w.c. accommodation for crew ... ... 1 ALIENS’ ORDER, 1920, The Aliens’ Order, 1920, which came into operation on the 12th April, 1920, prohibited the landing of aliens in the United Kingdom except with the leave of an immigration officer appointed by H.M. Government. The Order further restricted an alien from landing except at an approved port, of which there are eighteen in the United Kingdom. Southampton being one of the approved ports, the requirements of the Order as to the medical inspection of aliens rendered it necessary that an adequate staff should be appointed to deal with the work. It was considered advisable that the aliens work should be in co-ordination with the work of the Port Sanitary Authority under the administration and supervision of the Port Medical Officer. In order that this might be carried out, it was necessary to appoint an additional Port Medical Officer and secure the services of a trained nurse who is present at all examinations of women. The work entailed necessitates a Medical Officer being always, available for duty. Many aliens arrive from the Continent by the Channel steamers which arrive daily at between 6 a.m and 7 a m., others by vessels of the Royal Mail, Cunard, White Star, Red Star, Union Castle and other liners which arrive regularly but at uncertain hours. The inspection of aliens is carried out on board the large vessels on arrival, those aliens requiring a more detailed medical examination being sent ashore to a room specially provided im the Docks. The following figures show the number of aliens who arrived in the Port of Southampton during the year, the number inspected and examined for the three months ist October, 1920, to 31st December, 1920, also the number of certificates issued from the 12th April, 1920, to the end of the year prohibiting aliens from landing for medical reasons. Number of aliens who arrived in the Port during the year 1920 :— January ... .... 2592 July ... ... 12953 February 2110 August 10041 March ••• 3799 September 6218 April ... 3820 October 4096 May ... 8626 November 4620 June ••• 9397 December 3706 71.978 During the last three months of the year details were kept of the inspections, etc., made, During this period there were inspected 8,752 aliens, 518 of whom were subjected to detailed medical examination. The number of medical certificates of rejection issued from the 12th April to the end of the year was 77- REPORT AS TO THE WORKING OF THE PUBLIC HEALTH (REGULATIONS AS TO FOOD) ACT, 1907, FOR THE YEAR 1920 The Regulations are:— 1. Unsound Food Regulations (First Series), 1908. 2. Foreign Meat Regulations, 1908. 3. ,, ,, ,, (Amendment, 1909). The Regulations were carried out in this Port on the lines adopted in previous years, and with few exceptions the cargoes landed were in good condition. The officers of H.M. Customs and Excise willingly give ■every assistance and co-operation. Beef (Chilled). The official forms recommended by the Ministry of Health have been in use, and are found to meet all requirements, and in every case, with two exceptions, where notices were issued, voluntary surrender was made for the destruction of the articles detained. The quantity of food stuffs condemned as unfit for human food amounted to over 324 tons, being an increase of 245 tons compared with the year 1919. The quantity of beef (chilled) imported into the United Kingdom amounted to 510,817 quarters, as compared with 52,818 quarters received in 1919. The quantity landed at this Port amounted to 54,621 quarters. Beef (Frozen). The amount of frozen beef imported into the United Kingdom totalled 4,871,490 quarters, an increase of 1,176,465 quarters, or over 31.8 per cent, over the preceding year’s arrivals. Increases were received from Argentine 1,004,702 quarters, 286,988 from Uruguay, 107,245 from New Zealand, 57,888 from Brazil, and 42,825 from South Africa. Australian shipments showed a drop of 121,567 quarters, and United States supplies were down by 127,285 quarters, whilst from Canada only 90 quarters were received compared with 60,327 sent in 1919. The quantity landed at this Port was approximately 282,803 quarters. Mutton and Lamb. Importations into the United Kingdom during the year amounted to 12,487,129 carcases, an increase of 2,578,729 carcases, compared with 1919. The quantity landed at this Port was 542,719 carcases. Offal. The quantity of offal landed at this port amounted to> 56,555 packages as compared with 28,628 packages received during 1919. r The usual process of de-frosting a portion of each consignment at the Inspection Chamber was carried out to facilitate inspection. Scrap Meat. There has been no scrap meat landed during the year. Pork. Thirteen consignments of Pork were received at this Port during the year, the number of carcases landed amounted to 9,353, compared with 386 carcases received in 1919. Four consignments, amounting to 2,312 carcases, were received from South Africa, the balance arriving from South America. The first consignment from South Africa did not comply with the recommendation contained in the Local Government Board Circular (No. 4), April 29, 1909, the heads not being partially severed or throats skewered open to facilitate inspection. A percentage of these pigs were de-frosted and found free from disease, the latter consignments were properly dressed and skewered open, and were free from disease. Canned Foods. The quantity of canned foods landed at this Port was over 230,000 packages, being a decrease compared with 300,000 received during the year 1919. The consignments were in good condition, only a small quantity being unsound. J44 Fresh Fruit and Vegetables. The trade in fruit and vegetables shows a large increase, daily consignments being received from the Channel Islands and French Ports, the total landed amounted to 4,599*998 packages. Increased quantities have been received from America and South Africa, and direct shipments have been received from Bordeaux and Valencia. Gooseberries. Owing to< the restrictions imposed under the American Gooseberry Mildew Order, there were no Gooseberries landed at this Port during 1920. Condemnations. With two exceptions below mentioned, no difficulty has been experienced in obtaining voluntary surrender of unsound food. On July 9th, 1920, 882 Sieves of Black Currants, ex S.S. “ Steersman/' from St. Malo, and 15 Sieves of Black Currants ex S.S. “ Zealous,” from Honfleur, were inspected and condemned by a Magistrate. Samples. Under article 8, Public Health (First Series) Unsound Food Regulations, 1908, the following samples were taken, the result of the analyses were as follows*— Three samples Butter, all genuine, and contained *21%, •11% and *14% boric acid. TABLE M. Summary of foodstuffs condemned under the Public Health (Regulations as to Food) Act, 1907, for the year 1920. H5 Description. C P )riginal ackages. A Loose rticles. Approximate Total Weight oi Goods Condemne d. No. Description No. Description Tons. Cwts. Qrs. Lbs. Meat.— ■ Beef 39 Quarters & quan tity of cuts 6 3 1 18 Mutton and Lamb 343 Carcases & 16 1 2 3 Pork 2 yy y 1 yy yy ... 2 0 20 Bacon 2 7 Cases • • • 8 0 0 23 Hams XI9 | Cases • • • ••• 24 11 2 26 Offal.— Ox Livers ,, Tiipe ... ... „ Cheeks ,, ToDgues 105 1 7 3 ••• Cases & yy Bags quan yy • • • 2 tity of loose yy yy loose ■\ > 3 1 1 24 Sheep Livers ... I • • • quan tity of loose Horse-meat Sausages Fish.— H ake ... ... 3 I Cases Box • • • • • • • ✓ ... 2 2 0 Cod 2 • • • ... 2 1 0 Haddock... 3 >> • • • ... • • . 3 0 Kippers ... 766 >> • • • ... 4 16 0 0 Bloaters ... 6 yy ... ... ... • • • 3 0 Poultry, &c. Chicken ... • • • ... 10 loose ... ... ... 22 Turkeys ... • • • 2 yy ... • . • 1 14 Rabbits ... 6064 Cases & quan tity of loose 162 8 3 16 Canned Foods. Corned Mutton ... 3024 Tins • • • • • • 8 2 0 0 ,, Beef 52 * yy • • • • • • • • • 2 3 4 Salmon ... 1 Case 1 Tin ... 1 21 Sardines ... • • • • • • 8 Tins ... ... 2 Anchovy... • • • • • • 5 yy 3 2 0 Apricot Pulp 8 Cases • • • ... 1 3 4 Pineapples 30 ... • •• ... 5 3 1 Apricots ... ... 24 Tins ... 1 18 Peaches ... • • • • • • 17 yy ... • • • 1 6 Assorted Fruits ... 18 Bottles & 210 yy 2 0 0 Jam ... • • • 2 yy ... ... 4 Eggs (liquid) 1 Case • • • « • • 1 2 12 Fruit and Vegetables. Apples 27 Cases ,,, ... 13 I 0 Pears 1444 Barrels & cases • • • 46 8 3 21 Plums 115 Crates ... • • • 13 1 16 Currants ... 1538 Sieves • • • 13 13 0 8 Cherries ... 36 Crates ... • • • 4 2 2 Oranges ... 17 Cases • • • • • • ... 12 1 14 Lemons ... 16 Barrels & quan tity of loose ... 3 3 0 Bananas ... 10 Cases • • • • • • ... 2 2 0 Figs 46 Boxes • • • • • • ... 6 3 20 Prunes 861 yy • • • • * • 19 4 1 14 Pineapples 2 Barrels ... • • • ... 2 0 0 Mixed Fruit 5 y y ... ... 3 0 0 Potatoes ... 129 Sacks • • • ... 6 9 0 0 Sundries. Biscuits ... 12 Tins • • • • • * • • • 1 0 8 Confectionery 3 y y • • • • • • • . • 11 Cake Flour 3 Packages • • • 1 2 0 Lemonade Powder 8 y y ... ... 2 0 Sauce 5 Cases • • • ... ... 3 6 Eggs . ... ... ... ... 7 0 19 j -—-_ 4 The condemned foodstuffs were disposed of as follows :— Sold for refining purposes Tons. 173 Cwts. 5 Qrs. 3 Lbs. 23 „ ,, pig food. ... ... 47 14 2 22 ,, ,, fertiliser ... • • • • • • i| 2 2 0 Burnt or dumped at sea ... • • • • • • Q § 17 3 15 Total ... 324 1 0 4 TABLE N. Table showing for comparison the foodstuffs condemned during the years Year. 1909 to 1920:—- Tons. Cwts. Qrs. 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