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Abridged .

ANNUAL REPORT OF THE Medical Officer of Health, Including Details of Work done by the Sanitary Inspector for the District of Rishton for the Year ended 31st December 1945.

Council Offices,
  Rishton.
25th July 1946.

To the Chairman and Members of the Urban District Council of Rishton.

Mr. Chairman, Lady and Gentlemen,

I have the honour to present to you my Interim Report on the Health and Sanitary Administration of Rishton for the year ending 31st December 1945.

The various rates in this Report are based upon the Registrar General's estimate of the population for the mid-year 1945.

The estimated population is 5,241, which is lower than last year, when the population was estimated to be 5,739.

The birth rate is lower, being 18.3 per 1,000, and is a decrease on 1944, but compares favourably with the rate for England and Wales   = 16.1 per 1,000.

The death rate is lower than last year, being 13.9 per 1,000. It is higher than the death rate for the whole of the country, which is 11.4 per 1,000.

The infantile mortality rate is higher than last year, being 0.52 per 1,000 live births. This is an increase of 0.09 over last year, when the figure was 0.43 per 1,000 live births. The figure for England and Wales is 0.46 per 1,000 live births.

The death rate from Tuberculosis of the Respiratory System is nil for 1945, as against 0.52 for last year. This is a decrease of 0.52.

The death rate from cancer was 1.71 per 1,000 of population, as against 2.43 last year, being a decrease of 0.72 per 1,000.

 Population: 5,241. Per 1,000 of Estimated Population. Maternal Mortality Rate. Rate of Deaths under One Year per 1000 Live Births
Live Birth-rate Crude Death-rate Death-rate From Tuberculosis of Bespiratory System Death-rate from Cancer Per 1000 Live Births Total Per 1000 (Live and Still Births)
Mean of 5 years, 1940-1944. 13.7 14.3 0.40 2.17 9.18 8.68 58
Year -              
1944 19.8 14.9 0 17 2 43 Nil Nil 44
1945 18.3* 13.9 Nil 1.71 Nil Nil 52
Increase or decrease in 1945 on              
5 years average, 1940-1944. + 4.6 -0.4 -0.40 -0.46 -9.18 -8.68 -6
Previous year. -1.4 -1.0 0.17 -0.72 Nil Nil -9

1945 adjusted Death-rate (comparability factor) per 1,000

    Males.   Females.   Total.
Influenza.   -   1   1
Cancer (all forms).   6   3   9
Inter-cranial Vascular Lesions   3   6   9
Heart Disease.   8   10   18
Other Circulatory Diseases.   1   -   1
Bronchitis.   2   3   5
Pneumonia (all forms).   -   3   3
Ulcer of Stomach and Duodenum.   1   -   1
Diarrhoea (under 2 years.   -   1   1
Appendicitis.   1   -   1
Other Digestive Diseases.   1   1   2
Acute and Chronic Nephritis.   2   2   4
Premature Birth.   -   1   1
Congenital Debility and Malformation.   2   -   2
Suicide.   1   -   1
Other Deaths from Violence.   1   1   2
All other causes.   1   11   12
    30   43   73
Deaths under 1 year—illegitimate   2   3   5

Birth Rates, Civilian Death Rates, Analysis of Mortality, Maternal Mortality and Case Rates for certain Infectious Diseases in the year 1945. Provisional figures based on weekly and quarterly returns :-

Rates per 1,000 Civilian Population.   England and Wales.   126 CBs. and Great Towns including London.   148 Smaller Towns Resident  Pop. 25000-50000  at 1931 Census.   London Adm. County
Live Births   16.1*   19.1   19.2   15.7
Still Births   0.46   0.58   0.53   0.40
Deaths—                
All Causes.   11.4*   13.5   12.3   13.8
Whooping Cough   0.02   0.02   0.01   0.02
Diphtheria   0.02   0.02   0.02   0.01
Influenza   0.08   0.07   0.07   0.07
Measles   0.02   0.02   0.02   0.01
Rates per 1,000 Live Births                
Deaths under 1 year of age   46†   54   43   53
Deaths from Diarrhoea and Enteritis under 2 years of age   5.6   7.8   4.5   7.6

* Rates per 1,000 total population. † Per 1,000 related births.

Vital Statistics.

Population - Registrar General's estimate, mid 1945 : 5241.

    Total   M.   F.               Estimated.
Live Births -               Birth rate per 1,000 population mid 1945   18.3
Legitimate.   82   48   44    
Illegitimate.   4   3   1   Rate per 1,000 total (live and still) births   30
Total.   __ 96 __   __ 51 __   __ 45 __    
Still Births.   3   1   2   Death rate per 1,000 estimated population   13.9

Deaths from Puerperal Causes :—

    Deaths.   Death rate per 1,000 total (live and still) births.
Puerperal and Post-abortive Sepsis   Nil   Nil
Other Maternal Causes.   Nil   Nil
Total Maternal Mortality.   ___ Nil ___   ___ Nil ___

Death rate of infants under one year of age :—

All infants per 1,000 live births.   52
Legitimate infants per 1,000 legitimate live births   54
Illegitimate infants per 1,000 illegitimate live births   Nil
   
Deaths from Cancer (all ages)   9
Deaths from Measles (all ages)   Nil
Deaths from Whooping Cough (all ages)   Nil
Deaths from Diarrhoea (under 2 years of age)   1

Statistics and Social Conditions of the Area.

Area in Acres   2,878.4
Population (Census 1931).   6,631
Population (estimated middle 1945)   5,241
Number of inhabited houses (according to Rate Book  at tend of 1945)   1,878
Rateable Value   46,734
Sum represented by a Penny Rate.   186

Social Conditions and Chief Industries in the Area.

The occupations of the inhabitants of the township remain similar to last year, namely, weaving, paper making, etc.

There have been no specially noteworthy cases of sickness nor invalidity during the year, nor do there appear to be any conditions or occupations or environment which have been prejudicial to health. There is no evidence that the war, so far, has had any injurious effect upon the health of the people.

I am indebted to the Sanitary Inspector for his help during the year.

I also wish to express my thanks to the Chairman and members of the Committee, together with the Clerk of the Council and all other Officials for their valuable assistance during the year.

I am, Gentlemen,
  Your obedient servant,
Signed) J. ROSS,  
Medical Officer of Health.