London's Pulse: Medical Officer of Health reports 1848-1972

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Islington 1920

Sixty-fifth annual report on the health and sanitary condition of the Metropolitan Borough of Islington

Published
1921
Author
Harris, Alfred Edwin.
Pages
84
Tables
91

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91 tables in this report

  • Page 1
    The birth rate (and marriage rate) population, on the other hand, is intended to include all elements of the population contributing to the birth and marriage rates and consists of the death rate or civilian population plus all non-civilians enlisted from this borough, whether serving at home or abroad. Showing the Areas, Densities, and Populations at Census 1911, also the Estimated Populations of the Sub-registration Districts at the middle of the year 1914.
    Sub-Districts.Area in Acres.Estimated Acres to a person, 1914.Estimated Persons to an Acre, 1914.Estimated Population Mid-year 1914.Population /»of Qtity is 1911.Increase or Decrease on Census.
  • Page 2
    The following statement shows the figures for the previous ten years 1990-19,
    Years.Marriages.Marriage Rate.
  • Page 2
    showing the Births (distinguishing Males and Females) and Birth-rates of Islington in 1920, and in the four quarters of the year and of the County of London and the Great Towns during the same period; also in the year 1919; together with the mean Borough Birth-rates for the 10 years 1910-1919.
    Quarter.Males.Females.Total.Birth Rates.
    Islington, 1920.Islington, 1910-19.London, 1920.96 G reat Towns, 1920.
  • Page 3
    Showing the Births of Males and Females in each quarter and for the year, 1920, and in the several Sub-registration Districts.
    Tufnell.Upper Holloway.Tollington.Lower Holloway.Highbury.Barnsbury.Islington South-East.The Borough.
    Males.Females.Total.Males.1 Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.FemalesTotal.
  • Page 4
    The number of illegitimate births in the borough since 1851 is shown in the following statement:—
    Periods. (10 years).Illegitimate Births.Total Births.Illegitimate Births per 100 Registered Births.
  • Page 4
    Notification of Births Act, 1907.—7,783 births were notified or 82.7 per cent. of the total number that was registered during the year. They were notified by doctors, midwives, parents and guardians as follows:—
    Notified byStill Births.Live Births.Total.
  • Page 5
    The Deaths from All Causes in the Sub-registration Districts were as follows :—
    Sub-Districts.Quarters.The Year.
    1234
  • Page 5
    Showing the Deaths and Death Rates of Islington in 1920, and in the four quarters of the year, and of the County of London and the Great Towns during the same period, the mean Borough Death Rales for the ten years 1910-19, and the deaths and death-rates in the year 1919.
    Quarter.Males.Females.Total.Islington, 1920.Islington, 1910-19London, 1920.96 Great towns, 1920.
  • Page 6
    Causes of Death (Classified.)—The following table shows the deaths arranged in classes of Disease from All Causes during the ten years 1910-19, and in 1920.
    Classified Causes of Death.Years.Mean 10 years.1920Difference.
    1910191119121913191419151916191719181919
  • Page 7
    The following statement gives the ages at which persons died in the borough, and contrasts them with the returns for the preceding ten years :—
    Ages.Number of Deaths, 1920.Mean in Deaths (10 years), 1910-19.Increase or decrease on mean.
  • Page 8
    Deaths at various Ages under One Year of Age.
    Years.Under 1 week.Weeks.Total under 4 weeks.Months.Total Deaths under 1 year.Deaths per 1000 births.
    1-22-33-44 weeks and under 3 months.3-66-99-12
  • Page 9
    Showing the Deaths among Infants per 1,000 Births during the year 1920, and also the mortality rates for the years1910-19.
    Sub-Districts.1910.I9II.1912.1913.I9I4.I9I5.1916.1917.1918.1919.Mean 10 years.1920.Increase or decrease on mean.
  • Page 10
    Showing the Mortality per 1,000 Births among Infants under one year of age in the ten years 1910-19; and in 1920 from certain specified causes.
    Causes of Death1920Mean rate 10 years 1910-19 per 1,000 Births.Difference.
  • Page 15
    Institutions during the ten years 1910-1919 and in 1920.
    Years.Total Deaths in Local Institutions (cols. 3 and 4).Inhabitants of Islington in Local Institutions.Non-Inhabitants of Islington in Local Institutions.Inhabitants in Islington Infirmary.Inhabitants of Islington in G.N.C. Hospital.Inhabitants of Islington in Institutions outside the Borough.Total Deaths of Inhabitants in all Institutions, (cols. 3 and 7).Proportion per 100 deaths trom all causes (col. 8).
  • Page 17
    Showing the Deathsfrom each of the Principal Epidemic Diseases in the several Wards and Sub-Registration Districts during the Year 1920. 17
    SUB-REGISTRATION DISTRICTS.WARDS.Enteric Fever.Small Pox.Measles.Scarlet FeverWhooping Cough.Diphtheria.Diarrhoea.Totals.
    Deaths.Deaths.Deaths.Deaths.Deaths.Deaths.Deaths.Deaths.
  • Page 18
    Showing the Deaths and Death-Rates from the Principal Epidemic Diseases during the ten years 1910-19 and for the Year 1920.
    1910.191119121913191419151916191719181919.Mean 10 years.1920
    DeathsDeath RatesDeathsDeath RatesDeathsDeath RatesDeathsDeath RatesDeathsDeath RatesDeathsDeath RatesDeathsDeath RatesDeathsDeath RatesDeathsDeath FatesDeathsDeath RatesDeathsDeath RatesDeathsDeath Rates
  • Page 18
    Showing the Deaths from Diarrhœal Diseases together with those classed under Enteritis and its sub-headings, arranged in quarterly periods, and in three groups of ages.
    Ages.1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year.
    DiarrhœaEnteritis, etcTotals.Diarrhœa.Enteritis, etc.Totals.Diarrhœa.Enteritis, etc.Totals.Diarihœa.Enteritis, etc.Totals.Diarrhœa.Enteritis, etc.Totals.
  • Page 19
    Showing the Deaths from Influenza in the Quartets of the Year 1920, together with the averages of the corresponding periods, 1910 19.
    Years.Quarters.Totals.
    FirstSecond.Third.Fourth.
  • Page 19
    The following statement gives the ages at death of the persons who suffered from Influenza during the preceding ten years as compared with the return for the year 1920:—
    Ages.19101911.1912.1913.1914.1915.1916.1917., 1918.1919.Mean royrs.1920.Difference.
  • Page 22
    The following return gives the deaths at each age period :—•
    Age periods.Males.Females.TotalAge periods.Males.Females.Total
  • Page 22
    Showing the Deaths for Phthisis in the Sub-Districts during the Four Quarters of the Year 1920.
    Quarters.TufnellUpper HollowayTollingtonLower HollowayHighburyBarnsburyIslington South-EastThe Borough
  • Page 22
    Showing the Deaths from the Tubercular Diseases during 1920.
    Diseases.Ages.Sex.Districts.Total Deaths.
    0-11-5over 5M.F.TufU.H.Toll.L.H.H.B.S.E.
  • Page 24
    In 312 cases inquests were held, as contrasted with an average of 390 in the ten years 1910-1919.
    Bodies received into Mortuary.Inquests.
  • Page 24
    The following Table gives a return of the bodies received into the Mortuary and the inquests held by the Coroner during the years 1920 and 1919.
    1919.No. of bodies received.Daily Average.No. of Inquests held.1920.No. of bodies received.Daily Average.No. of Inquests held
  • Page 25
    The returns for the preceding ten years are given in the following statement:—
    Year.Cases.Attack-rates per 1,000 civil population.
  • Page 26
    Registration Sub-Districts.—The total number of cases notified in these districts was as follows:—
    Total cases notified.
  • Page 27
    Cases of Puerperal Fever notified and inquired into during the year 1920.
    Tufnell.Upper Holloway.TollingtonLower Holloway.Highbury.BarnsburyIslington South-EastThe Borough.
  • Page 27
    During the year it was found that of the 2,870 cases notified 173 deaths occurred, or 6 per cent., which contrasts with an average percentage of 4.8 in the preceding ten years 1910-19.
    Years.Cases.Deaths.Fatality.
  • Page 28
    The following tabular statement shows the number of cases treated in the various public institutions:—
    YearCases treated in Hospital.Percentage of cases treated.
  • Page 28
    DISEASES TREATED IN HOSPITAL.
    Disease.Total cases.Cases isolatedPercentage of known cases.
  • Page 29
    Summary of Infectious Sickness and of Deaths arising therefrom, distinguishing the Cases treated at Home and in Hospitals; and showing the percentages of notified Cases removed to Hospitals together with the Fatality among cases treated at Home and in Hospitals during the year 1920.
    Notified Cases Treated.Percentages of Notified Cases TreatedDeaths Occurring.Percentage of Deaths Occurring.
    In HospitalAt HomeTotal.In Hospital.At Home.In Hospital.At Home.Total.In Hospital.At Home.Total.
  • Page 30
    Showing the number of Cases and Attack-Rates of the several Notifiable Infectious Diseases which eccurred during each of the Ten Years 1910-19 and in 1920.
    DISEASES.YEARSAverage number of cases 1910-191920Increase or Decrease.
    1910191119121913191419151916191719181919
  • Page 31
    Showing the Cases of the Notifiable Infectious Diseases notified in the Sub-Registration Districts and the Wards during the Year 1920.
    SUB-REGISTRATION DISTRICTS.WARDS.Small Pox.Scarlet Fever or Scarlatina.Diphtheria,Membranous CroupEnleric (Typhoid) Fever.Typhus Fever.Erysipelas.Puerperal Fever.Continued Fever.Relapsing Fever.Cholera.Total.
  • Page 32
    Acute Poliomyelitis Seven cases were ascribed to this disease during the year, as contrasted with 3 in 1919. No death, however, was registered.
    1920.1919.
    Cases.Deaths.Cases.Deaths.
  • Page 32
    A return of attacks of the disease during the past ten years is given in the following statement:—
  • Page 32
    These Regulations came into force on the 7th January, 1919, and during the year the following cases were notified by medical practitioners to the Medical Officer of Health.
    1920.1919.
  • Page 33
    The cases occurred in the sub-registration districts as follows:—
    Tufnell.Upper Holloway.Tollington.Lower Holloway.Highbury.Barnsbury.Islington, South-East.The Borough.
  • Page 34
    Showing the Notified Cases of Tuberculosis in the Wards during 1920.
    Registration Sub-Districts.Wards.Pulmonary Phthisis.Other Forms of Tuberculosis.Grand Total.Tuberculosis Rate per 1000 of Population.
    MalesFemalesTotal.MalesFemalesTotal.
  • Page 35
    THE PERIOD OF LIFE AT WHICH TUBERCULOSIS ATTACKED THE PERSONS NOTIFIED DURING 1920.
    Tubercular Diseases.Sex.At all ages.CASES NOTIFIED IN WHOLE DISTRICT.
    At Ages—Years.
    Under 11 to 55 to 1515 to 2525 to 4545 to 6565 and upwards
  • Page 35
    From the above statement it will be seen how the disease attacked people at the various ages, viz.:
  • Page 36
    Showing the Notified Cases of Tuberculosis in the Quarters during 1920.
    First Quarter.Second Quarter.Third Quarter.Fourth Quarter.The Year.
    MalesFemales.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.
  • Page 37
    Disinfection of Houses and Rooms after Phthisis. The following statement gives the particulars for the year;—
  • Page 37
    TUBERCULOSIS.
    1916.1917.1918.1919.1920.
    North Dispy.South Dispy.North Dispy.South Dispy.North Dispy.South Dispy.North Dispy.South Dispy.North Dispy.South Dispy.
  • Page 37
    A summary of this table gives the following figures:
    Cases.Attendances.
  • Page 38
    Table showing the number of Tuberculous Persons attending the Borough Tuberculosis Dispensaries and the New Cases during 1920.
    Date.Dispensary.Jan.Feb.March.April.May.June.July.August.Sept.Oct.Nov.Dec.Year.Total.
  • Page 39
    The number of notifications of the several diseases are given below:—
    Disease.No. of Notifications.Average of preceding 10 years.Increase or Decrease.
  • Page 39
    The non-notifiable diseases among children attending the Public Elementary Schools were: —
    Disease.Notifications by Teachers.Average of preceding 10 years.Increase or Decrease.
  • Page 40
    Showing the result of the Bacteriological Examinations made for the Diagnosis of Diphtheria Enteric Fever and Phthisis, 1910-20.
    Pirions.Diphtheria.Enteric Fever.Phthisis.
    Positive Results.Negative Results.Total Examined.Positive Results.Negative Results.Total Examined.Positive Results.Negative Results.Total Examined.Totals.
  • Page 41
    Certificates of Exemption.—The following tabular statement shows the increase of these certificates, more especially since 1910:—
  • Page 42
    Returnfurnished by theVaccination Officersrespecting theVaccination of Children in the Sub-Registration Districtsduring the year1919.
    REGISTRATION SUB-DISTRICTS.Number of Births registered in 1919.Successfully Vaccinated.Insusceptible of Vaccination.Had Small Pox.Number of Statutory Declarations of Conscientious Objection.Died Unvaccinated.Postponement by Medical Certificate.Removed to other Districts.Removed to places Unknown.Number of Children remaining Unvaccinated, or not accounted for in Report Book.Total Number of Certificates of Primary Vaccination at All Ages received during year 1920.Number of Statutory Declarations of Conscientious Objection received during year 1920.
    123456789101112
  • Page 43
    The Cleansing and Spraying of Room.—1,586 rooms, as contrasted with 1,650 in 1919, were cleansed and sprayed.
    Rooms disinfected.Rooms sprayed.
    1920.1919.1920.1919.
  • Page 44
    Summary of the chief articles of Clothing, Bedding, &c, disinfected duringthe year 1920, and also in the preceding year 1919.
    1st Quarter2nd Quarter3rd Quarter4th QuarterThe Year 19201919
  • Page 44
    The nature of the articles disinfected for the clothing contractors is shown below:—
    1st Quarter2nd Quarter3rd Quarter4th QuarterYear
  • Page 44
    Disinfectants distributed and used.—The following statement gives the quantity of disinfectants distributed by the Sanitary Authority, or used in disinfecting and cleansing rooms:—
    How disposed of.Carbolic Powder.Disinfecting Fluid.Formaldehyde.
    Powder.Solution.
    Tons.cwts.Gallons.cwt.qr.lbs.Gallons.
  • Page 45
    Inspections and Visits.—The inspections and visits made by the Inspectors were as under:—
  • Page 46
    The various workshops and workplaces are tabulated as below:—
    Workshops and Workplaces.1919.1920.
    Workshops on Register.Workrooms on Register.Number added during Year.Number removed during Year.Total number of Workshops on Register.Total Number of Workrooms on Register.
  • Page 46
    Workshops notified to Home Office, 1920.
    Trade.Number of Workshops.Protected Employed Persons.
    Women.Male Young Persons.Total.
  • Page 47
    1.—INSPECTION OF FACTORIES, WORKSHOPS, AND WORKPLACES. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
    (1)(2)(3)(4)
  • Page 47
    2 -DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 48
    3. HOME WORK.
    NATURE OF WORK *Outworkers' Lists, Section 107.Outwork in Unwholesome Premises, Section 108.Outwork in Infected Premises. (Secs. 109, 110).
    Lists received from Employers.Notices served on Occupiers as to keeping or sending lists.Prosecutions.Instances.Notices served under Public Health (London) Act, 1891.ProsecutionsInstances.Orders made (S. 110).Prosecutions (Sections 109, 110).
    Sending twice in the year.Sending once in the year.Failing to keep or permit inspection of lists.Failing to send lists.
    Lists.†Outworkers.†Lists.Outworkers
    Contractors.Workmen.Contractors.Workmen.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 49
    4.—REGISTERED WORKSHOPS.
  • Page 49
    5.—OTHER MATTERS.
    Class.Number.
    (1)(2)
  • Page 49
    Synopsis of the Inspectors' Work.— The following statement gives a brief synopsis of the district inspector's work in 1920:—
  • Page 50
    The applications received for the previous ten years were as follows:—
  • Page 51
    Showing summary of Sanitary Work from Inspectors' Reports for the year1920.
    DISTRICTS.Totals.
    1234567891011121314
  • Page 52
    Altogether 2,605 improvements were effected in 703 premises. Synopsis of Inspectors' Work:—
    Improvements.
  • Page 53
    Continued from previous page...
  • Page 53
    Showing the State of Pauperism in the Borough during the year 1920.
    Quarters.Average number Relieved during each week.Borough Death rales, 1920.
    Indoor Paupers, Adults and Children.Outdoor Paupers.Totals.Totals coriespond-ing periods 1919.Vagrants Relieved.Children Boarded out.
    Adults.Children under 16.
  • Page 54
    The food destroyed or otherwise disposed of (chiefly for pigs' food) so as to prevent its use for human food was as follows:—
    Tonscwts.qrs.lbs.
  • Page 55
    Tabulation of meat and organs diseased or unsound as discovered in slaughter-houses during the year 1920:—
    No. of Cases.Description of Animal Affected.Nature of Disease or Affection.Extent of Disease.How disposed of.
  • Page 56
    The greatest amount of adulteration occurred in the second and third quarters of the year, as is seen by the statement given below, when it was 6.6 and 3.6 per cent. respectively, and contrasted with 10 and 3.5 per cent. respectively in the first and fourth quarters.
    Examined.Genuine.AdulteratedPer cent.
  • Page 56
    Milk—The qualitative results of the Analyses of the Milk samples, which have now been published for many years, are as follows:—
    No. of Samples.Solids not Fat.Fat.Total solids.
  • Page 56
    The particulars as to the genuineness or otherwise of the samples procured or purchased on Sundays, Week-days, and at Finsbury Park Railway Station are as follows:—
    Number taken.Genuine.Adulterated.Percentage Adulterated
  • Page 57
    Giving the particulars of theMilks taken during each quarter of1920 on Sundays, Week-days, and at the Railway Stations.
    1920.No. of Samples Taken.Genuine.Adulterated.Per cent. Adulterated.
    Quarters.Sundays.Week-days.Railway Stations.All Milks.Sundays.Week-days.Railway Stations.All Milks.Sundays.Week-days.Railway Stations.All Milks.Sundays.Week-days.Railway Stations.All Milks.
  • Page 57
    The return of the samples of milk reported as adulterated by the Public Analyst, is given in the following tabular statement:— MILK ADULTERATION.
    Samples Analysed.Genuine.AdulteratedPer cent. Adultered.
  • Page 58
    Showing the analyses of 13,040 milks examined in Islington during the twenty two years 1898-1919 and 1920, and distinguishing those purchased on Sundays, on Week-days, and procured at the Railway Stations whilst in transit from the Farmer to the London Milk Purveyor.
    Years.Sunday Milks.Week-day Milks.Railway Milks (Farmers).
    No. of Samples.Per cent. of non-fatty solids.Per cent. of fat.No. of Samples.Per cent. of non-fatty solids.Per cent. of fat.No. of Samples.Per cent. of non-fatty solids.Per cent. of fat.
  • Page 59
    Showing theSamples of Foods and Drugs submitted to thePublic Analyst during the year1920.
    Description.1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.Totals.Genuine.Adulterated
    1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.Totals1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.Totals.
  • Page 60
    SUMMARY OF PROSECUTIONS.—During year1920.
    Total Prosecutions.Successful.Dismissed.Withdrawn.Amount Penalties Received.
    £s.d.
  • Page 62
    table a. Showing the Deaths from All Causes in Islington during the Year ending 1st January, 1921.. Deaths of Non-Residents in Hospitals are excluded. Deaths of Residents in Public Institutions are distributed.
    diseases.ages.Under 5Over 5DISTRICTS.Males.Females.Totals.
    0-1-5-10-15-20-25-35-45-55-65-75-85-Tuf.U.H.Toll.l.h.h.b.S.e.
  • Page 63
    Table A.—Continued.
    Deaths in Institutions within Borough.DISEASES.AGES.Under b.Over 5.DISTRICTS.Males.
    0-1-5-10-15-20-25-35-45-55-65-75-85-Tuf.U.H.Toll.L.H.HBS.E.
  • Page 64
    Table A.—Continued.
    DISEASES.0-AGES.Under 5.Over 5.DISTRICTS.Males.Females.Totals.
    1-5-10-15-20 ,25-35-45-55-65-75-85-*3 h33 5hX jH.B.u (/)
  • Page 65
    TABLE B. Showing theBirths and Birth Rates of Islington from 1841 to 1920.
    Year.Birth*.Birth Rates.Year.Births.Birth Rates.Year.BirthsBirth Rates.Year.Births.Birth Rates.
  • Page 66
    Table C. Showing the Illegitimate Births in Islington from 1841 to 1920.
    Years.Births.Years.Births.Years.Births.Years.Births.Years.Births.Years.Births.YearsBirths.Years.Births.
  • Page 67
    TABLE D. Showing the Deaths and Death Rates of Islington from 1841 to 1920
    Years.DeathsDeath rates.Years.DeathsDeath rates.Years.DeathsDeath rates.Years.DeathsDeath rates.
  • Page 68
    TABLE E.
    Years.Deaths under 1 year old.Deaths per 1,000 Births.Years.Deaths under 1 year old.Deaths per 1,000 Births.Years.Deaths under 1 year old.Deaths per 1,000 Births.Years.Deaths under 1 year old.Deaths per 1,ooo Births.
  • Page 69
    Table F. Showing theCases of Infectious DiseasesinIslingtoninQuinquennial Periods, 1891—1920.
    YearSmallpox.Scarlet Fever.Diphtheria and MembranousCroup.Enteric Fever.Typhus Ftve .Erysipelas.Puerperal Fever.Continued Fever.Relapsing Fever.CholeraTotal Notifications.Attack rates per 1,000 Popu. lation.
  • Page 70
    MINISTRY OF HEALTH RETURN.—TABLE III. Metropolitan Borough of Islington. CAUSES OF, AND AGES AT DEATH DURING THE CALENDAR YEAR, 1920.
    Causes of Death.Nett Deaths at the subjoined Ages of " Residence " whether occurring within or without the District.Total Deaths whether of "Residents" or " Nonresidents" in Institutions in the District.
    All ages.Under 1 year.1 and under 2 years.2 and under 5 years.5 and under 16 yrs!5 and under 25 yrs.25 and under 45 yrs.45 and under 65 yrs.65 and up- wards.
  • Page 71
    MINISTRY OF HEALTH RETURN.-TABLE IV. Metropolitan Borough of Islington. INFANTILE MORTALITY DURING THE CALENDAR YEAR 1920. Nett Deathsfrom stated Causes at Various Ages under One Year of Age.
    CAUSE OF DEATH.Under 1 Week.1-2 Weeks.2-3 Weeks.3-4 Weeks.Total under four Weeks4 Weeks and under 3 Months.3-6 Months.6-9 Months.9-12 Months.Total Deaths under One Year.
  • Page 72
    LONDON COUNTY COUNCIL RETURN. Borough of Islingtor. PROCEEDINGS DURING 1920.
    PREMISES.Number of Places—Number of inspections, 1920.Number of Notices. 1920.Number of Procecutions 1920.
    On Register at end of 1919.Added in 1920Removed in 1920.On Register at end ot 1920.
  • Page 73
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