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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Chelsea 1936

Report of the Medical Officer of Health for the year 1936

Published
1937
Author
McCarthy, W. H. Leslie.
Pages
90
Tables
76

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76 tables in this report

  • Page 5
    The names and qualifications of members of the staff of the Public Health Department, at 31st December, 1936, are tabulated below in the form required by the Ministry of Health. (a.)Medical.
    Year appointed.Name.Qualifications.Appointment.
  • Page 6
    (b.) Other Staff.
    Year Appointed.Name.Qualifications.Appointment.
  • Page 7
    (a.) Medical.
    Year Appointed.Name.Appointment.
  • Page 11
    POPULATION IN WARDS.
    Males.Females.Total.
  • Page 12
    In accordance with the requirements of the Ministry of Health, the following extracts from the Vital Statistics of the year are shown below :— TABLE No. 2.
    TotalM.F.
  • Page 14
    TABLE No. 4. Births, Birth.Rates, Births in Wards and Inward Transfer Births.
    Year.Births.Birth. Rate Per 1,000 of Population.Births in Wards.Inward Transfer Births.
    Leg.Illeg.Total.Hans Town.Royal Hospital.Church.Cheyne.Stanley.Hospitals.Nursing Homes.Private Addresses.Total.
  • Page 15
    TABLE No. 5. Births in Hospitals and Nursing Homes.
    Chelsea Births in Hospitals and Nursing Homes Within the Borough.Chelsea Births in Hospitals and Nursing Homes Outside the Borough.
  • Page 15
    TABLE No. 6.
  • Page 16
    TABLE No. 7.
    Year.Number of illegitimate births.Percentage of total births.
  • Page 17
    The following tables are self-explanatory :— TABLE No. 8. Registered Deaths.
    Total.
  • Page 17
    TABLE No. 9.
    Chelsea Deaths in Hospitals and Institutions within the Borough.Chelsea Deaths in Hospitals and Elsewhere Outside the Borough.
  • Page 18
    TABLE No. 10. Deaths, Death Rates, Deaths in Wards and Seasonal Mortality.
    Year.Deaths.Death-Rate per 1,000 of Population.Deaths in Wards.Seasonal Mortality Rate.
    Hans Town.Royal Hospital.Church.Cheyne.Stanley.First Quarter.Second Quarter.Third Quarter.Fo/urth Quarter.
  • Page 19
    TABLE No. 11.
    England and Wales.122143
  • Page 19
    Rates per 1,000 Population.
  • Page 20
    TABLE No. 12. Deaths of Chelsea Residents Registered during the Year 1936, Classified by Age and Cause. (In accordance with Registrar-General's Return.)
  • Page 21
    TABLE No. 13.
  • Page 21
    TABLE No. 14. Child Mortality(1-5 Years).
    Year.Infectious Fevers.Tuberculosis.Respiratory Diseases.Diarrhoeal Diseases.All other causes.Total Deaths.
  • Page 22
    TABLE No. 15.
    Under 1 week.1-2 weeks.2-3 weeks.3-4 weeks.Total under 4 weeks.4 weeks and under 3 months3-6 months.6-9 months.9-12 months.Total deaths under 1 year.
  • Page 23
    TABLE No. 16.
  • Page 23
    TABLE No. 17.
    1935.1936.
  • Page 23
    TABLE No. 18.
    1935.1936.
  • Page 24
    The following table shows the Maternal Mortality in Chelsea during the past two years :— TABLE No. 19.
    Year.Death-rate per 1,000 Total (Live and Still) Biiths.
    Puerperal Fever.Other complications of Pregnancy and Childbirth.Total Death-rate.
  • Page 25
    Details of the work undertaken by the Association on behalf of the Borough Council are shown in Table No. 20 by the number of home visits for the past two years and by Table No. 21 the conditions which necessitated attendance during the year 1936 :—
    Year.Visits.Cases.
  • Page 26
    TABLE No. 21. Nursed by District Nurses During 1936.
  • Page 27
    In the following Table No. 22 is shown, for the past two years, the number of applications for midwifery attendance, the number provided with such attendance, the amount of assessment on cases attended and the nett expenditure by the Council for this service :— TABLE No. 22.
    Year.(1) No. of applications for services of(2) Total number provided with aAmount of Assessment on cases attended.Nett Cost to Council.
    Maternity Nurse.Midwife.Maternity Nurse.Midwife.Maternity Nurse.Midwife.Maternity Nurse.Midwife.
  • Page 28
    TABLE No. 23.
    Year.No. of applications for services of Home Help, including extension over the usual period of 2 weeks.Total number of cases attended by the Home Helps.Amount of Assessment on cases attended.Nett Cost to Council.
  • Page 30
    TABLE No. 24.
    Name.Situation.Nature of Cases Treated.Available Beds.if used by persons resident outside the Borough.Management.
  • Page 31
    I am indebted to Miss A. Aldridge, the Matron of the Home, for the following information regarding the work done during the year :—
  • Page 32
    TABLE No. 26. Summary of Reports of Health Visitors.
    1935.1936.
  • Page 33
    Milk is supplied on the following basis :—
    Number of persons in family.Weekly income per head (after deduction of rent and insurance).Assessment.
  • Page 34
    The following table shows for the past two years, the extent of this service :— TABLE No. 27.
    Year.Milk Orders issued and taken up.Approx. Cost.
    March quarter.June quarter.Sept. quarter.Dec. quarter.*Total.
  • Page 34
    The total quantity of milk supplied during the year to expectant and nursing mothers and young children was as follows:—
  • Page 37
    The attendances at the Nursery during the past two years were as follows :—
  • Page 37
    The following Table No. 29 shows the work carried out in the Home during the past year :— TABLE No. 29. The Mothercraft Training Home, 1936. Admissions.
    BabiesMothers and Babies
    Obs. Malnutrition.Nat. Feeding difficulties.Normal Nat. Feeding.Total Mothers.Total Babies.
  • Page 38
    Analysis of Natural Feeding Difficulties.
    Established Nat. Feeding.Re-established Nat. Feeding.Supply increased.Supply regulated.No change.
  • Page 38
    Mothers Attending with Babies for Test-Feeds. Number of Mothers attending :
    1 Visit2 Visits3 Visits4 Visits5 Visits6 Visits7 Visits8 Visits11 Visits
  • Page 38
    Students.
    Completed one yearStarted one yearShort courses 1 to 3 months
  • Page 40
    TABLE No. 30.
    Year.No. of Applications.Nursing Mothers and Infants sent away under Council Scheme.Contributions by Mothers.Nett Cost to Borough.
  • Page 41
    TABLE No. 31. Child Life Protection Return. (Year 1936)
    Foster Mothers.Foster Children.
  • Page 42
    Summary of Work carried out by Sanitary Inspectors during the Year.
  • Page 43
    Continued from previous page...
  • Page 44
    Continued from previous page...
  • Page 45
    TABLE No. 32. Magisterial Proceedings during the Year under Public Health (London) Act, 1891.
    Situation of premises.Nature of Nuisance or Complaint.Petty Sessions.Date of Hearing.Result.
  • Page 46
    TABLE No. 33.
    Number of Premises.Number of inspections during 1936.Number of notices served during 1936.Number of prosecutions during 1936.
    On register at end of 1935.Added in 1936.Removed in 1936.On register at end of 1936.
  • Page 47
    TABLE No. 34. Factories, Workshops, Workplaces, and Homeworkers' Premises I.—Inspection of Factories, Workshops and Workplaces. (Including Inspections made by Sanitary Inspectors).
    Premises. (1)Number of
    Inspections. (2)Written Notices. (3)Occupiers prosecuted. (4)
  • Page 48
    2.—Defects found in Factories, Workshops and Workplaces.
    Particulars.Number of Defects.Number of offences in respect to which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 48
    3.—Home Work.
    Outworkers' Lists, Section 107.Outwork in Unwholesome Premises, Section 108.Outwork in Infected Premises, Sees. 109, 110.
    Lists received from Employers.Number of Addresses of outworkers received from other Councils.Number of Addresses of outworkers forwarded to other Councils.Prosecutions.No. of Inspections of Outworkers Premises.
    Instances.Notices served.Prosecutions.Instances.Orders made (Sec. 109).Prosecutions. (Sec. 109,110).
    Lists.Chelsea Outworkers.
  • Page 49
    The Chelsea Mortuary is situated in Arthur Street.
  • Page 50
    TABLE No. 35. HOUSING STATISTICS FOR THE YEAR.
    1. Inspection of Dwelling-houses During the Year:—
  • Page 51
    Continued from previous page...
  • Page 53
    TABLE No. 36.—Pre-War Housing. Properties Owned and Managed by the Chelsea Borough Council.
    Property.No. of FlatsPopulation (approx.)Rents.
  • Page 53
    TABLE No. 37. Properties erected by Private Enterprise, Benevolent Agencies, Trusts, etc.
    Property.No. of Flats.Population (approx.)Rents.
  • Page 57
    TABLE No. 38. Post-War Housing.
    Name of Undertaking.Area of Site.Total Cost.Date of Completion.Number of Flats.Population. Dec. 1936.Rents.Remarks.
  • Page 58
    TABLE No. 39. Licences Granted under Milk (Special Designations) Order.
    Licences granted under Milk (Special Designations) Order.1935.1936.
  • Page 59
    Inspection of Meat.
    Description of Animals Slaughtered.No.Number of Condemnations.
    Entire Carcases.Parts of Carcases.Organs.
    Tuberculosis.Other Diseases.Tuberculosis.Other Diseases.Tuberculosis.Other Diseases.
  • Page 61
    Magisterial Proceedings under Food and Drugs (Adulteration) Act, 1928.
    Street where PurchasedOffence.Petty Sessions.Date of HearingResult.
  • Page 63
    TABLE No. 40 Cases of Infectious Disease Notified during the Year.
    notified in Chelsea.Cases notified in each Ward.Removed to various Hospitals
    At all Ages.Under 1 Year.1—2 Years.2—3 Years.3—4 Years.4—5 Years.5—10 Years.10—15 Years.15—20 Years.20—35 Years.35—45 Years.45—65 Years.65 and Upwards.Stanley.Cheyne.Church.Hans Town.Royal Hospital.
  • Page 64
    TABLE No. 41.
    YearCases Notified.Percentage of Removals.DeathsCase Mortality Rate.Percentage of cases of School age (3-13 years)Month of greatest prevalence.Bacterioscopic Diagnosis, Lister Institute.
    No. of Specimens submittedPositive.Percentage Positive.Negative.Percentage Negative.
  • Page 65
    The following table gives details of the work of the clinic during the past two years. TABLE 41a.
    YearNo. of new cases.Preliminary Schick Tested.Commenced treatment without Schick Test.Naturally ImmuneImmunised.Discontinued treatment and removed from register.No. under treatment at end of year.
    Preschool Age.School Age.Preschool Age.School Age.
  • Page 65
    Table 42 shows the incidence of the disease during the past two years TABLE No. 42.
    Year.Cases Notified.Percentage of Removals.Deaths.Case Mortality Rate.Percentage of cases of School-age 3-13 years.Month of greatest prevalence.
  • Page 66
    During the year the following numbers of cases were notified:—
  • Page 66
    The notifications and deaths from pneumonia during the past two years were as follows:—
    Notifications.Deaths. (All Forms)
  • Page 67
    TABLE No. 43.
    Total number of cases notified.Treatment in Hospital.District Nurses in attendanceCouncil's Obstetrician called in.Deaths.
  • Page 67
    The notifications of puerperal fever and puerperal pyrexia during the past two years were as follows:—
    Puerperal Fever.Puerperal Pyrexia.
  • Page 68
    TABLE No. 44. Ophthalmia Neonatorum.
    Cases.Vision Unimpaired.Vision Impaired.Total Blindness.Deaths.
    No. Notified.Treated.
    At Home.In Hospital.
  • Page 69
    TABLE No. 45. Vaccinations.
    Number.Percentage of births registered.
  • Page 70
    The following Table No. 46 shows the number of attendances in each quarter:— TABLE No. 46.
    Quarter.No. of days on which the Station was opened.Attendances.
    Verminous.Impetigo.
  • Page 71
    TABLE No. 47. Tuberculosis. New Cases and Mortality during 1936.
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 72
    The returns made in accordance with these Regulations show that the numbers of cases of Tuberculosis in the Borough on 31st December last were as follows:— TABLE No. 48.
    Males.Females.Total.
  • Page 74
    TABLE No. 49. Treatment of Tuberculosis Year, 1936.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.Grand Total.
    Adults.Children.Adults.Children.Adults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 75
    TABLE No. 50. Pulmonary Tuberculosis.
    Condition at the time of the last record made during the year to which the return relates.Previous to 1926,1926.1927.1928.1929.1930.1931.19321933.1934.1935.1936.
    Class T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B, plusClass T.B. minus.Class T.B. plus
    Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus)Group 1.Group 2.Group 3.Total (Class T.B. plus)Group 1.Group 2.Group 3.Total (Class T.B. plus)Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).
  • Page 76
    TABLE No. 50 (continued). Non-Pulmonary Tuberculosis.
    Condition at the time of the last record made during the year to which the return relates.Previous to 1926.1926.19271928.1929.1930.1931.1932.1933.1934.1935.1936.
    Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organ?.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.| TotalBones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Boces and Joints.AbdominalOther Otgans.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.
  • Page 77
    TABLE No. 51. Work done at the Dispensary.
    Year.New cases examined during the year.Definite Tuberculosis.Total attendances at Dispensary.
  • Page 80
    The Care Committee meetings are held monthly at the Town Hall.
  • Page 83
    TABLE—continued.
    Article.Taken Formally.Adulterated.Taken Informally.Adulterated.Total Samples AnalysedTotal Samples Adulterated.
  • Page 83
    The actual percentages given by the data in the Table are as follows:—