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Chelsea 1938

Report of the Medical Officer of Health for the year 1938

Published
1939
Author
McCarthy, W. H. Leslie.
Pages
94
Tables
81

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81 tables in this report

  • Page 5
    (a) Medical.
    Year appointed.Name.Qualifications.Appointment.
  • Page 6
    (b) Other Staff.
    Year Appointed.Name.Qualifications.Appointment.
  • Page 7
    Continued from previous page...
    Year Appointed.Name.Appointment.
  • Page 11
    TABLE No. 1.
  • Page 11
    POPULATION IN WARDS. (Census 1931.)
    Males.Females.Total.
  • Page 12
    TABLE No. 2.
    TotalM.F.
  • Page 13
    Continued from previous page...
    TotalM.F.
  • Page 13
    Death rate of Infants under one year of age:—
  • Page 13
    TABLE No. 3. Registered Births.
    Legitimate and Illegitimate Births.Total.
  • 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.
    Notification received fromChelsea Residents.Non-Residents.
    Live Births.Still Births.Total.Live Births.Still Births.Total.
  • Page 16
    TABLE No. 7.
    Year.Number of Illegitimate Births.Percentage of Total Births.
    Male.Female.Total.
  • Page 17
    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.Fourth Quarter.
  • Page 19
    TABLE No. 11.
  • Page 19
    (Provisional figures based on Weekly and Quarterly Returns.)
  • Page 19
    Rates per 1,000 Population.
  • Page 19
    Rates per 1,000 Live Births.
  • Page 19
    Rates per 1,000 Total Births (i.e., Live and Still).
  • Page 20
    TABLE No. 12. Deaths of Chelsea Residents Registered during the Year 1938, Classified by Age and Cause. (In accordance with Registrar-General's Return.)
    Causes of Death.Nett Deaths, whether occurring within or without the Borough.
    All Ages.Under 1 year.1 and under 2 years.2 and under 5 years.5 and under 15 years.15 and under 25 years.25 and under 35 years.35 and under 45 years.45 and under 55 years.55 and under 65 years.65 and under 75 years.75 years and upwards.
  • Page 21
    TABLE No. 13.
    Year.Bronchitis.Pneumonia.Other Respiratory Diseases.Total.Death-rate.No. of deaths under 5 years.Percentage under 5 years.
  • Page 21
    TABLE No. 14. Child Mortality (1-5 Years).
    Year.Infectious Fevers.Tuberculosis.Respiratory Diseases.Diarrhæal 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.
    1937.1938.
  • Page 23
    TABLE No. 17. Infantile Mortality Rates per 1,000 Births in Wards.
    1937.1938.
  • Page 23
    TABLE No. 18.
    1937.1938.
  • Page 24
    TABLE No. 19.
    Year.Death-rate per 1,000 Total (Live and Still) Births.Total Death-rate.
    Puerperal Sepsis.Other complications of Pregnancy and Childbirth.
  • 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 1938:—
    Year.Visits.Cases.
  • Page 26
    TABLE NO. 21. NURSED BY DISTRICT DURING 1938.
    Visits.Cases.
  • Page 27
    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.
    £sd.£s.d.£s.d.£s.d.
  • 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.
    £s.d.£s.d.
  • Page 30
    TABLE No. 24.
    Name.Situation.Nature of Cases'Treated.Available Beds.If used by persons resident outside the Borough.Management.
  • Page 32
    TABLE No. 26. SUMMARY OF REPORTS OF HEALTH VISITORS.
    1937.1938.
  • Page 33
    Milk is supplied on the following basis :—
    Number of persons in family.Weekly income per head (after deduction of rent, fares and insurance).Assessment.
  • Page 33
    The following table shows for the past two years, the extent of this service :—
    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 36
    The attendances at the Nursery during the past two years, were as follows :— TABLE No. 28.
  • Page 37
    TABLE No. 2 THE MOTHERCRAFT HOME.
    Mothers.Babies.
  • Page 37
    RESULTS OF TREATMENT OF BABIES DISCHARGED.
  • Page 37
    MOTHERS ADMITTED ON ACCOUNT OF BREAST FEEDING DIFFICULTIES.
  • Page 38
    Continued from previous page...
  • Page 39
    TABLE No. 30.
    Year.No. of Applications.Nursing Mothers and Infants sent away under Council Scheme.Contributions by Mothers.Nett Cost to Borough.
  • Page 40
    TABLE No. 31. Child Life Protection Return. (Year 1938).
    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.
    Situation of Premises.Nature of Nuisance of Complaint.Petty Sessions.Date of Hearing.Result.
  • Page 46
    TABLE No. 33.
    Number of Premises.Number of inspections during 1938.Number of notices served during 1938.Number of prosecutions during 1938.
    On register at end of 1937.Added in 1938.Removed in 1938.On register at end of 1938.
  • Page 47
    TABLE No. 34. Factories workshops, workplaces, and homeworkers premises. I.-inspection of factories and other premises. (including inspections made by santiary inspections).
    Premises.Number of
    Inspections.Written Notices.Occupiers prosecuted.
    (1)(2)(3)(4)
  • Page 48
    2.—Defects found in Factories and Other Premises.
    Particulars. (1)Number of Defects.Number of offences in respect to which Prosecutions were instituted. (5)
    Found. (2)Remedied. (3)Referred to H.M. Inspector. (4)
  • Page 48
    3.—Home Work.
  • Page 49
    The Chelsea Mortuary is situated in Arthur Street.
  • Page 50
    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.Rents.Remarks.
  • Page 58
    TABLE No. 39. Licences Granted under Milk (Special Designations) Order.
    1938.
  • Page 59
    Inspection of Meat. Carcases Inspected and Condemned.
    Cattle, excluding Cows.Cows.Calves.Sheep and Lambs.Pigs.
  • Page 63
    TABLE No. 40 Cases of Infectious Disease Notified during the Year.
    Cases 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—16 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 (Corrected)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.
    Preliminary Schick Tested.Commenced treatment without Schick Test.Immunised.Discontinued treatment and removed from register.No. under treatment at end of year.
    YearNo. of new cases.Preschool Age.School Age.Naturally ImmunePre-School Age.School Age.
  • Page 65
    Table 42 shows the incidence of the disease during the past two years TABLE No. 42.
    Year.Cases (Corrected).Percentage of Removals.Deaths.Case Mortality Rate.Percentage of cases of School-age 3-13 years.Month of greatest prevalence.
  • Page 66
    Table No. 43 shows the incidence of the disease during the past two years:— TABLE No. 43.
    Year.Number of cases coming to the knowledge of the P.H. Dept.Cases notified from 1/10/38.Total cases.Deaths.Number of Visits and Re-Visits by Health Visitors.Number of Visits by District Nurses.
    Under Over 5 5 years, yearsUnder 5 yearsOver 5 yearsUnder 5 yearsOver 5 yearsTotalUnder 5 yearsOver 5 yearsTotal
  • Page 66
    WHOOPING COUGH. The incidence of the disease during the past two years is shown in Table No. 44:— TABLE No. 44.
    Year.Number of cases coming to the knowledge of the P.H. Dept.Cases notified from 1/10/38.Total cases.Deaths.Number of Visits and Re-Visits by Health Visitors.Number of Visits by District Nurses.
  • Page 67
    The following table shows the number of notified cases during the past two years:— TABLE No. 45.
    YearPNEUMONIA.MALARIA.DYSENTERY.
    Total Number of Cases Notified.Treatment in Hospital.Total Number of Cases Notified.Treatment in Hospital.Total Number of Cases Notified.Treatment in Hospital
  • Page 68
    TABLE No. 46.
    Total number of cases notified.Treatment in Hospital.District Nurses in attendanceCouncil's Obstetrician called in.Deaths.
  • Page 68
    The notifications of puerperal fever and puerperal pyrexia during the past two years were as follows:—
    Puerperal Fever.Puerperal Pyrexia.
  • Page 68
    TABLE No. 47. Ophthalmia Neonatorum.
    Cases.Vision Unimpaired.Vision Impaired.Total Blindness.Left District.Deaths.
    No. Notified.Treated.
    At Home.In Hospital.
  • Page 70
    TABLE No. 48. Vaccinations.
    Number.Percentage of births registered.
  • Page 71
    The following Table No. 49 shows the number of attendances in each quarter:— TABLE No. 49.
    Quarter.No. of days on which the Station was opened.Attendances.
    Verminous.Impetigo.
  • Page 72
    New Cases and Mortality during 1938.
    Age Periods.New Cases.Deaths.
    Respiratory.Nonrespiratory.Respiratory.Nonrespiratory.
    M.F.M.F.M.F.M.F.
  • Page 73
    TABLE No. 51.
    Males.Females.Total.
  • Page 74
    TABLE No. 52. Treatment of Tuberculosis, Year 1938.
    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. 53. Pulmonary Tuberculosis.
    Condition at the time of the last record made during the year to which the return relates.Previous to 192819281929.1930.1931.1932.1933.1934.1935.1936.1937.1938.
    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 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 2Group 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. 53 (continued). Non-Pulmonary Tuberculosis.
    Condition at the time of the last record made during the year to which the return relates.Previous to 1928.1928.1929.1930.19311932.1933.1934.1935.1936.1937.1938.
    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 Organs.Peripheral Glands.TotalBones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.AbdominalOther Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.
  • Page 77
    TABLE No. 54. Work done at the Dispensary.
    Year.Newcases examined during the year.Definite Tuberculosis.Total attendances at Dispensary.
  • 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 :—