Annual report of the Medical Officer of Health for Chelsea, 1944

Page -

TABLE No. 1.

	1939	1940	1941	1942	1943	1944	1945

Page -

POPULATION IN WARDS. (Census 1931.)

	Males.	Females.	Total

Page 12

TABLE No. 2.

	Total	M.	F.

Page 13

Continued from previous page...

	Total	M.	F.	1945

Page 13

TABLE No. 3. R egistered B irths.

Legitimate and Illegitimate Births.	1939	1940	1941	1942	1943	1944	Average 10 years 1929-38	1945

Page 14

TABLE No. 4. Births, Birth- R ates, Births in Wards and Inward Transfer Births.

Year.		Births.			Birth-Hate Per 1,000 of Population	Births in Wards.					Inward Transfer Births.
Year.		Leg.	Illeg.	Total.	Birth-Hate Per 1,000 of Population	Hans Town.	Royal Hospital.	Church.	Cheyne.	Stanley.	Hospitals.	Nursing Homes.	Private Addresses.	1 Total.

Page 15

TABLE No. 5. B irths in H ospitals and N ursing 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

	1939	1940	1941	1942	1943	1944	1945	1946

Page 16

TABLE NO. 7.

Year.	Number of Illegitimate Births.			Percentage of Total Births.
Year.	Male.	Female.	Total.	Percentage of Total Births.

Page 16

STILLBIRTHS.

Year.	1939	1940	,1941	1942	,1943	.1944.	1945.

Page 16

MARRIAGES.

Year.	1939.	1940.	1941.	1942.	1943.	1944.	1945.

Page 17

TABLE No. 8. Registered Deaths.

	1939.	1940.	1941.	1942.	1943.	1944.	1945	1946

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.
Year.	Deaths.	Death- Rate per 1,000 of Population.	Hans Town.	Royal Hospital.	Church.	Cheyne.	Stanley.	First Quarter.	Second Quarter.	Third Quarter.	Fourth Quarter.

Page 19

TABLE No. 11.

Page 20

TABLE No. 12. Deaths of Chelsea R esidents R egistered during the Year. C lassified by A ge and Cause. (In accordance with Registrar-General's Return.)

	Nett deaths whethert occurring within or without the borough.
	1939							1940							1941							1942							1943							1944								1945							1946							1947							Reference No.
	ALL AGES	Under 1 year	1-5	5-15	15-45	45-65	65+	ALL AGES	Under 1 year	1-5	5-15	15-45	45-65	65+	ALL AGES	Under 1 year	1-5	5-15	15-45	45-65	65+	ALL AGES	Under 1 year	1-5	5-15	15-45	45-65	65+	ALL AGES	Under 1 year	1-5	5-15	15-45	45-65	65+	ALL AGES	Under 1 year	1-5	5-15	15-45	45-65	65+	Reference No.	ALL AGES	Under 1 year	1-5	5-15	15-45	45-65	65+	ALL AGES	Under 1 year	1-5	5-15	15-45	45-65	65+	ALL AGES	Under 1 year	1-5	5-15	15-45	45-65		Reference No.
ALL CAUSES	743	17	5	6	55	180	480	854	15	4	9	154	226	443	600	9	2	3	54	170	362	502	17	3	-	42	126	314	554	32	3	5	46	151	314	572	21	4	12	79	162	294		536	25	11	7	48	128	314	560	36	5	4	46	122	337	611	43	5	2	80	150	361

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.	Diarrhœal Diseases.	All other causes.	Total Deaths.

Page 22

INFANT MORTALITY.

	1939		1940,	1941	1942	1943	1944.

Page 22

TABLE No. 15.

1944	Under 1 week.	1-2 weeks.	* . 2-3 weeks.	3-4 weeks.	Total under 4 weeks.	4 weeks and under 3 months	3-6 months.	6-9 months.	9-12 months.	Total deaths	1939		1940		1941		1942		1943		1944		1945		1946		1947
1944	Under 1 week.	1-2 weeks.	* . 2-3 weeks.	3-4 weeks.	Total under 4 weeks.	4 weeks and under 3 months	3-6 months.	6-9 months.	9-12 months.	Total deaths	Deaths under 4 weeks	Total death under one year	Deaths under 4 weeks	Total death under one year	Deaths under 4 weeks	Total death under one year	Deaths under 4 weeks	Total death under one year	Deaths under 4 weeks	Total death under one year	Deaths under 4 weeks	Total death under one year	Deaths under 4 weeks	Total death under one year	Deaths under 4 weeks	Total death under one year

Page 24

The following table shows the Maternal Mortality in Chelsea during the past SIX years:— TABLE No. 19.

Year.	Death-rate per 1,000 Total (Live and Still) Births.		Total Death-rate.
Year.	Puerperal Sepsis.	Other complications of Pregnancy and Childbirth.	Total Death-rate.

Page 26

TABLE No. 21. N ursed by D istrict N urses

	1939		1940		1941		1942		1943		1944		1945		1946
	Visits	Cases	Visits	Cases	Visits	Cases	Visits	Cases	Visits	Cases	Visits	Cases	Visits	Cases	Visits	Cases

Page 27

TABLE No. 22.

Year.	(1) No. of applications for services of		(2) Total number provided with a		Amount of Assessment on cases attended.						Nett Cost to Council.
Year.	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 28

TABLE NO. BACTER 10 LOGICAL AND OTHER EXAMINITIONS.

NATURE OF SPECIHENS.	1939	1940	1941	1942	1943	1944

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.

	1939	1940	1941	1942	1943	1944	1945	1946	1944

Page 33

The Milk and Welfare Sub-committee meets weekly at the Town Hall to consider applications. 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:— TABLE No. 27.

Year.	Milk Orders issued and taken up.					Approx. Cost.
Year.	March quarter.	June quarter.	Sept. quarter.	Dec. quarter.	*Total.	Approx. Cost.

Page 36

The attendances at the Nursery during the past two years were as follows:— TABLE No. 28..

	1937.	1938.

Page 38

The Borough Council made a financial grant of £100 to the Association for the year commencing 1st April, 1938.

ACTUAL CASES-CHILDREN UNDER 5 YEARS OF AGE	1939	1940	1941	1942	1943	1944	1945	1946
ACTUAL CASES-CHILDREN UNDER 5 YEARS OF AGE	110	46	48	35	26	32	29	30

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 42

Summary of Work carried out by Sanitary I nspectors during the Ye AR

Inspections.	1939	1940	1941	1942	1943	1944	AVERAGE 10 YEARS. 1929-1938

Page 43

Continued from previous page...

Page 44

Continued from previous page...

	1939	1940	1941	1942	1943	1944	1945	1946	1947

Page 47

TABLE No. 34 Factories, Workshops, Workplaces, and Homeworkers' Premises. i.- Inspection of Factories and Other Premises. (Including Inspections made by Sanitary Inspectors).

Premises. (1)	Number of
Premises. (1)	Inspections. (2)	Written Notices. . (3)	Occupiers prosecuted. (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)
Particulars. (1)	Found. (2)	Remedied. (3)	Referred to H.M. Inspector. (4)

Page 48

3.—H ome Work.

Out worker list Section 110.						Out work in Unwholesome Premises Section 111.			Outwork in Inspected Premises. Secs 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.	Out work in Unwholesome Premises Section 111.			Outwork in Inspected Premises. Secs 109, 110
Lists received from Employers.						Instances.	Notices served.	Prosecutions.	Instances.	Orders made (Sec. 109).	Prosecutions. (Sec. 109. 110).
Lists.	Chelsea Outworkers					Instances.	Notices served.	Prosecutions.	Instances.	Orders made (Sec. 109).	Prosecutions. (Sec. 109. 110).

Page 53

TABLE No. 36. Pre-War Housing. Properties Owned and Managed by the Chelsea Borough Council.

Property.	No. of Flats	Population (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

I nspection of M eat. C arcases I nspected and C ondemned.

	Cattle, excluding Cows.	Cows.	Calves.	Sheep and Lambs.	Pigs.

Page -

TABLE No. 40 Cases of Infectious Disease Notified during the Year. 1944

	Corrected Cases notified in Chelsea. 1944													Cases notified in each Ward.					Removed to various Hospitals	*Casestified.						Averrage 10 years 1929-38.
	At all Ages.	Under 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.	Removed to various Hospitals	1939	1940	1942	1943	1944	1945	Averrage 10 years 1929-38.

Page 64

The incidence of the disease during the past six years is shown in Table No. 41. TABLE No. 41.

Year	Cases (Corrected)	Percentage of Removals.	Deaths	Case Mortality Rate.	Percentage of cases of School age (3-13 years)	Month of greatest prevalence.	Bacterioscopic Diagnosis, Lister Institute.
							No. of Specimens sub- mitted	Positive.	Percentage Positive.	Negative.	Percentage Negative.

Page 65

The following table gives details of the work of the clinic during the past six years. TABLE 41A.

Year	No. of new cases.	Preliminary Schick Tested.		Commenced treatment without Schick Test.	Naturally-Immune	Immunised.		Discontinued treatment and removed from register.	No. under treatment at end of year.	children inn in coutry and post
Year	No. of new cases.	Preschool Age.	School Age.	Commenced treatment without Schick Test.	Naturally-Immune	Preschool Age.	School Age.	Discontinued treatment and removed from register.	No. under treatment at end of year.	children inn in coutry and post

Page 65

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

MEASLES. 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.	M B plus Number of Visits and Re-Visits by Health Visitors.			Number of Visits by District Nurses.
	Under 5 years.	Over 5 years	Under 5 years	Over 5 years			Under 5 years	Over 5 years	Total •	Under 5 years	Over 5 years	Total

Page 67

The following table shows the number of notified cases during the past two years:— TABLE No 45.

Year	PNEUMONIA.		MALARIA.		DYSENTERY.
Year	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 attendance	Council's Obstetrician called in.	Deaths.

Page 68

TABLE No. 47. Ophthalmia Neonatorum.

YEAR.	Cases.			Vision Unimpaired.	Vision Impaired.	Total Blindness.	Left District.	Deaths.
	No. Notified.	Treated.
	No. Notified.	At Home.	In Hospital.

Page 69

Nursing By arrangement with the Chelsea District Nursing Association. home nursing is provided for infants suffering from this disease.

Year.		cases.	No.of Visits.

Page 69

TABLE NO.

YEAR	NO. OF CASES TREATED	TOTAL NO. OF TREATMEANTS	NO OF ARTICLAS DISINFECTED

Page 70

TABLE No. 48. Vaccinations.

	1938		1939		1940		1941		1942		1943
	Number	%	Number	%	Number	%	Number	%	Number	%	Number	%

Page 71

TABLE NO. L.C.C. SCHEME. CLEANSING OF VERNINOUS CHILDREN E.T.C.

	1939	1940	1941	1942	1943	1944	1945	1946

Page 71

NOTIFIC ATIONS AND NEW CASES.

YEAR	NOTIFICATIONS.			NEW CASES OTHERWISE THANBY NOTIFICATION ON FORM A.	TOTAL NEW CASES (ALL SOURCES)
YEAR	PRIM.	WUAL	TOML	NEW CASES OTHERWISE THANBY NOTIFICATION ON FORM A.	TOTAL NEW CASES (ALL SOURCES)

Page 72

' Officer of Health during the year, otherwise than by notification on Form A or Form B under the Public Health (Tuberculosis) Regulations. Tuberculosis. New Cases and Mortality.

Age Periods.	1939								1940								1941								1942								1943\								1944								1945								1946
	NEW CASES				DEATHS				NEW CASES				DEATHS				NEW CASES				DEATHS				NEW CASES				_DEATHS				NEW CASES				DEATHS				NEW CASES				DEATHS				CASES				DEATHS						CASES						CASES				DCATHS
	RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NON- RESPIRA TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		M F		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		ilRESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY		RESAIRA TORY		NOW RESPORT TORY

Page 73

TABLE NO. 51

year				1940			1941			1942			1943			1944			1945

Page 74

TABLE No. 52. Treatment of Tuberculosis, Year

Diagnosis.	Pulmonary.						Non-Pulmonary.				Total.				Grand Total.
	Adults.			Children.			Adults.		Children.		Adults.		Children.		Grand Total.
	M.	F.		M.	F.		M.	F.	M.	F.	M.	F.	M.	F.

Page 77

TABLE No. 54. Work done at the Dispensary.

Year.	Newcases examined during the year.	Definite Tuberculosis.	Total attendances at Dispensary.

Page 77

CHELSEA DEATHS FROM TUBERCULOSIS IN INSTITUTIONS

Year	Total Qorm	ST-LUNES WOSP OTWER IN STAUTIONS				TOTAL OF DEATHS ANTY TROM MOME
Year	Total Qorm	NO	%	%	%	TOTAL OF DEATHS ANTY TROM MOME

Page 78

Co-oderation with Medical Practitioners.-

YEAR	NO OF CASES (INCLUDING ) PERSONAL CONSULTATIONS VISITED BY THE TUBERCULOSIS OFFICER AT THE HOMES OF THE PATIENT.	NO OF CASES REFER RE D BY MEOICAL ARACTI TIO TO TUBERCULOSIS OFFICER AT THE DISPENSARY.

Page 78

Artificial Pneumo-thorax Treament.- On the recommendation of the Tuberculosis Officer patints are supplied with refills in con-nection with artficial pneumo-thorax treatment.

YEAR	NO OF PATIENTS.	COST	YEAR	NO OF PATIENTS	COST

Page 79

IN each case hte certificate of the tuberculosis officer is required and dental treatment must be Shown as necessaryb to render other treatment more completely effications.

year	No. of Patients RECEWED TREATMENT	DENTURES	COST TO COUNSIL

Page 82

All samples not reported as adulterated or inferior were returned as " Geunine."

Article.	Taken Fromally	Adulterated.	Taken informally	Adulterated	Total samples Analysed	Total Samples Adulterated

Page 83

T ABLE— continued.

Article.	Taken Fromally	Adulterated.	Taken informally	Adulterated	Total samples Analysed	Total Samples Adulterated

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

View report tables

Chelsea 1944

66 tables in this report

TABLE No. 1.

POPULATION IN WARDS. (Census 1931.)

TABLE No. 2.

Continued from previous page...

TABLE No. 3. R egistered B irths.

TABLE No. 4. Births, Birth- R ates, Births in Wards and Inward Transfer Births.

TABLE No. 5. B irths in H ospitals and N ursing Homes.

TABLE NO. 6

TABLE NO. 7.

STILLBIRTHS.

MARRIAGES.

TABLE No. 8. Registered Deaths.

TABLE No. 9.

TABLE No. 10. Deaths, Death Rates, Deaths in Wards and Seasonal Mortality.

TABLE No. 11.

TABLE No. 12. Deaths of Chelsea R esidents R egistered during the Year. C lassified by A ge and Cause. (In accordance with Registrar-General's Return.)

TABLE No. 13.

TABLE No. 14. Child Mortality (1-5 Years).

INFANT MORTALITY.

TABLE No. 15.

The following table shows the Maternal Mortality in Chelsea during the past SIX years:— TABLE No. 19.

TABLE No. 21. N ursed by D istrict N urses

TABLE No. 22.

TABLE No 23.

TABLE NO. BACTER 10 LOGICAL AND OTHER EXAMINITIONS.

TABLE No. 24.

TABLE No. 26. Summary of Reports of Health Visitors.

The Milk and Welfare Sub-committee meets weekly at the Town Hall to consider applications. Milk is supplied on the following basis:—

The following table shows for the past two years, the extent of this service:— TABLE No. 27.

The attendances at the Nursery during the past two years were as follows:— TABLE No. 28..

The Borough Council made a financial grant of £100 to the Association for the year commencing 1st April, 1938.

TABLE No. 30.

Summary of Work carried out by Sanitary I nspectors during the Ye AR

Continued from previous page...

Continued from previous page...

TABLE No. 34 Factories, Workshops, Workplaces, and Homeworkers' Premises. i.- Inspection of Factories and Other Premises. (Including Inspections made by Sanitary Inspectors).

2.—Defects found in Factories and Other Premises.

3.—H ome Work.

TABLE No. 36. Pre-War Housing. Properties Owned and Managed by the Chelsea Borough Council.

TABLE No. 37. Properties erected by Private Enterprise, Benevolent Agencies, Trusts, etc.

TABLE No. 38. Post-War Housing.

TABLE No. 39 Licences Granted under Milk (Special Designations) Order.

I nspection of M eat. C arcases I nspected and C ondemned.

TABLE No. 40 Cases of Infectious Disease Notified during the Year. 1944

The incidence of the disease during the past six years is shown in Table No. 41. TABLE No. 41.

The following table gives details of the work of the clinic during the past six years. TABLE 41A.

TABLE No. 42.

MEASLES. Table No. 43 shows the incidence of the disease during the past two years:— TABLE No. 43.

The following table shows the number of notified cases during the past two years:— TABLE No 45.

TABLE No. 46.

TABLE No. 47. Ophthalmia Neonatorum.

Nursing By arrangement with the Chelsea District Nursing Association. home nursing is provided for infants suffering from this disease.

TABLE NO.

TABLE No. 48. Vaccinations.

TABLE NO. L.C.C. SCHEME. CLEANSING OF VERNINOUS CHILDREN E.T.C.

NOTIFIC ATIONS AND NEW CASES.

' Officer of Health during the year, otherwise than by notification on Form A or Form B under the Public Health (Tuberculosis) Regulations. Tuberculosis. New Cases and Mortality.

TABLE NO. 51

TABLE No. 52. Treatment of Tuberculosis, Year

TABLE No. 54. Work done at the Dispensary.

CHELSEA DEATHS FROM TUBERCULOSIS IN INSTITUTIONS

Co-oderation with Medical Practitioners.-

Artificial Pneumo-thorax Treament.- On the recommendation of the Tuberculosis Officer patints are supplied with refills in con-nection with artficial pneumo-thorax treatment.

IN each case hte certificate of the tuberculosis officer is required and dental treatment must be Shown as necessaryb to render other treatment more completely effications.

All samples not reported as adulterated or inferior were returned as " Geunine."

T ABLE— continued.