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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

Fulham 1934

[Report of the Medical Officer of Health for Fulham Borough]

Published
1935
Pages
88
Tables
75

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75 tables in this report

  • Page 9
    GENERAL STATISTICS.
  • Page 9
    EXTRACTS FROM VITAL STATISTICS FOR THE YEAR.
    Total.Males.Females.
  • Page 11
    DEATHS OF FULHAM RESIDENTS OUTSIDE THE BOROUGH. The deaths of Fulham residents in institutions outside the Borough numbered 464 and occurred in the following places:—
  • Page 11
    Of the deaths of Fulham persons 62.3 per cent, took place in Public Institutions as follows:—
    per cent.
  • Page 11
    SEASONAL MORTALI1Y. The mortality in the four quarters of the year under review, was as follows:—
  • Page 12
    CAUSES OF DEATH. These are classified in Table II., pages 17 and 18. The following table shows the diseases which caused the largest number of deaths:—
    Disease.Males.Females.Both Sexes.Percentage of total deaths.
  • Page 13
    DEATHS FROM CANCER IN 1934.
    Males.Females.Total.
  • Page 13
    DEATHS CLASSIFIED ACCORDING TO THE ORGAN AFFECTED.
  • Page 13
    AGES AT DEATH OF PERSONS DYING FROM CANCER, in 1934.
    Age Periods.Males.Females.Total.
  • Page 14
    INFANTILE MORTALITY RATE IN FULHAM SINCE 1891.
    Average for five years.Actual rate for the last seven years.
  • Page 14
    The following table shows the birth and infantile mortality rates during the last two years for the various wards in the borough:—
    Wards.Births and Birth rates.Infantile deaths.Infantile mortality rates.
    193419331934193319341933
  • Page 15
    The following table shows the number of infantile deaths from all causes as compared with infantile deaths from diarrhœa, since 1924.
    Infantile deaths from all causes.Infantile deaths from Diarrhœa.
  • Page 15
    The following is a list of the cases with the causes of death:—
    Occupation.Age.Date and Place of death.Cause of Death.
  • Page 16
    Table I.—Vital Statistics of the Whole Borough during 1934 and Ten preceding Years.
    Year.Population Estimated to Middle of each Year.Births.Total Deaths Registered in the Borough.Transferable Deaths.†Nett Deaths Belonging to the Borough.
    Uncorrected Number.Nett.
    Of Non-Residents registered in the Borough.Of Residents not registered in the Borough.Under I Year of AgeAt all Ages.
    Number. *Rate.
    Number. *Rate per 1,000 Nett Births.Number. *Rate.
    Number.Rate.
    12345678910111213
  • Page 17 18
    Table II. Causes of and Ages at Death during the Year 1934.
    Nett deaths at the subjoined ages of “Residents,” whether occurring within or without the District (a).Total Deaths, whether of “Residents” or “Non-Residents” in Institutions in the District (b).Nett deaths at all ages of “Residents” in the Wards of the Borough, whether occurring in or beyond the Wards.
    Causes of Death.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.Baron’s Court Ward.Lillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End WardTown Ward.
    12345678910111213141516171819202122
  • Page 19 20
    Table III. Infant Mortality during Year 1934.
    Nett Deaths from stated causes at various ages under One Year of Age.Nett Deaths under One Year of Residents in the Wards of the Borough.
    Cause of Death.Under i Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 Months.Total Deaths under One Year.Baron's Court Ward.Lillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
  • Page 23
    The ages at which the disease occurred will be seen from the following table:—
    0 to 11 to 22 to 33 to 44 to 55 to 66 to 77 to 88 to 99 to 1010 to 1515 to 2020 to 3535 to 4545 to 6565 and upTotals.
  • Page 24
    Mr. H. Davies, the Council's Vaccination Officer, has supplied me with the following statistics relating to his work:—
  • Page 25
    The number of cases and of deaths occurring during each month of the year 1934 was as follows:—
    First Quarter:—Third Quarter:—
    Cases.Deaths.Cases.
  • Page 25
    There were 1,519 cases in girls and 1,448 cases in boys. Regarding the ages of the children affected the following summary shows that those under seven years of age were the chief sufferers:—
    0 to 11 to 22 to 33 to 44 to 55 to 66 to 77 to 88 to 99 to 1010 to 1515 to 2020 to 3535 to 4545 to 6565 and upTotal
  • Page 27
    During the year 15 cases of Ophthalmia Neonatorum were notified, the same as during the previous year, giving an attack rate of 7.5 per thousand of the registered live births. Through an arrangement between the Borough Council and the District Nursing Association the services of the District Nurses are available for cases which are under medical treatment in their own homes. During 1934 50 visits were paid to three such cases.
  • Page 27
    NON-NOTIFIABLE INFECTIOUS DISEASES.
  • Page 28
    Table IV.—Cases of Infectious Diseases notified during the Year 1934.
    Notifiable Diseases.Number of Cases Notified.Total Cases Notified in each Ward of the Borough.Deaths.
    At all Ages.At Ages—Years.Baron's Court Ward.Lillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.Total cases removed to Hospital.
    0—1.1—2.2-3.3—4.4—5.5—10.10—15.15—20.20—35.35—45.45—65.65 and upwards.
  • Page 30
    The Visits paid by the seven Health Visitors are shown in the following table:—
  • Page 30
    Maternity and Child Welfare Centres. There are three Maternity and Child Welfare Centres in the Borough, viz., 90/92, Greyhound Road; 170, Wandsworth Bridge Road; and at Melmoth Hall, Eustace Road, all of which are attended by the Medical Officers in this Department. The total attendances at the clinics decreased by 1,354 and the first attendances of children under one year of age represented 49.28 per cent. of the notified live births. The following table shows the attendances at the Infant Clinics during the year 1934:—
    Clinic.Number of Clinics held.First attendance of babiesTotal Attendances
  • Page 31
    Ante-natal Clinics. Three ante-natal sessions are held weekly; two being held at 90/92, Greyhound Road and one at 170, Wandsworth Bridge Road. These clinics are mainly for the supervision of expectant mothers and for the prevention, as far as possible, of any abnormalities at labour. Normal cases which are booked for the Borough Maternity Home must attend previously at one of the ante-natal clinics. The number of attendances at the ante-natal clinics increased slightly while the actual number of patients who attended remained practically the same (612 compared with 610). The following is a record of the work done at the Ante-Natal Clinics:—
    ClinicNO. of Sessions.No. of Patients. New TotalNo. of Attendances.
  • Page 32
    way obtain practical experience in ante-natal work. Nurses are also trained at the Maternity Home for the certificate of the C.M.B. The following is a record of the work done at the Maternity Home during 1934:—
  • Page 32
    The following figures show the attendances at the Day Nursery during 1934:—
  • Page 34
    As in former years a very high standard of skilled nursing is carried out by the Matron, Sister and staff at the Hospital. The following table gives an account of the work done during the year:—
  • Page 34
    Reasons for admission of the 130 children were:—
  • Page 35
    HOME NURSING BY THE DISTRICT NURSING ASSOCIATION ON BEHALF OF THE FULHAM BOROUGH COUNCIL.
    Jan. to Mar.April to June.July to Sept.Oct. to Dec.TOTALS.
    Cases.Visits.Cases.Visits.Cases.Visits.Cases.Visits. _Cases.Visits.
  • Page 36
    The details of these removals and additions are as follows:—
    Pulmonary:Non-Pulmonary:
    Males.Females.Males.Females.TOTALS:
  • Page 36
    MORTALITY FROM TUBERCULOSIS.
  • Page 37
    Continued from previous page...
  • Page 37
    PERIOD BETWEEN PRIMARY NOTIFICATION AND DEATH.
  • Page 38
    DISPENSARY STATISTICS, 1913—1934. TABLE V.
    Year.Suffering from Pulmonary Tubercu-losis.New Patients.Non-Tuberculous Cases.Attendances at Dispensary.Doctors' Home Visits.Nurses' Home Visits.
    Suffering from other forms of Tubercu-losis.Doubtful Cases.Insured.Uninsured.
  • Page 39
    TABLE VI.
    Year.Notifications.Deaths.Death-Rate.
    Pul-monary.Other forms of Tuber-culosis.Pul-monary.Other forms of Tuber-culosis.Pul-monary.Other forms of Tuber-culosis.
  • Page 41
    TABLE VIII. NEW CASES OF TUBERCULOSIS COMING TO THE KNOWLEDGE OF THE MEDICAL OFFICER OF HEALTH DURING THE PERIOD, OTHERWISE THAN BY FORMAL NOTIFICATION.
    Age Periods.0-11-55-1010-1515-2020-2525-13535-4545-5555-6565 up-wardsTotal Cases
    Pulmonary:— Males___1_131129
    Females————1——31229
    Non-Pulmonary:—
    Males13————1————5
    Females1—————2——1—4
    Totals23——2—4624427
  • Page 42
    Routine. There has been no change in Dispensary procedure, or as regards the Clinic hours, which are given below:—
  • Page 45
    Report for 1934 on Muntoux Tests.
  • Page 48
    SUMMARY OF STATISTICS, 1934.
  • Page 49
    Continued from previous page...
  • Page 49
    TABLE IX.
    40 to Sanatoria.3 to Colonies.3 to Convalescent Homes.76 to Hospitals.
  • Page 50
    TABLE X. Showing sources of New Cases.
    226 were recommended by private doctors.
  • Page 50
    TABLE XI.
    New Cases.Pulmonary Tuberculosis.Other Forms.Suspects.NonTubercular.Percentage Tubercular.
  • Page 50
    TABLE XII.
    Under 5 yrs.5 to 10 yrs.10 to 15 yrs.15 to 25 yrs.25 to 35 yrs.35 to 45 yro.45yrs. and over.All ages.
  • Page 51
    TABLE XIII. Diagnosis at Various Age Periods. New Patients
    Pulmonary Tuberculosis.Other Forms.Suspects.Non-Tubercular.Percentage Tubercular.
  • Page 51
    TABLE XIV.
  • Page 52
    TABLE XV. Housing Accommodation.
    Number of Families occupying t 1
    [ One room.Two rooms.Three rooms.Four rooms.[ Five rooms.Six rooms or more.
  • Page 52
    TABLE XVI. Sleeping Accommodation of 191 Tuberculosis Patients.
  • Page 53
    TABLE XVII. Occupation of 82 Men (New Cases) in 1934.
  • Page 55
    The following articles were disinfected at the Council's Disinfecting Station:—
    Articles.From private houses.From institutions.Total.
  • Page 56
    The following notices were served in respect of dwelling-houses during the year:—
    Intimation Notices.Statutory Notices.
    Number served.Number complied with up to 31st December, 1934.Number served.Number complied with up to 31st December, 1934.
  • Page 59
    The following table shows the number of inspections of the various types of food premises:—
  • Page 60
    SAMPLES OF ALL FOODS (INCLUDING MILK) REPORTED AS ADULTERATED ON CHEMICAL ANALYSIS.
    Year1928192919301931193219331934
  • Page 60
    Particulars of the number and percentage of adulterated samples of milk for the years 1928 to 1934 inclusive are given in the following table:—
    Year1928192919301931193219331934
  • Page 60
    The following samples were taken during 1934 and in all cases the miln was found to be genuine:—
    Institution.Samples taken for
    Chemical Analysis.Bacteriological Examination.
  • Page 61
    PARTICULARS OF ALL SAMPLES REPORTED TO BE ADULTERATED OR NOT IN ACCORDANCE WITH LEGAL STANDARDS.
    Sample No.Article.Result of Analysis.Action Taken.
  • Page 62
    Continued from previous page...
    Sample No.ArticleResult of AnalysisAction Taken.
  • Page 65 66
    BACTERIOLOGICAL EXAMINATIONS OF MILK SOLD IN BOTTLES.
    Date taken.Temperature on arrival at Laboratory. Degrees Centigrade.Number of Bacteria per c.c.B. Coli Test
    48 Hours.Three Days.
    l/100th1/1,000th1/10,000th1/100th.l/l,000th.1/10,000th.
  • Page 69
    INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.
    Premises.Number of
    Inspections.Written notices.Occupiers Prosecuted
    (1)(2)(3)(4)
  • Page 70
    DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
    Particulars.Number of DefectsNumber of offences in respect of which Prosecutions were instituted.
    ! Found.1 Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 70
    The following table gives the number of outworkers' premises in the Borough, the nature of the work carried on, and the classification of the outworkers' premises into factories, workshops and workplaces:—
    Nature of Work.Nature of Premises.Total.
    Factories.Workshops.Workplaces.
  • Page 71
    OUTWORK IN UNWHOLESOME PREMISES.
    Nature of Work.Instances.Notices Served.Prosecutions.
  • Page 71
    TOTAL INSPECTIONS.
    Premises.Male Inspectors.Woman Inspector.Total.
  • Page 74
    Details of the areas are set out in the following table:—
    Area.Acreage.No. of Dwellings.Density of Dwellings per acre.No. of Families.Adults.Children.
  • Page 75
    Total.Density of Persons per acre.Date of Official Representation.Date of Orders.Date of Inquiry.Result.
    c.p.o.c.o.
  • Page 75
    Comparative Statistics of the Borough (.Census 1931).
    Acreage.No. of Private Dwellings.Density of Dwellings per acre.Population.Density of Persons per acre.
  • Page 76
    The following table shows the number of families accommodated on the various estates since October, 1924:—
    Estate.Accommodated on recommendation by the Fulham Borough Council.Accommodated on applying direct to the London County Council.Total Fulham families accommodated.
  • Page 78
    The type of drainage defect is shown in the following table:—
  • Page 78
    In three cases the infestation was due to defective sewers. Rats were caught as follows:—
  • Page 79
    LEGAL PROCEEDINGS. Proceedings were instituted in the following cases during the year:—
    Offence.Result.Penalty.Costs.
  • Page 80
    LECTURES GIVEN BY THE BRITISH SOCIAL HYGIENE COUNCIL IN FULHAM DURING 1934.
    Date.Organisation or PlaceType of Audience.Film.Speaker.Attendance.
  • Page 81 82
    LEGISLATION AFFECTING PUBLIC HEALTH ENACTED DURING 1934.
    TITLE,PROVISION'S,
  • Page 86
    SAMPLES PURCHASED FOR ANALYSIS DURING 1934.
    Article.Number of Samples.Total Samples Analysed.• Total Samples Adulterated.Percentage of Adulteration.
    Taken officially.Adulterated.Taken unofficially.Adulterated.