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

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Vital Statistics.

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Notification Received from

Midwives.	Doctors.	Lying-in Hospitals.	Poor Law Institutions.	Parents.	M.O.H.'s.

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The following tableon infantile mortality hasbeenprepared in accordance with the direction of the Ministry of Health. INFANT MORTALITY 1932. Infantile Mortality during the year 1932. Nett Deaths from 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 4 Week?.	4 Weeks, and under 3 months.	3 months an 3 under 6 months.	6 months and under 9 months.	9 months and under 1 year.	Total Deaths under 1 Year.

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TABLE II. Causes of, and Ages at, Death during the Year 1932. METROPOLITAN BOROUGH OF HAMMERSMITH.

Causes of Death..	Sex.	All Ages.	0—	1-	2—	5—	15-	25—	35-	45-	55-	65-	75-

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This rate is calculated on the estimated population of each Ward.

Ward.	Estimated Population.	No. of Deaths.	Death Rate.

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LONDON AND METROPOLITAN BOROUGHS.

Cities and Borocghs.	Estimated population.	Births. Annual rate per 1,000 persons living.	Death-rate per 1,000 living.	Infantile Mortality rate per 1,000 births.

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The number of Maternal Deaths during the past thirteen years is as follows:—

Year.	Number of Deaths		Number of Births.	Maternal Death Rate.
Year.	Puerperal Sepsis.	Other Accidents of Pregnancy.	Number of Births.	Maternal Death Rate.

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NUMBER OF INSPECTIONS MADE DURING 1932.

Cause of Inspection.	Districts.
Cause of Inspection.	1	2	3	4	5	6	7	8	Lady Sanitary Inspector	Food and Drugs Inspector	House to House Inspectors	Total.

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	Number of Inspections.	Notices Served.	Notices complied with

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The following table shows the result of proceedings taken:—

Situation of Premises.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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Summonses—continued.

Situation of Premises.	Nature of Offence.	No. of Summons	Result of Proceedings.

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Summonses—continued.

Situation of Premises.	Nature of Offence.	No of Summonses.	Result of Proceedings.

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Summonses—continued.

Situation of Premises.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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Summonses—continued.

Name and Address.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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VACCINATION ACT, 1871. SECTION 7.

Name and Address	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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MILK & DAIRIES (CONSOLIDATION) ACT, 1915. MILK & DAIRIES ORDER, 1926. MILK & DIRIES (AMENDMENT) ACT, 1922.

Name and Address.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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LONDON COUNTY COUNCIL (GENERAL POWERS) ACTS.

Name and Address.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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PUBLIC HEALTH (LONDON) ACT, 1891.- -UNSOUND FOOD.

Name and Address.	Nature of Offence.	No. of Summonses	Result of Proceedings.

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FACTORY AND WORKSHOP ACT, 1901,

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1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

Premises	Number of
Premises	Inspections	Written Notices	Prosecutions

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2.—DEFECTS FOUND IN FACTORIES, WORK-SHOPS AND WORKPLACES.

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3.—HOME WORK.

Nature of Work	Outwork in Unwholesome premises, Sec. 108			Outwork in Infected Premises Sees. 109, 110
Nature of Work	Instances	Notices served	Prosecutions	Instances	Orders made (Sec. 110)	Prosecutions (Secs. 109, 110)

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Milk (Special Designations) Order, 1923. The following is a list of the licences issued during the year under the Milk (Special Designations) Order, 1928:—

Description.	Number.

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The following is a list of Unsound Food found during the Inspection of the Carcases of Animals Slaughtered in the Local Slaughterhouses.

Description.	Disease.	Approximate Weight.

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The following is a list of the licensed slaughterhouses in the Borough:—

Premises.	Name of Licensee

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The following table gives a summary of the work relating to milk premises, slaughterhouses and ice cream premises:—

PREMISES.	NUMBER OF PREMISES.					Number of inspections 1932	Number of notices 1932	Number of proseutions 1932
PREMISES.	On register in 1920.	On register at end of 1931	Added in 1932	Removed in 1932	On register at end of 1932	Number of inspections 1932	Number of notices 1932	Number of proseutions 1932

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The following is a list of unsound food condemned during the year:—

Commodity.	Condition.	Result.

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Table I.

Samples received.	Genuine.	Inferior.	Adulterated.	Total.

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Table II.

Article.	No. of Samples examined.	Result of Examination.			Summonses Issued.	Penalties Imposed.
		Genuine.	Inferior.	Adulterated.

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Table III.

No.	Adulteration Certified.

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Table IV.

	Fat.	Non-fatty Solids.	Water.
	Per cent.	Per cent.	Per cent.

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Cases of Infectious Disease notified during the year 1932. TABLE IV.

Number of cases Notified								Total cases notified in each Ward
At all Ages
	Under 1	1 & under 5 Years	5 & under 15 Years	15 & under 25 Years	25 & under 45 Years	4 & under 65 Years	65 and upwards	8'th	Centre		North
	Under 1	1 & under 5 Years	5 & under 15 Years	15 & under 25 Years	25 & under 45 Years	4 & under 65 Years	65 and upwards	Ward _\|	Ward 2	Ward 3	Ward ; 4	Ward 5	Ward ' 6	W ard

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The following table shows the deaths of residents regis-tered from the seven principal zymotic diseases which occurred in the ten years, 1923 to 1982:—

Year.	Smallpox.	Measles.	Scarlet Fever.	Diphtheria and Membranous Croup.	Whooping Cough.	Enteric Fever.	Diarrhoea and Cholera.	Total.

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Notifiable Diseases (other than Tuberculosis) during the year 1932.

DISEASE.	Total cases notified.	Cases admitted to Hospital.	Total deaths.

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Diphtheria 13

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TABULAR STATEMENT—ZYMOTIC DISEASES. The following table shows the number of cases that were reported as due to the undermentioned diseases during the years 1923 to 1932.

Year.	Smallpox.	Scarlet Fever.	Diphtheria or Diphtheritic Croup.	Typhus Fever.	Enteric Fever.	Simple Continued Fever.	Relapsing Fever.	Puerperal Fever.	Puerperal Pyrexia. d	Cholera.	Erysipelas.	Plague.	Chickenpox. f	Measles. b a	Whooping Cough. a	Cerebro-Spinal Fever.	Anthrax.	Glanders.	Hydrophobia. f	Ophthalmia Neonatorum.	Acute Polio-Myelitis.	Encephalitis Lethargica.	Pneumonia. e	Malaria. c	Dysentery. c	Trench Fever. e	Food Poisioning. g.	Total.

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DISINFECTION. The following table shows the amount of disinfection carried out by your Council during the year; all bedding and articles of clothing, &c., being removed to the Council's Disinfecting Station, for the purposes of disinfection.

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Proceedings under Section 81 of the Vaccination Act, 1867, were instituted in 46 cases, and resulted as follows:—

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VACCINATI ON RETURNS. RETURN FOR 1931.

Registration Sub-Districts comprised in the Vaccination Officers' District	Number of Births returned in the "Birth List Sheets" as regis-tered from 1st January to 31st Dec., 1930	Number of these Births duly entered by 31st January, 1932, in Columns I, II, IV and V of the "Vaccination Register " (Birth List Sheets), viz. :					Number of these Births which on 31st January, 1932, remained unentered in the "Vaccination Register" on account (as shown by Report Book) of			Number of these Births remaining on 31st January, 1931. neither duly entered in the "Vaccination Register " (columns 3, 4, 5, 6 and 7 of this Return) nor tempo-rarily accounted for in the "Report Book" (columns 8, 9 and 10 of this Return	Number of Certifi-cates of Successful Primary Vaccina-tion of children under 14 years received during the calendar year 1931	Number of Statutory Declarations of Conscientious Objection actually received by the Vaccination Officer irrespective of the dates of birth of the children to which they relate during the calendar year 1931
		Col. 1 Successfully Vaccinated	Col. II		Col IV. Number in respect of whom Certifl cates of Conscientious Objection have been received	Col. V Dead, Unvac-cinated	Postponement by Medical Certificate	Removal to Districts, the Vaccination Officer of which has been duly apprised	Removal to Places unknown or which cannot be reached; and Cases not having been found
		Col. 1 Successfully Vaccinated	Insusceptible of Vaccination	Had Small-Pox		Col. V Dead, Unvac-cinated	Postponement by Medical Certificate
1	2	3	4	5	6	7	8	9	10	11	12	13

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Table showing Work of Vaccination Officer from 1st January to 31st December, 1932.

	No. of Vaccination Certificates received from—								No. of Insusceptibility Certificates.	Total No. of Certificates.	No. of Declarations of Conscientious Objection.	No. of Postponement Certificates Received.	No. of Cases Removed Inwards.	No. of Cases Removed Outwards.	No. of "Q" Notices Sent.	No. of "k" Notices Served.	No. of Children Died Unvaccinated.	No. of Visits of Vaccination Officer.	No. of Cases Removed and not Traced.	Nob. entered on *'H " Lists to Public Vaccinators.
	Dr. Durward.	Dr. Dale.	Dr. frossard.	Dr. Dockrill.	Dr. Brash.	Dr. Phillips.	Dr. Barnes	Other Doctors.	No. of Insusceptibility Certificates.	Total No. of Certificates.	No. of Declarations of Conscientious Objection.	No. of Postponement Certificates Received.	No. of Cases Removed Inwards.	No. of Cases Removed Outwards.	No. of "Q" Notices Sent.	No. of "k" Notices Served.	No. of Children Died Unvaccinated.	No. of Visits of Vaccination Officer.	No. of Cases Removed and not Traced.	Dr. Durward.	Dr Dale.	Dr. Frossard.	Dr. Dockrill.	Dr. Brash.	Total

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PART I. Summary of Notifications during the period from the 3rd January, 1932, to the 31st December, 1932.

Age Periods	Formal Notifications												Total Notifi-cations
	Number of Primary Notifications of new cases of Tuberculosis
	0-	1-	5-	10-	15-	20-	25- 35-		45- 55-		65-	Total (all aees)

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PART II. Supplemental Return. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by formal notification.

Age Periods	0-	1-	5-	10-	15-	20-	26-	35-	45-	55-	65-	Total

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The source or sources from which information as to the above-mentioned cases was obtained should be stated below:—

Source of Information	No. of Cases
Source of Information	Pulmonary	Non- pulmonary

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PART III. Notification Register.

		Pulmonary				Non-pulmonary			Total Cases
		Males	Females		Total	Males	Females	Total	Total Cases

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I append figures for the years 1920-32, showing the interval between notification and death of tuberculous persons.

	1920.	1921.	1922.	1923.	1924.	1925.	1926.	1927.	1928.	1929.	1930.	1931.	1932.

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The following table has been prepared, giving particulars of new cases of tuberculosis and of deaths from tuberculosis during 1932:—

Age Periods.	New Cases.				Deaths.
	Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary
	M.	F.	M.	F.	M.	F.	M.	F.

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PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1932 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register. The Table is arranged according to the years in which the patients were first entered on the Dispensary Register as definite cases of pulmonary tuberculosis, and their classification at that time.

Condition at the time of the last record made during the year to which the return relates					Previous to 1926					1926					1927					1928
					Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus
					Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T:B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)

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				1929					1930					1931					1932

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NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1932 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

Condition at the time of the last record made during the year to which the return relates				Previous to 1926					1926					1927					1928
				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

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				1929					1930					1931					1932

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The visits paid are enumerated in detail below:—

	District.				Total.
	No. 1.	No. 2.	No. 3.	No. 4.	Total.

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The following table gives the number of births and deaths of infants and the rate per 1,000 births since 1906, the year of the appointment of the first Health Visitor:—

Year.	Births.	Deaths of Infants.	Deaths of Infants per 1000 births.

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Schedule of Attendances at Infant Welfare Centres.

Address of Clinic.	No. of Clinics	New Cases.				Total Attendances.
		Mothers.		Children.		Mothers.		Children.
		Ante-natal.	Post-natal.	Under 1 yr.	Over 1 yr.	Ante-natal.	Post-natal.	Under 1 yr.	Over l yr.

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Ante-natal Clinics 201

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BUDGET. Husband and wife (expectant mother) and 3 children (10), (8), (5). Money from Labour Exchange, 29s. 3d. : Rent, 10s. (two rooms); net income, 19s. 3d.

	s.	d.		s.	d.

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"PARKSIDE" MATERNITY HOME. I append figures for the year 1932 :— Name of Institution.—"Parkside" Maternity Home, Hammersmith Hospital, 150, Du Cane Road, W.12. Number of Beds.— 10 :—

Information Required.	Particulars.

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Queen Charlotte's Auxiliary Hospital, "Invermead," Goldhawk Road, W.12, 10 beds reserved for Hammer-smith Borough Council cases.

Information Required.	Particulars.

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Treatment and Nursing of Children under School Age. —The treatment of children under five years of age was continued at the School Clinic. During the year the cases dealt with were as follows:—

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Infectious Diseases of Mothers and Children Under Five Years of Age. Statistics showing the incidence of all infectious diseases during the year are included in the general report, but in so far as they relate particularly to diseases of parturient women and children under five years of age, are tabulated below:—

Disease.	No. of Cases Notified.	Previous Year.	No. of Cases Visited.	No. of Cases Nursed.	No. of Cases Removed to Hospital.

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Ophthalmia Neonatorum.—The number of cases reported was nineteen against thirteen in the previous year. The analysis of the final reports received is as follows:—

Cases.			Vision unimpaired.	Vision Impaired.	Total Blindness.	Deaths.
Notified.	Treated.
	At Home.	In Hospital.

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

View report tables

Hammersmith 1932

61 tables in this report

Vital Statistics.

Notification Received from

The following tableon infantile mortality hasbeenprepared in accordance with the direction of the Ministry of Health. INFANT MORTALITY 1932. Infantile Mortality during the year 1932. Nett Deaths from stated causes at various ages under one year of age.

TABLE II. Causes of, and Ages at, Death during the Year 1932. METROPOLITAN BOROUGH OF HAMMERSMITH.

This rate is calculated on the estimated population of each Ward.

LONDON AND METROPOLITAN BOROUGHS.

The number of Maternal Deaths during the past thirteen years is as follows:—

NUMBER OF INSPECTIONS MADE DURING 1932.

The following table shows the result of proceedings taken:—

Summonses—continued.

Summonses—continued.

Summonses—continued.

Summonses—continued.

VACCINATION ACT, 1871. SECTION 7.

MILK &amp; DAIRIES (CONSOLIDATION) ACT, 1915. MILK &amp; DAIRIES ORDER, 1926. MILK &amp; DIRIES (AMENDMENT) ACT, 1922.

LONDON COUNTY COUNCIL (GENERAL POWERS) ACTS.

PUBLIC HEALTH (LONDON) ACT, 1891.- -UNSOUND FOOD.

FACTORY AND WORKSHOP ACT, 1901,

1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

2.—DEFECTS FOUND IN FACTORIES, WORK-SHOPS AND WORKPLACES.

3.—HOME WORK.

Milk (Special Designations) Order, 1923. The following is a list of the licences issued during the year under the Milk (Special Designations) Order, 1928:—

The following is a list of Unsound Food found during the Inspection of the Carcases of Animals Slaughtered in the Local Slaughterhouses.

The following is a list of the licensed slaughterhouses in the Borough:—

The following table gives a summary of the work relating to milk premises, slaughterhouses and ice cream premises:—

The following is a list of unsound food condemned during the year:—

Table I.

Table II.

Table III.

Table IV.

Cases of Infectious Disease notified during the year 1932. TABLE IV.

The following table shows the deaths of residents regis-tered from the seven principal zymotic diseases which occurred in the ten years, 1923 to 1982:—

Notifiable Diseases (other than Tuberculosis) during the year 1932.

Diphtheria 13

TABULAR STATEMENT—ZYMOTIC DISEASES. The following table shows the number of cases that were reported as due to the undermentioned diseases during the years 1923 to 1932.

DISINFECTION. The following table shows the amount of disinfection carried out by your Council during the year; all bedding and articles of clothing, &amp;c., being removed to the Council's Disinfecting Station, for the purposes of disinfection.

Proceedings under Section 81 of the Vaccination Act, 1867, were instituted in 46 cases, and resulted as follows:—

VACCINATI ON RETURNS. RETURN FOR 1931.

Table showing Work of Vaccination Officer from 1st January to 31st December, 1932.

PART I. Summary of Notifications during the period from the 3rd January, 1932, to the 31st December, 1932.

PART II. Supplemental Return. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by formal notification.

The source or sources from which information as to the above-mentioned cases was obtained should be stated below:—

PART III. Notification Register.

I append figures for the years 1920-32, showing the interval between notification and death of tuberculous persons.

The following table has been prepared, giving particulars of new cases of tuberculosis and of deaths from tuberculosis during 1932:—

Continue previous page-

NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1932 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

Continue previous page-

The visits paid are enumerated in detail below:—

The following table gives the number of births and deaths of infants and the rate per 1,000 births since 1906, the year of the appointment of the first Health Visitor:—

Schedule of Attendances at Infant Welfare Centres.

Ante-natal Clinics 201

BUDGET. Husband and wife (expectant mother) and 3 children (10), (8), (5). Money from Labour Exchange, 29s. 3d. : Rent, 10s. (two rooms); net income, 19s. 3d.

"PARKSIDE" MATERNITY HOME. I append figures for the year 1932 :— Name of Institution.—"Parkside" Maternity Home, Hammersmith Hospital, 150, Du Cane Road, W.12. Number of Beds.— 10 :—

Queen Charlotte's Auxiliary Hospital, "Invermead," Goldhawk Road, W.12, 10 beds reserved for Hammer-smith Borough Council cases.

Treatment and Nursing of Children under School Age. —The treatment of children under five years of age was continued at the School Clinic. During the year the cases dealt with were as follows:—

Ophthalmia Neonatorum.—The number of cases reported was nineteen against thirteen in the previous year. The analysis of the final reports received is as follows:—

Public Mortuary.—Three hundred and four bodies were removed to the Mortuary in Fulham Palace Road during the year.

MILK & DAIRIES (CONSOLIDATION) ACT, 1915. MILK & DAIRIES ORDER, 1926. MILK & DIRIES (AMENDMENT) ACT, 1922.

DISINFECTION. The following table shows the amount of disinfection carried out by your Council during the year; all bedding and articles of clothing, &c., being removed to the Council's Disinfecting Station, for the purposes of disinfection.