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

Page 11

Notification Received from

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

Page 14

INFANT MORTALITY 1933. Infantile Mortality during the year 1933. 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 Weeks.	4 Weeks. and under 3 months.	3 months and under 6 months.	6 months and under 9 months.	9 months and under 1 year.	Total Deathsunder 1 Year.

Page 15

Vital Statistics of Whole District during 1933 and Previous Years.

Year.	Population estimated to middle of each year.	Births.			Total Deaths Registered in the District.		Transferable Deaths		Nett Deaths belonging to the District.
		Uncorrected Number.	Nett.		Number.	Rate.	of Non-residents registered in the District.	of Residents not registered in the District.	Under 1 Year of Age.		At all Ages.
		Uncorrected Number.	Number.	Rate.	Number.	Rate.	of Non-residents registered in the District.	of Residents not registered in the District.	Number.	Rate per 1,000 Nett Births.	Number.	Rate

Page 18

TABLE II. Causes of, and Ages at, Death during the Year 1933. METROPOLITAN BOROUGH OF HAMMERSMITH.

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

Page 19

This rate is calculated on the estimated population o: each Ward.

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

Page 19

LONDON AND METROPOLITAN BOROUGHS.

Cities and Boroughs.	Estimated population.	Births. Annual rate per 1,000 persons living.	Deathrate per 1,000 living.	Infantile Mortality rate per 1,000 births.

Page 26

The number of Maternal Deaths during the past fourteen 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.

Page 31

Inspections.—The following table shows the number of visits made in each district under the various inspection head:— NUMBER OF INSPECTIONS MADE DURING 1933

Cause of Inspection.	Districts.
Cause of Inspection.	1	2	3	4	5	6	7	8	Ladv Sanitary Inspector	Food and Drugs Inspector	Total.

Page 32

Notices.—The following table shows the number of Preliminary Notices served and complied with during the year:-

	Notices Served.	Notices complied with

Page 33

The following table shows the result of proceedings taken:— SUMMONSES—YEAR 1933.

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

Page 34

Summonses—continued.

Situation of Premises.	Mature of Offence.	No. of 1 Summonses.	Result of Proceedings.

Page 35

Summonses—continued.

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

Page 36

Summonses—continued.

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

Page 36

HAMMERSMITH BOROUGH COUNCIL BYE-LAWS—DOGS.

Name and Address.	Nature of Offence.	No. of Sum-monses.	Result of Proceedings.

Page 36

PUBLIC HEALTH (MEAT) REGULATIONS, 1924.

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

Page 37

PUBLIC HEALTH (LONDON) ACT, 1891,—SECTION 55.

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

Page 37

VACCINATION ACT, 1871—SECTION 7.

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

Page 37

FACTORY AND WORKSHOP ACT, 1901,

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

Page 37

LONDON COUNTY COUNCIL (GENERAL POWERS) ACTS.

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

Page 38

HOUSING ACT, 1930.

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

Page 40

1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

Premises	Number of
Premises	Inspec-tions	Written Notices	Prosecutions

Page 40

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

Particulars		Number of Defects				Number of Prosecutions
		Number of Defects					Found	Re-medied	Referred to H.M. Inspector

Page 41

3.—HOME WORK.

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

Page 41

4.—REGISTERED WORKSHOPS.

Workshops on the Register (S. 131) at the end of the year	Number

Page 41

5.—OTHEE MATTERS.

Class		Number

Page 45

ICE CREAM VENDORS.

Page 46

HOUSING. Statistics.-Year 1933.

1.—Inspection of dwelling-houses during the year :—

Page 47

Continued from previous page...

Page 49

Certificates granted with regard to water supply under Section 48 (Sub-sec. 2) of the Public Health (London) Act, 1891.

Year.	L.C.C. Estate.		H.B.C. Estate.	Private Enterprise.

Page 52

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

Description.	Number.

Page 53

I append the number of animals slaughtered and examined in the slaughterhouses during the year.

Page 53

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.

Page 54

Continued from previous page...

Description.	Disease.	Approximate Weight.

Page 55

Continued from previous page...

Description.	Disease.	Approximate Weight.

Page 56

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

Premises.	Name of Licensee

Page 57

Offensive Trades—Slaughterers of Poultry.—There are two authorised slaughterers of poultry in the Borough:—

Premises.	Name of Occupier.

Page 57

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 1933	Number of notices 1933	Number of prosecutions 1933
PREMISES.	On register in 1920.	On register at end of 1932	Added in 1933	Re-moved in 1933	On register at end of 1933	Number of inspections 1933	Number of notices 1933	Number of prosecutions 1933

Page 61

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

Commodity.	Condition.	Result.

Page 62

Table I.

Period.	Genuine.	Inferior.	Adulterated.	Total.

Page 63

Table II.

Article.	No. of Samples examined.	Result of Examination.
Article.	No. of Samples examined.	Genuine.	Inferior.	Adulterated.

Page 64

Table II—continued.

Article.	No. of Samples examined.	Result of Examination.
Article.	No. of Samples examined.	Genuine.	Inferior.	Adulterated.

Page 64

Table III.

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

Page 71

The following Table shows the action taken on adul terated samples and other infringements of the Sale of Food and Drugs Act:- Table IV.

Sample No.	Article.	Analyst's Report.	Result.

Page 72

BACTERIOLOGY. The following bacteriological examinations were made on behalf of the Council:-

Page 73

Cases of Infectious Disease notified during the year 1933 Table V.

Number ofcases Notified								Total cases notified in each Ward
At all Ages								Total cases notified in each Ward
	Under 1	1 & under 5 Years	5 & under 15 Years	15 & under 25 Years	25 & under 15 Years	45 & under 65 Years	65 and upwards	S'th	Centre		North
	Under 1	1 & under 5 Years	5 & under 15 Years	15 & under 25 Years	25 & under 15 Years	45 & under 65 Years	65 and upwards	Ward 1	Ward 2	Ward 3	Ward 4	Ward 5	Ward 6	Ward 7

Page 73

Tuberculosis.

Page 74

The following table shows the deaths of residents registered from the seven principal zymotic diseases which occurred in the ten years, 1924 to 1933:—

Year.	Smallpox.	Measles.	Scarlet Fever.	Diphtheria and Mcm branous Croup.	Whooping Cough.	Enteric Fever.	Diarrhœa and Cholera.	Total.

Page 74

Notifiable Diseases (other than Tuberculosis) during the year 1933.

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

Page 83

TABULAR STATEMENT—ZYMOTIC DISEASES. The following table shows the number of cases that were reported as due to the undermentioned diseases during the years 1924 to 1933.

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.	Ophthalmia Neonatorum.	Acute Polio-Myelitis.	Encephalitis Lethargica.	Pneumonia. c	Malaria. c	Dysentery. c	Trench Fever.e	Food Poisioning. g.	Total.

Page 84

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.

Page 85

VACCINATION RETURNS. RETURN FOR 1932.

Registration Sub-Districts comprised in the Vaccination Officers' District	Number of Births returned in the "Birth List Sheets" as registered from 1st January to 31st Dec., 1932	Number of these Births duly entered by 31st January, 1934, in Columns I, II, IV and V of the "Vaccination Register " (Birth List Sheets), viz.:					Number of these Births which on 31st January, 1934, remained unentered in the "Vaccination Register" on account (as shown by Report Book) of			Number of these Births remaining on 31st January, 1934. neither duly entered in the "Vaccination Register" (columns 3, 4, 5, 6 and 7 of this Return) nor temporarily accounted for in the "Report Book" (columns 8, 9 and 10 of this Return	Number of Certificates of Successful Primary Vaccination of children under 14 years received during the calendar year 1933	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 1933
		Col. 1 Successfully Vaccinated	Col.II		Col. IV. Number in respect of whom Certificates 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

Page 86

Table showing Work of Vaccination Officer from 1st January to 31st December, 1933.

	No. of Vaccination Certificates received from—									No. of Insusceptibility Certificates.	Total No. of Certificates.	No. of Declarations of Conscientious Objection.	No. of Postponement Certificates.	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.	Nos. entered on "H" Lists to Public Vaccinators.
	Dr. Durward.	Dr. Dale.	Dr. Frossard.	Dr. Johnson.	Dr. Dockill.	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.	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. Johnson.	Dr. Dockrill.	Dr. Brash.	Total

Page 87

PART I. Summary of Notifications during the period from the 1st January, 1933, to the 31st December, 1933.

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

Page 88

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-	25-	35-	45-	55-	65-	Total

Page 88

PART III. Notification Register.

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

Page 89

I append figures for the years 1920-33, showing the interval between notification and death of tuberculous persons.

	1920.	1921.	1922.	1923.	1924.	1925.	1926.	1927.	1928.	1929.	1930.	1931.	1932.	1933.

Page 90

The following table has been prepared, giving particulars of new cases of tuberculosis and of deaths from tuberculosis during 1933:—

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

Page 94 95

PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1933 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										1929
						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	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)		Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)

Page 96 97

NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1933 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					1929
				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

Page 96 97

1930 1931 1932 1933

Page 99

During the year assistance was rendered to patients through the following agencies:—

Page 108

FOSTER MOTHERS.

Page 108

FOSTER CHILDREN.

Page 108

VISITS.

Page 110

The visits paid are enumerated in detail below:—

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

Page 111

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.

Page 112

Schedule of Attendances at Infant Welfare Centres.

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

Page 112

Ante-natal Clinics 206

Page 114

The following is a summary of the cases treated.

Number.	Disease.

Page 116

Number of Beds.— 10 :—

Information Required.	Particulars.

Page 117

Information Required.	Particulars.
	Invermead, Goldhawk Road.	Queen Charlotte's, Marylebone Road.

Page 121

continued at the School Clinics. During the year the cases dealt with were as follows :—.

Page 121

Infectious Diseases of Mothers and Children Under Five Years of Age.

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

Page 122

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

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

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

View report tables

Hammersmith 1933

75 tables in this report

Notification Received from

INFANT MORTALITY 1933. Infantile Mortality during the year 1933. Nett Deaths from stated causes at various ages under one year of age.

Vital Statistics of Whole District during 1933 and Previous Years.

TABLE II. Causes of, and Ages at, Death during the Year 1933. METROPOLITAN BOROUGH OF HAMMERSMITH.

This rate is calculated on the estimated population o: each Ward.

LONDON AND METROPOLITAN BOROUGHS.

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

Inspections.—The following table shows the number of visits made in each district under the various inspection head:— NUMBER OF INSPECTIONS MADE DURING 1933

Notices.—The following table shows the number of Preliminary Notices served and complied with during the year:-

The following table shows the result of proceedings taken:— SUMMONSES—YEAR 1933.

Summonses—continued.

Summonses—continued.

Summonses—continued.

HAMMERSMITH BOROUGH COUNCIL BYE-LAWS—DOGS.

PUBLIC HEALTH (MEAT) REGULATIONS, 1924.

PUBLIC HEALTH (LONDON) ACT, 1891,—SECTION 55.

VACCINATION ACT, 1871—SECTION 7.

FACTORY AND WORKSHOP ACT, 1901,

LONDON COUNTY COUNCIL (GENERAL POWERS) ACTS.

HOUSING ACT, 1930.

1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

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

3.—HOME WORK.

4.—REGISTERED WORKSHOPS.

5.—OTHEE MATTERS.

ICE CREAM VENDORS.

HOUSING. Statistics.-Year 1933.

Continued from previous page...

Certificates granted with regard to water supply under Section 48 (Sub-sec. 2) of the Public Health (London) Act, 1891.

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

I append the number of animals slaughtered and examined in the slaughterhouses during the year.

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

Continued from previous page...

Continued from previous page...

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

Offensive Trades—Slaughterers of Poultry.—There are two authorised slaughterers of poultry 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 II—continued.

Table III.

The following Table shows the action taken on adul terated samples and other infringements of the Sale of Food and Drugs Act:- Table IV.

BACTERIOLOGY. The following bacteriological examinations were made on behalf of the Council:-

Cases of Infectious Disease notified during the year 1933 Table V.

Tuberculosis.

The following table shows the deaths of residents registered from the seven principal zymotic diseases which occurred in the ten years, 1924 to 1933:—

Notifiable Diseases (other than Tuberculosis) during the year 1933.

TABULAR STATEMENT—ZYMOTIC DISEASES. The following table shows the number of cases that were reported as due to the undermentioned diseases during the years 1924 to 1933.

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.

VACCINATION RETURNS. RETURN FOR 1932.

Table showing Work of Vaccination Officer from 1st January to 31st December, 1933.

PART I. Summary of Notifications during the period from the 1st January, 1933, to the 31st December, 1933.

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.

PART III. Notification Register.

I append figures for the years 1920-33, 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 1933:—

NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1933 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

1930 1931 1932 1933

During the year assistance was rendered to patients through the following agencies:—

FOSTER MOTHERS.

FOSTER CHILDREN.

VISITS.

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 206

The following is a summary of the cases treated.

Number of Beds.— 10 :—

continued at the School Clinics. During the year the cases dealt with were as follows :—.

Infectious Diseases of Mothers and Children Under Five Years of Age.

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.