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

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STATISTICS AND SOCIAL CONDITIONS OF THE AREA. General Statistics, 1934.

Page 9

Notification of Births Act, 1907.

Page 9

Notification Received from

Midwives.	Doctors.	Lving in Hospitals and Nursing Homes.	L.C.C. Institutions.	Parents.	M.O.H.'s.

Page 13

The following table on infantile mortality has been prepared in accordance with the direction of the Ministry of Health. INFANT MORTALITY, 1934. Infantile Mortality during the year 1934. 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 vear.	Total Deaths under 1 Year.

Page 14

Statistics.—The following table gives the statistics of the Borough during 1984 and previous years:— Vital Statistics of Whole District during 1934 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
1	2	3	4	5	6	7	8	9	10	11	12	13

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Deaths of Residents.—Belonging to the Borough, occurring in Public Institutions, &c., in districts outside, during the year 1984:-

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MENTAL HOSPITALS.

Page 16

PUBLIC INSTITUTIONS.

Page 16

VARIOUS.

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Causes of, and Ages at, Death during the Year 1934.

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

Page 18

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

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

Page 18

LONDON AND METROPOLITAN BOROUGHS.

Cities and Boroughs.	Estimated Resident population (mid-1934).	Live Births (rate).	Death rate:		Infantile Mortality per 1,000 births.
			Crude.	Adjusted.

Page 20

No. of beds available for each sex for the following services:—

	M.	F.

Page 25

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

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

Page 30

Inspections.—The following table shows the number of visits made in each district under the various inspection head:—

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

Page 31

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

	Notices Served.	Notices complied with.

Page 32

The following table shows the result of proceedings taken:- SUMMONSES-YEAR 1934.

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.

Situation of Premises.	Nature of Offence.	No of Summonsee.	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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FACTORY AND WORKSHOP ACT, 1901,

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

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The following is a list of the Factories, Workshops and Workplaces upon the Register:—

Page 37

1— INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

Premises	Number of
Premises	Inspec-tions	Written Notices	Prosecutions

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

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

Page 38

3.-HOME WORK.

Nature of Work	Outwork in Un-wholesome pre-mises, Sec. 108			Outwork in In-fected Premises Sees. 109, 110
Nature of Work	Instances	Notices served	Prosecutions	Instances	Orders made (Sec. 110)	Prosecutions (Secs. 109, 110)

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4.—REGISTERED WORKSHOPS.

Page 39

5.â€”OTHER MATTERS.

Class		Number

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ICE CREAM VENDORS.

Page 47

Certificates granted witd regard to water supply under Section 48 (Sub-sec. 2) of tde Public Healtd (London) Act, 1891.

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

Page 49

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.

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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 Slaughterhouse*.

Description.	Disease.	Approximate Weight.

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Continued from previous page...

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

Premises.	Name of Occupier.

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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 1934	Number of notices 1934	Number of prosecutions 1934
PREMISES.	On register in 1920.	On register at end of 1933	Added in 1934	Removed in 1934	On register at end of 1934	Number of inspections 1934	Number of notices 1934	Number of prosecutions 1934

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tde following is a list of unsound food condemned during tde year :â€”

Commodity.	Condition.	Result.

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RESULTS OF SAMPLES OF MILK SUBMITTED FOR BACTERIOLOGICAL EXAMINATION.

	Total Count	B. Coli	Microscopic Examination

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Table I.

Period.	Genuine.	Inferior.	Adulterated.	Total.

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Table II.

Year.	Genuine.	Inferior.	Adulterated.

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Table III.

Article.	No. of SampleB examined.	Result of Examination.

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Table III—continued.

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

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Table IV.

Month.	No. of Samples.	Fat average (per cent.).	Non.fatty solids Average (per cent.).

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The following Table shows the numbers so classified in each quarter:—

Period.	Good quality.	Fair quality.	Poor quality.

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BACTERIOLOGY.

Page 77

Cases of Infectious Disease notified during the year 1934

Number of Cares Notified								Total cases notided in each Ward
At all Ages
	Under 1	1 & under 5 Years	5 & under 15 Years	15 & under 25 Years	25 & under 45 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 45 Years	45 & under 65 Years	65 and upwards	Ward 1	Ward 2	Ward 3	Ward 4	Ward 5	Ward 6	Ward 7

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Tuberculosis.

Page 78

The following table shows the deaths of residents registered from the seven principal zymotic diseases which occurred in the ten years, 1925 to 1934:—

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 1934

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

Page 88

The following table shows the number of cases that were reported as due to the undermentioned diseases during the years 1925 to 1934.

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.

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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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RETURN FOR 1933.

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., 1933	Number of these Births duly entered by 31st January, 1935, in Columns I, II, IV and V of the "Vaccination Register " (Birth List Sheets), viz.:					Number of these Births which on 31st January, 1935, remained unentered in the "Vaccination Register" on account (as shown by Report Book) of			Number of these Births remaining on 31st January, 1935. 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 1934	Number of Statutory Declarations of Con-scientious Objection actually received by the Vaccination Officer irrespective of the dates of birth of the children to which they relate during the calendar year 1934
		Col. 1 Successfully Vaccinated	Col. II		Col. IV. Number in respect of whom Certificates of Con-scientious Objection have been received	Col. V Dead, Unvaccinated	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 SmallPox		Col. V Dead, Unvaccinated	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, 1934.

	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. Johnson.	Dr. Townsend.	Dr. Dockrlll.	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. Darward.	Dr Dale.	Dr. Johnson.	Dr. Townsend.	Dr. Dockrill.	Dr. Brash.	Total

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PART I. Summary of Notifications during the period from the 1st January, 1934, to the 31st December, 1934.

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 93

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 93

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

Page 94

I append figures for the years 1920-34, showing the interval between notification and death of tuberculous persons.

	1920.	1921.	1922.	1923.	1924.	1925.	1926.	1927.	1928.	1929.	1930.	1931.	1932.	1933.	1934.

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The following table has been prepared, giving particulars of new cases of tuberculosis and of deaths from tuberculosis during 1984 :—

Age Periods.	New Cases.				Deaths.
	Respiratoiy		Non-Respiratory		Respiratory		Non-Respiratory
	M.	F.	M.	F.	M.	F.	M.	F.

Page 100 101

PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1934 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 S	Total (Class T.B. plua)

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Continued from previous page...

				1930					1931					1932					1933					1934

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NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1934 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

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Continued from previous page...

				1930					1931					1932					1933					1934

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One hundred and thirty-nine cases were referred for assistance to the following agencies:—

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Nursing Comforts.

Articles.	Quantity owned by the Borough Council.	Number of Patients to whom Loaned.	Number still on Loan.

Page 113

A summary of the work carried out during the twelve months under review follows:—

Page 115

The visits paid are enumerated in detail below:—

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

Page 116

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 120

Name of Institution.—" Parkside " Maternity Home, Hammersmith Hospital, 150, Du Cane Road, W.12.

Information Required.	Particulars.

Page 121

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

Information Required.	Particulars.
	Invermead, Goldhawk Road.	Queen Charlottes Marylebone Road

Page 122

Schedule of Attendances at Infant Welfare Centres.

Address of Clinic.	No. of Clinics	New Cases.				Total Attendances.
		Mothers.		Children.		M others.		Children.
		Antenatal.	Postnatal.	Under 1 yr.	Over l yr.	Antenatal.	Postnatal.	Under 1 yr.	Over l yr.

Page 126

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

cases			Vision uninpaired.	Visino Impaired.	Totel Blindness.	Removed form District.	Still under Treatment.	Deaths.
Notified.	Treated.
Notified.	At Home.	In Hospital.

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Hammersmith 1934

72 tables in this report

STATISTICS AND SOCIAL CONDITIONS OF THE AREA. General Statistics, 1934.

Notification of Births Act, 1907.

Notification Received from

The following table on infantile mortality has been prepared in accordance with the direction of the Ministry of Health. INFANT MORTALITY, 1934. Infantile Mortality during the year 1934. Nett Deaths from stated causes at various ages under one year of age.

Statistics.—The following table gives the statistics of the Borough during 1984 and previous years:— Vital Statistics of Whole District during 1934 and Previous Years.

Deaths of Residents.—Belonging to the Borough, occurring in Public Institutions, &amp;c., in districts outside, during the year 1984:-

MENTAL HOSPITALS.

PUBLIC INSTITUTIONS.

VARIOUS.

Causes of, and Ages at, Death during the Year 1934.

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

LONDON AND METROPOLITAN BOROUGHS.

No. of beds available for each sex for the following services:—

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

Inspections.—The following table shows the number of visits made in each district under the various inspection head:—

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 1934.

Summonses—continued.

Summonses—continued.

Summonses—continued.

FACTORY AND WORKSHOP ACT, 1901,

The following is a list of the Factories, Workshops and Workplaces upon the Register:—

1— INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

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

3.-HOME WORK.

4.—REGISTERED WORKSHOPS.

5.â€”OTHER MATTERS.

ICE CREAM VENDORS.

Certificates granted witd regard to water supply under Section 48 (Sub-sec. 2) of tde Public Healtd (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:-

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

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:—

tde following is a list of unsound food condemned during tde year :â€”

RESULTS OF SAMPLES OF MILK SUBMITTED FOR BACTERIOLOGICAL EXAMINATION.

Table I.

Table II.

Table III.

Table III—continued.

Table IV.

The following Table shows the numbers so classified in each quarter:—

BACTERIOLOGY.

Cases of Infectious Disease notified during the year 1934

Tuberculosis.

The following table shows the deaths of residents registered from the seven principal zymotic diseases which occurred in the ten years, 1925 to 1934:—

Notifiable Diseases (other than Tuberculosis) during the year 1934

The following table shows the number of cases that were reported as due to the undermentioned diseases during the years 1925 to 1934.

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.

RETURN FOR 1933.

Table showing Work of Vaccination Officer from 1st January to 31st December, 1934.

PART I. Summary of Notifications during the period from the 1st January, 1934, to the 31st December, 1934.

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 1920-34, 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 1984 :—

Continued from previous page...

NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1934 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

Continued from previous page...

One hundred and thirty-nine cases were referred for assistance to the following agencies:—

Nursing Comforts.

A summary of the work carried out during the twelve months under review follows:—

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:—

Name of Institution.—" Parkside " Maternity Home, Hammersmith Hospital, 150, Du Cane Road, W.12.

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

Schedule of Attendances at Infant Welfare Centres.

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

Public Mortuary.—Four hundred and thirty-nine bodies were removed to the Mortuary in Fulham Palace Road during the year.

Deaths of Residents.—Belonging to the Borough, occurring in Public Institutions, &c., in districts outside, during the year 1984:-

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.