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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

Hampstead 1938

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

Published
1939
Pages
216
Tables
80

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80 tables in this report

  • Page 11
    The following table shews the new dwellings provided in recent years:—
  • Page 12
    Deaths from puerperal causes:-
    Deaths.Rate per 1,000 total (live and still) births.
  • Page 13
    Continued from previous page...
  • Page 16
    The following are estimates of the population of each Ward at the middle of the year under review:—
    Ward.Estimated Population.
  • Page 16
    The following are the statistics for each of the Wards and the Borough:—
    No. of Deaths.Death Rate.
  • Page 17
    Age and Sex Allocation of Deaths of Hampstead Residents during the Year 1938.
    causes of deathNett deaths at the subjoined ages of "Residents," whether occurring within or without the Borough.
    Sex.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.
    1234567891011121314
  • Page 18
    Ward and Sex allocation of Deaths of Hampstead Residents during the year 1938.
    CAUSES OF DEATH.Town 1.Belsize 2.Adelaide 3.Central 4.West End 5.Kilburn 6.Priory 7.Totals.
  • Page 19
    Table showing the Birth, Death and Infantile Mortality rates during 1938 in the Metropolitan Cities and Boroughs:—
    Birth Rate.Adjusted Death Rate.Infantile Mortality Rate.
  • Page 32
    (c) Number of visits paid during the year by all Health Visitors:—
  • Page 33
    (f) Percentage of notified live births represented by the number in (d) (i):—613 per cent.
    Ante-natal.Post- natal.
  • Page 34
    6. Supply of Milk and Food. (a) The following table indicates what arrangements are made for this service:—
    Terms of supply.Milk.Meals supplied at Dining Centres.Other Food.
    Expectant Mothers.Nursing Mothers.Children under 5 years of age.Expectant Mothers.Nursing Mothers.Children under 5 years of age.Expectant Mothers.Nursing Mothers.Children under 5 years of age.
  • Page 34
    (b) Total quantity of milk supplied during the year to expectant and nursing mothers and young children:—
    Liquid gallons.Dried pounds.
  • Page 35
    7. Maternity Homes and Hospitals (excluding maternity beds in Homes for Mothers and Babies—see Heading 10). I.
    Separate maternity institutions provided by the Council.Other Institutions with maternity wards provided by the Council, e.g., those transferred to the Council under Part I of the Local Govern-ment Act, 1929.Institutions provided by Voluntary Associations and subsidised by the Council.
  • Page 36
    8. Homes and Hospitals for Sick or Ailing Children under 5 years of age. I.
    Separate institutions provided by the Council for these cases.Other Institutions (with accommodation for these cases) provided by the Council, e.g., those transferred to the Council under Part I of the Local Government Act, 1929.Institutions provided by Voluntary Associations and subsidised by the Council.
  • Page 38
    12. Infectious Diseases.
    Disease.Number of cases notified during the year.Number of cases visited by officers of the Council.Number of cases for whom home nursing was provided by the Council.Number of cases removed to hospitals.
  • Page 40
    Live Births. During 1938, 1,059 live births of Hampstesd childern were regis- tered as follows:-
    Males.Females.Total.
  • Page 41
    The following are the statistics for each of the Wards and the Borough:—
    Births.Birth rate.Infant deaths.Infant death rate.
  • Page 41
    still Births. During 1938, the nett number of registered still births for Hamp- stead was 34, as follow:-
    Males.Females.Total.
  • Page 42
    In the following table I have set out the births, deaths and death rate among legitimate and illegitimate infants in Hampstead over a long period of years:—
    Year.Legitimate Infants.Death rate per 1000 legitimate births.Illegitimate Infants.Death rate per 1000 illegitimate births.
    Births.Deaths.Births.Deaths.
  • Page 43
    Number of Births notified under Section 255 Public Health (London) Act, 1936 (Notification of Births), as adjusted by any transferred notifications.
  • Page 44
    Births at home—Housing Conditions. Information has been recorded, wherever possible, of the housing conditions of families in which a birth occurred at home. The following table shows an analysis of 172 instances where these births were visited, and where the information was obtainable:—
    No. of persons in family.No. of families occupying the following number of rooms.
    1 room.2 rooms.3 rooms.4 rooms.5 rooms.
  • Page 45
    The minimum number of visits which the Health Visitors are now expected to pay to each child is as follows:—
    Age of child.Visits paid.
  • Page 47
    I beg to submit the following report on the working of the Borough Council's Ante-natal Clinics during the year 1938:-
    Pond Street Clinic. (1 session weekly.)Kilhurn Clinic. (3 sessions weekly.)
    1938.1937.1938.1937.
  • Page 50
    I beg to submit the following report on the working of the Borough Council's Post-natal Clinics during the year 1938:—
    Dynham Road. (1 session weekly).Pond Street (held in conjunction with Ante-natal Clinic). (1 session weekly).
  • Page 51
    Continued from previous page...
    Dynham Road (1 session weekly).Pond Street (held in conjunction with Ante-natal Clinic). (1 session weekly).
  • Page 52
    Infant Welfare Centres. The following Infant Welfare Centres were held in the Borough during 1938:—
    Name and address of Centre.Day and Time held.Doctor in attendance.Health Visitor.Average attendance per session.
  • Page 58
    The Committee investigated:—
  • Page 59
    Table showing Results of Routine Medical inspection of Entrant Children in Hampstead to Elementary Schools during the year 1938, indicating the conditions with regard to Clothing, Nutrition, Cleanliness and Teeth of the Children examined.
    Number who were examined.Clothing and Boots.Nutrition.Cleanliness of Head.Cleanliness of Body.Teeth.
    Good.Fair.Poor.Good.Average.Below normal.Bad.Clean.Nits.Pediculi.Clean.Dirty.Pediculi.All sound.Less than 4 decayed.4 or more decayed.No. rec. for treatment
  • Page 60
    Table; showing results of Routine Medical Inspection of Entrant Children in Hampstead to Elementary Schools during the year 1938, indicating the Defects found. f=defects found. o=noted for treatment and included in defects found.
    Disease or Defect.Boys (300).Girls (288).
    Hampstead.per cent.London. per cent.Hampstead.per cent.London. per cent.
  • Page 61
    The number of entrant children found to be below normal as regards nutrition at the routine medical inspections in recent years are set out below:—
  • Page 73
    The following is a summary of the work carried out during the year:—
  • Page 74
    Continued from previous page...
  • Page 76
    A Council may not, except with the consent of the Minister of Health, terminate or make any reduction in the annual contribution payable to an association in respect of any service on the ground that any of the foregoing conditions are not fulfilled in the case of that service.
    Name of Association.Services in respect of which contribution is payable.Amount of annual contribution to be paid by the London County Council.
  • Page 84
    The following is a list of the different classes of Factories in Hampstead:—
  • Page 85
    1.—Inspections for purposes of provisions as to health, including inspections made by Sanitary Inspectors :—
    Premises.Number of
    Inspections.Written Notices.Occupiers Prosecuted.
    (1)(2)(3)(4)
  • Page 85
    2.—Defects found:—
    Particulars.Number of Defects.Number of defects in respect of which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 95
    Legal Proceedings. The Following is a list of the summary proceedings during 1938:-
    Date of Hearing.1938.Nature of Offence.Result of Hearing.
  • Page 96
    Continued from previous page...
    Date of Hearing.1938.Nature of Offence.Result of Hearing.
  • Page 97
    Continued from previous page...
    Date of Hearing.1938.Nature of Offence.Result of Hearing.
  • Page 105
    The following Tables show a detailed analysis of the cases of overcrowding:- Table 1.
  • Page 106
    Table 2. Table shewing size of family where Overcrowding obtains,i.e., Cases on Overcrowding Basis.
    No. of Cases.* Persons.
  • Page 106
    Table 3. Table indicating (in persons) extent to which families are overcrowded.
    No. of Cases.
  • Page 106
    Table 4. Details of the 4 cases, where overcrowding is 3 persons and over.
  • Page 107
    Table 5. Table showing type of dwelling overcrowded.
  • Page 111
    Underground Rooms. The following Tables show the result of the Survey of Under groung Rooms so far inspected, and the results of action taken. Statistical Satatement re primises containing Underground Rooms.
    193619371938
  • Page 112
    Result of Action during 1938.
    Number of rooms made to conform.Number of rooms closed or illegal occupation discontinued.Total number of rooms.Number of premises concerned.
  • Page 112
    Summary of Underground Room Register at 31st December, 1938.
  • Page 113
    Continued from previous page...
  • Page 114
    Representations. Statement showing steps taken in 1938 in connection with premises " represented in 1938 or previous years" by the Medical Officer of Health under the Housing Acts :—
    Premises.Representation. Date of Committee.Closing Order. Date of Council.Remarks.
  • Page 115
    Continued from previous page...
    Remarks.Representation. Date of Committee.Closing Order. Date of Council.Premises.
  • Page 116
    Continued from previous page...
    Premises.Representation. Date of Committee.Closing Order. Date of Council.Remarks.
  • Page 117
    Continued from previous page...
    Premises.Representation. Date of Committee.Closing Order. Date of Council.Remarks.
  • Page 121
    During the year samples have been submitted for examination with the following result:—
    Nature of sample.Examined for (a) Bacterial content or (b) Tubercle bacilli.Result of examination.
  • Page 123
    In addition to the Chemical Analysis of Food referred to under the heading of "C" Adulteration, etc., the following were examined bacteriologically :—
    Nature of Sample.Result.
  • Page 124
    Continued from previous page...
    Nature of Sample.Result.
  • Page 125
    These premises are kept under observation by all the Sanitary Inspectors, and during the year 830 inspections were made.
    Premises.No. of Premises on Register.No. of Inspections.No. of Notices.
  • Page 129
    The following table shows the articles of which samples were taken during the year :—
    Article.FormalSamples.Informal Samples.
    Number taken.Number adulterated.Number taken.Number adulterated.
  • Page 130
    The following tables show the formal and informal samples found to be adulterated, etc., the nature of adulteration or other irregularity and the action taken :— Formal Samples.
    No. of Sample.Article.Analyst's Report.Action taken.
  • Page 131
    Continued from previous page...
    No. of Sample.Article.Analyst's Report.Action taken.
  • Page 131
    Informal Samples.
    No. of Sample.Article.Analyst's Report.Action taken.
  • Page 132
    96 samples of articles of food specified in these Regulations were submitted for analysis. Infringements were discovered in the following cases:—
    No. of Sample.Article.Result of Analysis.Action taken.
  • Page 136
    Sixty-three samples were examined bacteriologically and thirty-two chemically. Bacteriological Investigations.
    Number of samples.Bacterial Counts per c.c.
  • Page 136
    The samples originated as follows: —
  • Page 137
    More than half the samples contained B. Coli:—
  • Page 137
    A comparison between ice cream made in Counter Freezers (small shop-keepers) and pasteurised-mix ice cream (large scale manufacturers) is interesting.
    Shop No.Counter Freezers. (Cold Mix) No. of Bacteria per c.c.B. Coli.Firm No.Large Scale Manufacture (Pasteurised Mix). No. of Bacteria per c.c.B. Coli.
  • Page 138
    The second shop-keeper was visited repeatedly and told that he would not be allowed to sell ice cream unless it was of reasonable bacteriological purity. A great improvement took place and successive bacterial counts in this case were :—
  • Page 140
    The fat content of 32 samples was:—
    Percentage of Fat.Number of Samples.
  • Page 140
    A comparison of the results in samples from different sources.
  • Page 151
    Prevalence of, and Control over, Infectious and other Diseases Notifiable Diseases during the Year 1938.
    NOTIFIABLE DISEASES.* Total cases notified in age-periods.* Total cases notified in each Ward.* Cases admitted to Hospital.At all Ages.Total deaths in age-periods.
    At all Ages.At Ages—Years.At Ages—Years.
    Under 1.] and under 2.2 and under 3.3 and under 4.4 and under 5.5 and under 10.10 and 1 under 15.15 and under 2 ).20 and under 35.35 and under 45.45 and under 65.1 (15 and over. 'Ward No. 1 (Town).Ward No. 2 (Belsize).Ward No 3 (Adelaide).Ward No. 4 (Central).Ward No. 5 (West End). Ward No. 6 (Kilburn).Ward No. 7 (Priory).Under 1.1 and under 2.2 and under 3.3 and under 4.4 and under 5.5 and under 10.10 and under 15. i15 and under 20.20 and under 35.35 and under 115.45 and under 65.65 and over
  • Page 157
    The following table shews the number of cases notified during the past 5 years :—
  • Page 161
    The bacteriological results of all the material referred to Eastes Laboratories, Harley Street, are as under:—
    Date.Material.Bacteriological Report.
  • Page 165
    The following statistical table, prescribed by the Ministry of Health, gives an analysis of the newly notified cases and deaths during 1938:—
    Age Periods.New Cases.Deaths.
    Respiratory.Non-Respiratory.Respiratory.Non-Respiratory.
    M.F.MF.M.F.M.F.
  • Page 165
    Occupations The following is an analysis of the occupations of the new cases notified as tuberculous during 1938:-
    Occupation.Pulmonary cases.Non-Pulmonary cases.
  • Page 166
    Continued from previous page...
    Occupation.Pulmonary cases.Non-Pulmonary cases.
  • Page 168
    The following cases, notified prior to 1938, were also removed:—
    Pulmonary.Non-Pulmonary.
    Insured.Non-Insured.Insured.Non-Insured.
  • Page 171
    Nationality of Dispensary patients. It is of interest to note the following details of birthplace and nationality of some of the patients on the Dispensary Register:-
  • Page 184
    An analysis of the number of tuberculous cases on the Dispensary Register during 1938:—
    Per 1000 of child population (0 to 15).Per 1000 of adult population (15 and over).
  • Page 185
    In the following tabular statement some idea may be gained of the work done in connection with the Dispensary since its inception:—
    Year.No. of New Applicants.No. of New Applicants treated.No. of Contacts examined.Total Attendances of all kinds.
  • Page 188
    Metropolitan Borough ok Hampstead, 1938.
    Site.All Ages0-25-30-35-40-45-50-55-60-65-70-75-80-85-
  • Page 188
    FEMALES.
    SiteAll Ages0-25-30-35-40-45-50-55-60-65-70-75-80-85-