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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
Holborn 1929
[Report of the Medical Officer of Health for Holborn Borough]
- Published
- 1930
- Pages
- 144
- Tables
- 75
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Page 9
STATISTICS AND SOCIAL CONDITIONS. Statistical Summary, 1929.
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Page 9
Vital Statistics, 1929. England and Wales, London and Holborn.
Annual Rates per 1,000 living. Deaths under 1 year to 1,000 Births. Births Deaths. -
Page 13
The following table gives the corrected number of births and the corrected birth.rates for the twenty years 1909.1929:—
Total Births. Legitimate Births. Illegitimate Births. -
Page 14
Of these deaths the following occurred in Public Institutions, etc., within the area of the Borough:—
Institution. Residents. Non-Residents. St. Giles and Bloomsbury. Holborn. St. Giles and Bloomsbury. Holborn. -
Page 14
Corrected Deaths and Death-Rates, 1929. compared with 1928.
Year. Total Deaths atall ages registered in District. Deaths in Public Institutions in District. Deaths of nonresidents of Borough registered in District. Deaths of residents registered beyond the District. Nett Deaths at all ages. Death Rate for Borough Death Rate Registration London. -
Page 15
Seasonal Mortality. The mortality in the four quarters of the year as given in the Quarterly Reports of the Registrar-General is shown below : —
Deaths. Death-rate per 1,000. London Rate. -
Page 15
Infantile Mortality. The number of deaths of children under one year of age, and the number of deaths of children under one year of age per 1,000 corrected births, were the following:—
Year. Deaths under 1 year of age. Deaths under 1 year per 1000 corrected legitimate Births. Deaths under 1 year per 1,000 corrected illegitimate Births. Deaths under 1 year per 1000 corrected Births. London. Deaths under 1 year per 1000 Births. -
Page 15
Death-rate per 1,000 corrected births in 1929 and in ten preceding years.
1919 1920 1921 1922 1923 1924 1925 1920 1927 1928 Avge, 1919-28 1929 -
Page 18
Sanitary Inspectors' and Health Visitors' Work Year, 1929.
Mr. Bennett Mr. Clark Mr. Larard Miss Charleswort Miss Stockwell Mr. Wood Total -
Page 19
Mr. Bennett Mr. Clark Mr. Larard Miss Charlesworth Miss Stockwell Mr. Wood Total -
Page 20
By-laws—
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Page 20
The following table shows the work done to abate nuisances for which intimation notices were served: —
Houses. Factories, Workshops and Workplaces. -
Page 21
Houses Factories, Workshops and Workplaces. -
Page 22
Rats and Mice (Destruction) Act, 1919. Summary of conditions found on inspections, action taken and results obtained.
WARD. Number of premises inspected. Number rat infested. Action for Rat Repression. RESULT. Traps. Poisons. Rat catchers. Dogs. Cats. Proofing -
Page 25
It was necessary to serve the following notices for the abatement of sanitary nuisances in factories, workshops and workplaces.
Intimation Notices. Statutory Notices. -
Page 25
No fewer than 151 different industries are carried on in these workshops, among the principal being the following:—
No. of Workshops Employing Men only. Women only. Both Sexes. Total. -
Page 26
The following is a summary in tabular form of the work done by the Inspectors in factories, workshops and workplaces in the year 1929:—
Mr. Bennett. Mr. Clark. Mr. Larard. Miss Charles worth. Total. -
Page 27
Notices served.
Mr. Bennett. Mr. Clark. Mr. Larard. Miss Charles-worth. Total. -
Page 32
The following table gives details of the accommodation available in the common lodging houses in the Borough: —
Ward. No. of Lodgers for which licensed. Total. Males. Females. -
Page 38
Cleanliness of Milk Examined.
Date sample taken. Nature of Shop where purchased. No. of Organisms per cc. grown at 37°C for 24 hours. Minimal volume containing Bacillus Coli. 1929 -
Page 44
Bacteriological Examination of Ice Cream.
Date 1929. Where purchased. Organisms per cc. on Agar at 37° for 24 hours. Streptococci present in 1 cc. Coliform organisms Minimal volume showing presence. B. Enteritis sporogenes. -
Page 46
Unsound Food. The following unsound food was condemned during the year 1929:—
Commodity. Quantity. Condition. Result of Action taken. -
Page 47
Articles Analysed. Formal Samples.
article. Number Purchased Result of Analysis Proceedings taken. Convictions. Fines and Costs. Genuine. Adulterated. -
Page 48
Continued from previous page...
ARTICLE. Number Purchased. Result of Analysis. Proceedings taken Convictions. Fines and Costs. Genuine. Adulterated. -
Page 48
Informal Samples.
article. Number Taken. Result of Analysis. Genuine. Adulterated. -
Page 51
MILK. The table below shows the fat content of the 170 samples of milk examined:—
Percentage of Fat. Number of Samples. Total. Shops. Restaurants. Streets. -
Page 55
Deaths at all Ages.
1919. 1920. 1921. 1922. 1923. 1924. 1925. 1926. 1927. 1928. Yearly average 1910-1928 -
Page 63
Vaccination. The following table kindly supplied by the Vaccination Officer of the Holborn Union on the 28th January, 1930, gives information respecting vaccination in the Borough of Holborn:—
Total Number of Births Vaccinated Died before Vaccination Cons. Objectors Insusceptible Postponed by Medical Certificate Removed. No information as to Vaccination Temporarily unaccountec for -
Page 64
Age at Notification of 64 Clinical Cases of Diphtheria.
0—1 1—5 5—15 15—25 25—45 45—65 Total. -
Page 64
Secondary cases were seven in number; details follow:—
Primary Case Ago. Date notified Secondary Case Age Date notified Remarks e.g. Character of Premises -
Page 66
Analysis of the swab results relating to the contacts is given below:—
Contacts swabbed. Positive Results. Contacts positive. Nose and Throat. Nose only. Throat only. -
Page 67
TABLE I. HOLBORN MUNICIPAL INFANT WELFARE CENTRE, 1922-1929. Summary of Work Done.
Ages. 0 to 12 months 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 6 years 6 to 7 years 7 to 8 years 8 to 9 years 9 to 10 years 10 to 11 years 11 to 12 years 12 to 13 years 13 to 14 years 14 to 15 years Adults 15 and above years -
Page 68
TABLE II. HOLBORN MUNICIPAL INFANT WELFARE CENTRE. Schick Test and Diphtheria Immunisation. Eight years, 1922-29.
Result of Test. A B C D E F G H I J Total number of individuals who attended clinic Total tested Total immunised without preliminary Schick test Positive. Nega tive Not read. Found NEGATIVE to Re Schick Test after Found NEGATIVE to Re Schick Test after First immunised with T.A.F. and found NEGATIVE to Re Schick after Found POSITIVE to Re Schick Test after 2 ccm T.A.M or T.A.F. Total Re Schick Tested. Given 3 ccm T.A.M. or T.A.F. Not Retested. Given 1 ccm not yet Re-tested. Failed to complete 3 inoculatns. Inoculatns. not begun. Inoculatns. still in progress. 1 ccm T.A.M. 2 ccm T.A.M. 3 ccm T.A.M. or T.A.F. 4 ccm T.A.M. 5 ccm T.A.M. 6 ccm T.A.M. 8 ccm T.A.M. Further doses of T.A.F. 3 ccm T.A.M. Given further inoculation but not yet Retested. No further inoculation given. Children Adults C A C C A C A C A C A C A C A C A C A C A C A C A C A C A C A C A C A C A C A C A C A -
Page 69
TABLE III.
Re-Schick tested after an interval of years or fraction of years Number re-tested after this interval Number found positive Age in years and sex of positives when first tested Further particulars (Unless otherwise stated the dose refers to Toxoid Antitoxin.) Total. m. f. -
Page 70
Continued from previous page...
Re Schick tested after an interval of years or fraction of years Number re-tested after this interval Number found positive Age in years and sex of positives when first tested Further particulars (Unless otherwise stated the dose refers to Toxoid Antitoxin.) -
Page 71
Continued from previous page...
Re-Schick tested after an interval of years or fraction of years Number re-tested after this interval Number found positive Age in years and sex of positives when first tested Further particulars (Unless otherwise stated the dose refers to Toxoid Antitoxin.) -
Page 73
TABLE IV. Diphtheria in Children Schick-Tested and Treated with Immunising Injections.
Initials Age in years at date of Schick Test Sex Type of Home Date of Schick Test First Injection Final Injection Re-test Result of Re-test Date of onset of Diphtheria Interval between last injection and date of onset of disease Confirmation of diagnosis by Character of Attack -
Page 75
Incidence of Diphtheria in the County of London among Age Groups of Notified Cases for the Five Year Period 1925-1929 Inclusive.
Group. Males. Females. Total. Percentage. -
Page 76
Diphtheria—Notification rate per 1,000 population.
England and Wales London Holborn -
Page 78
Age and Sex Distribution of notified cases.
Age in years. Sex Total. M. F. -
Page 81
Sleeping Arrangements—45 Cases of Notified Rheumatism.
No. of Rheumatic Children Separate Room Bed in Living Room Separate Bed in Room shared with Bed shared with Adults Children Adults and Children Adults Children Adults and Children 1 2 3 1 2 3 1 2 1 2 3 1 2 3 1 2 -
Page 83
The following table gives particulars of the cases notified in Holborn:—
Case. Age. Sex. Occupation. Date of Notification. Notified as. Nature of Laboratory Examination. Diagnosis. Where treated Contracted in Borough. Probable Source of Disease. -
Page 84
The following table gives information up to the end of 1929 respecting the 12 real cases of encephalitis lethargica notified in the Borough since the Public Health (Encephalitis Lethargica) Regulations came into force on the 1st January, 1919:—
Date of Notification Patient. Age when notified. Subsequent History. -
Page 85
The following gives particulars of these cases:—
Date of Onset. Patient. Date of Birth. Where Treated. Condition at end of 1929. -
Page 85
The following table gives particulars of these cases with the condition at the end of 1928:-
Date of Notification. Patient. Age at date of Notification. Where Treated. Subsequent History. -
Page 87
The following table gives details of the examinations made during the year:—
Diphtheria Pulmonary Tuberculosis Enteric Fever Number Submitted Result of Examination Number Submitted Result of Examination Number Submitted Result of Examination -
Page 89
The following table gives the number of new cases of tuberculosis and deaths from the disease in the Borough during 1929 in the form required by the Ministry of Health:—
Age periods. New Cases. Deaths. Pulmonary. Non-pulmonary. Pulmonary. Non-pulmonary. M F M F M F M F -
Page 90
Summary of Notifications during the period from the 30th December, 1928, to the 28th December, 1929, in the Metropolitan Borough of Holborn.
Age-periode. Notifications on Form A. Notifications on Form B. Number of Notifications on Form C. Number of Primary Notifications. Number of Primary Notifications. Total Notifications on Form B. Poor Law Institutions Sanatoria. 0 to 1. 1 to 5. j 5 to 10. 10 to 15. 15 to 20. 20 to 25. 25 to 35. 35 to 45. 45 to 55. 55 to 65. 65 and upwards. Total Primary Notifications. Total Notifications on Form A. Under 5. 5 to 10. 10 to 15. Total Primary Notifications. -
Page 94
Showing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.
0- 1- 5- 10- 15- 20- 25- 35- 45- 55 - 65- All Ages Males. Females. Total. -
Page 95
Tuberculosis Dispensary. The following is the Report of the Tuberculosis Officer, J. A. Struthers, M.D., B.Ch., M.R.C.P., D.P.H., for the year 1929:— Return showing the Workof the Dispensary during the year 1929.
Diagnosis. Pulmonary. Non-Pulmonary. Total. Adults. Children. Adults. Children. Adults. Children. M. F. M. F. M. F. M. F. M. F. M. F. -
Page 97
Annual Return showing in summary form the condition of all .Patients whoso case records are in possession of the Dispensary at the end. of arranged according to the years in which the patients first came under Public Medical Treatment for pulmonary tuberculosis, and their classification as shown on Form A.
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. Group 1. Group 2. Group 3. Total (Class T.B. plus. Group 1. 1 Group 2. Group 3. Total (Class T.B. plus). Group 1. Group 2. Group 3. Total (Class T.B. plus). Group 1. Group 2. Group 3. Total (Class T.B. plus). Group 1. Group 2. Group 3. Total (Class T.B. plus. -
Page 98
Non- Pulmonary Tuberculosis.
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 103
The following table is an indication of the home conditions of 326 mothers in relation to their confinement:—
Living in:— Confined at home. Confined in hospital. No. Percentage of Total Births. No. Percentage of Total Births -
Page 103
The visits paid to the homes by the Health Visitors during the year were as follows:—
First Visits. Revisits. Total. -
Page 104
The following is an analysis of the attendance at this Municipal Centre:
Tuesday. Wednesday. Thursday. Friday. Medical Consultation (alternate weeks) 2—5.30 p.m. Ante natal and Postnatal cases only (alternate weeks) 2—5.30 p.m. Medical Consultation 2—5.30 p.m. Class 3—5.30 p.m. Dentist. 2—4 p.m. Medical Consultation 2—5.30 p m. -
Page 104
The attendances at this Branch Centre during the year 1929, were as follows:—
Monday 2—5.30 p.m Thursday Medical Consultation 2—5.30 p.m. Class. Children weighed. -
Page 110
The following is a summary of the work during 1929 at the Council's Dental Clinic, No. 10, John Street, open on Thursday afternoons for nursing or expectant mothers, and children under five years of age:—
Women. Children. Total. -
Page 110
The following table shows in detail how the 92 new applicants were assisted in 1929 : —
Milk. Prepared Milk. Free. Part Cost. Free. Part Cost. -
Page 111
Ten children between the ages of 1 to 5 died from the following causes:—
Cause of Death. Ages. Total. 1-5 1—2 2—3 3-4 4-5 M. F. M. F. M. F. M. F. M. F. Both Sexes -
Page 112
The cause and age of death are given in the following Table:—
Cause of Death Under 1 Week 1-2 Week 2-3 Weeks 3-4 Weeks Total under 4 Week 4 Weeks and under 3 Months 3-6 Months 6-9 Months 9-12Months Total under 1 Year M F M F M F M F M F Both sexes M F M F M F M F M F Both sexes -
Page 113
INFECTIOUS DISEASE8 AMONG MOTHERS AND CHILDREN. Puerperal Fever and Puerperal Pyrexia.
No. Initials Date of Notification Primipara or Multipara Ante-natal Care Birth occurred in Onset subsequent to Recovery Remarks Patient's Home Institution -
Page 114
Five Cases Notified in Accordance with the Public Health (Ophthalmia Neonatorum) Regulations, 1926 & 1928.
Case Number. Age when Notified. Age at Onset. By whom Notified. Type of Disease on Health Visitor's first visit. Where Treated. Medical Attendance and Nursing. Result. Birth Notified by. -
Page 121
Routine Medical, Examination of Elementary School Children in Holborn in 1929.
Age Group. Number examined. Clothing and Boots. Nutrition Cleanliness of Head. Cleanliness of Body. Condition of Teeth. Vision. Good. Fair. Poor. Good. Average. Below normal. Bad Clean. Nits. Pediculi. Clean. Dirty. Pediculi. All sound. Less than four decayed. Four or more ecayed. 6/6 in both eyes. 6/9 in either eye. 6/12 or worse in either eye. -
Page 122
Medical Routine Examination of Elementary School Children in Holborn in 1929.
Defect. Boys. Girls. Entrants Age 8 Age 12 Age 14 Entrants Age 8 Age 12 Age 14 -
Page 129
TABLE I. Vital Statistics of Whole District during 1929 and Ten Previous Years.
Year Population estimated to Middle of each Year. Births. Total Deaths Registered in the District Transferable Deaths Net Deaths belonging to the District. Under 1 Year of Age At all Ages Uncorrected Number Net Number Rate of Nonresidents registered in the District of Residents not registered in the District Number Rate per 1,000 Births Number Rate Number Rate -
Page 130
TABLE II. Causes of, and Ages at, Death, 1929.
Causes of Death. NET DEATHS AT THE SUBJOINED AGES OF "RESIDENTS," whether occurring within or without the District. Total Deaths whether of "Residents" or "Non-Residents" in Institutions in the District. 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 45 years. 45 and under 65 years. 65 and under 75 years. 75 and upwards. -
Page 131
TABLE III, Cases of Infectious Disease notified during the year 1929.
Notifiable Disease. Number of Cases Notified. Total Cases Notified in each Locality (e.g. Parish or Ward) of the District. Total Cases Removed to Hospitals. At all Ages. At Ages—Years. St. Giles and Bloomsbury. Holborn. Under 1 1 to 5 5 to 15 15 to 25 25 to 45 45 to 65 65 and wards. -
Page 132
TABLE IV. Infectious Diseases in Holborn for the last Eleven Years.
NOTIFICATIONS DEATHS Decennial Average, 1819-1928 Year 1929 Decennial Average, 1919-1928 Year 1929 Number Rate per 1,000 London Rate Number Rate per 1,000 London Rate Number Rate per 1,000 London Rate Number Rate per 1,000 London Rate -
Page 134
TABLE VI. Factories, Workshops, Laundries, Workplaces and Homework 1.—INSPECTION. Including Inspections made by Sanitary Inspectors.
PREMISES. Number of Inspections. Written Notices. Prosecutions. Intimations. Statutory. -
Page 134
2.—DEFECTS FOUND
Particulars. Number of Defects. Number of Prosecutions. Found. Remedied. Referred to H.M. Inspector. -
Page 135
TABLE VI.—continued. 3.—HOME WORK.
NATURE OF WORK. Outworkers' Lists, Section 107. Outwork in Unwholesome Premises, Section 108. Outwork in Infected Premises. Sections 109, 110. Lists received from Employers. Notices served on occupiers as to keeping or sending lists. Prosecutions. Instances. Notices served Prosecutions. instances. Orders made (S. 110). Prosecutions (Sections 109, 110) Sending twice in the year. Sending once in the year. Failing to keep or permit inspection of lists. Failing to send lists. Lists. Outworkers. Lists. Outworkers. Contractors. Workmen. Contractors Work men. -
Page 136
TABLE VI.—continued. 4.—REGISTERED WORKSHOPS.
Workshops on the Register (S. 131) at the end of the year. Number. (1) (2) -
Page 136
5.—OTHER MATTERS.
Class. Number. (1) (2) -
Page 137
TABLE VII. METEOROLOGY OF LONDON, 1929. (Deduced from observations at Greenwich under the superintendence of the Astronomer Royal)
1928. Air Temperature. Bright Sunshine. Rain and other forms or Precipitation. Mean of- Mean of A. & B. Difference from Average.* Daily Mean. Difference from Average.* Per cent. of possible. Total Fall. Difference from Average.* A. B. Maximum. Minimum. °F °F °F °F hrs. hrs. % m.m. m.m. -
Page 138
TABLE VIII. Sunlight (Ultra-Violet Hays), 1929—Daily Average Kindly supplied by Professor Sir Leonard Hill, M.B., F.R.S.
Jan. Feb. March April May June July August Sept. Oct. Nov. Dec.