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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 1934

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

Published
1935
Pages
100
Tables
71

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71 tables in this report

  • Page 10
    England and Wales, London and Holborn
    Annual Gates per 1,000 livingDeaths under 1 year to 1,000 Births
    BirthsDeaths
  • Page 10
    The following is the corrected number of births and the corrected birth-rates for the year 1934: —
    Year.Total Births.Legitimate Births.Illegitimate Births.
    No.Rate per 1,000 of Population.No.Rate per 1,000 of population.Proportion per 1,000 total Registered BirthsNo.Rate per 1,000 of population.Proportion per 1,000 total Registered Births.
  • Page 11
    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 11
    Corrected Deaths and Death-Rates, 1934, compared with 1933.
    Year.Total Deaths at all ages registered in District.Deaths in Public Institutions in District.Deaths of non-residents of Borough registered in District.Deaths of residents registered beyond the District.Net Deaths at all ages.Death Rate for Borough (crude).Death Rate for Borough. (adjusted).Death Rate for London
  • Page 12
    Seasonal Mortality. The mortality in the four quarters of the year as given in the Quarterly Reports of the Registrar-General is shown below:—1
    Deaths.Death-rate per 1,000.London Rate.
  • Page 12
    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 1000 corrected illegitimate Births.Deaths under 1 year per 1000 corrected Births.London.
    Deaths under 1 year per 1000 Births.
  • Page 12
    Death-rate per 1,000 corrected births in 1934 and in ten preceding years.
    1924192519261927192819291930193119321933Avge. 1924-331934
  • Page 15
    Sanitary Inspectors' and Health Visitors' Work Year, 1934.
    Mr. BennettMr. ClarkMr. LarardMiss CharlesworthMiss StockwellTotal
  • Page 16
    Continued from previous page...
    Mr. BennettMr. ClarkMr. LarardMiss Charles-worthMiss StockwellTotal
  • Page 16
    Notices Served. The total number of notices served for nuisances found in dwelling houses and factories, workshops and workplaces, and premises subject to various By-laws, including notices requiring annual cleansing of houses let in lodgings, was 1,067, viz :—
  • Page 17
    The following table shows the work done to abate nuisances for which intimation notices were served:—
    Water Supply—Houses.Factories, Workshops and Workplaces.
  • Page 18
    Continued from previous page...
  • Page 18
    Statutory Notices. The following table shows the nuisances for which the 56 Statutory Notices were issued under the Public Health (London) Act, 1891:—
    Houses.Factories, etc
  • Page 19
    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 21
    No fewer than 156 different industries are carried on in these workshops, among the principal being the following:—
    No of Workshops Employing
    Men onlyWomen onlyBoth SexesTotal
  • Page 22
    The following is a summary in tabular form of the work done by the Inspectors in factories, workshops and workplaces in the year 1934:—
    Mr. Bennett.Mr. Clark.Mr. LarardMiss Charles-worth.Total.
  • Page 23
    Notices served.
    Mr. Bennett.Mr. Clark.Mr. Larard.Miss Charles-worth.Total.
  • Page 23
    Outworkers.
  • Page 23
    HOUSING. The following is the summary of information asked for in the Ministry of Health Circular 1417 (England):—
  • Page 24
    Common Lodging-Houses.
    Premises.Licensed Keeper.Authorised number of Lodgers.Number of Rooms.
    Males.Females.
  • Page 27
    Cleanliness of Milk.
    Date of sample obtained.Nature of shop where purchased.No. of organisms per c.o. grown at 37C for 24 hours.Minimal volume containing Bacillus Coli.
  • Page 32
    Articles Analysed. Formal Samples.
    ARTICLE.Number PurchasedResult of AnalysesProceedings taken.Convictions.Fines And Coats.
    Genuine.Adulterated
  • Page 33
    Continued from previous page...
    ARTICLE.Number Purchased.Result of Analyses.Proceedings taken.Convictions.Fines and Costs
    Genuine.Adulterated.
  • Page 34
    Informal Samples.
    article.Number of Samples Taken.Result of Analyses.
    Genuine.Adulterated.
  • Page 35
    No. 1. Fat Content.
    Percentage of FatNumber of Samples.
    Shops.Restaurants.Streets.Total.
  • Page 35
    No. 2. Monthly Variation of Chemical Composition of Milk.
    Month.Number of Samples examined.Total Solids. Per cent. average.Solids Non-fat. Per cent. average.Fat. Per cent. average.
  • Page 39
    PREVALENCE OF AND CONTROL OVER INFECTIOUS DISEASES, ETC., INCLUDING TUBERCULOSIS. The relative importance of the commoner infectious diseases as regards numbers of deaths caused is shown by the following table :— ENGLAND AND WALES. Common Infectious Diseases. Deaths at all Ages.
    1924.1925.1926.1927.1928.1929.1930.1931.1932.1933.Yearly average 1924-1933
  • Page 42
    Diphtheria.
    0—11—55—1516—3635—4545—65Total.
  • Page 42
    Secondary clinical cases were three in number; details follow : —
    Primary CaseAgeDate notifiedSecondary CaseAge 36Date notifiedRemarks e. g. Character of Premises
  • Page 43
    Diphtheria in Hospitals.
    Hospital.Cases Notified.Disease Notified asHolborn Cases.Non-Holborn Cases.Total.
    Staff.Inpatients.Clinical.Carrier.
  • Page 43
    Diphtheria Contacts.
    Contacts swabbed.Positive Results.Contacts positive.
    Ear only.Nose only.Throat only.
  • Page 44
    TABLE I. Schick Test and Diphtheria Immunisation. Twelve years, 1922-134.
    ABCResult or Test.Immunisation of Positives.J
    DEFGHI
    Total number of individuals who attended clinicTotal testedTotal immunised without preliminary Schick testPositive.NegativeNot read.Found NEGATIVE to He Schick Test afterFound NEGATIVE to Re Schick Test afterFirst immunised with T.A.F. and found NEGATIVE to Re Schick afterFound POSITIVE to Re Schick Test after 3 ccm T.a. M or with T.A.F.Total Re Schick testedGiven 3 ccm T.A.M. or with T.A.F. Not retested.Given 1 ccm not yet retested.Failed to complete 3 inoculatne.Inoculatns. not begun.Inoculatns. still in progress
    1 ccm T.A.M.2 ccm T.A.M.3 ccm T.A.M. or with 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.
    ChildrenAdultCACACACACACACACACACACACACACACACACACACACACACA
  • Page 45
    TABLE II.
    Ages.6 to 12 months1 to 2 years2 to 3 years3 to 4 years4 to 5 years6 to 6 years6 to 7 years7 to 8 years8 to 9 years9 to 10 years10 to 11 years11 to 12 years12 to 13 years13 to 14 years14 to 15 yearsAdults 15 and above years
  • Page 48
    Age and Sex Distribution of notified cases.
    Age in years.M.Sex F.Total.
  • Page 49
    Overcrowding and Sleeping Accommodation. There was evidence of legal overcrowding in only one of the houses and steps were taken to abate this nuisance. The sleeping arrangements are given in the following table :— Sleeping Arrangements—127 Cases of Notified Rheumatism 1
    No. of Rheumatic Chil-drenSeparate RoomSeparate Bed in Living RoomSeparate Bed in Room shared withBed shared withBed shared in living room with
    AdultsChildrenAdults and ChildrenAdultsChildrenAdults and ChildrenChildrenAdults and Children
    123123234512312312123
  • Page 53
    The following table gives information up to the end of 1934 respecting the 16 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 NotificationPatient.Sex.Age when notified.Subsequent History.
  • Page 53
    The following gives particulars of these cases: —
    Date of Onset.Patient.SexDate of Birth.Condition at end of 1934.
  • Page 54
    The following table gives particulars of these cases with the condition at the end of 1934:— 1
    Date of N otification.Patient.SexAge at date of Notification.Where Treated.Subsequent History.
  • Page 55
    Bacteriological Work. The following table gives details of the examinations made during the year: —
    Numter SubmittedResult of ExaminationNumber SubmittedResult of ExaminationNumber SubmittedResult of Examination.
  • Page 57
    The following table gives the number of new cases of tuberculosis and deaths from the disease in the Borough during 1934 in the form required by the Ministry of Health: —
    Age periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    MFMFMFMF
  • Page 58
    Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications during, the period from the, 1st January, 1934, to the 31st December, 1934, in the Metropolitan Borough of Holborn.
    Age-periods.Formal Notifications.
    Number of Primary Notifications of new cases of Tuberculosis.Total Notifications.
    0-l-5-10-15-20-25-35-45-55-65-Total (all ages).
  • Page 58
    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.0–1–6–10–15–20–26–85–45–55–65–Total.
  • Page 59
    The source or sources from which information as to the above-mentioned cases was obtained are stated below: —
    Source of InformationNo. of Cases.
    PulmonaryNon-Pulmonary
  • Page 59
    Notification Register.
    PulmonaryNon-pulmonaryTotal Cases
    MalesFemalesTotalMalesFemalesTotal
  • Page 62
    Showing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.
    0-1-5-10-15-20-25-35-46-55-65-All Ages
    Males.Females.Total.
  • Page 63
    Tuberculous 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 1934 :— Return showing the work of the Dispensary during the year 1934.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
  • Page 68
    Births in Crowded Homes. The following table is an indication of the home conditions of 264 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 69
    Home Visiting. The visits paid to the homes by the Health Visitors during the year were as follows:—
    First Visits.Revisits.Total.
  • Page 69
    Work at Centres. Holborn Centre, 10, John Street. The following is an analysis of the attendance at this Municipal Centre:
    Monday.Tuesday.Wednesday.Thursday.Friday.
    Medical Consultation Pre-school child 2—4.30 p.m.Ante-natal and Post-natal cases 2—4.30 p.m.Medical Consultation 2—4.30 p.m.Class 3—4 p.m.Dentist. 2—4 p.m.Medical Consultation 2—4.30 p.m.
  • Page 75
    Dental Treatment. The following is a summary of the work during 1934 at the Council's Dental Clinic, No. 10, John Street, open on Thursday afternoons for nursing or1 expectant mothers, and children under five years of age: —
    WomenChildrenTotal
  • Page 76
    At the end of the year 1934, 196 applicants were receiving assistance, viz. : —
    Mothers.Children.Total.
  • Page 76
    The following table shows in detail how the 158 new applicants were assisted in 1934:—
    Milk.Prepared Milk.
    Free.Part Cost.Free,Part Cost.
  • Page 77
    Deaths of Children One to Five Years, 1934. Fifteen children between the ages of one and five years died from the following causes:—
    Cause of Death.1—25—31—44—5Total 1—& years
    M.F.m.F.m.F.M.F.m.F.Both Sexes.
  • Page 78
    Deaths of Infants under One Fear of Age, 1934. The homes were visited in a large proportion of the infant deaths, and any requisite information obtained, and when required, suitable advice given. The causes of and ages at death are given in the following Table:—
    Cause of DeathUnder 1 Week1-2 Weeks2-3 Weeks3-4 WeeksTotal under 4 Weeks4 Weeks and under 3 Months3-6 Months6-9 Months9-12MonthsTotal under 1 Year
    MFMFMFMFMFBoth sexesMFMPMFMFMFBotl sexe
  • Page 79
    DIARRHœA AND ENTERITIS—Deaths under 1 Year.— L934.
    Name.Date of Death.Age at Death.Cause of Death stated in Certificate.Died at home.Died in hospital.Attended at M. &C.W. Centre.Remarks.
  • Page 80
    INFECTIOUS DISEASES AMONG MOTHERS AND CHILDREN. Puerperal Fever and Puerperal Pyrexia.
    No.InitialsDate of NotificationPrimipara or MultiparaAnte-natal CareDelivery occurred inOnset subsequent toResultsRemarks
    Patient's HomeInstitution
  • Page 81
    Three Cases Notified in Accordance with the Public Health (Ophthalmia Neonatorum) Eegulations.
    Case Number.Age when Notified.Age at Onset.By whom Notified.Type of Disease on Health Visitor's first call.Where Treated.Medical Attendance and Nursing.Result.Birth Notified by.
  • Page 84
    Routine Medical Inspection of Elementary School Children in Holborn, 1934.
    Number examined.Clothing and Boots.NutritionCleanliness of Head.Cleanliness of Body.Teeth.
    GoodFair.Poor.Good.Average.Below normal.Bad.Clean.Nits.Pediculi.Clean.Dirty.Pediculi.All sound.Less than four decayed.Four or more decayed.
  • Page 85
    Examination of Elementary School Children in Holborn in 1934.
    Defect.Boys.Girls.
    KntrantsAge 7Age 11Age 14EntrantsAge 7Age 11Age 14
  • Page 86
    The deaths were from the causes shown below: —
  • Page 91
    APPENDIX. TABLE I. Vital Statistics of Whole District during 1934 and Ten Previous Years
    YearPopulation estimated to Middle of each Year.Births.Total Deaths Registered in the DistrictNet Deaths belonging to the District.
    DeathsUnder 1 Year of AgeAt all Ages
    Uncorrected NumberNetNumberof Non-residents registered in the Districtof Residents not registered in the DistrictNumberRate per 1,000 BirthsNumberRate
    NumberRate
  • Page 92
    TABLE II. Causes of, and Ages at, Death, 1934.
    Causes of Death.NET DEATHS AT THE SUBJOINED AGES OF " RESIDENTS," whether occurring within or without the Borough.Total Deaths whether of "Residents " or " Non-Residents' in Institutions in the Borough.
    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.85 and under 45 years.45 and under 65 years.65 and under 75 years.75 aftd upwards.
  • Page 93
    TABLE III. Cases ok Infectious Disease notified during the year 1934.
    Disease.TotalUnder 11 to 22 to 33 to 44 to 55 to 1010 to 1616 to 2020 to 3636 to 4646 to;6565 upTotal Deaths
  • Page 94
    TABLE IV. INFORMATION REQUIRED BY THE LONDON COUNTY COUNCIL.
    PREMISES.Number in Borough at end of 1934.Number of Inspections.Number of Prosecutions.
  • Page 94
    Housing of the Working Classes—
  • Page 95
    TABLE V Factories, Workshops, Laundries, Workplaces and Homework 1.—INSPECTION. Including Inspections made by Sanitary Inspectors.
    PREMISES.Number of
    Inspections.Written Notices.Prosecutions.
    Intimations.Statutory.
  • Page 95
    2.—DEFECTS FOUND.
    Particulars.Number of Defects.
    Found.Kemedied.Referred to H.m. Inspector.Number of Prosecutions.
  • Page 96
    TABLE V.—continued. 3.—HOME WORK.
    NATURE OF WORK.Outworkers' Lists, Section 107.Outwork in Unwholesome Premises, Seotion 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.Work-men.Contractors.Work-men.
  • Page 97
    TABLE V.—continued. 4.—REGISTERED WORKSHOPS.
    Workshops on the Register (8. 131) at the end of the year.Number.
    (1)(2)
  • Page 97
    5.—OTHER MATTERS.
    Class.Number.
    a)(2)
  • Page 98
    LEGAL PROCEEDINGS. Food and Drug's (Adulteration) Act, 1928.
    Date.Name.Address,Offence.Result.