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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 1936

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

Published
1937
Pages
98
Tables
77

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77 tables in this report

  • Page 9
    STATISTICS AND SOCIAL CONDITIONS. Statistical Summary, 1936.
  • Page 9
    Vital Statistics, 1936. England and Wales, London and Holborn.
    Annual Rates per 1,000 livingDeaths undur 1 year to 1,000 Births.
    Births.Deaths.
  • Page 10
    The following is the corrected number of births and the corrected birth-rates for the year 1936:—
    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 10
    Of these deaths the following occurred in Public Institutions, etc., within the area of the Borough: —
    Institution.Residents.Non-Residents.
  • Page 11
    Corrected Deaths and Death-Rates, 1936, compared with 1935.
    Year.Total Deaths at all 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.Net Deaths at all ages.Death Rate for Borough (crude).Death Rate for Borough. (adjusted).Death Rate for London
  • Page 11
    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 of legitimate-infants under 1 year per 1000 corrected legitimate Births.Deaths of illegitimate infants under 1 year per 1000 corrected illegitimate Births.Deaths, all infants under 1 year per 1000 corrected Births.London. Deaths under 1 year per 1000 Births.
  • Page 13
    By-Laws and Regulations in force, relating to Public Health, made dy London County Council.
    Subject.Act under which made.Date.
  • Page 14
    By-Laws and Regulations in force, relating to Public Health, made by London County Council, continued.
    Subject.Act under which made.Date.
  • Page 14
    Made by the Holborn Borough Council.
  • Page 15
    Hospitals Situated in the Borough of Holborn—Not Subsidised by the Local Authority.
    Name.Situation.Purpose.Number of Beds.Management.Remarks.
  • Page 18
    Sanitary Inspectors' and Health Visitors' Work Year, 1936.
    Mr. BennettMr. ClarkMr. CrabtreeMr. FisherMr. LarardMiss CharlesworthMiss Stock wellTotal
  • Page 19
    Continued from previous page...
    Mr. BennettMr. ClarkMr. CrabtreeMr. FisherMr. LarardMiss CharlesworthMiss StockwellTotal
  • Page 19
    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 947, viz.:—
  • Page 20
    The following table shows the work done to abate nuisances for which intimation notioce were served: —
  • Page 21
    The following table shows the nuisances for which the 59 Statutory Notices were issued under the Public Health (London) Act, 1891: —
    Houses.Factories, etc
  • 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 24
    No fewer than 156 different industries are carried on in these workshops, among the principal being the following:—
    No. or Workshops Employing
    Men only.Women only.Both Sexes.Total.
  • Page 25
    The following is a summary in tabular form of the work done by the Inspectors in factories, workshops and workplaces in the year 1936:—
    Mr. Bennett.Mr. ClarkMr. CrabtreeMr. LarardMr. Fisher.Miss Charles worth.Total.
  • Page 26
    Notices served.
    Mr. Bennett.Mr. Clark.Mr. Crabtree.Mr. Larard.Miss Charles-worth.Total.
  • Page 32
    The following table shows the results of examinations in 1936:—
    Nature of premises where sample obtained.GradeNo. of organisms per c.c. grown at 37C for 24 hours.Minimal volume containing Bacillus Coli.Evidence of Tuberculous InfectionRemarks.
  • Page 36
    The following unsound food was condemned during the year 1936:—
    Article.Country of origin.Tons.Cwt.Qrs.Lbs.
  • Page 37
    Continued from previous page...
    Article.Country of origin.Tons.Cwt.Qrs.Lbs
  • Page 38
    Formal Samples.
    Article.Number PurchasedResult of AnalysesProceedings taken.Convictions.Fines and Costs.
    Genuine.Adulterated.
  • Page 39
    Continued from previous page...
    ARTICLE.Number Purchased.Result of Analyses.Proceedings taken.Convictions.Pines and Costs.
    Genuine.Adulterated.
  • Page 40
    Continued from previous page...
  • Page 41
    Informal Samples.
    article.Number of Samples Taken.Result of Analyses.
    Genuine.Adulterated.
  • Page 42
    Number of .Samples.
    Percentage of FatNumber of Samples.
    Shops.Restaurants.Streets.School.Total
  • Page 42
    No. 2. Monthly Variation of Chemical Composition of Milk, 1936.
    Month.Number of Samples examined.Total Solids. Per cent. Average.Solids Non-fat. Per cent. average.Fat. Per cent. average.
  • Page 43
    It will be observed that the average composition of the milk supplied to the Borough during the year was fat 3.5 per cent. and non-fatty solids 8.99 per cent. These figures approximate very closely to those of the previous four years, averages of which are tabulated below:—
    Year.No. of samples examinedTotal solids. (average).Fat. (average).Non-fatty solids. (average).
  • Page 46
    Deaths at all Ages.
    1926.1927.1928.1929.1930.1931.1932.1933.1934.1935.Yearly average 1926-1935
  • Page 47
    The following table gives information respecting the vaccination of Holborn children during the year ended 30th June, 1936:—
    Total Number of BirthsVaccinatedDied before VaccinationCons. ObjectionsInsusceptiblePostponed by Medical CertificateIncorrect Address- Not traced.Temporarily unaccounted for
  • Page 48
    Age at Notification of 60 Notified Cases of Diphtheria.
    0—11—55—1515—3535—4545—6565 upwardsTotal.
  • Page 48
    Secondary clinical cases were two in number; details follow: —
    Primary CaseAgeDate notifiedSecondary CaseAgeDate notifiedRemarks e.g. Character of Premises
  • Page 49
    Diphtheria in Hospitals.
    Hospital.Cases Notified.Disease notified asHolborn Cases.Non-Holborn Cases.Total.
    Staff.In-patients.Clinical.Carrier.
  • Page 50
    Age groups of 177 persons attending during 1936.
    Ages.6 to 12 months1 to 2 years2 to 3 years3 to 4 years4 to 5 years5 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 16 years and above
  • Page 51
    The following table gives particulars of two cases of diphtheria in children Schick-tested and treated with immunising injections.
    InitialsAge in years at date of Schick TestSexFirst In-jectionFinal In-jectionRetestResult of RetestDate of onset of Diph-theriaInterval between last injection and date of onset of diseaseConfirmation of diagnosis byCharacter of Attack
  • Page 53
    Information of thirteen cases was received in 1936. Age and Sex Distribution of notified cases.
    Age in years.Sex
    M.F.Total.
  • Page 57
    Bacteriological Work. The following table gives details of the examinations made during the year : —
    DiphtheriaPulmonary TuberculosisOther Diseases
    Number SubmittedResult of ExaminationNumber SubmittedResult of ExaminationNumber SubmittedResult of Examination.
  • Page 58
    Tuberculosis. Summary of Notifications and Deaths. The following table gives the number of new cases of tuberculosis and deaths from the disease in the Borough during 1936 in the form required by the Ministry of Health: —
    Age periods.New Casta.Deaths-
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    MFMFMFMF
  • Page 60
    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—l—5-10—15-20—25—35—45—55—85—Total.
  • Page 60
    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 60
    Notification Register.
    PulmonaryNon-pulmonaryTotal Cases
    MalesFemelesTotalMalesFemalesTotal
  • Page 61
    The following is a summary of the information in the 67 cases above referred to :—
  • Page 62
    Non-attendance at Tuberculosis Dispensary. Thirty-eight of the 90 cases attended the Holborn Tuberculosis Dispensary. The following indicates the reasons for non-attendance in the remaining cases: —
  • Page 63
    Tuberculosis Dispensary. The following is the Report of the Tuberculosis Officer, Andrew Morland, M.D., M.R.C.P., for the year 1936 :— Return showing the work of the Dispensary during the year 1936.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 65
    Deaths of Tuberculous Persons. Showing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.
    All Ages
    0-1-6-10-16-20-25-35-45-55-65-Males.FemalesTotal.
  • Page 68
    Summary of work carried out at Dental (clinic, 10, John Street, Holborn, on Tuesday Evenings, during 1936.
    Tuberculous Patients.All
  • Page 68
    MATERNITY AND CHILD WELFARE. Notification of Births. During the year 121 births were registered as occurring in the Borough. During the same period 93 notifications of births occurring in the Borough were received. All were from doctors and midwives.
  • 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 70
    St. Giles' Centre, Shout's Gardens. The attendances at this Branch. Centre during the year 1936 were as follows: —
  • Page 71
    Ante-natal Centres. During the year, enquiries were made of mothers as to their attendance at an Ante-natal Centre immediately previous to the birth of the child visited. Of 275 mothers, about whom information was obtained, 244 (88 per cent.) were found to have attended Ante-natal Centres or received ante-natal care as under: —
  • Page 72
    Maternal and Infant Consultations. The following summary refers to maternal and infant consultations at 10 John Street and Short's Gardens Centres during the year 1936: —
    Reasons for attendance.10, John Street.Short's Gardens
  • Page 73
    Continued from previous page...
  • Page 73
    Mothers and children attending the Municipal Centres during 1936 were referred to other departments or organisations as follows: —
    Mothers.Children.
  • Page 73
    Breast Massage. The following summary gives particulars of mothers referred for breast massage in 1936 :—
    John Street.Short's Garden.
  • Page 75
    Dental Treatment.
    Women.Children.Total
  • Page 76
    At the end of the year 1936, 126 applicants were receiving assistance, viz.:—
    Mothers.Children.Total.
  • Page 76
    The following table shows in detail how the 143 new applicants were assisted in 1936:-
    Milk.Prepared Milk
    Free.Part Cost.Free.Part Cost.
  • Page 77
    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 sexesMFMFMFMFMFBoth sexes
  • Page 77
    Net births registered during- the calendar year. Net deaths registered during the calendar year.
    MalesFemalesBoth sexesMalesFemalesBoth sexes
  • Page 78
    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 79
    Three Cases Notified in Accordance with the Public Health (Ophthalmia Neonatorum) Regulations. Birth Notified by. Midwife Private Doctor Extern Department, Hospital
    Case Number.123
  • Page 81
    Minor Ailments. The Minor Ailments Clinic has been carried on as usual. The principal ailments treated were as follows : —
    Ailments.Attendances.
  • Page 82
    Routine Medical Inspection of Elementary School Children in Holborn, 1936.
    Age Groups.Number examined.Clothing and Boots.NutritionCleanliness of Head.Cleanliness ot Body.Teeth.Vision.
    GoodFair.Poor.Good.Average.Below normal.Bad.Clean.Nits.Pediculi.| Clean.Dirty.Pediculi.All sound.Less than (our decayed.Four or more decayed.6/6 in both eyes.6/9 in either or both eyes.6/12 or worse in either or both eyes.
  • Page 83
    Examination of Elementary School Children in Holborn in 1936.
    Defect.Boys.Girls.
    EntrantsAge 7Age 11Age 14EntrantsAge 7Age 11Age 14
  • Page 85
    The causes of death certified were as follows: —
    Natural Cautes.Accidents.
  • Page 88
    APPENDIX. TABLE I. Vital Statistics of Whole District during 1936 and Ten Previous Years
    yearPopulation estimated to Middle of each Year.Births.Total Deaths Registered in the DistrictTransferable DeathsNet Deaths belonging to the District.
    Under 1 Year of AgeAt all Ages
    Un-corrected NumberNetNumberof Non-residents registered in the Districtof Reei-dents not reentered in the DistrictNumberRate per 1,000 BirthsNumberRate
    NumberRate
  • Page 89
    TABLE II.
    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.6 and under 15 years.15 and under 25 years.25 and under 45 years.45 and under65 years.65 and under 75 years.75 and upwards.
  • Page 90
    TABLE III. Cases of Infectious Disease notified during the year 1936.
    Disease.TotalUnder 11 to 22 to 33 to 44 to 55 to 1010 to 1616 to 2020 to 3635 to 4646 to 6666 upTotal Death
  • Page 92
    TABLE IV.—continued. Housing—-continued.
  • Page 92
    Infectious Diseases.
  • Page 93
    TABLE V. Factories, Workshops, Laundries, Workplaces and Homework 1.—INSPECTION. Including Inspections made by Sanitary Inspectors.
    PREMISES.Number ot
    Inspections.Written Notices.Prosecutions.
    Intimations.Statutory.
  • Page 93
    • 2.—DEFECTS FOUND.
    Particulars.Number of Detects.Number of Prosecutione.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 94
    TABLE V—continued. 3.—HOME WORK.
    NATURE OF WORK.Outworkers' Lists, Section 107.Outwork in Unwhole-some Premisbs, Section 108.Obtwobk in Infbcted Premises, Sections 109, 110.
    Lists received from Employers.Notices served on occu-piers as to keep-ing or sending lists.Prosecutions.Instances.Notices servedProse-cutions.In-stances.Orders made (S. 110).Prosecutions (Sections 109, 110)
    Sending twice in the year.Sending once in the year.Failing to keep or permit inspec-tion of lists.Failing to send lists
    Lists.Outworkers.Lists.Outworkers.
    Contractors.Workmen.Contractors.Workmen.
  • Page 95
    TABLE V.—continued. 4.—REGISTERED WORKSHOPS.
    Workshops on the Register (S. 131) at the end of the year. (1)Number. (2)
  • Page 95
    5.—OTHER MATTERS.
    Class. (1)Number. (2)