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

Page -

E. H. R. Smithard, MBE, MD, DPH

Page 7

Table I

	Birth rate		Death rate (per 1,000 population) (adjusted)	Infant mortality rate (per 1 ,000 livebirths)
	Live births (adjusted)	Still births	Death rate (per 1,000 population) (adjusted)	Infant mortality rate (per 1 ,000 livebirths)

Page 8

Causes of death at different period of life during the year 1954 The following table shows the causes of ages at death during the calendar year 1954:-

Code No.	Causes of death	Nett deaths at the subjoined age of " residents" whether occurring within or without the borough
		MALES
		All Ages	Under 1 yr.	1 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and under 75	75 and over	Total

Page 10

Deaths under 1 year of age Table 3

Cause of death	Sex	Under 1 day	1-6 days	1 week	2 weeks	3 weeks	Total under 4 wks.	1-2 mths.	3-5 mths.	6-8 mths.	9-11 mths.	Total 1-11 mths.	Total under 1 yr.

Page 11

Table 4 Morbidity shown in insurance certificates

Average for four weeks ending	Lewisham	Downham

Page 11

Social class in relation to cause of death Of the 2,231 deaths analysed by us the social categories were as follow' Table 5

Social class	1	II	III	IV	V	Total	No information

Page 12

In detail the social class, related to cause of death, was as follows:- Table 6

Code No.	Cause of death	Male						Female
		1	II	Ill	IV	V	Total	I	II	Ill	IV	V	Total

Page 13

Grouped deaths in social class Table 7

			Male						Female
			I	II	III	IV	V	Total	1	II	III	IV	V	Total

Page 14

Table 8

			Social classification				Total	Not classifiable
		I	II	III	IV	V	Total	Not classifiable

Page 14

Table 9 Heart and circulation mortality

Year (°)	Deaths from			Total heart and circulation (all ages) (e)	Age group 45-65		Total deaths in borough (h)	Percentage
Year (°)	Coronary diseases (b)	Other heart diseases (d)	Other circulatory diseases (d)	Total heart and circulation (all ages) (e)	Total (f)	Coronary diseases (g)	Total deaths in borough (h)	(e) of (h) (i)	(f) of (h) (i)	(f) of (h) (k)

Page 16

General Statistics from 1901 Table 10

Year	Population	Death rate *	% dying under age 45	% dying under age 65	Birth rate *	Premature birth rate t	Maternal death rate t	Stillbirth rate t	Neonatal death rate **	One month to one year death rate (12.(10) **	Infant mortality rate **	Reproductive wastage rate (9)+ (12)	Pulmonary tuberculosis		Tuberculosis (all forms)

Page 17

Table 10- continued.

Year	Population	Death rate*	! % dying under age 45	% dying under age 65	Birth rate *	Premature birth rate t	Maternal death rate †	f Stillbirth rate t	Neonatal death rate **	One month ' to one year death rate (12-(10)**	Infant mortality rate **	Reproductive wastage rate (9)+(12)	Pulmonary tuberculosis		Tuberculosis (all forms)

Page 18

Disinfecting Station Table 11

	West	North	South	Total

Page 18

A more detailed analysis of treatments for verminous conditions and for scabies is shown :— Verminous conditions Table 12

Page 19

Scabies Table 12—continued

	Cases	Contacts	Treatments

Page 20

Table 13

Specimen	Number	Remarks

Page 21

Table 14

Month	Bodies received from Institutions	Others	Post-mortem examinations		Inquests
Month	Bodies received from Institutions	Others	Lewisham residents	Others	Inquests

Page 21

Table 15

	Parliamentary Division			Total
	West	North	South	Total

Page 22

Table 16

Location	Base points	Prebaiting				Poison bait		Estimated rats killed
		Days on which prebait laid	Results			Amount laid (ozs.)	Amount taken (ozs.) (Est.)
		Days on which prebait laid	Takes	Partial takes	No takes	Amount laid (ozs.)	Amount taken (ozs.) (Est.)

Page 23

Table 17

	Type of property
	Local authority	Dwelling houses (including council houses)	All other (including business premises)	Total	Agricultural

Page 26

Table 18 gives a record of the principal results from the six stations and also gii are not specific to the borough, having been obtained from a publication of the mete Atmospheric Conditii T

		January	February	March	April	May

Page 27

eindication of the sunshine, rainfall, etc., during the year. Some of these latter data icaloffice, and relate to the nearest station which records the particular item concerned. 954

June	July	August	September	October	November	December	Average

Page 29

Average results of the examination of the chemical and bacteriological water supply to the Borough of Lewisham parts per million (unless otherwise stated) (o) CHEMICAL Table 19 for 1954

Description of the sample	No. of samples	Ammoniacal nitrogen	Albuminoid nitrogen	Oxidised nitrogen (nitrate)	Chlorides as CI.	Oxygen abs. from permanganate (4 hrs. at 27°C)	Hardness (total)	Hardness (non. carbonate)	pH value	Conductivity

Page 29

.(b) BACTERIOLOGICAL Table 20

	No. of samples	Agar colony count (average per millilitre)		Percentage of samples negative to Bact. coli in 100 ml.	Bact. coli per 100 ml.
	No. of samples	22 °C 3 days	37 °C (20.24 hrs.)	Percentage of samples negative to Bact. coli in 100 ml.	Bact. coli per 100 ml.

Page 30

Table 21

Reason for inspection	West	North	South	Total

Page 31

Table 21—continued

Reason for inspection	West	North	South	Total

Page 31

Table 22

	West	North	South	Total

Page 32

Nuisances remedied — Public Health Act Table 23

Nuisance	West	North	South	Total

Page 32

Nuisances remedied — Housing Act Table 24

Nuisance	West	North	South	Total

Page 33

Table 24—continued

Nuisance	West	North	South	Total

Page 34

Inspections Table 25

Premises	Number on register	Number of
Premises	Number on register	Inspections	Written notices	Occupiers prosecuted

Page 35

Cases in which defects were found Table 26

Defects	No. of cases in which defects were found				No. of cases in which prosecutions were instituted
	Found	Remedied	Referred
	Found	Remedied	To HM Inspector	By HM Inspector

Page 38

SECTION "D" —HOUSING Building The following new houses or flats were completed by the Council during the year :—

Page 39

Table 27

Properties	Dwellings involved	Present position

Page 40

Table 27—continued

Properties	Dwellings involved	Present position

Page 40

Table 28

Properties	Dwellings involved	Present position

Page 40

Closing orders in respect of part of house (section 12) Table 29

Properties	Part of house	Present position

Page 41

Table 29—continued

Properties	Part of house	- Present position

Page 43

PART A — CLEARANCE AREAS (Housing Act, 1936) Table 30

			Dwelling-house s demolished		Persons displaced
			Unfit houses	Other houses	Persons displaced

Page 43

PART B —HOUSES NOT INCLUDED IN CLEARANCE AREAS

DEMOLITION AND CLOSING ORDERS 1. Housing Act, 1936 :—	Houses	Persons displaced

Page 45

Table 31

	Dealer's	Supplementary	Total

Page 45

Table 32

Period	Samples	Average composition of samples examined Percentage of
Period	Samples	Milk fat	Solids not fat	Water

Page 46

Table 33

Grading	Parliamentary division			Total	%
Grading	West	North	South	Total	%

Page 47

Table 34

	Samples	Average percentage composition
	Samples	Fat	Milk solids-not fat	Sucrose	Water

Page 48

Table 35

ARTICLES	Examined			Adulterated
ARTICLES	Informal	Formal	Total	Informal	Formal	Total

Page 49

Adulterated samples Table 36

Article	Formal or Informal	Adulteration or irregularity	Action taken

Page 52

INFECTIOUS DISEASES Number of notified cases (corrected for revised diagnosis) during the year 1954 with comparative figures for the previous six years. Table 37

Diseases	Cases notified
Diseases	1954	1953	1952	1951	1950	1949	1948

Page 53

Notifications of infectious diseases in 1954 showing sex and age groups Table 38

Diseases	Under I		1-		3-		5-		10-		15-		25-		45-		65 plus		Total
Diseases	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 54

Analysis of certain diseases in table 43 into divisional areas— Table 39

Disease	Div. areas	Under 1	1-	3-	5-	10-	15-	25-	45-	65+	Total

Page 55

Table 40

	W	N	S	Total

Page 55

Table 41

Year (a)	Intimated to Dept. (b)	Removed to hospital (c)	Confirmed (d)	(d) as %age of (b) (e)

Page 56

Table 42

Age periods	New cases notified						Deaths
	Respiratory		Non-Respiratory		Totals		Respiratory		Non-Respiratory		Totals
	M	F	M	F	M	F	M	F	M	F	M	F

Page 57

Analysis of new cases of tuberculosis into divisional areas:— Table 43

Division		Sex	0—	1—	2—	5—	10—	15—	20—	25—	35—	45—	55—	65—	75—	Total

Page 58

Summary of statistics as to tuberculosis for the last ten years Table 44

Year	Population	New cases notified (all forms) (excluding inward transfers)	Notif. rate per thousand pop.	Deaths		Death rate from resp. tuberculosis per thousand pop.
Year	Population	New cases notified (all forms) (excluding inward transfers)	Notif. rate per thousand pop.	All forms	Respiratory	Lewisham	County of London

Page 59

Mass radiography unit In am indebted to Dr. J. M. Morgan, director of the unit, for information of work done in the borough in 1954 on which the following table is based:— Table 45

Patients	Men	Women	Total

Page 60

I am indebted to the Divisional Medical Officer of the London county council for the information on which the following table is based:— Immunisation against diphtheria ; whooping cough; smallpox Table 46

Age at December 31, 1954	Under 1	1	2	3	4	5-9	10-14	Total under 15.
Horn in year	1954	1953	1952	1951	1950	1949-45	1944-40	Total under 15.

Page 60

(iii) Vaccination.

Vaccinated during the year (age at date of vaccination)	Under 1	1-4	5-14	15 and over	Total

Page 64

APPENDIX B Legal Proceedings in 1954 The following is a list of legal proceedings instituted during the year:— PUBLIC HEALTH (LONDON) ACT, 1936

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 65

Continued from previous page...

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 66

Continued from previous page...

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence		£	s.	d.	Remarks

Page 66

FOOD AND DRUGS LEGISLATION

Date of offence	Offence	Fine	Costs			Remarks
Date of offence	Offence	£	£	s.	d.	Remarks

Page 67

Continued from previous page....

Date of offence	Offence	Fine	Costs			Remarks
Date of offence	Offence	£	£	s.	d.	Remarks

Page 67

FACTORIES ACT, 1937

Dote of offence	Offence	Fine	Costs			Remarks
Dote of offence	Offence	£	£	s.	d.	Remarks

Page 68

HOUSING ACT, 1936

Date of offence	Offence	Fine	Costs			Remarks
Date of offence	Offence	£	£	s.	d.	Remarks

Page 68

BYELAWS MADE BY THE LONDON COUNTY COUNCIL

Date of hearing	Offence	Fine	Costs			Remarks
Date of hearing	Offence	£	£	s.	d.	Remarks

Page 70

TABLES

TABLE	SUBJECT	PAGE	TABLE	SUBJECT	PAGE

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

Lewisham 1954

66 tables in this report

E. H. R. Smithard, MBE, MD, DPH

Table I

Causes of death at different period of life during the year 1954 The following table shows the causes of ages at death during the calendar year 1954:-

Deaths under 1 year of age Table 3

Table 4 Morbidity shown in insurance certificates

Social class in relation to cause of death Of the 2,231 deaths analysed by us the social categories were as follow' Table 5

In detail the social class, related to cause of death, was as follows:- Table 6

Grouped deaths in social class Table 7

Table 8

Table 9 Heart and circulation mortality

General Statistics from 1901 Table 10

Table 10- continued.

Disinfecting Station Table 11

A more detailed analysis of treatments for verminous conditions and for scabies is shown :— Verminous conditions Table 12

Scabies Table 12—continued

Table 13

Table 14

Table 15

Table 16

Table 17

Table 18 gives a record of the principal results from the six stations and also gii are not specific to the borough, having been obtained from a publication of the mete Atmospheric Conditii T

eindication of the sunshine, rainfall, etc., during the year. Some of these latter data icaloffice, and relate to the nearest station which records the particular item concerned. 954

Average results of the examination of the chemical and bacteriological water supply to the Borough of Lewisham parts per million (unless otherwise stated) (o) CHEMICAL Table 19 for 1954

.(b) BACTERIOLOGICAL Table 20

Table 21

Table 21—continued

Table 22

Nuisances remedied — Public Health Act Table 23

Nuisances remedied — Housing Act Table 24

Table 24—continued

Inspections Table 25

Cases in which defects were found Table 26

SECTION "D" —HOUSING Building The following new houses or flats were completed by the Council during the year :—

Table 27

Table 27—continued

Table 28

Closing orders in respect of part of house (section 12) Table 29

Table 29—continued

PART A — CLEARANCE AREAS (Housing Act, 1936) Table 30

PART B —HOUSES NOT INCLUDED IN CLEARANCE AREAS

Table 31

Table 32

Table 33

Table 34

Table 35

Adulterated samples Table 36

INFECTIOUS DISEASES Number of notified cases (corrected for revised diagnosis) during the year 1954 with comparative figures for the previous six years. Table 37

Notifications of infectious diseases in 1954 showing sex and age groups Table 38

Analysis of certain diseases in table 43 into divisional areas— Table 39

Table 40

Table 41

Table 42

Analysis of new cases of tuberculosis into divisional areas:— Table 43

Summary of statistics as to tuberculosis for the last ten years Table 44

Mass radiography unit In am indebted to Dr. J. M. Morgan, director of the unit, for information of work done in the borough in 1954 on which the following table is based:— Table 45

I am indebted to the Divisional Medical Officer of the London county council for the information on which the following table is based:— Immunisation against diphtheria ; whooping cough; smallpox Table 46

(iii) Vaccination.

APPENDIX B Legal Proceedings in 1954 The following is a list of legal proceedings instituted during the year:— PUBLIC HEALTH (LONDON) ACT, 1936

Continued from previous page...

Continued from previous page...

FOOD AND DRUGS LEGISLATION

Continued from previous page....

FACTORIES ACT, 1937

HOUSING ACT, 1936

BYELAWS MADE BY THE LONDON COUNTY COUNCIL

TABLES