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

Page 9

Table 1

	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)

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Causes of death at different periods of life during the year 1955 The following table shows the causes of and ages at death during the calendar year 1955:- Table

Code No.	Causes of death	Nett deaths at the subjoined age of "residents" whether occurring within or without the borough										Code No.	Causes of death	Nett deaths at the subjoined ages of "residents" whether occurring within or without the borough
		MALES									Total persons, (i.e., incl. table opp.)			FEMALES									Total Persons (i.e., incl. table opp.)
		All ages	Under 1 yr.	1 and under 5	5 and under 15	5 and under 25	25 and under 45	45 and under 65	65 and under 75	75 and over	Total persons, (i.e., incl. table opp.)			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 Persons (i.e., incl. table opp.)

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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.

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Table 4 Morbidity shown in insurance certificates

Average for period ending	"Lewisham"	"Downham"

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Of the 2,423 deaths analysed by us the social categories were as follow Table 5

Social class	I	II	III	IV	V	Total	No information

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

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

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Table 7 Grouped deaths in social class

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

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The following table shows the social classification in relation to registered births, registered infant deaths, notified stillbirths and notified premature births, an extra line being added to each group to indicate the percentage. Apart from the registered births the figures are too small to be significant; the percentages in the category of registered births can be compared with those for the registered deaths shown in table 5. Table 8

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

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Table 9 Heart and circulation mortality

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

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General statistics from 1901 Table 10

Year	Population	Death rate *	% dying under age 45	% dying under age 65	Birth rate *	Premature birth rate	Maternal death rate †	Stillbirth rate †	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)
Year	Population	Death rate *	% dying under age 45	% dying under age 65	Birth rate *	Premature birth rate	Maternal death rate †	Stillbirth rate †	Neonatal death rate **	One month to one year death rate (12- (10) **	Infant mortality rate **	Reproductive wastage rate (9)+(12)	Notif. rate††	Death rate††	% notif. rate under 15
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)

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Table 10—Continued.

Year	Population	Death rate ♦	% dying under age 45	% dying under age 65	Birth rate *	Premature birth rate ‡	Maternal death rate †	Stillbirth rate †	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)
Year	Population	Death rate ♦	% dying under age 45	% dying under age 65	Birth rate *	Premature birth rate ‡	Maternal death rate †	Stillbirth rate †	Neonatal death rate **	One month to one year death rate (12- (10) **	Infant mortality rate **	Reproductive wastage rate (9)+ (12)	Notif. rate† †	Death rate† †	% notif. rate under 15

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Disinfecting Station Table 11

	West	North	South	Total

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verminous conditions Table 12

	First cleansing	Second cleansing

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Scabies Table 12—continued

	Cases	Contacts	Treatments

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Table 13

Specimen	No.

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Table 14

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

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Table 15

Location	Base points	Days on which prebait laid	Poison bait taken (ozs.) (Est.)

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Table 16

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

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Table 17 gives a record of the principal results from the six stations and also given one indication of the sunshine, rainfall, etc., during the year. Some of these latter data are not specific to the borough, having been obtained from a publication of the metoer-logical office, and relate to the nearest station which records the particular item concerned. Atmospheric Condition 1955 Table 7

	January	February	March	April	May	June	July	August	September	October	November	December	Average (if applic.)

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Average results of the chemical and bacteriological examination of the water supply to the Borough of Lewisham for 1955 parts per million (unless otherwise stated) (a) CHEMICAL Table 18

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

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(b) BACTERIOLOGICAL Table 19

	BEFORE CHLORINATION				AFTER CHLORINATION (WATER PASSING INTO SUPPLY)
	No. of samples	Plate count (average per ml.) Colonies counted on agar 37°C. (20-24 hrs.)	8act. coli test		No. of samples	Plate count (average per ml.) Colonies counted on agar 37°C. (20-24 hrs.)	Bact. coli test
	No. of samples		Percentage samples neg. 100 ml.	Average number per 100 ml.	No. of samples		Percentage samples neg. 100 ml.	Average number per 100 ml.

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SECTION C —SANITARY CIRCUMSTANCES OF THE AREA The following table gives a summary of the inspections, etc., carried out by the district sanitary inspectors, food inspectors and housing inspectors daring the year:—

Reason for inspection	West	North	South	Total

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Table 20— continued

Reason for inspection	West	North	South	Total

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Table 21

	West	North	South	Total

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Nuisances remedied — Public Health Act

Nuisance	West	North	South	Total

Page 34

Nuisances remedied — Housing Act Table 23

Nuisance	West	North	South	Total

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Table 24— continued

Nuisance	West	North	South	Total

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Inspections Table 24

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

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Cases in which defects were found Table 25

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

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SECTION D—HOUSING Building The following 464 new houses or flats were completed by the Council during the year:—

Page 41

Families rehoused During the year the following families were rehoused:—

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Table 26

Properties	Dwellings involved	Present position

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Closing orders in respect of part of house (section 12) Table 27

Properties	Part of house	Present position

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Table 27— continued

Properties	Part of house	Present position

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Table 28 PART A—CLEARANCE AREAS AND INDIVIDUAL UNFIT HOUSES (Housing Act, 1936 and Housing Repairs and Rents Act, 1954)

	Dwelling-houses demolished		Persons displaced
	Unfit houses '	Other houses	Persons displaced

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PART B —HOUSES NOT INCLUDED IN CLEARANCE AREAS

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

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PART B—HOUSES NOT INCLUDED IN CLEARANCE AREAS— continued

DEMOLITION AND CLOSING ORDERS —continued 2. Housing Act, 1949:—	Houses	Persons displaced

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PART C —UNFIT HOUSES IN TEMPORARY USE (Housing Repairs and Rents Act, 1954)

		Number of houses*

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Housing Repairs and Rents Act, 1954 and Rent and Mortgage Interest (Restrictions) Act—certificates of disrepair

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General statistics The following is a tabulated statement of various statistics extracted from a return to the London County Council covering the year 1955:—

Item	Total

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Table 29

	Dealer's	Supplementary	Total

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Table 30

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

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Table 31

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

Page 49

During the year 175 samples of icecream were submitted for bacteriological examination with the following results:— Table 32

Grading	Samples submitted	%

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(1) Food poisoning notifications (corrected) returned to Registrar-General:—

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(2) Outbreaks due to identified agents:—

Total outbreaks	Total cases —

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Registration of food premises The following premises are registered in accordance with the requirements of section 14(1) of the Food and Drugs Act, 1938:—

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The following table gives the groupings and the results of the samples analysed:— Table 33

ARTICLES	Examined			Adulterated
ARTICLES	Informal	Formal	Total	Informal	Formal	Total

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Adulterated samples Table 34

Article	Formal or Informal	Adulteration or irregularity	Action taken

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INFECTIOUS DISEASES Number of notified cases (corrected for revised diagnosis) during the year 1955 with comparative figures for the previous six years. Table 35

Diseases	Cases notified
Diseases	1955	1954	1953	1952	1951	1950	1949

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Notifications of infectious diseases in 1955 showing sex and age groups Table 36

Diseases	Under 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

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Analysis of certain diseases in table 36 into divisional areas— Table 37

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

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Table 38

	W	N	S	Total

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Table 39

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

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Altogether it will be seen that there have been over 300 confirmed cases of poliomyelitis in the borough beginning with the year 1947. The next table gives various comparisons between each of these last nine years. Table 40

Year	Confirmed coses	Division			No. of weeks with 3 or more cases	Type		Sex		Age groups							Result*
		W	N	S		Paralytic	N-P	M	F	0-	/-	5-	15-	25-	45-	65+	Died	Compl. recov.	Paralysed		Unknown
		W	N	S		Paralytic	N-P	M	F	0-	/-	5-	15-	25-	45-	65+	Died	Compl. recov.	Severe	Mild	Unknown

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Table 41

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

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Table 42

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

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Table 43

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

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Tuberculosis — environmental conditions Case papers of patients attending the Lewisham Chest Clinic in 1955 have been analysed in 349 cases with the following results :—

	Cases	%*

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Table 44

Patients	Men	Women	Total

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Table 45

Age at December 31, 1955	Under 1	1	2	3	4	5-9	10-14	Total under 15
Horn in year	1955	1954	1953	1952	1951	1950-46	1945-41	Total under 15

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(iii) Vaccination.

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APPENDIX B Legal Proceedings in 1955 The following are details of legal proceedings instituted during the year:— PUBLIC HEALTH (LONDON) ACT, 1936

Nature of summons	No. of summonses	Total fines			Total costs			Remarks
		£.	s.	d.	£.	s.	d.

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LONDON COUNTY COUNCIL (GENERAL POWERS) ACTS

Nature of summons	No. of summonses	Total fines			Total costs			Remarks
		£.	s.	d.	£.	s.	d.

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PUBLIC HEALTH (MEAT) REGULATIONS, 1924 and 1948

Nature of summons	No. of summonses	Total fines			Total costs			Remarks
		£.	S.	D.	£.	S.	D.

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FOOD AND DRUGS ACT, 1938

Nature of summons	No. of summonses	Total fines			Total costs			Remarks
		£.	s.	d.	£.	s.	d.

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APPEALS

Nature of Appeal	Result

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

View report tables

Lewisham 1955

67 tables in this report

Table 1

Causes of death at different periods of life during the year 1955 The following table shows the causes of and ages at death during the calendar year 1955:- Table

Deaths under 1 year of age Table 3

Table 4 Morbidity shown in insurance certificates

Of the 2,423 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

Table 7 Grouped deaths in social class

Table 9 Heart and circulation mortality

General statistics from 1901 Table 10

Table 10—Continued.

Disinfecting Station Table 11

verminous conditions Table 12

Scabies Table 12—continued

Table 13

Table 14

Table 15

Table 16

Average results of the chemical and bacteriological examination of the water supply to the Borough of Lewisham for 1955 parts per million (unless otherwise stated) (a) CHEMICAL Table 18

(b) BACTERIOLOGICAL Table 19

SECTION C —SANITARY CIRCUMSTANCES OF THE AREA The following table gives a summary of the inspections, etc., carried out by the district sanitary inspectors, food inspectors and housing inspectors daring the year:—

Table 20— continued

Table 21

Nuisances remedied — Public Health Act

Nuisances remedied — Housing Act Table 23

Table 24— continued

Inspections Table 24

Cases in which defects were found Table 25

SECTION D—HOUSING Building The following 464 new houses or flats were completed by the Council during the year:—

Families rehoused During the year the following families were rehoused:—

Table 26

Closing orders in respect of part of house (section 12) Table 27

Table 27— continued

Table 28 PART A—CLEARANCE AREAS AND INDIVIDUAL UNFIT HOUSES (Housing Act, 1936 and Housing Repairs and Rents Act, 1954)

PART B —HOUSES NOT INCLUDED IN CLEARANCE AREAS

PART B—HOUSES NOT INCLUDED IN CLEARANCE AREAS— continued

PART C —UNFIT HOUSES IN TEMPORARY USE (Housing Repairs and Rents Act, 1954)

Housing Repairs and Rents Act, 1954 and Rent and Mortgage Interest (Restrictions) Act—certificates of disrepair

General statistics The following is a tabulated statement of various statistics extracted from a return to the London County Council covering the year 1955:—

Table 29

Table 30

Table 31

During the year 175 samples of icecream were submitted for bacteriological examination with the following results:— Table 32

(1) Food poisoning notifications (corrected) returned to Registrar-General:—

(2) Outbreaks due to identified agents:—

Registration of food premises The following premises are registered in accordance with the requirements of section 14(1) of the Food and Drugs Act, 1938:—

The following table gives the groupings and the results of the samples analysed:— Table 33

Adulterated samples Table 34

INFECTIOUS DISEASES Number of notified cases (corrected for revised diagnosis) during the year 1955 with comparative figures for the previous six years. Table 35

Notifications of infectious diseases in 1955 showing sex and age groups Table 36

Analysis of certain diseases in table 36 into divisional areas— Table 37

Table 38

Table 39

Altogether it will be seen that there have been over 300 confirmed cases of poliomyelitis in the borough beginning with the year 1947. The next table gives various comparisons between each of these last nine years. Table 40

Table 41

Table 42

Table 43

Tuberculosis — environmental conditions Case papers of patients attending the Lewisham Chest Clinic in 1955 have been analysed in 349 cases with the following results :—

Table 44

Table 45

(iii) Vaccination.

APPENDIX B Legal Proceedings in 1955 The following are details of legal proceedings instituted during the year:— PUBLIC HEALTH (LONDON) ACT, 1936

LONDON COUNTY COUNCIL (GENERAL POWERS) ACTS

PUBLIC HEALTH (MEAT) REGULATIONS, 1924 and 1948

FOOD AND DRUGS ACT, 1938

APPEALS