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City of Westminster 1911

[Report of the Medical Officer of Health for Westminster, City of]

Published
1912
Author
Allan, Francis J.
Pages
110
Tables
104

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104 tables in this report

  • Page 2
    City of Westminster.— Census Population, 1911.
    Registration Area.Families or Separate Occupiers.Population.Decrease.
    1901.1911.1901.1911.
  • Page 3
    The population in the various workhouses and infirmaries belonging to the City of Westminster, at the Census 1st April, 1911, was distributed thus:—
    Males.Females.Total.
  • Page 4
    Table I .—'Showing the number of Births in the City of Westminster and its Wards (corrected by distributing Institution Births).
    Wards.Births (corrected).
    1902.1903.1904.1905.1906.
  • Page 5
    Table I.— continued.
    Wards.Births (corrected).
    1907.1908.1909.1910.1911.
  • Page 5
    The reduction is taking place in the legitimate births.
    Westminster.1904.1905.1906.1907.1908.1909.1910.1911.
  • Page 7
    Table A 1. — West (Knightsbridge, Mayfair, Pimlico, Westminster).
    Number of Cases.Children's Health.
    Healthy.Delicate.Dead.
    Number.Per Cent.Number.Per Cent.Number.Per Cent.
  • Page 8
    Table A 2.— East (Strand and Soho).
    Number of Cases.Children's Health.
    Healthy.Delicate.Dead.
    Number.Per Cent.Number.Per Cent.Number.Per Cent.
  • Page 9
    Table B 1.— West.
    Mother's Work.Mother's Health.Confinement.Mode of Feeding.Care of Child and Home.
    No. of Cases.Strong.Delicate.No. of Cases.Normal.Abnormal.No. of Cases.Breast.Partly a.Partlyb.Bottle.No. of Cases.Good.Bad.
  • Page 9
    Table B 2.— East.
  • Page 10
    The occupations (other than housework) in which the mothers were engaged were as follows:— West.
    At Home.Out.
  • Page 10
    East.
    At Home.Out.
  • Page 10
    The following Table in reference to nationality refers to the eastern part of the City and summarises the figures for four years 1907—10:—
    Number of Cases.Infants at the end of 12 months.
    Healthy.Delicate.Dead.
    Per cent.Per cent.Per cent.
  • Page 12
    The death-rates, according to the old districts of the City, are:—
    District.Average of Previous 10 Years.1911.
  • Page 13
    The distribution of deaths under 1 and over 65 years is shown below:—
    1911. Wards.Under 1 Year of Age.Over 65 Years op Age.
    1st Quarter.2nd Quarter.3rd Quarter4th Quarter.The Year.1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year.
  • Page 14
    Figures for both births and deaths of infants corrected, showing the true rate in each of the last ten years are given on the next page.
    Legitimate.Illegitimate.Total Rate.
    Births.Deaths.Death rate per 1,000 births.Births.Deaths.Death rate per 1,000 births.
  • Page 15
    A comparison of the births and deaths in the Council's Buildings in Regency Street during the last seven years is given below.
    Year.Population.Births.Rate.Deaths at all ages.Rate.Deaths of Infants under one per 1,000 births.
  • Page 15
    Statistics relating to the various dwellings of the Peabody Trust in Westminster have been got out for the ten years 1901-1910. I subjoin a general summary.
    Years.Population.Birth rate.Death rate.Deaths under 1 per 1,000 births.Deaths from Diarrhœa,Deaths from Phthisis.Other Tuberculosis.
  • Page 16
    Table II.— Vital Statistics of Whole Districts during 1911 and previous years. City of Westminster.
    Year.Population Estimated to Middle of each Year.Births.Total Deaths Registered in the District.Transferable Deaths†Nett Deaths belonging to tbe District.
    Under 1 Year of Age.At all Ages.
    N umber (Uncorrected).Nett.Of Non-Residents Registered in the District.Of Residents not Registered in the District.
    Number.1Rate.Number.*Rate per 1,000 Nett Births.Number.*Rate.
    Number.Rate.
  • Page 17
    Table II.— continued.
    I. Institutions within the District receiving Sick and Infirm Persons from outside the District. (Total Number of Deaths in brackets.)II. Institutions outside the District receiving Sick and Infirm Persons from the District.II—continued. Institutions outside the District receiving Sick and Infirm Persons from the District.
  • Page 18
    Table III.— Causes of, and Ages at, Death during the 52 weeks ending 30th December, 1911.
    Causes of Death.Corrected Deaths in the City at subjoined Ages.Deaths in Wards (at all Ages).
    All ages.Under 1.1 and under 2.2 and under 5.5 and under 15.15 and under 25.25 and under 45.45 and under 65.65 and upwards.Conduit.Grosvenor.Hamlet of Knightsbridge.Knightsbridge St. George.Victoria.St. Margaret.St. John.St. Anne.| Great Marlborough.Pall Mall.Regent.Charing Cross.Covent Garden.Strand.
  • Page 19
    Continued from previous page...
  • Page 20
    Table IV.— Deaths of Citizens daring the Year ending 30 th December, 1911, showing Locality at Time of Death.
    WardsLocality at Time of Death.Total Deaths (Nett).
    At Home.Workhouses and Infirmaries.General and Special Hospitals.Fever Hospitals.Lunatic Asylums.Elsewhere.
    Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.
  • Page 21
    Table V (L.G.B. Table).— Vital Statistics of Separate Localities, 1901-1911.
    Names of Localities1. The City of Westminster.2. St. George's, comprising Conduit, Grosvenor, Victoria, and Knightsbridge St. George Wards.3. Westminster, comprising St. Margaret, St. John, and the Hamlet of Knightsbridge Wards.4. St. James, comprising Regent, Marlborough, Pall Mall and St. Anne's Wards.5. Strand, comprising Covent Garden, Strand, and Charing Cross Wards.
    Year.! Population estimated to middle of each year.Births registered (uncorrected).Deat hs at all ages (cor-rected).Deaths under 1 year.Population estimated to middle of each year.Births registered (uncorrected).Deaths at all ages (corrected).Deaths under 1 year.Population estimated to middle of each year.Births registered (uncorrected).Deaths at all ages (cor- , rected).Deaths under 1 year.Population estimated to middle of each year.Births registered (uncorrected).Deaths at all ages (cor-rected).Deaths under 1 year.Population estimated to middle of each year.Births registered (uncorrected).Deaths at all ages (corrected).Deaths under 1 year.
  • Page 22
    Table V, continued.— Vital Statistics of Separate Localities, 1901-1911.—R ates.
    Localities1, City of Westminster.2. St. George's.3. Westminster.4. St. James.5. Strand.
    Year.Births Registered (uncorrected). Rate per 1,000.Deaths at all Ages (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).Births Registered (uncorrected). Rate per 1,000.Deaths at all Ages (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).Births Registered (uncorrected). Rate per 1,000.Deaths at all Ages (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).Births Registered (uncorrected). Rate per 1,000.Deaths at all Ages (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).Births Registered (uncorrected). Rate per 1,000.Deaths at all Ages (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).
  • Page 23
    Table VI.— Infantile Mortality during the year 1911. City of Westminster. Deaths from Stated Causes in Weeks and Months under One Year of Age.
    CAUSE OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 1 Month.1—2 Months.2—3 Months.3—4 Months.4—5 Months.5—6 Months.6—7 Months.7—8 Months.8—9 Months.9—10 Months.10—11 Months.11—12 Months.Total Deaths under One Year.
  • Page 24
    Table VI.— continued.
    CAUSE OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 1 month.1—2 months.2—3 Months.3—4 Months.j 1—5 Months.5—6 Months.6—7 Months.7—8 Months.8—9 Months.9—10 Months.10—11 Months.11—12 Months.Total Deaths under One Year.
  • Page 25
    Table VIa, continued.— Infantile Mortality during the year 1911. St. John and St. Margaret Wards. Deaths from Stated causes in Weeks and Months under One Year of Age.
    CAUSE OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 1 Month.1—2 Months.2—3 Months.3—4 Months.4—5 Months.5—6 Months.6—7 Months.7—8 Months.8—9 Months.9—10 Months.10—11 Months.11—12 Months.Total Deaths under One Year.
  • Page 26
    Table VIb, continued.—Infantile Mortality during the year 1911. Victoria Ward. Deaths from Stated Causes in Weeks and Months under One Year of Age.
    CAUSE OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 1 Month.1—2 Months.2—3 Months.3—4 Months.1—5 Months.5—(5 Months.6— 7 Months.7—8 Months.8—9 Months.9—10 Months.10—11 Months.11—12 Months,Total Deaths under One Year.
  • Page 27
    Table VII.— Deaths of Infants under 12 months old per 1,000 lorn (corrected figures).
    Age at Death.1906.1907.1908.1909.1910.1911.
    No.Bate.No.Rate.No.Eate.No.Rate.No.Rate.No.Rate.
  • Page 28
    Table VIII.— Vital Statistics relating to Residents in Blocks of Dwellings in the City of Westminster, 1911.
    Buildings.Population.Births.Total Deaths.Infectious Deaths.Tubercular Deaths.Respiratory.Digestive.Circulatory Diseases.Nervous Diseases.Kidney Diseases.Violence.Cancer.Developmental Diseases.Other Deaths.Deaths Under 1.Deaths Over 65.
  • Page 30
    CITY OF WESTMINSTER TABLE IX.—LOCAL GOVERNMENT BOARD TABLE C.— Cases of infectious Disease Notified during the 52- weeks from 1st January to 30th December, 1911.
    Notifiable Diseases.Cases Notified in the City of Westminster.Total Cases Notified in each Ward.Number of Cases Removed to Hospital from each Ward.
    At Ages—Years.Conduit.Grosvenor.Knightsbridge St. George.Victoria.St. Margaret.St. John.Hamlet of Knightsbridge.Pall Mall.Regent.Great Marlborough.Charing Cross.Covent Garden.Strand.St. Anne.Conduit.Grosvenor.Knightsbridge St. George.Victoria.St. Margaret.St. John.Hamlet of Knightsbridge.Pall MallRegent.Great Marlborough.Charing Cross.Covent Garden.Strand.St. Anne.
    At all Ages.0 to 1.1 to 5.5 to 15.15 to 25.25 to 45.45 to 65.65 and upwards.
  • Page 31
    Table X.— Infectious Diseases Notified, 1890-1911, in London.
    Year.Smallpox.Scarlet Fever.Diphtheria and Croup.Enteric-Fever.Typhus Fever.Other Continued Fevers.Puerperal Fever.Erysipelas.Cholera.Relapsing Fever.Totals.
  • Page 31
    In the City of Westminster.
  • Page 32
    Table x— continued. Case-rates per 10,000 Living in London.
    Year.Smallpox.Scarlet Fever.Diphtheria.Enteric.Typhus.Other Continued Puerperal. Fevers.Ery. sipelas.
  • Page 32
    In the City of Westminster.
  • Page 33
    Vaccination. — The Vaccination Officers have supplied me with the following particulars relating to vaccination of infants born in 1910:— Vaccination Statistics.
    1910. Union.Births.Died Unvaccinated.Successfully Vaccinated.Insusceptible.Vaccination Postponed.Conscientious Objectors.Removed and Vaccination Officer Informed.Not Found. Removed to Address Unknown.
  • Page 33
    The following is a summary of the total primary vaccinations performed in the City during the years 1901-11, and of re-vaccinations in so far as these were made by the Public Vaccinators:— Vaccination Returns.
    Primary Vaccinations under 14 years of age, in the Union District ofRe-vaccinations performed by Public Vaccinators in the Union District of
    St. George's.Westminster.Strand.St. George's.Westminster.Strand.
  • Page 34
    The number of cases of each quarter of the last three years is shown in the subjoined statement:-
    Scarlet Fever.London.Westminster.
    1909.1910.1911.1909.1910.1911.
  • Page 34
    A man was fined 15s. at Great Marlborough Street Police Court for taking his child to Bethnal Green after he had been told she was suffering from Scarlet Fever.
    Scarlet Fever.1902.1903.1904.1905.1906.
  • Page 36
    Notification of Diphtheria Cases Received in each Month, 1901-11.
    January.February.March.April.May.June.July.August.September.October.November.December.Total.
  • Page 36
    There were 14 deaths.
    Diphtheria.1902.1903.1904.1905.1906.
  • Page 37
    Typhoid F ever .—The number of cases notified, both in London and Westminster, show a decline. Of the 31 persons notified in the City 2 were eventually declared not to be so suffering, and 1 case was not notified, the nature of the disease not being recognised until after death.
    Typhoid Fever.London.Westminster.
    1909191019111909.19101911
  • Page 41
    Notification of Pulmonary Tuberculosis. tinder Poor Law Order:—
    Year.Number of Certificates Received.New Cases.
    A.B.C.D.Total.Inmates of C.L.H., &c.Inmates of Private Houses.Total.
  • Page 41
    Under Hospital Order :—
    Year.Certificates.New cases.
    N umber received.Number transferred.Inmates of C.L.H., &c.Inmates of Private Houses.Total.
  • Page 41
    Under Voluntary System:—
    YearPulmonary Tuberculosis.Other Forms. New Cases.Total Certificates.
    New Cases.Suspects.Change of Address.
  • Page 42
    Tuberculosis. Table showing respective age, sex, d1str1but1on 1n Wards, number not1f1ed, under each scheme, and numbers treated 1n Inst1tut1ons.
    1911. Pulmonary.All Age3.Under 1.1 and under 5.5 and under 15.15 and under 25.25 and under 45.45 and under 65.65 and upwards.Condu1t.Grosvenor.Hamlet of Knightsbridge.knightsbridge St. George.V1ctor1a.St. Margaret.St. John.St. Anne.Great Marlborough.Pall Mall.Regent.Charing grossCovent Garden.Strand.
  • Page 42
    Ages of Males and Females not1f1ed as su,jfer1ng from Pulmonary Tuberculos1s.
    All Ages.0—1.1—5.5—15.15—25.25—45.45—65.65 upwards.
  • Page 43
    Summary relating to visiting of Tuberculous families.
  • Page 44
    The kind of treatment obtained is shown below.
    Sanatorium.Convalescent Home.Boarding Out.Consumption HospitalHome for the Dying.General Hospital.Poor Law Infirmary.Total.
    London.Seaside.
  • Page 45
    Number of living rooms in patient's tenement where recorded:-
    1 room.2 rooms.3 rooms.4 rooms.Over 4 rooms.Total.
  • Page 45
    (Servants and others not included.)
    RentUnder 5s.5s. to 10s.10s. to 15s.Over 15s.Total.
  • Page 45
    Duration of illness before notification:—
    Under 1 year.1 to 2 years.2 to 3 years.3 to 4 years.4 to 5 years.5 to 6 years.6 to 8 years.3 to 10 years.10 to 15 years.15 to 20 years.
  • Page 45
    Duration of illness up to death:—
    Under 1 year.1 to 2 years.2 to 3 years.3 to 4 years.4 to 6 years.5 to 6 years.6 to 8 years.8 to 10 years.10 to 15 years.15 to 20 years.
  • Page 45
    History of phthisis in parents, grandparents, uncles, aunts:—
    Males.Females.Males.Females,
  • Page 46
    Occupations of Persons Notified in 1911.
    Outdoor.Indoor.
    Present.Past.Present.Past.
  • Page 47
    Occupations of Persons Notified in 1911— continued.
    Outdoor.Indoor.
    Present.Past.Present.Past.
  • Page 47
    Nationality. —The majority of the persons affected were English but there were also the following:—
    Males.Females.Males.Females.
  • Page 49
    The City of Westminsteb.
    Year.Pulmonary.Abdominal.Meningeal.Other.Total.
    Deaths.Rates.Deaths.Rates.Deaths.Rates.Deaths.Rates.Deaths.Rates.
  • Page 52
    In the three months it was for London and Westminster as follows :—-
    London.Westminster.
  • Page 53
    Deaths from Diarrhœa in London and Westminster in children under two years of age.
    1911. Week ending July8th.15 th.22nd.29th.-
  • Page 53
    The death-rates, calculated on the deaths under 2 years of age for each quarter, were:—
    1st quarter.2nd quarter.3rd quarter.4th quarter.The year.
  • Page 54
    The following table exhibits the particulars:—
    Westminster.1903.1904.1905.1906.1907.
  • Page 57
    The death rates in each quarter were:—
    1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year.
  • Page 58
    The following list shows how far this was carried out and the nature of the cases notified:—
    School.Actual Cases.Infection in House.Other Causes.
    Chicken-pox.Measles.Mumps.Whooping-cough. |Chicken-pox.Measles.Mumps.Whooping-cough.
  • Page 59
    A copy of each notification of fever, diphtheria, &c., received from medical men is sent to the head teacher of the school attended by the patient (if a child), or by any child who is an inmate of the same house as the patient. In this way 346 notifications were sent out during 1911 to school teachers as follows;—
    School.Small Pox.Scarlet Fever.Diphthoria.Enteric Fever.
  • Page 60
    The number of examinations in previous years were : 1902, 251 ; 1903, 181; 1904, 75; 1905, 132; 1906, 180; 1907, 155; 1908, 175; 1909, 245; 1910, 270.
    Disease.Persons.Examinations.Results.
    Positive.Negative.Doubtful.
  • Page 61
    The following table gives a comparative statement of the above work during the past seven years:—
    1904.1905.1906.1907.1908.1909.1910.1911.
  • Page 63
    The number of dead bodies taken to the mortuaries for purposes of inquest and to await burial during the last eleven years are:—
    Total.For Inquest.To await Burial.Total.For Inquest.To await Burial.
  • Page 63
    The number of bodies taken in at Horseferry Eoad since 1897 has been:—
    Year.Bodies.Year.Bodies.Year.Bodies.
  • Page 64
    PART II. C. House Inspection, &c. Below is a list of details of the work done in connection with insanitary conditions. In many cases some of the work specified was in premises part of which was occupied as workshops:—
    1911.1911.
  • Page 65
    * In addition to the above, supervision was given to the provision of earth closets (151), urinals (86), and cabinets (11), in connection with stands erected for viewing the Coronation processions.
    1911.1911.
  • Page 65
    Police court proceedings for failure to comply with Statutory notices were taken with the following results:—
    Premises.Offence.Result.
  • Page 66
    Proceedings against one firm offending were taken with the following result:—
    Premises.Offence.Result.
  • Page 69
    One person was cautioned for removing refuse during prohibited hours and five prosecutions were taken as follows:-
    Name and Address of Defendant.Offence.Result.
  • Page 73
    The following is a list of the common lodging-houses in Westminster, the number for which they were licensed, and the number of deaths which occurred during the last four years among persons alleged to have been inmates:—
    Common Lodging Houses.Men.Deaths.
    1908.1909.1910.1911.
  • Page 74
    Smoke Prevention. The City is divided into two parts for purposes of smoke inspection, under Inspectors McNair and Williams. The following is a summary of the work done in connection therewith:—
    1911.North District.South District.Total.
  • Page 75
    A comparison with previous years is given below:—
    190219031904190519061907190819091910
  • Page 76
    The following shows the state of the register of work premises at the end of 1911:—
    Workshop.Total Number.N umber in which Women are Employed.
  • Page 77
    Inspection.
    Premises.Number of
    Inspections.Defects Found.Intimation Notices.Statutory Notices.Prosecutions.
  • Page 77
    Defects found. —1911.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.
  • Page 78
    Other Matters.
    Class.Number.
  • Page 80
    They were distributed thus:-
    Council.Sent from Westminster.Received by Westminster.Council.Sent from Westminster.Received by Westminster.
    Feb.Aug.Feb.Aug.Feb.Aug.Feb.Aug.
  • Page 80
    Notices were served in respect of 657 defects discovered in 323 houses. They may be summarised thus:—
    1910191119101911
  • Page 81
    City of Westminster. Outworkers. 1911.
    Trade.Number of Lists.Number of Outworkers.Received from other Authorities.Sent to other Authorities.Addresses in City.Number of Lists.Number of Outworkers.Received from other Authorities.Sent to other Authorities.Addresses in City.
  • Page 82
    Infectious Disease. —A list of the cases of notifiable infectious diseases which occurred in families engaged in the making, &c., of wearing apparel, are given below. It was unnecessary to stop their work except temporarily during the time disinfection was being carried out:—
    Smallpox.Scarlet Fever.Diphtheria.Typhoid Fever.Erysipelas.Total.
  • Page 82
    In connection with Laundries there were cases in each of the above three classes:—
    (a)(b)(c)
  • Page 83
    E. FOOD SUPPLY. During 1911 visits have been paid to the various classes of business as follows:—
  • Page 83
    The defects found were:—
  • Page 84
    Infectious Disease in Places where Food is Prepared or Sold, not including Milkshops.
    Scarlet Fever.Diphtheria.Typhoid Fever.Erysipelas.Total.
  • Page 84
    The defects complained of were:—
  • Page 85
    Articles of Food Submitted.
    Tons.Cwts.Lbs.Tons.Cwts.Lbs.
  • Page 86
    The following articles were seized and condemned; appended is a note of the action taken.
    Name and Address of Defendant.Article.Result.
  • Page 88
    Sale of Food and Drugs Acts. Samples Purchased under the Sale of Food and Drugs Jets, showing result of Analysis and subsequent Proceedings for year 1911.
    Article of Food.Number of Samples Purchased.Genuine. (Inferior in brackets.)Adulterated.Prosecutions.Convictions.Withdrawn or Dismissed.Fines.Costs.
    £s.d.£s.d.
  • Page 89
    Continued from previous page...
    Article of Food.Number of Samples Purchased.Genuine. (Inferior in brackets.)Adulterated.Prosecutions.Convictions.Withdrawn or Dismissed.Fines.Costa.
    £s.d.£s.d.
  • Page 90
    Adulterated are those below the official standard of 3 per cent. for fat and 8.5 for solids not fat.
    District.Total.Good Quality.Fair Quality.Poor Quality.Adulterated.
    No.Percent.No.Percent.No.Per cent.No.Per cent.
  • Page 91
    The number of samples of milk taken in each of the last ten years are as follows:—
    1902.1903.1904.1905.1906.1907.1908.1909.1910.1911.
  • Page 96
    Sausages, Meat Pies, &C.—Samples were taken during 1911 of sausages, meat pies, &c., with the following results:—
  • Page 99
    L egal P roceedings U nder the F ood and D rugs A cts during 1911.
    No. of Sample. 1Date of Hearing. 2Court and Magistrate. 3Name and Address of Defendant. 4Offence. 5Result. 6
  • Page 100
    Continued from previous page...
    No. of Sample. 1Date of Hearing. 2Court and Magistrate. 3Name and Address of Defendant. 4Offence. 5Result. 6
  • Page 101
    Continued from previous page...
  • Page 102
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    No. of Sample. 1Date of Hearing. 2Court and Magistrate. 3Name and Address of Defendant. 4Offence. 5Result. 6
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  • Page 104
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    No. of Sample. 1Date of Hearing. 2Court and Magistrate. 3Name and Address of Defendant. 4Offence. 5Result. 6
  • Page 105
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