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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

City of Westminster 1923

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

Published
1924
Author
Allan, Francis J.
Pages
76
Tables
79

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79 tables in this report

  • Page -
    2.—Extracts from Vital Statistics for the Year.
    BirthsMales.Females.Total.Birth Rate
  • Page -
    Westminster.—According to country of origin, the population was distributed thus in 1911 and 1921:—
    1911.1921.
    Males.Females.Total.Males.Females.Total.
  • Page 2
    From the figures appended a comparison may be made of the distribution in Westminster of each nationality at each of the last three Censuses:—
    1901.1911.1921.
  • Page 3
    The birth-rate was 12·5 per 1,000 persons; the London birth·rate was 20·2 and for England and Wales 19·7, both showing a decrease on the 1921 rates.
    Births Registered.Births Notified.
    In Westminster.Belong elsewhere.Born out of Westminster.Net.Total.Alive.Stillborn.
  • Page 3
    Divided into legitimate and illegitimate, the figures for 1923 are :— Legitimate—
  • Page 4
    Illegitimate—
  • Page 4
    The number of still·births notified was 29, but information was received of 4 other still·births and miscarriages.
    Number Born.Number of Deaths under 1 year.Number remaining at end of year.
    Boys.Girls.Boys.Girls.Boys.Gills.
  • Page 5
    Mothercraft Classes.
    1923.Pimlico Road.Bessboro' Street.Rochester Row.Greek Street and Mayfair.Total.
  • Page 6
    Attendance during Confinement.—The Council's midwife attended necessitous women and emergency cases in the Pimlico area.
  • Page 6
    Number of cases attended—
    Rochester Row.Greek Street.
  • Page 7
    Infancy and Early Childhood.—The number of visits paid by the Health Visitors in the four areas into which the City was divided, is shown in the accompanying table :—
    Pimlico.Bessborough Street.Rochester Row.Greek Street.Total.Total
    Staff.Vol.Staff.Vol.Staff.Vol.Staff.Vol.Staff.Vol.
  • Page 8
    Ophthalmia Neonatorum.
  • Page 8
    Visits were paid by Health Visitors and District Nurses as follows :—
    1923.Health Visitors.Nurses.
  • Page 9
    Attendances at Infant Consultations, 1923.
    Centre.Number of Sessions.First Attendances.Subsequent Attendances.Total.Total.
    Under 1 year.Over 1 year.Under 1 year.Over 1 year.Under 1 year.Over 1 year.
  • Page 9
    The average attendances per session were—
  • Page 9
    The number of individual children medically inspected were—
  • Page 10
    Visits were also paid by the Health Visitors in connection with—
    Pimlico.Bessborough Street.Rochester Row.Greek Street.Total.
  • Page 12
    Divided into various age periods we get:—
    1923.Under 1.1 to 2.2 to 5.5 to 15.15 to 25.25 to 45.45 to 65.65 and up.Total.9
  • Page 12
    which give rates per 1,000 estimated to be living at these periods as follows:—
  • Page 12
    The deaths were distributed in the wards in the years 1920,1921,1922 and 1923 as follows :—
  • Page 13
    Below are given figures for both births and deaths of infants corrected, distinguishing legitimate and illegitimate births, showing the rates for a series of years :—
    Year.Legitimate.Illegitimate.Total Rate, Westminster.Total Rate, London.
    Births.Deaths.Death·rate per 1,000 Births.Births.Deaths.Death·rate per 1,000 Births.
  • Page 13
    Five·Yearly Averages.
  • Page 14
    In the three divisions into which the City is divided under the Maternity and Child Welfare Scheme, the figures (omitting the homeless) were :—
    Centre.Legitimate.Illegitimate.Total.
    1921.1922.1923.1921.1922.1923.1921.1922.1923.
  • Page 14
    The causes of death of children under 1 year of age are set for;h in Tables appended, and a summary showing the proportion of deaths per 1,000 births from various grouped causes in the last seven years is set out below:—
    1917.1918.1919.1920.1921.1922.1923.
  • Page 15
    The deaths in the four quarters occurred as follows :—
    1923.Kmlico.St. Margaret and St. John.North.Unknown.Total. 1923.Total 1922.
  • Page 15
    Common Lodging House Deaths.—Seventy·six deaths of persons giving addresses in common lodging houses occurred during the year, mostly in institutions :—
  • Page 16
    Table V.—Infant Mortality, 1923. Net deaths from stated causes at various ages under One Year of Age in the City of Westminster.
    CAUSES OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3-4 Weeks.Totr 1 under 4 Weeks.4 Weoks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 months.Total Deaths under 1 Year.
  • Page 16
    Net Births in the year—
    Males.Females.Total.
  • Page 16
    Including 3 male and 3 female illegitimates unregistered. Net Deaths in the year of—
    Males.Females.Total.
  • Page 17
    Table V, continued.—Infant Mortality, 1923. Net deaths from stated causes at various ages under One Year of Age in Pimlico Area ( Victoria, Kniglitsbridge St. George and Hamlet Wards).
    CAUSES OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 Months.Total DeathB under One Year.
  • Page 17
    Net Births in the year—
  • Page 17
    Net Deaths in the year of—
    Males.Females.Total.
  • Page 18
    Table V, continued.—Infant Mortality, 1923. Nett Deaths from, stated causes at various ages under One Year of Age in St. John and St. Margaret Wards.
  • Page 18
    Net Births in the year—
  • Page 18
    Net Deaths in the year of—
    Males.Fema'es.Total.
  • Page 19
    Table V, continued.—Infant Mortality, 1923. Nett Deaths from stated causes at various ages under One Year of Age in the North District (Grosvenor, Conduit and Strand Borough Wards).
    CAUSES OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and I under 3 Months.3 Months and under (3 Months.6 Months and under 9 Months.9 Months and under 12 Months.Total Deaths under 1 Year.
  • Page 19
    Net Births in the year—
  • Page 19
    Net Deaths in the year—Males.Females.Total.
  • Page 19
    Table V, continued.—Deaths of infants with no known address, or found in streets, parks, &c.:—
    causes of death.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.Weeks and under 3 Months.3 Months and under 6 Months.6 Mouths and under 9 Months.9 Months and under 12 Months.Total Deaths under 1 Year.
  • Page 20
    FEMALES. Table I.—Causes of, and Ages at, Death during the year 1923.
    Causes of Death.corbected deaths in the clty 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 26.25 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.Homeless.
  • Page 21
    FEMALES.—Table I. (continued).
    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.Co vent Garden.Strand.Homeless.
  • Page 22
    MALES. Table I.—Causes of, and Ayes at, Death during the year 1923.
    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.Homeless.
  • Page 23
    MALES.—Table I. (continued).
    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.G-rosvenor.Hamlet of Knightsbridge.Knightsbridge St. G-eorge.Victoria.St. Margaret.St. John.St. Anne.Great Marlborough.Pall Mall.Kegent.Charing Cross.Covent Garden.Strand.Homeless.
  • Page 24
    The following summary shows the number of cases which came to the notice of the Department in the last three years.
    1921.1922.1923.1921.19221923.
  • Page 25
    City of Westminster.—Cases of Infectious Disease Notified during the Year 1923.
    Notifiable Diseases.At all Ages.Cases Notified.Cases removed to Hospital.Treated at Home.At all Ages.Deaths.
    At Ages—Years.At Ages—Years.
    Under 1.1-2.2-3.3-4.4-5.5-10.10-15.15-20.20-35.35-45.45-65.65 and over.Under 1.1-2.2-3.3-4.4-5.5-10.10-15.15-20.20-35.35-45.45-65.65 and over.
  • Page 26
    City of Westminster.—Infectious Diseases, Distributed in each Ward
    Notifiable Diseases.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.Homeless.
  • Page 27
    The Public Vaccinators have forwarded the following particulars for the year:—
  • Page 30
    Non-notified cases.—Pulmonary cases not notified in Westminster were 5.2 per cent, of the total, non-pulmonary 14.2 per cent.
    1914.1915.1916.1917.1918.1919.1920.1921.19221923.
  • Page 31
    Tuberculosis, 1923.
    Age-Periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 32
    The following table indicates in detail the proportion dealt with by the Dispensary (set out in brackets):—
  • Page 34
    During the year 529 new patients were examined at the instance of:—
    —Insured.Non-Insured.Total.
    Males.Females.Males.Females.Boys.Girls.
  • Page 35
    Recommendations for institutional treatment to the L.C.C.:—
    Insured—Hospitals.Sanatoriums.
  • Page 35
    Dispensary Statistics.
    1923.1922.1921. 1920.1919.
  • Page 36
    Tuberculosis.—Notifications received during the period from 31st December, 1922, to 29th December, 1923.
    1923. Age periods.Number of notifications on Form A.
    Primary notifications.Total notifications, on Form A, including cases previously notified.
    0 to 1.1 to 5.5 to 10.10 to 15.15 to 20.20 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 and up.Total new cases.
  • Page 37
    Tuberculosis.—New cases coming to the knowledge of the Medical Officer of Health otherwise than by Notification under the Regulations.
    1923. Age Periods.Number of notifications on Form A.
    Primary notifications.
    0 to 1.1 to 5.5 to 10.10 to 15.15 to 20.20 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 and up.Total.
  • Page 38
    Tuberculosis.—Table showing distribution in Wards of notified and unnotified cases, and numbers of such persons who have been treated in Institutions.
    1923.All Ages.Conduit.Grosvenor.Knights- bridge St. George.Victoria.St. Margaret.St. John.Hamlet of Knights-bridge.Pall Mall.Regent.Great Marlborough.Charing Cross.Covent Garden.Strand.St. Anne.Homeless..Received Institutional Treatment during , 1923.
  • Page 39
    The total number of cases of tuberculous disease on the Register at the end of 1923 was 1,682 as compared with 1,589 at the end of the year 1922.
    Pulmonary.Non-pulmonary.Total.
    General.Casuals.
  • Page 40
    Westminster—Deaths from Tuberculosis per 100,000 civilian population.
    Years.Pulmonary.Non-pulmonary.Total.
    Deaths.Rates.Deaths.Rates.Deaths.Rates.
  • Page 41
    The death-rates for males and females in westminster fir 1920, 1921, 1922, and 1923 calculated were per 100,000 population
    Males.Females.
    1920.1921.1922.1923.1920.1921.1922.1923.
  • Page 41
    Examinations were made as follows:—
  • Page 41
    The number of articles treated was:—
    1918.1919.1920.1921.1922.1923.
  • Page 41
    By arrangement with the County Council, school children from Battersea, Chelsea, Holborn, Kensington, Lambeth, St. Pancras and St. Marylebone were sent to the Station for cleansing; these numbered 218 for head lice, 14 for body lice, and 5 for scabies, and are included in the following summary:—
    Head lice.Body lice.Scabies.Total.
  • Page 42
    The number of dead bodies taken to the mortuaries for purposes of inquest, and to await burial during the last 20 years were:—
    Total.For Inquest.To await Burial.Total.For Inquest.To await Burial.
  • Page 48
    Smoke Prevention. The following is a summary of the work done in connection with smoke prevention:—
    1921.1922.1923.
  • Page 49
    Housing Conditions. (Return required by the Ministry.) Statistics. Year ended 31st December, 1923. 1.—General.
  • Page 49
    2.—Unfit Dwelling-Houses.
  • Page 50
    III.—Action under Statutory Powers.
  • Page 50
    3.—Unhealthy Areas.
  • Page 51
    The following table shows the figures relating to Westminster:—
    Males.Females.Totals.
  • Page 52
    The following shows the state of the register of work premises at the end of 1923:—
    Work Premises.Total Number.
  • Page 53
    Inspection.—1923.
    Premises.Number of
    Inspections.Re-inspections.Defects Found.Intimation Notices.Statutory Notices.Prosecutions.
  • Page 53
    Defects found.
    Particulars.Number of Defects. Found.Number of Prosecutions.
  • Page 53
    Other Matters.
    Class.Number.'
  • Page 55
    City of Westminster. Outworkers—1923.
    Trade.FEBRUARY LISTS.AUGUST LISTS.
    Number of Outworkers.Received from Other Authorities.Sent to other Authorities.Addresses in City.Number of Outworkers.Received from other Authorities.Sent to other Authorities.Addresses in City.
  • Page 57
    Articles of Food Submitted.
    Tons.Cwts.Lbs.Tons.Cwts.Lbs.
  • Page 58
    Sale of Food and Drugs Acts. Samples Purchased under the Sale of Food and Drugs Acts, showing result of Analysis and subsequent Proceedings for year 1923.
    Number.Article of Food.Number of Samples Purchased.Genuine. (Inferior in brackets.)Adulterated.Prosecutions.Convictions.Withdrawn or Dismissed.Fines.Costs.
    £s.d.£t.d.
  • Page 61
    The Council issued licences for the sale of—
  • Page 63
    The Public Health (Milk and Cream) Regulations, 1912 and 1917. The Milk and Dairies (Amendment) Act, 1922. Samples Analysed during the Year 1923.
    Article.Number of samples examined for preservative.Number containing preservative and percentage of preservative found in each sample.
  • Page 63
    Preserved Cream.
    Number examined.Without preservative.Preservative under amount stated on label. (0.4 per cent.)Preservative over amount stated on label.Milk fat in preserved cream.
    Above 35 per cent.Below 35 per cent.