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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
London County Council 1935
[Report of the Medical Officer of Health for London County Council]
- Published
- 1936
- Pages
- 187
- Tables
- 186
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The age and sex-distribution of this estimated population is as follows :— Table 1.
Age group Males Females Total -
Page 6
in 1934. The births in the resident populations of each metropolitan borough during 1935 were as follows :— Table 2.—County of London—Births, 1935.
Metropolitan boroughs Live-births Still-births Total Legitimate Illegitimate Legitimate Illegitimate Legitimate Illegitimate -
Page 6
The distribution of deaths by ages in 1935 and recent preceding periods is shown in the following table :— Table 3
-
Page 7
Table 4.—County of London—Deaths from street accidents.
Year Age-group 0-5 5-15 15-25 25-45 45-65 65 + All ages. -
Page 7
The movement of the death-rate from the principal diseases at ages below one year since 1910 are shown in the following table :— Table 5.
Cause of death l911 to 1914 1916 to 1918 1919 to 1922 1923 to 1926 1927 to 1930 1931 to 1934 1931 1932 1933 1934 1935 -
Page 8
The deaths among infants under one year of age in age groups from the causes included in the above table are shown by sex and according to legitimacy in the following table :— Table 6.—County of London—Infant Mortality, 1935.
Cause of death Age at death Total Under 4 weeks 4 weeks to 3 months 3 months to 6 months 6 months to 9 months 9 months to 1 year Number Males Females -
Page 9
Table 7.—Total balance of migration during various intercensal periods, (+ = migration in, — = migration out.)
Period Difference between natural and actual increase (decrease) of population during period Difference between expected and actual survivors according to the life table -
Page 10
Table 8.—Balance of migration. County of London—1841-1931 (+ = migration in, — = migration out.)
Intercensal period Population at the beginning of period Net migration during period Migration : Rate per 1,000 mean population during period Outer ring Populat ion at beginning of period Increase during period -
Page 11
Table 9.—Balance of migration at various age.i expressed as a rate per 1,000 mean population of the age group during the period (+ = migration in, — = migration out.)
Ape at migration Persons 1891-1901 Males Females 1901-1911 Persons Males Females -
Page 11
Continued from previous page...
Age at migration 1911-21 1921-31 Persons Males Females Persons Males Females -
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Table 10.—County of London—Balance of migration during successive intercensal periods amongst persons attaining the ages stated at the end of each period. (+ = migration in, — = migration out.)
Age at end of period 1841-51 1851-61 1861-71 Males Females Males Fomales Males Females -
Page 12
Continued from previous page...
Age at end of period 1871-81 1881-91 1891-1901 Males Females Males Females Males Females -
Page 12
Continued from previous page...
Age at end of period 1901-11 1911-21 1921-31 Males Females Males Females Males Females -
Page 13
Table 11.—County of London—Intercensal balance of migration by ages. ( + = migration in, — = migration out.)
Age at time of migration 1891-1901 1901-1911 Persons Males Females Persons Males Females -
Page 13
Continued from previous page...
Age at time of migration Persons 1911-1921 1921-1931 Males Females Persons; Males Females -
Page 15
Table 12.
Year 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 -
Page 15
The following table shows the age incidence of actual cases of cerebro-spinal fever, encephalitis lethargiea and poliomyelitis (including polioencephalitis). Table 13.
Age periods Under 3 3-5 5-10 10-20 20-30 30-40 40-50 50-60 Over 60 Total -
Page 16
The death-rates in London and England and Wales in recent years have been as follows :— Table 14.
Area. 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 -
Page 16
The following statement shows the numbers of cases reported from the schools during certain periods of this and the two preceding epidemics :—
1931-32 1933-34 1935-36 -
Page 16
The death-rates in London and England and Wales in recent years are show in the following table :— Table 15.
Area 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 -
Page 17
The movement of the death-rate from whooping-cough in London during past thirty years is broadly shown by the figures in the following table :— Table 10.—County of London—Decennial whooping-cough mortality since 1900.
Age-group Mean alluvial death-rate per 1,000 of population of cacli age-group 1901-10 1911-1920 1921-1930 -
Page 17
The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four-weekly periods during the year, was as follows :— Table 17.
-
Page 17
The notifications (uncorrected for errors in diagnosis), deaths and crude case-mortality during 1935 were as follows :— Table 18.
Year 1935 Age-period Total 0- 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 15 + -
Page 17
The death-rates in London and England and Wales in recent years are shown in the following table :— Table 19.
Area 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 -
Page 18
The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four-weekly periods during the year, was as follows:— Table 20.
-
Page 18
The notifications (uncorrected for errors in diagnosis), deaths and crude case-mortality during 1935 were as follows :— Table 21.
Year 1935 Age-period Total 0- 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 15 + -
Page 18
The death-rates in London and England and Wales in recent years are shown in the following table :— Table 22.
Area 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 -
Page 19
to 1927 and 1928 to 1935, together with the deaths in childbirth in 1935, are shown in the following table :— Table 23.
Metropolitan boroughs arranged in topographical order Childbirth deaths per 1,000 live births Number of deaths in ohildbirth 1920-27 1928-35 1935 Puerperal fever Other causes Total Puerperal fever Other causes Total Puerperal fever Other causes Total -
Page 20
Table 24.—London—Deaths in childbirth and pregnancy : age distribution, 1931-34.
Metropolitan borough Married women Unmarried women 15- 20- 25- 30- 35- 40- 45 + Total Death from sepsis All other deaths Abortion Other cases Abortion Other cases -
Page 21
Table 25.—London maternal deaths, 1931-34.—Place of death of married women dying in pregnancy and childbirth.
Metropolitan borough Deaths Place of death Total l.C.C. general hospitals l.C.C. special hospitals Voluntary hospitals Nursing homes Abortions Other With maternity beds Other With maternity beds Other Home -
Page 21
Table 26.—London—Maternal deaths, 1931-34. (a) Place of death of mother in pregnancy and childbirth (1) from sepsis, (2) from other causes.
Place of death Deaths from sepsis Deaths from other causes Total Abortion Other Abortion Other -
Page 22
(b) Age-distribution of maternal deaths.
Cause of death Age group 15— 20— 25— 30— 35— 40— 45— Not known Total -
Page 22
Table 27. London*—Maternal deaths among married women per 1,000 live births (1) after abortion, (2) other deaths ; also still.births and neo.natal deaths per 1,000 live births among married women, 1931—1.
Metropolitan borough Maternal deaths per 1,000 live.births Still.births and deaths under one week per 1,000 live.births Percentage of maternal deaths occurring in From abortion From all other causes Still.births Deaths Hospitals and institutions Nursing homes or at home -
Page 23
The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four-weekly periods during the year was as follows:— Table 28.
-
Page 24
The following statement shows the age and sex incidence of the cases of food poisoning notified during the year:— Table 29.
Age 0. 5. 15. 21. 35. 45. 55. 65. Total -
Page 24
The causes of illness in the 490 notified cases were stated to be as follows:—
-
Page 24
The annual death.rates from pulmonary and non.pulmonary tuberculosis in recent years are shown in the subjoined table:— Table 30.
Period Pulmonary tuberculosis death.rates Non.pulmonary tuberculosis death.rates Males Females Total Males Females Total -
Page 25
Table 31.
Form of tuberculosis notified Sex Number of formal primary notifications of new cases of tuberculosis Total notifications 0- 1. 6. 10. 15. 20. 25. 35. 45. 55. 65 + Total all ages -
Page 25
In addition to the primary cases shown in the above table, a number of cases came to the knowledge of medical officers of health otherwise than by notification. These figures include cases not notified until after death:— Table 32.
Form of tuberculosis notified Sex New cases of tuberculosis coming to knowledge otherwise than by formal notification 0. 1. 5. 10. 15. 20. 25. 35. 45. 55. 65 + Total -
Page 25
The sources of information as to the unnotified cases shown in the above table were as follows:— Table 33.
Source of information Number of cases Pulmonary Non .pulmonary -
Page 26
Table 34.
Metropolitan boroughs in topographical order Cases on notification register at beginning of 1935 Cases added to register during registration year. Brought to knowledge by Cases removed from register during the registration year Cases on notification register at end of 1935 Notification Otherwise Cured, removed, etc. Deaths Total Per 1,000 of population -
Page 27
Table 35--County of London- Age distribution of primary notifications of tuberculosis according to localisation of disease, 1933 and 1934-
Age group Respiratory system Spine Hip Knee Other limbs bones and joints Abdo- minal Peripheral glands Other sites Total Lungs Other -
Page 28
Table 36.—County of London. Age distribution of primary notifications of tuberculosis according to source of notification, 1933 and 1934. Tuberculosis of the respiratory system, 1933 and 1934.
Age group Dispensary Hospital Private Poor-law Total -
Page 28
Other forms of tuberculosis, 1933 and 1934.
-
Page 29
Table 37. Vital statistics for the metropolitan boroughs and the County ot London in the year 1935. (Rates .per 1.000 of population )
Metropolitan boroughs arranged in topographical order Estimated resident population 1935 Live births Deaths Infant mortality (per 1,000 live births) Measles Scarlet fever Diphtheria Whooping cough Typhoid fever Diarrhoea and enteritis, age 0.2 (per 1,000 live births') Pulmonary tuberculosis Pneumonia Other resp. dis. Cancer Maternal mortality (per 1,000 live births) Notifications of infectious disease Scarlet fever Diphtheria Typhoid fever Erysipelas Cerebrospinal fever Acute pneumonia -
Page 30
Table 38.—County of London—Principal causes of death by sex and age, 1935.
Causes of death Sex All Ages 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75— -
Page 31
Table 38—continued.—County of London—Principal causes of death by sex and age, 1935.
Causes of death Sex All Ages 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75— -
Page 32
Table 39.—County of London.—Principal vital statistics, 1891.1935.
Period Annual rate per 1,000 living Mortality per 1,000 living Annual mortality per 1,000 live births Live births Marriages Deaths (all causes) Cerebrospinal fever Diphtheria Enteric fever Scarlet fever Smallpox Whooping. cough Measles Influenza Tuberculosis Pneumonia (all forms) Bronchitis Other resp. diseases Heart disease Cancer Diabetes Infants 0—1 Diarrhoea and enteritis 0—2 Puerperal fever Other acc. of ch. birth Pulmo. nary Non.pulmonary -
Page 33
Table 40.—County of London.—Notifiable infectious diseases.—Notifications per 1,000 of population.
Period Annual rated per 1,000 living Anthrax Cerebrospinal fever Continued fever Diphtheria Dysentery Encephalitis lethargica Enteric fever Erysipelas Malaria Ophthalmia neonatorum (per 1,000 live births) Pneumonia Polioencephalitis Poliomyelitis Puerperal fever (per 1,000 live births) Puerperal pyrexia (per 1,000 live births) Scarlet fever Smallpox Typhus -
Page 33
Table 41.—County of London.—Annual number of notifications of infectious disease, 1926.35.
Year Anthrax Cerebrospinal fever Contmued fever Diphtheria Dysentery Encephalitis lethargica Enteric fever Erysipelas Malaria Ophthalmia neonatorum Pneumonia Polioencephalitis Poliomyelitis Puerperal fever Puerperal pyrexia Scarlet fever Smallpox Typhus -
Page 34
Table 42.—County of London.—Notifications of infectious disease during the 52 weeks ended 28th December, 1935.
Metropolitan boroughs in topographical order Anthrax Cerebro. spinal fever. Continued fever Diphtheria (including membranous croup) Dysentery Encephalitis lethargica Enteric fever Erysipelas Malaria Ophthalmia neonatorum Pneumonia Polio- encephalitis Polio. mvelitis Puerperal fever Puerperal pyrexia Scarlet fever Smallpox Typhusp -
Page 37
It has not been possible to obtain particulars from all firms, etc., visited, but information as set out in the following statement has been secured:— Table 43
Firm Wash Fat Bones Fat and bonos Fish offal Bread, etc. -
Page 39
As an indication of the quantity of rags dealt with, the following information obtained from several firms in London is of interest:—
Firm. Weight of rags purchased Firm Weight of rags purchased. -
Page 40
As an indication of the quantity of bottles dealt with, the following information obtained from five firms in London is of interest:—
Firm Number of bottles purchased Firm Number of bottles purchased -
Page 40
No merchant dealing exclusively in scrap metals has been interviewed, but as an indication of the quantities dealt with, the following information from four firms of rag and metal merchants in London is of interest:—
Firm Weight of metals purchased Firm Weight of metals purchased -
Page 41
Extensive plant has been installed at these works and, in addition to ash and breeze, the following articles were salvaged during the year ended 31st December, 1935.
Tons Value £ -
Page 42
the result of such sampling during 1935, as compared witd work done in 1934, is as follows:— Table 44.
Quarter 1934 1935 Completed examinations No. tuberculous Percentage Completed examinations No. tuberculous Percentage -
Page 42
Table 45.
Department Approximate stock at 31st December, 1935 Visits by veterinary surgeon Samples taken of which examination completed Samples found to be tuberculous Cows with tuberculosis Cows with unhealthy conditions not tuberculous Cows Bulls Young stock -
Page 43
In addition to the special samples, 226 routine samples were taken, the examination of 11 of which was incomplete and of the remainder the results were:—
Quarter Total completed No. positive -
Page 44
A summary of the work done by the hospitals lor each of the areas in the joint, scheme during the year 1935 is shown in the following table:— Table 47
London Middlesex Essex Surrey Kent Herts Bucks East Ham West Ham Croydon Total "Other places" Grand total -
Page 44
The distribution of new cases of venereal disease between the sexes is shown in the following table, the figures for the preceding years being given for comparison :— Table 48.
Year New cases Total venereal cases Syphilis Soft chancre Gonorrhoea M. F. M. F. M. F. M. F. -
Page 45
The age and sex distribution was as follows:— Table 49.
Under 1 year 1 and under 5 years 5 and under 15 years 15 years and over Total -
Page 45
Comparative figures for the nmeteen years during which the scheme has been n force are shown in the following table:— Table 50.
Year New cases Total attendances (venereal and non.venereal) In.patients days Venereal Non.venereal Total -
Page 46
Another point worthy of note is the total number of examinations made of pathological specimens. Comparative figures for the nineteen years are shown in the following table:—
Year From treatment centres From medical practitioners Year From treatment centres From medical practitioners -
Page 48
The following pages (pp. 48.60) indicate the operation of the tuberculosis scheme during the year 1935. Table 51—Beds occupied at end of year.
Year Adults Children Total Year Adults Children Total -
Page 48
The numbers of applications for residential treatment during each of the last five years were as follows:— Table 52
Year For first period of treatment Ex. service For further treatment Total Ex. service Civilian adults Children Civilian adults Children Male Female Male Female -
Page 49
Patients recommended for treatment during 1935 were dealt with as follows :—
-
Page 49
The extent of residential treatment and observation is shown below :— Table 53.
Classification In institutions on 1st January, 1935 Admitted during the year Discharged during the year Died in institutions In institutions on 3lst December, 1935 -
Page 49
The distribution of patients in institutions on 31st December, 1935, is shown below, the figures for 1934 being given in brackets:— Table 54.
Hospitals and institutions Ex-service men Civilian adults Children under 16 years Total -
Page 50
The following table shows the results of observation of doubtfully tuberculous cases discharged from observation hospitals :— Table 55.
Diagnosis on discharge from observation For pulmonary tuberculosis For non-pulmonary tuberculosis Total Stay under 4 weeks Stay over 4 weeks Stay under 4 weeks Stay over 4 weeks -
Page 50
Table 56.—Immediate results of treatment. Adults.
Classification Quiescent Years Not quiescent Years Died in institution Years Totals Years -
Page 51
Continued from previous page...
Children Classification Quiescent Years Not quiescent Years Died in institution Years Totals Years -
Page 51
The average numbers of patients under the scheme at Papworth and Preston Hall, respectively, during the past eight years are shown below :— Table 57.
1028 1029 1930 1931 1032 1033 1034 1035 -
Page 52
Table 58.
Classification Total Percentage ulive five years after discharge Percentage dead -
Page 52
The mortality records are as follows, the figures in brackets referring to year's enquiry into the 1928 cases :— Table 59.
Classification Total Percentage alive five years after discharge Percentage dead -
Page 52
The mortality rates of the non-pulmonary cases classified according to the location of the disease are as follows :— Table 60.
Location of disease Total Percentage alive five years after discharge Percentage dead -
Page 54 55
Table 61.—Tuberculosis Dispensaries.—Analysis of Returns, January-December, 1935.
Metropolitan Borough On dispensary register. 1-1-35 Transferred during 1935 from other areas and cases returned after discharge Examined for first time during 1935 (a) New cases excluding contacts (b) Contacts (printed in italics) Total number (including contacts) under dispensary supervision during 1935 Removed from dispensary register during 1935. On dispensary register 31-12-35 Total attendances Visits to home for dispensary purposes by No. of specimens of sputum ex amined No. of X ray examinations Number of T.B. 4- cases on dispensary register Definitely tubercular Diagnosis not confirmed Pulmonary Nonpulmonary Diagnosis not confirmed Nontuberculous Total (a) He- covered, (b) Non tubercular (printed in italics) («) Transferred to other areas or lost sight of (6) Died (printed in italics) Definitely tubercular Diagnosis not completed Adults Children Adults Children Adults Children Adults Children Adults Children Tuberculosis officers Nurses or health visitors -
Page 56
The following is a summary, for purposes of comparison, of certain sections of the foregoing table :— Table 62.
Metropolitan borough Deaths from tuberculosis Ratio of cases on dispensary register to cases on notification register Number per 100 deaths from tuberculosis in the borough Total attendances per case on register Tuberculosis officers' visits per case on register Total consultations per case on register Nurses' visits per case on register X-rav examinations Actual Per 1,000 inhabitants Definitely tuberculous per. sonson dispensary register. T.B ‡ cases on dispensary register Examinations per 100 new cases and contacts per 100 new cases New cases. Contacts Adults Children -
Page 57
Table 63. Males. Class T.B. plus.
Previously known case Age group of new cases Total Relationship Clinical classification 0-15 16-20 21-25 26-30 31-40 Over 40 No. Percentage -
Page 58
Continued from previous page...
Previously known case Age group of new cases Total Relationship Clinical classification 0-15 16-20 21-25 26-30 31-40 Over 40 No. Percentage -
Page 60
Table 65.
Sex Source of notification Feebleminded Imbecile Idiot Morally defective Not defective Total Children Adults Children Adultsi Children Adults Children Adults Children Adults Children Adults -
Page 61
The following table contains particulars of applicants for registration or training under the provisions of the Blind Persons Act, 1920 :— Table 66.
Description Registration of the blind Training of the blind Total m. f. m. f. -
Page 66
During the year 10,375 examinations, including 253 home visits, members of the staff. These may be classified as follows :—
-
Page 66
Ninety applicants for appointment to the permanent service failed to pass the medical examination for the following reasons :—
-
Page 66
As a result of the examinations of the staff, 404 officers were deemed to be permanently unfit to carry out their ordinary duties in the service of the Council on the following grounds :—
-
Page 68
The total number of samples examined in 1935 amounted to 18,747. The following table shows their classification :—
-
Page 68
The following table shows the classification and the results of the an oils:—
Satisfactory Unsatisfactory -
Page 71
which do not come within the purview of the City Corporation or Port Sanitary Authority. The results of the analyses were :
-
Page 75
Table 67. County of London.— Statistics of the administrative work carried out by the Metropolitan Borough Councils during the year 1935.
Sanitary authority Cowsheds Slaughterhouses Offensive trades Smoke nuisances Common lodging houses Cleansing of persons and rooms Water supply Milk-shops Ice cream premises Restaurants and eating houses No. licensed No. of inspections No. licensed No. of inspections No. authorised No. of inspections Observations Intimations Complaints Notices Houses licensed No. of inspections Persona Rooms or premises Tenement houses extra supply No. on register No. of inspections No. on register No. of inspections No. of places No. of inspections Adults Children After infectious diseases For vermin -
Page 76
Table 68.
Borough No. of houses Public Health Act Housing Acts 1925-1935 No. of houses in-spectedon account of complaints or illness No. of statutory notices served No. of houses repaired No. of houses inspected Housing Art 1930 Housing Act 1935 No. of houses for working classes erected during the year Underground rooms Houses let in lodgings In borough Occupied by the working classes Section 1 Sections 17 & 18 No. of houses repaired Number of houses demolished Closing Orders Re-development schemes by owners No. of houses represented No. of houses demolished by owners By L.A. Section 19 Voluntarily No. made No. deter mined No. of houses No. of certificates issued No. occupied but unfit No. closed or modified occupation approved No. in borough No. of inspections No. of prosecutions No. of complaints remedied -
Page 77
Table 69—Sanitauy Inspectors, 1935.
Sanitary authority Population (Census) 1931 Male Female Health visitors Whole time Fart time Whole time Part time Whole time Part time -
Page -
Table 1—Assessment of nutrition, 1935.
-
Page -
Table 2—Assessment of nutrition, 1934.
-
Page -
Table 3—Clothing and footgear—Percentages.
Age group. 1934. 1935. Good. Fair. Bad. Good. Fair. Bad. -
Page -
Table 4.
Ago group. 1924. 1927. 1933. 1934. 1935. Sound. Serious decay. Sound. Serious decay. Sound. Serious decay. Sound. Serious decay. Sound. Serious decay. -
Page -
Table 5.
Age group. Visual acuity (percentages) 1935. Normal. Slight defect. More serious defect. -
Page -
Table 6.
Sex. Number. Nutritional classification. 1 2 3 4 -
Page -
The number of children tested during the year was 28,038, and the total number of individual tests was about 40,000. The percentage of children who failed was 7.8. These particulars are shown in the following table:— Table 7.—Routine audiometer tests.
School. Total number tested. Total number of children failed. Number failed in Percentage of failures (either ear). One ear. Both ears. -
Page -
Table 8.
Total ears. Number of ears showing level of correct recording in decibels. —3 to 6. 9. 12 to 18. 21 to 30+. -
Page -
Table 10.—Shoreditch mUrition centre.
Number of children. Under 5s. 5s. to 8s. 8s. to 10s. Over 108. 1 person per room. 1—2 persons per room. 2—3 persons per room. Over 3 persons per room. Regular work. Casual work. No work. Dead. Pensioned off. Employed. Unemployed. 1 Dead. -
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The following is a summary of the recommendations made at all the centres and the results :—
Recommendation. Made. Carried out. -
Page -
Table 11 First Re-inspections, 1935. (Percentages are given in italic type.)
Defect treated. No. of defects. Treated. Untreated. By private doctor. Under Council's scheme. At other hospitals. Dis-charg'd Improved For observation only. Still needing treatment. Dis-charg'd Not dis-charg'd Dis-charg'd Not dis- charg'd Dia-charg'd Not dis-charg'd -
Page -
Second Re-inspections, 1935.
-
Page -
Table 12.
Year. Vision. Nose and throat. Minor ailments. Dental. -
Page -
Table 13.
Year. Number of children inspected. Number found to require treatment. Percentage. -
Page -
Table 14.-Ear,nose and throat,excluding pure hardness of hearing.
Classification. Patients. Ears. -
Page -
Table 15.—Hard of hearing cases. Organisers' returns from special ear, nose and throat clinics.
Classification. Patients. Ears. -
Page -
Table 16—Special ear clinics—totals for all clinics.
Cause of suppuration. Total ears. Cured. Referred for mastoid operation. Lapsed. Stilt under treatment. -
Page -
Table 17.
Year. No. of spectacles ordered. No. of spectacles obtained. Percentage. -
Page -
Table 18.
Particulars. 1933 1934 1935 -
Page -
Table 19.—Admissions to special hospitals and convalescent homes during 1935.
Hospital or home. Rheumatism and/or chorea with no apparent cardiac involvement. Rheumatism or chorea with cardiac disease. Rheumatism and/or chorea with no apparent cardiac involvement. Rheumatism or chorea with cardiac disease. Total. -
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Table 20.—Recommendations on discharge as to future education.
Hospital. p.d. school. Elementary school. Totally unfit. Under or over school age. Transfers. Total. -
Page -
Table 21.—Rheumatism supervisory centres.
Name of rheumatism supervisory centre. Number of children attending during 1935. Number of new cases. Attendances of old cases. Total attendances. Average number per session. Number of children from the centre who received hospital treatment or convalescence under the rheumatism scheme. -
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Table 22.—Census of chronic invalids, November, 1935, and the four preceding years.
Ailment. Cases. Percentage of total. 1931. 1932. 1933. 1934. 1935. 1931. 1932. 1933. 1934. 1935. -
Page -
Infectious diseases in schools. The numbers of cases of infectious illness reported by head teachers as occurring among children on the rolls of the day elementary schools during 1935, compared with similar figures reported during the preceding six years, are shown below:— Table 23.
Year. Diphtheria. Scarlet fever. Measles and German measles. Whooping-cough. Chicken-pox. Mumps. Scabies. Ophthalmia. -
Page -
Special investigations into the occurrence of the infectious diseases specified in the following table were carried out by the school medical staff during the year:— Table 24.
Division. Diphtheria. Scarlet fever. Number of visits. Number of depts. visited. Number of children examined. Number of visits. Number of depts. visited. Number of children examined. -
Page -
These four groups may be classified in order of proportionate presence of of diphtheria bacilli as follows:— Table 25.
Group. Number. Diphtheria bacilli present in Percentage positive Percentage virulent -
Page -
On arrival 11 cases were found to be positive and 12 negative. The following is an analysis of these cases:— Table 26.
Result. Positive on arrival. (8 operations.) Negative on arrival. Total. -
Page -
The following table shows the number of cases of ringworm of the scalp among the children in the Council's schools dealt with during 1935 compared with the ten preceding years:— Table 27.
Year. New cases. Cured cases. Cases outstanding at the end of the year. Percentage of cures effected by X-ray treatment. -
Page -
The following is a summary of the progress of the work during 1935 :— Table 28.
Classification. Residential schools and children's homes. Residential special schools. Approved schools. -
Page -
The position in each of these schools since active immunisation commenced is set out in the following tables:— Table 29.—(a) Mayford approved school. Accommodation, 150. Ages 9-15 (males).
Year 1933. 1934. 1935. -
Page -
(b)Shirley residential Shcool Accommodation, 600. Age, 2-16(make and female)
Year 1934. 1935. -
Page -
In both schools immunisation began at a time when scarlet fever was prevalent. A comparison of the incidence of the disease before and after immunisation is provided by the following figures:— Table 30.
Year. Mayford. Year. Shirley. -
Page -
Table 31.—Shirley residential school.
Months. 0- 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12+ -
Page -
Council have continued their excellent work. The following table gives the roll of these schools in December, 1935:—
Boys. Girls. Total. -
Page -
The following school journeys were made during the year, through the ordinary school journey organisation:— Table 32.
School. Period. Place visited. No. of children. From To -
Page -
The numbers of children passing through the residential convalescent camp schools during 1935 were : boys, 2,833; girls, 1,504; total, 4,337. In detail the numbers were:—
Provided, schools:— Boys. Girls. -
Page -
The figures concerning dental and nursing treatment are again most interesting:—
-
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are thus immensely increased. In the year ending September, 1935, 5,998 children were sent for convalescence.
Institution. No. of beds. No. of children convalescent during the year ended September, 1935. -
Page -
The number of individual children on free meals in December in the years 1933, 1934 and 1935 were as follows:— Table 33.
Meal. 1933. 1934. 1935. -
Page -
Table 34.
Defect. Number nominated. Suitable for admission to Returned to elementary school. Invalided as for the time unfit for any school. Notified under M.D. Acta. -
Page -
The following statement shows the nature of the conditions found among the children certified as suitable for admission to schools for the physically defective at the admission examinations during the year :— Table 35.
Morbid conditions. Boys. Girls. Total. -
Page -
Table 36.
Morbid conditions. Elementary school. Invalided -
Page -
attendance and for similar reasons. As a result of the rota examinations the following re-classifications took place:— Table 37.
Transferred from schools for Re-classified for transfer to— P.D. school. M.D. school. Partially sighted school. Blind school. Deaf school. Partially deaf school. Open- air school. Epileptic colony. Swanley. -
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There were also 617 cases returned, on improvement, to elementary schools, or, when over 14 years of age, deemed to be no longer certifiable. The details are as follow:— Table 38.
Action taken. Special school classification. P.D. M.D. Blind. Partially sighted. Deaf. Partially deaf. Total. -
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The following table classifies the children who improved to such an extent that they were able to return from the schools for physically defective children to the ordinary elementary schools, or were " no longer certifiable " as defective between the ages of 14 and 16 years:— Table 39.
Morbid conditions. Cases deemed no longer certifiable. Cases deemed fit to return to elementary schools. -
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The following table shows the number of cases notified by the education authority under section 2 (2) of the Mental Deficiency Act, 1913, as amended by the Mental Deficiency Act, 1927, during the year 1935 (the figures in brackets being those for the previous year):—
(a) Feeble-minded— Boys. Girls. -
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Table 40.
Classification. Male. Female. Total. Grand total under headings. -
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The following statement shows the numbers dealt with by each court during the year; together with the corresponding total number dealt with by the court in 1930
Name of court. Number dealt with. Name of court. Number dealt with. -
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The following statement shows the charges in detail and the totals under each heading, together with the corresponding total for 1930 :—
Offences. 1935. 1930. Offences. 1935. 1930. -
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Physical condition. 1 = Good, 2 = Fair, 3 = Bad.
Condition. Percentage Defects. Percentage -
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The following statement shows the sources of reference of the cases, and the reasons for reference :—
Source of reference. Reasons for reference. -
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The results obtained were as follows:—
Cases closed— -
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The following statement shows the sources of reference of the cases and the reasons for reference :—
Source of reference. Reasons for reference. -
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The results of treatment were as follows :—
Cases closed — -
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The sources of reierence and reasons for reference were as follows :—
Source of reference. Reasons for reference. -
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The results obtained were as follows:—
Cases closed — -
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During the year 1935 the number of children from the Council's schools dealt with at the Institute of Medical Psychology (Tavistock clinic) was 68, of which number 40 were boys and 28 girls. The age distribution was : from 4 to 7 years, 12 ; 7 to 10 years, 25 ; 10 to 14 years, 22 ; 14 years and over, 9.
Source of Reference Reason for Reference -
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The results obtained were as follows:—
-
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The following statement shows the source of reference of the cases, and the reasons for reference :—
Source of reference. Reasons for reference. -
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The results obtained were as follows :—
Cases closed — -
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The following statement shows the source of reference of the cases and the reasons for reference :—
Source of Reference Reason for Reference -
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The results obtained are as follows:—
Cases discharged— -
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Provided by the London County Council.
Accommodation. -
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Aided by the London County Council.
-
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The following is a statistical summary of medical examinations and treatment at the 15 nursery schools which were open throughout the year 1935 :—
-
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Table 41.
Defects. For observation. Referred for treatment. *Treated. Percentage treated of those referred. -
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The following are the statistical returns relating to the experiment lor the calendar year 1935 :— Table 42.—Medical inspection.
Day Continuation school. (Number of institutes—3.) -
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Table 43.—Re-inspection.
Defect. Satisfactorily treated. Under treatment. Further treatment required. Not treated. -
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Table 44.
Sex. Number examined in detail. Nutrition. Clothing. Skin and hair. Teeth. Vision. Number wearing glasses. Various other defects found. Excellent. Normal. Below normal. Bad {i.e., malnutrition.) Good. Fair. Poor. Clean. Dirty. Pediculi present. Sound. Less than four decayed. Four or more decayed. Normal. Slightly subnormal. Treatment required. -
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The boys covered four age groups :—
Age. Athletes. Non-athletes -
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Table 45.
Age. Athletic boys. Non-athletic boys. Kilos. Centimetres. Kilos. Centimetres -
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Table 46.
Classification. 11—12 years. 12—13 years. 13—14 years. 14—15 years. Kilos. Cms. Kilos. Cms. Kilos. Cms. Kilos. Cms. -
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There is the usual variation which is always found when small groups are being compared.
Age. group. Anerley. Number of boys. Leytonstone. Anerley. Height (without boots). Leytonstone. Ashford. Hutton. Ashford. Hutton. ft. ins. ft. ins. ft. ins. ft- ins. -
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Continued from previous page...
Age. group. Anerley. Number of boys. Leytonstone. Anerley. Height (without boots). Leytonstone. Ashford. Hutton. Ashford. Hutton. ft. ins. oz. ft. ins. ft. ins. ft- ins. oz. -
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The investigation included 3,244 secondary school children, as follows :—
Fee payers. Scholars. -
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The average heights and weights were:— Table 47.
Age. Boys. Girls. Scholars. Fee-payers. Scholars. Fee-payers. Height. Weight. Height. Weight. Height. Weight. Height. Weight. -
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The following is an index of articles on special aspects of subjects in recent annual reports of the school medical officer :—
Subject matter. Page number of report for the year. 1920. 1930. 1931. 1932. 1933. 1934. -
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Continued from previous page...
Subject matter. Page number of report for the year. 1929. 1930. 1931. 1932. 1933. 1934. -
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Table 48.
Status. Number examined. Number fit. Number rejected. Number who withdrew after being referred for remediable defects or were not due for reexamination until 1936. Male Fomale Male Female Male Female Male Female -
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STATISTICAL TABLES. Table I.—Medical Inspection, 1935. (a) Routine Inspections.
Group. Boys. Girls. Total. -
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(b) Other Inspections.
-
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(c) Children found at routine medical inspection to require treatment (excluding uncleanliness and dental disease).
Age group. Inspected. Found to require treatment. Percentage requiring treatment. -
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Table II. (1) Defects found at medical inspections of all children except those aged 8 years. Elementary and special schools.
Disease or defect. Routine inspections— Defects. Special inspections— Defects. Requiring treatment. Requiring observation. Requiring treatment. Requiring observation. Elementary schools. Special schools. Elementary schools. Special schools. -
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(a) (2). Defects found at medical inspections of children aged 8 years. Elementary and special schools.
Disease or defect. Routine inspections— Requiring treatment. Requiring observation. Elementary schools. Special schools. Elementary schools. Special schools. -
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Table II (cont.). (a) Classification of the nutrition of children inspected during the year in the routine age groups.
Age Group. Number of children inspected. A (Excellent). b (Normal). C (Slightly Sub-normal). D (Bad.) No. Percentage No. Percentage No. Percentage No. Percentage -
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Table III. (a) Exceptional children in London in 1935.
Classification. At certified special schools. At public elementary schools. At other institutions* At no school or institution Total. -
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(6) Return of children suffering from more than one defect, 1935.
Defect. Type of School. At other institutions (Gen. hosp., etc.) At no schl. Total Day M.D. Residential M.D. Residential blind Day deaf Residential deaf Epileptic colony Day P.D. Certified hospital schls. -
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Table IV. Treatment table. (a) Group I.—Minor ailments, excluding uncleanliness, for which set group V.
Disease or defect. Defects treated or under treatment. Under Council's scheme. Otherwise. Total. -
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(6) Group II.—Dejeclive vision and squint (excluding eye defects treated as minor ailments, for which see group I).
Disease or defect. Defects dealt with. Under Council's scheme. Otherwise. Total. -
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(c) Group III.—Treatment of defects of the throat and nose. Number of defects.
Defect. Received operative treatment. Total. Received other forma of treatment. Total number treated. Under Council's scheme. Private practitioner or hospital. -
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(d) Gboup IV.—Dental defects.
1.Number of children who wore:— -
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(e) Group V.—Uncleanliness and verminous conditions.
-
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Table V. Medical inspection.—Number of children examined, 1924-1934.
Year Routine examinations. Special examinations. Re-inspections. Examinations at special enquiries into outbreaks of infectious disease. Special ear inspection centre attendances. Rheumatism supervisory centre attendances. -
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Table VI. Medical treatment.—Number of cases treated under the Council's scheme and by other agencies, 1924-1934.
Year Minor ailments.† Vision. Nose and throat. Dental. Under the Council's scheme. Otherwise. Under the Council's scheme. Otherwise. Under the Council's scheme. Otherwise. Under the Council's scheme. Other wise. * -
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Table VII. Medical inspection of students in higher education institutions, 1934.
Classification. Council secondary schools. Other secondary schools. Council and other junior tech. schools. Training colleges. Total. Boys. Girls. Boys. Girls. Boys. Girls. Male. Female Male. Female