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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

Croydon 1943

[Report of the Medical Officer of Health for Croydon]

Published
1944
Pages
136
Tables
109

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109 tables in this report

  • Page 5
    Wards with the highest death-rates were Central and South (16.5), and Addiscombe (14.4). Lowest : Addington (9.0) and West Thornton and Waddon (11.6).
    WARDS.Estimated PopulationBirths.Deaths.Birth Rate.Death Rate.Deaths under 1 year per 1.000 Births.Death Rate from Six Zymotic Diseases (excluding Diarrhoea)Death Rate from Diarrhoea.Death Rate from Bronchitis and Pneumonia.Death Rate from Pulmonary Tuberculosis.Death Rate from Non-Pulmonary Tuberculosis.Death Rate from Heart and Circulation Diseases.Death Rate from Nervous Diseases.Death Rate from Cancer.Natural Increase or Decrease of Population.
  • Page 6
    REGISTRAR GENERAL'S TABLE OF DEATHS ACCORDING TO CAUSE, AGE AND SEX.
    SexAll Ages0—1—5—15—45—65—
  • Page 8
    DEPARTMENTAL CLASSIFICATION OF DEATHS ACCORDING TO DISEASE OVER A PERIOD OF SIX YEARS.
    Cause of Death.1938 Total Deaths1939 Total Deaths1940 Total Deaths1941 Total Deaths1942 Total Deaths1943 Total DeathsDeath Rate
  • Page 9
    Table I.
  • Page 10
    Table II. Classification of In-Patients who were discharged from or who died in the Institution during the year ended 31st December, 1943.
    Disease Groups.Children (under 16)Men and Women.
    Discharged.Died.Discharged.Died.
  • Page 11
    NUMBER OF X-RAY FILMS TAKEN.
  • Page 12
    x-ray.
    1942.1943.
  • Page 12
    Massage.
  • Page 12
    Mental patients dealt with during the year.
  • Page 13
    Specimens examined in the pathological laboratory during the year.
    Positive.Negative.
  • Page 14
    Therapy department.
    Condition for which Treatment was given.No. of Patients.No. of Applications.Cured.Relieved.Died.Transferred to other Hosps.Still under Treatment.
  • Page 15
    Table III
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 16
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 17
    Continued from previous page...
    Diagnoses In Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 18
    Continued from previous page...
    Dlagnoies In Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRe—lieiedUnrelievedDied
  • Page 19
    Continued from previous page...
    Diagnoses In Caaes TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 20
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.SurgicalTotal
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 21
    Continued from previous page...
    Diagnoses in Cases T restedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 22
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 23
    Continued from previous page...
    Diagnoses In Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnre-lievedDied
  • Page 24
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 25
    Continued from previous page...
    Diagnoses In Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 26
    Continued from previous page...
    Diagnoses In Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelieved DiedCuredRelievedUnrelievedDied
  • Page 27
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 33
    T able 1. INFECTIOUS DISEASES NOTIFIED DURING YEAR 1943.
    Notifiable Disease.Cases notified in the whole District.Total cases notified in each Ward.Total cases removed to Borough Hospital <S diagnosis confirmed.Total Deaths in the Borough. ,Sex Distribution 1943.
    At all Ages.At ages—years.Upper Norwood.Norbury.West Thornton.Bensham Manor.Thornton Heath.South Norwood.Woodside.East.Addiscombe.Whitehorse Manor.Broad Green.Central.Waddon.South.Addington.
    Under 1 year.1—5.6—15.16—25.26—45.46—65.66 and up.
    MF
  • Page 35
    Continued from previous page...
    Complaint for which admitted.Patients remaining in Hospital on 1st January, 1943Patients admitted and discharged in 1943patients admitted during 1943 and remaining in Hospital on 1st January, 1944Analysis of Cases admitted whether discharged or not during the year.
    Total.Recovered.Died.Total.Recovered.Died.Total.Recovered.Died.Total.Recovered.Died.Case Mortality.Average No. of days in Hospital.
  • Page 36
    The following complications and sequelae occurred amongst the true Scarlet Fever cases:—
    Serum Cases.Non-Serum Cases.Total.
  • Page 37
    Scarlet Fever.
    Age.Male.Female.Totals.
  • Page 38
    Diphtheria.
    Age.Males.Females.Totals.
  • Page 39
    Out of Borough Cases.
    Disease.Males.Females.Total.Deaths.
  • Page 40
    T able AGE GROUPS OF CASES ADMITTED (other than Scarlet Fever and Diphtheria).
    0—11—22—55—1515—2525—3535—4545 & overTotalsDeaths
    MFMFMFMFMFMFMfMF
  • Page 41
    Croydon Borough Hospital Laboratory Report. DIPHTHERIA (Swabs examined).
    Positive on Admission.Positives during ConvalescenceNegativesTotal Examined
  • Page 41
    FÆCES EXAMINED FOR ENTERIC AND DYSENTERY GROUPS.
    Positive B. Morgan No. 1Dysentery (Sonne)B. TyphosusB. Para-Typhosus B.NegativesTotal Examined
  • Page 41
    SPUTUMS EXAMINED FOR PRESENCE OF T.B.
    Positives.NegativesTotal
  • Page 41
    CEREBRO-SPINAL FLUIDS EXAMINED FOR ORGANISMS.
    MeningococccsHaemolytic Streptococcus LongusNegativesTotal Examined
  • Page 42
    Culture Medea Prepared. LÖeffler's Blood Serum: 350 doz. tubes.
  • Page 43
    Table At the Laboratory, Croydon General Hospital.
    For private practitionersMayday Hos.For Borough HospitalFor Chest ClinicFor School MedicalOther Instns. ofCorporationOther InstitutionsTotal
    Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.
  • Page 45
    Summary of Attendances and Treatment, 1943.
    Year.Total attended for treatment.New cases attended.No. of sessions held.No. given Primary Schick.% Pos. on Primary Schick.No. given Posterior Schick.No. Neg. on Posterior Schick.% Neg. on Posterior Schick.No.com-pleted treatm't
  • Page 45
    Summary of Attendances and Treatment,
    Under Treatment 1.1.43Total new Cases, 1943.1943 Cases Completed Treatment.Received A.P.T.Under Treatment 31.12.43Defaulted.
  • Page 45
    Origin and Source of Cases attending.
    Year.SchoolM.C.W.
    TotalPer cent.Total.Per cent.
  • Page 46
    VACCINATION ACTS. I am indebted to Mr. Huggins, the Vaccination Officer, for the particulars in the returns in the subjoined Tables.
    Registration Sub-districts in V.O. District.Births Registered.Vaccinated.Insusceptible.Statutory Declaration.Died Un-vaccinated.P.P.O.Transferred toother V.O.sUntraced Removals.In Default.Overage when Registered.
  • Page 46
    Return shewing the Number of Persons vaccinated and re-vaccinated at the cost of the rates by the Medical Officer of the Public Assistance Institutions and the Public Vaccinators during the year ended 30 th September, 1943:—
    Name of Public Assistance Institution or Vaccination District.Numbers of successful Primary Vaccinations of persons.No. of successful re-vaccinations, i.e., successful vaccinations of persons who had been successfully vaccinated at some previous time.
    Under 1 year of age.1 year and upwards.Total.
  • Page 47
    Attendances at the Croydon Clinic during past 10 years.
    1934.1935.1936.1937.1938.1939.1940.194119421943.
  • Page 47
    Bacteriological Examinations carried out at London Hospitals for Croydon Patients.
    Hospital.Detection of SpirochaetesDetection of Gonococci.Wasserman Re-action.Other Exams.Total.
    For ClinicFor Prac.For ClinicFor Prac.For ClinicFor Prac.For ClinicFor Prac.
  • Page 48
    Croydon Cases attending London Hospitals.
    Hospital.Cases seen for the first time.Conditions other than venereal.Total number of 1 attend-| ances.Aggregate number of Inpatient Days.
    Syph.Gon.
  • Page 49
    Table V. Return relating to all persons who were treated at the Treatment Centre at Croydon General Hospital during the year ended the 31st December, 1943.
    SyphilisSoft ChancreGonorrhoeaNon-venereal or undiagnosed conditionTotals
    mfmfmfmFmfTtls.
  • Page 50
    Continued from previous page...
    SyphilisSoft ChancreGonorrhoeaNon-venereal or undiagnosed conditionTotals
    MFM ,FM FMFMF
  • Page 50
    Figures in brackets refer to Service Cases. STATEMENT SHOWING THE SERVICES RENDERED AT THE TREATMENT CENTRE DURING THE YEAR, CLASSIFIED ACCORDING TO THE AREAS IN WHICH THE PATIENTS RESIDED.
    Name of County or County Borough (or Country in the case of persons residing elsewhere than in England and Wales) to be inserted in these headings.CroydonSurreyKentLondonTotal
  • Page 51
    Deaths from Cancer Occurred at the following Ages:—
    Age period.Male.Female.Total.Calculated population at this age periodIncidence per 1,000 persons living.
  • Page 51
    Sites of Fatal Cancer.
    Site.Male.Female.Total.Percentage of Total.
  • Page 53
    FORMAL NOTIFICATIONS.
    Age Periods.No. of Primary Notifications of New Cases of TuberculosisTotal Notifications on Form A.
    0—11—55—1010—1515—2020—2525—3535—4545—5555—6566 up.Total (all ages)
  • Page 53
    Supplemental Return. New cases of Tuberculosis coming to the knowledge of ihe Medical Officer of Health during the period from 1st January, 1943, to 31st December, 1943, otherwise than by formal notification:—
    Age periods.0—l1—55—1010—1515—2020—2525—3535—4545—5555—6565 and upwardsTotal Cases.
  • Page 53
    Notification Register. Number of cases of Tuberculosis remaining on the Notification Register on 31st December, 1943:—
    PULMONARY.NON-PULMONARY.Total Cases.
    Males.Females.Total.Males.Females.Total.
  • Page 54
    Ages at Death from Pulmonary Tuberculosis.
    Year.0—55—1515—2525—4545—65Over 65.Total.
  • Page 55
    The diagnoses of the new cases entered in the Notification Register during 1943 were as follows:—
    Male.Female.
  • Page 55
    The deaths were due to:—
    Males.Females.Total.
  • Page 56
    The results of examinations made in 1943 are as follows : —
    For Clinic.For General Practitioners.Totals.
  • Page 57
    Residential Treatment for Pulmonary Tuberculosis. Summary of Patients who received Institutional Treatment during 1943.
    Institutions.In Institutions on 1.1.43Admitted During 1943Discharged During 1943Died During 1943.Remaining in on 31.12.43.
    Adults.Adults.Adults.Adults.Adults.
    MFCh.MFCh.MFCh.MFCh.MFCh.
  • Page 58
    Residential Treatment for Non-Pulmonary Tuberculosis. Summary of Patients who have received Institutional Treatment during 1943.
    Institution.In Institutions, on 1.1.43.Admitted During 1943.Discharged During 1943.Died During 1943.Remaining in on 31.12.43
    Adults.Adults.Adults.Adults.Adults. |
    M.FCh.MFCh.MFCh.MFCh.MFCh.
  • Page 62
    Immediate Results of Treatment.
    Group.Total number of cases dischargedQuiescent.Improved.No Material Improvement.Died in the Sanatorium.Discharged before completion of treatment.Average duration of stay in days.
    MFMFMFMFMFMF
  • Page 64
    Review of Work Done.
    Males.Females.Total.
    19431942
  • Page 65
    Summary of Work Done.
    Males.Females.Total.
    19431942
  • Page 65
    MATERNITY AND CHILD WELFARE. Notification of Births. Notifications were received from—
    Live Births.Still Births.Total.
  • Page 66
    Accommodation for Confinement. The following table gives information concerning the accommodation utilized for confinements:—
    Number.Percentage.
  • Page 66
    The following table gives the notifications in Croydon durmg the past ten years :—
    1934193519361937193819391940194119421943
  • Page 67
    Deaths under one year, arranged in days, weeks and months.
    CAUSES OF DEATH.1st day.2nd day.3rd day.4th day.5th day.6th day.7th daylst-2nd wk.2nd-3rd wk.3rd-4th wk.Under 1 mnth.1-2 mths.2-3 mths.3-4 mths.4-5 mths.5-6 mths.6-7 mths.7-8 mths.8-9 mths.9-10 mths.10-11 mths.11-12 mths.TOTAL.
  • Page 68
    The following table gives the cause of death during the first month of life:—
    (1) Complications of Labour-
    Trauma at Birth4
  • Page 69
    The following table gives details of the reasons for sending for medical aid:— For Complications during Pregnancy.
    Abortion9Other causes26
  • Page 70
    Nursing Homes.
    Maternity Homes.Other Nursing Homes.Combined Maternity and other Nursing Homes.Total.
  • Page 70
    WARTIME NURSERIES. Attendances at War-time Nurseries, 1943.
    Coldharbour HouseWhitehorse RoadMayday RoadTennison RoadMorland RoadBramley HillRitchie Road
  • Page 73
    The following summary shows particulars of the work accomplished:—
    Expectant Mothers.Nursing Mothers'Total.Young Children.
  • Page 73
    The Centres at which patients were examined, or from which they were referred, are given in the following list:—
    Ante-Natal655The Retreat13Shirley15
  • Page 74
    The Work of the Health Visitors.-Maternity and Child Welfare Only.
    Visits Re:-Adalian Com. 18-3-43AsheBirdBond Left 19-6-43ButtfieldCatlowCox Left 13-3-43CrossDevaneyEarlyErnestHintonHobdeyLewisOakleyOveringtonPontingRichardson Com. 15-3-43SouthgateToneriWakefieldWalkerWarmanWebbWilsonWybrewTotal
  • Page 75
    Attendances at Infant Centres —1943.
    Municipal.Boston Road.St. Andrew's.South Croydon.Shirley.Woodside.Lr. Addiscombe Road.South NorwoodWestow Street.St. Alban's.St. John'sSt. Oswald's.West Croydon.Norbury.Waddon.Selhurst.Addington.St. Stephen'sTotal 1943.Total 1942.
  • Page 77
    The Tables below give figures for 1943. FOSTER CHILDREN
    No. as at Dec. 31st 1942Notice of Reception of Children during the yearNotice of removal to—Children AdoptedDiedChildren reaching age of 9No. as at Dec. 31st 1943
    ParentAnother area with Foster ParentAnother Foster MotherPublic Institution
  • Page 77
    FOSTER MOTHERS.
    No. as at December 31st 1942Applications for Authorisation during the year.Removals during the yearAuthorisation cancelled for other reasonsNo. as at December 31st 1943
    With ChildWithout child
  • Page 83
    A Numerical Summary of cases admitted for treatment, delivered in Hospital, or admitted after delivery. Some cases appear in more than one category in the summary.
    Mayday Hospital Booked.Mayday Hospital EmergencySt. Mary's Maternity Hospital Booked.Total.
  • Page 84
    Infants.
    Mayday Hospital Booked.Mayday Hospital EmergencySt. Mary's Maternity Hospital Booked.TotalPer Cent.
  • Page 84
    Twins and Triplets. There were 26 cases of Twins and one of Triplets. There was no maternal death.
    Mayday Hospital. Booked.Mayday Hospital. Emergency.St. Mary's Maternity Hospital. Booked.Total.
  • Page 85
    END RESULTS. 1,205 cases were treated to their termination (other than death) during the year, and the results were classed as follows:—
    MaydaySt. Mary'sM.M.Total.%
  • Page 85
    Sources of the Cases.
    Cases.Deaths.
  • Page 88
    ORTHOPAEDIC DEPARTMENT. The arrangements are the same as in 1942. Summary of Cases Attending the Orthopoedic Clinic.
    Jan. 1st, 1943.New Cases, 1943.Cases Discharged, 1943.Cases on books, Dec. 31st, 1943.
  • Page 89
    Cases Seen by the Orthopaedic Surgeon.
    Defects.School.M.C.W.Tuberculosis.Total.
  • Page 90
    The following Table shows the number of cases referred direct from the Orthopaedic Clinic for Massage, Swedish Remedial and Electrical Treatment, and also X-Ray examinations at the Croydon General Hospital:—
    Defects.School Cases.M.C.W. Cases.Tuberculosis Cases.Total.
    CasesNo. of TreatmentsX- RaysCasesNo. of TreatmentsX- RaysCasesNo. of TreatmentsX-RaysCasesNo. Of Treatments
  • Page 91
    Cases sent to Residential Institutions.
    Name of Institution.School Cases.M. & C.W. CapesTuberculosis Cases.Total.
    No. in on 1st Jan., 1943AdmittedDischarged.No. in on 1st Jan., 1943Admitted.Discharged.No. in on 1st Jan.. 1943Admitted.Discharged.No. in on 1st Jan. 1943Admitted.Discharged.No. in on 1st Jan., 1944
  • Page 92
    Conditions for which Patients were admitted to Hospitals with the Results of Treatment.
    Condition.In on 1st Jan. 1943Admitted or transferred.Discharged.I.S.Q.Died.In on 1st Jan. 1944
    Arrested.Quiescent.Improved.
  • Page 93
    WELFARE OF THE BLIND—REGISTRATION. As at 31/3/44. TABLE I.
    Age period 0—1Age period 1—5Age period 5—16Age period 16—21Age period 21—40Age period 40—50Age period 50—65Age period 65—70Age period 70 and over(i) Toatl of all age group
    (ii)Age Unknown
    M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.
  • Page 93
    PHYSICALLY AND MENTALLY DEFECTIVE.
    (a) Mentally Defective.(b) Physically Defective.(c) (i) DeafCombinations of (a) and (b)Combinations of (a) and (c)Combinations of (b) and (c)Combinations of (a), (b), (c)TotalHomes for the BlindMental HospitalsPoor Law Institutions
    (ii) Deaf—mute
    M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.M.F.T.
  • Page 101
    FACTORIES. Inspection.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 102
    Defects Found.
    Particulars.Number of Defects.Referred to H.M. Inspector.Prosecutions.
    Found.Remedied.
  • Page 103
    Nature of Employment of Workers on the Register, 31st December, 1943.
    Nature of Work.Number Employed.Outwork in Infected Premises.Outwork in Unsatisfactory Premises.Remarks.
  • Page 104
    The number of men accommodated during the year was 24,149. The number of men lodgers exceeded 66 per night throughout the year. The receipts and expenditure for the last ten years are as follows:—
    Receipts.Expenditure.
    £ s. d.£ s. d.
  • Page 105
    \ The following table gives the situation of these premises:—
    Road.Number of Houses Let in Lodgings.
  • Page 110
    The following table shows the premises in the Borough at which foodstuffs are known to be sold, manufactured or stored:—
  • Page 111
    Summary of Whole Carcases Condemned with the Reasons for such Condemnation.
    Class of Animal.TuberculosisMould.Unsound.Total Carcases.
  • Page 111
    Carcases Inspected and Condemned.
    Cattle.Calves.Sheep and Goats.Pigs.
  • Page 112
    General Food Inspection. The following table gives a summary of the inspections made during the year (not including visits made to slaughterhouses or dairies, cowsheds and milkshops):—
  • Page 112
    The following articles of food derived from all sources were found to be unfit for human consumption and disposed of during 1943:—
  • Page 113
    General Summary of Meat and Other Articles Disposed of during the Year, 1943.
    Articles.Weight in lbs.Remarks.
    Diseased.Unsound.Total.
  • Page 116
    The following tables summarise the result of the bacteriological examinations of Accredited and Pasteurised samples during the year:— Accredited Milk.
    Licences granted under the Milk (special Designations) Order 1936.Present.Absent.Present in 1/100 M.l.Absent.Present.Absent.Present.Absent.Exceeding a trace.Not exceeding a trace.Satisfied.Not satisfied.
  • Page 116
    The following tables summarise the result of the bacteriological examinations of Pasteurised Milk Samples during the year:— Pasteurised Milk.
    Licences granted under the milk (Specialised Designations) Order, 1936.Present.Absent.Over 100,000 per M.l.Under 100,000 per M.l.Present.Absent.Present.Absent.Present.Absent.
  • Page 118
    Ordinary Milk.
    Present.Absent.Over 100,000 per M.l.Under 100,000 per M.l.Present.Absent.Present.Absent.Exceeding a trace.Not exceeding a trace.Satisfied.Not satisfied.
  • Page 118
    The 72 samples taken under the Milk and Dairies (Consolidation) Act, 1915, were samples of milk which had been produced in the following areas:—
    Areas.No. obtained.No. Tuberculosis.
  • Page 119
    During 1943 samples were obtained and submitted to the Public Analyst as follows:—
    Smples ofTotal Samples.Genuine.Not Genuine.Prosecutions.Conviction;Cautions.
  • Page 120
    Continued from previous page...
    Samples ofTotal SamplesGenuineNot GenuineProsecutionsConvictionsCautions
  • Page 121
    Continued from previous page...
    Samples ofTotal Samples.GenuineNot GenuineProsecutionsConvictionsCautions
  • Page 122
    The following is a detailed statement of the adulterated samples and the action taken:—
    No. Sample.Adulteration or Deficiency.Remarks.
  • Page 123
    Continued from previous page...
    No. Sample.Adulteration or Deficiency.Remarks.
  • Page 124
    Continued from previous page...
    No. Sample.Adulteration or Deficiency.Remarks.