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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 1944

[Report of the Medical Officer of Health for Croydon]

Published
1945
Pages
130
Tables
104

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104 tables in this report

  • Page 5
    Wards with the highest death-rates were Whitehorse Manor (20.2), South (17.9), Upper Norwood (16.1), and Central (16.0). Lowest: Addington (11.5), West Thornton (12.5), and Addis-combe (12.6).
    WARDS.Estimated Population.Births.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 9
    DEPARTMENTAL CLASSIFICATION OF DEATHS ACCORDING TO DISEASE OVER A PERIOD OF SIX YEARS.
    Cause of Death.1939 Total Deaths1940 Total Deaths1941 Total Deaths1942 Total Deaths1943 Total Deaths1944 Total DeathsDeath Rate
  • Page 10
    Table I. Medical Superintendent:
  • Page 10
    Table I.
  • Page 11
    Table II. Classification of In-Patients who were discharged from or who died in the Institution during the year ended 31st December, 1944.
    Disease Groups.Children (under 16)Men and Women.
    Discharged.Died.Discharged.Died.
  • Page 15
    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 16
    Table III
    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...
    Diagnoses In Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 19
    Continued from previous page...
    Dlagnoies in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 20
    Continued from previous page...
    Diagnoses In Cases TreatedMedical.Surgical.Total.
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 21
    Continued from previous page...
    Diagnoses In Cases T reatedMedical.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
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • 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
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 27
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRe- Unrelieved lievedDiedCuredRelievedUnrelievedDied
  • Page 28
    Continued from previous page...
    Diagnoses in Cases TreatedMedical.Surgical.Total
    CuredRelievedUnrelievedDiedCuredRelievedUnrelievedDied
  • Page 33
    Table I. INFECTIOUS DISEASES NOTIFIED DURING YEAR 1944.
    Notifiable Disease.Cases notified in the whole District.Total cases notified in each Ward.Total cases removed to Borough Hospital & diagnosis confirmed.Total Deaths in the Borough.Sex Distribution 1944.
    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.
    At all Ages.Under 1 year.1-4.5-14.15-24.25-44.45-64.65 and up.
    MF
  • Page 35
    Complaint for which admitted.Patients remaining in Hospital on 1st January, 1944Patients admitted and discharged in 1944Patients admitted during 1944 and remaining in Hospital on 1st January, 1945Analysis 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
    Ages and Sexes Admitted. Scarlet Fever.
    Age.Male.Female.Totals.
  • Page 38
    Ages and Sexes Admitted. Diphtheria.
    Age.Males.Females.Totals.
  • Page 39
    Out of Borough Cases.
    Disease.Males.Females.Total.Deaths.
  • Page 40
    Table 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.
    Cases Positive on Admission.Cases Positive during Convalescence.Total Negative.Total.
  • Page 41
    SPEC. FAECES EXAMINED FOR ENTERIC AND DYSENTERY GROUPS.
    B. TyphosumB. Para-Typhosum A.B. Para-Typhosum B.Dysentery (Sonne).Total Negative.Total Examined.
  • Page 41
    CEREBRO-SPINAL FLUIDS EXAMINED FOR ORGANISMS.
    Fluids containing Meningococcus.Fluids containing Pneumo-cocci.Fluids Sterile.Total Examined.
  • Page 42
    SPECIMENS OF BLOOD FOR DREYER'S AGGLUTINATION TESTS.
    Positive B. Typhosum.Positive Para-Typhosum A.Positive Para-Typhosum B.Negative.Total Examined.
  • Page 43
    BACTERIOLOGICAL EXAMINATIONS. I am indebted to the Borough Pathologist, Dr. H. V Southgate, for the figures given in the appended tables. 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, 1944.
    Year.Total attended for treatment.New cases attended.No. of sessions held.No. Riven 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 1.1.44Total new Cases, 1944.1944 Cases Completed Treatment.Received A.P.T.Under Treatment 31.12.44Defaulted.
  • 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 to other 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, 1944 : —
    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.
    1935.1936.1937.1938.1939.1940.194119421943.1944.
  • 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 attendances.Aggregate number of Inpatient Days.
    Syph.Gon.
  • Page 49
    Table V. Return relating to all persons who were treated at the Treat ment Centre at Croydon General Hospital during the year ended the 31st December, 1944.
    SyphilisSoft chancreGonorrhoeaNon-venereal or undiagnosed conditionTotals
    MFMFMFMFMFTtls.
  • Page 50
    SyphilisSoft ChancreGonorrhoeaNon-venereal or undiagnosed conditionTotals
    MFMFMFMFMFtotal
  • 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 TubeculosisTotal Notifications on Form A.
    0—11—55—1010—1515—2020—2525—3535—4545—5555—6566 up.Total (all ages)
  • Page 54
    New cases of Tuberculosis coming to the knowledge of ihe Medical Officer of Health during the period from 1st January, 1944, to 31st December, 1944, otherwise than by formal notification : —
    Age periods.0—11—55—1010—1515—2020—2525—3535—4545—5555—6565 and upwardsTotal Cases.
  • Page 54
    Notification Register. Number of cases of Tuberculosis remaining on the Notification Register on 31st December, 1944 : —
    PULMONARYNON-PULMONARYTotal Cases
    Males.Females.Total.Males.Females.Total.
    66657912451161462621507
  • Page 55
    Ages at Death from Pulmonary Tuberculosis.
    Year.0-55-1515-2525-4545-65Over 65.Total.
  • Page 55
    The diagnosis of the new cases entered in the Notification Register during 1944 were as follows: —
    Male.Female.
  • Page 56
    The deaths were due to: —
    Males.Females.Total.
  • Page 56
    The results of examinations made in 1944 are as follows: —
    For Clinic.For General Practitioners.Totals.
  • Page 58
    Residential Treatment for Pulmonary Tuberculosis. Summary of Patients who received Institutional Treatment during 1944.
    Institution.In Institutions on 1.1.44.Admitted During 1944.Discharged During 1944.Died During 1944.Remaining in on 31.12.44.
    Adults.Adults.Adults.Adults.Adults.
    MFCh.MFCh.MFCh.MFCh.MFCh.
  • Page 59
    Residential Treatment for Non-Pulmonary 1 uberculosis. Sumrna ry of Patients who Have received Institutional Treatment during 1943.
    Institution.In Institutions, on 1.1.44.Admitted During 1944.Discharged During 1944.Died During 1944.Remaining in on 31.12.44.
    Adults.Adults.Adults.Adults.Adults.
    M.FCh.MFCh.MFCh.MFCh.MFCh.
  • Page 62
    Summary of Work Done.
    Males.Females.Total.
    19441943
  • Page 64
    Immediate Results of Treatment.
    Group.Total number of cases discharged 1944. iQuiescent.Improved.No Material Improvement.Died in the Sanatorium.Discharged before completion of treatment.Average duration of stay in days.
    MFMFMFMFMFMF
  • Page 65
    In-patients on 1st Jan., 1944Admitted during year 1944Discharged during year including deathsIn on 1st Jan. 1945.Died during year 1944
  • Page 66
    Review of Work Done.
    Males.Females.Total.
    19441943
  • Page 66
    MATERNITY AND CHILD WELFARE. Notification of Births.
    Notifications were received from—
    Live Births.Still Births.Total.
  • Page 67
    The following table gives information concerning the accommodation utilized for confinements:—
    Number.Percentage.
  • Page 68
    The following table gives the notifications in Croydon during the past ten years: —
    1935193619371938193919401941194219431944
  • Page 68
    Results of Treatment.
    Notified.Cases treated.Vision Unimpaired.Vision ImpairedDied.RemovedRemaining under T reatraent
  • Page 69
    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 day.lst-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 70
    The following table gives the cause of death during the first month of life: —
  • Page 72
    Nursing Homes.
    Maternity Homes.Other Nursing Homes.Combined Maternity and other Nursing Homes.Total.
  • Page 73
    WARTIME NURSERIES. Attendances at War-time Nurseries, 1944.
    Cold-harbour House.White-horse Road.Mayday Road.Tennison Road.Morland Road.Bramley Hill.Ritchie Road.New Addington.Euston Road.
  • Page 76
    The following summary shows particulars of the work accomplished: —
    Expectant Mothers.Nursing Mothers'Total.Young Children.
  • Page 76
    The Centres at which patients were examined, or from which they were referred, are given in the following list: —
  • Page 77
    The Work of the Health Visitors.—Maternity and Child Welfare Only.
    Visits Re:—AdalianAsheBird1 Buttfield | Lef t 27-9-44CatlowCrossDevaneyEarlyErnestHintonHobdeyLewisOakleyOveringtonPontingRichardsonSouthgateToneriWakefieldWalkerWarmanWebbWilsonWybrewTotal
  • Page 78
    Attendances at Infant Centres —1944.
    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 1944.Total 1943.
  • Page 80
    FOSTER CHILDREN
    No.as at Dec. 31st 1943Notice of Reception of Children during the yearNotice of removal to—Children AdoptedDiedChildren reaching age of 9No. as at Dec. 31st 1944
    ParentAnother area with Foster ParentAnother Foster MotherPublic Institution
  • Page 80
    FOSTER MOTHERS.
    No. as at December 31st 1943Applications for Authorisation during the year.Removals during the yearAuthorisation cancelled for other reasonsNo. as at December 31 st 1944
    With ChildWithout child
  • Page 86
    Some cases appear in more than one category in the summary.
    Mayday Hospital Booked.Mayday Hospital EmergencySt. Mary's Maternity Hospital Booked.Total.
  • Page 87
    Infants.
    Mayday Hospital Booked.Mayday Hospital EmergencySt. Mary's Maternity Hospital Booked.TotalPer Cent.
  • Page 87
    Twins and Triplets. There were 25 cases of Twins and no Triplets. There was no maternal death.
    Mayday Hospital. Booked.Mayday Hospital. EmergencySt. Mary's Maternity Hospital. . Booked.Total.
  • Page 88
    1,091 cases were treated on their termination (other than death) during the year, and the results were classed as follows:—
    MaydaySt. Mary'sM.M.Total.%
  • Page 88
    Cases.Deaths.
  • Page 91
    Summary of Cases Attending the Orthopedic Cimie.
    Jan. 1st, 1944.New Cases, 1944.Cases Discharged, 1944.Cases on books, Dec. 31st, 1944.
    M.C.W.S.M.S.T uberc.M.C.W.S.M.S.T uberc.M.C.W.S.M.S.Tuberc.M.C.W.S.M.S.T uberc
  • Page 92
    Cases Seen by the Orthopccdic Surgeon.
    Defects.School.M.C.W.Tuberculosis.Total.
    Cases.Attendances.Cases.Attendances.Cases.Attendances.Cases.Attendances.
  • Page 93
    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 T reat-mentsX- RaysCasesNo. of TreatmentsX- RaysCasesNo. of TreatmentsX-RaysCasesNo. of TreatmentsX-Rays
  • Page 94
    Cases sent to Residential Institutions.
    Name of Institution.School Cases.M. & C.W. CasesTuberculosis Cases.Total.
    No. in on 1st Jan., 1944AdmittedDischarged.No. in on 1st Jan., 1944Admitted.Discharged.No. in on 1st Jan.. 1944Admitted.Discharged.No. in on 1st Jan. 1944Admitted.Discharged.No. in on 1st Jan. 1945
  • Page 95
    Conditions for which Patients were admitted to Hospitals with the Results of Treatment.
    Condition.In on 1st Jan. 1944Admitted or transferred.Discharged.I.S.Q.Died.In on 1st Jan. 1945
    Arrested.Quiescent.Improved.
  • Page 97
    TABLE I. WELFARE OF THE BLIND—REGISTRATION. As at 31/3/45.
    Age periodAge periodAge periodAge periodAge periodAge periodAge periodAge periodAge period(i)Total of all age groups
    0—11—55—1616—2121—4040—5050—6565—7070 and over(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 105
    The receipts and expenditure for the past 10 years has been as follows:—
    Receipts.Expenditure.
    £s.d.£s.d.
  • Page 105
    FACTORIES. Inspection.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 106
    Defects Found.
    Particulars.Number of Defects.Referred to H.M. Inspector.Prosecutions.
    Found.Remedied.
  • Page 106
    Nature of Employment of Outworkers on the Register, 31st December, 1944.
    Nature of Work.Number Employed.Outwork in Infected Premises.Outwork in Unsatisfactory Premises.Remarks.
  • Page 109
    The following articles were disinfected at the Disinfecting Station during the year:—
  • Page 109
    Disinfection of the under-mentioned articles from such premises as A.R.P., report centres; casualty services; engineers' services; fire service, etc., have been carried out:—
  • Page 111
    The following table shows the premises in the Borough at which food is known to be sold, manufactured or stored:—
  • Page 112
    Fish Friers only 18
  • Page 112
    The following table gives a summary of the inspections made during the year, not including visits made to slaughterhouses, dairies or milkshops, nor does it include those foodshops visited following damage by enemy action:—
  • Page 112
    General Summary of Meat and other Articles of food found to be unfit and condemned by the Inspectors during 1944-excluding that damaged by enemy action:—
    Articles.Weight in lbs.
    Diseased.Unsound.Total.
  • Page 114
    The result of these inspections was as follows:— Carcases Inspected and Condemned.
    Sheep.Goats.Pigs.
  • Page 117
    Tuberculin Tested Milk.
    Licences granted under the Milk (Special Designations) Order, 1036.Present.Absent.Present in 1/100 MlAbsent.Present.Absent.Present.Absent.Exceeding a trace.Not exceeding a trace.Satisfied.Not satisfied.
  • Page 117
    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 118
    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
    These 109 Pasteurised Milk samples contained bacteria per millilitre as follows:—
  • Page 119
    Ordinary Milk.
    Present.Absent.Over 100,000 per M. I.Under 100,000 per M.I.Present.Absent.Present.Absent.Exceeding a trace.Not exceeding a trace.Satisfied.Not satisfied.
  • Page 120
    During 1944, samples were obtained and submitted to the Public Analyst as follows:—
    Samples ofTotal Samples.Genuine.Not Genuine.Prosecutions.Convictions.Cautions.
  • Page 121
    Samples ofTotal Samples.Genuine.Not Genuine.Prosecutions.Convictions.Cautions.
  • Page 122
    Continued from previous page...
    Samples ofTotal Samples.Genuine.Not Genuine.Prosecutions.Convictions.Cautions.
  • Page 123
    The samples of Milk for analysis were obtained as follows:—
  • Page 124
    The following is a detailed statement of the adulterated samples and the action taken:—
    No.Sample.Adulteration or Deficiency.Remarks.