London's Pulse: Medical Officer of Health reports 1848-1972

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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 1948

[Report of the Medical Officer of Health for Croydon]

Published
1949
Pages
168
Tables
109

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109 tables in this report

  • Page 32
    Rate in the £: 15s. 0d.
    Live BirthsM.F.Total.
  • Page 35
    WARD STATISTICS
    WARDS.EstimatedPopulationBirths.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 36
    DEPARTMENTAL CLASSIFICATION OF DEATHS ACCORDING TO DISEASE OVER A PERIOD OF SIX YEARS.
    Cause of Death.1943 Total Deaths1944 Total Deaths1945 Total Deaths1946 Total Deaths1947 Total Deaths1948 Total DeathsDeath Rate
  • Page 37
    REGISTRAR GENERAL'S TABLE OF DEATHS ACCORDING TO CAUSE, AGE A ND SEX
    SexAll Ages0—1—5—15—45—65—
  • Page 40
    TABLE I.
  • Page 41
    TABLE II. Classification of In-Patients who were discharged from OR WHO died IN THE institution during the Year Ended 31st December, 1948.
    Disease GroupsChildren (under 16)Men and Women
    DischargedDiedDischargedDied
  • Page 42
    Table III. Patients Discharged from Mayday Hospital during Year ended 31st December, 1948.
    DiagnosesCuredRelievedUn-RelievedDiedTotal
  • Page 52
    INFECTIOUS DISEASES NOTIFIED DURING YEAR 1948.
    Notifiable Disease.Cases notified in the whole District.Total cases notified in each Ward.Total Deaths in the Borough.Sex Distribution of Notified Cases. 1948.
    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.1-4.5—14.15—24.25—44.45—64.65 and up.
    MF
  • Page 53
  • Page 54
    Continued from previous page...
    Complaint for which admitted.Patients remaining in Hospital on 1st January, 1948Patients admitted and discharged in 1948Patients admitted during 1948 and remaining in Hospital on 1st January, 1949Analysis of Cases admitted whether discharged or not during the year.
    Total.Recovered etc.Died.Total.Recovered etc.Died.Total.Recovered, etc.Died.Total.Recovered etc.Died.Case Mortality.%Average No. of days in Hospital.
  • Page 55
    AGE GROUPS UNDER DIAGNOSIS (Unconfirmed) FOR WHICH ADMITTED.
    0—11—22—55—1515—2525—3535—4545 and overTotals
    MFMFMFMFMFMFMFMF
  • Page 61
    BACTERIOLOGICAL EXAMINATIONS. I am indebted to the Pathologist, Dr. A. I. Ross, for the figures given in the appended tables, which, following the transfer to the Hospital Board, are for the period to 4th July. 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 63
    The ensuing comparative tables give some further details:—
    YearNew CasesCompleted TreatmentOne injection onlyRe-inforcing Injections
  • Page 64
    Origin and Source of New Cases attending.
    Year.SchoolM.C.W.
    TotalPer cent.Total.Percent.
  • Page 64
    From the 5th July a total of 988 persons were vaccinated against Small-pox.
    Under 1 year of age1-45—1515 or overTotal
  • Page 65
    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.Os.Untraced Removals.In Default.Over age when Registered.
  • Page 65
    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 1st October, 1947, to bth July, 1948:—
    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 66
    Croydon Cases attending London Hospitals, year 1948.
    Hospital.Cases seen for the first time.Conditions other than venereal.Total number of attendances.Aggregate number of Inpatient Days.
    Syph.Gon.
  • Page 67
    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, 1948.
    SyphilisSoft ChancreGonorrhoeaNon-venereal or undiagnosed conditionsTotals
    MFMFMFMFMFTtls.
  • Page 68
    Continued from previous page...
    SyphilisSoft ChancreGonorrhoeaNon-venereal or undiagnosed conditionTotals
    MFMFMFMFMFTtls.
  • Page 68
    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 71
    FORMAL NOTIFICATIONS.
    Age PeriodsNumber of Primary Notifications of new cases of tuberculosis
    0-1-2-5-10-15-20-25-35-45-55-65-75-Total (all ages)
  • Page 72
    Supplemental Return.
    Source of InformationNumber of cases in age Groups
    0—1—2—5—10—15-20—25—35—45—55—65—75—Total
  • Page 73
    Number of cases of Tuberculosis remaining on the Notification Register on 31st December, 1948:—
    PULMONARY.NON-PULMONARY.Total Cases.
    Males.Females.Total.Males.Females.Total.
  • Page 74
    Ages at Death from Pulmonary Tuberculosis.
    Year.0—55—1515-2525—4545—65Over 65.Total.
  • Page 75
    The diagnoses of the new cases entered in the Notification Register during 1948 were as follows:—
    Male.Female.
  • Page 75
    The deaths were due to:—
    Males.Females.Total.
  • Page 76
    Examination of Sputum. The results of examinations made in 1948 are as follows:—
    For Clinic.For General Practitioners.Totals.
  • Page 77
    Residential Treatment for Pulmonary Tuberculosis. Summary of Patients who received Institutional Treatment during 1948.
    Institution.In Institutions at beginning of YearADMISSIONSDISCHARGESDEATHS During the YearRemaining in at end of the Year
    Up to 4th JulyDuring Whole YearUp to 4th JulyDuring Whole Year
    Adults.Ch.Adults.Ch.Adults.Ch.Adults.Ch.Adults.Ch.Adults.Ch.Adults.Ch.
    MFMFMFMFMFMFMF
  • Page 78
    Immediate Results of Treatment of Patients Discharged from Cheam Sanatorium in 1948.
    Classification on Admission.Quiescent.Improved.No material Improvement.Died in the Sanatorium.Transferred to other Institutions.Totals.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 83
    Review of Work Done.
    Males.Females.Total.
    19481947
  • Page 84
    Summary of Work Done.
    Males.Females.Total.
    19481947
  • Page 86
    MATERNAL AND INFANT MORTALITY FOR THE YEARS 1931—1948
    YearBirths (Live and Still)Maternal DeathsMaternal Mortality RateInfant Mortality Rate
  • Page 87
    The following table gives information concerning the accommodation utilised for confinements:—
    Number.Percentage.
  • Page 88
    The following table gives the notifications in Croydon during the past ten years: —
    1939194019411942194319441945194619471948
  • Page 88
    Results of Treatment.
    Notified.Cases treated.Vision Unimpaired.Vision ImpairedDied.RemovedRemaining under Treatment
    At home.In hospital
  • Page 90
    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 92
    MUNICIPAL MIDWIVES. Ante Natal Clinic Attendances—
  • Page 92
    Total attendances 10378 (1500 women attended).
    MonthMileageDeliveriesMidwiferyMaternityMidwives BookingsAnte-Natal Visits paidPost Natal Visits paidGas and AirOffice Bookings
    NormalAbnormalNormalAbnormal
  • Page 93
    Nursing Homes.
    Number of Homes.Number of Beds provided for:—
    Maternity.Others.Total.
  • Page 94
    DAY NURSERIES. Attendances at Day Nurseries, 1948.
    Cold-harbour House.White-horse Road.Mayday Road.Morland Road.Bramley Hill.Ritchie Road.New Addington.Euston Road.Bensham Grove.
  • Page 98
    Treatment. The following summary shows particulars of the work accomplished: —
    Expectant Mothers.Nursing Mothers.Total.Young Children.
  • Page 98
    The Centres at which patients were examined, or from which they were referred, are given in the following list —
    MothersYoung ChildrenMothersYoungChildren
  • Page 99
    Attendances at Infant Centres —1948.
    Municipal.Boston Road.St. Andrew's.South Croydon.Shirley.Woodside.East Croydon.South NorwoodUpper Norwood.St. Alban's.Benshatn Manor.St. Oswald's.West Croydon.Norbury.Waddon.Selhurst.New Addington.St. Jude's HallHeathfield.Lecture Hall, West WickliamTotal 1948.Total 1947.
  • Page 101
    The Work of the Health Visitors.—Maternity and Child Welfare Visits Only.
    Visits ReAsheBakerBiggsBirdBlestDevaneyEarlyLeft 30//3/48 EdwardsElliottErnestHallComm. 14/1/43 HaywardHillyardHintonLeft 25/2/48 HobdeyJohnsComm. 16/4/48 LuceyComm. 18/2/48 MorganthalMunroeOakleyOrridgePartridgeLeft 31/5/48 SouthgateStackComm. 5/1/48 StantonThomasTonerieWalkerWarmanWebbWybtewTOTAl
  • Page 103
    FOSTER CHILDREN
    No.as at Dec. 31st 1947Notice of Reception of Children during the yearNotice of removal to—Children AdoptedDiedChildren reaching age of 9No. as at Dec. 31st 1948
    ParentAnother area with Foster ParentAnother Foster MotherPublic Institution
  • Page 103
    FOSTER MOTHERS.
    No. as at December 31st 1947Applications for Authorisation during the year.Removals during the yearAuthorisation cancelled for other reasonsNo. as at December 31st 1948
    With ChildWithout child
  • Page 110
    ORTHOPAEDIC DEPARTMENT. Summary of Cases Attending the Orthopcedic Clinic.
    Jan. 1st, 194S.New Cases, 1948.Cases Discharged, 1948.Cases on books, 31-12-1948..
    M.C.W.S.M.S.T uberc.M.C.W.S.M.S.Tuberc.M.C.W.S.M.S.Tuberc.M.C.W.S.M.S.Tuberc
  • Page 111
    Cases seen by the Orthopaedic Surgeon, 1948.
    Defects.School.M.C.W.Tuberculosis.Total.
    Cases.Attendances.Cases.Attendances.Cases.Attendances.Cases,Attendances.
  • Page 112
    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 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 113
    Cases admitted to Residential Institutions.
    Name of Institution.School Cases.M. & C.W. CasesTuberculosis Cases.Total.
    No. in on 1st Jan., 1948AdmittedDischarged.No. in on 1st Jan., 1948Admitted.Discharged.No. in on 1st Jan.. 1948Admitted.Discharged.No. in on 1st Jan., 1948Admitted.Discharged.No. in on 1st Jan., 1949
  • Page 114
    Conditions for which Patients were admitted to Hospitals with the Results of Treatment.
    Condition.In on 1st Jan. 1948Admitted or transferred.Discharged.In on 1st Jan. 1949
    Arrested.Quiescent.Improved.I.S.Q.Died.
  • Page 122
    The receipts and expenditure for the past 5 years have been as follows:—
    Receipts.Expenditure.
    £s.d.£s.d.
  • Page 122
    FACTORIES. Inspection.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 123
    Defects Found.
    Particulars.Number of Defects.Referred to H.M. Inspector.Prosecutions
    Found.Remedied.
  • Page 123
    Nature of Employment of Outworkers on the Register, 31st December, 1948.
    Nature of Work.Number Employed.Outwork in Infected Premises.Outwork in Unsatisfactory Premises.Remarks.
  • Page 128
    The following table gives a summary of the inspections made during the year, not including visits made to slaughterhouses, dairies or milkshops-
  • Page 128
    General Summary of Meat and other Articles of food found to be unlit and condemned by the Inspectors during 1948:—
    Articles.Weight in lbs.
    Diseased.Unsound.Total.
  • Page 129
    Carcases Inspected and Condemned.
    CattleCalvesSheepGoatsPigs
  • Page 131
    Tuberculin Tested Milk.
    Licences granted under the Milk (Special Designations) Order, 1936.Present.Absent.Present in 1/100 MlAbsent.Present.Absent.Present.Absent.Exceeding a.trace.Not exceeding a trace.Not satisfied.Satisfied.
  • Page 132
    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.I Not exceeding a trace.Not satisfied.Satisfied.
  • Page 132
    Pasteurised Milk.
    Licences granted under the milk (Special Designations) Order, 1936.Present.Absent.Over 100,000 per M.l.Under 100,000 per M.l.Present.Absent.Present.Absent.Present.Absent.Not satisfied.Satisfied.Not satisfied.
  • Page 133
    Heat Treated Milk.
  • Page 133
    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.Not satisfiedSatisfied,
  • Page 134
    197 Samples were taken, the results being as under:—
    Grade.No. of Samples,
  • Page 135
    During 1948 samples were obtained and submitted to the Public Analyst as follows:—
    Samples ofTotal SamplesGenuineNot GenuintProsecutionsConvictions
  • Page 136
    Continued from previous page...
    Samples ofTotal SamplesGenuineNot GenuineProsecutionsConvictions
  • Page 137
    Continued from previous page...
    Samples ofTotal SamplesGenuineNot GenuineProsecutionsConvictions
  • Page 138
    The samples of Milk for analysis were obtained as follows:—
  • Page 139
    Adulterated Samples. The following is a detailed statement of the adulterated samples and the action taken:—
    Sample No.Sample ofAdulteration or Deficiency.Remarks.
  • Page 140
    Continued from previous page...
    Sample No.Sample ofAdulteration or Deficiency.Remarks.
  • Page 141
    CROYDON AIRPORT—AIRCRAFT AND PASSENGER ARRIVALS.
    ACBPAPACBPAPACBPAPACbpAPACBPAPACBPAPARc
  • Page 144
    School Population. The average number of children on the School Registers is shown below:—
    SchoolsNo of DepartmentsNumber on the RegistersAverage attendanceAverage attendance per cent.
  • Page 145
    Continued from previous page...
    SchoolsNo. of DepartmentsNumber on the RegistersAverage attendanceAverage attendance per cent.
  • Page 146
    VISION.
    Extent of Defect.Intermediate.Leavers.Total.
    Boys.Girls.Boys.Girls.Boys.Girls.
    No.%No.%No.%No.%%%
  • Page 147
    parents present, 1948
    EntrantsIntermediateLeaversOther AgesTOTAl
    Number Exmnd.Parents PresentNumber Exmnd.Parents PresentNumber Exmnd.Parents PresentNumber Exmnd.Parents PresentNumber Exmnd.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 148
    HEIGHTS AND WEIGHTS. 1948. The following Statistics give a Summary of the findings.
    BOYS.GIRLS.
    Year of Birth.Number Examined,Average Height in inches.Average Weight in lbs.Average maximum Height in inches.Average minimum Height in inches.Average maximum Weight in lbs.Average minimum Weight in lbs.Number Examined.Average Height in inches.Average Weight in lbs.Average maximum Height in inches.Average minimum Height in inches.Average maximum Weight in lbs.Average minimum Weight in lbs.
  • Page 149
    RETURN OF DEFECTS FOUND IN THE COURSE OF ROUTINE MEDICAL INSPECTION, 1948.
    Defects.Boys.Girls.
    No. requiring Treatment.No. referred for Observation.Percentage of total Examined.No. requiring Treatment.No. referred for ObservationPercentage of total Examined.
  • Page 150
    SUMMARY OF FINDINGS AT ROUTINE MEDICAL INSPECTIONS, 1948 (Percentages of Children examined.)
    Condition.Entrants.Intermediates.Leavers.Other Ages.All Groups.
    Defects:BoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirls
  • Page 152
    CONDITIONS NOTIFIED BY TEACHERS AND SCHOOL ENQUIRY OFFICERS AND CONFIRMED BY HEALTH VISITORS.
    Name of School.School Population.Measles.German Measles.Whooping Cough.Chicken Pox.Mumps.Scabies.Impetigo.Ringworm.Diphtheria.Scarlet FeverPoliomyelitis.Jaundice.Conjunctivitis.Sore Throat.Indefinite Sickness.In, Not IntectiousParatyphoidErycipelas
  • Page 154
    TREATMENT. The Work of the School Clinics. SUMMARY OF ATTENDANCES.
    1948.1947.Increase or Decrease.
  • Page 154
    At the Lodge Road Clinic, 1,662 defects involved 11,184 attendances, while at the subsidiary Clinics held at 206, Selhurst Road on five days weekly, 802 defects, 3,695 attendances, and at the Duppas School 855 defects, 5,452 attendances.
    Complaint.1948.194 7
    Cases.Attendances.Average No. of Attendances. per case.Cases.Attendances.Average No. of Attendances. per case.
  • Page 155
    Treatment of Visual Defects.
    Number of defects dealt with.Spectacles prescribedSpectacles obtained.
  • Page 156
    The following Table illustrates the probable yearly increase in the school population, together with the requisite in staff likely to be required:— PRESENT AND FUTURE COMMITMENTS.
    Year.Estimated Increase in School Population.Total.Probable Increase in Dental Officers Required.
  • Page 159
    RESULTS OF SCHOOL INSPECTIONS.
    1948.1947.1946.1943.1937.
  • Page 160
    Items of Treatment The ensuing Table gives particulars of the principal items treatment compared with those obtained last year:—
    1948.1947.
  • Page 160
    Special Treatment. These include:—
    1948.1947
  • Page 161
    The following is a summary of treatment performed:—
    1948.1947.
  • Page 161
    A summary of the treatment performed for the above children given below:—
    1948.1947.
  • Page 162
    Summary of Work Done at the Selhurst Road Clinic.
    1948.1947.
  • Page 162
    Summary of Work Done at the Waldrons Clinic.
    1948.1947.
  • Page 162
    DENTAL DEFECTS. (1) Number of children who were— (a) Inspected by Dental Officer:
    Year 1948.Year 1947.
  • Page 164
    ORTHOPAEDIC WORK. Summary of Cases attending the Orthopaedic Clinic : —
    Jan. 1st, 1948.New Cases.Cases Discharged.Cases on Books 31st Dec., 1948.
  • Page 164
    SPINAL AND OTHER REMEDIAL CLINICS.
    1947.1948.
    Attendances.Sessions.Av. att.Attend ances.Sessions.Av. att.
  • Page 165
    Cases Examined at Rheumatism Clinic.
    1945.1946.1947.1948.
  • Page 165
    Primary Cases.
  • Page 165
    Classification of Rheumatic Cases.
    Primary.Re-examinations.
  • Page 165
    Grouping of Cases.
    1945. Mild andPrim.1946. Re's.Prim.1947. Re's.Total.Prim.1948. Re's.Total.
  • Page 170
    CHILD GUIDANCE CLINIC. Return of Cases for the year 1948.
    Girls.Boys.
  • Page 171
    Continued from previous page...
    Result.Girls.Boys
  • Page 172
    C.—Pupils found to require Treatment. (Excluding Dental Disease and Infestation with Vermin).
    Group (1)For defective vision (excluding squint). (2)For any of the other conditions recorded in Table 11A (3)Total individual pupils. (4)
  • Page 173
    T able II. A. RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION.
    Defect Code No.Defect or DiseasePeriodic InspectionsSpecial Inspections
    No. of defectsNo. of Refects
    Requiring treatmentRequiring to be kept under observation, but not requiring treatment.Requiring treatmentRequiring to be kept under observation, but not requiring treatment.
    (1)(2)(3)(4)(5)
  • Page 173
    B. CLASSIFICATION OF THE GENERAL CONDITION OF PUPILS INSPECTED DURING THE YEAR IN THE AGE GROUPS.
    Age GroupsNumber of Pupils InspectedA. (Good)B. (Fair)C. (Poor)
    No.% of col. 2No.% of col. 2No.% of col. 2
  • Page 175
    Table IV. DENTAL INSPECTION AND TREATMENT.
    (1)Number of pupils inspected by the Authority's Dental Officers-fa) Periodic age groups18706
  • Page 175
    Table V. INFESTATION WITH VERMIN.
  • Page 176
    Table VI. SCHOOL MEDICAL AND DENTAL STAFF. as at 31st December, 1948.
    Names of Medical Officers.Proportion of whole time (expressed as a percentage) devoted to
    School Health Service.Public Health
  • Page 176
    Table VI. SCHOOL MEDICAL AND DENTAL STAFF. as at 31st December, 1948.
    Nurses.Number of Officers.Aggregate of time given to S.H.S. work in terms of whole time Officers.
  • Page 177
    NON-MAINTAINED TABLE II— A.— Return of Defects Found by Medical Inspection in the Year ended 31st December, 1948.
    Routine Inspections. Number of defects.Special Inspections Number of defects.
    DEFECT OR DISEASE.Requiring treatment.Requiring to be kept under observation but not requiring treatment.Requiring treatment.Requiring to be kept under observation but not requiring treatment
    (1)(2)(3)(4)(5)
  • Page 178
    T able I. RETURN OF MEDICAL INSPECTIONS. A.—Routine Medical Inspections.
    Year 1948.Year 1947.