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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 1954
[Report of the Medical Officer of Health for Croydon]
- Published
- 1955
- Pages
- 150
- Tables
- 127
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Page 6
STAFF OF THE DEPARTMENT Medical Officer of Health and Deputy Medical Officer of Health (also Principal School Medical Officer and Deputy Principal School Medical Officer).
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Page 7
Rate in the £: 16s. 10d. (for year ending 31.3.54)
Live Births: M F Total -
Page 8
POPULATION OF CROYDON
1921 1931 1951 Increase or Decrease 1921-1931 1931-/951 Persons persons Ma /es Fema /es persons Ma /es Fema/es Per cent. Amoun t Per cent. Total By Births and Deaths Balance -
Page 8
ACREAGE, POPULATION, PRIVATE HOUSEHOLDS AND DWELLINGS
Acreage Populat ion Persons per acre Private Households Population in private house-holds. Structurally separate dwell-ings occupied Persons per room. -
Page 9
Private households according to possession of certain arrangements-
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Page 9
AGES (Quinary) and Sex
AlI Ages Persons Males Females -
Page 10
Principal Causes or Death in order of irequency (Registrar-General' s Return)
Rate per 1,000 Population -
Page 11
Notifications were received in respect of confinements conducted by: -
Live Births Still Births Total -
Page 11
Accommodation for Confinement The following table gives information concerning the accommodation utilised for confinements: -
Number Percentage -
Page 12
MATERNAL AND INFANT MORTALITY FOR THE YEARS 193»-1954
Year Births (Live and Still) Ma tern al Deaths Maternal Mortal i ty Ra te Infant Mortal i ty Rate -
Page 13
The following table gives the cause of death during the first month of life (Neo-natal mortality)
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Page 13
The following table gives the cause of death during the first month of life(Neo-natal morality):-
Percentage Deaths under 1 year per Total Infantile Deaths Deaths under / year per 1,OOO Bir ths 1954 1953 1954 1953 -
Page 14
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 8th-l4th day 15th-21st day 22nd-28th day Under lmnth. 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. j TOTAL -
Page 15
WARD STATISTICS
WARDS Estimated Population Births Deaths Birth Rate Death Rate Deaths under 1 year per 1,000 Births Death Rate from Si x Zymotic Dis-eases (excluding Di arrhoea) Death Rate from Diarrhoea (under two years) Death Rate from Bronchi ti s and Pneumonia Death Rate from Pulmonary Tuberculosi s Death Rate from Non-Pulmonary Tuberculosi s Death Rate from Heart and Ci rcu-lation Diseases Death Rate from Cancer Natural Increase or Decrease of Population -
Page 16
REGISTRAR GENERAL'S TABLE OF DEATHS ACCORDING TO CAUSE. AGE AND SEX
Sex 0- 1- 5- 15- 25- 45- 65- 75- Total -
Page 17
Death-rate per 1,000 of the population for the last 11 years are as follows:-
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Page 18
Deaths from Cancer occurred at the following Ages:-
Age period Ma!e Female Total -
Page 18
Sites of Fatal Cancer
Si te Mate Female Total percentage of Total -
Page 19
COMMUNICABLE DISEASES NOTIFIED DURING YEAR 1954
Notifiabl e Disease Cases notifi ed Total cases notified in wards 1954 Sex Di st ribu-t ion of Noti f i ed Cases 1954 At all ages At ages - years Upper Norwood Norbury West Thornton Bensham Manor Thornton Heath South Norwood woodside East Addi scornbe Whitehorse Manor Broad Green Central Waddon South Addi ngton Sh irley Under l 1-4 5-14 15 - 24 25 - 44 45 - 64 65 and over M F -
Page 20
MONTHLY INCIDENCE OF COMMUNICABLE DISEASES, 1954
JAN. FEB. MARCH APRIL MAY JUNE JULY AUGUST SEP. OCT. NOV. DEC. TOTAL -
Page 22
The following figures give the food poisoning notifications, as corrected, for 1954:-
lst Quarter 2nd Quarter 3rd Quarter 4th Quarter Total -
Page 23
Admissions to the Acute Infectious niseases Wards - The following are the final diagnoses of patients admitted to the acute infectious diseases wards, together with brief details relating to the common infectious diseases. The average stay in hospital of these cases was 22 days and the average bed occupancy 32. 2.
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Page 26
The following table shows the great improvement in mortality from tuberculosis over the last forty years.
Tuberculosis (All Forms) Tuberculosis (All Forms) 0-15 years All ages 0-15 years All ages Year Number of Deaths Death Rate per thousand of population Number of Deaths Death Rate per thousand of population Year Number of Deaths Death Rate per thousand of population Number of Deaths Death Rate per thousand of population -
Page 28
TABLE I. Formal Notifications
Age Periods Number ofPrimary Not i fi cat ions of new cases of tubercuiosis 0- /- 5- 10- 15- 20- 25- 35- 45- 55- 65- 75- Total (all ages) -
Page 29
TABLE II. Supplemental Return. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the period from 1st January, 1954 to 31st December, 1954, otherwise than by formal notification:-
Source of Information Number of cases in age Groups 0- 1- 2- 5- 10- 15- 20- 25- 35- 45- 55- 65- 75- TOTAL -
Page 30
Number of cases of Tuberculosis remaining on the Notification Register on 31st December, 1954:-
RESPIRATORY NON-RESPIRATORY Total Cases Ma/es Fema/es Total Males Females Total -
Page 31
Ages at Death from Respiratory Tuberculosis
Year 0-5 5-15 15-25 25-45 45-65 over 65 TOTAL -
Page 32
The deaths were due to:-
Males Females Total -
Page 35
I am also indebted to the Medical Director of the Surrey Area of the South-West Metropolitan Regional Hospital Board Mass Radiography Service for the following particulars of persons examined and of abnormalities found:-
No. of Persons examined Active Pulmonary Tubercu/os is inactive Pulmonary Tuberculosis Non-Tuberculous Conditions -
Page 37
Return relating to all persons attending at the Treatment Centre at Special Clinic, General Hospital, Croydon, during the year ended the 31st December, 1934.
Syphi1is Gonorrhoea Other Conditions TOTALS H F M F M F M F Ttls. -
Page 38
Continued from previous page...
Syphili s Gonorrhoea Other Conditions TOTALS M F M F M F M F Ttls. -
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Continued from previous page...
Microscopical Cultural Serum Cerebro. Sp i nal Fl ui d Others for Syphilis for G'n' rh. for Syphi1is W.R. A Kahn for G * n * rh -
Page 39
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 Croydon Surrey Kent London Total -
Page 42
ATTENDANCES AT INFANT CENTRES - 1954
Bensham Manor, Monday, A.M. Bensham Manor, Monday, P.M. Boston Road, Thursday, P.M. Brighton Road, Wednesday, P.M. East Croydon, Tuesday, A.M. East Croydon, Friday, P.M. Fairchildes, Friday, P.M. Monks Hill, Tuesday.P.M. Municipal, Monday, P.M. Municipa1, Thursday,P.M. New Addington, Wednesday, A.M. New Addington, Wednesday, P.M. Norbury, Wednesday, A.M. Norbury, Wednesday,P.M. St. Albans, Wednesday,P.M. St. Albans, Friday, P.M. St. Andrews, Monday, P.M. St. ludes, Tuesday, A.M. St. Judes, Tuesday, P.M. St. Oswalds, Thursday,A.M. St. Oswalds, Thursday,P.M. Selhurst, Wednesday,P.M. Shirley, Thursday,P.M. South Croydon, Thursday,P.M. South Norwood, Tuesday.P.M. South Norwood, Friday, P.M. Spring Park, Monday, P.M. upper Norwood, Wednesday, P.M. Waddon, Wednesday,P.M. west Croydon, Friday,P.M. woodside, Friday,A.M. woods ide Friday, P.M. Total, 1954 Total, 1953 -
Page 45
PAY NURSERIES Attendances at Day Nurseries, 1954
Whitehorse Road Morland Road -
Page 45
M. AND C.W. PHYSIO-THERAPY CLINIC The following figures relate to the work carried out at the above clinic during the year
Complaint No. of Cases Total M F -
Page 49
The following summary shows particulars of the work accomplished:-
Expectant Mothers Nursing Mothers Total Young Children -
Page 49
The following summary ahows particulars of the work accompalished:-
Expectant and Nursing Mothers Young Children -
Page 50
The Centres at which patients were examined, or from which they were referred, are given in the following list:-
Mothers Young ChiIdren Mothers Young Children -
Page 52
The work of the municipal midwies was as follws:-
Midwife Mileage Oeliveries Midwifery Mat-ernity Gas and Air Ante-Natal Visits Post-Natal visits Bookings Office Bookings Home Visits Normal Abnormal Normal Abnormal Midwives Pupils Midwives Pupils -
Page 53
The following table gives the details of the reasons for Midwives summoning medical aid: -
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Page 53
In accordance with Rule 33 of The Central Midwives' Board the following reasons for the discontinuance of breast feeding were received:-
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Page 55
THE WORK OF THE HEALTH VISITORS - MATERNITY AND CHILD WELFARE VISITS ONLY, 1954
Visits Baker Left 31.5.54 Bird Black more Blest Chapman Left 12.9.54 E.M. Coll ins Com. 15.2.54 Devaney Early Eldridge Elliott Emms Com. 16.12.54 Gregg Com. 1.4.54 Griggs Hall Hawkins Com. 9.8.54 Hinton Left 17.10.54 Liang Com. 11.6.54 Left 30.7.54 | Llewellyn Lucey Mayo Com. 1.11.54 1 [ Morton 0 Brian Com.l.7.54 Left 30.11.54 Cartridge Pickering Railings Left 7.5.54 Poupard Com. 3.8.54 Thaisen Thompson Toneri Tripet Vince we 00 Left 31.1.54 waller Weston Left 31.3.54 Wilton Wybrew TOTAL, 19M TOTAL. 1953 -
Page 56
The ensuing comparative tables give some further details:-
Year Chi ldren Compl eted Treatment Fai led to attend for complet i on of Course Reinforcing Inject ions -
Page 56
Origin and Source of Children attending
Year School Pre-school Total Per cent Total Per cent -
Page 57
A total of 2,003 persons were vaccinated against Small-pox.
Under 1 year of age 1 2 - 4 5 - 14 15 or over Total -
Page 57
Number of children at 31st December, 1954, who had completed a course of Immunisation at any time before that date (i.e. at any time since 1st January, 1940)
Age at 31. 12.54 i.e. Born in Year Under 1 1954 1 - 4 1953 - 1950 5 - 9 1949 - 1945 10 - 14 1944 - 1940 Under 15 Total -
Page 59
Classifications of Journeys, Patients and Mileage.
Patients Journeys Mileage -
Page 59
Vehicles on Loan to Other Depts.
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Page 60
Classification of Accident Calls.
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Page 61
The Corporation loan equipment and make a small weekly charge, with exemption for incomes below a certain figure. During the year the undermentioned loans were made:-
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Page 63
Patients dealt with under the Lunacy and Mental Treatment Acts during 1954, are as follows:-
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Page 64
Under the Mental Deficiency Act. Number of known Mentally Defective Patients in the Borough:-
1953 1954 -
Page 64
Compared with 1953 the cases show an increase of 14. 4 Institution patients have died in hospital.
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Page 64
During 1954, 26 cases were dealt with as follows:-
1953 1954 -
Page 65
There are 30 cases on licence from Institutions (10 males and 20 females).
Report on the Occupation Centre, January-December. 1954 -
Page 71
year 35,780. The receipts and expenditure for the past 5 years have been as follows: -
Receipts Expenditure £ s. d. £ s. d. -
Page 72
FACTORIES
Premises Number of Inspections Written Not ices Prosecutions -
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Defects Found
Particulars Number of Defects Referred to H.M. Inspector Prosecutions Found Remed ied -
Page 73
Nature of Fmployment of Outworkers on the Register, 31st December, 1954
Nature of Work Number Employed Outwork in Infected Premises Outwork in unsatis -factory Premises Remarks -
Page 75
The following articles were disinfected at the Disinfecting Station during the year: -
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Page 78
The following table shows the distribution of trades among the 3,350 premises in the Borough at which food is known to be sold, manufactured or stored:-
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Page 79
The following tabale gives a summary of the inspections made during the year, not including visits made to slaughterhouses or dairies:-
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Page 79
General Summary of meat and other articles of food found to be unfit and condemned by the Inspectors during 1954:-
Art icles Weight in lbs. Diseased Unsound Total -
Page 80
The result of these inspections was as follows:-CARCASES INSPECTED AND CONDEMNED
Cattle exclud ing Cows Cows Calves Sheep and Lambs Pigs Goats -
Page 81
The following table summarises the results of the bacteriological examinations of Tuberculin Tested, Pasteurised and Sterilised milk samples during the year:-
Tubercu/in- Tested Mi Ik Methylene Blue Test -
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Tubercu / in -Tes ted Pasteurised Milk Methylene Blue Test Phosphatase Test -
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Pasteurised Milk
No. Samples Taken Methylene Blue Test Phosphatase Test Not Satisfied Satisfied Not Satisfied Satisfied -
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Steril ised Milk
No. Samples Taken Turbidity Test Not Satisfied Satisfied -
Page 83
During 1954 samples were obtained and submitted to the Public Analyst as follows:-
Samples of Total Samples Genuine Not Senuint Prose-cutions Convic-tions -
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Samples of Total Samples Genuine Not Genuine Prose-cut ions Convic t ions -
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Samples of Total Samples Genuine Not Genuine Prosecutions Convic t ions -
Page 87
The samples of milk for analysis were obtained as follows:
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DETAILS OF NON-GENUINE SAMPLES TAKEN
Article Nature of Adulteration or Deficiency Remarks -
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Article Nature of Adulteration or Deficiency Remarks -
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Article Nature of Adu/teration or Defic iency Remarks -
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Art ic le Nature of Adulterat ion or Defic iency Remarks -
Page 94
MISCELLANEOUS Nursing Homes - Public Health Act, 1936.
Number of Homes Number of Beds provided for:- Matern i ty Others Total -
Page 95
Aircraft and Passenger Arrivals, Croydon Airport.
Aircraft Passengers -
Page 103
STAFF OF THE SCHOOL HEALTH SERVICE
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Page 103
PARTICULARS OF CLINICS HELD The following Clinics are provided by the Education Committee: attendance thereat, with the exception of the Minor Ailments Clinic, is by appointment arranged by the School Medical Officer:-
Clinic Address -
Page 104
RETURN OF ATTENDANCE IN MAINTAINED PRIMARY, MODERN, CENTRAL, TECHNICAL AND GRAMMAR SCHOOLS 1954
School Average No. on Register Average Attendance Average Attendance per cent. Average 1953 Attendance per cent. -
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Continued from previous page...
School Average No. on Regis ter Average Attendance Average Attendance per cent. Average 1953 Attendance per cent. -
Page 106
Continued from previous page...
School Average No. on Register Average Attendance Average Attendance per cent. Average 1953 Attendance per cent. -
Page 107
MEDICAL INSPECTION IN SCHOOLS The system of routine medical inspection is now as follows:-A. Primary and Modern Secondary Schools.
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Page 108
PARENTS PRESENT 195*
ENTRANTS INTERMEDIATE LEAVERS 8 TO 9 YEARS TOTAL Number Examined Parents Present Number Examined Parents Present Number Examined Parents Present Number Examined Parents Present Number Examined M F M F M F M F M F M F M F M F M F -
Page 108
PERCENTAGE OF PARENTS PRESENT AT MEDICAL INSPECTIONS
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Page 109
HEIGHTS AND WEIGHTS. 1954
Age Number Exam ined 1954 Average Height in inches Average weight in lbs. 1954 19 53 1952 1951 1939 1954 1953 1952 1951 1939 -
Page 110
RETURN OF DEFECTS FOUND IN THE COURSE OF ROUTINE MEDICAL INSPECTION, 1954
Defects Boys Girls No. requiring Treatment No. referred for Observation Percentage of total Examined ..... No. requiring Treatment No. referred for Observation Percentage of total Examined -
Page 111
VISION
Extent of Defect Intermediate Leavers 8 to 9 years and Other Ages Total Boys Girls Boys Girls Boys Girls Boys Girls No. x No. X No. X No. I No. X No. X No. X No. X -
Page 111
Cost of Special Schools
£ -
Page 112
SUMMARY OF FINDINGS AT ROUTINE MEDICAL INSPECTIONS. 1954 (Percentages of Children examined)
Condition Entrants In termediates Leavers Other Ages and 8 to 9 yrs. All Groups Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls -
Page 113
TUBERCULOSIS IN CHILDREN OF SCHOOL AGE Contacts among school children kept under supervision during 1954:-
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Page 113
CAUSES OF DEATH IN SCHOOL CHILDREN Child population, 39,083. Number of deaths 11, which is equal to a death-rate of 0.28 per 1,000.
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Page 114
TREATMENT The Work of the School Clinics SUMMARY OF ATTENDANCES
1954 1953 Increase or Decrease -
Page 114
The Minor Ailments Clinics At the Lodge Road Clinic 1,059 defects involved 4,222 attendances, while at the subsidiary Clinics held at Ashburton School 252 defects, 1,768 attendances; at Duppas School 391 defects, 2,735 attendances; at Rockmount School 131 defects, 1,143 attendances; and at Wolsey School 164 defects, 713 attendances.
Complaint 1954 1953 Cases Attendances Average No. of Attendances per case Cases Attendances Average No. of Attendances per case -
Page 115
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 Fever Dysentery Poliomyelitis Jaundice Conjunctivitis Sore Throat Indefinite Sickness) Enteric Group Erysipel as Vermin Meningococcal Infaction TOTALS Body Scalp -
Page 116
CHIEF CAUSES OF EXCLUSIONS FROM SCHOOL
Condition Exclusions during 1954 Percentage of total exc1usions Exclusions during 1953 Percentage of total exclusions -
Page 116
These figures show an increase in Impetigo. Scarlet Fever and Dysentery, whilst the remainder all show a decrease.
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Page 119
The results obtained from school inspections were as follows:-
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Page 120
The following Table demonstrates the variations in the acceptance rate during recent years:- RESULTS OF SCHOOL INSPECTIONS
1954 1953 1952 1949 1937 -
Page 121
Items of Treatment. The ensuing Table gives particulars of the principal items of treatment compared with those obtained last year:-
1954 1953 -
Page 122
Miscellaneous Operations. These include:-
1954 1953 -
Page 123
The following is a summary of treated performed:-
1954 1953 -
Page 123
A summary of the treatment performed for the above children is given below:-
1954 1953 -
Page 124
DENTAL DEFECTS (1) Number of children who were:- (a) Inspected by Dental Officers:
Year 1954 Year 1953 -
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Year 1954 Year 1953 -
Page 126
SPINAL AND OTHER REMEDIAL CLINICS
1954 1953 Attendances Av. att. Attendances Av. att. -
Page 128
The Head Tacher desires to record again her thanks to the Maedical Officer of Health and hhis Staff, the Chief Education Officer and his Staff, and to the Staff of St.Giles' School, for guidance. help and co-opration during the year.
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Page 132
HANDICAPPED PUPILS REQUIRING EDUCATION AT SPECIAL SCHOOLS OR BOARDING IN BOARDING SCHOOLS. 1954
Blind Partially Sighted Deaf Partially Deaf Delicate Physically Handicapped Educationally Sub-normal Maladjusted Epileptic TOTAL -
Page 133
The following numbers of children were examined by the medical officers during 1954 as to their fitness to following the part-time employment indicated: -
1954 19 53 1952 1951 1950 -
Page 133
CHILD GUIDANCE CLINIC Return of Cases referred by the School Medical Officer and the Education Department, from 1st January to 31st December, 1954
Boys Girls -
Page 136
A.- Periodic Medical Inspections
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Page 136
B.- Other Inspections
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Page 136
C.- Pupils found to require Treatment (Excluding Dental Disease and Infestation with Vermin).
Group For defect ive vis ion (excluding squin t) For any of the other cond i t i ons recorded in Table Total Individual Pupils -
Page 137
Table II A. RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION
Defect Code No. DEFECT OR DISEASE PERIODIC INSPECTIONS SPECIAL INSPECTIONS* No. of defects No. of defects 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 139
Table IV GROUP 1.- DISEASES OF THE SKIN (excluding uncieanl iness, for which see Table III)
Number of cases treated or under treatment during the year By the Authority Otherwise -
Page 139
GROUP 2.- EYE DISEASES. DEFECTIVE VISION AND SQUINT
Number of cases dealt with By the Authority Otherwise -
Page 139
GROUP 3.- DISEASES AND DEFECTS OF EAR, NOSE AND THROAT
Number of cases treated By the Authority Otherwise -
Page 140
GROUP 4.- ORTHOPAEDIC AND POSTURAL DEFECTS
(a) Number Treated as in-patients Hot available By the Authority Otherwise -
Page 140
GROUP 5.- CHILD GUIDANCE TREATMENT
Number of cases treated In the Authority's Child Guidance Clinics Elsewhere -
Page 140
GROUP 6.- SPEECH THERAPY
Number of cases treated By the Authority Otherwise -
Page 140
GROUP 7.- OTHER TREATMENT GIVEN
Number of cases treated By the Authority Otherwise -
Page 141
Table V DENTAL INSPECTION AND TREATMENT
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Page 142
Table I RETURN OF MEDICAL INSPECTIONS A.-Routine Medical Inspections.
Year 1954 Year 1953 -
Page 142
B. -Other Inspections
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Page 142
The following defects were found by Medical Inspection:-
Treatment Observation