[Report of the Medical Officer of Health for Erith]

Page 6

A(l)b. Births.

	TOTAL.	Male.	Female.

Page 7

A(l)d. Infantile Mortality.

	TOTAL.	Male.	Female.

Page 7

Death rate of infants under one year of age per 1,000 live births.—58.82.

	1935	1936

Page 8

A(l)e. Vital Statistics of Whole District during 1936 and previous years.

Births			Total Deaths registered in the District		Transferable Deaths		Nett Deaths belonging to the District
Uncorrected Number	Nett		Total Deaths registered in the District		of Nun-residents registered in the District	of residents not registered in the District	Under 1year of age		At all Ages
	Nett		Number	Rate
	Number	Rate
	Number	Rate					No.	Rate per 1000 nett Births	No.	Rate

Page 9

A(l)f. Table showing Summary of Causes of Death during the year ended 31st December, 1936.

Cause of Death	Males	Females	Total

Page 10

A(l)g. Table showing Birth-rate, Death-rate, and Analysis of Mortality during the year 1936. Provisional figures. The mortality rates for England and W ales reftr to the whole population, but for London and the towns to civilians only

	Rate per 1,000 total population		Annual Death-rate per 1.ooo population									Rate per 1000 live Births
	Live Births	Still Births	All Causes	Enteric Fever	Small-pox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Violence	Influenza	Dianhcea & 1 mentis (under Two years)	Total Deaths under one year

Page 12

Since 1920 there have been 8,813 births with 24 maternal deaths, as shown below, giving a Maternal Mortality rate of 2.723.

Year	M iternal Deaths	Total Births (including still births)	Registered Live Births

Page 13

Analysis of the causes of death of this age group reveals the following figures : —

Deaths from	1936	1935

Page 13

I have included a table showing the Infant Mortality at 5 year intervals for the past 25 years and for 1936.

	Erith	England and Wales

Page 14

The following table shows, in figures, this reduction as against the figures for 1934 and 1935 :—

Adults			Young Persons
	Men	Women	Men	Women	Total

Page 16

Infant Welfare Centres.

Month	Belvedere			Erith			Picardy
	Infants weighed		Consultations	Infants weighed		Consultations	Infants weighed		Consultations
	Under I year	1 to 5 years		Under i year	I to 5 years		Under I Year	I to 5 years

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B(4). Home Visits by Health Visitors.

		Children		Special Visits			Infant Life Protection	Total Visits
1936		1st Visits	Re-Visits	Still-Births	Others	Expectant Mothers	Infant Life Protection	Total Visits

Page 17

lhe work in the existing Ante-natal clinic has again increased during the year the total number of attendances being 1,250 as shown below.

Ante-natal patients seen by Dcctor	1936
	Jan.	Feb.	Mr.	Apr.	May	June	July	Au^	Sep.	Oct.	Nov	Dec.	Total

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The conditions for which they were admitted were as follows:—

Page 19

The following table shows the total notifications received during the year 1936 : —

Disease	Total cases notified	Cases admitted to infectious diseases hospital	TotaJ Deaths

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C(2)b. Age Distribution. This second table shows, in detail, the age distribution of the notified infectious diseases mentioned above

Disease	Age Groups													Totals
Disease	under 1	1	2	3	4	5	10	15	20	35	45	65	over 65	Totals

Page 21

C(3). School Incidence of Infectious Disease. The following Table gives in detail the prevalence of certain notifiable Infectious Diseases in each of the Schools in the District, along with the number of cases above and below School age (5 years).

School			Accommodation	Diphtheria	Scarlet Fever	Typhoid	Total

Page 23

During 1936, 222 specimens were sent, as shown below:—

Nature of Specimen sent	Result		Total
Nature of Specimen sent	Positive	Negative	Total

Page 24

C(7)b. Table (i). Particulars of new cases and deaths.

Age Periods	New Cases				Deaths
Age Periods	Pulmonary		Non-Pulm'n'ry		Pulmonary		Non-Pulm'n'ry
	M.	F.	M.	F.	M.	F.	M.	F.

Page 25

Table (ii). Quarterly Statements.

	1st Quarter			2nd Quarter			3rd Quarter			4th Quarter
	M	F	T	M	F	T	M	F	T	M	F	T

Page 27

C(10). Clinics and Treatment Centres.

Clinics and Treatment Centres.	Address.	Medical Officer in Attendance.	Day and Time.	Accommodation.	Provided by

Page 28

A weekly collection of house refuse is carried out by the Council who now have a fleet of house refuse collection vehicles as follows:—

Vehicle	Capacity

Page 29

The following table shows the weight of refuse collected during the year:—

Month	Tonnage
Month	Tons	Cwts.

Page 31

Out of the 116 overcrowded families, 53 were overcrowded by ½ a person only, a further 24 families by one person only, the remaining 39 being overcrowded by more than one person, as shown below:—

Overcrowded by	No. of Dwellings.

Page 32

The amount of overcrowding in this district cannot be described as extensive and at the 31st December, 1936, 57 of the 116 cases of overcrowding referred to above had been abated, as shown in the following table, leaving 59 cases still to be dealt with.

Overcrowding abated by	No. of Cases

Page 33

The following tables show the number of licences issued by this authority, (a) Under the Milk (Special Designations) Orders 1923 and 1934 and (b) under the new Order of 1936.

A Designation	Number

Page 34

Continued from previous page...

Designation	Number

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C(l). Routine Visiting. Premises visited with the results of such visits:—

	No. in District	No. of visits in 1935	No. of faults and defects found	No. of Faults and defects remedied

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C(2). Nuisances and Defects Remedied during the year (other than those enumerated in the above tabulation).

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Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

Premises 1	Number of
Premises 1	Inspections 2	Written Notices 3	Occupiers Prosecuted 4

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. 2.— DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES

Particulars	Number of Defects			Number of Prosecutions
Particulars	Found	Remedied	Refered to H M Inspector	Number of Prosecutions
1	2	3	4	5

Page -

At the end of 1936 there were 4,876 children on the roll of the elementary schools, distributed as follows :

Page -

Below is set out a table showing the quantities of Malt and Oil distributed :

Page -

Operations were performed on 61 children, 57 being under the Authority's scehme, whilst 4 done by private practitioners, were on the advice given at School Medical Inspection.

Year	Operation in Hospital under Authority's Scheme	By Private Practitioners	Total

Page -

It will be noted upon reference to Table IV, Group V, that conservation work has received the fullest attention possible from the Schools Dentist, and, as predicted in my last report, the extraction conservation ratio, which was hitherto far too high, has now assumed a more reasonable proportion.

Year.	No. of fillings.

Page -

Following up and Summary Work by School Nurses. Following up work by the school nurses is summarised in the following table:

Page -

Set out below is a table giving the number of children examined, together with the total attendances, at the various clinics:—

	1935		1936
	Children	Attendances	Children	Attendances

Page -

TABLE I. A.—Routine Medical Inspections. Number of Inspections in the prescribed Groups:—

Page -

C.—Number of individual children found at Routine Medical Inspection to require Treatment (excluding Uncleanliness and Dental Diseases).

GROUP	Number of Children
GROUP	Inspected	Found to require Treatment
1	2	3

Page -

TABLE II. A—Return of Defects found by Medical Inspection in the Year ended 31st December, 1936.

Defect or Disease	Routine Inspections		Special Inspections
	No. ot 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 -

TABLE II— Continued.

1	2	3	4	5

Page -

B.—Classification of the Nutrition of Children Inspected during the year in the Routine Age Groups. (See Administrative Memorandum No. 124, dated 31st December, 1934.)

Age-Groups	A umber of Children Inspected	A Excellent		B Normal		C Slightly subnormal		D Bad
		No.	%	No.	%	No	%	No.	%

Page -

TABLE III. Return of all Exceptional Children in the Area. Blind Children.

At Certified Schools for the Blind.		At Public-Elementary Schools.	At Other Institutions		At no School or Institution		Total

Page -

TABLE III— Continued. Deaf Children.

At Certified Schools for the Deaf			At Public Elementary Schools		At other Institutions		At no School or Institution		Total

Page -

Physically Defective Children. A. TUBERCULOUS CHILDREN. I. —Children Suffering from Pulmonary Tuberculosis. (Including; pleura and intra-thoracic glands.)

At Certified Special Schools	At Public Elementary Schools	At other Institutions	At no School or Institution	Total

Page -

TABLE IV. Return of Defects Treated during the Year ended 31st December, 1936. TREATMENT TABLE. GROUP I.—MINOR AILMENTS. (excluding Uncleanliness, for which see Group VI).

Disease or Defect	Number of Defects treated, or under treatment during the year
Disease or Defect	Under the Authority's Scheme		Otherwise		Total
1	2		3		4

Page -

GROUP III.—TREATMENT OF DEFECTS OF NOSE. AND THROAT. Number of Defects.

Received Operative Treatment																					Received other forms of Treatment					Total number treated
Unaer the Authority's Scheme, in Clinic or Hospital (See Note B)						By Private Practitioner or Hospital, apart from the Authority's Scheme								Total							Received other forms of Treatment					Total number treated
1						2								3							4					5

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

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Erith 1936

49 tables in this report

A(l)b. Births.

A(l)d. Infantile Mortality.

Death rate of infants under one year of age per 1,000 live births.—58.82.

A(l)e. Vital Statistics of Whole District during 1936 and previous years.

A(l)f. Table showing Summary of Causes of Death during the year ended 31st December, 1936.

A(l)g. Table showing Birth-rate, Death-rate, and Analysis of Mortality during the year 1936. Provisional figures. The mortality rates for England and W ales reftr to the whole population, but for London and the towns to civilians only

Since 1920 there have been 8,813 births with 24 maternal deaths, as shown below, giving a Maternal Mortality rate of 2.723.

Analysis of the causes of death of this age group reveals the following figures : —

I have included a table showing the Infant Mortality at 5 year intervals for the past 25 years and for 1936.

The following table shows, in figures, this reduction as against the figures for 1934 and 1935 :—

Infant Welfare Centres.

B(4). Home Visits by Health Visitors.

lhe work in the existing Ante-natal clinic has again increased during the year the total number of attendances being 1,250 as shown below.

The conditions for which they were admitted were as follows:—

The following table shows the total notifications received during the year 1936 : —

C(2)b. Age Distribution. This second table shows, in detail, the age distribution of the notified infectious diseases mentioned above

C(3). School Incidence of Infectious Disease. The following Table gives in detail the prevalence of certain notifiable Infectious Diseases in each of the Schools in the District, along with the number of cases above and below School age (5 years).

During 1936, 222 specimens were sent, as shown below:—

C(7)b. Table (i). Particulars of new cases and deaths.

Table (ii). Quarterly Statements.

C(10). Clinics and Treatment Centres.

A weekly collection of house refuse is carried out by the Council who now have a fleet of house refuse collection vehicles as follows:—

The following table shows the weight of refuse collected during the year:—

Out of the 116 overcrowded families, 53 were overcrowded by ½ a person only, a further 24 families by one person only, the remaining 39 being overcrowded by more than one person, as shown below:—

The amount of overcrowding in this district cannot be described as extensive and at the 31st December, 1936, 57 of the 116 cases of overcrowding referred to above had been abated, as shown in the following table, leaving 59 cases still to be dealt with.

The following tables show the number of licences issued by this authority, (a) Under the Milk (Special Designations) Orders 1923 and 1934 and (b) under the new Order of 1936.

Continued from previous page...

C(l). Routine Visiting. Premises visited with the results of such visits:—

C(2). Nuisances and Defects Remedied during the year (other than those enumerated in the above tabulation).

Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

. 2.— DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES

At the end of 1936 there were 4,876 children on the roll of the elementary schools, distributed as follows :

Below is set out a table showing the quantities of Malt and Oil distributed :

Operations were performed on 61 children, 57 being under the Authority's scehme, whilst 4 done by private practitioners, were on the advice given at School Medical Inspection.

It will be noted upon reference to Table IV, Group V, that conservation work has received the fullest attention possible from the Schools Dentist, and, as predicted in my last report, the extraction conservation ratio, which was hitherto far too high, has now assumed a more reasonable proportion.

Following up and Summary Work by School Nurses. Following up work by the school nurses is summarised in the following table:

Set out below is a table giving the number of children examined, together with the total attendances, at the various clinics:—

TABLE I. A.—Routine Medical Inspections. Number of Inspections in the prescribed Groups:—

C.—Number of individual children found at Routine Medical Inspection to require Treatment (excluding Uncleanliness and Dental Diseases).

TABLE II. A—Return of Defects found by Medical Inspection in the Year ended 31st December, 1936.

TABLE II— Continued.

B.—Classification of the Nutrition of Children Inspected during the year in the Routine Age Groups. (See Administrative Memorandum No. 124, dated 31st December, 1934.)

TABLE III. Return of all Exceptional Children in the Area. Blind Children.

TABLE III— Continued. Deaf Children.

Physically Defective Children. A. TUBERCULOUS CHILDREN. I. —Children Suffering from Pulmonary Tuberculosis. (Including; pleura and intra-thoracic glands.)

TABLE IV. Return of Defects Treated during the Year ended 31st December, 1936. TREATMENT TABLE. GROUP I.—MINOR AILMENTS. (excluding Uncleanliness, for which see Group VI).

GROUP III.—TREATMENT OF DEFECTS OF NOSE. AND THROAT. Number of Defects.

Continued from previous page...

GROUP VI.—UNCLEANLINESS AND VERMINOUS CONDITIONS.