[Report of the Medical Officer of Health for Erith]

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A(l)b. Births.

	TOTAL.	Male.	Female.

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Corresponding rate for 1938.—15.87.

	TOTAL.	Male.	Female.

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Deaths of infants under one year of age.

	TOTAL.	Male.	Female.

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Total number of deaths from :

	1938	1939

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A(1)e. Vital Statistics of Whole District during 1939 and previous years.

Year	Population estimated to middle of each year	Births			Total Deaths registered in the District		Transferable Deaths		Nett Deaths belonging to the District
		Uncorrected Number	Nett		Total Deaths registered in the District		ot Non-i esi-dents registered in the District	of residents not registered in the District	Under 1 year of age		At all Ages
			Nett		Number	Rate
			Number	Rate
			Number	Rate					No.	Kate per 1000 nett Births	No.	Rate
1	2	3	4	5	6	7	8	9	10	11	12	13

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A(l)f. Table showing Summary of Causes of Death during the year ended 31st December, 1939.

Cause of Death	Males	Females	Total

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A(l)g. Table showing Birth-rate, Death-rate, and Analysis of Mortality during the year 1939. Provisional figures. The mortality rates for England and Wales refer to the whole population, hut for London and the towns to civi ians only

	Rate per 1,000 total population		Annual Death-rate per 1,000 population								Rate per 1,000 Live Births
	Live Births	Still Births	All Causes	Typhoid and Paratyphoid	Small-pox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Diarrhoea & Enteritis (under Two years)	Total Deaths under one year

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Since 1020 there have been 10,024 births with 31 maternal deaths, as shown below, giving a Maternal Mortality rate of 2.84.

Year	Maternal Deaths	Total Births (including still births)	Registered Live Births

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

Deaths from	1938	1939

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I have included a table showing the Infant Mortality at 5 year intervals for the past 25 years and for 1939.

	Erith	England and Wales

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A perusal of this table shows that an increase in unemployment has occurred in the female groups but that it generally has decreased by 408.

Year ending	Adults		Young Persons		Total
Year ending	Men	Women	Men	Women	Total

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B(2). Notification of Births. During 1939, 697 live births and 19 stillbirths, giving a total of 716 were notified to me, as shown in the following table :

Month	Births			Sex		Legitimacy			Notified by
	Live	S'born		M	F	Leg.	Meg.		Mid wives	Hosp. etc.	Doctors
	Live	M	F	M	F	Leg.	M	F	Mid wives	Hosp. etc.	Doctors

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Infant Welfare Centres.

Month	Belvedere			Erith			Picardy			Bedonwell
	nfants weighed		Consultations	Infants weighed		Consultations	Infants weighed		Consultations	Infants Weighed		Consultations
	Under 1 year	1 to 5 years		Under 1 year	I to 5 years		Under I Year	1 to 5 years		Under 1 Year	1 to 5 years

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B(4). Home Visits by Health Visitors.

1938	Children		Special Visits		Expectant Mothers	Infant Life Proteclion	Total Visits
	1st Visits	Re-Visits	Still-Births	Others

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The natal sessions which are held on one half-day each week at hte Hainault and Bedonwell Clinics., continue to function and as will be seen from the following table, the attendance figures are most gratifying.

Ante-natal patients seen by Doctor	1939
	Jan.	Feb.	Mr.	Apr.	Mas	June	July	Aug	Sep.	Oct.	Nov	Dec.	Total

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I he conditions for which they were admitted were as follows :

Condition		No.

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1 lie Council s Home Help Scheme continued to function throughout the year, and the following figures will show the extent to which it was used :

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The following table shows the total notifications received during the year 1939 : —

Disease	Total cases notified	Cases admitted to infectious diseases hospital	Total 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	Groups													Totals
Disease	under 1	1	2	3	4	5	10	15	20	35	45	65	over 65	Totals

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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	Scarle Fever	Typhoid	Total

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The Scheme for the Immunisation of children against Diphtheria was continued with throughout the year, and the following table will indicate the number of cases dealt with :

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During 1939, 298 specimens were sent, as shown below : —

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

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C(8)b. Table (i). Particulars of New Cases and Deaths.

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

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Table (ii). Quarterly Statements.

	ist Quarter			2nd Quarter			3rd Quarter			4th Quarter
	M	F	T	M	F	T	M	K	T	M	K	T

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C(10). Clinics and Treatment Centres.

Clinics and Treatment Centres.	Address.	Attended by.	Day and Time.

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Continued from previous page...

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E (1 ) a. Table 1.

Vehicle	Capacity

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E (1) b. Table 2.

Month	Tonnage
	Tons	Cwt

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E(6)a. Routine Visiting. Premises visited and recorded results of such visits:—

Premises	No. in District	No. of visits in 1938	No. of faults and defects found	No. of Faults and defects remedied

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E(6)b. Summary of Nuisances and Defects remedied during the year.

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E(6)c. Number of New Houses erected during the year.

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Non-compliance with Section 10 of the Shops Act, 1934, relating to health and comfort was located in the following instances, and Notices were consequently served to effect the necessary improvement:—

	Notices served.

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E(7). HOUSING. E(7)a. 1. Inspection of Dwellinghouses during the year.

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Continued from previous page...

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E(8). Factories. 1. INSPECTIONS for the purposes of provisions as to health including inspections made by Sanitary Inspectors.

Premises	Number of
Premises	Inspections	Written Notices	Occupiers Prosecuted

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2. DEFECTS FOUND.

Particulars	Number of Defects			Number of defects in respect of which prosecutions were instituted
Particulars	Found	Remedied	Referred to H M Inspector

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The following table indicates the number of licences issued by the Authority under the Milk (Special Designations) Order, 1*936:—

Designation		No.

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SUMMARY OF CARCASES INSPECTED AND CONFISCATED.

	Cattle excluding Cows	Cows	Calves	Sheep & Lambs	Pigs

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F(4). Other Foods. In addition to the meat inspected in the slaughterhouses and butchers' shops and stores, the Sanitary Inspectors dealt with the following foodstuffs which upon examination was found to be unfit for human consumption and which was duly surrendered and destroyed:—

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As from 1st October, 1939, the Sanitary Inspectors have administered accordingly, and the following samples were submitted to the Borough Analyst for examination:—

Nature of sample	Adulterated	Genuine	Informal	Formal	Total

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H(4). Legislation in Force. List of Bye-laws, etc., in force in this district with date of adoption:—

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The Borough of Erith was entirely included in the evacuation areas, and evacuation of the school children was carried out on 5th September, 1939.

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Prior to the Evacuation of School Children in September, 1939, there were 5,131 children on the roll of the elementary schools, distributed as follows:

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Below is set out a table showing the quantities of Malt and Oil distributed:— Total amount issued during the year:

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The following is a list of cases which have attended the clinic:

Defects.	Infant Welfare.	School Children.

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Following up work by the School Nurses is summarised in the following table:—

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

	1939		1938
	Children	Attendances	Children	Attendances

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TABLE I. Medical Inspections of Children Attending Public Elementary Schools. A.—Routine Medical Inspections.

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TABLE II. B—Classification of the Nutrition of Children Inspected during the year in the Routine Age Croups up to 31st August, 1939. (See Administrative Memorandum No. 124, dated 31st December, 1934.)

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

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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

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Deaf Children.

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

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Mentally Defective Children. FEEBLE-MINDED CHILDREN.

At Certified Schools for Mentally Defective Children	At Public Elementary Schools	At other Institutions	At no School or Institution	Total

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TABLE IV. Return of Defects Treated during the Year ended 31st December, 1939. 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

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GROUP II.—DEFECTIVE VISION AND SQUINT (excluding Minor Eye Defects treated as Minor Ailments—Group I).

Defect or Disease	Number of Defects dealt with
Defect or Disease	Under the Authority's Scheme	Otherwise	Total
1	2	3	4

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

Received Operative Treatment												Received other forms of Treatment	Total number treated
Under 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

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GROUP IV.—ORTHOPAEDIC AND POSTURAL DEFECTS.

Under the Authority's Scheme			Otherwise
(i)			(2)
Residential treatment with education	Residential treatment without education	N on-Residential treatment at an orthopaedic clinic	Residential treatment with education	Residential treatment without education	Non-Residential treatment at an orthopaedic clinic
(i)	(ii)	(iii)	(i)	(ii)	(iii)

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TABLE V. Dental Inspection and Treatment.

	Routine Age Groups										Total	Specials	Grand Total
	5	6	7	8	9	10	11	12	13	14	Total	Specials	Grand Total

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

View report tables

Erith 1939

58 tables in this report

A(l)b. Births.

Corresponding rate for 1938.—15.87.

Deaths of infants under one year of age.

Total number of deaths from :

A(1)e. Vital Statistics of Whole District during 1939 and previous years.

A(l)f. Table showing Summary of Causes of Death during the year ended 31st December, 1939.

A(l)g. Table showing Birth-rate, Death-rate, and Analysis of Mortality during the year 1939. Provisional figures. The mortality rates for England and Wales refer to the whole population, hut for London and the towns to civi ians only

Since 1020 there have been 10,024 births with 31 maternal deaths, as shown below, giving a Maternal Mortality rate of 2.84.

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 1939.

A perusal of this table shows that an increase in unemployment has occurred in the female groups but that it generally has decreased by 408.

B(2). Notification of Births. During 1939, 697 live births and 19 stillbirths, giving a total of 716 were notified to me, as shown in the following table :

Infant Welfare Centres.

B(4). Home Visits by Health Visitors.

The natal sessions which are held on one half-day each week at hte Hainault and Bedonwell Clinics., continue to function and as will be seen from the following table, the attendance figures are most gratifying.

I he conditions for which they were admitted were as follows :

1 lie Council s Home Help Scheme continued to function throughout the year, and the following figures will show the extent to which it was used :

The following table shows the total notifications received during the year 1939 : —

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

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).

The Scheme for the Immunisation of children against Diphtheria was continued with throughout the year, and the following table will indicate the number of cases dealt with :

During 1939, 298 specimens were sent, as shown below : —

C(8)b. Table (i). Particulars of New Cases and Deaths.

Table (ii). Quarterly Statements.

C(10). Clinics and Treatment Centres.

Continued from previous page...

E (1 ) a. Table 1.

E (1) b. Table 2.

E(6)a. Routine Visiting. Premises visited and recorded results of such visits:—

E(6)b. Summary of Nuisances and Defects remedied during the year.

E(6)c. Number of New Houses erected during the year.

Non-compliance with Section 10 of the Shops Act, 1934, relating to health and comfort was located in the following instances, and Notices were consequently served to effect the necessary improvement:—

E(7). HOUSING. E(7)a. 1. Inspection of Dwellinghouses during the year.

Continued from previous page...

E(8). Factories. 1. INSPECTIONS for the purposes of provisions as to health including inspections made by Sanitary Inspectors.

2. DEFECTS FOUND.

The following table indicates the number of licences issued by the Authority under the Milk (Special Designations) Order, 1*936:—

SUMMARY OF CARCASES INSPECTED AND CONFISCATED.

F(4). Other Foods. In addition to the meat inspected in the slaughterhouses and butchers' shops and stores, the Sanitary Inspectors dealt with the following foodstuffs which upon examination was found to be unfit for human consumption and which was duly surrendered and destroyed:—

As from 1st October, 1939, the Sanitary Inspectors have administered accordingly, and the following samples were submitted to the Borough Analyst for examination:—

H(4). Legislation in Force. List of Bye-laws, etc., in force in this district with date of adoption:—

The Borough of Erith was entirely included in the evacuation areas, and evacuation of the school children was carried out on 5th September, 1939.

Prior to the Evacuation of School Children in September, 1939, there were 5,131 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:— Total amount issued during the year:

The following is a list of cases which have attended the clinic:

Following up work by the School Nurses is summarised in the following table:—

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

TABLE I. Medical Inspections of Children Attending Public Elementary Schools. A.—Routine Medical Inspections.

TABLE II. B—Classification of the Nutrition of Children Inspected during the year in the Routine Age Croups up to 31st August, 1939. (See Administrative Memorandum No. 124, dated 31st December, 1934.)

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

Deaf Children.

Mentally Defective Children. FEEBLE-MINDED CHILDREN.

TABLE IV. Return of Defects Treated during the Year ended 31st December, 1939. TREATMENT TABLE. GROUP I.—MINOR AILMENTS. (excluding Uncleanliness, for which see Group VI).

GROUP II.—DEFECTIVE VISION AND SQUINT (excluding Minor Eye Defects treated as Minor Ailments—Group I).

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

GROUP IV.—ORTHOPAEDIC AND POSTURAL DEFECTS.

TABLE V. Dental Inspection and Treatment.

TABLE VI. Uncleanliness and Verminous Conditions.