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Leyton 1933

[Report of the Medical Officer of Health for Leyton]

Published
1934
Pages
214
Tables
104

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104 tables in this report

  • Page 9
    Extracts from Vital Statistics for the Year. Live Births:—
    Males.Females.Total.Birth Rate.
  • Page 12
    TABLE 1.—METEOROLOGICAL TABLE FOR LONDON 1933. (Deduced from Observations at Greenwich, under the Superintendence of the Astronomer Royal.)
    1933.Barometer.Air Temperature.Hygrometer.Earth Temperature.Bright Sunshine.
    Mean Pressure at Station Level. 152 ft.* (Average Correction to Sea Level + 5.6 mb.)Mean ofMean of A and BDifference from Normal.†Absolute Maximum and Minimum.Mean of Observations at 9 a.m. and 9 p.m.At 1 foot depth.At 4 feet depth.Daily Mean.Difference from NormaL†Per cent. of Possible.
    Maximum. AMinimum. BMaximum.Day of Month.Minimum.Day of Month.Dry Bulb.Depression of Wet bulb.Vapour Pressure.Humidity.
  • Page 13
    TABLE 1— continued.
    1933Cloud.Rain and other forms of Precipitation.Weather Number of days ofWind. Number of Observations at 9 a.m., 3 p.m. and 9 p.m.
    Mean of Observations of amount at 9 a.m. and 9 p.m. (Scale 0-10.)Total Fall.Difference from Normal.†Most in a Day.Precipitation (0.2 mm and above).Precipitation (1 mm. and above).Snow.Hall.Thunderstorm.Persistently Clear.Generally Clear.*Generally Overcast.*Persistently Overcast.Fog at 9 a.m.Gale.Force.Direction.
    Amount.Day of Month.GaleModerate and Strong WindCalm.N.N.E.E.S.E.S.S.W.W.N.W.
  • Page 14
    VITAL STATISTICS. Births. —Fourteen hundred and ninety-nine births were registered during the year
    Males.Females.Total.
  • Page 14
    The following list shows the population, number of births, and the corrected birth rate per 1000 during the past five years:—
    Year.Population.No. of Births.Birth Rate.
  • Page 14
    The figures below show how, during the five-year period, the birth rate in Leyton has compared with corresponding rates in the Great Towns, in London, and in England and Wales. It is evident that during each of the five years, the Leyton birth rate has remained at a substantially lower level than in the case of any of the other three comparative areas.
  • Page 26
    The following figures show the number of births, infant deaths and infant mortality rate during the past five years:—
    Year.No. of Births.No. of Infant Deaths.Infant Mortality Rate.
  • Page 27
    TABLE 4. Comparative Statistics of Births, Mortality, Etc. LEYTON, 1892-1933.
    Year.Population.Births.Birth Rate.Deaths.Death Rate.Deaths under 1 year.Infantile Death Rate.
  • Page 28
    TABLE 5. Vital Statistics of Whole District during 1933 and Previous Years.
    Year.Population estimated to Middle of each Year.Births.Total Deaths Registered in the Borough.Transferable DeathsNett Deaths beloncing to the Borough.
    Uncorrected Number.Nett.of Nonresidents registered in the Borough.of Residents not registered in the Borough.Under 1 Year of Age.At all Ages.
    Number.Rate.Number.Rate per 1000 Nett Births.Number.Rate.
    Number.Rate.
    12345678910111213
  • Page 29
    TABLE 6. Birth-rate, Death-rate and Analysis of Mortality During the Year 1933. (Provisional figures. The rates have been calculated on a population estimated to the middle of 1933. The mortality rales refer to the whole population as regards England and Wales, but only to civilians as regards London and the group of towns.)
    Birthrate per 1,000 Total Population .Annual Death-rate per 1,000 Population.Rate per 1,000 Births.Percentage or Total Deaths.
    All Causes.Enteric Fever.Smallpox.Measles.Scarlet Fever.Whooping Cough.Diphtheria.Influenza.Violence.Diarrhoea and Enteritis (under 2 Years).Total Deaths under 1 Year.Certified by Registered Medical Practitioners.Inquest Cases.Certified by Coroner after P.M. No Inquest.Uncertified Causes of Death.
    Live Births.Still Births.
  • Page 37
    LEGISLATION IN FORCE. Special Acts. Leyton Urban District Council Act, 1898. Leyton Urban District Council Act, 1904.
  • Page 42
    With regard to the value of the notification of chicken-pox in the detection of smallpox it is of interest to record the findings of the past four years, viz.:—
    Year.No. of C.P. notifications received.No. found to be suffering from smallpox.
  • Page 42
    Enteric Fever. Four persons were notified to be suffering from Enteric Fever during 1933.
    No.Month.Sex.Age.Address.Nature of Infctn.
  • Page 43
    As the Council's present Temporary Isolation Hospital was opened for the reception of scarlet fever patients (43) in the year 1896, a comparison of these two five-year periods should provide material from which some inferences may be drawn with regard to the efficacy of hospital isolation and treatment.
    Year.Cases Notified.Deaths.Case Fatality per cent.
  • Page 45
    The following figures show the comparative numbers and percentages of cases treated in hospital and at home during the epidemic and non-epidemic periods of 1933.
    Total Notified.Treated in Hospital.Treated at Home.
  • Page 45
    Diphtheria. The following table gives particulars regarding the incidence and fatality rates of diphtheria during the past five years:—
    19291930193119321933
  • Page 46
    The following list shows particulars regarding the seven deaths due to diphtheria during the year:—
    Date of Death.Sex and Age.Cause of Death.Where Death Occurred.
  • Page 47
    Leyton Figures .— The following table shows the number of deaths in Leyton attributable to influenza, respiratory and circulatory diseases during the period under review, the totals being compared with those of the same period of the preceding year.
    Influenza.Pneumonia and Bronchitis.Heart and Circulatory Diseases with Respiratory Complications.
    Month.All ages.65 years and upwards.All ages.65 years and upwards.All ages.65 years and upwards.
  • Page 48
    TABLE No. 7. CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1933.
    DISEASE.At All Ages.Number of Cases Notified. At Ages — Yeaks.Total Cases Notified in each Locality — Wards.Total cases removed to Hospital.
    Under 1.1 and under 5.5 and under 15.15 and under 25.25 and under 45.45 and under 65.65 and upwards.12345678910
    Leyton.Lea Bridge.Central North.Central South.Forest.Leytonstone.Grove Green.Harrow Green.Cann Hall.Wanstead Slip.
  • Page 50
    STEAM DISINFECTION PRACTISED.
    1926Cases Notified.Cases Removed 198Day on which Subsequent Case Occurred.Total after Seventh Day.
    Scarlet Fever 2970-78-1415-2122-3435-42
    16963119
    Cases per 1008.084.543.031.510.59.59%
    Diphtheria 289Cases Removed 23420831-12
    Cases per 1008.543.421.280.42-5.12%
  • Page 51
    STEAM DISINFECTION ABANDONED.
    Cases Notified.Cases Removed 307Day on which Subsequent Case Occurred.Total after Seventh Day.
    1930Scarlet Fever 4610-78-1415-2122-3435-42
    2034029
    Cases per 1006.51.971.30.652.93%
    Diphtheria 313Cases Removed 24010821112
    Cases per 1004.163.33.83.41.415.0%
  • Page 52
    The following table gives these results in summary form for purposes of comparison.
    Period.Steam Disinfection.Disease.Cases Notified.Cases Removed.Secondary Cases After 7th Day.Percentage of Secondary Cases.
  • Page 53
    The following is a statement of particulars appearing in the Register of Notifications of Cases of Tuberculosis for the year ended 31st December, 1933:—
    Pulmonary.Non-Pulmonary.total
    M.F.Total.M.F.Total.
  • Page 54
    The following table gives particulars regarding the new cases and deaths which have occurred during the year:—
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 55
    There were 200 deaths during the year, giving a death rate of 1.59 per thousand of the population. The various organs affected in their order of frequency may be gauged from the following list of deaths from cancer occurring during the year under review:—
    Males.Females.
  • Page 56
    ISOLATION HOSPITAL Statistical Returns 1933. Admissions:—
    At all ages.Under 1 year.1 year to 5 years.5 years to 15 years.15 years to 25 years.25 years to 45 years.45 years and upwards
  • Page 56
    The following list shows the numbers of the respective diseases dealt with:—
    Scarlet Fever.Diphtheria.Measles.
  • Page 57
    The average period of treatment in hospital was 33.20 days.
    19291930193119321933
  • Page 58
    The following are particulars of the four patients who died in the scarlet fever wards during the year:—
    No.Sex.Age.Cause of Death.In Hospital.
  • Page 60
    The average period of treatment in hospital was 43.96 days per case.
    19291930193119321933
  • Page 64
    The table below gives a summary of the Inspections made by the Sanitary Inspectors:—
    Inspections.
  • Page 78
    The following table gives the number of houses infested, and also the wards, percentage of houses affected and the ratio of verminous houses to the total.
    Ward.Total Premises in Ward.Premises Found to be Verminous, †Percentage of Verminous Premises.Ratio of Verminous Premises.
  • Page 86
    1. INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.
    Premises. (1)Number of
    Inspections. (2)Written Notices. (3)Prosecutions. (4)
  • Page 86
    2. DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
    Particulars. (1)Number of Defects.
    Found. (2)Remedied. (3)
  • Page 87
    3. REGISTERED WORKSHOPS.
    Workshops on the Register (S. 131) at the end of the year. (1)Number. (2)
  • Page 87
    4. OTHER MATTERS.
    Class. (1)Number. (2)
  • Page 87
    5. HOMEWORK.
    NATURE OF WORK.Outwork in Unwholesome Premises, Sec. 108.
    Instances.Notices served.
  • Page 88
    Designated Milk - The number of designated licences granted during the year under the Milk (Special Designations) Order, 1923, is as follows :—
    Licences.No. GrantedNo. of Samples takenResult.
    SatisfactoryUnsatisfactory
  • Page 89
    Samples were taken as shown in the following table, and letters of warning were sent out in four cases.
    Results.
    No. of Sample.No. of Bacteria per c.c.
  • Page 90
    Carcases and Viscera Condemned.
    Bovines
  • Page 91
    Continued from previous page...
  • Page 92
    Continued from previous page...
  • Page 97
    Attendances, Examinations, etc.
    Christ Church.Harrow Green.Capworth Street, Leyton GreenAll Centres.
    p.m. Mon.p.m. Fri.a.m. Tues.p.m. Tues.p.m. Weds.p.m. Thurs.
  • Page 98
    The following is a list of the ladies who act as Voluntary Workers at the maternity and child welfare centres :—
    Name.Centre.Since.
  • Page 101
    The record of such treatment undertaken during the year 1933 is as follows :—
    Espectant MothersChildren.
  • Page 101
    Orthopaedic Treatment.
    Examinations.1930193119321933
  • Page 109
    Ophthalmia Neonatorum.
    Cases.TreatedVision Unimpaired.Vision Impaired.Total Blindness.Deaths.
    At Home.In Hosp.
  • Page 112
    It ought to be studied in conjunction with the rise and fall in the number of births and the birth rates in the years under review.
    Year.No. of Births.Increase or Decrease over Previous Year.Birth Rate.Deaths under 4 Weeks.Neo-natal Death Rate.
  • Page 112
    It probably ought also to be studied in conjunction with the still births, as there is little cause for congratulation in having fewer neo-natal deaths if the number of stillbirths is correspondingly greater.
    Year.Neo-natal Death Rate.Infant Mortality Rate.No. of Deaths under 4 Weeks.No. of Deaths under 1 Year.No. of Stillbirths.
  • Page 116
    TABLE 8. Infantile Mortality, Year 1933—Ages.
    CAUSES OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 Months.Total Deaths under 1 Year.
  • Page 117
    TABLE 8a. Infantile Mortality During the Year 1933—Wards.
    CAUSE OF DEATH.Leyton.Lea Bridge.Central North.Central South.Forest.Leyton-stone.Grove Green.Harrow Green.Cann Hall.Wan-stead Slip.Ward not known.Total Deaths under 1 Year.
  • Page 118
    The Council's Infant Life Protection Visitors paid 322 visits of inspection during the year ended 31st December, 1933. Summary, Year 1933.
  • Page 119
    Attendances.—During 1933, the attendances were as follows:
    Centre.First Attendances.Subsequent Attendances.Total.
  • Page 120
    Of that number 21 were not pregnant, and the following table deals with the attendances of the remaining 422.
    Number of Expectant Mothers who attended. 422Percentage of Primigravidse. 36.50Percentage of Multipara. 63.50
    %*%*
  • Page 121
    The results of all the cases examined are tabulated below.
    Number.Percentage of Finished Cases.
  • Page 126
    Puerperal Pyrexia. As a result of investigations regarding the 8 notified cases of Puerperal Pyrexia, the causes of the pyrexia were considered to be:—
  • Page 127
    The figures given below show the variation in maternal mortality during the past five years in Leyton as compared with the country generally.
    Year.Number of Maternal Deaths (Leyton).Maternal Mortality Rate.
    Leyton.England and Wales.
  • Page 130
    MILK SUPPLY, 1928-1933.
    Year.Pints of Fresh Milk.Packets of Dried Milk.Cost to Council.
    £8.d.
  • Page 131
    Applicants Granted Free Milk During 1933.
  • Page 138
    School Population and Attendance.—I am indebted to the Director of Education for the following information regarding school population and attendance:—
    Elementary Schools.No. of Schools. (Departments).No. on Rolls.Average Attendance.Percentage Attendance.
  • Page 142
    RETURN OF ROUTINE MEDICAL INSPECTIONS.
    School.Entrants.Intermediates.Leavers.
    Code Group.Specials.Re-inspections.Code Group.SpecialsRe-inspections.| Code Group.Specials.Re-inspections.
  • Page 143
    The following list shows the comparative figures for the last five years
    1929.1930.1931.1932.1933.
  • Page 144
    I.—"Entrants."
    School.Percentage found to require treatment.
  • Page 147
    II. "Intermediates."
    School.Percentage found to require treatment.
  • Page 149
    III. " Leavers."
    School.Percentage found to require treatment.
  • Page 152
    C leanliness S urveys in I ndividual S chools.
    School.Number of Examinations.Number Cautioned.Number Excluded.
  • Page 153
    The following conditions were dealt with during the year:—
  • Page 154
    Continued from previous page...
  • Page 155
    The following list shows the ophthalmic defects found in the 1,200 children examined by Mr. Cardell at the Special Eye Clinic.
  • Page 155
    "Various diseases" included:—
  • Page 159
    The following figures are submitted to show the number of pre-school and school children who have been examined and treated during the last five years.
    Examinations.19291930193119321933
  • Page 161
    During the year, 14 school children were admitted to hospital, and the following surgical operations were performed:—
  • Page 164
    (a) New Cases, 1933.
    Medical Officer.Parents.Teachers.
  • Page 164
    (b) Old Cases , 1933.
    Medical Officer.Parents.Teachers.
  • Page 165
    Progress as Regards Special Symptoms.
    (a) New Cases, 1933.Cured.Improved.Slight Improvement.No Improvement.
  • Page 165
    No data are available for 3 cases—one a case of anaemia, and two cases of anæmia and debility.
    (b) Old Cases, 1933.Cured.Improved.Slight Improvement.No Improvement.
  • Page 166
    Eighteen children attending this school received artificial light treatment during the year 1933.
    Medical Officer.Parents.Teachers.
  • Page 173
    Table I.
    No. of CasesGroup I650 Cases
    Sub-group(A) 359(B) 152(C) 107(D) 32
  • Page 176
    Table II.
    No. of Cases.Group 111,462 Cases
    Sub-group(A)(B)(C)(D)
    93526918870
  • Page 179
    Group III (423 Cases). Tonsils Enlarged—Third Degree. Table III.
    No. of Cases.Group III423 Cases
    Sub-group(A)(B)(C)(D)
    246906225
  • Page 181
    Table IV.
    No. of Cases Group IV29
  • Page 182
    Table V.
    No. of Cases.Group V125 Cases
    Sub-group(A)(B)(C)(D)
    7533152
  • Page 184
    Table VI.
    Defects.I.Groups.IV.V.Total Defects.
    II.III.No.Percentage.
  • Page 187
    Analysis aof Secondery Case. (i. e., Case occuring oi house holds oi which a previous case occurred within a period of six weeks.)
    No. of days After Primary Case on which Second Case Occurred.Age Groups.
    1-556789101112131415 and upwards.
  • Page 191
    The following table shows the types of physical defect, the number of children in each category, and the progress recorded in the cases of 154 children subjected to medical survey by Dr. F. W. Gavin (Deputy School Medical Officer) during the year.
    Improved.Stationary.Worse.Total.
  • Page 199
    TABLE II. A.—Return of Defects found by Medical Inspection in the Year ended 31st December , 1933.
    Defect or Disease.Routine Inspections.Special Inspections.
    Number requiring Treatment.Observation.Number requiring Treatment.Observation.
    (1)(2)(3)(4)(5)
  • Page 200
    TABLE II. B.—Number of Individual Children found at Routine Medical Inspection to require treatment (excluding uncleanliness and dental diseases).
    Group.Number of Children.Percentage of Children found to require treatment.
    Inspected.Found to require treatment.
    (1)(2)(3)(4)
  • Page 200
    TABLE III.—Return of All Exceptional Children in the Area. CHILDREN SUFFERING FROM MULTIPLE DEFECTS.
  • Page 200
    BLIND CHILDREN.
    At Certified Schools for the Blind.At Public Elementary Schools.At Other Institutions.At no School or Institution.Total.
  • Page 200
    PARTIALLY BLIND CHILDREN.
    At Certified Schools for the Blind.At Certified Schools for the Partially Blind.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 201
    DEAF CHILDREN.
    At Certified Schools for the Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 201
    PARTIALLY DEAF CHILDREN.
    At Certified Schools for the Deaf.At Certified Schools for the Partially Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 201
    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.
  • Page 201
    EPILEPTIC CHILDREN. Children Suffering from Severe Epilepsy.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 201
    PHYSICALLY DEFECTIVE CHILDREN. A. Tuberculous Children. 1.—Children Suffering from Pulmonary Tuberculosis. (Including pleura and intra-thoracic glands.)
    At Certified Special Schools.At Public Elementary Schools.At other Intitutions.At no School or Institution.Total.
  • Page 202
    11. Children Suffering from NoN-Pulmonary Tuberculosis. (This category should include tuberculosis of all sites other than those shown in (I) above.)
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 202
    B. Delicate Children.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 202
    C. Crippled Children.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 202
    D. Children with Heart Disease.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 203
    TABLE IV.— contd. Group II.— Defective Vision and Squint (excluding Mincr Eye Defects treated as minor allments.—Group I.).
    Defect or Disease. (1)Number of Defects dealt with.
    Under the Authority's Scheme. (2)Submitted to refraction by private practitioner or at hospital, apart from the Authority's Scheme. (3)Otherwise. (4)Total. (5)
  • Page 203
    TABLE IV.— contd. Group III.— Treatment of Defects of Nose and Throat.
    Number of Defects.Received Other Forms of Treatment. (4)Total Number Treated. (5)
    Received Operative Treatment.
    Under the Authority's Scheme in Clinic or Hospital. (1)By Private Practitioner or Hospital, apart from the Authority's Scheme. (2)Total. (3)
  • Page 204
    TABLE IV.— contd. Group IV.—Dental Defects.
  • Page 205
    TABLE I V.—contd.
  • Page 205
    Analysis of the above Total.
    Diagnosis.Boys.Girls.