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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

Bromley 1933

[Report of the Medical Officer of Health for Bromley]

Published
1934
Pages
125
Tables
67

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67 tables in this report

  • Page 10
    Vital Statistics. The following extracts from the vital statistics relate to the nett births and deaths after correction for inward and outward transfers:—
    Live BirthsTotal.Male.Female.
  • Page 13
    are based per 1,000 population as estimated by the Registrar General at the mid-year, 1933. Further, population figure taken alone is not of the same importance as a knowledge of the age groups in that population, and I am therefore recording the figures in the age groups as recorded by the Census taken in 1931:
    Total Population.
    Age Groups.Males.Females.
  • Page 13
    II.—VITAL STATISTICS. Births. Birth Rate 12.3. The Registrar General has furnished the following information:—
    Total.Legitimate..Illegitimate.
  • Page 14
    Bromley's annual birth rates are shown in comparison with, England and Wales during the past twelve years:
    Year.BirthRates.
    Bromley.England and Wales.
  • Page 15
    Since compulsory registration of stillbirths in 1927 it will be seen from the following table that there has been little sign of downward tendency in the stillbirth rate, although there is a reduction for 1933:—
    Year.Stillbirths.Rate per 1,000 Births.
  • Page 16
    In the following tabulation is shown the crude death rates for Bromley in comparison with the death rates for England and Wales during the past eleven years:—
    Year.Bromley Crude Death Rates.England and Wales Death Rates.
  • Page 16
    Causes of deaths are tabulated in detail in the Appendix III., from which the following main causes have been extracted for 1933 and shown in comparison with 1932:—
    193219331932193319321933
    No. of deathsRate per cent, of total deaths.Rate per 1,000 of population.
  • Page 17
    In the following table the rates for Bromley are shown in comparison with those for England and Wales:—
    Year.Bromley.England and Wales.
  • Page 17
    Maternal Mortality.
    Quinquennialperiods:Sepsis.Accidents of pregnancy, etc.Rate per 1,000 births
  • Page 21
    Ante-Natal Clinic. Comparative Tables of Attendances at Ante-Natal Clinic.
    Year.Individual AttendancesTotal Attendances.Medical Consultations.Sessions held.
  • Page 24
    Notifications Received.
  • Page 24
    Summary of Reasons for Sending for Medical Help.
  • Page 29
    following extracts of figures relate to the work carried out during these sessions:—
  • Page 34
    The following are particulars of maternity and nursing homes registered by the Local Authority, and for the convenience of tabulation I have included details of the larger hospitals which are exempt from registration under the provisions of the Act:—
    Address.Total No of Beds.Maternity BedsPatients received in 1933Nursing Staff.Type of case taken.
    Maternity.Surgical MedicalTotal.ResidentQualifications.
  • Page 42
    Since the inception of the Act to the 31st December, 1930 15
  • Page 46
    IX.—PETROLEUM ACTS.
  • Page 47
    The following figures show the increase in licenced storage which has taken place since 1926:—
    year.Petroleum Spirit, (in gallons).Licences issue (Petrol only)
  • Page 47
    X.—FACTORIES AND WORKSHOPS. Statistical details with regard to inspections and defects found in factories, workshops and workplaces may be seen in Appendix XIV. The total number of factories, workshops, workplaces, and outworkers' premises on the registers is 445, and the following is a tabulation of the businesses carried on:—
  • Page 51
    Table A. Total number of animals known to have been slaughtered and carcases inspected.
    Total.Beasts.Calves.Sheep.Pigs.
  • Page 51
    Table B. Total number of slaughterings, carcases inspected, and found affected with various diseases.
    Total No. known to have been slaughtered.Total No. of animals inspected.Carcases affected with Tuberculosis.Carcases affected with other diseases.Total No. of carcases affected (all diseases).
  • Page 52
    Table C. Total number of carcases rejected for Tuberculosis and other defined diseases.
    Disease.| Bulls.Cows.Heifers.BullocksCalves.Sheep.Pigs.Total
  • Page 52
    Table D. Total number of all carcases, parts of carcases and offal rejected for all diseases.
    Disease.Carcases.Parts of Carcases.Offals of Carcases.Total number affected.
  • Page 52
    Table E. Total weights of carcases, parts of carcases and offal rejected for all diseases.
    Tons.Cwts.Qrs.lbs.Total in lbs.
  • Page 54
    The following tabulation gives particulars of the work of the Food and Drugs Inspector in Bromley during 1933:—
  • Page 60
    The following table indicates the condition of tuberculosis as it lias affected Bromley since 1925:—
    New cases Incidence per 1,000 population.Death Rate.
    Year.Pulm.Non-Pulin.Pulm.Non-Pulm.
  • Page 60
    New Cases who have Attended the Dispensary for the First Time for Examination During 1933.
    Adults.Children.
    Male.Female.Male.Female.
  • Page 66
    BIRTH RATE, DEATH RATE, AND ANALYSIS OF MORTALITY during die Year, 1933.
    Rate per 1,000 Total PopulationAnnual Death Rate per 1,000 Population.Rate per 1,000 Live Births.
    All causes.Enteric Fever.Small-Pox.Measles.Scarlet Fever.Whooping Cough.Diphtheria.Influenza.Violence.Diarrhoea and Enteritis (under Two Years).Total Deaths under One Year.
    Live BirthsStill Births
  • Page 67
    Causes of Death, 1933.
    Male.Female.Total.
  • Page 68
    APPENDIX IV. Infant Mortality, 1933.
    CAUSES OF DEATHS.Under 1 week.1 and under 2 weeks.2 and under 3 weeks.3 and under 4 weeks.Total under 4 weeks.1 month and under 3 months.3 months and under 6 months.6monthsand under 9 months.9 months and under 12 months.Total deaths under 1 year
  • Page 69
    APPENDIX V. Analysis of Causes of Infant Deaths, 1929-1933.
    19291930193119321933Total
    No. of Births623629617605598
    Infantile Mortality Kale4641473341
  • Page 70
    Three five-year period figures are taken—five years pre-war, five years to 1925, five years to 1930, and 1931-1933.
    YearsTotal BirthsInfant Mortality RateTotal Infant DeathsAge at Death.Maternal Deaths.
    Deaths under 1 weekDeaths 1 week to 4 weeksDeaths 4 weeks to 1 yearSepsisOther
  • Page -
    APPENDIX IX. Return of Notifiable Infectious Diseases, 1933.
    WARDS.Cases removed to Hospital.Attack Rate per 1,000 population.No. of Deaths.Death Rate.
    NOTIFIABLE INFECTIOUS DISEASE, 1933. Age Groups.Bickley.Bromley Common.
  • Page 76
    APPENDIX IX. Return of Notifiable Infectious Diseases, 1933.
    Disease.Total.MF.WAKDS.Cases removed to Hospital.Attack Rate per 1,000 population.No. of Deaths.Death Rate.
    PlaistowMartin's Hill.Town.Sundridge.] Bickley.Bromley Common.
  • Page 77
    APPENDIX X. Tuberculosis. New Cases and Mortality during the Year, 1933.
    Age Periods.New cases notified or otherwise revealed.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 77
    APPENDIX XI. Ophthalmia Neonatorum, 1933.
    Cases.Vision unimpaired.Vision impaired." Total Blindness.Deaths.
    Notified.Treated.
    At Home.In Hospital.
  • Page 78
    APPENDIX XII. Summary of Health Visitors' Work, 1933.
    Areas.Total.Under one year.Revisits over one year.Expectant MothersSchool Children.Baby Deaths.StillbirthsTuberculosisSpecial Visits.M'wives Acts enquiriesBoarded out Children.Ineffectual Visits.
    PrimaryRevisits
  • Page 79
    APPENDIX XIII. Welfare Centres, Attendances, 1933.
    CENTRE.No. of Babies on Rolls at the end o( the Year, 1933.Total Attendances.'No. of Sessions held.Medical Consultations.Total No. of Weighings.
    Babies.Mothers.Total Examined.No. of Sessions held.
  • Page 79
    A nte- N atal C linics.
    Total Attendances.Medical Consultations.Sessions held.
  • Page 79
    D ental C linic.
    Discharged treatment.
    Children.Mothers.
  • Page 80
    APPENDIX XIV. Factories, Workshops and Workplaces, 1933. 1.—I nspections.
    Premises.Number of
    Inspections.Written Notices.Occupiers prosecuted.
  • Page 80
    II. — Defects.
    Particulars.Number of Defects.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 96
    School.Department.No. Kxamined.Number referred for treatment.
  • Page 97
    Infectious Disease Returns received from Schools during 1933.
    Schools.Diph-theria.Scarlet Fever.Measles.Whooping Cough.Mumps.Chicken Pox.
  • Page 98
    Conditions for which Medical Certificates of Exclusion from School were issued by General Practitioners in 1933.
  • Page 101
    The following cases have been investigated and helped financially:—
  • Page 102
    Statement of Accounts.
    Receipts.Expenditure.
    £s.d.£s.d.
  • Page 106
    Statement of Accounts.
    Receipts.Expenditure.
    £s.d.£8.d.
  • Page 108
    TABLE 1.—MEDICAL INSPECTION RETURNS. Year ended 31st December, 1933. A.—ROUTINE MEDICAL INSPECTIONS.
  • Page 109
    TABLE 11a.—Return of Defects found by Medical Inspection in the year ended 31st December, 1933.
    Defect or DiseaseRoutine InspectionsSpecial Inspections
    No. of DefectsNo. of Defects
    Requiring TreatmentRequiring observationRequiring TreatmentRequiring observation
    (1)(2)(3)(4)(5)
  • Page 110
    TABLE IIa.— Continued.
    Defect or DiseaseRoutine InspectionsSpecial Inspections
    No. of DetectsNo. of Defects
    Requiring TreatmentRequiring observationRequiring TreatmentRequiring observation
    (1)(2)(3)(4)(5)
  • Page 111
    TABLE l1b.—Number of Individual Children found at Routine Medical Inspection to Require Treatment (excluding Uncleanliness and Dental Disease).
    Group.Number of Children.Percentage of Children found to require Treatment.
    Inspected.Found to require Treatment.
  • Page 111
    TABLE III.—Return of all Exceptional Children in the Area, 1933. CHILDREN SUFFERING FROM MULTIPLE DEFECTS.
    At No School or Institution.
  • Page 111
    BLIND CHILDREN.
    At Certified Schools for the Blind.At Public Elementary Schools.At other Institutions.At No School or Institution.Total.
  • Page 112
    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 InstitutionTotal.
  • Page 112
    DEAF CHILDREN.
    At Certified Schools for the Deaf.At Public Elementary Schools.At Other Institutions.At No School or Institution.Total.
  • Page 112
    PARTIALLY DEAF CHILDREN.
    At Certified Schools for the Deaf.At Certified Schools lor the Partially Deaf.At Public Elementary Schools.At Other Institutions.At No School or InstitutionTotal.
  • Page 112
    MENTALLY DEFECTIVE CHILDREN. Feeble-Minded Children.
    At Certified Schools for Mentally Defective ChildrenAt Public Elementary Schools.At Other Institutions.At No School or Institution.Total.
  • Page 113
    EPILEPTIC CHILDREN. Children Suffering from Severe Epilepsy.
    At Ctrtified Special Schools.At Public Elementary Schools.At Other Institutions.At No School or Institution.Total.
  • Page 113
    PHYSICALLY DEFECTIVE CHILDREN.
    At Certified Special Schools.At Public Elementary Schools.At Other Institutions.At No School or InstitutionTotal.
  • Page 114
    TABLE IV.—Return of Defects Treated during the year ended 31st December, 1933. Treatment Table. Group 1.—Minor Ailments. (Excluding Uncleanliness for which see Group VI.).
    N umber of Defects treated or under Treatment during the year.
    Under the Authority's Scheme.Otherwise.Total.
  • Page 115
    TABLE IV.—Group II. Defective Vision and Squint (Excluding Minor Eye Defects treated as minor ailments—Group I.).
    Defect or Disease.No. of Defects dealt with.No. of Children for whom Spectacles were
    Under the Authority's Scheme.By Private Practitioner or at Hospital apart from the Authority's SchemeOtherwise.Total.Prescribed.Obtained.
    Under the Authority's Scheme.Otherwise.Under the Authority's Scheme.Otherwise.
  • Page 117
    TABLE IV.—Group IV. Orthopaedic and Postural Defects.
    Under the Authority's Scheme.Otherwise.Total Number Treated.
    Residential treatment with Education.Residential treatment without Education.Nonresidential treatment at an Orthopaedic Clinic.Residential treatment with Education,Residential treatment without Education.Nonresidential treatment at an Orthopaedic Clinic.
  • Page 118
    TABLE IV.—Group V. Dental Defects.
  • Page 119
    Continued from previous page...
  • Page 119
    TABLE IV.—Group VI. Uncleanliness and Verminous Conditions.
  • Page 120
    Dental Treatment and Details of Treatment Given, 1933.
    Total No. of half-days given to Inspections.Total No. of half-days given to treatments.Total No. of Appointments.S.M.O. and Emergency Cases.Total No. of Permanent teethTotal No. of Temporary teeth.Total No. of Fillings.Anaesthetics.Other Operations, Scalings, Dressings Regulations.
    Made.Kept.Extracted.Filled.Extracted.Filled.Gas.Local.
  • Page 121
    HEAD INSPECTIONS
    School.Depts.FIRST INSPECTIONS.FINAL INSPECTIONS.ALL INSPECTIONS.Individual Inspections.
    Number InspectedCleanSlightly VerminousHighly VerminousNumber InspectedCleanSlightly VerminousHighly VerminousNumber InspectedCleanSlightly VerminousHighly VerminousSlightly VerminousHighly Verminous