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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
Stepney 1935
[Report of the Medical Officer of Health for Stepney]
- Published
- 1936
- Pages
- 150
- Tables
- 93
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Page 7
SUMMARY OF STATISTICS, 1935.
-
Page 8
The net number of births notified under the Act was as follows:—
Live Births. Still Births. -
Page 9
2,078 deaths occurred in Public Institutions in the Borough, of which 1,330 belonged to Stepney and 748 belonged to other Boroughs.
Belonging to Stepney. Belonging to other Boroughs -
Page 9
The Chief Officer of Public Assistance and the Ministry of Labour have kindly supplied me with the following information:—
1935. Men. Women. Children. Total. -
Page 12
The number of bacteriological examinations made at the Mile End Hospital on behalf of the Public Health Department during the year was 2,545. These consisted of:—
No. Positive. No. Negative. Totals -
Page 12
The following is a list of the hospital facilities in the Borough, showing particulars of each:—
Situation. No. of beds. In-patients admitted during the year. Out-patients. No. dealt with during the year. Purpose. Management. -
Page 16
The Council has arrangements by which they pay for the attendances of patients undergoing certain forms of treatment at various hospitals as follows:
No of Patients. No. of Attendances -
Page 19
Form T145 a. (a) PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1935 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register. The Table is arranged according to the years in which the patients were first entered on the Dispensary Register as definite cases of pulmonary tuberculosis, and their classification at that time.
Condition at the time of the last record made during the year to which the return relates Previous to 1926 1926 1927 1928 1929 Class T. B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B.plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B, plus) -
Page 20
PULMONARY TUBERCULOSIS— continued.
Condition at the time of the last record made during the year to which the return relates 1930 1931 1932 1933 1934 1935 Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Class T.B. minus Class T.B. plus Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) -
Page 21
( b ) NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1935 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.
Condition at the time of the last record made during the year to which the return relates. Previous to 1926 1926 1927 1928 1929 Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total -
Page 22
NON-PULMONARY TUBERCULOSIS— continued.
Condition at the time of the last record made during the year to which the return relates. 1930 1931 1932 1933 1934 1935 Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total Bones and Joints Abdominal Other Organs Peripheral Glands Total -
Page 25
Record of Attendances.
At the Exhibition. Evening Lectures. Talks to School Children. Cooking Demonstrations. Cinemotor. -
Page 26
SUMMARY OF WORK DONE AT THE DENTAL CLINIC—(a) TUBERCULOSIS.
Particulars of Patients. Number of Fillings. Number of Scalings. Extraction Cases. Dentures Number of Dressings. Number for Advice. Denture Visits. Number of New Patients. Number of Attendances. Simple. .. Root. Without Anaesthetic. Local Administrations. Gas Administrations. Number of Teeth Extracted. Upper. Lower. Re-models Repairs. -
Page 26
(b) MATERNITY.
-
Page 29
Continued from previous page...
I. Separate Institutions provided by the Council for these cases. Institutions (with accommodation for these cases) transferred to the Council under Part I of the Local Government Act, 1929. Institutions provided by Voluntary Associations and subsidised by the Council. -
Page 30
12. —Infectious Diseases.
Disease. Number of cases notified during the year. Number of cases visited by officers of the Council. Number of cases for whom home nursing was provided by the Council. Number of cases removed to hospitals. -
Page 33
The following table shows the approximate quantity and cost of milk, etc., distributed during the year:—
No. of Grants. Quantity. Cost. -
Page 35
HEALTH VISITORS' REPORT.
DISTRICT Whitechapel, S. St. George's, W Tower. Mile End, N.W. Spitalfields. Whitechapel, M Mile End, W. and part S. Whitechapel, E. Limehouse, S. Ratcliff, S. St. George's, N and part S. Shad well, N. Mile End. S.E. Mile End, N.E., part N. part S. Mile End, C. Limehouse, N.W. Whitechapel and Spitalfields Whitechapel, E Mile End, W. and part S. Limehouse, N. Ratcliffe, N. Mile End, part S. Wapping Shadwell, S.W. NAME Miss Bailey Miss Blackmore Miss Brazier Miss Carty Miss Clements Miss Cordwell Miss Foucar Miss Gibbs Miss Michell Miss Peverett (3 months temporary) Miss Styles Miss A. Clifford Total -
Page 36
MUNICIPAL CENTRES.
Limehouse. Mile End. St. George's. Spitalfields. Wapping. Whitechapel. Total. Mile End Road Burdett Road Mon. Wed. Thurs. Thurs. Wed. Tues. Fri. Tues. Thurs. Tues. Fri. Wed. -
Page 37
The deaths from stated causes at various ages under one year of age are shown in the table below:—
Cause of Death Under 1 week. 1-2 weeks. 2-3 weeks. 3-4 weeks. Total under 1 month. 1-3 months. 3-6 months. 6-9 months. 9-12 months. Total Deaths under One Year -
Page 38
LIST OF MATERNITY AND CHILD WELFARE CENTRES, ETC., IN THE BOROUGH.
CENTRES. MONDAY. TUESDAY. WEDNESDAY. THURSDAY. FRIDAY. REMARKS: morning. afternoon. morning. afternoon. morning. afternoon. morning. afternoon. morning. afternoon. -
Page 39
LIST OF maternity and CHILD welfare centres, etc., in the borough— continued.
centres. monday. tuesday. wednesday. thursday. friday. REMARKS : morning. afternoon. morning. J afternoon. morning. afternoon. morning. afternoon. morning. afternoon. -
Page 48
Attendances at Ante-natal Clinics.
Individual Districts. All Districts. A. B. C. D. E. F. -
Page 49
Number of Attendances at Ante-natal Clinics made by each Case.
Number of cases who attended an ante-natal clinic. Once only. 2-3 attendances. 4-5 attendances. Over 5 attendances. 97 569 826 1,063 Total 2,555 -
Page 52
The following is a record of the work done in Stepney during these extra Rat Weeks in 1935 :—
Extra Rat Weeks. Dates (inc.) Poisoned baits laid in Baits laid Manholes. Side-entrances. Eaten. Uneaten. -
Page 55
Infectious diseases —cases notified under local orders (excluding cases coming to knowledge otherwise than by notification).
Disease. Cases notified. Period. -
Page 56
I.—Inspections.
Premises. Number of Inspections. Written Notices. Prosecutions. -
Page 57
2 —Defects found.
Particulars. Number of Defects. Number of Prosecutions. Found. Remedied. Referred to H.M. Inspector. -
Page 57
3.—Registered Workshops.
Workshops on the Register (s. 131) at the end of the year 1935. Number -
Page 58
4.—Other Matters.
Class. Number. -
Page 58
The net number of outworkers in the Borough engaged in is as follows:— various trades
-
Page 59
Outworkers premises where sanitary defects were found to exist :—
Nature of work. Instances. Notices served. -
Page 60
RETURN OF SANITARY WORK, 1935.
W. E. Anstee. i G. Bottomley. C. F. Brockett. J. H. Brownlee. W Cue. R. W. G. Day T. W. Dee. E. J. Edwards. E. W. Flint. G. D. Freeland. H. J. Green. C. F. Guy. H. O. Harris. W H. Haworth W. H. Howard. S. Lowther. J. G. McCarthy. R. Roper. W. Shepherd. R. Simpson. W. F. Smith. S. H. V. Trimming. W. T. Twynham. R. H. Waterman. Totals. -
Page 61
RETURN OF SANITARY WORK, 193f—Continued.
W. E. Anstee. G. Bottomley. C. F. Brockett. J. H. Brownlee. W. Cue. R. W. G. Day T. W. Dee. E. J. Edwards. E. W. Flint. G. D. Freeland. H. J. Green. C. F. Guy. H. O. Harris. W. H. Haworth W. H. Howard. S. Lowther. J. G. McCarthy. R. Roper W.Shepherd. R. Simpson. W. F. Smith. S. H. V. Trimming. W. T. Twynham. R. H. Waterman. Totals. -
Page 62
REPORT OF INSPECTIONS, ETC. BY THE DISTRICT SANITARY INSPECTORS—1935.
W. E. Anstee. G. Bottomley. C. F. Brockett. J. H. Brownlee. W. Cue. R. W. G. Day T. W. Dee. E. J. Edwards. E. W. Flint. j G. D. Freeland. | H. J. Green. C. F. Guy. H. O. Harris. W. H. Haworth W. H. Howard. S. Lowther. J. G. McCarthy. R. Roper. W. Shepherd. R. Simpson. W. F. Smith. S. H. V. Trimming W. T. Twynham. R. H. Waterman. Miss H. A. Whitty. Totals -
Page 63
REPORT OF INSPECTIONS, ETC. BY THE DISTRICT SANITARY INSPECTORS—1935— Continued.
W. E. Anstee. G. Bottomley. C. F. Brockett. J. H. Brovvnlee. W. Cue. R. W. G. Day T. W. Dee. E. J. Edwards. E. W. Flint. G. D. Freeland. H. J. Green. C. F. Guy. H. O. Harris. W. H. Haworth W. H. Howard. S. Lowther. J. G. McCarthy. R. Roper W. Shepherd. R. Simpson. W. F. Smith. S. H. V. Trimming. W. T. Twynham. R. H. Waterman. Miss H. A. Whitty. Totals. -
Page 64
Continued from previous page...
Date. Matter of Information or Complaint. Result. -
Page 65
Continued from previous page...
Date Matter of information or complaint. Result. -
Page 66
Continued from previous page...
Date. Matter of information or complaint. Result. -
Page 67
Continued from previous page...
Date Matter of information or complaint. Result. -
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Continued from previous page...
Date. Matter of Information of Complaint. Result. -
Page 69
Continued from previous page...
Date. Matter of information or complaint. Result. -
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Continued from previous page...
Date. Matter of information or complaint. Result. -
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Continued from previous page...
Date. Matter of information or complaint. Result. -
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Continued from previous page...
Date. Matter of information or complaint. Result. -
Page 73
Continued from previous page...
Date. Matter of information or complaint. Result. -
Page 74
Continued from previous page...
Date. Matter of information or complaint. Result. -
Page 75
Continued from previous page...
Date. Matter of information or complaint. Result. -
Page 77
489 families in the Borough took accommodation on the London County Council's housing estates as follows :—
Estate. Number of families. Estate. Number of families. -
Page 80
Clearance Orders were also made as follows :—
Houses. Persons to be displaced. -
Page 80
London County Council. During the year the London County Council have passed clearance order resolutions in respect of the following areas within the Borough :—
Houses. Persons to be displaced. -
Page 81
Additional dwellings required on the standard of l ½ persons a room under the above headings.
3 rooms 4 rooms 5 rooms 6 rooms 7 rooms 8 rooms 9 rooms 10 rooms Total -
Page 85
The following is a summary of the inspections, etc., by the four special Inspectors engaged in the supervision and inspection of food :— No. of Inspections
H. Abson A.C.Brown T. W. Dee S. Vogler Totals -
Page 86
69 Licences were issued under the Milk (Special Designations) Order, 1923, being 4 more than in the previous year, as follows :—
Dealer's Licences Dealer's Supplementary Licences. -
Page 87
Continued from previous page...
No. on Register. No. of Notices served. No. of Inspections. -
Page 87
The following is a list and quantity of the Foodstuffs from the wharves destroyed during the year under the Public Health (Imported Food) Regulations, 1925.
Wharves. Tons cwts. qrs. lbs. -
Page 88
Continued from previous page...
Fresh Fruit and Vegetables. Tons cwts. qrs. lbs. -
Page 89
Continued from previous page...
Tons cwts. qrs. lbs. -
Page 90
Continued from previous page...
Fish. Tons cwts. qrs. lbs. -
Page 91
170 Detention Notices and 184 Release Notices were issued during the year in respect to the undermentioned foodstuffs :—
Article. Detention Notices. Release Notices. Quantity. No. of notices. Weight. Quantity. No. of Notices. Weight. T. c. q lbs. T. c. q. lbs. -
Page 93
The following foodstuffs were found to be unsound and destroyed :—-
Tons. cwts. qrs. lbs. -
Page 95
During the year 1,739 samples were submitted to me for examination these samples were made up as under :—
-
Page 96
Table A.
Nature. Number of Samples. Number Genuine. Number Adulterated Percentage Adulterated Preservative Found. -
Page 97
T able A — Continued.
Nature. Number of Samples. Number Genuine. Number Adulterated Percentage Adulterated Preservative Found -
Page 98
Table A.— Continued.
Nature. Number of Samples Number Genuine. Number Adult' rated Perientages Adult' rated Preservatives Found -
Page 98
Table B.
Year. Samples taken under the Act. Number Adulterated. Percentage Adulterated. Bact. Examinations Miscellaneous Samples Total Samples -
Page 99
Offences were committed in 162 cases. These were dealt with as shown below :— Legal Proceedings.
Adulterated. Other offences. Total. -
Page 100
Table D.
Number. Deficient in | Fat per cent. Deficient in Solids-not-fat per cent. Minimum added water per cent. Hortvet. Action : Result of Proceedings. -
Page 101
Table D— continued.
Number. Deficient in Fat per cent. Deficient in Solids-not fat per cent. Minimum added water per cent. Hortvet. Action : Result of Proceedings. -
Page 104
Table E.
Month. Number examined. Fat per cent. Solids-not-fat per cent. Total Solids per cent. -
Page 104
Table F.
Month. Number Examined. Fat per cent. Solids.not-fat per cent. Total Solids per cent. -
Page 105
Table G.
Year. Fat per cent. Solids-not-fat per cent. Total Solids per cent. -
Page 118
RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN STEPNEY FROM JANUARY 1st TO DECEMBER 31st, 1934 INCLUSIVE. M.379
Registration Sub-Districts comprised in the Vaccination Officer's District. Number of Births returned in the " Birth List Sheets " as registered from 1st January to 31st December, 1934. Number of these Births duly entered by 31st January, 1936, in Columns I., II., IV. and V. of the " Vaccination Register " (Birth List Sheets), viz. : Col. I. Successfully Vaccinated. Col. II. Col. IV. Number in respect of whom Statutory Declarations of Conscientious Objection have been received. Col. V. Died unvaccinated. Insusceptible of Vaccination. Had Small Pox. (1) (2) (3) (4) (5) (6) (7) -
Page 119
Continued from previous page...
Registration Sub-Districts comprised in the Vaccination Officer's District. Number of these Births which on 31st January, 1936, remained unentered in the " Vaccination Register " on account (as shown by " Report Book") of Number of these Births remaining on 31st Jan., 1936, neither duly entered in the "Vaccination Register" (columns 3, 4, 5, 6 and 7 of this Return) nor temporarily accounted for in the " Report Book " (columns 8, 9 and 10 of this Return). Total number of Certificates of Successful primary Vaccination of Children under 14 received during the Calendar Year 1935. Number of Statutory Declarations of Conscientious Objection actually received by the Vaccination Officei irrespective of the dates of birth of the children t< which they relate, durin the Calendar Year 1935. Postponement by Medical Certificate. Removal to Districts the Vaccination Officers of which have been duly apprised. Removal to places unknown, or which cannot be reached ; and cases not having been found. (8) (9) (10) (11) (12) (13) -
Page 120
SUMMARY OF PRIMARY VACCINATIONS DURING THE YEAR JANUARY TO DECEMBER, 1935 (Form N).
No. of cases in birth lists received during the year. No of certificates of vaccination received. No. of certificates of postponement owing to No. of statutory declarations under section 1 of the Vaccination Act, 1907. No. of certificates ol insusceptibility or of having had smallpox. No. of cases No. of entries in lists sent to public vaccinator Health of child. Condition of house. Prevalence of infectious disease. Parents removed out of district. Otherwise not found. -
Page 121
Return showing the number of persons successfully vaccinated and re-vaccinated at the cost of the Rates by the Medical Officers of Institutions and the Public Vaccinators during the year ended 30th September, 1935.
Name of Institution or Vaccination District. Name of Medical Officer or Public Vaccinator. Number of successful primary vaccinations of persons. Number of successful re-vaccinations. Under one year of age. One year and upwards. Total. -
Page 123
NOTIFIABLE DISEASES (OTHER THAN TUBERCULOSIS) DURING THE YEAR, 1935.
Disease. Total Cases Notified. Cases mitted to Hospital Total Deaths. In Age Groups. Under 1 year. 1— 2— 3— 4— 3- 10— 15— 20— 35— 45— 65 and over Total -
Page 126
Formal Notifications. Number of Primary Notifications of new cases of Tuberculosis
Age periods 0— 1— 5— 10— 15— 20— 25— 35— 45— 55— 65— Total (all ages) Total Notifications. -
Page 126
SUPPLEMENTAL RETURN. PART IT.— New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by formal notification.
Age periods 0— 1- 5— 10— 15— 20— 26- 35— 45— 55— 65— Total -
Page 126
The source or sources from which information as to the above-mentioned cases was obtained is stated below:—
Source of Information. No. of Cases. Pulmonary Non-Pulmonary. -
Page 126
PART III. NOTIFICATION REGISTER.
Pulmonary Non-pulmonary Total Cases -
Page 127
Particulars of new cases of tuberculosis and of all deaths from the disease in Stepney during 1935.
Age Periods. New Cases. Deaths. Pulmonary. Non-Pulmonary Pulmonary. Non-Pulmonary M. F. M. F. M. F. M. F. -
Page 128
It was not found necessary to take action under the regulations during the year.
Occupation. New Cases Notified. Deaths Occupation. New Cases Notified. Deaths -
Page 129
The organs and parts of the body affected were as follows:—
Male. Female. -
Page 132
Metropolitan Borough of Stepney.
(2) Live Births Live Births registered (excluding re-registrations). Inward Transfers. Outward Transfers, Live births allocated to the Borough. -
Page 132
(4) Notifiable Infectious Diseases :—number of cases notified during the 52 weeks ended 28th December, 1935.
Small-pox. Scarlet Fever. Diphtheria. Enteric Fever. Pneumonia. Puerperal Puerperal Fever. Pyrexia. Erysipelas. -
Page 133
TOTAL DEATHS BY CAUSE AND AGE IN THE METROPOLITAN BOROUGH OF STEPNEY, 1935. S.D.24 ESTIMATED RESIDENT POPULATION (MID. 1935). SEE S.D.52
CAUSES OF DEATH. Sex. All Ages. 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75— -
Page 134
TOTAL DEATHS BY CAUSE AND AGE IN THE METROPOLITAN BOROUGH OF STEPNEY, 1935—{ continued ).
CAUSES OF DEATH. Sex. All Ages. 0— 1— 2— 5— 15— 25— 35— 45— 55— 65— 75— -
Page 135
(Provisional Figures based on Weekly and Quarterly Returns.)
England and Wales. 121 County Boroughs and Great Towns including London. 140 Smaller Towns (Resident Population 25,000 to 50,000 at 1931 census). London Administrative County. -
Page 136
Table II. Results in Estates of Local Authorities.
Authority. , __ No. of families. No. overcrowded. Percentage. -
Page 136
Table III. Results in each of the 16 Sanitary Districts.
District No. No. of houses surveyed [form a). No. of houses surveyed (form b). No. of families. No. of families overcrowded . Percentage. Approx. identification of district. -
Page 137
Table IV. This table should be read as follows :— of (b) number of families consisting of (a) number of persons, (c) number are overcrowded.
(a) (b) (c) -
Page 139
I am indebted to Dr. W. Allan Young, the Medical Officer of Health for Poplar, for kindly supplying me with the following interesting and informative table.
Borough. Estd. Res. Population (mid. 1935). Live Births rate per 1,000 population Death' rate per 1,000 population. Infantile Mortality rate per 1,000 live births. crude adjusted