[Report of the Medical Officer of Health for Ilford]

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TABLE I.— Vital Statistics of Whole District During 1941 and Previous Years.

Births			Total Deaths Registered in the District		Transferable Deaths		Net Deaths Belonging to the District
Uncorrected Number	Net		Total Deaths Registered in the District		of Non-Residents registered in the District	of Residents not registered in the District	Under 1 Year of Ape		At all Ages
	Number	Rate	Number	Rate			Under 1 Year of Ape		At all Ages
	Number	Rate	Number	Rate			Number	Rate ^er 1,000 Net Births	Number	Rate

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TABLE 1A Table showing comparison between the Birth-rate, Death-rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1941 ( Provisional figures).

	Rate per 1,000 Total Population		Annual Death-rate per 1,000 Population								Rate per 1,000 Live Births
	Rate per 1,000 Total Population		All Causes	Typhoid and Paratyphoid Fevers	Smallpox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Diarrhoea and Enteritis (under 2 Yrs.	Total Deaths under 1 Year
	Live Births	Still- births	All Causes	Typhoid and Paratyphoid Fevers	Smallpox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Diarrhoea and Enteritis (under 2 Yrs.	Total Deaths under 1 Year

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Registrar-General's Short List of Deaths and Causes:— TABLE II Causes of, and Ages at, Death during the Year 1941

Causes of Death		Net Deaths at the subjoined ages of "Residents," whether occurring within or without the District
Causes of Death		All Ages	Under 1 year	1 and under 2 years	2 and under 5 years	5 and under 15 years	15 and under 25 years	25 and under 35 years	35 and under 45 years	45 and under 55 years	55 and under 65 years	65 and under 75 years	75 years and upwards
ALL CAUSES		1627	67	13	13	30	49	78	129	185	283	373	407

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(ii) Drainage and Sewerage .—The Borough Engineer regrets that owing to the pressure of work and the shortage of staff he is unable to supply the usual information regarding (a) Drainage and Sewerage and (b) Closet Accommodation, but has kindly supplied me with the following statement as regards Refuse and Salvage Collection:—

Collection and Disposal of Refuse:—	Tons	Cwts.

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Includes 97 nuisances detected before 1st January, 1941.

Notices served:—	Served	Complied with
Statutory:—	Served	Complied with

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(iii) Sampling .—The routine practice of sampling was given in the 1938 Report, the following gives the results for 1941:—

Grade of milk or ice cream	Total	Satisfactory	Unsatisfactory	Remarks

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The following medical examinations were carried out during 1941:—

	Officers Teachers	Servants

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The total number of deaths of Ilford residents from the following infectious diseases during 1941 was 199 as against 165 in 1940.

	1940	1941

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The following "return" cases have occurred during the past five years, a "return" case being one which arises within 28 days of the freedom of the primary case from isolation:—

Year	Cases notified (including Institutions)	Admitted to Hford Isolation Hospital	"Return" Hospital Cases	Per Cent.	Home Cases	Cases arising in same house	PerCent.

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Tabular Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1941, to 31st December, 1941.

	Newbury Hall Clinic			Mayesbrook Clinic			Grand Totals Both Clinics
	School Children (Various Schools)	Children under 5 years of age	Total	School Children (Various Schools)	Children under 5 years of age	Total	Grand Totals Both Clinics

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Final Schick Test in 1941:—

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(d) Ophthalmia Neonatorum.—8 cases were notified during 1941. Of the 8 cases notified, 6 were treated at home by private medical practitioners, 1 was treated as an out-patient at the Royal London Ophthalmic Hospital, and 1 at King George Hospital, Ilford.

Cases			Vision Unimpaired	Vision Impaired	Total Blindness	Deaths
Notified	Treated
Notified	At Home	In Hospital

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Table showing Incidence of Infectious Disease, 1941, in age groups; and total Deaths.

Disease	Total cases notified	Under 1 year	1—2	2—3	3-4	4—5	5—10	10—15	15—20	20—35	35—45	45—65	Over 65	Cases admitted to Hospital	Total Deaths

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Notifications and Deaths from Tuberculosis of Ilford residents during 1941:

Age Periods	New Cases				Deaths
	Respiratory		Non-Respiratorv		Respiratory		Non-Respiratory
	M	F	M	F	M	F	M	F

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Of the above new cases, the following were notified from Institutions in the district:—

	Respiratory Tuberculosis	Non-Respiratorv Tuberculosis

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During the year 1941 the following deaths occurred from Tuberculosis:—

	Pulmonary	Non-Pulmonary

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Continued from previous page...

			Pulmonary	Non-Pulmonary	Total

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Cases of Tuberculosis, on notification, are visited by the Tuberculosis Nurse of the Essex County Council. 799 of the cases of longer standing were visited by the Sanitary Inspectors during the year, a visit being made to each patient every six months. The following reports were obtained:—

	Pulmonary Cases	Other Cases

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The number of patients from Ilford sent to Institutions under the Essex County Tuberculosis Scheme during 1941 was as follows:—

	Pulmonary		Non-Pulmonary		Total
	Males	Females	Males	Females	Total

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1.— INSPECTION OF FACTORIES AND OTHER PREMISES. Including Inspections made by Sanitary Inspectors.

Premises	Number of
Premises	Inspections	Written Notices	Occupiers prosecuted
(1)	(2)	(3)	(4)

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2.—DEFECTS FOUND IN FACTORIES.

Particulars.	Number of Defects			No. of defects in respect of which Prosecutions were instituted
Particulars.	Found	Remedied	Referred to H. M. Inspector

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The 825 patients admitted during 1941 suffered from the following complaints:—

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Number of patients in Hospital on 1st January, 1941 and 1942, respectively:—

	1st Jan., 1941	1st Jan., 1942

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The average length of stay in Hospital was for:—

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Scarlet Fever.—The diagnosis of scarlet fever could not be confirmed in 10 patients admitted. The following table shows the percentage death-rate of cases of scarlet fever admitted to Ilford Isolation Hospital during the past five years, the rate being calculated each year only on those admissions which proved to be clinically scarlet fever.

	1937	1938	1939	1940	1941

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Diphtheria.—The following table shows the percentage death-rate of cases of diphtheria admitted to the Ilford Isolation Hospital during the past five years, the rate being calculated each year only on those admissions which proved to be clinically diphtheria.

	1937	1938	1939	1940	1941

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The following table shows the number of the Staff at the Isolation Hospital who were Schick and Dick tested during 1941, and also the number inoculated:—

Numbers Schick Tested:—	Nurses	Domestics

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Infant Mortality.

Cause 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

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The following is a summary of the home visits made by the Health Visitors during 1941 as far as the Maternity and Child Welfare work is concerned:—

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During the year the following attendances were recorded:—

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Special Clinics.—Attendances of children under 5 years of age and expectant and nursing mothers at the various Clinics during 1941 are set out in the following table:—

Clinic.	Number of Sessions.				Attendances. Individual Expectant and Nursing Mothers.				Attendances. Individual Children.				Total Attendances.
Clinic.	A.	B.	C.	D.	A.	B.	C.	D.	A.	B.	C.	D.	A.	B.	C.	D.

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74 oases were attended by the Salvation Army midwives during the year 65 as a midwife and 9 as a maternity nurse.

Ante-Natal Clinics.	Maternity Home	Mayesbrook Clinic

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Special visits were made by the Consulting Obstetrician or his Deputy to 20 cases in the Ward Blocks as follows:—

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I nfectious D isease .—The following table shows the incidence of infectious diseases in the Ilford schools since 1936:—

	Scarlet Fever.	Diphtheria.	Measles and German Measles	Chicken Pox.	Mumps.	Whooping Cough.	Small Pox.

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Diphtheria Prevention Clinics.—The following shows the work carried out at Newbury Hall (76 sessions) and Mayesbrook (55 sessions) Clinics for children of school age during 1941:—

	Newbury	Hall.	Mayesbrook.

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Result of final Schick test in 1941 of cases inoculated in 1940:

	Newbury Hall.	Mayesbrook.

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Ringworm:—

	No. of cases at beginning of 1941.	No. of cases reported during 1941.	Total.	Remedied during 1941.	No. of cases under observation at end of 1941.

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(a) Minor Ailments Clinics.—The attendances during 1941 were as follows:—

Newbury Hall	Mayesbrook

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The following table shows the conditions dealt with at both the Clinics during the year:—

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Heart and Circulation:—

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Special Clinics .—Attendances at the various Clinics during 1941, are set out in the following table:—

Clinic.	Number of Sessions.			Attendances Individual Children.			Total Attendances.
Clinic.	A.	B.	C.	A.	B.	C.	A.	B.	C.

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The amount of dental disease present in children at various ages is shown by the following table relating to school children inspected by the school Dentists:—

Age groups (in years)	No. of inspections of children	No referred for treatment.	Percentage.

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The School Nurses paid 122 visits to the schools (an average of 5 visits to each school during the year), for the purpose of inspecting the heads and clothing of the children, with the following result:—

Number of Examinations of Children.	Number Infected.	Per cent.

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The percentage for the past 5 years were as follows:—

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Physically Defective Children.—During 1941, 5 cases were referred for medical examination and report by the School Medical Officer, and the following is a detailed summary of the children dealt with under this heading:

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Continued from previous page...

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Idiots, Imbeciles, Feeble-Minded, Dull and Backward Children. Summary of cases at end of 1941:—

	Idiots.	Imbeciles.	Feeble-Minded.	Dull and. Backward

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Examination of Officers, etc .—In accordance with the Education Committee's regulations, the undermentioned teachers and other officers were medically examined and reported upon during the year by the School Medical Officer:—

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The Camps were visited by Ilford Medical Officer as follows:—

Camp.		Routine Medical Inspection.			Rapid Survey.
Camp.		Date.	Number Inspected.		Date.		Number Inspected.

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Table Showing the Principal Causes of Death among Children of School Age (i .e., from 5—15 years) in Ilford for 1939 and 1940. The Table also Gives a Comparative Percentage of Deaths Registered at all Ages, From 5—15 Years.

Disease.	Ilford, Percentage of total deaths (all ages).		Ilford, Percentage of total deaths at ages 5—15
Disease.	193#	1940	1939	1940

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Table I.—Return of Medical Inspections. A.—Routine Medical Inspections.

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Table II. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

Age Groups	No. of Children Inspected	A. (Excellent)		B. (Normal)		C. (Slightly Subnormal)		D. (Bad)
Age Groups	No. of Children Inspected	No.	%	No.	%	No.	%	No.	%

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Table II.— Continued. Group II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I).

Defect or Disease	No. of Defects dealt with
	Under the Authority's Scheme	Otherwise	Total
	(1)	(2)	(3)	(4)

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Group III.—Treatment of Defects of Nose and Throat.

Received Operative Treatment.	Received other forms of Treatment.	Total Number treated.

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Table IV.— Dental Inspection and Treatment. (1) Number of Children inspected by the Dentists:— ( a ) Routine Age Groups—

Age	5	6	7	8	9	10	11	12	13	14	Total

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Table V.— U ncleanliness and Verminous Conditions.

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Table VI. Blind and Deaf Children.

	(1) At a Public Elementary School	(2) At an Institution other than a Special School	(3) At no School or Institution	(4) Total not receiving suitable Education

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Table VI. A.—Table Showing the Average Heights and Weights of the BOYS Examined.

School	5—6 Years			6—7 Years			7—8 Years				8—9 Years			9—10 Years			10—11 Years			11—12 Years			12—-13 Years			13—14 Years
School	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Hedgnt (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Heigfil (in Centimetres)	Average Weight (in Kilogrammes)		Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)	\| Number of Children Examined	Average Height (in Centimetres)	Average Weight (in Kilogrammes)

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Table VI b.—Table Showing the Average Heights and Weights of the GIRLS Examined.

Age Groups													Age Groups
School	5-6 years			6-7 years			7-8 years			8-9 years			9-10 years			10-11 years			11-12 years			12-13 years			13-14 years
School	Number of Children Examined	Average height(in Centimetres)	Average Weight(in kilogrammes)	Number of Children Examined	Average height(in Centimetres)	Average Weight(in kilogrammes)	Number of Children Examined	Average height(in Centimetres)	Average Weight(in kilogrammes)	Number of Children Examined	Average height(in Centimetres)	Average Weight(in kilogrammes)	Number of Children Examined	Average height(in Centimetres)	Average Weight(in kilogrammes)	Number of Children Examined	Average height(in Centimetres)	Average Weight(in kilogrammes)	Number of Children Examined	Average height(in Centimetres)	Average Weight(in kilogrammes)	Number of Children Examined	Average height(in Centimetres)	Average Weight(in kilogrammes)	Number of Children Examined	Average height(in Centimetres)	Average Weight(in kilogrammes)

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Table VII._Summary of Cases of Infectious Diseases among School Children, and of Contacts of such Cases, excluded from SchooL Attendance during the Year ended The 31st December, 1941.

SCHOOLS	DISEASES AND CONTACTS
	No. on Roll	Scarlet Fever		Diphtheria		Measles & German Measles		Chicken-pox		Whooping Cough		Mumps	Totals, 1941		Totals, 1940
	No. on Roll	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Contacts	Cases	Cases	Contacts	Cases	Contacts

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

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Ilford 1941

60 tables in this report

TABLE I.— Vital Statistics of Whole District During 1941 and Previous Years.

TABLE 1A Table showing comparison between the Birth-rate, Death-rate, etc., of Ilford, other Towns, and of England and Wales for the Year 1941 ( Provisional figures).

Registrar-General's Short List of Deaths and Causes:— TABLE II Causes of, and Ages at, Death during the Year 1941

Includes 97 nuisances detected before 1st January, 1941.

(iii) Sampling .—The routine practice of sampling was given in the 1938 Report, the following gives the results for 1941:—

The following medical examinations were carried out during 1941:—

The total number of deaths of Ilford residents from the following infectious diseases during 1941 was 199 as against 165 in 1940.

The following "return" cases have occurred during the past five years, a "return" case being one which arises within 28 days of the freedom of the primary case from isolation:—

Tabular Statement as to Number of Children Schick Tested and Immunised at the Diphtheria Clinics from 1st January, 1941, to 31st December, 1941.

Final Schick Test in 1941:—

(d) Ophthalmia Neonatorum.—8 cases were notified during 1941. Of the 8 cases notified, 6 were treated at home by private medical practitioners, 1 was treated as an out-patient at the Royal London Ophthalmic Hospital, and 1 at King George Hospital, Ilford.

Table showing Incidence of Infectious Disease, 1941, in age groups; and total Deaths.

Notifications and Deaths from Tuberculosis of Ilford residents during 1941:

Of the above new cases, the following were notified from Institutions in the district:—

During the year 1941 the following deaths occurred from Tuberculosis:—

Continued from previous page...

Cases of Tuberculosis, on notification, are visited by the Tuberculosis Nurse of the Essex County Council. 799 of the cases of longer standing were visited by the Sanitary Inspectors during the year, a visit being made to each patient every six months. The following reports were obtained:—

The number of patients from Ilford sent to Institutions under the Essex County Tuberculosis Scheme during 1941 was as follows:—

1.— INSPECTION OF FACTORIES AND OTHER PREMISES. Including Inspections made by Sanitary Inspectors.

2.—DEFECTS FOUND IN FACTORIES.

The 825 patients admitted during 1941 suffered from the following complaints:—

Number of patients in Hospital on 1st January, 1941 and 1942, respectively:—

The average length of stay in Hospital was for:—

Diphtheria.—The following table shows the percentage death-rate of cases of diphtheria admitted to the Ilford Isolation Hospital during the past five years, the rate being calculated each year only on those admissions which proved to be clinically diphtheria.

The following table shows the number of the Staff at the Isolation Hospital who were Schick and Dick tested during 1941, and also the number inoculated:—

Infant Mortality.

The following is a summary of the home visits made by the Health Visitors during 1941 as far as the Maternity and Child Welfare work is concerned:—

During the year the following attendances were recorded:—

Special Clinics.—Attendances of children under 5 years of age and expectant and nursing mothers at the various Clinics during 1941 are set out in the following table:—

74 oases were attended by the Salvation Army midwives during the year 65 as a midwife and 9 as a maternity nurse.

Special visits were made by the Consulting Obstetrician or his Deputy to 20 cases in the Ward Blocks as follows:—

I nfectious D isease .—The following table shows the incidence of infectious diseases in the Ilford schools since 1936:—

Diphtheria Prevention Clinics.—The following shows the work carried out at Newbury Hall (76 sessions) and Mayesbrook (55 sessions) Clinics for children of school age during 1941:—

Result of final Schick test in 1941 of cases inoculated in 1940:

Ringworm:—

(a) Minor Ailments Clinics.—The attendances during 1941 were as follows:—

The following table shows the conditions dealt with at both the Clinics during the year:—

Heart and Circulation:—

Special Clinics .—Attendances at the various Clinics during 1941, are set out in the following table:—

The amount of dental disease present in children at various ages is shown by the following table relating to school children inspected by the school Dentists:—

The School Nurses paid 122 visits to the schools (an average of 5 visits to each school during the year), for the purpose of inspecting the heads and clothing of the children, with the following result:—

The percentage for the past 5 years were as follows:—

Physically Defective Children.—During 1941, 5 cases were referred for medical examination and report by the School Medical Officer, and the following is a detailed summary of the children dealt with under this heading:

Continued from previous page...

Idiots, Imbeciles, Feeble-Minded, Dull and Backward Children. Summary of cases at end of 1941:—

Examination of Officers, etc .—In accordance with the Education Committee's regulations, the undermentioned teachers and other officers were medically examined and reported upon during the year by the School Medical Officer:—

The Camps were visited by Ilford Medical Officer as follows:—

Table Showing the Principal Causes of Death among Children of School Age (i .e., from 5—15 years) in Ilford for 1939 and 1940. The Table also Gives a Comparative Percentage of Deaths Registered at all Ages, From 5—15 Years.

Table I.—Return of Medical Inspections. A.—Routine Medical Inspections.

Table II. Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.

Table II.— Continued. 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.

Table IV.— Dental Inspection and Treatment. (1) Number of Children inspected by the Dentists:— ( a ) Routine Age Groups—

Table V.— U ncleanliness and Verminous Conditions.

Table VI. Blind and Deaf Children.

Table VI. A.—Table Showing the Average Heights and Weights of the BOYS Examined.

Table VI b.—Table Showing the Average Heights and Weights of the GIRLS Examined.

Table VII._Summary of Cases of Infectious Diseases among School Children, and of Contacts of such Cases, excluded from SchooL Attendance during the Year ended The 31st December, 1941.