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

View report tables

Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Walthamstow 1930

[Report of the Medical Officer of Health for Walthamstow]

Published
1931
Pages
122
Tables
86

This page requires JavaScript

86 tables in this report

  • Page 8
    CENSUS.
    Area. Acres.Persons.Males.FemalesPersons per acre.Private familiesPopulation in Private families.Structurally separate dwellings occupied.Rooms occupied.Rooms per person.
  • Page 9
    HOUSING.
    Percentage of Structurally separate Dwellings returned asRooms per dwelling.Families per dwelling.Persons per family.Rooms per person.Increase in dwellings 1911-1921.Increase in private families.Deficiency of Rooms.Population living more than 2 persons to a room.
    Private House.Maisonettes, Flats, Tenements.Attached to Shops, Warehouses, etc.No.%No.%Population.% of total private family pop.
  • Page 10
    The total insured workpeople of both sexes in Walthamstow is approximately 24,000, and a test showed that roughly two-thirds of the figures given below (which cover the whole Exchange Area) related to persons residing in Walthamstow (excluding Juveniles).
    Date Week ending.No. remaining on RegisterAmount of benefit paid. £
    Men.WomenTotal.
  • Page 11
    Mr. Dempsey states that the following were the registrations at the Juvenile Employment Bureau:-
    Fresh Applications.
    Boys.Girls.Total
  • Page 11
    The Parks and Recreation Grounds available in the Borough are as follows:-
    Acreage.
    A.R.P.
  • Page 12
    The following table compares the above statistics for the quinquennium:-
    Year.Estimated Population.Live Births.Birth Rate.Deaths.Death Rate.Infant Mortality.Deaths fromZymotic Disease Death Rate.Natural increase of Population.
    Legit.Illeg.Total.Legit.Illeg.Total.Measles.Whooping Cough.Diarrhoea. and Enteritis under 2 years.
    M.F.M.F.
  • Page 13
    As in previous years, the Registrar-General's comparative figures for towns in the 'Outer Ring' for the 53 weeks ended 3rd January, 1931, are given below. The rates are provisional only.
    Town.Estimated Population Mid.1929.Rate per 1,000 living.Measles.Death Rate per 1,000 living.Death Rate per 1,000 Live Births.
    Live Births.Deaths (Civilians)Scarlet Fever.Whooping Cough.Diphtheria.Influenza.Diarrhoea & Enteritis (under 2 years).Infants under 1 year.
  • Page 14
    Birth-rate, Death-rate, and Analysis of Mortality during the Year 1930. (Provisional figures. The rates for England and Wales have been calculated on a population estimated to the middle of 1930, but those or the Towns have been calculated on populations estimated to the middle of 1929. The mortality rates refer to the whole population as regards England and Wales but only to civilians as regards London and the groups of towns).
    Rate per 1,000 Total Popuation .Annual Death-rate per 1,000 Population.Rate per 1,000 BirthsPercentage of Total Deaths.
    All Causes.Enteric Fever.Smallpox.Measles.Scarlet Fever.WhoopingCoughDiphtheria.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 16
    Causes of and Ages at Death during the year 1930. Whole District and Wards.
    Causes of DeathNet Deaths at the subjoined ages of "Residents" whether occurring within or without. the districtWards
    All AgesUnder 1 year1 and under 2 years2 and under 5 years5 and under 15 years15 and under 25 years25 and under 45 years46 and under 65 years65 and upwardsSt. James StreetHigh StreetHoe StreetWood StreetHale EndHigham Hill
    No.1M.F.345678910
  • Page 17
    The Death-rates by Wards calculated on the estimated populations shown are as follows:-
    Ward.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Whole Boro'.
  • Page 18
    The main causes of death during the past five years were as follows: —
    Year.Heart Disease.Cancer.Pneumonia.Respiratory Tuberculosis.Cerebral Hæmorahage.Congenital Debility, etc.Bronchitis.Nephritis.Violence.Arterio Sclerosis.Measles.Diphtheria.Gastric and j Duodenal Ulcer.Diabetes.Suicide.Whooping Cough.Influenza.
  • Page 19
    Details of site, age and occupation are given below:-
    Males.
    Stomach (24).Prostate (8).
    AgedAged
  • Page 23
    Mr. Pegram, the Clerk to the Committee, has kindly supplied the following particulars of Walthamstow residents admitted to the various Institutions during the year ended the 31st March, 1931:—
    Institution.Men.Women.Children.Total.
  • Page 24
    The annual reports show the following work to have been carriec out:—
    Patients admitted.Average stay in Hospital.Beds occupied Daily.Out-patients New Cases.Department. Attendances.
  • Page 26
    14. Clinics and Treatment Centres.
    Nature.Day. Time.Situation. Accommodation.By whom provided.
  • Page 28
    Sanitary Inspection of the Area.
    No. of inspections made.No. of nuisances detected.No. of complaints received.No. of Informal Notices.No. of Statutory Notices served.Total visits.
    Served.Complied with.
  • Page 33
    The following table shows the total number of houses erected during the past five years:—
    With StateAssistance.
    By the Local Authority.By other bodies and persons.By other bodies or persons.Total.
    Houses.Flats.
  • Page 40
    BACTERIOLOGICAL ANALYSIS OF MILK SAMPLES.
    Date.Nature of sample.Total Bacteria per cubic centimetre.Bacillus Coli absent inPresence of Tubercle Bacillus (biological test).Remarks.
  • Page 41
    BACTERIOLOGICAL EXAMINATION OF ICE CREAM SAMPLES.
    Date.Nature of sample.Total Bacteria per cubic centimetre.Bacillus Coli absent inBacillus Welchii Spores in 10 ccs.Remarks.
  • Page 45
    Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.
    Premises.Number of
    Inspections.Written Notices.Occupiers Prosecuted.
    (i)(2)(3)(4)
  • Page 46
    2.—DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
    Particulars.Number of Defects.Number of offences in respect to which Prosecutions were instituted.
    Found.Remedied.Referred to H M Inspector.
    (1)(2)(3)(4)(5)
  • Page 48
    The total number of cases of notifiable diseases during 1930 was 2,393, or, excluding Chickenpox (not notifiable in previous years), 1,700, as compared with 1,515 in 1929, 1,455 in 1928, 1,372 in 1927, and 1,182 in 1926.
    Disease.All Ages.Under 11 to 55 to 1515 to 2525 to 4545 to 6565 and over.St. James Street.High StreetHoe Street 'Wood Street .Hale End.Higham Hill.Removed to Hospital
  • Page 49
    The following table shows the yearly notifications for the past five years:-
    Year.Smallpox.Scarlet Fever.Diptheria.Enteric Fever.Pneumonia.Puerperal Fever.Puer.Pyrexia.Ophth Neon.Erysipelas.Enceph.Leth.Cerebro-spinal Meningitis.pulmonary Tuberculosis.Non-pulmonary Tuberculosis.Polio-encephalitas.Poliomyelitis.Smallpox.Total.
  • Page 52
    SMALLPOX—1930.
    All ages.Under 1 yr.1-5 years.5-15 years.15-25 years.25-45 years.45-65 years.65 & over.St. James' Street.High StreetHoe Street.Wood Street.Hale End.Higham Hill.
  • Page 54
    During the same period 32 families accepted immediate vaccination with no secondary cases, while nine further families who also accepted vaccination showed secondary cases as under:—
    Initials.Duration of first patient's rash when second patient Vaccinated.No. of Secondary Cases.Duration of Hospital Treatment.
  • Page 58
    The following represent the more serious cases:—
  • Page 58
    VACCINATION RETURN, 1930. Borough of Walthamstow.
    Births Registered.Successfully Unsusceptible.Exemptions.Vaccinated.Deaths before Vaccinated or exempted.
  • Page 59
    SCARLET FEVER.
    Year.All ages.Under 11-55-1515-2525-4545-6565 & over.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Removed to Hospital.Percentage .Deaths (all cases).
  • Page 60
    The monthly incidence of the disease during 1930 was as follows:—
    Jan.Feb.Mar.Apr.MayJuneJulyAug.Sep.Oct.Nov.Dec.Total.
  • Page 61
    DIPHTHERIA.
    Year.All ages.Under 11-55-1515-2525-4545-6565 & over.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Removed to Hospital.Percentage .Deaths (all cases).Deaths per 100 cases.
  • Page 62
    In order to secure sufficient beds one of the wards at your Isolation Hospital usually used for Scarlet Fever patients was allocated to Diphtheria cases between September 18th and November 26th, when notifications reached their maximum, as shown by the following monthly incidence:—
    Jan.Feb.Mar.Apr.MayJuneJulyAug.Sep.Oct.NovDec.Total.
  • Page 63
    The five-yearly incidence was:—
    Year.1930.1929.1928.1927.1926
  • Page 63
    Details of the 1930 cases are as follows:—
    Age.Sex.Suspected cause.Where treated.
  • Page 64
    (E) PNEUMONIA. The number of cases notified during the five year period was as follows:—
    Year.All ages.Under 11-55-1515-2525-4545-6565 & over.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Hig-ham HillRemoved to Hospital.Deaths.
  • Page 65
    (F) PUERPERAL FEVER AND PYREXIA. The following table shows the notifications of the past five years:—
    Year.All ages.15-2525-4545-65St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Removed to Hospital.Deaths from
    Puerperal Sepsis.Other Accidents and Diseases of Pregnancy, etc.
  • Page 66
    OPHTHALMIA NEONATORUM. (See page 109.) (H) ERYSIPELAS.
    Year.All ages.Under 11-55-1515-2525-4545-6565 & over.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Removed to Hospital.
  • Page 67
    (I) ENCEPHALITIS LETHARGICA
    Year.All ages.Under 11-55-1515-2525-4545-6565 & over.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Removed to Hospital.Deaths.
  • Page 68
    (J) CEREBRO-SPINAL MENINGITIS
    Year.All ages.Under 11-55-1515-2525-4545-6565 & over.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Removed to Hospital.
  • Page 69
    Chickenpox first became notifiable during the week ending 22nd March, 1930, and the following table shows the monthly incidence by Wards:—
    Jan.Feb.Mar.Apr.MayJuneJulyAug.Sep.Oct.Nov.Dec.Total.
  • Page 69
    These notifications are made under the Education Committee's Regulations as to Infectious Diseases in Schools:—
    Year.No. of eases in school children.Maximum incidence.Deaths.
    Measles.S.F.Diph.
    TotalUnder 11-22-55-15
  • Page 70
    Deaths from Scarlet Fever and Diphtheria are again given for purposes of comparison, and all the remarks made in respect of Measles apply equally forcibly to Whooping Cough:—
    Year.No. of cases in School Children.Maximum incidence.Deaths.
    Whooping CoughS.F.Diph.
    Total.Under 11-22-55-15
  • Page 71
    The table given below shows particulars of new cases of Tuberculosis and of all deaths from the disease in the Borough during 1930:—
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-Pulmonary .Pulmonary.Non-Pulmonary.
    MFMFMFMF
  • Page 71
    The returns of the quinquennium are summarised below:—
    New Cases.Total.Deaths.Total.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 72
    The periods elapsing between notification and death, and the number of cases not notified were as follows:—
    Year.Under 3 months.3 to 6 months.6 to 9 months.9 to 12 months.Over 12 months.Not Notified.Notified after death.Total.Percentage dead within 6 months of Notification.
    Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.Pul.Non-Pul.
  • Page 73
    The table given below shows the number of cases on the Register at the beginning and end of 1930.
    No. on RegisterPulmonary.Total.Non-Pulmonary.Total.Grand Total.
    M.F.M .F.
  • Page 73
    The 132 removals from the Register during 1930 are made up as follows:—
    Deaths.Removals.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary .
    M.F.M.F.M .F.M.F.
  • Page 73
    Treatment of Tuberculosis. —Treatment is given under the Essex County Council's scheme. The admissions to Hospital during the last five years were:—
    Pulmonary.Non-Pulmonary.Total.
    M.F.M.F.
  • Page 74
    The following particulars are extracted from returns made to the Essex County Council under Section 63 of the Local Government Act, 1929, in respect of the Isolation and Smallpox Hospitals:—
    Name of HospitalWalthamstow Isolation HospitalWalthamstow Smallpox Hospital.
  • Page 76
    TABLE A. Admissions, Discharges and Deaths, 1926—1930.
    1930.1929.1928.1927.1926.
    Scarlet Fever.Diphtheria.Other Diseases.Tuberculosis.Totals.Scarlet Fever.Diphtheria.Other Diseases.Tuberculosis.Totals.Scarlet Fever.Diphtheria.Other Diseases.Tuberculosis.Totals.Scarlet Fever.Diphtheria.Other Diseases.Tuberculosis.Totals.Scarlet Fever.Diphtheria.Other Diseases.Tuberculosis.Totals.
  • Page 77
    TABLE B. Daily Average Number of Patients in Hospital.
    Year.Jan.Feb.Mar.April.May.June.July.Aug.Sept.Oct.Nov.Dec.Average whole year.
  • Page 78
    TABLE C. MONTHLY ADMISSIONS OF DIPHTHERIA CASES.
    Year.Jan.Feb.Mar.Apl.MayJne.Jly.Aug.Sep.Oct.Nov.Dec.Total.Average Whole Year.
  • Page 78
    TABLE D. MONTHLY ADMISSIONS OF SCARLET FEVER CASES.
    Year.Jan.Feb.Mar.Apl.May .Jne.Jly.Aug.Sept. Oct.Nov.Dec.Total.Average Whole Year.
  • Page 78
    AGES AND SEX OF PATIENTS ADMITTED DURING 1930.
    Disease.Under 5 years.5 to 10 years.10 to 15 years.Over 15 years.Total.Total.
    M.F.M .F.M.F.M.F.M.F.
  • Page 79
    AGE AND SEX AT DEATH.
    Under 5 years.5-10 years.10-15 years.Over 15 years.Total.Total.
    M.F.M.F.M.F.M.F.M.F.
  • Page 79
    MONTHLY ADMISSIONS OF DIPHTHERIA CASES.
    Under 5 years.5 to 10 years.10 to 15 years.Over 15 years.Total.
    MFMFMFMF
  • Page 80
    MONTHLY ADMISSIONS OF SCARLET FEVER CASES.
    Under 5 years.5 to 10 years.10 to ]5 years.Over 15 years.Total.
    MFMFMFMF
  • Page 81
    Number of Outside Authorities' Cases and Nature. —
    Diphtheria.Scarlet Fever.Total.
  • Page 82
    The County Medical Officer has kindly furnished the following return of patients treated in the Tuberculosis Pavilion during 1930:
    Classification in accordance with Ministry of Health Memorandum 37.T. (Rev.).In Hospital on 1st January, 1930.Admitted during year.Discharged during year.Died during year.In Hospital on 31st December, 1930.
  • Page 87
    ( a ) Live Births.
    Males.Females.Total.
  • Page 87
    (b) Stillbirths.
    Males.Females.Total.
  • Page 88
    Of the 1,679 local registrations 111 are excluded, leaving a net total of 1,568, which, are allocated to wards as follows:—
    Births Registered Locally, 1930.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Totals.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 89
    3. INFANT MORTALITY. The deaths of infants under one year of age were:—
    Males.Females.Totals.
  • Page 89
    The rates during the quinquennium have been as follows:—
    Legitimate.Illegitimate.Total
  • Page 90
    SUMMARY, 1930. Causes of Death of Children under 1 year of age.
    Cause of Death.Under 1 Week1-2 Weeks2-3 Weeks3-4 WeeksTotal under 4 Weeks4 Weeks and under 3 Months3 Months and under 6 Months6 Months and under 9 Months9 Months and under 12 MonthsTotal Deaths under One Year.Wards .
    St. James StreetHigh StreetHoe StreetJ Wood StreetHale Endj Higham Hill
  • Page 91
    The total infant deaths by main causes for the past five years were as follows:-
    Year.Influenza.Measles.Scarlet Fever.Whooping Cough.Tuberculous Meningitis.Other T.B. Diseases.Meningitis.Convulsions.Bronchitis.Pneumonia.Diarrhoea and Enteritis.Gastritis.Syphilis.Inattention at Birth— Wilful Neglect.Suffocation by Overlaying.Injury at Birth.Atelectasis.Congenital Malformation.Premature Birth.Atrophy, Debility and Marasmus.Inanition.Heart Failure.Other Causes.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Total.
  • Page 94
    The detailed findings at first visits paid during 1930 are given in the following table:—
    Ward.How Fed.Kind of Food.Sleeping Accommodation.Condition of Baby.Accommodation.
    Breast.Breast and Hand.Hand.Cow's Milk.Patent Foods.Condensed Milk.With Mother.Cot or Cradle.Good.Fair.Bad.Whole House.Flat.Half-house.3 Rooms.2 Booms.3 Room.
  • Page 95
    The following table shows the number and nature of visits paid by wards during 1930:—
    Visits to Children under 1.Total Visits to j Children 1-5 years.Unsuccessful Visits.Visits to Nurse Children.Visits re Milk Scheme.Ante-Natal Visits.Ophthalmia Neonatorum Visits.Puerperal Fever etc., Visits.Visits re Home Helps.Visits re Maternal Mortality.Total Visits.
    Ward.First.Re-visits.Total.Not at home.Dead.Removed.
    1234567891011121314Cols. 3-14.
  • Page 96
    The following tables summarise the information given in the foregoing two tables for the quinquennium:—
    Year.How Fed.Kind of Food.Sleeping Accommodation.Condition of Baby.Accommodation.
    Breast.Breast and Hand,Hand.Cow's Milk.Patent Foods.Condensed Milk.With Mother.Cot or Cradle.Good.Fair.Bad.Whole House.Flat.Half-house.3 Rooms.2 Rooms.Room.
  • Page 97
    The total visits paid during 1930 is much increased for two main reasons—the larger staff available, and because the ''Special'' visits paid during previous years were apparently unrecorded.
    Year.Visits to Children under 1 year.Visits to Children 1-5 years.Unsuccessful Visits.Special Visits.Total Visits.
    First.Subsequent.Total.Not at Home.Dead.Removed.
  • Page 98
    In July, 1930, a year's work was completed at the new premises in Low Hall Lane, and it is interesting to compare the numbers of cases which attended with those which attended at Truro Road during the previous twelve months.''
    1928-1929. Truro Road.1929-1930. Low Hall Lane.
    New.Old.Total.New.Old.Total.
  • Page 100
    The following table will give some idea of the number of visits paid to the homes during the year:—
  • Page 100
    The following figures show the work done at the Centre during the past five years:—
    Year.Welfare Attendances.Total Attendances.Health Talks.
    New Cases.Old Cases.Sessions.Attendances.
  • Page 101
    Sale of Milk, etc., at Clinics.— The quantity and value of Milk and Foods sold and issued free during 1930 was as follows:—
    Sales.Value.Free Issue.
    £s.d.
  • Page 101
    Cases seen at Clinic.
  • Page 101
    Admissions to Brookfield Orthopaedic Hospital.
  • Page 102
    Number and Classifications of Operations at Brookfield Hospital (including Cases Remaining over from 1929).
  • Page 102
    (b) Dental.— The following work was done by the Education Committee's Dental Surgeons—Mrs. W. Rosa Thorne and Mr. G. Pict on Evans—under the Maternity and Child Welfare Scheme:—
    Mothers.Children under 5.
  • Page 104
    The work done during the calendar year was as follows:—
    Attendances at Clinics.Total.Total.Home Visits to Children.Attendances at Lectures.Massage Treatments .Sunlight Treatments .Cases admitted to Observation Ward.
    New Cases.Old Cases.
    Under 1.1-5 years.Total.Under 1.1-5 years.
  • Page 105
    The following table compares the figures given in respect of the Society's work in previous Annual Reports:—
    Year.Attendances.Total.Home Visits.Lecture Attendances.Massage Treatments.Sunlight Treatments .Cases admitted to Wards.Council Cases admitted to Wards.
    New Cases.Old Cases.
  • Page 106
    No Ante-Natal work is carried out by the Society and no dried foods are supplied at the Clinics. The following table gives the total of Municipal and Voluntary visits and attendances at Clinics:—
    Attendances at Welfare.Home Visits to Children.
    New Cases.Old Cases.Grand Total.
  • Page 106
    Number of families assisted, 365.
    Scale.Amount.Cost to Authority
    £s.d.
  • Page 108
    The notifications etc., may be summarised as follows:—
    Notifications.Removed to Hospital.HomeNursed.Deaths
  • Page -
    From the 2nd to 4th March three cases of Puerperal Fever were notified from a Maternity Home in the Borough and a further case on April 10th. None were residents in the Borough and all were removed to Hospital. Full investigations were made at the Home both by the County and Borough Medical Officers of Health.
    No. of Case.Fever or Pyrexia.Date of Notification.Date Notification Received.Age.Ward.Facility required as per Notification Form.Date of Birth of Child or miscarriage.Onset of Pyrexia.Date of admission to Hospital.Period in Hospital.Diagnosis.Treatment.Remarks.
  • Page 109
    14. OPHTHALMIA NEONATORUM. The numbers of cases notified during the last five years were:—
    Year.Totals.St. James Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.Removed to Hospital.Vision unimpaired.Vision impaired.Total Blindness.Deaths.
  • Page -
    The table facing this page gives particulars of maternal deaths, those from puerperal sepsis being also included in the table given under the Puerperal Fever and Pyrexia section.
    Date of Death.Cause of Death.Age.Ward.No. of Pregnancy.Previous obstetric history.Duration of last pregnancy (weeks).Date of Birth or Miscarriage.Midwife (M.), Mat. Nurse (Mat.), or Handywoman (H.W.).Character of Labour.Date Doctor called in.Date of receipt of any Notification of Pyrexia.Date of Admission to Hospital.Remarks.
  • Page 111
    The following table shows the position with regard to Maternal Mortality during the last five years:-
    Year.No. of Births Registered.Deaths of women due to Pregnancy and Child-earing.Infant Mortality (Waltham stow).
    WaLTHAMSTOW.England and Wales.
    Puerperal Sepsis.Other Puerperal Causes.Total.Rates per 1,000 Births Registered.Rates per 1,000 Births Registered.
    Puerperal Sepsis.Other Puerperal causes.Total.Puerperal Sepsis.Other Puerperal causes.Total.