[Report of the Medical Officer of Health for Walthamstow]

Page 8

The following table gives various averages for five year periods since 1890.

Quinquennia	Population	Births	Average of Birthrate	Infant Deaths	Infant Mortality

Page 9

Birth-Rates, Death-Rates, Analysis of Mortality, Maternal Mortality, and Case Rates for certain Infections Diseases in the year 1950. Provisional figures based on quarterly returns.

	England and Wales.	126 County Boroughs and Great Towns (including London)	148 Smaller Towns (Resident Population 25,000-50,000 at 1931 Census)	London Administrative County.	Walthamstow.

Page 10

Causes of Death as given by the Registrar-General for the year 1950 Whole District

Causes of Death	Males	Females	Total	1949

Page 10

The age distribution of Cancer deaths was as follows :—

Under 1 yr.	1-2 yrs.	2-5 yrs.	5-15 yrs.	15-25 yrs.	25-45 yrs.	45-65 yrs.	65 yrs. î over

Page 11

INFANT DEATHS, NEO NATAL MORTALITY AND STILLBIRTHS

Year.	Live Births.	Birth Rate.	Stillbirths.			Neo-Natal Deaths.		Infant Deaths.
			No.	Per 1,000 live births.	Per 1,000 population.	No.	Per 1,000 live births.	No.	Per 1,000 live births.

Page 11

MATERNAL MORTALITY The maternal mortality rates (per 1,000 total births) for the past five years have been given as follows:—

Year.	Total Births Registered.	Deaths.			Rates per 1,000 Births. (Live and Still)
Year.	Total Births Registered.	Puerperal Sepsis.	Other Puerperal Causes.	Total.	Puerperal Sepsis.	Other Puerperal Causes.	Total.

Page 13

Birth Rate per 1,000 Population

	Births Registered			Birth Rates
Year	Male	Female	Total	Male	Female	Total

Page 14

The following table shows the maternal mortality, stillbirth and neonatal death rates for the past five years:—

Rate (per 1,000 live births).	1950.	1949.	1948.	1947.	1946.

Page 14

REGISTRATION OF BIRTHS The Registrar-General's returns show the following registra-tions during the calendar year:—

(a) Live Births.	Males.	Females.	Totals.

Page 14

Of the 1,668 local registrations, 324 belonging to other areas are excluded, leaving a nett total of 1,344.

	St. James Street.		High Street.		Hoe Street.		Wood Street.		Hale End.		Higham Hill.		Total.
	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

Page 17

7. Public Health Act, 1936— Nursing Homes: —

	No. of Homes.	No. of Patients provided for.
	No. of Homes.	Maternity Patients.	Others.	Totals.

Page 18

Sanitary Inspection of the Area Mr. F. W. Kemp, Chief Sanitary Inspector, reports as follows:—

No. of inspections made.	No. of nuisances detected.	No. of complaints received.	No. of Informal Notices		No. of Statutory Notices.		Total Visits.
No. of inspections made.	No. of nuisances detected.	No. of complaints received.	Served.	Complied with.	Served.	Complied with.	Total Visits.

Page 23

Houses erected by the Local Authority during 1950:—

Page 23

Houses erected by Private Enterprise during 1950:—

Page 26

The Ministry of Local Government and Planning requested a return of unfit houses not included in clearance areas and for the period 1st April, 1945, to 31st March, 1951. The particulars given were as follows :—

(1) Housing Act, 1936	Number of houses	Number of persons displaced

Page 29

Similar consideration is given to families with young children or adolescents living in the same house as a sputum case. The position at the end of the year was as follows: —

On List Dec.	Added during	Removed from list	On List Dec.

Page 30

The following table gives details of samples taken:—

Grade	No. of Samples	Results
Grade	No. of Samples	Satisfactory	Unsatisfactory

Page 32

The following summary shows the comparative results of the old standard test and the new (provisional) test. Grades 1 and 2 of the latter are considered satisfactory.

Plate Count	Coliform Reaction (in 1/10 ml.)	Bacterium coli (in 1/10 ml.)	Satisfactory	*Paseable	Not Passable	Methylene Reduction time	Blue Test Grade

Page 33

Continued from previous page...

Plate Count	Coliform Reaction (in 1/10 ml.)	Bacterium coli (in 1/10 ml.)	Satisfactory	*Passable	Not Passable	Methylene Reduction time	Blue Test Grade

Page 34

Continued from previous page...

Plate Count	Coliform Reaction (in 1/10 ml.)	Bactcrium coli (in 1/10 ml.)	Satisfactory	*Passable	Not Passable	Methylene Reduction time	Blue Test Grade

Page 37

The following summary gives details of food and drugs sampled and the results of analyses:—

	Formal	No. examined Informal	Total	No. unsatisfactory
	Formal	No. examined Informal	Total	Formal	Informal	Total

Page 40

1.— INSPECTION OF FACTORIES, ETC. Including Inspections Made by Sanitary Inspectors.

Premises.	No. on Register	Number of
		Inspections.	Written Notices.	Occupiers Prosecuted.

Page 41

2.— DEFECTS FOUND IN FACTORIES, ETC.

Particulars.		Number of Defects.				Number of cases in which prosecutions were instituted
Particulars.		Found.	Remedied.	Referred to H.M. Inspector.	Referred By H.M. Inspector	Number of cases in which prosecutions were instituted

Page 41

NUMBER AND TRADES OF OUTWORKERS NOTIFIED DURING 1950

Page 42

F.— PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES General. — The following tables show the age and ward inci-dence of the various infectious diseases which are referred to in later pages of the report.

	All ages.		Under lyr.	1-5 yrs.	5-15 yrs.	15-25 yrs.	25-45 yrs.	45-65 yrs.	65 & over.
	1950	1949	Under lyr.	1-5 yrs.	5-15 yrs.	15-25 yrs.	25-45 yrs.	45-65 yrs.	65 & over.

Page 42

F.— PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES General. — The following tables show the age and ward inci-dence of the various infectious diseases which are referred to in later pages of the report.

	St. James Street.	High Street.	Hoe Street.	Wood Street.	Hale End.	Higham Hill.	Totals.

Page 43

The Registrar-General gives the statistics for the 52 weeks ended 31st December, 1950, and these are given in the following table together with the case rates per 1,000 population both for England and Wales and for Walthamstow:—

Disease.	Scarlet Fever.	Diphtheria.	Enteric Fever.	Pneumonia.	Puerperal Pyrexia.	Erysipelas

Page 43

The incidence by months and wards is given below :—

Page 44

During the post-war years, the general position in regard to these childhood infections has been as follows :—

Year	Measles	Whooping Cough

Page 45

The age incidence was as follows

	Under 1 yr.	1-2 yrs.	2-3 yrs.	3-4 yrs.	4-5 yrs.	Over 5 yrs.	Total

Page 46

Five cases were notified, the particulars being as follows :—

Sex		Age	Ward	Hospital	Remarks

Page 46

The maximum incidence in 1950 was as for the three previous years, during the summer months July to October, i.e.,

Year	July	Aug.	Sept.	Oct.	Total

Page 47

Six cases were notified during the year, and of these, five were at the end of October and the beginning of November, but all were apparently unrelated infections.

Sex		Age	Ward	Removed to Hospital	Remarks

Page 50

TUBERCULOSIS The following table shows particulars of new cases of tuberculosis and of all deaths from the disease in the Borough during 1950 :—

Age Periods.	New Cases.				Deaths.
Age Periods.	Pulmonary.		Non-Pulmonary.		Pulmonary.		Non-Pulmonary.
	M.	F.	M.	F.	M.	F.	M.	F.

Page 50

The returns for the past two years are compared below :—

Year.	New Cases.					Deaths.
Year.	Pulmonary.		Non-Pulmonary.		Total.	Pulmonary.		Non-Pulmonary.		Total.
	M.	F.	M.	F.		M.	F.	M.	F.

Page 50

The period elapsing between notification and death and the number of cases not notified were as follows:—

Under 3 months.		3 to 6 months.		6 to 9 months.		9 to 12 months.		Over 12 months.		Not notified.		Notified after death.

Page 51

The table given below shows the number of cases on the register at the beginning and end of 1950 :—

	Pulmonary.		Total.	Non-Pulmonary.		Total.	Grand Total.
	M.	F.		M.	F.

Page 51

Removals from the Register are made up as follows:—

Deaths.				Removals.
Pulmonary.		Non-Pulmonary.		Pulmonary.			Non-Pulmonary.
M.	F.	M.	F	M.	F.		M.	F.

Page 52

The following figures will enable the table to be kept up to date :—

	Pulmonary			Non-Pulmonary			Grand Total	Notification rates per 1,000 pop'ltn. Non-
	M	F	Total	M	F	Total		Notification rates per 1,000 pop'ltn. Non-
	M	F	Total	M	F	Total		Pul.	Pul.	Total

Page 53

Dr. F. Marsh, Pathologist in charge of the Laboratory at Epping, has kindly supplied the following information in regard to work done in Walthamstow :—

	Jan.	Feb.	Mar.	Apr.	May	June	July	Aug.	Sep.	Oct.	Nov.	Dec.	Total

Page 60

Herewith is a summary of the work done during the years 1944—1950 inclusive:—

	1944	1945	1946	1947	1948	1949	1950

Page 61

During the year the following appliances were completed for the Walthamstow and Leyton Committees for Education:—

	Walthamstow	Leyton

Page 61

The following table summarises the attendances at the Clinics held :—

New Patients—	Ante-Natal	Post-Natal

Page 62

Continued from previous page...

Total Attendances—	Ante-Natal	Post-Natal

Page 62

The following table shows the location of confinements during 1950 :—

Page 65

CAUSES OF DEATH OF CHILDREN UNDER 1 YEAR OF AGE—1950

	Under 1 week.	1-2 weeks.	2-3 weeks.	3-4 weeks.	Total deaths 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.	St. James St.	High Street.	Hoe Street.	Wood Street.	Hale End.	Higham Hill.	Total.

Page 67

I llegitimate B irths and M ortality

Year	Live Births		Infant Deaths		Death Rates per 1,000 Live Births
Year	Legitimate	Illegitimate	Legitimate	Illegitimate	Legitimate	Illegitimate

Page 68

Summary of Attendances at Welfare Clinics

Clinic.	First Attendances of New Cases.			Re-attendances.			Grand Total.
Clinic.	Under lyr. of age.	1-5 yrs. of age.	Total.	Under 1 yr. of age.	1-5 yrs. of age.	Total.	Grand Total.

Page 69

The work done during the calendar year is shown in the following table compiled from information kindly supplied by Miss D. Carter:—

	First Attendances of New Cases.			Re-attendances.			Grand Total.
	Under 1 yr.	1-5 yrs.	Total.	Under lyr.	1-5 yrs.	Total.	Grand Total.

Page 69

Summary of Attendances at all Welfare Clinics

	First Attendances.			Re-attendances			Grand Total.
	Under 1 year of age.	1-5 years of age.	Total.	Under 1 year of age.	1-5 years of age.	Total.	Grand Total.

Page 69

Defects Seen at Orthopaedic Clinic in Children Under Five Years of Age

Page 70

The following gives details of the work done during the year by the Dental Officers :— Numbers provided with dental care :

	Expectant and nursing mothers	Children under 5

Page 72

The quantity and value of nutrients and medicaments sold and issued free during 1950 was as follows

	Sales		Free Issue
	lbs.	ozs.	lbs.	ozs.

Page 73

DAY NURSERIES The following table shows the average attendances at the Day Nurseries during 1950 (Mondays to Fridays only).

Month.	Nurseries.	Under 2 yrs.	Over 2 yrs.	Total.

Page 75

The table shows the number of District visits done:—

Ante-Natal Examinations.			Deliveries.		Lying-in Visits.	Total Visits.
Patients' Homes.	Midwife's House.	Clinic.	Mid.	Mat.	Lying-in Visits.	Total Visits.

Page 76

Most of the Health Visitors also carry out duties as School Nurses. H ome V isits

	To Children under 1 year of age.			To Children 1-5 years of age.	Total.
	First.	Subsequent.	Total.	To Children 1-5 years of age.	Total.

Page 76

Page 77

The detailed findings at first visits paid by Health Visitors are shown in the table on the following page.

		How Fed.			Sleeping Arrangements.		Condition of Baby.			Accommodation.
		Breast	Breast & Hand	Hand	With Mother	Cot or Cradle	Good	Fair	Bad	Whole hosue	Flat	Half house	Three rooms	Two rooms	One rooms

Page 78

The following table shows the number and nature of visits paid in 1950:—

Ward.	Visits to Children under 1 year.			Visits to Children 1-5 years.	Grand Total.	Unsuccessful Visits.	Ante-Natal Visits.			Other Visits.	Total Visits.
Ward.	First.	Subsequent visits.	Total.	Visits to Children 1-5 years.	Grand Total.	Unsuccessful Visits.	First Visits.	Subsequent Visits.	Total Visits.	Other Visits.	Total Visits.
	1	2	3	4	5	6	—	—	7	8	Cols. 5-8

Page 80

"Midwifery and Maternity Nursing undertaken during the year was as follows:—

	Cases	Visits

Page 80

"The following gives details of Home Visits during the year.

	New cases	Total visits

Page 82

DIPHTHERIA IMMUNISATION

Age at Immunisation											Percentage Immunised to Population in Age Groups
Year	Regd. Births	0—1 year	1—2 years	2—3 years	3—4 years	4-5 years	Total 0—5 years	School Age	Over School Age	Grand Total	% 0—1 to Total Births	% 0—5 years	% 5—15 years	% 0—15 years	Admitted to Hospital	Diagnosis Confirmed	Deaths

Page 83

IMMUNISATION AGAINST WHOOPING COUGH The trials of the vaccine supplied by the Medical Research Council and referred to in last year's report continued during 1950. In addition the use of the commercial vaccine commenced in 1947 was continued with good results.

	Age at date of Final Injection				Total
	Under 1 year		1—4 years	5—14 years	Total

Page 84

The following table shows the position:—

Year	Medical Research Council Scheme	Local Authority Scheme	Total	Notifications of Whooping Cough	Deaths from Whooping Cough

Page 84

With regard to the cases done under the Local Authority Scheme, the ages at the date of the last injection were as follows:—

Year	Under 1 year	1—2 years	2—3 years	3—4 years	4—5 years	5 + years	Totals

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

View report tables

Walthamstow 1950

65 tables in this report

The following table gives various averages for five year periods since 1890.

Birth-Rates, Death-Rates, Analysis of Mortality, Maternal Mortality, and Case Rates for certain Infections Diseases in the year 1950. Provisional figures based on quarterly returns.

Causes of Death as given by the Registrar-General for the year 1950 Whole District

The age distribution of Cancer deaths was as follows :—

INFANT DEATHS, NEO NATAL MORTALITY AND STILLBIRTHS

MATERNAL MORTALITY The maternal mortality rates (per 1,000 total births) for the past five years have been given as follows:—

Birth Rate per 1,000 Population

The following table shows the maternal mortality, stillbirth and neonatal death rates for the past five years:—

REGISTRATION OF BIRTHS The Registrar-General's returns show the following registra-tions during the calendar year:—

Of the 1,668 local registrations, 324 belonging to other areas are excluded, leaving a nett total of 1,344.

7. Public Health Act, 1936— Nursing Homes: —

Sanitary Inspection of the Area Mr. F. W. Kemp, Chief Sanitary Inspector, reports as follows:—

Houses erected by the Local Authority during 1950:—

Houses erected by Private Enterprise during 1950:—

The Ministry of Local Government and Planning requested a return of unfit houses not included in clearance areas and for the period 1st April, 1945, to 31st March, 1951. The particulars given were as follows :—

Similar consideration is given to families with young children or adolescents living in the same house as a sputum case. The position at the end of the year was as follows: —

The following table gives details of samples taken:—

The following summary shows the comparative results of the old standard test and the new (provisional) test. Grades 1 and 2 of the latter are considered satisfactory.

Continued from previous page...

Continued from previous page...

The following summary gives details of food and drugs sampled and the results of analyses:—

1.— INSPECTION OF FACTORIES, ETC. Including Inspections Made by Sanitary Inspectors.

2.— DEFECTS FOUND IN FACTORIES, ETC.

NUMBER AND TRADES OF OUTWORKERS NOTIFIED DURING 1950

F.— PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES General. — The following tables show the age and ward inci-dence of the various infectious diseases which are referred to in later pages of the report.

F.— PREVALENCE OF, AND CONTROL OVER, INFECTIOUS AND OTHER DISEASES General. — The following tables show the age and ward inci-dence of the various infectious diseases which are referred to in later pages of the report.

The Registrar-General gives the statistics for the 52 weeks ended 31st December, 1950, and these are given in the following table together with the case rates per 1,000 population both for England and Wales and for Walthamstow:—

The incidence by months and wards is given below :—

During the post-war years, the general position in regard to these childhood infections has been as follows :—

The age incidence was as follows

Five cases were notified, the particulars being as follows :—

The maximum incidence in 1950 was as for the three previous years, during the summer months July to October, i.e.,

Six cases were notified during the year, and of these, five were at the end of October and the beginning of November, but all were apparently unrelated infections.

TUBERCULOSIS The following table shows particulars of new cases of tuberculosis and of all deaths from the disease in the Borough during 1950 :—

The returns for the past two years are compared below :—

The period elapsing between notification and death and the number of cases not notified were as follows:—

The table given below shows the number of cases on the register at the beginning and end of 1950 :—

Removals from the Register are made up as follows:—

The following figures will enable the table to be kept up to date :—

Dr. F. Marsh, Pathologist in charge of the Laboratory at Epping, has kindly supplied the following information in regard to work done in Walthamstow :—

Herewith is a summary of the work done during the years 1944—1950 inclusive:—

During the year the following appliances were completed for the Walthamstow and Leyton Committees for Education:—

The following table summarises the attendances at the Clinics held :—

Continued from previous page...

The following table shows the location of confinements during 1950 :—

CAUSES OF DEATH OF CHILDREN UNDER 1 YEAR OF AGE—1950

I llegitimate B irths and M ortality

Summary of Attendances at Welfare Clinics

The work done during the calendar year is shown in the following table compiled from information kindly supplied by Miss D. Carter:—

Summary of Attendances at all Welfare Clinics

Defects Seen at Orthopaedic Clinic in Children Under Five Years of Age

The following gives details of the work done during the year by the Dental Officers :— Numbers provided with dental care :

The quantity and value of nutrients and medicaments sold and issued free during 1950 was as follows

DAY NURSERIES The following table shows the average attendances at the Day Nurseries during 1950 (Mondays to Fridays only).

The table shows the number of District visits done:—

Most of the Health Visitors also carry out duties as School Nurses. H ome V isits

The detailed findings at first visits paid by Health Visitors are shown in the table on the following page.

The following table shows the number and nature of visits paid in 1950:—

"Midwifery and Maternity Nursing undertaken during the year was as follows:—

"The following gives details of Home Visits during the year.

DIPHTHERIA IMMUNISATION

IMMUNISATION AGAINST WHOOPING COUGH The trials of the vaccine supplied by the Medical Research Council and referred to in last year's report continued during 1950. In addition the use of the commercial vaccine commenced in 1947 was continued with good results.

The following table shows the position:—

With regard to the cases done under the Local Authority Scheme, the ages at the date of the last injection were as follows:—