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

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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

Carshalton 1948

[Report of the Medical Officer of Health for Carshalton]

Published
1949
Pages
72
Tables
61

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61 tables in this report

  • Page 7
    SUMMARY OF VITAL STATISTICS FOR 194S. (Based on the Registrar-General's Figures).
    Population.
  • Page 8
    TABLE 1. ESTIMATED RESIDENT POPULATION, MID-194 8. BY WARDS.
    Ward.Houses at Mid-1948.Estimated population Mid-1948.
  • Page 9
    They were distributed as shown in the following table:—
    Ward.Live Births.Birth Rate per 1,000 Population.Stillbirths.Stillbirth Rate per 1,000 total births.
  • Page 9
    Out of 1,025 total births, 625 took place in the following hospitals and nursing homes:—
    Live.Still.Total.
  • Page 10
    TABLE 2. BIRTHS, 1948, DOMICILIARY AND OTHERS — BY WARDS.
    Born in District.Born Outside District.
    Ward.In Hospitals and Nursing Homes.In Private Houses.Total.In Hospitals and Nursing Homes.In Private Houses.Total.Total.
  • Page 10
    TABLE 3. BIRTH AND DEATH RATES FOR CARSHALTON, 1922-1948.
    Year.Population (Registrar-General's)Birth Rate.Death Rate.Infant Morta'itv Rate.*Maternal Mortality Rate.
  • Page 11
    TABLE 4. COMPARATIVE STATISTICS—1948.
    England and Wales.120 County Boroughs and Great Towns including London148 smaller Towns (Resident Populations 25,000 to 50,000 at 1931 Census).London Administrative County.Carshal-ton.
  • Page 12
    COMPARATIVE HEALTH STATISTICS, 1934/48.
    Death Rate (Civilian) per 1,000 population.Infant Mortality per 1,000 live births.Maternal Mortality (excluding abortion) per 1,000 total births.
    Vear.England and Wales.Carshal-ton.England and Wales.Carshal-ton.England and Wales.Carshal-ton.
  • Page 12
    WARD DEATH RATES AND MEAN AGE AT DEATH 1948.
    Ward.Deaths.Death Rate (crude).Mean Age at death.
  • Page 13
    CANCER DEATHS—WARD DISTRIBUTION, 1948.
    Ward.Cancer Deaths.Rate per 1,000 Estimated Population.
  • Page 13
    TABLE 5.
    GroupSite Affected.Male.Female.Total
  • Page 14
    The death rates from tuberculosis for the last twenty years were as follows:—
    Year.Death Rate per 1,000 Population.Year.Death Rate per 1,000 Population.
  • Page 15
    TABLE 6. INFANT MORTALITY—WARD DISTR1BUTION.
    Ward.Infant Deaths.Rate per 1,000 Live Births.
  • Page 16
    TABLE 7. INFANT MORTALITY DURING THE YEAR 1948. Deaths Classified as to Cause and Age at Death.
    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.
  • Page 17
    TABLE 8.—CAUSES OF DEATH DURING THE YEAR 1948. BY Age AND Sex.
    No. Causes of Death.0—15—15—25—35—45—55—65—75—All Ages.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.Psns.
  • Page 18
    The following information in respect of the work of this Association during 1948 is supplied by courtesy of the Honorary Secretary:—
    Cases Attended.Visits Paid.
  • Page 18
    this Association during the year is indicated by the following figures kindly supplied by the Honorary Secretary:—
    Cases.Visits.
  • Page 20
    TABLE 9. CASES ADMITTED FROM CARSHALTON TO CUDD1NGTON HOSPITAL 1ST JANUARY—4TH JULY, 1948.
    Disease.Cases.Deaths.
  • Page 21
    The number of births notified up to and including 4th July as adjusted by transferred notifications, was as follows
  • Page 21
    by the Health Visitors up to the 4th July, were as follows :—
    First VisitsTotal Visits
  • Page 22
    TABLE 10. ATTENDANCES AT MATERNITY CLINICS. Januarv 1st—July 4th, 1948
    Centre.No. on Register.Attendances.Sessions.Average attendance per Session.
    *Primary.Total.
  • Page 23
    TABLE 11. ATTENDANCES AT INFANT CONSULTATION CLINICS, January 1st to July 4th, 1948
    Centre.Years.Number who attended during ha'f year.New Cases to the Centres.Attendances.Number of Sessions.Average Attendance per Session.
    Primary.Total.
  • Page 24
    TABLE 12. DEFECTS FOUND AT SPECIAL TODDLER EXAMINATIONS—1948.'
    Defect.Recommended forNumber which received treatment by
    Observation.Treatment.Own Dr.Hospital.At Home by Advice.Clinic.Total.
  • Page 25
    TABLE 13. ATTENDANCES AT SPECIAL TODDLER (2-5 YEARS) Clinics. 1st JANUARY—4th JULY, 1948.
    Centre.No. of routine medical examinations.Re- inspection.Total attendances.Sessions.Average attendance per Session.
    2—3 years.3—4 years.4—5 years.
  • Page 25
    TABLE 14. ATTENDANCES AT ALL INFANT WELFARE CLINICS. (Infant Consultation and Special Toddler). 1st JANUARY—4th JULY, 1948
    Year.Number who attended during the year.New cases to the Centre.Attendances.Sessions.Average attendance per Session.
    Primary.Total.
  • Page 26
    DENTAL SCHEME—TREATMENT PROVIDED 1 st JANUARY—4 th JULY, 1948
    Temporary Teeth.Permanent Teeth.Dentures Supplied.
    Extracted.Filled.Extracted.Filled.Full.Partial.
    52111651241213
  • Page 27
    Attendances at the Dental Clinics were as follows :— DENTAL SCHEME—ATTENDANCES 1st JANUARY—4th JULY, 19-18
    Centre Referred from.No. Treated.No. of attendances.
  • Page 30
    The work carried out by this Council's midwives during the first six months of the year is indicated by the following details Cases conducted:—
    (1) As Midwife—Live birthsPrimip.Multip.Total
    97281
  • Page 33
    The following statement supplied by the Engineer shows the extent of sampling carried out by the Water Company during 1948:—
    SampleTotal No. of Bacteriological ExaminationsTotal No. of Full Chemical AnalysesPresumptive B. Coli present in 100 m . (excluding types 1 & 2)B: Coli present in 100 m. (types 1 & 2)
    No.%No.%
  • Page 40
    With regard to sewers, two maintenance treatments were carried out, one in March and the other in September, with the following results:—
    March Treatment.September Treatment.
  • Page 42
    New Houses. During the year, 215 new houses of the following types were completed:—
  • Page 42
    During the year work continued on the undermentioned Contracts:—
    Site No.Site.Type.No. in Contract.No. completed during year.
  • Page 43
    In addition, the following schemes were in varying stages of preparation with a view to work being commenced during the period of one year beginning on the 1st July, 1948.
    Site No.Site.Type.No. in Contract.
  • Page 44
    Overcrowding. During the year 107 new cases of overcrowding were found and 94 were remedied, leaving 287 dwellings known to be overcrowded with 2,212½ equivalent adults in occupation still to be decrowded at the year end. Details are as follows:—
    Overcrowded at 31.12.47.Found overcrowded during 1948.De- crowded during 1948.Remaining overcrowded at 31:12.48.Net Increase during year 1948.
  • Page 45
    The history of knoxn overcrowding since the housing survey of 1936 is indicated by the following:—
    Ward.Dwellings overcrowded at Survey 1936.Dwellings found overcrowded up to 31.12.48Dwellings de-crowded up to 31.12.48Dwellings remaining overcrowded at 31.12.48Overcrowded cases remedied during 1948.
    FormalInformalTotal.
  • Page 45
    In 88 of the 107 cases of overcrowding found during 1948, there was more than one family in occupation and, from information available, it would appear that in 78 of these the families were related.
    Number of Families in occupation.
    1234Total.
  • Page 46
    The following table classifies those employed
    Employees.Premises.
    Males.Females.Total.
  • Page 46
    1. I nspections for purposes of provisions as to health (including inspections made by Sanitary Inspectors).
    Premises.Number on RegisterNumber of
    Inspections.Written Notices.Occupiers Prosecuted.
    (1)(2)(3)(4)(5)
  • Page 47
    2. C ases in which D efects were found— (If defects are discovered at the premises on two, three or more separate occasions they should be reckoned as two, three or more " cases.")
    Premises.Number of cases in which defects were found.Number of cases in which prosecu tions were in-stituted.
    FoundRemedied.Referred
    To H.M. Inspector.By H.M. Inspector.
    (1)(2)(3)(4)(5)(6)
  • Page 47
    O utwork (Sections 110 and 111).
    Nature of Work.Section 110.Section 111.
    No. of outworkers in Aug. list required by Sect. 110(1) (c)No. of cases of default in sending lists to the Council.No. of prosecutions for failure to supply lists.No. of instances of work in unwholesome premises.Notices served.Prosecutions.
    (1)(2)(3)(4)(5)(6)(7)
  • Page 48
    All the milks were sold under the Milk (Special Designations) Regulations, and 17 failed to comply with the prescribed Regulation. The results of the tests were as follows—
    Designation under which sold.No. of Samples.Methylene Blue Test.Phosphatase Test.Coliform Bacillus Test.
    Satisfactory.1 'nsatis-factory.Satisfactory.Unsatisfactory.Satisfactory.Unsatisfactory.
  • Page 49
    Ice Cream. The results of the examination of 147 samples of ice cream were as follows:—
    No. of Samples.Grade.
    1234
  • Page 49
    Food and Drugs Act, 1938. The following 319 samples were procured and submitted for analysis:—
    Article.No.Adulterated or otherwise irregular.Article.No.Adulterated or otherwise irregular.
  • Page 51
    Food Inspection. The following articles of food found to be unsound, diseased or unwholesome and unfit for human food, were surrendered and either destroyed or taken charge of by the Ministry of Food Salvage Department, or so disposed of as to prevent them from being used for human food:—
  • Page 53
    From 5th July to the end of the year the following individuals were vaccinated:— Successful:—
    Under 1 yr.1-4 yrs.5-14 yrs.15 yrs. & over.Total.
  • Page 54
    TABLE 15.
    1948.Ward.Total.
    St. Helier North.St. Helier South.St. Helier West.North-EastNorth-West.Central.South-East.South-West.
  • Page 54
    TABLE 16. SCARLET FEVER—MULTIPLE CASES, 1948.
    Ward.No. of houses in which occurred.Total Houses.Total Cases.
    1 Case.2 Cases.3 Cases.
  • Page 55
    The incidence of diphtheria among the resident population since 1934, the year before immunisation was first practised in the district, was as follows:—
    YearCasesIncidence per 1,000 PopulationYearCasesIncidence per 1,000 Population
  • Page 56
    During 1948, 1,059 residents were immunised as follows:—
    Age at Year End.Total.
    Under 112345-910-14
  • Page 56
    The number of children immunised against diphtheria is now over 80% and is higher than ever before. The position with regard to immunisation at the year end was as follows:—
    Age at 31.12.48, i.e., Born in YearUnder 1 1941.1 1947.2 1946.3 1945.4 1944.5 to 9 1939/ 43.10 to 14 1934/ 38.Total under 15
  • Page 57
    The following table shows the estimated percentage of children immunised at each year end since 1935, when the Council's scheme was inaugurated and the incidence of diphtheria in the resident population:
    Year.Percentage of Children Immunised.Incidence of Diphtheria.
    0-5 Years.5-15 Years.0-15 Years.Cases.Attack Rate per 1,000 Population.
  • Page 58
    TABLE 17. MEASLES—WARD INCIDENCE AND MONTHLY DISTRIBUTION, 1948. (Excluding hospital patients non-resident in Carshalton.)
    1948.Ward.Total.
    St. Helier North.St. Helier South.St. Helier West.North-EastNorth-West.Central.South-East.South-West.
  • Page 59
    TABLE 18. WHOOPING COUGH—WARD INCIDENCE AND MONTHLY DISTRIBUTION, 1948. (Excluding hospital patients non-resident in Carshalton.)
    1948.Ward.Total.
    St. Helier North.St. Helier South.St. Helier West.North-East.North-West.Central.South-East.South-West.
  • Page 61
    TABLE 19. INFECTIOUS DISEASES—NOTIFICATIONS, DEATHS AND DISTRIBUTION. (Excluding hospital patients non-resident in Carshalton.)
    Disease.Cases notified.Case rate per 1,000 population.DeathsDistribution by Wards.No. of cases removed to Hospital.Percentage of cases removed to Hospital.
    St. Helier North.St. Helier South.St. Helier West.North-East.North-West.Central.South-East.South-West.
  • Page 62
    TABLE 20. INFECTIOUS DISEASES. Notification by Age Groups, 1918 (Excluding hospital patients non-resident in Carshalton.)
    Disease.Total Cases Notified.Total Cases at all Ages
    Under 1 year1-22-33-44-55-1010-1515-2020-3535-4545-6565 and over
  • Page 63
    TABLE 21. MONTHLY INCIDENCE OF INFECTIOUS DISEASES, 1948. (Excluding hospital patients non-resident in Carshalton.)
    Disease.Jan.Feb.Mar.April.May.June.July.Aug.Sept.Oct.Nov.Dec.Total.
  • Page 64
    Tuberculosis. The new cases admitted to the tuberculosis register during the year numbered 147, classified as follows:
    Males.Females.
  • Page 64
    TUBERCULOSIS—WARD DISTRIBUTION. Cases on Register at 31st December, 1948.
    Ward.Pulmonary.Non-Pulmonary.TotalIncidence per 1,000 population.
    Males.Females.Males.Females.
  • Page 65
    The number of tuberculous persons who died during the year was 28, distributed by age groups as follows:
    Age, Years.Pulmonary.Non-Pulmonary.Total.
    Males.Females.Males.Females.
  • Page 65
    DEATHS DUE TO TUBERCULOSIS, 1948.
    Ward.Pulmonary.Non-Pulmonary.Death Rate per 1,000 population.Mean age at Death.
    Male.Female.Male.Female.
  • Page 66
    TABLE 22. TUBERCULOSIS. New Cases, Age and Sex Distribution and Manner of Admission to Register, 1948.
    Age Group Years.Primary Notifications "A."Cases transferred from other Districts.Cases brought to notice other than by Notification or Transfer.Total New Cases.
    Pulmonary.Non-PulmonaryPulmonary.Non-PulmonaryPulmonary .Non-Pulmonary
    M.F.M.F.M.F.M.F.M.F.M.F.