[Report of the Medical Officer of Health for Southwark, Borough of]

Page 3

Deaths in the Sanitary Area from the principal Zymotic Diseases.

Total excluding Phthisis.	Small Pox.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Influenza.	Enteric Fever.	Diarrhæa.	Phthisis.	Deaths under year to 1,000 Births.

Page 4

The population of the several divisions of the Borough at each Census since 1841, and also the estimated population for 1902, 1903, 1904, 1905, 1906, 1907, 1908, 1909, 1910, 1912, 1913, 1914, 1915, 1916, 1917, 1918 and 1919.

	Newington.	St. George's.	St. Saviour's and Christchurch.

Page 5

The Ward distribution was as follows:— TABLE 1.

WARD.	Area in Acres	Population.			Persons to the Acre.
WARD.	Area in Acres	Males.	Females.	Total.	Persons to the Acre.

Page 6

Birth.rate for the last Twenty.eight Years for the Three Divisions of the Borough as formerly existed.

	Newington.	St. George's	St. Saviour's and Christchurch.	Whole Borough.

Page 7

TABLE 2. Number of Births belonging to each ward, with the Birth-rates, also the Infantile Mortality and Zymotic Rate in the several wards for 1919.

WARD.	Births.				Infantile Mortality.	Zymotic Rates in the Wards.
WARD.	Males.	Females.	Total.	Birthrate.	Infantile Mortality.	Small Pox.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Enteric Fever.	Diar. rhæa.	Phthisis.

Page 8

TABLE 3. Outlying Deaths, with Localities.

	Males.	Females.	Total.

Page 9

Continued from previous page...

	Males.	Females.	Total.

Page 10

Continued from previous page...

	Males.	Females.	Total

Page 11

Continued from previous page...

	Males.	Females.	Total.

Page 12

Continued from previous page...

	Males.	Females.	Total

Page 13

TABLE 4. Death Rates for the last Twenty-eight Years for the Three Divisions of the Borough as formerly existed.

	Newington.	St. George's,	Christchurch and St. Saviour's.	Whole Borough

Page 14

TABLE 5. Death Hates for the various Wards for the last Fifteen Years.

Ward.	1905.	1906.	1907.	1908.	1909.	1910.	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.

Page 15

TABLE 6. Showing the number of Deaths that occurred in Public Institutions in the Borough during the year 1919.

Institution.	In 1st Quarter.	In 2nd Quarter.	In 3rd Quarter.	In 4th Quarter.	During Year.

Page 16

TABLE 7. Births and Deaths Registered in the Sub-Districts of the Borough in 1919, with Ages at Death. For the First Quarter of thirteen weeks ending 29th March.

Sub-Districts.	Births.		Deaths.		0-	1-	5-	10-	15-	20-	25-	35-	• 45-	55-	65-	75-	85-
Sub-Districts.	Male.	Female.	Male.	Female.	0-	1-	5-	10-	15-	20-	25-	35-	• 45-	55-	65-	75-	85-

Page 17

TABLE 7. —(contd.) For the Third Quarter of thirteen weeks ending 27th September.

Sub-Districts.	Births.		Deaths.		0-	1-	$ 5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-
Sub-Districts.	Male.	Female.	Male.	Female.	0-	1-	$ 5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-

Page 18

TABLE 8. Vital Statistics of Whole District during 1919 and previous ten years. Borough of Southwark.

Year.	Population estimated to Middle of each Year.	Births.		Total Deaths registered in the District.				Total Deaths in Public Institutions in the District.	Deaths of Non-residents registered in Public Institutions in the District.	Deaths of Residents registered in Public Institutions beyond the District.	Nett Deaths at all Ages belonging to the District.
		Number.	Rate*	Under 1 Year of Age.		At all Ages.					Nett Deaths at all Ages belonging to the District.
				Under 1 Year of Age.		At all Ages.					Number.	Rate*
				Number.	Bate per 1000 Births registered.	Number.	Bate*				Number.	Rate*
1.	2.	3.	4.	5.	6.	7.	8.	9.	10	11	12	13

Page 19

TABLE 9. Deaths belonging to the Sanitary Area, with the Causes of Death at all Ages during 1919.

Causes of Death.	AGES.														All Ages
Causes of Death.	0-	1-	2-	5	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	M	F.

Page 20

TABLE 9.— Continued.

Causes of Death.	AGES.														All Ages
Causes of Death.	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	M.	F.

Page 21

TABLE 9.— Continued.

Causes of Death	AGES.														All Ages.
Causes of Death	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	M.	F

Page 22

TABLE 9. — Continued.

Causes of Death.	AGES.														All
Causes of Death.	0-	1-	2-	5-'	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	M.	F.

Page 23

TABLE 9. — Continued.

Causes of Death.	AGES														All Ages
Causes of Death.	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	M.	F.

Page 24

TABLE 9a. Deaths belonging to the Sanitary Area with the Causes of Death at all Ages for the ten years 1910-1919.

Cause of Death.	1910.	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.

Page 25

TABLE 9a —continued.

Causes or Death.	1910	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918	1919.

Page 26

TABLE 9a — continued.

Causes or Death.	1010.	1911.	1912.	1913.	1914.	1915.	1916.	1917	1918	1919.

Page 27

TABLE 9a — continued.

Causes of Death.	1910.	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.

Page 28 29

TABLE 9b. Causes of, and Ages at Death during Year 1919. Borough of Southwark.

Causes of Death.	Nett Deaths at the subjoined ages of " Residents" whether occurring within or without the district (a).									Deaths at all ages of " Residents " belonoing to Localities, whether occurring in or beyond the District.											Total Deaths whether of "Residents" or "Non-Residents" in Public Institutions in the District.
Causes of Death.	All ages.	Under 1 year	1 and under 2	2 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and upwards	St. Mary's Ward.	St. Paul's Ward.	St. Peter's District.	St. John's District.	Trinity Ward.	All Saints' District.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.
1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20	21	22

Page 30

The deaths under one year of age to 1,000 births for the last twenty-five years were as follows:—

Page 31

TABLE 10. BOROUGH OF SOUTHWARK. INFANT MORTALITY, 1919. Nett Deaths from stated causes at various ages under 1 Year of Age.

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 1 Year

Page 32 33

TABLE 11. Vital Statistics of Separate Localities in 1919 and previous years. BOROUGH OF SOUTHWARK

Names of Localities.	1. St. Mary's Ward				2. St. Paul's Ward.				3. St. Peter's District.				4. St. John's District.				5. Trinity Ward.				6. All Saints' District.
Year	Population estimated to middle of each year.	Births registered.	Deaths at all ages	Deaths under 1 year.	Population estimated to middle of each year.	Births registered	Deaths at all ages	Deaths under 1 year.	Population estimated to middle of each year.	Births registered	Deaths at all ages	Deaths under 1 year.	Population estimated to middle of each year.	Births registered.	Deaths at all ages	Deaths under 1 year.	Population estimated to middle of each year.	Births registered.	Deaths at all ages.	Deaths under 1 year.	Population estimated to middle of each year.	Births registered.	Deaths at all ages.	Deaths under 1 year.

Page 34

TABLE 12. Cases of Infectious Diseases notified during the Year 1919.

Cases notified in whole District.																Total Cases notified in each locality.											Number of cases removed to Hospital from each locality.
Cases notified in whole District.																St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saint's Ward.	St. Michael's Ward'.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.	Total.
At ages—Years.													Sex.		At all ages.
0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	Male.	Female.	At all ages.

Page 35

TABLE 13. Cases of Infectious Disease Notified to the Medical Officer of Health for the Borough of Southwark, during the year 1919, occurring in the several wards:—

WARD.	Scarlet Fever.	Diphtheria.	Memb. Croup.	Enteric Fever.	Cerebrospinal Fever.	Polio-Myelitis.	Erysipelas.	Puerperal Fever.	Anthrax.	Ophthalmia Neonatorum.	Phthisis.	Other forms of Tuberculosis.	Measles.	Encephalitis Lethargica.	Epidemic Diarrhoea.	Influenzal Pneumonia.	Primary Pneumonia.	Malaria.	Dysentery.	Total.

Page 36

TABLES 14. Deaths in the Sanitary Area from the principal Zymotic Diseases in the Various wards for 1919.

ward.	Measles.	Scarlet Fever.	Diphtheria	Whooping Cough.	Enteric Fever.	Diarrhæa.	Phthisis.	Pneumonia & Bronchitis.	Heart Disease.	Influenza.

Page 37

TABLE 15. The total number of Deaths in the Sanitary Area, with the Ages apportioned to the several wards, and the Death-rate in each ward for 1919.

WARD.	Males	Females.	Total.	Rate per 1000.	AGES—YEARS.
WARD.	Males	Females.	Total.	Rate per 1000.	0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-

Page 38

TABLE 16. Cases of Infectious Disease. Notified to the Medical Officer of Health for Southwark, during each week of the year 1919. _

Week Ending.	Scarlet Fever.	Diphtheria.	Membranous Croup.	Enteric Fever.	Cerebrospinal Fever.	Polio-Myelitis.	Erysipelas.	Puerperal Fever.	Anthrax.	Ophthalmia Neonatorum.	Phthisis.	Other forms of Tuberculosis.	Measles.	Encephalitis Lethargica.	Epidemic Diarrhsea.	Influenzal Pneumonia.	Primary Pneumonia.	Malaria.	Dysentery.	Total.

Page 39

Continued from previous page...

Page 40 41

TABLE 17. Analysis of Cases treated in Hospitals and at Home belonging to the Borough of Southwark for Nineteen Years.

Year.	Small Pox.							Scarlet Fever.							Diphtheria and Membranous Croup.							Enteric Fever.
Year.	Total number of Cases notified.	Cases removed to Hospital.	Died in Hospital.	Percentage of Deaths.	Cases Treated at Home.	Died at Home.	Percentage of Deaths.	Total number of Cases notified.	Cases removed to Hospital.	Died in Hospital.	Percentage of Deaths.	Cases Treated at Home.	Died at Home.	Percentage of Deaths.	Total number of Cases notified.	Cases removed to Hospital.	Died in Hospital.	Percentage of Deaths.	Cases Treated at Home.	Died at Home.	Percentage of Deaths.	Total number of Cases notified.	Cases removed to Hospital.	Died in Hospital.	Percentage of Deaths.	Cases Treated at Home.	Died at Home.	Percentage of Deaths.

Page 42 43

TABLE 18. Analysis of Sickness and Mortality Statistics in London during the Year 1919.

cities and boroughs.	Estimated Civil Population, 1917.	Notified Cases of Infectious Disease.												Deaths from Principal Infectious Diseases.									Deaths from all causes.	Death.rate per 1000 living.
cities and boroughs.	Estimated Civil Population, 1917.	Small.pox.	Scarlet Fever.	Diphtheria. *	Typhus Fever.	Enteric Fever.	Other continued fevers.	Puerperal Fever.	Erysipelas.	Cerebro.Spinal meningitis.	Polio.myelitis.	Total.	Annual rate per 1000 persons living.	Small.pox.	Measles.	Scarlet Fever.	Diphtheria.*	Whooping.cough.	Enteric Fever.	Diarrhasa and Enteritis (under 2 years.	Total.	Annual rate per 1000 persons living.	Deaths from all causes.	Death.rate per 1000 living.

Page 44

TABLE 19. A summary of the cases notified and other particulars in connection therewith during the year 1919.

Notified cases remaining in district at end of 1918.	Cases notified during 1919.	Old cases returned home from Infirmary.	Visits paid at the homes of patients.	Cases removed to Infirmary.	Cases removed from Southwark or which died at home.	Notified cases remaining in Southwark at end of 1919.	Rooms periodically sprayed and otherwise disinfected.	Rooms stripped on termination of cases.

Page 45

TABLE 20. Shewing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.

	0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	All Ages.
	0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	Males	Females	Total

Page 46

Summary of Notifications during the period from the 30th December, 1918, to the 3rd January, 1920, in the Metropolitan Borough of Southwark.

Age-periods	Notifications on Form A.													Notifications on Form B.					Number of Notifications on Form C.
	Number of Primary Notifications.												Total Notifications on Form A.	Number of Primary Notifications.				Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.
	0-1	1-5	5-10	10-15	15-20	20-25	25-35	35-45	45-55	55-65	65 & upwards	Total Priuairy Notifications.	Total Notifications on Form A.	Under 5	5-10	10-15	Total Primary Notifications.	Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.

Page 47

TABLE 22. ZYMOTIC MORTALITY FOR THE SANITARY AREA, 1919. Showing the localities where the deaths occurred.

Locality.	Polio-Myelitis.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Enteric Fever.	Diarrhæa.	Cerebrospinal Fever.	Influenza.	Total.

Page 48

The number of cases notified, as compared with London, during the last ten years was : —

	In Southwark.	In London.		In Southwark,	In London.

Page 49

The number of cases notified as compared with London, during the last ten years was:—

	In Southwark.	In London.		In Southwark.	In London

Page 49

Number of deaths from Diphtheria during the last ten years:—

	In Southwark.	In London.		In Southwark.	In London

Page 50

The number of cases notified during the last ten years:—

Page 50

Deaths from Measles during the last ten years:—

Page 51

Deaths from diarrhæa during the last ten years:—

Page 51

Deaths from Whooping Cough for the last ten years:—

Page 52

TABLE 23.

	Original visits in relation to Births.	Original visits in relation to other Health Work.	Visits to premises where occupiers were found to be out.	Revisits in relation to Births.	Revisits in relation to other Health Work.	Total.

Page 53

MATERNITY AND CHILD WELFARE CENTRES. (1) Centres provided by the Council. (Six).

Distinctive No.	Address of Centre.	District served by Centre.	Health Visitor.	Day and Time of Attendance and Doctor attending.

Page 54

2) Wholly Voluntary Centres. (Four).

Distinctive No.	Address of Centre.	District served by Centre.	Health Visitor.	Day and Time of Attendance and Doctor attending.

Page 58

TABLE 24. Return of Families Admitted into the Council's Reception House during the tear 1919.

1919.	Scarlet Fever.			Diphtheria.			Enteric Fever.			Other diseases, &c.			Verminous Persons.
Week Ed ding.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.

Page 59

TABLE 24— Continued.

1919.	Scarlet Fever.			Diphtheria.			Enteric Fever.			Other Diseases, &c.			Verminous Persons.
Week Ending.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.

Page 60

The Locality of Rooms Disinfected. After the occurrence of Infectious Disease.

	St- Mary's Ward*	St. Paul' Ward. ^s	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christ-church Ward.	St. Saviour's Ward.	Total

Page 60

TABLE 26. The Locality of the Rooms Stripped after the occurrence of Infectious Disease,

	St Mary's Ward'.	St. Paul's Ward.	St.Peter's Ward	St John's Ward.	Tri-ity Ward.	All Saints Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christ-Church Ward.	St. Sariour'8 Ward.	Total.

Page 61

TABLE 27. Bedding, &c., disinfected and destroyed after the occurrence of Infectious Disease during the Year 1919,

Articles.	No. Disinfected.	No. Destroyed.

Page 61

The locality of the rooms periodically sprayed and disinfected in connection with cases of Phthisis notified to the Medical Officer.

	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St.Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christ-church Ward.	St. Saviour's Ward.	Total.

Page 61

TABLE 29. Rooms Stripped upon the termination of Phthisis cases.

	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St.Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Ohrist-church Ward.	St. Saviour's Ward.	Total.

Page 63

These 1,279 Children received 7,680 baths during 1919.

Name of School.	Verminous.		Scabious.
Name of School.	Boys.	Girls,	Boys.	Girls.	Total.

Page 64

Continued from previous page...

Name of School.	Verminous.		Scabious.		Total.
Name of School.	Boys.	Girls.	Boys.	Girls.	Total.

Page 65

TABLE 31.

Address.	Male.	Female.	Total.

Page 66

TABLE 32. Verminous Rooms Cleansed.

Waud.	No. of Intimation Notices served.	No. of Statutory Notices served.	Police Court proceedings taken.	Verminous rooms treated.
Waud.	No. of Intimation Notices served.	No. of Statutory Notices served.	Police Court proceedings taken.	(a) by Owners of Premises.	(b) by the Council's Disinfecting Staff.

Page 67

Verminous Bedding, &c., Disinfected at the Council's Stations during 1919.

Articles.	Disinfected.	Destroyed.

Page 67

TABLE 34. The number of Verminous Rooms Stripped by the Council s Staff.

	St. Mary's Ward.	St. Paul s Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St.Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christ Church Ward.	St. Saviour's Ward.	Total.

Page 68

TABLE 35. During the year 524 bodies were received into the Mortuaries:—

Reasons bodies were brought to Mortuary.	Collier's Rents Mortuary.	Manor Place Mortuary.	Total.

Page 76

TABLE 36. Table showing the locality (in Wards) of the Houses Let in Lodgings on the Register at the end of 1919.

	WARDS.											Total.
	St. Mary	St. Paul	St. Peter	St. John	Trinity	All Saints'	St. Michael	St. Jude	St. George	Christchurch	St. Saviour	Total.

Page 79

ICE CREAMS. TABLE 37. Showing the Number of Inspections made of the Shops or other Premises where Ice Cream is made or stored during 1919.

WARDS.	Original Inspections.	Re-inspections.	Premises found satisfactory on Inspection.	Premises found defective on Inspection.	Intimation Notices served.	Statutory Notices served.	Proceedings taken.

Page 80

TABLE 83 Showing the number of Inspections made of the Eating Houses, &c., during 1919.

WARDS	Original Inspections.	Re-inspec-tions.	Premises found satisfactory on Inspection.	Premises found defective on Inspection.	Intimation Notices served.	Statutory Notices served.	Proceedings taken.

Page 81

TABLE 39. Inspections of Food at Wharves, Markets, and other places where food is stored, and the action taken by the officials during the year 1919.

INSPECTION OF WHARVES, &c.					FOOD EXAMINED, &c.
WARD.	Inspections of Wharves and Warehouses.	Inspections of Markets.	Inspections of Shops or Street Stalls.	Total.	Parcels of Food Examined.	Number of Samples Examined.	Parcels of Food Sorted.	Parcels of Food destroyed by consent of owner.	Parcels of food seized by Inspector.	Parcels of food condemned by Magistrate.	Summonses taken out.

Page 82 83

EXAMINATION OF FOOD. T able 40. Showing the quantity of Foodstuffs examined during the year 1919 by the several Inspectors throughout the Borough (The amount shown in this table is in addition to the total shown in Table 41.)

Foodstuffs Examined.						Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs.	Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Remarks.
		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.

Page 84 85

Continued from previous page...

Foodstuffs Examined.						Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs.	Quantity.	Weight,				Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Remarks.
		T	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.

Page 86 87

Continued from previous page...

Foodstuffs Examined.						Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs.	Quantity.	Weight,				Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Remarks.
		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.

Page 90 91

Continued from previous page...

Foodstuff Examined.						Qantity nad Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs.	Quantity.	Weight.				Quantity.	Weight.				Quantity,	Weight.				Quantity	Weight.				Remarks.
		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	c.	Q.	L.		T.	C.	Q-	L.

Page 92 93

Continued from previous page...

Foodstuffs Examined.						Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks
Foodstuffs.	Quantity.	Weight,				Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Remarks
		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.

Page 94 95

Continued from previous page...

Foodstuffs Examined.						Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks
Foodstuffs.	Quantity.	Weight.				Quantity.	Weight.				V Quantity.	Weight.				Quantity.	Weight.				Remarks
		T.	C.	Q.	L.		T.	C.	Q	L.		T.	C.	Q.	L.		T.	c.	Q.	L.

Page 96 97

Continued from previous page...

Foodstuffs Examined.						Quantity and weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs	Quantity.	Weight.				• Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Remarks.
		T.	C.	Q.	L.		T.	C.	Q.	l.		T	C.	Q	L.		T.	C.	Q.	L.

Page 98

TABLE 41 Table showing the total quantity of Foodstuffs examined at the wharves during the year 1919, the quantity found to be unsound, the notiees served and the method of disposal of the unsound portion.

Foodstuffs.	Quantity and Weight examined.					Weight found to be unsound.				Surrendered by Owner.	Seized by Inspector.	Notices served.		How unsound portion disposed of.
Foodstuffs.	Quantity.	Weight.				Weight found to be unsound.				Surrendered by Owner.	Seized by Inspector.	(a) Detention.	(b) Release	How unsound portion disposed of.
		T.	C.	Q.	L.	T.	C.	Q.	L.

Page 105

EXAMINATION OF FOOD. TABLE 42. Showing the number of samples of Foodstuffs examined in each Ward during 1919, and the number of such samples found to be unsound.

Ward.	Number of Samples examined.	Number found to be sound.	Number found to be unsound.

Page 108 109

TABLE 43. Action taken in Southwark under the Housing, Town Planning, &c., Act, 1909. The cases still under consideration reported in my Annual Report of 1913.

Folio.	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	Action taken and notices served under Sections
Folio.	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	15 (2)	15 (3)	15 (4)	15 (5)	17 (2)	17 (4)	17 (6)	17 (6)	18 (1)	18 (2)	18(2)	18 (3)

Page 110 111

TABLE 43— continued.

Folio.	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	Action taken and notices served under Sections
Folio.	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	15 (2)	15 (3)	15 (4)	15 (5)	17 (2)	17(4)	17 (6)	17 (6)	18 (1)	18 (2)	18(2)	18 (3)

Page 112 113

TABLE 43— continued.

Folio.	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	Action taken and notices served under Sections
Folio.	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	15 (2)	15 (3)	15 (4)	15 (5)	17 (2)	17(4)	17 (6)	17 (6)	18 (1)	18 (2)	18 (2)	18 (3)

Page 114 115

TABLE 3— continued.

Folio	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	Action taken and notices served under Sections
Folio	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	15 (2)	15 (3)	15 (4)	15 (5)	17(2)	17 (4)	17 (6)	17 (6)	18 (1)	18 (2)	18 (2)	18 (3)

Page 116 117

TABLES 43 — continued.

Folio	Premises complained of.	Date of Report of Medical Officer. /	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	Action taken and notices served under Sections
Folio	Premises complained of.	Date of Report of Medical Officer. /	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	15(2)	15(3)	15 (4)	15 (5)	17 (2)	17 (4)	17 (6)	17 (6)	18 (1)	18(2)	18 (2)	18(3)

Page 118

TABLE ???— continued.

Folio.	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	Action taken and notices served under Sections
Folio.	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	15(2)	15 (3)	15(4)	16 (5)	17(2)	17 (4)	17(6)	17(6)	18(1)	18 (2)	18 (2)	18 (3)

Page 119

TABLE 44 Showing the Number of Observations, &c., in regard to Smoke Nuisances made by the several Ward Inspectors during 1919.

	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward. .	All Saints' Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.	Total for Borough.

Page 120 121

TABLE 45. Showing number of complaints received from outside sources, and the Observations, &c., made by the Council's Inspectors during the past Nineteen Years.

YEAR.	Complaints received from outside sources.	Observations made by Inspectors.	Nuisance* observed.	Notices served.		Summonses taken out.	Convictions obtained.
YEAR.	Complaints received from outside sources.	Observations made by Inspectors.	Nuisance* observed.	Intimation.	Statutory.	Summonses taken out.	Convictions obtained.

Page 122

TABLE 46. Factories and Workshops. Showing the number of Inspections with the Defects found and remedied in the several Wards during the year 1919.

1.—INSPECTIONS.												2.—DEFECTS FOUND.
Factories.			Workshops.			Workplaces.			Home and, Outworkers Premises.			Want of Cleanliness.			Want of Ventilation.			Over Crowding.			Want of Drainage of Floors.			Other Nuisances.			Sanitary Accommodation.
Factories.			Workshops.			Workplaces.			Home and, Outworkers Premises.			Want of Cleanliness.			Want of Ventilation.			Over Crowding.			Want of Drainage of Floors.			Other Nuisances.			Insufficient			Unsuitable or Defective.			Not separate for Sexes.
Inspections.	Notices.	Summonses.	Inspections.	Notices.	Summonses.	Inspections.	Notices.	Summonses.	Inspections.	Notices.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.

Page 123

1.—Inspection (including Inspections made by Sanitary Inspectors).

Premises.	Number
Premises.	Inspections.	Written Notices.	Prosecutions.

Page 123

2.—Defects Found.

Particulars.	Number of Defects.			Number of Prosecutions.
Particulars.	Found.	Remedied.	Referred to H.M. Inspector.	Number of Prosecutions.

Page 124

TABLE 48. 3.—Home Work.

Outworkers' Lists, Section 107.								Outwork in Unwholesome Premises, S. 108.			Outwork in Infected Premises, Sections 109-10.
Lists received from Employers.				Nos. of Addresses of Outworkers received from other Councils.	Nos. of Addresses of Outworkers forwarded to other Councils.	Prosecutions.		Instances.	Notices served.	Prosecutions.	Instances.	Orders made. (S. 110).	Prosecutions. (Sa. 109,10).
Twice in the year		Once in the year.				Failing to keep or permit inspection of lists.	Failing to send lists.
Lists.	Outworkers.	Lists.	Outworkers.			Failing to keep or permit inspection of lists.	Failing to send lists.

Page 125

TABLE 49 4.—Registered Workshops.

Workshops, Workplaces, Ac., on the Register (S. 131) at the end of the year.	Number.

Page 126

TABLE 50.

	WARDS.															Total.
	St. Mary's.	St. Paul's.	St. Peter's.	St. John's.	Trinity.	All Saints'	St. Michael's.	St. Judes.	St. Georges.	Christchurch.	St. Saviour's.	Houses Let in Lodgings. Miss Wilkinson.	Houses Let in Lodgings. Miss Wilkinson.	Women's Workshops.	Bakehouses.	Total.

Page 126

TABLE 51.

Page 127

TABLES 52. Proceedings taken under the Public Health and Defence of the Realm Acts.

Defendant.	Cause of Proceedings.	Result.

Page 128

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Defendant.	Cause of Proceedings.	Result.

Page 129

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Defendant.	Cause of Proceedings.	Result.

Page 130

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 131

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 132

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 133

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 134

Continued from previous page...

Defendant.	Cause of Proceedings.	Result. ,

Page 135

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 136

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 137

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 138 139

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 140 141

TABLE 53 Summary of Original Inspections, &c., made in the several Wards during the year 1919.

Ward or District.	Complaints. Including houses in which deaths have occurred.)			House to House.			Principal Infectious Diseases.			Factories, Workshops Workplaces and Outworkers.		Number of Original Inspections made daily.	Number of Reinspections made daily.
Ward or District.	Number of Inspections made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of Reinspections made.	Number of Original Inspections made daily.	Number of Reinspections made daily.

Page 142 143

TABLB 54. Summary of Sanitary Works Completed, 1919.

Ward, or District.	Intimation Notices served.	Statutory Notices served.	Sanitary Works completed.	Drain reconstructed.	Drain repaired.	Interceptor, Ac.	Blocked Drains unstopped.	New Soilpipe provided.	Closet app. or repaired.	Closet provided.	Water supply.	Closet Pan and Trap.	Yards, &o., paved.	Paving repaired.	Gullies provided.	Sinks trapped.	Rain Pipes disconnected.	* Roofs, Gutters, &c.	Dust-bin provided.	Basement concreted.	Foul rooms cleansed.	Floor ventilation.	House ventilated.	Draw Tap from Main.	Overcrowding abated.	Additional water supplies provided.	Surface Drains.	Miscellaneous Nuisances from Urinals, Manure, Animals, Ac., abated.

Page 144

TABLE 55. Sanitary Works completed during 1919 and also in Twelve preceding Years, 1907-18.

Year.	Intimation Notices served.	Statutory Notices served.	Sanitary Works completed.	Drain reconstructed.	Drain repaired.	Interceptor,&c.	Blocked Drains unstopped.	New Soilpipe provided.	Closet app. or repaired.	Closet provided.	Water supply.	Closet Pan and Trap.	Yards, &c., paved.	Paving repaired.	Gullies provided.	Sinks trapped.	Rain Pipes disconnected.	Roofs, Gutters, &c.	Dust bin provided.	Basement concreted.	Foul rooms cleansed.	Floor ventilation.	House ventilated.	Draw tap from Main.	Overcrowding abated.	Additional Water Supplies provided.	Surface Drains.	Miscellaneous Nuisances from Urinals, Manure, Animals, &c., abated.

Page 145

TABLE 56 Summary of Original Inspections, &c., made during 1919 and in Twelve preceding Years, 1907-1918.

Tear.	Complaints (including houses in which deaths have occurred).			House to House.			Infrectious Diseases.			Factories, Workshops and Workplaces, &c.
Tear.	Number of Inspections made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of drains tested.	Number of Reinspections made	Number of Inspection made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of Reinspections made.

Page 146

NOXIOUS TRADES. There are two premises in the Borough upon which noxious businesses or trades are carried on as under: —

Situation of Premises.	Description of Business.		Name of Occupiers.

Page 147

The following is a list of the Licensed Cowkeepers in the Borough : —

Situation of Premises.	Name of Occupier.

Page 147

The» following defects were discovered by the Inspector, who found it necessary to serve 29 intimation notices in order to obtain the abatement of the nuisances complained of:—

Page 148

There are five licensed Slaughterhouses in the Borough. The following are the premises and the licensees: —

Situation of Premises.	Name of Licensee.

Page 148

TABLE 57. Showing the number of samples taken in each Ward of the Borough during the year.

	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour s Ward.	Total.

Page 149

TABLE 58. Showing the Wards in which proceedings were taken under the Food and Drugs Act.

	St. Mary's Ward"	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.	Total.

Page 149

The proceedings taken before the Magistrates resulted as follows

	Summonses.

Page 150 151

TABLE 59.

Article.	No. of samples purchased by Agents.	Result of Analysis.		Percentage of adulterated samples.
Article.	No. of samples purchased by Agents.	Genuine.	Adulterated.	Percentage of adulterated samples.

Page 152 153

FOOD AND DRUGS ACTS. • TABLE 60. Return of Official Samples for the Year ending 3rd January, 1920, showing the number taken, and the percentage of adulterated Samples for each quarter and for the year.

Article.	1st Quarter.				2nd Quarter.				3rd Quarter.				4th Quarter.				Whole Year.
Article.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Sample.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine,	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.

Page 154 155

TABLE 60—iontinuid.

Article.	1st Quarter.				2nd Quarter.				Third Quarter.				Fourth Quarter.				Whole Year.
Article.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulte. rated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Sample.

Page 156

TABLE 60— continued.

Article.	1st Quarter.				2nd Quarter.				3rd Quarter.				4th Quarter.				Whole Year.
Article.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Aoulte- rated Samples.	Number of; Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.

Page 157

TABLE 61. SALE OF FOOD AND DRUGS AND DEFENCE OF THE REALM ACTS. . PROCEEDINGS TAKEN, WITH THE RESULTS.

Name and Address of Vendor.	Sample and Number.	Result of Analysis.	Result of Proceedings.

Page 158

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Name and Address of Vendor.	Sample and Number,	Result of Analysis.		Result of Proceedings.

Page -

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Name and Address of Vendor.	Sample and Number.	Result of Analysis.	Result of Proceedings.

Page -

TABLE A. Total number of persons examined for the first time, 1,423:—

Page -

TABLE B. Patients found to be suffering from Pulmonary Tuberculosis:—

Page -

TABLE C. Patients suffering from Non-Pulmonary Tuberculosis:-

Page -

TABLE D. Cases (including contacts) found Non-Tuberculous:—

Page -

TABLE E. Total attendances of patients:—

Page -

TABLE F. Number of examinations of patients:—

Page -

TABLE G. The following cases were recommended to the London Insurance Committee for treatment:—

Page -

TABLE H. The recommendations to the County Council for Institutional treatment were as follows:—

Page -

TABLE I. The Nurses visited the homes of the following cases and advised the patients on the questions of environment and preventive measures:—

Page -

TABLE J. Patients discharged during the year:—

	Insured.	Non-Insured.

Page -

TABLE K. Statistics of cases dealt with by the Tuberculosis Care Committee —

Page -

TABLE L. Death-rate from Pulmonary Tuberculosis for Southwark compared with London as a whole:—

Page -

TABLE M. Notification of fresh cases of Pulmonary Tuberculosis:—

1912	1913	1914	1915	1916	1917	1918	1919

Page -

TABLE N. Deaths from Pulmonary Tuberculosis:—

1912	1913	1914	1915	1916	1917	1918	1919

Page -

TABLE O. Cases referred to Hospitals:—

	Insured.	Non-insured.

Page -

TABLE P. Sexes of notified new cases of Pulmonary Tuberculosis:-

Page -

TABLE Q. Patients still attending the Dispensary on December 31st, 1919:-

Page -

TABLE R. Sources of cases:—

	Insured.	Non-insured.

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

View report tables

Southwark 1919

142 tables in this report

Deaths in the Sanitary Area from the principal Zymotic Diseases.

The population of the several divisions of the Borough at each Census since 1841, and also the estimated population for 1902, 1903, 1904, 1905, 1906, 1907, 1908, 1909, 1910, 1912, 1913, 1914, 1915, 1916, 1917, 1918 and 1919.

The Ward distribution was as follows:— TABLE 1.

Birth.rate for the last Twenty.eight Years for the Three Divisions of the Borough as formerly existed.

TABLE 2. Number of Births belonging to each ward, with the Birth-rates, also the Infantile Mortality and Zymotic Rate in the several wards for 1919.

TABLE 3. Outlying Deaths, with Localities.

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TABLE 4. Death Rates for the last Twenty-eight Years for the Three Divisions of the Borough as formerly existed.

TABLE 5. Death Hates for the various Wards for the last Fifteen Years.

TABLE 6. Showing the number of Deaths that occurred in Public Institutions in the Borough during the year 1919.

TABLE 7. Births and Deaths Registered in the Sub-Districts of the Borough in 1919, with Ages at Death. For the First Quarter of thirteen weeks ending 29th March.

TABLE 7. —(contd.) For the Third Quarter of thirteen weeks ending 27th September.

TABLE 8. Vital Statistics of Whole District during 1919 and previous ten years. Borough of Southwark.

TABLE 9. Deaths belonging to the Sanitary Area, with the Causes of Death at all Ages during 1919.

TABLE 9.— Continued.

TABLE 9.— Continued.

TABLE 9. — Continued.

TABLE 9. — Continued.

TABLE 9a. Deaths belonging to the Sanitary Area with the Causes of Death at all Ages for the ten years 1910-1919.

TABLE 9a —continued.

TABLE 9a — continued.

TABLE 9a — continued.

TABLE 9b. Causes of, and Ages at Death during Year 1919. Borough of Southwark.

The deaths under one year of age to 1,000 births for the last twenty-five years were as follows:—

TABLE 10. BOROUGH OF SOUTHWARK. INFANT MORTALITY, 1919. Nett Deaths from stated causes at various ages under 1 Year of Age.

TABLE 11. Vital Statistics of Separate Localities in 1919 and previous years. BOROUGH OF SOUTHWARK

TABLE 12. Cases of Infectious Diseases notified during the Year 1919.

TABLE 13. Cases of Infectious Disease Notified to the Medical Officer of Health for the Borough of Southwark, during the year 1919, occurring in the several wards:—

TABLES 14. Deaths in the Sanitary Area from the principal Zymotic Diseases in the Various wards for 1919.

TABLE 15. The total number of Deaths in the Sanitary Area, with the Ages apportioned to the several wards, and the Death-rate in each ward for 1919.

TABLE 16. Cases of Infectious Disease. Notified to the Medical Officer of Health for Southwark, during each week of the year 1919. _

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TABLE 17. Analysis of Cases treated in Hospitals and at Home belonging to the Borough of Southwark for Nineteen Years.

TABLE 18. Analysis of Sickness and Mortality Statistics in London during the Year 1919.

TABLE 19. A summary of the cases notified and other particulars in connection therewith during the year 1919.

TABLE 20. Shewing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.

Summary of Notifications during the period from the 30th December, 1918, to the 3rd January, 1920, in the Metropolitan Borough of Southwark.

TABLE 22. ZYMOTIC MORTALITY FOR THE SANITARY AREA, 1919. Showing the localities where the deaths occurred.

The number of cases notified, as compared with London, during the last ten years was : —

The number of cases notified as compared with London, during the last ten years was:—

Number of deaths from Diphtheria during the last ten years:—

The number of cases notified during the last ten years:—

Deaths from Measles during the last ten years:—

Deaths from diarrhæa during the last ten years:—

Deaths from Whooping Cough for the last ten years:—

TABLE 23.

MATERNITY AND CHILD WELFARE CENTRES. (1) Centres provided by the Council. (Six).

2) Wholly Voluntary Centres. (Four).

TABLE 24. Return of Families Admitted into the Council's Reception House during the tear 1919.

TABLE 24— Continued.

The Locality of Rooms Disinfected. After the occurrence of Infectious Disease.

TABLE 26. The Locality of the Rooms Stripped after the occurrence of Infectious Disease,

TABLE 27. Bedding, &amp;c., disinfected and destroyed after the occurrence of Infectious Disease during the Year 1919,

The locality of the rooms periodically sprayed and disinfected in connection with cases of Phthisis notified to the Medical Officer.

TABLE 29. Rooms Stripped upon the termination of Phthisis cases.

These 1,279 Children received 7,680 baths during 1919.

Continued from previous page...

TABLE 31.

TABLE 32. Verminous Rooms Cleansed.

Verminous Bedding, &amp;c., Disinfected at the Council's Stations during 1919.

TABLE 34. The number of Verminous Rooms Stripped by the Council s Staff.

TABLE 35. During the year 524 bodies were received into the Mortuaries:—

TABLE 36. Table showing the locality (in Wards) of the Houses Let in Lodgings on the Register at the end of 1919.

ICE CREAMS. TABLE 37. Showing the Number of Inspections made of the Shops or other Premises where Ice Cream is made or stored during 1919.

TABLE 83 Showing the number of Inspections made of the Eating Houses, &amp;c., during 1919.

TABLE 39. Inspections of Food at Wharves, Markets, and other places where food is stored, and the action taken by the officials during the year 1919.

EXAMINATION OF FOOD. T able 40. Showing the quantity of Foodstuffs examined during the year 1919 by the several Inspectors throughout the Borough (The amount shown in this table is in addition to the total shown in Table 41.)

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TABLE 27. Bedding, &c., disinfected and destroyed after the occurrence of Infectious Disease during the Year 1919,

Verminous Bedding, &c., Disinfected at the Council's Stations during 1919.

TABLE 83 Showing the number of Inspections made of the Eating Houses, &c., during 1919.