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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

Fulham 1914

Annual report of the Medical Officer of Health for the year 1914

Published
1915
Author
Jackson, J. Charles.
Pages
80
Tables
75

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75 tables in this report

  • Page -
    The following table shows the increase of the population of the borough since 1851:— TABLE I.
    Year.Population.Increase per cent. during previous intercensal period.Persons to the Acre.Rateable Value.
    £
  • Page 6
    TABLE II. Births in 1914.
    Ward.Males.Females.Total Births.Birth-rate.
  • Page 7
    TABLE III. VITAL STATISTICS OF WHOLE DISTRICT DURING 1914 AND PREVIOUS YEARS.
    Year.Population Estimated to Middle of each Year.Births.Total Deaths Registered in the District.Transferable Deaths.†Nett Deaths belonging to the District.
    Uncorrected Number.Nett.
    Under 1 Year of Age.At all Ages.
    of Non-Residents registered in the District.of Residents not registered in the District.
    Number.RateNumber.Rate.Number. *Rate per 1,000 Nett Births.Number. *Rate.
    12346678910111213
  • Page 9
    TABLE IV. Mortality in 1914.
    Area.Annual Rate per 1,000 living.
  • Page 9
    Seasonal Mortality. The mortality in the four quarters of the year was as under:—
    Deaths.Death Rate.
  • Page 10
    TABLE V. Death-rate per 1,000 persons in each Ward.
    Barons Court Ward.Lillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
  • Page 11
    TABLE VI. Causes of and Ages at Death during the Year 1914.
    Nett Deaths at the subjoined ages of "Residents" whether occurring within or without the District (a).Total Deaths whether of "Residents" or "Non-Residents" in Institutions in the District (b)Nett Deaths at all ages of " Residents " in the Wards oj the Borough whether occurring in or beyond the Wards.
    Causes of DeathAll AgesUnder 1 Year1 and under 2 years2 and under 5 years5 and under 15 years15 and under 25 years25 and under 45 years45 and under 65 years65 and upwardsBarons Court WardLillie WardWalham WardMargravine WardMunster WardHurlingham WardSands End WardTown Ward
    12345678910111213141516171819
  • Page 13
    TABLE VII. Deaths under one year per 1,000 Births.
    Ward.1904190519061907190819091910191119121913Average Ten Years 1904-19131914
  • Page 15
    TABLE VIII. INFANT MORTALITY DURING THE YEAR 1914.
    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 One Year.Barons Court Ward.Lillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
    All causesCertified9923151315097102615946921715876119178720503
    Uncertified.........................................................
    Small-pox.........................................................
    Chicken-pox.........................................................
    Measles.....................459...124......2...13.0
    Scarlet Fever......................................................0.25
    Whooping Cough......1...13798282444734...20.0
    Diphtheria and Croup.....................123...1...1......1...2.5
    Erysipelas.....................1...1............1.........0.5
    Tuberculous Meningitis...............1...135.........2......3...6.0
    Abdominal Tuberculosis (a)......................................................4.0
    Other Tuberculous Diseases..................3...14......2.........2...9.0
    Meningitis (not Tuberculous)..................1......1..................1...6.0
    Convulsions11...1311......5......121......111.0
    Laryngitis.....................1...1...1..................0.5
    Bronchitis...22...48622221523218...27.0
    Pneumonia (all forms)111141317171364...6121414214258.5
    Diarrhœa.........1120201012632671324...9287.0
    Enteritis.........111021127512104101627...26.0
    Gastritis...............31127...1112...113.0
    Syphilis...113545...115113...423113.5
    Rickets......................................................2.0
    Suffocation, overlying2...2...421......72...1...1...3...12.0
    Injury at Birth8.........6............6...1...221......9.0
    Atelectasis2.........2............2...1...1............14.0
    Congenital Malformations23......522......9...2......4...2116.0
    Premature Birth7013128681......9531291425421791.0
    Atrophy, Debility and Marasmus1323220149......436145...1015248.0
    Other causes2...4288723282555611324.0
    9923151315097102615946921715876119178720504.
  • Page 17
    TABLE IX. Death-rates of Infants under one year of age from certain groups of diseases.
    Diseases.Deaths per 1,000 births.
    1914.Average of 5 years 1909-13.
  • Page 19
    TABLE X. Deaths at certain age periods.
    Age Period.Number of Deaths.Percentage Total Deaths.Death-rate per 1000 of population living at age period.
  • Page 20
    TABLE XI. Deaths from the seven principal Epidemic Diseases.
    1904.1905.1906.1907.1908.1909.1910.1911.1912.1913.M ean number of Deaths 1904—1913.Mean Death-rate 1904—1913.Deaths 1914.Death-rate 1914.
  • Page 21
    TABLE XII. Cases of Infectious Diseases notified to the Medical Officer of Health.
    1890189118921893189418951896189718981899190019011902190319041905190619071908190919101911191219131914
  • Page 22
    TABLE XIII. Gases of Infectious Diseases notified during the Year 1914.
    Notifiable Disease.Number of Cases Notified,Total Cases Notified in each Ward of the Borough.Total cases removed to Hospital
    At all Ages.At Ages—Years.Barons Court Ward.Lillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
    Under 1.1 to 5.5 to 15.15 to 25.25 to 45.45 to 65.65 and upwards.
  • Page 23
    TABLE XIV. Supplemental Vaccination Return for 1913 for the Borough of Fulham.
    No. of Births Registered from Tan. 1st, 1913. to Dec. 31st, 1913.Successfully Vaccinated.Insusceptible of Vaccination.Dead Unvaccinated.Postponed by Medical Certificate.Certificates granted under Clause 2 of Vaccination Act, 1898.Removed to Districts in which Vaccination Officer has been notified.Removed to places unknown.Outstanding.
  • Page 24
    TABLE XV. Vaccination Returns for the period from January to June 1914, for the Borough of Fulham.
    No. of Births Registered from Jan. 1st, 1914, to June 30th, 1914.Successfully Vaccinated.Insusceptible of Vaccination.Dead Unvaccinated.Postponed by Medical Certificate.Certificates granted under Clause 2 of Vaccination Act, 1898.Removed to Districts in which Vaccination Officer has been notified.Removed to places unknown.Outstanding.
  • Page 24
    The returns for the four quarters were:—
    Cases.Deaths.
  • Page 25
    Excluding those in public institutions the cases occurred in 772 houses as under:
  • Page 26
    TABLE XVI. Number of cases of Scarlet Fever notified per 10,000 of the population.
    1904190519061907190819091910191119121913Mean of 10 years 1904-131914
  • Page 26
    Diphtheria. The cases of diphtheria notified in the four quarters of the year were as under:—
    Cases.Deaths
  • Page 27
    The cases occurred in 239 houses as under:—
  • Page 28
    TABLE XVII. Number of cases of Diphtheria notified per 10,000 of the population
    1904190519061907190819091910191119121913Mean of 10 years 1904-13.1914
  • Page 29
    Tuberculosis. The notifications received during the year numbered 1516.
  • Page 30
    TABLE XVIII. PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of notifications during the period from 4th January, 1914, to January 2nd, 1915.
    Age periods.Number of Notifications on Form A.Number of Notifications on Form B. (by School Medical Officers)Number of Notifications on Form C. of admission to
    Primary Notifications.Total Notifications on Form APrimary Notifications.
    0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwardsTotal.Under 5.5 to 1010 to 15Total.Total Notifications on Form BPoor Law Institutions.Sanatoria.
  • Page 31
    TABLE XIX. Deaths per 1,000 of the population of each Ward from Phthisis and other Tuberculous Diseases.
    Death-rate from Phthisis.Death-rate from other Tuberculous Diseases.Death-rate from all Tuberculous Diseases.
  • Page 33
    THE WORK OF THE DISPENSARY DURING 1914. SUMMARY OF STATISTICS.
  • Page 34
    TABLE I. Shewing who recommended the Patients.
  • Page 35
    TABLE II. Sex and Age of New Patients for 1914.
    under 55-1010-1515-2525-3535-4545 and OverAll ages.
  • Page 36
    TABLE III. Results of Cutaneous Tests, 1914.
    Age Periods.Total Tests.Positive.Negative.Percentage Positive.
  • Page 36
    TABLE IV. Diagnosis of Males and Females.
    Total Cases.Pulmonary TuberculosisOther Forms-SuspectsNon- Tuber culous.Percentage Tuberculous.
  • Page 37
    TABLE V. Diagnosis at Various Age Periods.
    Pul monary TuberculosisOther Forms.S uspecisNon-TuberculosisPercentage Tuberculosis
  • Page 37
    TABLE VI. Shewing the number of patients sent to Tuberculosis Institutions and Convalescent Homes.
    BromptonSanotoria.Convalescent Homes.Infirmary Tub. Ward.Boarded out.
  • Page 39
    TABLE VII. Of the 248 tuberculous patients found in 1914:—
  • Page 40
    TABLE VIII. Housing Accommodation.
    No. of patients occupying.
    1 room2 rooms3 rooms4 rooms5 rooms6 rms or more
  • Page 40
    TABLE IX. The Patient slept—
    In a separate roomin 58 cases
  • Page 41
    Continued from previous page...
  • Page 43
    Whooping Cough. The deaths from whooping cough in the four quarters of the year, were:—
  • Page 43
    The deaths from diarrhœa and enteritis in the four quarters of the year, were:—
  • Page 44
    The parts primarily affected were:—
    Males.Females.
  • Page 44
    Other diseases caused the following deaths:-
  • Page 45
    The deaths of Fulham residents in public institutions and elsewhere outside the borough numbered 391, and occurred in the following institutions:—
  • Page 46
    Continued from previous page...
  • Page 46
    Of the deaths registered, 892 or 41.9 per cent, took place either in Poor Law institutions, in hospitals, or in public lunatic asylums, the percentages in the various classes of institutions being as under:-
  • Page 48
    The following articles were disinfected at the Council's Disinfecting Station, Townmead Road, during the year:—
  • Page 49
    Continued from previous page...
  • Page 49
    The following rooms were disinfected and cleansed:-
  • Page 50
    Material from cases of suspected Diphtheria:—
    Number of Specimens.
  • Page 50
    Public Mortuary. 149 bodies were removed to the mortuary during the year and were admitted as follows:—
  • Page 52
    The undermentioned samples were purchased for analysis in 1914:—
    Article.Number of Samples taken , Officially.Namber Adulterated.Number of Samples taken Unofficially.Number Adulterated.Total Samples.Total Adulterated.Percentage of Adulteration.
  • Page 53
    In the preceding ten years the samples purchased for analysis were as under:—
    Number of Samples.Samples Adulterated.Percentage of Adulteration.
  • Page 53
    The average composition of the samples purchased as new milk in each of the four quarters was as under:-
    Period.Number of Samples.Solids other than Fat.Fat.Water.
  • Page 54
    1. Milk and Cream not sold as Preserved Cream.
    Articles.(a) Number of samples examined for the presence of a preservative.(b) Number in which a preservative was found to be present
  • Page 54
    Nature of preservative in each case in column (b) and action taken under the Regulations in regard to it.
  • Page 55
    Prosecutions under the Sale of Food and Drugs Acts, were instituted in the following cases:—
    Defendant.Offence.Result.Penalty.Costs.
  • Page 56
    Continued from previous page...
    Defendant.Offence.Result.Penalty.Costs.
    Brought forward£ s. d. 58 10 0£ s. d. 5 19 0
  • Page 57
    Including Inspections made by Sanitary Inspectors, or Inspectors of Nuisances.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 58
    2.—Defects found in Factories, Workshops and Workplaces.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to h.m. Inspector.
  • Page 59
    3.— Home Work.
    NATURE of WORK.OUTWORKERS' LISTS, SECTION 107.OUTWORK IN UNWHOLESOME PREMISES. SECTION 108.OUTWORK IN INFECTED PREMISES, SECTIONS 109. 110.
    Lists received from Employers.Notices served on Occupiers as to keeping ! or sending lists.Prosecutions.
    Sending twice in the year.Sending once in the yearFailing to keep or permit inspection of lists.Failing to send lists.Instances.Notices served.ProsecutionsInstances.Orders made (Sec. 110).Prosecutions (Sees. 109. 110).
    Lists.Outworkers.Lists.Outworkers.
    Con-tractors.Work-men.Con-tractors.Work-men.
  • Page 60
    4.— Registered Workshops.
    Class.Number.
  • Page 60
    5.—Other Matters.
    Class.Number.
  • Page 60
    Housing, Town Planning, etc., Act, 1909. The number of dwelling-houses inspected under and for the purposes of Section 17 of the above Act was as under:
    Number of houses inspected.Number of houses unfit for habitation.Number of representations.Number of Closing Orders.Number of houses in which defects were remedied without Closing Orders.Number of houses in which defects were remedied after Closing Orders.Number of houses demolished.Number of houses in which repairs were not completed on Dec. 31st, 1914.
  • Page 61
    During the year the following drainage plans were submitted to and approved by the Public Health Committee:-
  • Page 63
    The following summary has been prepared at the request of the Medical Officer of Health of the London County Council:—
    PREMISES.NUMBER OF PLACES.Number of Inspec-tions, 1914.Number of Notices. 1914.Number of Prosecutions, 1914.
    On regis-ter at end of 1914.Added in 1914Removed in 1914.On regis-ter at end of 1914.
  • Page 65
    (The figures in brackets denote the number of houses in which the cases occurred. The asterisks denote the fatal cases of Scarlet Fever, Diphtheria, Enteric Fever and Puerperal fever).
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 66
    Continued from previous page...
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 67
    Continued from previous page...
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 68
    Continued from previous page...
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary T uberculosis.
  • Page 69
    Continued from previous page...
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 70
    Continued from previous page...
    Scarlet Fever. -Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 71
    Continued from previous page...
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 72
    Continued from previous page...
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 73
    Continued from previous page...
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 74
    Continued from previous page...
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 75
    Continued from previous page...
    Scarlet Fever.Diphtheria and Membranous Croup.Enteric Fever.Puerperal Fever.Erysipelas.Pulmonary Tuberculosis.
  • Page 76
    TABLE B. Showing the number of Cases of Infectious Diseases notified to the several Metropolitan Medical Officers of Health during the Year 1914.
    Cities and Boroughs.Estimated population in the middle of 1914.Notified Cases of Infectious Disease.
    Small-pox.Scarlet fever.Diphtheria.Typhus fever.Enteric fever.Other continned fevers.Puerperal fever.Erysipelas.Cerebro-spinal meningitis.Poliomyelitis.Total.Annual rate per 1,000 persons living.