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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

Chelsea 1925

Annual report of the Medical Officer of Health for Chelsea, 1925

Published
1926
Author
McCarthy, W. H. Leslie.
Pages
84
Tables
73

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73 tables in this report

  • Page 7
    SECTION 1.—NATURAL AND SOCIAL CONDITIONS OF THE BOROUGH. GENERAL STATISTICS. TABLE No. 1.
  • Page 8
    VITAL STATISTICS. In accordance with the requirements of the Ministry of Health, the following extracts from the Vital Statistics of the year are shown below:— TABLE No. 2.
  • Page 9
    TABLE No. 4. Births and Birth-Rates (1921-1925).
    Year.Births.Birth-rate per 1,000.Birth-rate London.
  • Page 9
    TABLE No. 5. Births in Wards (1921-1925).
    Year.Hans Town.Royal Hospital.Church.Cheyne.Stanley.Total.
  • Page 9
    TABLE No. 6. Notification of Births (1921-1925).
    1921.1922.1923.1924.1925.
  • Page 10
    TABLE No. 7.
  • Page 10
    TABLE No. 8.
    Year.Number of Illegitimate births.Illegitimate birth rate per 1,000 births.
  • Page 11
    During the quinquennial period (1921-1925) the number of nett deaths in the Borough and the corresponding death rates were as shown in the following table:— TABLE No. 9.
    Year.Nett Deaths.Death Rate.
  • Page 11
    TABLE No. 10.
    Hospitals or Institutions within the Borough.Number of Deaths.
  • Page 12
    The deaths (185) of Chelsea residents in Institutions and elsewhere outside the Borough were distributed as under:—
  • Page 13
    TABLE No. 11. Birth Rate, Death Rate and Analysis of Mortality During the Year 1925. (Provisional figures. The rates for England and Wales have been calculated on a population estimated to the middle of 1925, while those for the towns have been calculated on populations estimated to the middle of 1924. The mortality rates refer to the whole population as regards England and Wales, but only to civilians as regards London and the groups of towns.)
    Birthrate per 1,000 Total Population.Annual Death-rate per 1,000 Population.Rate per 1,000 Births.Percentage of Total Deaths.
    All Causes.Enteric Fever.Smallpox.Measles.Scarlet Fever.Whooping Cough.Diphtheria.InfluenzaViolence.Diarrhoea and Enteritis (under Two years).Total Deaths under One year.Causes of Death certified by Registered Medical Practitioners.Inquest Cases.Uncertified Causes of Death.
  • Page 14
    TABLE No. 12. Deaths of Chelsea Residents Registered During the Year 1925, Classified by Age and Cause.
    Causes of Death.Nett Deaths whether occurring within or without the Borough.
    All ages.Under 1 year.1 and under 2 years.2 and under 5 years.5 and under 15 years.15 and under 25 years.25 and under 45 years.45 and under 65 years.65 and upwards.
  • Page 16
    rate, the number of deaths under 5 years, and the percentage of deaths occurring in children under 5 years of age is also shown:— TABLE No. 13.
    Year.Bronchitis.Pneumonia.Other Respiratory Diseases.Total.Death rate.No. of deaths under 5 years.Percentage under 5 years.
  • Page 16
    TABLE No. 14. Child Mortality (1-5 Years).
    Period or Year.Infectious Fevers.Tuberculosis.Respiratory Diseases.Diarrhoea! Diseases.All other causes.Total Deaths.
  • Page 17
    TABLE No. 15.
    Under 1 week.1-2 weeks.2-3 weeks.3-4 weeks.Total under 4 weeks.4 weeks and under 3 months.3-6 months.6-9 months.9-12 months.Total deaths under 1 year.
  • Page 17
    The following Table gives the Infant Mortality Rate in Chelsea under various headings, for the six four-yearly periods, and for the years 1924 and 1925:—
    1901-1904.1905-1908.1909-1912.1913-1916.1917-1920.1921-1924.1924.1925.
  • Page 18
    TABLE No. 17. Infantile Mortality Rates in Wards.
    Average of 13 Years, 1912-1924.1925.
  • Page 18
    Illegitimate Deaths. The following Table No. 18 shows the number of deaths among illegitimate infants during the years 1921-1925. TABLE No. 18.
    1921.1922.1923.1924.1925.
  • Page 18
    TABLE No. 19.
    1921.1922.1923.1924.1925.
  • Page 23
    Year appointed.Name.Qualifications.Appointment.
  • Page 24
    Health Visitors (Whole Time).
    Name.Qualifications.Appointment.
  • Page 24
    CHELSEA TUBERCULOSIS DISPENSARY.
    Name.Qualifications.Appointment.
  • Page 27
    Summary of Work carried out by Sanitary Inspectors during the Years 1921-1925.
    1921.1922.1923.1924.1925.
  • Page 28
    Continued from previous page...
    1921.1922.1923.1924.1925.
  • Page 29
    Continued from previous page...
    1921.1922.1923.1924.1925.
  • Page 30
    Continued from previous page...
    19211922.1923.19241925.
  • Page 30
    TABLE No. 20. Magisterial Proceedings during 1925 under Public Health (London) Act, 1891.
    Situation of Premises.Nature of Nuisance or Complaint.Petty Sessions.Date of Hearing.Result.
  • Page 32
    TABLE No. 21. Factories, Workshops, Workplaces and Homeworkers' Premises. 1.—Inspection of Factories, Workshops and Workplaces. (Including Inspections made by Sanitary Inspectors.)
    Premises.Number of
    Inspections.Written Notices.Occupiers prosecuted.
    (1)(2)(3)(4)
  • Page 33
    2.—Defects found in Factories, Workshops and Workplaces.
    Particulars.Number of Defects.Number of offences in respect to which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 33
    3.—Home Work.
    Outworkers' Lists, Section 107.Outwork in Unwholesome Premises, Section 108.Outwork in Infected Premises, Secs. 109, 110
    Lists received from Employers.Number of Addresses of outworkers received from other Councils.Number of Addresses of outworkers forwarded to other Councils.Prosecutions.No. of Inspections of Outworkers Premises.
    Instances.Notices served.Prosecutions.Instances.Orders made (Sec. 109).Prosecutions (Secs. 109, 110)
    Lists.Chelsea Outworkers.
  • Page 35
    TABLE No. 22. Housing Statistics for the Year 1925. 1. General. Number of New houses erected during the year:—
  • Page 36
    Continued from previous page...
  • Page 37
    Municipal undertakings for the housing of the working classes carried out by the Borough Council prior to 1914 were as follows
    Population
  • Page 37
    Private enterprise, benevolent agencies and trusts had also made very important contributions to housing in Chelsea prior to 1914. These were as follows:—
    Population
  • Page 42
    TABLE No. 23.
    RetailWholesale.Total.
  • Page 43
    TABLE No. 24. Licences granted under Milk (Special Designations) Order.
    Licences granted under Milk (Special) Designations) Order.1923.1924.1925.
  • Page 44
    TABLE No. 25.
    In 1920In January. 1925.In December, 1925
  • Page 44
    TABLE No. 26. Inspection of Premises where Food was Prepared or Sold (1921-1925).
    1921.1922.1923.1924.1925.
    Nature of Premises.No. on Register.No. of Inspections.No. on Register.No. of Inspections.No. on Register.No. of Inspections.No. on Register.No. of Inspections.No. on Register.No. of Inspections.
  • Page 46
    TABLE No. 27. Magisterial Proceedings under Sale of Food and Drugs Acts during 1925.
    Street where Purchased.Offence.Petty Sessions.Date of Hearing.Result.
  • Page 47
    TABLE No. 28. Nature of Samples taken under Food and Drugs Acts (1921-1924).
    Nature of Sample.1921.1922.1923.1924.
    Genuine Composition.Adulterated.Inferior.Total.Genuine Composition.Adulterated.Inferior.Total.Genuine Composition.Adulterated.Inferior.Total.Genuine Composition.Adulterated.Inferior.Total.
  • Page 49
    TABLE No. 29. Cases of Infectious Disease Notified during the Year 1925.
    Cases notified in Chelsea.Removed to various Hospitals.
    At all Ages.Under 1 Year.1-5 Years.5-15 Years.15-25 Years.25-45 Years.45-65 Years.65 and upwards.
  • Page 50
    TABLE No. 30.
    Year.Cases Notified.Percentage of RemovalsDeathsCase Fatality Rate.Percentage of cases of School age (3-13 years).Month of greatest prevalence.Bacterioscopic Diagnosis, Lister Institute.
    No. of Specimens submittedPositivePercentage Positive.Negative.Percentage Negative.
  • Page 51
    TABLE No. 31.
    Quinquennial Periods.Average Annual case-rate per 1,000 population.Average Annual case-fatality rate.Average Annual percentage of cases removed to hospital.
  • Page 51
    TABLE No. 32.
    Year.Cases Notified.Percentage of Removals.Deaths.Case Fatality Rate.Percentage of cases of School-age 3-13 years.Month of greatest prevalence.
  • Page 52
    TABLE No. 33.
    Quinquennial Periods.Average Annual case-rate per 1,000 population.Average Annual case-fatality rate.Average Annual percentage of cases removed to hospital.
  • Page 53
    TABLE No. 34.
    Sex.Age.Notification.Removed.Nursed at Home.Remarks.
  • Page 53
    A summary of Enteric and Para Typhoid B cases for the years 1921-1925 is given below:—TABLE No. 35.
    Year.Enteric.Para Typhoid B.
    Cases.Recovered.Fatal.Cases.Recovered.Fatal.
  • Page 53
    During the year the following numbers of cases were notified:—
  • Page 54
    The notifications and deaths from pneumonia during the past five years have been as follows:—
    Notifications.Deaths.
  • Page 54
    TABLE No. 36. Ophthalmia Neonatorum.
    Cases.Vision Unimpaired.Vision Impaired.Total Blindness.Deaths.
    No. Notified.Treated.
    At Home.In Hospital.
  • Page 55
    TABLE No. 37.
    Year.Cases Notified in Chelsea.Removed to Hospital.Deaths notified during year in Chelsea.Cases notified in London.Deaths notified in London.
  • Page 56
    TABLE No. 38.
    Year.No. of Births in Chelsea.No. of Primary Vaccinations performed.
  • Page 57
    TABLE No. 39.
    Description.Number.
  • Page 57
    TABLE No. 40.
    Quarter.No. of days on which the Station was opened.Attendances.
    Verminous.Impetigo.
  • Page 58
    TABLE No. 41. Tuberculosis. New Cases and Mortality during 1925.
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 59
    The returns made in accordance with these Regulations show that the number of cases of Tuberculosis in the Borough on 31st December last was as follows:—
    Males.Females.Total.
  • Page 60
    TABLE No. 42. Chelsea Tuberculosis Dispensary, Brompton Hospital. Work done during 1925.
    Number ofUnder observation at the Dispensary on Jan. 1st pending diagnosis.Examined for the first time during the year.Total.Found to beUnder observation at the Dispensary on Dec. 31st pending diagnosis.Ceased attendance before completion of diagnosis.
    Suffering from Tuberculosis.Not suffering from Tuberculosis.
    Pulmonary.Non-Pulmonary
  • Page 61
    TABLE No. 43. Work done at the Dispensary, 1921-1925.
    Year.Number of Persons examined for the first time.Definite Tuberculosis.Total attendances at Dispensary.
  • Page 64
    During 1925, one hundred and ninety cases were considered. These were disposed of as under:—
  • Page 66
    TABLE No. 44. Summary of Reports of Health Visitors.
    1921.1922.1923.1924.1925.
  • Page 67
    TABLE No. 45.
    Year.(1) No. of applications for services of(2) Total number provided with aAmount of Assessment on cases attended.(3) Nett Cost to Council.
    Maternity Nurse.Midwife.Maternity Nurse.Midwife.Maternity Nurse.Midwife.Maternity Nurse.Midwife.
  • Page 67
    TABLE No. 46.
    Year.No. of applications for services of Home Help, including extension over the usual period of 2 weeks.Total number of cases attended by the Home Helps.Amount of Assessment on cases attended.*Nett Cost to Council.
  • Page 68
    TABLE No. 47.
    Year.Visits.Cases.
  • Page 68
    TABLE No. 48. Diseases Nursed by District Nurses during 1925.
    Visits.Cases.
  • Page 69
    I am indebted to Miss Child, the Superintendent of the Home, for the following information regarding the work done during 1925 :—
  • Page 70
    TABLE No. 49.
    Year.No. of Applications.Nursing Mothers and Infants sent away under Council Scheme.Contributions by Mothers.*Nett Cost to Borough.
  • Page 71
    CHELSEA DAY NURSERY. The attendances at the Nursery during the years 1921-1925, were as shewn below:— TABLE No. 50.
    1921.1922.1923.1924.1925.
  • Page 72
    MATERNAL MORTALITY. The following table shows the Maternal mortality in Chelsea during the years 1921-1925. TABLE No. 51.
    Year.Death-rate per 1,000 Births.Total Death-rate.
    Puerperal Fever.Other complications of Pregnancy and Child-birth.
  • Page 74
    TABLE No. 52.
    Year.Milk Orders issued and taken up.‡ Approx. Cost.
    March quarter.June quarter.Sept. quarter.Dec. quarter.* Total.
  • Page 76
    TABLE I.
    Name of Sample.Genuine Composition or Not Adulterated.Adulterated.Inferior.Total.
    " Formal."" Informal."" Formal."" Informal."" Formal.""Informal."
  • Page 77
    4. The percentages given by the data in Table I. are as follows:—
  • Page 77
    MILK. 5. The particulars relating to the six samples of Milk reported as adulterated are given in Table II.:— TABLE II.
    No.Percentage of Extraneous Water.Percentage of required Fat deficient." Preservatives."Remarks.
  • Page 77
    7. The application of the terms "Good," "Fair," and "Poor" to samples of Milk is based on the following analytical data:—
    Non-fatty solids 8.5 per cent. or over:—