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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 1926

Annual report of the Medical Officer of Health for Chelsea, 1926

Published
1927
Author
McCarthy, W. H. Leslie.
Pages
80
Tables
72

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72 tables in this report

  • Page 7
    GENERAL STATISTICS. TABLE No. 1.
  • Page 8
    TABLE NO. 2.
  • Page 9
    TABLE No. 3. Births and Birth-Rates.
    Year.Births.Birth-rate per 1,000.Birth-rate London.
  • Page 9
    TABLE No. 4. Births in Wards.
    Year.Hans Town.Royal Hospital.Church.Cheyne.Stanley.Total.
  • Page 9
    TABLE No. 5. Notification of Births.
    1925.1926.
  • Page 10
    TABLE No. 6. Inward Transfers (1926).
  • Page 10
    TABLE No. 7.
    Year.Number of Illegitimate births.Illegitimate birth rate per 1,000 births.
  • Page 11
    During the years 1925 and 1926 the number of nett deaths in the Borough and the corresponding death rates were as shown in the following table:— TABLE No. 8.
    Year.Nett Deaths.Death Rate.
  • Page 11
    TABLE No. 9.
    Hospitals or Institutions within the Borough.Number of Deaths.
  • Page 12
    The deaths (170) of Chelsea residents in Institutions and elsewhere outside the Borough were distributed as under :—
  • Page 13
    TABLE No. 10. Birth Rate, Death Rate and Analysis of Mortality During the Year 1926. (Provisional figures. The rates for England and Wales have been calculated on a population estimated to the middle of 1926, while those for the towns have been calculated on populations estimated to the middle of 1925. 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.)
    Birth-rateper 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.InfluenzaViolenceDiarrhœaand Enteritis (under Two years).Total Deaths under One year.Causes ofDeath certified by Registered Medical Practitioners.Inquest Cases.Uncertified Causes of Death.
  • Page 14
    TABLE No. 11. Deaths of Chelsea Residents Registered During the Year 1926, Classified by Age and Cause.
    Causes of Death.Nett Deaths whether occurring within or without the Borough.
    Allages.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
    TABLE No. 12.
    Year.Bronchitis.Pneumonia.Other Respiratory Diseases.Total.Death rate.No. of deaths under 5 yearsPercentage under 5 years.
  • Page 16
    TABLE No. 13. Child Mortality (1-5 Years).
    Period or Year.Infectious Fevers.Tuberculosis.Respiratory Diseases.Diarrhœal Diseases.All other causes.Total Deaths.
  • Page 17
    TABLE No. 14.
    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 years 1925 and 1926 :— TABLE No. 15.
    1925.1926.
  • Page 18
    TABLE No. 16. Infantile Mortality Rates in Wards.
    1925.1926.
  • Page 18
    Illegitimate Deaths. The following Table No. 17 shows the number of deaths among illegitimate infants during the years 1925 and 1926. TABLE No. 17.
    1925.1926.
  • Page 18
    Poor Law Relief. Through the courtesy of Mr. Shepherd, Clerk to the Chelsea Guardians, I am able to give below the figures as to the average daily number of persons chargeable to the Guardians during the year 1926. TABLE No. 18.
    1926.
  • 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 Year 1926.
    Inspections.
  • Page 28
    Continued from previous page...
  • Page 29
    Continued from previous page...
  • Page 30
    Continued from previous page...
  • Page 30
    TABLE No. 19. Magisterial Proceedings during 1926 under Public Health (London) Act, 1891.
    Situation of Premises.Nature of Nuisance or Complaint.Petty Sessions.Date of Hearing.Result.
  • Page 32
    TABLE No. 20. Factories, Workshops, Workplaces and Homeworkers' Premises. 1.—Inspection of Factories, Workshops and Workplaces. (Including Inspections made by Sanitary Inspectors.)
    Premises.(1)Number of
    Inspections.(2)Written Notices. (3)Occupiers prosecuted.(4)
  • Page 33
    2—Defects found in Factories, Workshops and Workplaces.
    Particulars.(1)Number of Defects.Number of offences in respect to which Prosecutionswere instituted.(5)
    Found.(2)Remedied.(3)Referred toH.M. Inspector.(4)
  • 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 outworkersforwarded to other Councils.Prosecutions.No. of Inspections ofOutworkers Premises.
    Instances.Notices served.Prosecutions.Instances.Orders made (Sec. 109).Prosecutions (Sec. 109, 110)
    Lists.ChelseaOutworkers.
  • Page 34
    Improvement in the existing lighting arrangements was carried out during the year.
  • Page 35
    TABLE No. 21. Housing Statistics for the Year 1926.
  • 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 42
    TABLE No. 22.
    Retail.Wholesale.Total.
  • Page 43
    TABLE No. 23. Licences granted under Milk (Special Designations) Order.
    Licences granted under Milk (Special Designations) Order.1925.1926.
  • Page 44
    The following table shows, in the form required by the Ministry of Health, the number of private slaughter-houses in use in the Borough on the dates indicated:— TABLE No. 24.
    In January, 1926.In December, 1926
  • Page 44
    The following Table No. 25 shows, for the years 1925 and 1926, the number of inspections of premises where food was prepared for or exposed for sale. TABLE No. 25. Inspection of Premises where Food was Prepared or Sold (1925-1926).
    Nature of Premises.1925.1926.
    No. on Register.No. of Inspections.fNo. on Register.No. of Inspections.
  • Page 46
    TABLE No. 26. Magisterial Proceedings under Sale of Food and Drugs Acts during 1926.
    Street where Purchased.Offence.Petty Sessions.Date of Hearing.Result.
  • Page 48
    TABLE No. 27. Cases of Infectious Disease Notified during the Year 1926.
    Cases notified in Chelsea.Removedto various Hospitals.
    At allAges.Under 1Year.1-5 Years.5-15Years.15-25 Years.25-45 Years.45-65 Years.65 and upwards.
  • Page 49
    Return Cases. Two return cases occurred during the year. In each case the primary case on discharge from hospital suffered from slight nasal discharge. TABLE No. 28. Cases of Diphtheria during the Years 1925 and 1926.
    Year.Cases Notified.Percentage of RemovalsDeathsCase Fatality Rate.Percentage of casesof School age (3-13 years).Monthof greatest prevalence.Bacterioscopic Diagnosis, Lister Institute.
    No. of Specimens submittedPositivePercentage Positive.Negative.Percentage Negative.
  • Page 49
    The following table shows the average annual case rate, case fatality rate, and percentage of cases removed to hospital in each of the quinquennial periods since 1911. TABLE No. 29.
    Quinquennial Periods.Average Annual case-rate per 1,000 population.Average Annual case-fatality rate.Average Annual percentage of cases removed to hospital.
  • Page 50
    Deaths. There was one death from Scarlet Fever in 1926. TABLE No. 30.
    Year.Cases Notified.Percentage ofRemovals.Deaths.Case Fatality Rate.Percentage of cases of School-age 3-13 years.Month of greatest prevalence.
  • Page 50
    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
    A summary of the cases is given in Table No. 32. TABLE No. 32.
    Sex.Age.Notification.Removed.Nursedat Home.Remarks.
  • Page 52
    A summary of Enteric and Para Typhoid B cases for the years 1925 and 1926 is given below:— TABLE No. 33.
    Year.Enteric.Para Typhoid B.
    Cases.Recovered.Fatal.Cases.Recovered.Fatal.
  • Page 52
    During the year the following numbers of cases were notified:—
  • Page 52
    The notifications and deaths from pneumonia during 1925 and 1926:—
    Notifications.Deaths.
  • Page 53
    TABLE No. 34. Ophthalmia Neonatorum.
    Cases.Vision Unimpaired.Vision Impaired.Total Blindness.Deaths.
    No. Notified.Treated.
    At Home.InHospital.
  • Page 54
    In the following Table No. 35, is shown the numbers of cases notified in London and in Chelsea during the years 1925 and 1926. TABLE No. 35.
    Year.Cases Notified in Chelsea.Removed toHospital.Deaths notified during year in Chelsea.Cases notified in London.Deaths notified in London.
  • Page 54
    TABLE No. 36.
    Year.No. of Births in Chelsea.No. of Primary Vaccinations performed.
  • Page 55
    The following Table No. 37 shows the work done by the disinfecting staff during the year. TABLE No. 37.
    Description.Number.
  • Page 55
    During 1926, the Station was opened for the entire day on 84 occasions. The following Table No. 38 shows the number of attendances in each quarter:— TABLE No. 38.
    Quarter.No. of days on which the Station was opened.Attendances.
    Verminous.Impetigo.
  • Page 56
    TABLE No. 39. Tuberculosis. New Cases and Mortality during 1926.
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    m.f.m.f.m.f.m.f.
  • Page 57
    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 58
    TABLE No. 40. Chelsea Tuberculosis Dispensary, Brompton Hospital. Work done during 1926.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 59
    TABLE No. 41. Work done at the Dispensary.
    Year.Number of Persons examined for the first time.Definite Tuberculosis.Total attendances at Dispensary.
  • Page 62
    During 1926, the Care Committee met 13 times.
  • Page 64
    TABLE No. 42. Summary of Reports of Health Visitors.
  • Page 65
    provided with such attendance, the amount of assessment on cases attended and the nett expenditure by the Council for this service:— TABLE No. 43.
    Year.(1)No. of applications for services of(2)Total number provided with aAmount of Assessment on cases attended.(3)Nett Costto Council.
    Maternity Nurse.Midwife.Maternity Nurse.Midwife.Maternity Nurse.Midwife.Maternity Nurse.Midwife.
  • Page 65
    TABLE No. 44.
    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 66
    TABLE No. 45.
  • Page 66
    TABLE No. 46.
    Visits.Cases.
  • Page 67
    I am indebted to Miss Child, the Superintendent of the Home, for the following information regarding the work done during 1926:
  • Page 68
    TABLE No. 47.
    Year.No. of Applications.Nursing Mothers and Infants sent away under Council Scheme.Contributions by Mothers.Nett Cost toBorough.
    £s.d.£s.d.
  • Page 69
    CHELSEA DAY NURSERY. The attendances at the Nursery during the years 1925 and 1926, were as shewn below:— TABLE No. 48.
    1925.1926.
  • Page 69
    MATERNAL MORTALITY. The following table shows the Maternal mortality in Chelsea during the years 1925 and 1926. TABLE No. 49.
    Year.Puerperal Fever.Other complications of Pregnancy and Child birth.Total Death-rate.
  • Page 71
    The following table shows, for the years 1925 and 1926, the extent of this service:— TABLE No. 50.
    Year.Milk Orders issued and taken up.Approx. Cost.
    March quarter.June quarter.Sept. quarter.Dec. quarter.* Total.
  • Page 74
    TABLE I.
    Name of Sample.Genuine Composition or Not Adulterated.Adulterated.Inferior.Total.
    " Formal."" Informal."" Formal."" Informal."" Formal."" Informal."
  • Page 75
    Name of SampleGenuine Composition or Not Adulterated.AdulteratedInferior.Total.
    "Formal.""Informal.""Formal.""Informal.""Formal.""Informal."
  • Page 75
    4. The percentages given by the data in Table I. are as follows:—
  • Page 75
    MILK. 5. The particulars relating to the seven 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
    SAUSAGES. 15. The seven samples reported as adulterated contained Boric Acid, the particulars being as understated:—
    Boron Trioxide.Equivalent to Boric Acid.Equivalent to Boric Acid grains per pound.