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Islington 1921

Sixty-sixth annual report on the health and sanitary condition of the Metropolitan Borough of Islington

Published
1922
Author
Trotter, G. Clark.
Pages
62
Tables
90

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90 tables in this report

  • Page 1
    The following are the figures relating to Islington that were ascertained at the several Census periods from 1801 to 1921.
    Census Years.Enumerated PopulationActual Decennial Increase or Decrease.Percentage Increase + or Decrease —
  • Page 1
    The following statement shows the figures for the previous ten years 1911-20.
    Years.Marriages.Marriage Rate.Years.Marriages.Marriage Rate.
  • Page 2
    Showing the Births (distinguishing Males and Females) and Birth-rates of Islington in 1921, and in the four quarters of the year and of the County of London and the Great Towns during the same period; also in the year 1920; together with the mean Borough Birth-rates for the 10 years 1911-1920.
    Quarter.Males.Females.Total.Birth Rates.
    Islington, 1921.Islington, 1911-20.London, 1921.96 Great Towns, 1921.
  • Page 2
    Showing the Births of Males and Females in each quarter and for the year, 1921 and in the several Sub Registration Districts.
    Tufnell.Upper Holloway.Tollington.Lower Holloway.
    Males.FemalesTotal.Males.FemalesTotal.Males.FemalesTotal.Males.FemalesTotal.
  • Page 3
    The number of illegitimate births in the Borough since 1851 is shown in the following statement:
    Periods (10 years).Illegitimate Births.Total Births.Illegitimate Births per 100 Registered Births.
  • Page 3
    Notification of Births Act, 1907.—6,467 births were notified or 82 per cent, of the total number that was registered during the year. They were notified by doctors, midwives, parents and guardians as follows:
    Notified byStill Births.Live Births.Total.
  • Page 3
    The Deaths from All Causes in the Sub Registration Districts were as follows:—
    Sub-Districts.Quarters.The Year.
    1234
  • Page 4
    Showing the Deaths and Death Rates of Islington in 1921, and in the four quarters of the year, and of the County of London and the Great Towns during the same period, the mean Borough Death Rates for the 10 years 1911-20, and the deaths and death-rates in the year 1920.
    Quarter.Males.Females.Total.Death Rates.
    Islington, 1921.Islington, 1911-20.London, 1921.96 Great Towns, 1921.
  • Page 4
    Causes of Death (Classified)—The following table shows the deaths arranged in classes of Disease from All Causes during the ten years 1911-20, and in 1921.
    Classified Causes of Death.Years.Mean 10 Yrs.1921Difference.
    1911191219131914 191519161917191819191920
  • Page 5
    The following statement gives the ages at which persons died in the borough, and contrasts them with the returns for the preceding ten years:
    Ages.Number of Deaths, 1921.Mean Deaths (10 years), 1911-20.Increase or Decrease on mean.
  • Page 5
    In the sub-registration districts the infant mortality was as follows:
    Sub-District.Infant Deaths.Mortality per 1,000 Births.
  • Page 6
    Infantile Mortality during each of the Ten Years 1911 20, and 1921. Deaths at various ages under One Year of Age.
    Years.Under one week.Weeks.Total under four weeks.Months.Total Deaths under one year.Deaths per 1,000 Births.
    4 weeks and under 3 mths.3-66-99-12
    1-22-33-4
  • Page 6
    Showing the Deaths among Infants per 1,000 Births during the Year 1921 and also the mortality rates for the Years 1911-1920.
    Sub-Districts.1911191219131914191519161917191819191920Mean 10 years1921Increase or decrease on mean
  • Page 6
    Showing the Mortality per 1,000 Births among Infants under one year of age in the ten years 1911-20; and in 1921 from certain specified causes.
    Causes of death.1921Mean rate 10 years 1911-20 per 1,000 Births.Difference.
  • Page 7
    WELFARE WORK BY HEALtd VISITORS. tdis work was carried out during tde year by tde seven Healtd Visitors, who conjointly performed tde work set out in tde following summary:—
    Nature of Visits.Districts.Total Visits.
    1234567
  • Page 8
    "4. That the following scale of income be adopted in lieu of the scale contained in the scheme, and that no deduction other than rent be made from the total family income in order to arrive at the net income:—
    No. in Family.Scale for Distribution of Free Milk.Scale for Distribution at half-price.
  • Page 11
    Showing the Deaths of Inhabitants in Local Institutions and in Institutions outside the Borough, also the Deaths of Non-Inhabitants in Local Institutions during the ten years 1911-1920 and in 1921.
    Years.Total Deaths in Local Institutions (cols. 3 and 4).Inhabitants of Islington in Local Institutions.Non-Inhabitants of Islington in Local Institutions.Inhabitants in Islington Infirmary.Inhabitants of Islington in Great Northern Hospital.Inhabitants of Islington in Institutions outside the Borough.Total Deaths of Inhabitants in all Institutions (cols. 3 and 7).Proportion per 100 deaths from all causes (col. 8).
    123456789
  • Page 12
    Showing the Deaths from each of the Principal Epidemic Diseases in the several Wards and Sub Registration Districts during the Year 1921.
    Sub-Registration Districts.Wards.Enteric Fever.Small Pox.MeaslesScarlet Fever.Whooping Cough.Diphtheria.Diarrhœa.Totals.
    DeathsDeathsDeathsDeathsDeathsDeathsDeathsDeaths
  • Page 12
    Showing the Deaths and Death Rates from the Principal Epidemic Diseases during the ten years 1911-20 and for the Year 1921.
    191119121913191419151916
    Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.
  • Page 13
    Showing the Deaths from Diarrhœal Diseases together with those classed under Enteritis and its Sub-headings, arranged in quarterly periods, and in three groups of ages.
    Ages.1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year.
    Diarrhœa.Enteritis, &c.Totals.Diarrhœa.Enteritis, &c.Totals.DiarrhœaEnteritis, &c.Totals.Diarrhœa.Enteritis, &c.Totals.Diarrhœa.Enteritis, &c.Totals.
  • Page 13
    Showing the Deaths from Influenza in the Quarters of the Year 1921, together with the averages of the corresponding periods, 1911-20.
    Years.Quarters.Totals.
    First.Second.Third.Fourth.
  • Page 13
    The following statement gives the ages at death of the persons who suffered from Influenza during the preceding ten years as compared with the return for the year 1921:
    Ages.1911191219131914191519161917191819191920Mean 10 yrs1921Difference.
  • Page 14
    The following statement shows the ages at death of the persons attacked during the past ten years, and the return for the year 1921:
    Ages.1911191219131914191519161917191819191920Mean 10 yrs1921Difference
  • Page 14
    Showing the Deaths from Cancer or Malignant Disease in the several Sub-Districts during the Quarters and the year 1921.
    Quarters.Tufnell.Upper Holloway.Tollington.Lower Holloway.Highbury.Barns-bury.Islington, South East.The Borough
  • Page 15
    The mortality from Phthisis was, without exception, the lowest hitherto recorded in the Borough.
    Pulmonary Phthisis.Proportion of Deaths from Phthisis per 100 Deaths from All Causes.Death rates from All Causes per 1,000 inhabitants.
    Years.Deaths.Death rates per 1,000 inhabitants.
  • Page 15
    The following return gives the deaths at each age period:
    Age Periods.Males.Females.Total.
  • Page 15
    Showing the Deaths from Phthisis in the Sub-Districts during the Four Quarters of the Year 1921.
    Quarters.Tufnell.Upper Holloway.Tolling-ton.Lower Hollo-way.High-bury.Burns-bury.Islington, South East.The Borough.
  • Page 16
    Showing the Deaths from the Tubercular Diseases during 1921.
    Diseases.Ages.Sex.Districts.Total Deaths.
    0-11-5over 5MF.Tuf.U.H.Toll.L.H.H.B.S.E.
  • Page 17
    In 299 cases inquests were held, as contrasted with an average of 383 in the ten years 1911-20.
    Bodies received into Mortuary.Inquests.
  • Page 17
    The following Table gives a return of the bodies received into the Mortuary and the inquests held by the Coroner during the years 1921 and 1920.
    1920No. of bodies received.Daily Average.No. of Inquests held.1921No. of bodies received.Daily Average.No. of Inquests held.
  • Page 18
    The returns for the preceding ten years are given in the following statement
    Year.Cases.Attack-rates per 1,000 civil population.
  • Page 18
    Registration Sub-Districts.— The total number of cases notified in these districts was as follows:
    Total cases notified.
  • Page 19
    Cases ofPuerperal Fever notified and inquired into during the year 1921.
    Tufnell.Upper Holloway.Tollington.Lower Holloway.Highbury.Barns-bury.Islington, South-East.The Borough
  • Page 19
    During the year it was found that of the 4,344 cases notified, 146 deaths occurred, or 3.3 per cent., which contrasts with an average percentage of 4.9 in the preceding ten years 1911-20.
    Years.Cases.Deaths.Fatality.
  • Page 19
    The following tabular statement shows the number of cases treated in the various public institutions:
    Year.Cases treated in Hospital.Percentage of cases treated.
  • Page 19
    DISEASES TREATED IN HOSPITAL.
    Disease.Total cases.Cases isolated.Percentage of known cases.
  • Page 20
    Summary of Infectious Sickness and of Deaths arising therefrom, distinguishing the Cases treated at Home and in Hospitals; and showing the percentages of notified Cases removed to Hospitals, together with the Fatality among cases treated at Home and in Hospitals during the year 1921.
    Notified Cases Treated.Percentages of Notified Cases Treated.Deaths Occurring.Percentage of Deaths Occurring.
    In HospitalAt HomeTotalIn HospitalAt HomeIn HospitalAt HomeTotalIn HospitalAt HomeTotal
  • Page 20
    Showing the number of Cases and Attack-Rates of the several Notifiable Infectious Diseases which occurred during each of the Ten Years 1911-20 and in 1921.
    DISEASES.YEARS.Average number of cases, 1911-201921Increase or Decrease
    1911191219131914191519161917191819191920
  • Page 21
    Showing the Cases of the Notifiable Infectious Diseases notified in the Sub-Registration Districts and the Wards during the Year 1921.
    sub-Registration Districts.Wards.Small Pox.Scarlet Fever or Scarlatina.Diphtheria.Membranous Croup.Enteric (Typhoid) Fever.Typhus Fever.Erysipelas.Puerperal Fever.Continued Fever.Relapsing Fever.Cholera.Total.
  • Page 21
    Three cases were ascribed to this disease during the year, as contrasted with 7 in 1920. One death was registered in the fourth quarter.
    19211920
    Cases.Deaths.Cases.Deaths.
  • Page 21
    A return of attacks of the disease during the past ten years is given in the following statement:
    1911191219131914191519161917191819191920Average 10 yrs. 1911-201921Total Deaths, 1911-21.
  • Page 22
    These Regulations came into force on the 7th January, 1919, and during the 3 years the following cases were notified by medical practitioners to the Medical Officer of Health:
    192119201919
  • Page 22
    The cases occurred in the sub-registration districts as follows:
    Tuffnell.Upper Holloway.Tollington.Lower Holloway.Highbury.Barnsbury.Islington, South-East.The Borough.
  • Page 23
    Showing the Notified Cases of Tuberculosis in the Wards during 1921.
    Registration Sub-Districts.Wards.Pulmonary Phthisis.Other Forms of Tuberculosis.Grand TotalsTuberculosis Rate per 1,000 of Population.
    MalesFemalesTotalMalesFemalesTotal
  • Page 23
    THE PERIOD OF LIFE AT WHICH TUBERCULOSIS ATTACKED THE PERSONS NOTIFIED DURING 1921.
    Tubercular Diseases.Sex.Cases Notified in Whole District.
    At all ages.At Ages- Years.
    Under 11 to 55 to 1515 to 2525 to 4545 to 6565 and up wards
  • Page 24
    Showing the Notified Cases of Tuberculosis in the Quarters during1921.
    1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year.
    MalesFemalesTotalMalesFemalesTotalMalesFemalesTotalMalesFemalesTotalMalesFemalesTotal
  • Page 24
    Disinfection of Houses and Rooms after Phthisis. The following statement gives the particulars for the year:
    Houses.Rooms.
  • Page 24
    Summary of Notifications during the period from the 2nd January,1921, to the 31st December, 1921, in the Metropolitan Borough of Islington.
    Age-periodsNotifications on Form A.
    Number of Primary Notifications.Total Notifications on Form A.
    0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and up.Total Primary Notifications
  • Page 25
    TUBERCULOSIS.
    191619171918191919201921
    North DispySouth DispyNorth DispySouth DispyNorth DispySouth DispyNorth DispySouth DispyNorth DispySouth DispyNorth DispySouth Dispy
  • Page 25
    A summary of this table gives the following figures:
    Cases.Attendances.Cases.Attendances.
  • Page 25
    Table showing the number of Tuberculous Persons attending the Borough Tuberculosis Dispensaries and the New Cases during1921.
    Date.Dispensary.Jan.Feb.Mar.Apr.May.June.July.Aug.Sept.Oct.Nov.Dec.Year.Total.
  • Page 26
    The number of notifications of the several diseases are given below :
    Disease.No. of Notifications.Average of preceding 10 years.Increase or Decrease.
  • Page 26
    The non-notifiable diseases among children attending the Public Elementary Schools were:
    Disease.Notifications, by Teachers.Average of preceding 10 years.Increase or Decrease.
  • Page 27
    Showing the result of the Bacteriological Examinations made for the Diagnosis of Diphtheria, Enteric Fever and Phthisis,1911-21.
    Periods.Diphtheria.Enteric Fever.Phthisis.Totals.
    Positive Results.Negative Results.Total ExaminedPositive Results.Negative Results.Total ExaminedPositive Results.Negative Results.Total Examined
  • Page 27
    Certificates of Exemption.— The following tabular statement shows the increase of these certificates, more especially since 1909:
  • Page 28
    Return furnished by the Vaccination Officers respecting the Vaccination of Children in the Sub Registration Districts during the year 1920.
    Registration Sub-Districts.Number of Births registered in 1920.Successfully Vaccinated.Insusceptible of Vaccination.Had Small Pox.Number of Statutory Declarations of Conscientious Objection.Died Unvaccinated.Postponement by Medical Certificate.Removed to other Districts.Removed to places Unknown.Number of Children remaining Unvaccinated, or not accounted for in Report Book.Total Number of Certificates of Primary Vaccination at All Ages received during year 1921.Number of Statutory Declarations of Conscientious Objection received during year 1921.
    123456789101112
  • Page 28
    The Cleansing and Spraying of Rooms.— 1,653 rooms, as contrasted with 1,586 in 1920, were cleansed and sprayed.
    Rooms Disinfected.Rooms Sprayed.
    1921.1920.1921.1920.
  • Page 29
    Summary of the chief articles of Clothing, Bedding, etc., disinfected during the year 1921, and also in the preceding year 1920.
    1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year 19211920
  • Page 29
    The nature of the articles disinfected for the clothing contractors is shown below:
    1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.Year.
  • Page 29
    Disinfectants Distributed and Used.— The following statement gives the quantity of disinfectants distributed by the Sanitary Authority, or used in disinfecting and cleansing rooms:
    How disposed of.Carbolic Powder.Disinfecting Fluid.Formaldehyde.
    Powder.Solution.
    Tons.cwts.Gallons.cwt.qr.lbs.Gallons.
  • Page 30
    Inspections and Visits.— The inspections and visits made by the Inspectors were as under:
  • Page 31
    The various workshops and workplaces are tabulated as below:
    Workshops and Workplaces.1921.
    Total Workshops on Register.Total Workrooms on Register.Number added during Year.Number removed during Year.
  • Page 31
    Workshops Notified to Home Office, 1921.
    Trade.Number of Workshops.Protected Employed Persons.
    Women.Male Young Persons.Total.
  • Page 31
    1— INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.
    Premises. (1)Number of
    Inspections. (2)Written Notices. (3)Prosecutions. (4)
  • Page 32
    2.-DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 32
    3—HOME WORK.
    •NATURE OF WORK.Outworkers Lists (Section 107).Outwork in Unwholesome Premises (Section 108).Outwork in Infected Premises. (Sees. 109. 110).
    List received from Employers.Notices served on Occupiers a* to keep-ins or sending lists. IProsecutions.Instances.Notices served under Public Health (London) Act, 1891.Prosecutions.Instances.Orders mad£ (Section 110).Prosecutions (Sections 109.110).
    Sending twice in the year.Sending once in the v ar.
    Failing to keep or permit inspection of listsFailing to send lists.
    tLists.tOut-Workers.List*.Out-Workers.
    Contractors.Workmen.Contractors.Workmen.
  • Page 34
    showing the summary of Sanitary Work from District Inspectors' Reports for the year 1921.
    Districts.Totals
    1234567891011121314
  • Page 35
    Synopsis of Inspectors' Work:—
    Improvements.Districts.Total.
    North.South.
  • Page 36
    SUMMARY OF WORK FROM RAT OFFICER'S REPORTS DURING THE YEARS 1920-21.
    19211920
  • Page 38
    The food destroyed or otherwise disposed of (chiefly for pigs' food) so as to prevent its use for human food was as follows:
    Tonscwts.qrs.lbs.
  • Page 39
    Tabulation of meat and organs diseased or unsound as discovered in slaughter-houses during the year 1921:
    No. of Cases.Description of Animal Affected.Nature of Disease or Affection.Extent of Disease.How disposed of.
  • Page 39
    The greatest amount of adulteration occurred in the first and fourth quarters of the year, as is seen by the statement given below, when it was 5.4 and7.7 per cent. respectively, and contrasted with 3.3 and 3.7 per cent. respectively in the second and third quarters.
    Examined.Genuine.Adulterated.Per cent.
  • Page 39
    Milk.—The qualitative results of the Analyses of the Milk samples, which have now been published for many years, are as follows:
    No.No. of Samples.Solids not Fat.Fat.Total Solids.
  • Page 39
    The particulars as to the genuineness or otherwise of the samples procured or purchased on Sundays, Week-days, and at Finsbury Park Railway Station are as follows :
    Number taken.Genuine.Adulterated.Percentage Adulterated.
  • Page 40
    Giving the particulars of the Milks taken during each quarter of 1921 on Sundays, Week-days, and at the Railway Stations.
    1921No. of Samples Taken.Genuine. iAdulterated.Per cent. Adulterated.
    Quarters.Sundays.Week-days.Railway Stations.All Milks.Sundays.Week-daysRailway Stations.All Milks.Sundays.Week-days.Railway Stations.AH Milks.Sundays.Week-days.Railway Stations.All Milks.
  • Page 40
    MILK ADULTERATION.
    Samples Analysed.Genuine.AdulteratedPer cent. Adulterated.Samples Analysed.Genuine.AdulteratedPer cent. Adulterated.
  • Page 40
    Showing the analyses of 13,139 milks examined in Islington during the 22 years 1899-1920 and 1921 and distinguishing those purchased on Sundays, on Week-days, and procured at the Railway Stations whilst in transit from the Farmer to the London Milk Purveyor.
    Years.Sunday Milks.Week-day Milks.Railway Milks (Farmers).
    No. of SamplesPer cent. of non-fatty solids.Per cent. of fat.No. of SamplesPer cent. of non-fatty solids.Per cent. of fat.No. of SamplesPer cent. of non-fatty solids.Per cent. of fat.
  • Page 41
    Showing the Samples of Foods andDrugs submitted to the Public Analyst during the year 1921.
    Description.1st Qr.2nd Qr.3rd Qr.4th Qr.Totals.Genuine.Adulterated.
    1st Qr.2nd Qr.3rd Qr.4th Qr.Totals.1st Qr-2nd Qr.3rd Qr-4 th Qr.Totals.
  • Page 41
    Summary of Prosecutions during year 1921.
    Total Prosecutions.Successful.Dismissed.Withdrawn.Amount of Penalties Received.
    £s.d.
  • Page 43
    Table A. Showing the Deaths from all Causes in Islington during the Year 1921 Deaths of Non-Residents in Hospitals are excluded. Deaths of Residents in Public Institutions are distributed.
    Deaths in Institutions within Borough.diseases.ages.Under 5Over 5districts.Males.Females.Totals.
    0-1-5-10-15-20-25-3545-55-85-75-85-Tuf.U.H.Toll.L.H.H.B.s.e.
  • Page 44
    Table A.—Continued.
    Deaths in Institution? within Borough.DISEASES.AGES.Under 5Over 5DISTRICTS.Males.Females.Totals.|
    0-1-5-10-15-20-25-35-4555-65-75-85Tuf.U.H.Toll.L.H.H.B.S.E.
  • Page 45
    table A.—Continued.
    Deaths in Institution within Borough.DISEASES.AGES.Under 5Over 5DISTRICTS.Males.Female.Total.
    0-1-5-10-15-20-253545-55-65-7585Tuf.U.H.Toll.L.H.H.B.S.E
  • Page 46
    TABLE B. Showing the Births and Birth Rates of Islington from 1841 to 1920.
    Year.Births.Birth Rates.Year.Births.Birth Rates.Year.Births.Birth Rates.Year.Births.Birth Rates.
  • Page 46
    Table C. Showing the Illegitimate Births in Islington from 1841 to 1920.
    Years.Births.Years.Births.Years.Births. Years.Births.Years.Births.Years.Births.Years.Births.Years.Births
  • Page 47
    TABLE D. Showing the Deaths and Death Rates of Islington from 1841 to 1920.
    Years.DeathsDeath Rates.Years.DeathsDeath Rates.Years.DeathsDeath Rates.Years.DeathsDeath Rates.
  • Page 47
    TABLE E. Infantile Mortality Returns, extracted from the Annual Reports of the Registrar General, 1841-55, and from the Annual Reports of the Medical Officer of Health of Islington, 1856 to 1920.
    Years.Deaths under 1 year old.Deaths per 1,000 Births.Years.Deaths under 1 year old.Deaths per 1,000 Births.Years.Deaths under 1 year old.Deaths per 1,000 Births.Years.Deaths under 1 year old.Deaths per 1,000 births
  • Page 48
    TABLE F. Showing the Cases of Infectious Diseases in Islington in Quinquennial Periods, 1891-1920.
    Year.Smallpox.Scarlet Fever.Diphtheria and Mmbranous Croup.Enteric Fever.Typhus Fever.Erysipelas.Puerperal Fever.Continued Fever.Relapsing Fever.Cholera.Total Notifications.Attack rates per 1,000 Population.
  • Page 49
    Metropolitan Borough of Islington. CAUSES OF, AND AGES AT DEATH DURING THE CALENDAR YEAR, 1921.
    Causes of Death.Nett Deaths at the subjoined Ages of "Residence" whether occurring within or without the District.
    All agesUnder 1 year1 and under 2 years2 and under 5 years5 and under 15 yrs.15 and under 25 yrs.25 and under 45 yrs.45 and under 65 yrs.65 and upwardsTotal Deaths whether of "Residents" or "Nonresidents" in Institutions in the District.
  • Page 50
    Nett Deaths from stated Causes at Various Ages under One Year of Age.
    Cause of Death.Weeks.Total under 4 weeksMonths.Total Deaths under 1 year
    Under 1 week1-22-33-44 weeks and under 3 months3-66-99-12
  • Page 50
    PROCEEDINGS DURING 1921.
    Premises.Number of Places.Number of Inspections 1921Number of Notices 1921Number of Prosecutions 1921
    On Register at end of 1920Added in 1921Removed in 1921On Register at end of 1921