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

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 Population	Actual 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.
Quarter.	Males.	Females.	Total.	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.	Females	Total.	Males.	Females	Total.	Males.	Females	Total.	Males.	Females	Total.

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 by	Still Births.	Live Births.	Total.

Page 3

The Deaths from All Causes in the Sub Registration Districts were as follows:—

Sub-Districts.	Quarters.				The Year.
	1	2	3	4

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.
Quarter.	Males.	Females.	Total.	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.	1921	Difference.
Classified Causes of Death.	1911	1912	1913	1914 1915		1916	1917	1918	1919	1920	Mean 10 Yrs.	1921	Difference.

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.
		Weeks.				4 weeks and under 3 mths.	3-6	6-9	9-12
		1-2	2-3	3-4

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.	1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	Mean 10 years	1921	Increase 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.	1921	Mean 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.
Nature of Visits.	1	2	3	4	5	6	7	Total Visits.

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).
1	2	3	4	5	6	7	8	9

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.	Measles	Scarlet Fever.	Whooping Cough.	Diphtheria.	Diarrhœa.	Totals.
Sub-Registration Districts.	Wards.	Deaths	Deaths	Deaths	Deaths	Deaths	Deaths	Deaths	Deaths

Page 12

Showing the Deaths and Death Rates from the Principal Epidemic Diseases during the ten years 1911-20 and for the Year 1921.

	1911		1912		1913		1914		1915		1916
	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.	Diarrhœa	Enteritis, &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.
Years.	First.	Second.	Third.	Fourth.	Totals.

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.	1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	Mean 10 yrs	1921	Difference.

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.	1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	Mean 10 yrs	1921	Difference

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.
Diseases.	0-1	1-5	over 5	M	F.	Tuf.	U.H.	Toll.	L.H.	H.	B.	S.E.	Total Deaths.

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.

1920	No. of bodies received.	Daily Average.	No. of Inquests held.	1921	No. 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 Hospital	At Home	Total	In Hospital	At Home	In Hospital	At Home	Total	In Hospital	At Home	Total

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, 1911-20	1921	Increase or Decrease
DISEASES.		1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	Average number of cases, 1911-20	1921	Increase or Decrease

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.

	1921		1920
	Cases.	Deaths.	Cases.		Deaths.

Page 21

A return of attacks of the disease during the past ten years is given in the following statement:

	1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	Average 10 yrs. 1911-20	1921	Total 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:

	1921	1920	1919

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 Totals	Tuberculosis Rate per 1,000 of Population.
Registration Sub-Districts.	Wards.	Males	Females	Total	Males	Females	Total	Grand Totals	Tuberculosis Rate per 1,000 of Population.

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.
		At all ages.	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 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.
	Males	Females	Total	Males	Females	Total	Males	Females	Total	Males	Females	Total	Males	Females	Total

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-periods	Notifications on Form A.
	Number of Primary Notifications.												Total Notifications on Form A.
	0 to 1	1 to 5	5 to 10	10 to 15	15 to 20	20 to 25	25 to 35	35 to 45	45 to 55	55 to 65	65 and up.	Total Primary Notifications	Total Notifications on Form A.

Page 25

TUBERCULOSIS.

	1916		1917		1918		1919		1920		1921
	North Dispy	South Dispy	North Dispy	South Dispy	North Dispy	South Dispy	North Dispy	South Dispy	North Dispy	South Dispy	North Dispy	South 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 Examined	Positive Results.	Negative Results.	Total Examined	Positive 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.
	1	2	3	4	5	6	7	8	9	10	11	12

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 1921	1920

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.
How disposed of.	Carbolic Powder.			Disinfecting Fluid.		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.
Trade.	Number of Workshops.	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
Premises. (1)	Inspections. (2)	Written Notices. (3)	Prosecutions. (4)

Page 32

2.-DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.

Particulars.		Number of Defects.			Number of Prosecutions.
Particulars.		Found.	Remedied.	Referred to H.M. Inspector.	Number of Prosecutions.
(1)		(2)	(3)	(4)	(5)

Page 32

3—HOME 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. I	Prosecutions.		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.				Prosecutions.
Sending twice in the year.			Sending once in the v ar.				Failing to keep or permit inspection of lists	Failing to send lists.
tLists.	tOut-Workers.		List*.	Out-Workers.
tLists.	Contractors.	Workmen.	List*.	Contractors.	Workmen.

Page 34

showing the summary of Sanitary Work from District Inspectors' Reports for the year 1921.

			Districts.														Totals
			1	2	3	4	5	6	7	8	9	10	11	12	13	14	Totals

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.

	1921	1920

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:

	Tons	cwts.	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.

1921	No. of Samples Taken.				Genuine. i				Adulterated.				Per cent. Adulterated.
Quarters.	Sundays.	Week-days.	Railway Stations.	All Milks.	Sundays.	Week-days	Railway Stations.	All Milks.	Sundays.	Week-days.	Railway Stations.	AH Milks.	Sundays.	Week-days.	Railway Stations.	All Milks.

Page 40

MILK ADULTERATION.

	Samples Analysed.	Genuine.	Adulterated	Per cent. Adulterated.		Samples Analysed.	Genuine.	Adulterated	Per 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).
Years.	No. of Samples	Per cent. of non-fatty solids.	Per cent. of fat.	No. of Samples	Per cent. of non-fatty solids.	Per cent. of fat.	No. of Samples	Per 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.
Description.	1st Qr.	2nd Qr.	3rd Qr.	4th Qr.	Totals.	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 5	Over 5	districts.							Males.	Females.	Totals.
Deaths in Institutions within Borough.	diseases.	0-	1-	5-	10-	15-	20-	25-	35	45-	55-	85-	75-	85-	Under 5	Over 5	Tuf.	U.H.	Toll.	L.H.	H.	B.	s.e.	Males.	Females.	Totals.

Page 44

Table A.—Continued.

Deaths in Institution? within Borough.	DISEASES.	AGES.													Under 5	Over 5	DISTRICTS.							Males.	Females.	Totals.\|
Deaths in Institution? within Borough.	DISEASES.	0-	1-	5-	10-	15-	20-	25-	35-	45	55-	65-	75-	85	Under 5	Over 5	Tuf.	U.H.	Toll.	L.H.	H.	B.	S.E.	Males.	Females.	Totals.\|

Page 45

table A.—Continued.

Deaths in Institution within Borough.	DISEASES.	AGES.													Under 5	Over 5	DISTRICTS.							Males.	Female.	Total.
Deaths in Institution within Borough.	DISEASES.	0-	1-	5-	10-	15-	20-	25	35	45-	55-	65-	75	85	Under 5	Over 5	Tuf.	U.H.	Toll.	L.H.	H.	B.	S.E	Males.	Female.	Total.

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.	Deaths	Death Rates.	Years.	Deaths	Death Rates.	Years.	Deaths	Death Rates.	Years.	Deaths	Death 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.
Causes of Death.		All ages	Under 1 year	1 and under 2 years	2 and under 5 years	5 and under 15 yrs.	15 and under 25 yrs.	25 and under 45 yrs.	45 and under 65 yrs.	65 and upwards	Total 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 weeks	Months.				Total Deaths under 1 year
Cause of Death.	Under 1 week	1-2	2-3	3-4	Total under 4 weeks	4 weeks and under 3 months	3-6	6-9	9-12	Total Deaths under 1 year

Page 50

PROCEEDINGS DURING 1921.

Premises.	Number of Places.				Number of Inspections 1921	Number of Notices 1921	Number of Prosecutions 1921
Premises.	On Register at end of 1920	Added in 1921	Removed in 1921	On Register at end of 1921	Number of Inspections 1921	Number of Notices 1921	Number of Prosecutions 1921

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

View report tables

Islington 1921

90 tables in this report

The following are the figures relating to Islington that were ascertained at the several Census periods from 1801 to 1921.

The following statement shows the figures for the previous ten years 1911-20.

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.

Showing the Births of Males and Females in each quarter and for the year, 1921 and in the several Sub Registration Districts.

The number of illegitimate births in the Borough since 1851 is shown in the following statement:

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:

The Deaths from All Causes in the Sub Registration Districts were as follows:—

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.

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.

The following statement gives the ages at which persons died in the borough, and contrasts them with the returns for the preceding ten years:

In the sub-registration districts the infant mortality was as follows:

Infantile Mortality during each of the Ten Years 1911 20, and 1921. Deaths at various ages under One Year of Age.

Showing the Deaths among Infants per 1,000 Births during the Year 1921 and also the mortality rates for the Years 1911-1920.

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.

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:—

"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:—

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.

Showing the Deaths from each of the Principal Epidemic Diseases in the several Wards and Sub Registration Districts during the Year 1921.

Showing the Deaths and Death Rates from the Principal Epidemic Diseases during the ten years 1911-20 and for the Year 1921.

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.

Showing the Deaths from Influenza in the Quarters of the Year 1921, together with the averages of the corresponding periods, 1911-20.

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:

The following statement shows the ages at death of the persons attacked during the past ten years, and the return for the year 1921:

Showing the Deaths from Cancer or Malignant Disease in the several Sub-Districts during the Quarters and the year 1921.

The mortality from Phthisis was, without exception, the lowest hitherto recorded in the Borough.

The following return gives the deaths at each age period:

Showing the Deaths from Phthisis in the Sub-Districts during the Four Quarters of the Year 1921.

Showing the Deaths from the Tubercular Diseases during 1921.

In 299 cases inquests were held, as contrasted with an average of 383 in the ten years 1911-20.

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.

The returns for the preceding ten years are given in the following statement

Registration Sub-Districts.— The total number of cases notified in these districts was as follows:

Cases ofPuerperal Fever notified and inquired into during the year 1921.

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.

The following tabular statement shows the number of cases treated in the various public institutions:

DISEASES TREATED IN HOSPITAL.

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.

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.

Showing the Cases of the Notifiable Infectious Diseases notified in the Sub-Registration Districts and the Wards during the Year 1921.

Three cases were ascribed to this disease during the year, as contrasted with 7 in 1920. One death was registered in the fourth quarter.

A return of attacks of the disease during the past ten years is given in the following statement:

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:

The cases occurred in the sub-registration districts as follows:

Showing the Notified Cases of Tuberculosis in the Wards during 1921.

THE PERIOD OF LIFE AT WHICH TUBERCULOSIS ATTACKED THE PERSONS NOTIFIED DURING 1921.

Showing the Notified Cases of Tuberculosis in the Quarters during1921.

Disinfection of Houses and Rooms after Phthisis. The following statement gives the particulars for the year:

Summary of Notifications during the period from the 2nd January,1921, to the 31st December, 1921, in the Metropolitan Borough of Islington.

TUBERCULOSIS.

A summary of this table gives the following figures:

Table showing the number of Tuberculous Persons attending the Borough Tuberculosis Dispensaries and the New Cases during1921.

The number of notifications of the several diseases are given below :

The non-notifiable diseases among children attending the Public Elementary Schools were:

Showing the result of the Bacteriological Examinations made for the Diagnosis of Diphtheria, Enteric Fever and Phthisis,1911-21.

Certificates of Exemption.— The following tabular statement shows the increase of these certificates, more especially since 1909:

Return furnished by the Vaccination Officers respecting the Vaccination of Children in the Sub Registration Districts during the year 1920.

The Cleansing and Spraying of Rooms.— 1,653 rooms, as contrasted with 1,586 in 1920, were cleansed and sprayed.

Summary of the chief articles of Clothing, Bedding, etc., disinfected during the year 1921, and also in the preceding year 1920.

The nature of the articles disinfected for the clothing contractors is shown below:

Disinfectants Distributed and Used.— The following statement gives the quantity of disinfectants distributed by the Sanitary Authority, or used in disinfecting and cleansing rooms:

Inspections and Visits.— The inspections and visits made by the Inspectors were as under:

The various workshops and workplaces are tabulated as below:

Workshops Notified to Home Office, 1921.

1— INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.

2.-DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.

3—HOME WORK.

showing the summary of Sanitary Work from District Inspectors' Reports for the year 1921.

Synopsis of Inspectors' Work:—

SUMMARY OF WORK FROM RAT OFFICER'S REPORTS DURING THE YEARS 1920-21.

The food destroyed or otherwise disposed of (chiefly for pigs' food) so as to prevent its use for human food was as follows:

Tabulation of meat and organs diseased or unsound as discovered in slaughter-houses during the year 1921:

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.

Milk.—The qualitative results of the Analyses of the Milk samples, which have now been published for many years, are as follows: