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

Page II

Councillors.

Page II

Councillors.

Page III

SUMMARY of Vital Statistics in the Registration Year 1924.

Page 2

Showing the Areas Densities and Estimated Populations of the Sub-registration Districts at the Middle of year 1924, also the Populations at the Census 1921.

Sub-Districts.	Area. Acres.	Estimated Acres to a person.	Estimated Persons to an Acre.	Estimated Population Mid-year 1924.	Enumerated Population at Census 1921.

Page 2

Showing the Areas, Densities and Estimated Populations of the Wards at the Middle of the year 1924, also the Populations at the Census 1921.

WARDS.	Area in Acres	Estimated Persons to an Acre or Density of Population.	Estimated Population Mid-year, 1924.	Enumerated Population Census, 1921

Page 3

Shoving the Estimated Number of Persons living in Islington at the Mid-year 1924, at Nine Age Periods, and distinguishing Males and Females.

Ages.	Males.	Females.	Persons.

Page 3

The following statement shows the figures for the previous ten years 1914-23.

Years.	Marriages.	Marriage Rate.	Years.	Marriages.	Marriage Rate.

Page 3

Showing the Births (distinguishing Males and Females) and Birth-rates of Islington in 1924, 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 1923; together with the mean Borough Birth-rates for the 10 years 1914-1923.

Quarter.	Males.	Females.	Total.	Birth Rates.
Quarter.	Males.	Females.	Total.	Islington, 1924.	Islington, 1914-23.	London, 1924.	105 Great Towns, 1924.

Page 4

Showing the Births of Males and Females and the Birth-rates in each quarter and for the year, 1924, and in the several Sub-Registration Districts.

	Tufnell.				Upper Holloway.				Tollington.				Lower Holloway.
	Males.	Females	Total.	Birth rates.	Males.	Females	Total.	Birth rates.	Males.	Females	Total.	Birth rates.	Males.	Females	Total.	Birth rates.

Page 4

Showing the Births of Males and Fewales and the Birth-rates in each quarter and for the year 1924, and in the several Sub-Registration Districts.—contd.

	Highbury.				Barnsbury.				Islington Soutk-East.				Tke Borougk.
	Males.	Females	Total.	Birth rates.	Males.	Females	Total.	Birth rates.	Males.	Females	Total.	Birth rates.	Males.	Females	Total.	Birth rates.

Page 4

Notification of Births Act, 1907.—5,200 births were notified, exclusive of 132 stillborn, or 76 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:	Doctors.		Midwives.		Parents and otker Persons.		Total.
	Alive.	Still born.	Alive.	Still born.	Alive.	Still born.	Alive.	Still born.

Page 5

The Deaths and Death-rates from All Causes in the Sub-Registration Districts were as follows:—

Sub-Districts.	Quarters.								The Year.
	1		2		3		4
	Deaths.	Death Rates.	Deaths.	Death Rates.	Deaths.	Death Rates.	Deaths.	Death Rates.	Deaths.	Death Rates.

Page 5

Showing the Deaths and Death Rates of Islington in 1924, 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 Kates for the 10 years 1914-23, and the deaths and death-rates in the year 1923.

Quarter.	Males.	Females.	Total.	Death Rates.
Quarter.	Males.	Females.	Total.	Islington, 1924.	Islington, 1914-23.	London, 1924.	105 Great Towns, 1924.

Page 6

Cause of Death (Classified).—The following table shows the deaths arranged in classes of Disease from All Causes during the ten years 1911-23, and in 1924:—

Classified Causes of Death.	Years.										Mean 10 Yrs.	1924	Difference.
Classified Causes of Death.	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	Mean 10 Yrs.	1924	Difference.

Page 6

AGES AT DEATH. 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, 1924.	Mean Deaths (10 years, 1914-23.	Increase or Decrease on mean.

Page 7

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

Sub-District.	Infant Deaths.	Mortality per 1,000 Births.

Page 7

Infantile Mortality during each of the Ten Years 1914-23 and 1924. 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		4 weeks and under 3 mths.	3-6	6-9	9-12

Page 7

Showing the Deaths among Infants per 1.000 Births during the Year 1924. and also the mortality rates for the Years 1914-1923.

Sub-Districts.	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	Mean 10 years	1914	increase or decrease on mean

Page 8

Showing the Mortality per 1.000 Births aiming Infants under one year of age in the ten years 1914-23: and in 1924 from ccrtain specified causes.

Causes of death.	1924. Rate per 1,000 Births.	Mean rate 10 years 1914-23 per 1,000 Births.	Difference.

Page 8

INFANTILE MORTALITY during the Calendar Year 1924. Nett Deaths from stated, causes at various Ages under One Year of Age.

Cause of Death.		Under 1 week	Weeks.			Total under 4 weeks	4 weeks and under 3 months	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 9

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

	Tufnell.	Upper Holloway.	Tollington.	Lower Holloway.	Highbury.	Barnsbury.	South East.	The Borough

Page 10

Cases of Puerperal Fever notified and inquired into during the year 1924.

	Tufnell.	Upper Holloway.	Tollington.	Lower Holloway.	Highbury.	Barnsbury.	i South East.	The Borough

Page 11

SUMMARY OF VISITS BY MUNICIPAL HEALTH VISITORS.

District	1	2	3	4	5	6		Totals

Page 12

SUMMARY OF VISITS BY MUNICIPAL HEALTH VISITORS—Continued.

District	1	2	3	4	5	6	7	Totals.

Page 14

The various departments of the four voluntary Centres, with the attendances for 1924, may be summarised thus:—

Page 15

WELFARE CENTRES' DISTRICTS. POPULATION.

		NORTH. Wards 1. 2, 3,		SOUTH. Wards 9, 10, 11, and Part of 6.		EAST. Ward 5, and Parts of 4 and 6.	WEST. Wards 7, 8, and Part of 4.	Total.

Page 16

Shewing the Deaths from each of the principal Epidemic Diseases in the several Wards and Sub Registration Districts during the Year 1924.

Sub-Registration Districts.		Wards	Enteric Fever.	Small Pox.	Measles	Scarlet Fever.	Whooping Cough.	Diphtheria.	Diarrhoea.	Totals.
Sub-Registration Districts.		Wards	Deaths	Deaths	Deaths	Deaths	Deaths	Deaths	Deaths	Deaths

Page 17

Showing theDeaths andDeath-Rates from thePrincipal Epidemic Diseases during the ten years 1914-23 and for theYear 1924.

	1914		1915		1916		1917		1918		1919
	Deaths.	Death Rates.	Deaths.	Death Rates.	Deaths.	Death Rates.	Deaths.	Death \| Rates.	Deaths.	Death Rates.	Deaths.	Death Rates.

Page 17

Continued from previous page...

	1920		1921		1922		1923		Mean 10 years		1924
	Deaths.	Death Rates.	Deaths.	Death Rates.	Deaths.	Death Rates.	Deaths.	Death Rates.	Deaths.	Death Rates.	Deaths.	Death Rates.

Page 17

Showing the Deaths from Diarrhœl Diseases together with those classed under Enteritis and its Sub-headings, arranged in quarterly periods, and in three groups of ages.

	1st Quarter.			2nd Quarter.			3rd Quarter.			4th Quarter.			The Year.
	Diarrhœ.	Enteritis. etc.	Totals.	Diarrhœ.	Enteritis. etc.	Totals.	Diarrhœa	Enteritis. etc.	Totals.	Diarrhœa	Enteritis. etc.	Totals.	Diarrhœa.	Enteritis. etc.	Totals.

Page 18

Showing the Deaths from Influenza in the Quarters of the Year 1924, together with the averages of the corresponding periods, 1914-23.

Years.	Quarters.				Totals.
	First. Second. Third. Fourth.

Page 18

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 1924:—

Ages.	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	Mean		Difference.
Ages.	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	10 yrs	1924	Difference.

Page 19

among males and 256 among females. The following statement shows the ages at death of the persons attacked during the past ten years, and the return for the year 1924:—

Ages.	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	Mean 10 Yrs.	1924	Difference.

Page 19

Showing the Deaths from Cancer or Malignant Disease in the several Sub-Districts during the Quarters and the year 1924.

Quarters.	Tufnell.	Upper Holloway.	Tollington.	Lower Holloway.	Highbury.	Barnsbury.	Islington, South East.	The Borough

Page 19

There was a decrease of 82 on the ten years' average number of deaths, and of 0.28 on the mean death-rate.

Page 20

The following return gives the deaths at each age period:—

Age Periods.	Males.	Females.	Total.

Page 20

Showing the Deaths from Tuberculosis of Respiratory System in the Sub-Districts during the Four Quarters of the Year 1924.

Quarters.	Tufnell.	Upper Hollo-way.	Tolling-ton.	Lower Hollo-way.	Highbury.	Barnsbury.	Islington, South East.	The Borough

Page 20

Showing the Deaths from Tuberculosis daring 1924.

Form.		Ages.			Sex.		Districts.							Total Deaths.
Form.		0-1	1-5	over 5	M.	F.	Tuf.	U.H.	Toll.	L.H.	H.	B.	S.E.	Total Deaths.

Page 22

It will be noticed that the number of inquests exceeds the bodies actually received into the mortuary during the year; which is due to the fact that the total inquests also include those held by the Coroner at the Islington Coroner's Court upon bodies of deceased persons who died in Public Institutions in the Borough

	Bodies received into Mortuary.	Inquests.

Page 22

The following Table gives a return of the bodies received into the Mortuary and the inquests held by the Coroner during the years 1924 and 1923.:—

1924	No. of bodies received.	Daily Average.	No. of Inquests held.	1923	No. of bodies received.	Daily Average.	No. of Inquests held.

Page 23

The returns for the preceding ten years are given in the following statements:—

Year.	Cases.	Attack-rates per 1,000 civil population.

Page 23

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

		Total cases notified.

Page 24

During the year it was found that of the 2,087 cases notified, G6 deaths occurred, or 3'2 per cent., which contrasts with an average percentage of 4'3 in the preceding ten years 1914 13.

Years.	Cases.	Deaths.	Fatality.

Page 24

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 24

DISEASES TREATED IN HOSPITAL.

Disease.	Total cases.	Cases isolated.	Percentage of known cases.

Page 25

Summary of Infectious Sickness and of Deaths arising therefrom, distinguishing the Cases treated at Home and in Hospitals ; and showing the percentage of notified Cases removed to Hospitals, together with the Fatality among cases treated at Home and in Hospitals during the year 1924.

	Notified Cases Treated.			Percentage 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 25

Showing the number of Cases and Attack Rates of the several Notifiable Infectious Diseases which occurred during each of the Ten Years 1014-23 and in 1924.

DISEASES.			YEARS.									Average number of cases, 1914-23	1924	Increase or Decrease
DISEASES.		1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	Average number of cases, 1914-23	1924	Increase or Decrease

Page 26

Showing the Cases of the Notifiable Infectious Diseases notified in the Sub-Registration Districts and the Wards during the Year 1924.

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 26

Acute Poliomyelitis. Seven cases were notified from this disease during the year, as contrasted with 1 in 1923, and none in 1922.

	1924		1913
	Cases.	Deaths.	Cases.	Deaths.

Page 27

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

	1914	1915	1910	1917	1918	1919	1920	1921	1922	1923	Average 10 yrs. 1914-23	1924	Total Deaths, 1914-23.

Page 27

These Regulations came into force on the 7th January, 1919, and during the 6 years the following cases were notified by medical practitioners to the Medical Officer of Health :

	1919	1920	1921	1922	1923	1924

Page 28

Showing the Notified Cases of Tuberculosis in the Wards during 1924.

Registration Sub-Districts.	Wards.	Respiratory Tuberculosis.			Other Forms of Tuberculosis.			Grand Totals	Tuberculosis Kate per 1,000 of Population.
Registration Sub-Districts.	Wards.	Males	Females	Total	Males	Females	Total	Grand Totals	Tuberculosis Kate per 1,000 of Population.

Page 28

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-

Page 28

From the above statement it will be seen how the disease attacked people at the various ages, viz.:—

Page 29

Showing the Notified Cases of Tuberculosis in the Quarters during 1924.

	1st Quarter.			2nd Quarter.			3rd Quarter.			4th Quarter.			The Year.
	Hales	Females	Total	Males	Females	Total	Males	\| Females	Total	Males	Females	Total	Males	Females	Total

Page 29

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

	Houses.	Rooms.

Page 29

PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the period from the 30th December, 1923, to the 3rd January, 1925, 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	6 to 10	10 to 15	15 to 20	20 to 25	25 to 35	35 to 46	45 to 55	55 to 65	05 and up.	Total Primary Notifications.	Total Notifications on Form A.

Page 29

Age-periods	Notifications on Form B.					Number of Notifications on Form C.
	Number of Primary Notifications.				Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.
	Under 5	5 to 10	10 to 15	Total Primary Notifications	Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.

Page 30

The number of persons in attendance at them in each year is as follows :— TUBERCULOSIS.

	1919		1920		1921		1922		1923		1924
	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 30

A summary of the combined dispensaries is given for the following years :—

	Cases.	Attendances.		Cases.	Attendances.

Page 31

Table showing the number of Tuberculous Persons attending the Borough Tuberculosis Dispensaries and the New Cases during 1924.

Date.	Dispensary		Feb.	Mar.	Apr.	May.	J line	July	Aug.	Sept.	Oct.	Nov.	Dec.	Year.	Total.
Attendances	Northern	315	302	323	257	314	282	310	227	280	277	224	263	3,374	9,496
Attendances	Southern	626	058	545	522	522	497	495	434	484	480	458	501	6,122	9,496
Mew Cases Including Contacts	Northern	35	45	46	38	57	43	50	25	42	63	26	32	502	1,051
Mew Cases Including Contacts	Southern	66	52	66	41	47	47	40	41	36	38	39	36	549	1,051
Contacts.
Tuberculosis	Northern	2	1	2	—	—	—	—	1	—	1	. —	—	7	41
Tuberculosis	Southern	2	3	3	4	1	7	3	4	3	1	1	2	34	41
Suspects	Northern	2	2	1	—	I	6	2	1	1	1	—	1	18	38
Suspects	Southern	o	<>	1	.—	1	—	—	1	5	O	3	3	20	38
Non-Tuberculous	Northern	16	14	18	9	27	15	6	1	18	31	4	7	166	330
Non-Tuberculous	Southern	16	13	27	13	21	17	12	10	8	6	11	10	164	330
Nurses' Visits	Northern	147	119	72	72	120	86	51	62	104	108	104	117	1,162	3,450
Nurses' Visits	Southern	241	255	245	172	2o2	25	185	160	214	201	205	183	2,288	3,450
TuberculosisOfiicers' Visits	Northern	13	18	19	14	13	12	17	17	18	16	14	15	186	512
TuberculosisOfiicers' Visits	Southern	32	34	34	31	30	30	21	20	19	25	24	25	326	512

Page 31

DEATHS (CIVILIAN ONLY) FROM TUBERCULOSIS OF THE RESPIRATORY SYSTEM (BOTH SEXES). Reference : Registrar-General's Reports.

Metropolitan Borough.	1922	1923	Rate per 1,000 living 1922.

Page 32

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

Disease.	No. of Notifications.	Average of preceding 10 years.	Increase or Decrease.

Page 32

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 33

DIPHTHERIA PATHOGENICITY TESTS. 1924.

No. Submitted for Examination.	Negative Result. (Bacilli)	Positive Result. (Bacilli)	Non-Virulent.	Virulent.

Page 33

Showing the result of the Bacteriological Examinations made for the Diagnosis of Diphtheria, Enteric Fever and Pulmonary Tuberculosis, 1014-24.

Periods.	Diphtheria.			Enteric Fever.			Pulmonary Tuberculosis.			Totals.
Periods.	Positive Results.	Negative Results.	Total Examined	Positive Results.	Negative Results.	Total Examined	Positive Results.	Negative Results.	Total Examined	Totals.

Page 34

Certificates of Exemption.— The following tabular statement shows the increase of these certificates, more especially since 1911

Page 34

Return furnished by the Vaccination Officers respecting the Vaccination of Children in the Sub-Registration Districts during the previous year 1923.

Registration Sub-Districts.	Number of Births registered in 1923	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 (cols. 3 to 9).	Total Number of Certificates of Primary Vaccination at All Ages received during year 1924.	Number of Statutory Declarations of Conscientious Objection received during year 1924.
	i	2	3	4	5	6	7	8	9	10	11	12

Page 34

The Cleansing and Spraying of Rooms.—1,555 rooms, as contrasted with 1,525 in 1923, were cleansed and sprayed.

	Rooms Disinfected.		Rooms Sprayed.
	1924.	1923.	1924.	1923.

Page 35

Summary of the chief articles of Clothing, Bedding, etc., disinfected during the year 1924, and also in the preceding year 1923.

	1st Quarter.	2nd Quarter.	3rd Quarter.	4th Quarter.	The Year 1924	1923

Page 35

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

	1st Quarter.	2nd Quarter.	3rd Quarter.	4th Quarter.	Year.

Page 35

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. Solution.

Page 36

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

Page 37

The various workshops and workplaces are tabulated as below :—

Workshops and Workplaces.	1924.
Workshops and Workplaces.	Total Workshops on Register.	Total Workrooms on Register.	Number added during Year.	Number removed during Year.

Page 37

Workshops Notified to Home Office, 1924.

Trade.	Number of Workshops.	Protected Employed Persons.
Trade.	Number of Workshops.	Women.	Male Young Persons.	Total.

Page 37

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

Premises.	Number of
Premises.	Inspections.	WrittenNotices	Prosecutions.

Page 38

DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.

Particulars.		Number of Defects.			Number of Prosecutions.
Particulars.		Found.	Remedied	Referred to H.M.	Number of Prosecutions.

Page 38

OUTWORKERS' PREMISES.

	Instances.	Notices Served.	Remedied.	Prosecutions.

Page 38

OTHER MATTERS.

		Number.

Page 39

Synopsis of Inspectors' Work,—The following statement gives a brief synopsis of the district inspectors' work in 1924 :—

Page 40

The applications received for the previous ten years were as follows:-

Page 41

Summary of Sanitary Work from Inspectors' Reports for the year 1924.

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

Page 42

Synopsis of Inspectors' Work:—

Improvements.

Page 42

Summary of Work under the Rats and Mice (Destruction) Act during the years 1920-24:—

Page 45

METROPOLITAN BOROUGH OF ISLINGTON. Housing Statistics for Year Ending 31st December, 1924. Number of new houses erected during the year:—

Page 46

1. Unfit dwelling-houses.

Page 46

3. Action under Statutory Powers.

Page 47

(c) Proceedings under Sections li and 18 of the Housing, Town Planning, etc., Act, 1909.

Page 47

HOUSES OCCUPIED BY TWO OR MORE FAMILIES. CENSUS 1921.

Metropolitan Borough	Number of structurally undivided houses and shops.	Number occupied by 2 or more families.			Approximate proportion occupied by 2 or more families.
Metropolitan Borough	Number of structurally undivided houses and shops.	2 families.	3 or more families.	Total.	Approximate proportion occupied by 2 or more families.

Page 48

POPULATION 1021, living more than—

Metropolitan Borough.	2 per room	3 per room	4 per room	5 per room	6 per room	7 per room	8 per room	9 per room	10 per room	11 per room	12 per room

Page 48

Showing the Slate of Pauperism in the Borough during the year 1921.

Quarters. 1	Average number Relieved during each week.						Borough Death rates, 1924. 8
	Indoor Paupers, Adults and Children. 2	Outdoor Paupers.		Totals. 5	Totals corresponding periods 1923. 6	Children Boarded out. 7
	Indoor Paupers, Adults and Children. 2	Adults. 3	Children under 16. 4	Totals. 5	Totals corresponding periods 1923. 6	Children Boarded out. 7

Page 49

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 51

Tabulation of meat and organs diseased as found in slaughter-houses during the year 1924:—

No. of Cases.	Description of Animal Affected.	Nature of Disease.	Extent of Disease.	How disposed of.

Page 51

MILK AND DAIRIES (AMENDMENT) ACT, 1922. (Section 5.) PROHIBITION OF SALE OF TUBERCULOUS MILK. BACTERIOLOGICAL EXAMINATIONS OF MILK.

No.	Gelatin count at room temperature 48 hours.	B. coli.		Acid-fast bacilli in films	Guinea-pig inoculation results.
No.	Gelatin count at room temperature 48 hours.	absent from	present in	Acid-fast bacilli in films	Guinea-pig inoculation results.

Page 52

(1) Milk and Cream NOT Sold as Preserved Cream :

Page 53

LICENCES GRANTED UNDER MILK (SPECIAL DESIGNATIONS) ORDER, 1922-23.

Designation.	No. of applications.		Number granted.		Amount of Fees received.
Designation.	1923	1924	1923	1924	1923			1924
					£	s.	d.	£	s.	d.

Page 54

The greatest amount of detected adulteration occurred in the fouth quarter of the year, as shown by the figures given in the statement below, when it was so high as 231 per cent. and contrasted with 76, 8'7 and 8'3 per cent., respectively, in the first, second and third quarters.

	Examined.	Genuine.	Adulterated.	Per cent.

Page 55

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

No. of Samples.		Solids not Fat.	Fat.	Total Solids.

Page 55

Sophistication of Milk.—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 55

Giving the particulars of the Milks taken during each quarter of 1924 on Sundays Week-days, and at the Railway Stations.

1924.	No. of Samples Taken.				Genuine.				Adulterated.				Per cent. Adulterated.
Quarters.	Sundays.	Weekdays.	Railway Stations.	All Milks.	Sundays.	Weekdays.	Railway Stations.	All Milks.	Sundays.	Weekdays.	Railway Stations.	All Milks.	Sundays.	Weekdays.	Railway Stations.	All Milks.

Page 56

Showing the samples of milk reported as genuine or adulterated during the past 10 years and in 1924:— MILK ADULTERATION.

	Samples Analysed.	Genuine.	Adulterated	Per cent. Adulterated.

Page 56

Showing the analysis of 6,914 milks examined in Islington during the 10 years 1914-23 and l924, 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 57

Showing the Samples of Foods and Drugs submitted to the Public Analyst during the year 1924.

Description.	1st Qr-	2nd Qr.	3rd Qr.	4th Qr.	Total Samples.	Genuine.					Adulterated.
Description.	1st Qr-	2nd Qr.	3rd Qr.	4th Qr.	Total Samples.	1st Qr.	2nd Qr.	3rd Qr.	4th Qr.	Totals.	1st Qr.	2nd Qr.	3rd Qr.	4th Qr.	Totals.

Page 58

Summary of Prosecutions during year 1924.

	Total Prosecutions.	Successful.	Dismissed.	Withdrawn.		Amount of Penalties Received.

Page 60

The following Tables appeared in the Annual Report for 1921. Reference is made here to them as they have not been reprinted to save space this year for other matter:—

Page 62

Showing the Deaths from all Causes in Islington during the Year 1924. 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.							Male	Female.	Total.
Deaths in Institutions 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.	Male	Female.	Total.

Page 63

Continued.

Deaths in Institutions within Borough.	DISEASES.	AGES.													Under 5	Over 5	Tuf.	U.H.	DISTRICTS.			B.	S.E.	Males.	Females.	Totals.
Deaths in Institutions 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.
	Dentition	2	1	—	—	—	—	—	—	—	—	—	—	—	3	—	—	1	1	—	—	1	—	1	2	3
	Rickets	—	l	—	—	—	—	—	—	—	—	—	—	—	1	—	—	—	—	1	—	—	—	1	—	1
	Old Age, Senile Decay	—	—	—	—	—	—	—	—	—	1	43	140	80	—	264	33	35	24	31	51	39	51	92	172	264
	Convulsions	9	—	—	—	—	—	—	—	—	—	—	—	—	9	—	1	v	1	2	1	3	1	5	4	9
	Meningitis	4	3	2	—	—	—	—	—	—	1	—	—	—	7	3	1	1	1	3	2	2	—	5	5	10
	Encephalitis	—	1	—	2	—	—	—	—	1	—	1	—	—	1	4	1	—	—	—	2	2	—	2	3	5
	Apoplexy	4	—	—	—	—	—	—	2	16	30	57	36	4	4	145	6	11	13	16	38	27	38	69	80	149
	Softening of Brain	—	—	—	—	—	—	—	—__	—	—	2	3	—	—	5	1	1	—	l	2	—	—	4	1	5
	Hemiplegia	—	—	—	—	—	—	—	—	2	2	6	2	2	—	14	1	2	—	2	5	2	2	6	8	14
1	General Paralysis of the Insane	—	—	—	—	—	—	—	8	6	2	—	1	—	—	17	5	—	3	1	2	5	1	16	1	17
	Other form of Insanity	—	—	1	—	—	—	1	2	1	1	2	1	—	—	9	—	1	—	1	4	1	2	4	5	9
	Chorea	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
	Cerebral Tumour	—	1	3	—	—	—	4	2	3	—	1	—	—	1	13	—	1	—	2	2	3	6	7	7	14
	Epilepsy	1	—	—	3	1	3	4	2	3	2	2	1	—	1	2 1	4	3	1	3	3	3	5	8	14	22
	Laryngismus Stridulus	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
	Locomotor Ataxy	—	—	—	—__	—	—	—	1	3	2	2	—	—	—	8	—	—	—	1	3	2	2	7	1	8
	Paraplegia	—	—	—	—	—	1	—	—	—	8	3	1	—	—	13	—	1	2	1	5	3	1	5	8	13
	Other forms, Brain Diseases	—	‡1	†l	§1	—	—	†2	†4	2	†3	1	—	—	1	14	2	4	1	1	~~	3	4	7	8	15
	Otitis	2	2	—	1	1	1	—	—	1	1	2	—	—	4	7	3	—	1	1	1	3	2	6	5	11
	Disease of Nose, Epistaxis	—	—	—	—	—	—	1	—	—	—	1	—	—	—	2	—	—	—	—	2	—	—	2	—	2
	Disease of Eye	—	—	—	—	—	—	—	—	—	1	—	—	—	—	1	—	—	—	1	—	—	—	1	—	1
	Pericarditis	—	—	—	—	—	—	—	1	—	—	—	1	—	—	2	—	—	2	—	—	—	—	—	2	2
9	Endocarditis	—	—	—	1	3	4	1	2	3	2	2	1	1	—	20	2	4	2	2	—	2	8	11	9	20
	Hypertrophy of Heart.	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
1	Angina Pectoris	—	—	—	—	—	—	—	1	3	3	4	—	—	—	11	2	1	—	1	2	1	4	8	3	11
1	Aneurism	—	—	—	—	—	—	—	1	1	2	1	—	1	—	6	—	—	—	1	1	2	2	3	3	6
1	Senile Gangrene	—	—	—	—	—	—	—	—	—	3	5	2	—	—	10	—	2	—	1	2	2	3	1	9	10
31	Embolism, Thrombosis	1	—	—	—	—	—	1	3	6	12	22	16	1	1	61	7	4	8	9	8	9	17	27	35	62
5	Phlebitis	—	—	—	—	—	—	—	1	1	2	—	—	—	—	4	1	—	—	2	—	1	—	—	4	4
	Varicose Veins	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
213	Other Diseases, Heart and Vessels	5	3	5	5	7	5	19	35	67	144	220	167	25	8	699	82	89	65	70	121	126	154	337	370	707
1	Laryngitis	—	2	—	—	—	—	1	—	—	—	—	—	—	2	1	1	—	—	1	1	—	—	1	2	3
	Croup	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
	Other Diseases, Larynx and Trachea.	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
25	Acute Bronchitis	19	2	—	—	1	—	3	2	4	13	26	28	8	21	85	1 4	14	9	16	18	17	18	37	69	106
61	Chronic Bronchitis	16	5	1	1	—	—	1	9	22	39	93	72	18	21	256	23	18	21	38	43	65	69	129	148	277
16	Lobar Pneumonia	5	4	1	1	2	3	3	7	11	13	22	8	—	9	71	8	12	10	11	10	12	17	44	36	80
68	Lobular Pneumonia	62	63	4	—	1	3	2	8	9	14	37	18	4	25	100	17	12	28	34	33	50	51	104	121	225
4	Pneumonia	10	4	—	1	1	1	1	4	7	8	7	5	1	14	36	2	12	3	7	10	3	13	25	25	50
5	Emphysema, Asthma	—	—	—	—	—	—	1	2	2	6	6	3	—	—	20	1	5	2	1	4	1	6	7	13	20
4	Pleurisy	—	—	—	—	—	1	2	4	—	5	3	2	2	—	19	3	2	1	1	6	3	3	11	8	19
2	Other Diseases, Respiratory System	—	2	1	—	1	1	3	3	1	3	1	1	—	2	15	2	3	—	4	2	1	5	15	2	17
	Diseases of Mouth and Annexa	1	—	—	—	1	—	1	1	—	—	—	—	—	1	3	3	—	—	—	—	1	—	—	4	4
	Diseases of Pharynx	—	2	—	—	—	—	—	—	—	—	—	—	—	2	—	3	1	—	—	—	1	—	2	—	2
	Diseases of (Esophagus	—	—	—	—	—	—	—	1	—	—	—	1	—	—	2	—	1	—	1	—	—	—	1	1	2
1	Ulcer of Stomach and Duodenum	—	—	—	—	—	2	—	7	12	11	6	2	—	—	40	—	3	4	3	11	4	7	27	13	40
18	Other Diseases of the Stomach	1	—	—	—	—	—	—	—	1	2	2	1	—	1	6	8	—	—	—	3	1	3	2	5	7
6	Enteritis	28	6	—	—	1	1	—	1	—	—	3	—	—	34	6	—	3	3	9	6	11	6	24	16	40
	Appendicitis	1	2	1	3	2	3	6	1	4	3	1	—	—	3	24	2	1	2	4	9	3	15	16	11	27
	Obstruction of Intestines	3	—	—	1	1	—	1	1	3	5	5	4	—	3	21	3	1	3	4	5	5	5	9	15	24
2	Other Diseases of Intestines	—	—	—	—	—	—	—	2	3	3	3	—	—	—	11	1	1	3	2	2	1	2	5	6	11
	Cirrhosis of Liver	—	—	—	—	—	—	—	1	1	5	5	1	—	—	13	—	1	1	1	4	3	2	8	5	13
1	Other Diseases of Liver	—	—	1	—	1	—	—	—	1	—	1	1	—	—	5	1	2	—	—	1	—	2	2	3	5
	Peritonitis	—	—_	1	—	2	—	—	3	2	2	—	1	—	—	11	—	—	1	2	1	—	6	4	7	11
	Other Diseases, Digestive System	1	—	—	—	—	—	—	1	—	—	1	—	—	1	2	1	—	1	2	—	—	—	3	—	3
	Diseases, Lymphatic System and Glands	—	—	—	—	—	—	—	1	2	3	2	—	—	—	8	—	1	—	1	3	—	3	2	6	8
1	Acute Nephritis	1	—_	—	—	—	—	—	l	1	—	1	—	—	1	3	—	1	—	—	—	1	2	—	4	4
20	Bright's Disease	3	—	—	1	1	1	5	6	15	20	17	10	1	3	77	12	8	5	5	18	13	19	45	35	80
	Calculus	—	—	—	—	—	—	—	1	1	—	1	2	—	—	5	—	—	1	1	—	2	1	1	4	5
	Diseases of Bladder and Prostate	—	—	—	—	—	1	—	—	—	3	15	7	4	—	30	6	2	5	1	6	5	5	27	3	30
	Other Diseases, Urinary System	—	—	—	—	—	—	1	2	4	1	6	3	—	—	17	5	—	5	2	3	4	2	9	8	17
	Diseases of Testis and	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	1	—	—	—	—	—	—	—
1	Diseases of Ovaries	—	—	—	—	—	—	1	1	—	1	—	—	—	—	3	—	—	—	—	1	—	1	—	3	3
1	Diseases of Uterus and Appendages	—	—	—	—	—	—	1	2	—	—	—	—	—	—	3	1	—	1	—	2	—	—	—	3	3
	Diseases of Vagina and External Genitals	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
	Diseases of Breast	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
1	Abortion, Miscarriage.	—	—	—	—	—	1	1	—	—	—	—	—	—	—	2	—	—	—	—	—	1	1	—	2	2
	Puerperal Mania	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
	Puerperal Convulsions	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
	Placenta Prævia, Floorting	—	—	—	—	—	1	2	1	—	—	—	—	—	—	4	—	—	—	—	—	—	3	—	4	4

Page 64

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 65

Metropolitan Borough of Islington. CAUSES OF, AND AGES AT DEATH DURING THE CALENDAR YEAR 1024.

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 " Non-Residents " in Institutions in the District
Causes of Death.	Nett Deaths at the subjoined Ages of "Residence" whether occurring within or without the District.

Page 66

LONDON COUNTY COUNCIL RETURN. Borougli of Islington. PROCEEDINGS DURING 1924.

Premises.		Number of Places.				Number of Inspections 1924	Number of Notices 1924	Number of Prosecutions 1924
Premises.		On Register at end of 1923	Added in 1924	Removed in 1924	On Register at end of 1924	Number of Inspections 1924	Number of Notices 1924	Number of Prosecutions 1924

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

View report tables

Islington 1924

122 tables in this report

Councillors.

Councillors.

SUMMARY of Vital Statistics in the Registration Year 1924.

Showing the Areas Densities and Estimated Populations of the Sub-registration Districts at the Middle of year 1924, also the Populations at the Census 1921.

Showing the Areas, Densities and Estimated Populations of the Wards at the Middle of the year 1924, also the Populations at the Census 1921.

Shoving the Estimated Number of Persons living in Islington at the Mid-year 1924, at Nine Age Periods, and distinguishing Males and Females.

The following statement shows the figures for the previous ten years 1914-23.

Showing the Births (distinguishing Males and Females) and Birth-rates of Islington in 1924, 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 1923; together with the mean Borough Birth-rates for the 10 years 1914-1923.

Showing the Births of Males and Females and the Birth-rates in each quarter and for the year, 1924, and in the several Sub-Registration Districts.

Showing the Births of Males and Fewales and the Birth-rates in each quarter and for the year 1924, and in the several Sub-Registration Districts.—contd.

Notification of Births Act, 1907.—5,200 births were notified, exclusive of 132 stillborn, or 76 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 and Death-rates from All Causes in the Sub-Registration Districts were as follows:—

Showing the Deaths and Death Rates of Islington in 1924, 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 Kates for the 10 years 1914-23, and the deaths and death-rates in the year 1923.

Cause of Death (Classified).—The following table shows the deaths arranged in classes of Disease from All Causes during the ten years 1911-23, and in 1924:—

AGES AT DEATH. 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 1914-23 and 1924. Deaths at various ages under One Year of Age.

Showing the Deaths among Infants per 1.000 Births during the Year 1924. and also the mortality rates for the Years 1914-1923.

Showing the Mortality per 1.000 Births aiming Infants under one year of age in the ten years 1914-23: and in 1924 from ccrtain specified causes.

INFANTILE MORTALITY during the Calendar Year 1924. Nett Deaths from stated, causes at various Ages under One Year of Age.

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

Cases of Puerperal Fever notified and inquired into during the year 1924.

SUMMARY OF VISITS BY MUNICIPAL HEALTH VISITORS.

SUMMARY OF VISITS BY MUNICIPAL HEALTH VISITORS—Continued.

The various departments of the four voluntary Centres, with the attendances for 1924, may be summarised thus:—

WELFARE CENTRES' DISTRICTS. POPULATION.

Shewing the Deaths from each of the principal Epidemic Diseases in the several Wards and Sub Registration Districts during the Year 1924.

Showing theDeaths andDeath-Rates from thePrincipal Epidemic Diseases during the ten years 1914-23 and for theYear 1924.

Continued from previous page...

Showing the Deaths from Diarrhœl 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 1924, together with the averages of the corresponding periods, 1914-23.

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 1924:—

among males and 256 among females. The following statement shows the ages at death of the persons attacked during the past ten years, and the return for the year 1924:—

Showing the Deaths from Cancer or Malignant Disease in the several Sub-Districts during the Quarters and the year 1924.

There was a decrease of 82 on the ten years' average number of deaths, and of 0.28 on the mean death-rate.

The following return gives the deaths at each age period:—

Showing the Deaths from Tuberculosis of Respiratory System in the Sub-Districts during the Four Quarters of the Year 1924.

Showing the Deaths from Tuberculosis daring 1924.

The following Table gives a return of the bodies received into the Mortuary and the inquests held by the Coroner during the years 1924 and 1923.:—

The returns for the preceding ten years are given in the following statements:—

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

During the year it was found that of the 2,087 cases notified, G6 deaths occurred, or 3'2 per cent., which contrasts with an average percentage of 4'3 in the preceding ten years 1914 13.

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 percentage of notified Cases removed to Hospitals, together with the Fatality among cases treated at Home and in Hospitals during the year 1924.

Showing the number of Cases and Attack Rates of the several Notifiable Infectious Diseases which occurred during each of the Ten Years 1014-23 and in 1924.

Showing the Cases of the Notifiable Infectious Diseases notified in the Sub-Registration Districts and the Wards during the Year 1924.

Acute Poliomyelitis. Seven cases were notified from this disease during the year, as contrasted with 1 in 1923, and none in 1922.

A return of attack 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 6 years the following cases were notified by medical practitioners to the Medical Officer of Health :

Showing the Notified Cases of Tuberculosis in the Wards during 1924.

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

From the above statement it will be seen how the disease attacked people at the various ages, viz.:—

Showing the Notified Cases of Tuberculosis in the Quarters during 1924.

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

PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the period from the 30th December, 1923, to the 3rd January, 1925, in the Metropolitan Borough of Islington.

The number of persons in attendance at them in each year is as follows :— TUBERCULOSIS.

A summary of the combined dispensaries is given for the following years :—

Table showing the number of Tuberculous Persons attending the Borough Tuberculosis Dispensaries and the New Cases during 1924.

DEATHS (CIVILIAN ONLY) FROM TUBERCULOSIS OF THE RESPIRATORY SYSTEM (BOTH SEXES). Reference : Registrar-General's Reports.

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

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

DIPHTHERIA PATHOGENICITY TESTS. 1924.

Showing the result of the Bacteriological Examinations made for the Diagnosis of Diphtheria, Enteric Fever and Pulmonary Tuberculosis, 1014-24.

Certificates of Exemption.— The following tabular statement shows the increase of these certificates, more especially since 1911

Return furnished by the Vaccination Officers respecting the Vaccination of Children in the Sub-Registration Districts during the previous year 1923.

The Cleansing and Spraying of Rooms.—1,555 rooms, as contrasted with 1,525 in 1923, were cleansed and sprayed.

Summary of the chief articles of Clothing, Bedding, etc., disinfected during the year 1924, and also in the preceding year 1923.

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 three Inspectors were as under:—