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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Chelsea 1939

Annual report of the Medical Officer of Health for Chelsea, 1939

Published
1939
Author
McCarthy, W. H. Leslie.
Pages
100
Tables
69

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69 tables in this report

  • Page 5
    The names and qualifications of members of the staff of the Public Health Department, at 31st December, 1939, are tabulated below in the form required by the Ministry of Health.
    Year appointed.Name.0 Qualifications.Appointment.
  • Page 6
    (b) Other Staff.
    Year Appointed.Name.Qualifications.Appointment.
  • Page 7
    Continued from previous page...
    Year Appointed.Name.Appointment.
  • Page 11
    TABLE No. 1.
  • Page 11
    POPULATION IN WARDS. (Census 1931.)
    Males.Females.Total.
  • Page 12
    VITAL STATISTICS. In accordance with the requirements of the Ministry of Health, the following extracts from the Vital Statistics of the year are shown below :—
    TotalM.F.
  • Page 13
    Continued from previous page...
    TotalM.F.
  • Page 13
    TABLE No. 3. Registered Births.
    Legitimate and Illegitimate Births.Total.
  • Page 14
    TABLE No. 4. Births, Birth-Rates, Births in Wards and Inward Transfer Births.
    Year.Births.Total.Birth-Rate Per 1,000 of Population.Hans Town.Births in Wards.Stanley.Inward Transfer Births.
    Leg.Illeg.Royal Hospital.Church.Cheyne.Hospitals.Nursing Homes.Private Addresses.Total.
  • Page 15
    TABLE No. 5. Births in Hospitals and Nursing Homes.
    Chelsea Births in Hospitals and Nursing Homes Within the Borough.Chelsea Births in Hospitals and Nursing Homes Outside the Borough.
  • Page 15
    TABLE No. 6.
    Notification received fromChelsea Residents.Non-Residents.
    Live Births.Still Births.Total.Live Births.Still Births.Total.
  • Page 16
    TABLE No. 7.
    Year.Number of Illegitimate Births.Percentage of Total Births.
    Male.Female.Total.
  • Page 17
    The following tables are self-explanatory:— TABLE No. 8. Registered Deaths.
    Total.
  • Page 17
    DEATHS IN PUBLIC INSTITUTIONS AND ELSEWHERE. In tabular form is shown below the number of deaths of Chelsea residents which took place in various Institutions during the year. Of the Chelsea deaths registered in the Borough, 365 o ccurred in Institutions within the Borough. TABLE No. 9.
    Chelsea Deaths in Hospitals and Institutions within the borough.Chelsea Deaths in Hospitals and Elsewhere Outside the Borough.
  • Page 18
    TABLE No. 10. Deaths, Death Rates, Deaths in Wards and Seasonal Mortality.
    Year.DeathsDeath-Rate per 1,000 of Population.Deaths in WardsSeasonal Mortality Rate.
    Hans tower.Royal Hospita.Churh.Cheyne.Stanley.First Quarter.Second Quarter.Third Quarter.Fourth Quarter.
  • Page 19
    TABLE No. 11. B irth -rates , Death-rates , Analysis of Mortality , England and Wales, Maternal Death-rates and Case-rates for certain London, 126 Great Infectious Diseases in the year 1938. Towns and 148 Smaller Towns. (Provisional figures based on Weekly and Quarterly Returns.)
    England and Wales.126 County Boro's and Great Towns including Loudon.148 Smaller Towns (Resident Populations 25.000 to 50,000 at 1931 Census).London Administrative County.
  • Page 20
    TABLE No. 12. Deaths of Chelsea Residents Registered during the Year 1939. Classified by Age and Cause. (In accordance with Registrar-General's Return.)
    Causes of Death.Nett Deaths, whether occurring within or without the borough.
    All Ages.Under 1 year.1 and under 2 years.2 and under 5 years.5 and under 15 years.15 and under 25 years.25 and under 35 years.35 and under 45 years.45 and under 55 years.55 and under 65 years.65 and under 75 years.75 years and upwards.
  • Page 21
    RESPIRATORY DISEASES. Table No. 13 shows the number of deaths from respiratory diseases during the past two years. The annual death rate, the number of deaths under 5 years, and the percentage of deaths occurring in children under 5 years of age is also shown:— TABLE No. 13.
    Year.Bronchitis.Pneumonia.Other Respiratory Diseases.Total.Death-rate.No. of deaths under 5 years.Percentage under 5 years.
  • Page 21
    TABLE No. 14. Child Mortality (1-5 Years).
    Year.Infectious Fevers.Tuberculosis.Respiratory Diseases.Diarrhœal Diseases.All other causes.Total Deaths.
  • Page 22
    The causes of death in the various age groups are set out in Table No. 15:— TABLE No. 15.
    Under 1 week.1-2 weeks.2-3 weeks.3-4 weeks.Total under 4 weeks.4 weeks and under 3 months3-6 months.6-9 months.9-12 months.Total deaths under 1 year.
  • Page 23
    The following Table gives the Infant Mortality Rate in Chelsea under various headings, for the past two years:— TABLE No. 16.
    19381939
  • Page 23
    TABLE No. 17. Infantile Mortality Rates per 1,000 Births In Wards.
    19381939
  • Page 23
    Illegitimate Deaths. — The following Table No. 18 shows the number of deaths among illegitimate infants during the past two years. TABLE No. 18.
    19381939
  • Page 24
    The following table shows the Maternal Mortality in Chelsea during the past two years:— TABLE No. 19.
    Year.Death-rate per 1,000 Total (Live and Still) Births.Total Death-rate.
    Puerperal Sepsis.Other complications of Pregnancy and Childbirth.
  • Page 25
    Details of the work undertaken by the Association on behalf of the Borough Council are shown in Table No. 20 by the number of home visits for the past two years and by Table No. 21 the conditions which necessitated attendance during the year 1939:— TABLE No. 20.
    Year.Visits.Cases.
  • Page 26
    TABLE No. 21. Nursed by District Nurses During 1938.
    Visits.Cases.
  • Page 27
    TABLE No. 22.
    Year.(1) No. of applications for services of(2) Total number provided with aAmount of Assessment on cases attended.Nett Cost to Council.
    Maternity Nurse.Midwife.Maternity Nurse.Midwife.Maternity Nurse.Midwife.Maternity Nurse.Midwife.
  • Page 30
    TABLE No. 24.
    Name.Situation.Nature of Cases Treated.Available Beds.If used by persons resident outside the Borough.Management.
  • Page 32
    TABLE No. 26. S ummary of Reports of Health: Visitors.
    19381939
  • Page 33
    Milk is supplied on the following basis :-
    Number of persons in family.Weekly income per head (after deduction of rent, fares and insurance).Assessment.
  • Page 33
    The following table shows for the past two years, the extent of this service:— TABLE No. 27.
    Year.Milk Orders issued and taken up.Approx. Cost.
    March quarter.June quarter.Sept. quarter.Dec. quarter.*Total.
  • Page 36
    The attendances at the Nursery during the past two years were as follows:— TABLE No. 28.
    1938.1939
  • Page 37
    The following Table No. 29 shows the work carried out in the Home To the 1st September, 1939 Since this date the home has been TABLE No. 29.
    THE MOTHERCRAFT HOME.
    Mothers.Babies.
  • Page 39
    TABLE No. 30.
    Year.No. of Applications.Nursing Mothers and Infants sent away under Council Scheme.Contributions by Mothers.Nett Cost to Borough.
  • Page 40
    TABLE No. 31.
    Child, Lijc Protection Return. (Year 1939).Foster Mothers.Foster Children.
  • Page 42
    Summary of Work carried out by Sanitary Inspectors during the Year.
  • Page 43
    Continued from previous page...
    Premises:
  • Page 44
    Continued from previous page...
    Nuisances abated arising from :—
  • Page 45
    TABLE No. 32. Magisterial Proceedings during the Year.
    Situation of Premises.Nature of Nuisance of Complaint.Petty Sessions.Date of Hearing.Result.
  • Page 46
    TABLE No. 33.
    Number of Premises.
    On register at end of 1938Added in 1939Removed in 1939On register at end of 1939Number of inspections during 1939Number of notices served during 1939Number of prosecutions during 1939
  • Page 47
    TABLE No. 34. Factories, Workshops, Workplaces, and Homeworkers' Premises. I.—Inspection of Factories and Other Premises. (Including Inspections made by Sanitary Inspectors).
    Number of
    Premises. (1)Inspections. (2)Written Notices. (3)Occupiers prosecuted. (4)
  • Page 48
    2. Deffects found in Factories and Other Premises.
    Particulars. (1)Number of Defects.N umber of offences in respect to which Prosecutions were instituted. (5)
    Found. (2)Remedied. (3)Referred to H.M. Inspector. (4)
  • Page 48
    3.—Home Work.
    Outworkers' Lists, Section 110.Outwork in Unwholesome Premises, Section 111.Outwork in Infected Premises, Sees. 109, 110.
    Lists received from Employers.Number of Addresses of outworkers received from other Councils.Number of Addresses of outworkers forwarded to other Councils. Prosecutions.No. of Inspections of Outworkers Premises.
    Lists.Chelsea OutworkersInstances.Notices served.Prosecutions.Instances.Orders made (Sec. 109).Prosecutions. (Sec. 109, 110).
  • Page 50
    In accordance with the instructions of the Ministry of Health, the following tabular statement has been prepared :— TABLE No. 35. HOUSING STATISTICS FOR THE YEAR.
    1. Inspection of Dwelling-houses During the Year :—
  • Page 51
    Continued from previous page...
    (b) Proceedings under Public Health Acts :—
  • Page 53
    TABLE No. 36. PRE-WAR Housing. Properties Owned and Managed by the Chelsea Borough Council.
    Property.No. of FlatsPopulation (approx.)Rents.
  • Page 53
    TABLE No. 37. • Properties erected by Private Enterprise, Benevolent Agencies, Trusts, etc.
    Property.No. of Flats.Population (approx.)Rents.
  • Page 57
    TABLE No. 38. Post-War Housing.
    Name of Undertaking.Area of Site.Total Cost.Date of Completion.Number of Flats.Population.Rents.Remarks.
  • Page 58
    TABLE' No! 39. Licences Granted under Milk (Special Designations) Order.
    1939
  • Page 59
    Inspection of Meat. Carcases Inspected and Condemned.
    Cattle, excluding Cows.Cows.Calves.Sheep and Lambs.Pigs.
  • Page 63
    TABLE No. 40 Cases of Infectious Disease Notified during the Year.
    Cases notified in Chelsea.Cases notified in each Ward.Removed to various Hospitals
    At all Ages.Under 1 Year.1—2 Years.2—3 Years.3-—4 Years.4—5 Years.5—10 Years.10—15 Years.15—20 Years.20—35 Years.35—45 Years.45—65 Years.65 and Upwards.Stanley.Clieyne.Church.Hans Town.Royal Hospital.
  • Page 64
    TABLE No. 41.
    YearCases (Corrected)Percentage of Removals.DeathsCase Mortality Rate.Percentage of cases of School age (3-13 years)Month of greatest prevalence.Bacterioscopic Diagnosis, Lister Institute.
    No. of Specimens submittedPositive.Percentage Positive.Negative.Percentage Negative.
  • Page 65
    The following table gives details of the work of the clinic during the past two years. TABLE 41A.
    YearNo. of new cases.Preliminary Schick Tested.Commenced treatment without Schick Test.Immunised.Discontinued treatment and removed from register. ... . _No. under treatment at end of year.
    Pre- 1 School Age.School Age.Naturally ImmunePreschool Age.School Age.
  • Page 65
    TABLE No. 42.
    Year.Cases (Corrected).Percentage of Removals.Deaths. %Case Mortality Rate.Percentage of cases of School-age 3-13 years.Month of greatest prevalence.
  • Page 66
    MEASLES. Table No. 43 shows the incidence of the disease during the past two years :— TABLE No. 43.
    Year.Number of casesAcoming to the knowledge of the P.H. Dept.Cases notifiedTotal cases.Deaths.Number of Visits and Re-Visits by Health Visitors.Number of Visits by District Nurses.
    Under 5 years.Over 5 yearsUnder 5 yearsOver 6 yearsUnder 5 yearsOver 5 yearsTotalUnder 5 yearsOver 5 yearsTotal
  • Page 66
    WHOOPING COUGH. The incidence of the disease during the past two years is shown in Table No. 44 :— TABLE No. 44.
    Year.Number of casesoming to the knowledge of the P.H. Dept.Cases notified from 1/10/38.Total cases.Deaths.Number of Visits and Re-Visits by Health Visitors.Number of Visits by District Nurses.
  • Page 67
    The following table shows the number of notified cases during the past two years:- TABLE No 45.
    PNEUMONIA.MALARIA.DYSENTERY.
    YearTotal Number of Cases Notified.Treatment in Hospital.Total Number of Cases Notified.Treatment in Hospital.Total Number of Cases Notified.Treatment in Hospital
  • Page 68
    TABLE No. 46.
    Total number of cases notified.Treatment in Hospital.District Nurses in attendanceCouncil's Obstetrician called in.Deaths.
  • Page 68
    The notifications of puerperal fever and puerperal pyrexia during the past two years were as follows:-
    Puerperal Fever.Puerperal Pyrexia
  • Page 68
    TABLE No. 47. O phthalmia N eonatorum.
    Cases.Vision Unimpaired.Vision Impaired.Total Blindness.Left District.Deaths.
    No. Notified.Treated.
    At Home.In Hospital.
  • Page 70
    TABLE No. 48. V accinations.
    Number.Percentage of births registered.
  • Page 71
    TABLE No. 49.
    Quarter.Attendances.
    Minor AilmentsVerminous.Impetigo.
  • Page 72
    TABLE No. 50. T uberculosis. New Cases and Mortality during 1939.
    Age Periods.New Cases.Deaths.
    Respiratory.Nonrespiratory.Respiratory.Nonrespiratory.
    m.f.m.f.m.f.m.f.
  • Page 73
    TABLE No. 51.
    Males.Females.Total.
  • Page 76
    TABLE No. 53. Pulmonary Tuberculosis.
    Condition at the time of the last record made during the year to which the return relates.Previous to 192819281929.1930.1931.1932.1933.1934.1935.1936.1937.1938.
    Class T.B. minus.Class T.B. plus1 Class T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. miuus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B. plusClass T.B. minus.Class T.B, plusClass t.b. minus.Class t.b. plus
    Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B Hus).Group 1Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group ,3.Total (Class T.B. plus)Group 1.Group 2.Group 3.Total (Class T.B. plus)Group 1.Group 2.Group 3.Total (Class T.B. plus)Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).
  • Page 77
    TABLE No. 54 . Work done at the Dispensary .
    Year.Newcases examined during the year.Definite Tuberculosis.Total attendances at Dispensary.
  • Page 82
    Only two samples were returned as adultered, and the Borough is to be congratulated that the percentage of adulteration is only 0.5 per cent. Two other samples were reported to be inferior because they did not comply with the standard, which your Analyst expects, although they could not be described as adulterated. All samples not reported as adulterated or inferior were returned as " Genuine."
    Article.Taken FormallyAdulterated.Taken Informally.Adulterated.Total Samples AnalysedTotal Samples Adulterated.
  • Page 83
    TABLE- continued.
    Article.Taken Formally.Adulterated.Taken Informally.Adulterated.Total Samples AnalysedTotal Samples Adulterated.
  • Page 88
    TABLE No. 53 (continued). N on -P ulmonary T uberculosis.
    Conditionat the timeofthelast record made duringthe year to whichthereturnrelates.Previousto 1928.1928.1929.1930.19311932.1933.1934.1935.1936.1937.1938.
    Bones andJoints.Abdominal.OtherOrgans.PeripheralGlands.Total.BonesandJoints.Abdominal.OtherOrgans.Peripheral Glands.Total.BonesandJoints.Abdominal.OtherOrgans.PeripheralGlands.Total.BonesandJoints.Abdominal.Other Organs.Peripheral Glands.Total.BonesandJoints.Abdominal.OtherOrgans.PeripheralGlands.Total.BonesandJoints.Abdominal.OtherOrgans.Peripheral Glands.Total.Bones and Joints.)Abdominal.OtherOrgans.Peripheral Glands.Total.BonesandJoints.Abdominal.OtherOrgans.Peripher il Glands.TotalBonesandJoints.Abdominal.OtherOrgans.Peripheral Glands.Total.Bones and Joints.AbdominalOtherOrgans.PeripheralGlandsTotal.Bonesand Joints.Abdominal.OtherOrgans.PeripheralGlands.Total.Bonesand Joints.Abdominal.OtherOrgans.PeripheralGlands.Total.