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Chelsea 1942

Annual report of the Medical Officer of Health for Chelsea, 1942

Published
1942
Author
McCarthy, W. H. Leslie.
Pages
106
Tables
112

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112 tables in this report

  • Page 5
    PUBLIC HEALTH OFFICERS OF THE AUTHORITY. The names and qualifications of members of the staff of the Public Health Department, at 31st December, 1942 are tabulated below in the form required by the Ministry of Health.
    Year appointed.Name.Qualifications.Appointment.
  • Page 6
    (b) Other Staff.
    Year Appointed.Name.Qualifications.Appointment.
  • Page 7
    Year Appointed.Name.Appointment.
  • Page 11
    POPULATION IN WARDS. (Census 1931.)
    Males.Females.Total.
  • Page 13
    TotalM.F.
  • Page 13
    Death rate of Infants under one year of age :—
    1939.1940.1941.1942.
  • Page 13
    The following Tables are self-explanatory:— TABLE No. 3. Registered Births.
  • Page 14
    TABLE No. 4. Births, Birth-Rates, Births in Wards and Inward Transfer Births.
  • Page 15
    TABLE No. 5. Births in Hospitals and Nursing Homes.
  • Page 15
    TABLE No. 6.
    Notification received fromChelsea Residents.Non-Residents.
    Live Births.Still Births.Total.Live Births.Still Births.Total.
  • Page 16
    Illegitimate Births.—The following table shows the number of illegitimate births and the percentage of the total births. TABLE No. 7.
    Year.Number of Illegitimate Births.Percentage of Total Births.
    Male.Female.Total.
  • Page 16
    MARRIAGES.
  • Page 17
    The following tables are self-explanatory:— TABLE No. 8. Registered Deaths.
    193919401041,1942
  • Page 17
    TABLE No. 9.
  • Page 18
    TABLE No. 10. Deaths, Death Rates, Deaths in Wards and Seasonal Mortality.
    Year.Deaths.DeathRate per 1,000 of Population.Deaths in Wards.Seasonal Mortality Rate.
    Hans Town.Royal Hospital.Church.Cheyne.Stanley.First Quarter.Second Quarter.Third Quarter.Fourth Quarter.
  • Page 19
    TABLE No. 11. Birth-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 1942 Towns and 148 Smaller Towns. (Provisional figures based on Weekly and Quarterly Returns.)
    England and Wales.126 County Boro's and Great Towns including London.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 1938, Classified by Age and Cause. (In accordance with Registrar-General's Return.)
    YEARNETT DEATHS, WHETHER OCCURRING WITHIN OR WITHOUT THE BOROUGH.YEARYEARYEAR
    AIL AGESUNDER 1 YEARS1 AND UNDER 5 YEARS5 AND UNDER 15 YEARS15 AND UNDER 45 YEARS45 AND UNDER 65 YEARS65 YEARS AND UPWARDS
    1942193919401941
    ALL CAUSES502143-42126314443851600
  • Page 21
    1939.1940.1941.1942.1943
  • Page 21
    TABLE No. 13.
    Year.Bronchitis.Pneumonia.Other Respiratory Diseases.Total.Death-rate.No. of deaths under 5 years.Percentage under 1 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
    INFANT MORTALITY.
  • 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 1942Total Deaths 1939Total Deaths 1940Total Deaths 1941
  • Page 23
    The following Table gives the Infant Mortality Rate in Chelsea under various headings, for the past FouiZ years :—
    1939.1940.1941.1942.
  • Page 23
    TABLE No. 17.
    1939.1940 .1941.1942.1943.
  • Page 23
    Illegitimate Deaths.—The following Table No. 18 shows the number of deaths among illegitimate infants during the past Famiyears.
    1939.1940.1941.1942.1943.
  • Page 24
    The following table shows the Maternal Mortality in Chelsea during the past four 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
    Two members of the Public Health Committee of the Borough Council are members of the Council of the Association.
    TABLE. No.
    visits.Cases.
  • Page 26
    TABLE No. 21.
    Nursed by District Nurses1939.1940.1941.
    VISITSCASESVISITSCASESVISITS
  • Page 27
    TABLE No. 22.
    ear.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 27
    1942
    CASESVISITSCASES
  • Page 28
    TABLE No. 23.
    Year.No. of applications for services of Home Help, including extension over the usual period of 2 weeks.Total number of cases attended by the Home Helps.Amount of Assessment on cases attended.Nett Cost to Council.
  • Page 28
    TABLE NO BACTERIOLOGICAL AND OTHER EXAMINATION 5.
    NATURE OF SPECIMEN193919401941 1942
  • Page 28
    Year.No.of Units supplied.Cost
  • 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. Summary of Reports of Health Visitors.
    1939* 19401941
  • Page 33
    Continued from previous page...
    1942
  • Page 33
    TABLE No. 27.
    Year.Milk Orders issued and taken up.Approx. Cost.
    March quarter.June quarter.Sept. quarter.Dec. quarter.♦Total.
  • Page 34
    UNDER THE COUNCIL'S SCHEME The total quantity of milk supplied during tho year to expectant and nursing mothers and young children was as follows :—
  • Page 36
    Throughout the year the Nursury Funtioned at an addess in Sussex.
    1939.1940.1941.1942.
  • Page 38
    TABLE NO.
    1939194019411942
  • 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
    Expectant and Nursing Mothers.—In conjunction with the Chelsea Branch of the Charity Organisation Society and the Chelsea Health Society, the Borough Council has formulated a scheme whereby dental treatment is provided for expectant and nursing mothers.
    Total No. of cases.Dentures provided. (Cases).Nett cost to Council.
  • Page 40
    TABLE No. 31. Foster Mothers, Foster Children.
    Child Life Protection Return.
    Number on register at beginning of year.........54
    Removed from register39
    Added to registerZ9
    Remaining on register44.
    Medical attendance arranged5
    Attended Maternity and Child Welfare Clinic-11
    Visits to foster mothers34
    Miscellaneous visits36
  • Page 42
    Summary of Work carried out by Sanitary Inspectors during the Year.
    Inspections.1939194019411942
  • Page 43
    Premises: Walls and Ceilings cleansed :— 1939 1940 1941
  • Page 44
    1939 1940 1941 1942
  • Page 45
    TABLE No. 32. Magisterial Proceedings during the Year.
  • 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.
  • Page 46
    TABLE No. 33.
    1939.1940.
    ON REGISTER AT END OF YOURNO. OF INSPECT-IONSNO OF NOTESNO OF PROSE- CUTIOUSON REGISTER AT END OF YEARNO. OF INSPECT- INSNO OF NOTICESNO. OF PROSE- CUTIONS
  • Page 47
    TABLE No. 34 Factories, Workshops, Workplaces, and Homeworkers' Premises. I.—Inspection of Factories and Other Premises. (Including Inspections made by Sanitary Inspectors).
    Premises. (1)Number of
    Inspections. (2)Written Notices. (3)Occupiers prosecuted. (4)
  • Page 47
    TABLE No. 34 Factories, Workshops, Workplaces, and Homeworkers' Premises. I.—Inspection of Factories and Other Premises. (Including Inspections made by Sanitary Inspectors).
    Premises. (1)Number of
    Inspections. (2)Written Notices. (3)Occupiers prosecuted. (4)
  • Page 48
    2.—De ffects found in F actories and O ther Premise s.
    Particulars.Number of Defects.N umber of offences in respect to which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)13)(4)(5)
  • Page 48
    2.—De ffects found in F actories and O ther Premise s.
    Particulars.Number of Defects.N umber of offences in respect to which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)13)(4)(5)
  • Page 48
    3.—H ome W ork.
    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.
    Instances.Notices served.Prosecutions.Instances.Orders made (Sec. 109).Prosecutions. (Sec. 109, 110).
    Lists.Chelsea Outworkers
    193713720122—30——————
    193813920160—33——————
  • Page 49
    The Chelsea Mortuary is situated in Arthur Street.
  • Page 49
    The Chelsea Mortuary is situated in Arthur Street.
  • Page 50
    TABLE No. 35. HOUSING STATISTICS FOR THE YEAR.
  • Page 50
    TABLE No. 35. HOUSING STATISTICS FOR THE YEAR.
  • Page 50
    3. Action under Statutory Powers during the Year:—
  • Page 51
    Continued from previous page...
  • Page 51
    Continued from previous page...
  • Page 51
    4. Housing Act, 1936.—Part IV.—Overcrowding.
  • 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. 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 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.
  • Page 58
    TABLE No. 39. Licences Granted under Milk (Special Designations) Order.
  • Page 59
    Inspection of Meat. Carcases Inspected and Condemned.
    Cattle, excluding Cows.Cows.Calves.Sheep and Lambs.Pigs.
  • Page 59
    Inspection of Meat. Carcases Inspected and Condemned.
    Cattle, excluding Cows.Cows.Calves.Sheep and Lambs.Pigs.
  • Page 63
    TABLE No. 40 C ases of I nfectious D isease N otified during the Y ear.
    At all Ages.Under 1 Year.1-2 Years.1 2—3 Years.3—4Years.4—5 Years.5—10 Years.10—15 Years.15—20 Years.20—35 Years.35—45 Years.45—65 Years.TiS and Upwards.Stanley.Cheyne.Church.Hans Town.Royal Hospital.19391941
  • Page 63
    TABLE No. 40 C ases of I nfectious D isease N otified during the Y ear.
    At all Ages.Under 1 Year.1-2 Years.1 2—3 Years.3—4Years.4—5 Years.5—10 Years.10—15 Years.15—20 Years.20—35 Years.35—45 Years.45—65 Years.TiS and Upwards.Stanley.Cheyne.Church.Hans Town.Royal Hospital.19391941
  • Page 64
    The incidence of the disease during the past FOUR years is shown in Table No. 41. 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 64
    The incidence of the disease during the past FOUR years is shown in Table No. 41. 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 FOUR years. TABLE 41A.
    YearNo. of new cases.Preliminary Schick Tested.Commenced treatment without Schick Test.Naturally ImmuneImmunised.Discontinued treatment and removed from register.No. under treatment at end of year.CHILDREN IMMUNISED IN COUNTRY AND POST SCHICK AT CLINIC.
    Preschool Age.School Age.Preschool Age.School Age.
  • Page 65
    The following table gives details of the work of the clinic during the past FOUR years. TABLE 41A.
    YearNo. of new cases.Preliminary Schick Tested.Commenced treatment without Schick Test.Naturally ImmuneImmunised.Discontinued treatment and removed from register.No. under treatment at end of year.CHILDREN IMMUNISED IN COUNTRY AND POST SCHICK AT CLINIC.
    Preschool Age.School Age.Preschool Age.School Age.
  • Page 65
    Table 42 shows the incidence of the disease during the past FOUR years. 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 FOUR years:— TABLE No. 43.
    Year.Number of cases coming to the knowledge of the P.H. Dept. UN-NOTIFIEDCases notifiedTotal cases.Deaths.Number of Visits and Re-Visits by Health Visitors, AND WOMAN SANITARY INSECTOR.Number of Visits by District Nurses.
    Under 5 years.Over 5 yearsUnder 5 yearsOver 5 yearsUnder 5yearsOver 5 yearsTotalUnder S yearsOver 5 yearsTotal
  • Page 66
    MEASLES. Table No. 43 shows the incidence of the disease during the past FOUR years:— TABLE No. 43.
    Year.Number of cases coming to the knowledge of the P.H. Dept. UN-NOTIFIEDCases notifiedTotal cases.Deaths.Number of Visits and Re-Visits by Health Visitors, AND WOMAN SANITARY INSECTOR.Number of Visits by District Nurses.
    Under 5 years.Over 5 yearsUnder 5 yearsOver 5 yearsUnder 5 yearsOver 5 yearsTotalUnder S yearsOver 5 yearsTotal
  • Page 66
    WHOOPING COUGH. The incidence of the disease during the past FOUR years is shown in Table No. 44:— . TABLE No. 44.
    Year.Number of cases coming to the knowledge of the P.H. Dept. UN-NOTIFIEDCases notifiedTotal cases.Deaths.Number of Visits and Re-Visits by Health Visitors. AND WOMAN ???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.
    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 67
    The following table shows the number of notified cases during the past two years:— TABLE No 45.
    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
    TABLE No. 46.
    Total number of cases notified.Treatment in Hospital.District Nurses in attendanceCouncil's Obstetrician called in.Deaths.
  • Page 68
    TABLE No. 47. Ophthalmia Neonatorum.
    YearNo. Notified.Treated.
    At Home.In Hospital.
    19395325————
    19403323————
    19414224————
    19421—11————
  • Page 70
    TABLE No. 48. Vaccinations.
  • Page 70
    TABLE No. 48. Vaccinations.
  • Page 71
    TABLE No. L.C.C- SCHEME. CLEANSING OF VERMINOUS CHILDREN, ETC.
    ATTENDANCES.1939194019411942
  • Page 71
    TABLE No. L.C.C- SCHEME. CLEANSING OF VERMINOUS CHILDREN, ETC.
    ATTENDANCES.1939194019411942
  • Page 71
    NOTIFICATIONS AND NEW CASES.
    YEAR.NOTIFICATIONS.NEW CASES OTHERWISE THAN BY NOTIFICATION ON FORM A.TOTAL NEW CASES (ALL SOURCES)
    PRIMARYDUAL.TOTAL. .
  • Page 72
    TABLE No. 50. Tuberculosis.
    Age Periods.NEW CASES.DEATHSNEW CASES.DEATHSNEW CASES.DEATHSNEW CASES.DEATHS
    RESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORY
    M.F.M.F.M.F.M.FM.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.MFM.F.
  • Page 72
    TABLE No. 50. Tuberculosis.
    Age Periods.NEW CASES.DEATHSNEW CASES.DEATHSNEW CASES.DEATHSNEW CASES.DEATHS
    RESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORYRESPIRA TORY.NON RESPIRA TORY
    M.F.M.F.M.F.M.FM.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.MFM.F.
  • Page 72
    TABLE TUBERCULOSIS
  • Page 74
    The returns made in accordance with these Regulations show that the numbers of cases of Tuberculosis in the Borough on 31 st December last were as follows:-
    1939194019411942
    MALESFEMALESTOTALMALESFEMALESTOTALMALESFEMALESTOTALMALESFEMALESTOTAL
  • Page 74
    The returns made in accordance with these Regulations show that the numbers of cases of Tuberculosis in the Borough on 31 st December last were as follows:-
    1939194019411942
    MALESFEMALESTOTALMALESFEMALESTOTALMALESFEMALESTOTALMALESFEMALESTOTAL
  • Page 76
    TABLE No. 52. Treatment of Tuberculosis, Year 1942.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.Grand Total.
    Adults.ChildrenAdults. 1ChildrenAdults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 76
    TABLE No. 52. Treatment of Tuberculosis, Year 1942.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.Grand Total.
    Adults.ChildrenAdults. 1ChildrenAdults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 77
    TABLE No. 54. Work done at the Dispensary.
    Year.Newcases examined during the year.Definite Tuberculosis.Total attendances at Dispensary.
  • Page 77
    TABLE No. 54. Work done at the Dispensary.
    Year.Newcases examined during the year.Definite Tuberculosis.Total attendances at Dispensary.
  • Page 77
    PERCENTAGE OF DEATHS (TUBERCULOSIS) - CHELSEA RESIDENTS - INSTITURIONS
    YEARST. LURES HOSPITALOTHER PUBLIC INSTITUTIONSTOTAL
  • Page 78
    Co-operation with Medical Practitioners.—
    YEARNO. OF CASES (INCLUDING PERSONAL CONSULTATIONS) VISITED BY THE TUBERCULOSIS OFFICER AT THE HOMES OF THE PATIENTNO. OF CASES REFERRED BY MEDICAL PRACTITIONERS TO TUBERCULOSIS OFFICER AT THE DISPENSARY.
  • Page 78
    Co-operation with Medical Practitioners.—
    YEARNO. OF CASES (INCLUDING PERSONAL CONSULTATIONS) VISITED BY THE TUBERCULOSIS OFFICER AT THE HOMES OF THE PATIENTNO. OF CASES REFERRED BY MEDICAL PRACTITIONERS TO TUBERCULOSIS OFFICER AT THE DISPENSARY.
  • Page 78
    Artificial Pneumo-thorax Treatment.—On the recommendation of the Tuberculosis Officer, patients are supplied with refills in connection with artificial pneumo-thorax treatment.
    YEARNO. OF PATIENTSCOSTYEARNO. OF PATIENTSCOST
  • Page 78
    The Dispensary Nurse also visits the home for observation purposes.
    YEARNO. OF VISITS BY NURSE TO HOMES OF PATIENTS
  • Page 82
    * (Carry on page 83)
    Article.Taken FormallyAdulterated.Taken Informally.Adulterated.Total Samples AnalysedTotal Samples Adulterated.Per centage Adult trated
  • Page 82
    * (Carry on page 83)
    Article.Taken FormallyAdulterated.Taken Informally.Adulterated.Total Samples AnalysedTotal Samples Adulterated.Per centage Adult trated
  • Page 83
    TABLE— continued.
    Article.Taken Formally.Adulterated.Taken Informally.Adulterated.Total Samples AnalysedTotal Samples Adulterated.Per centage Adult trated.
  • Page 83
    TABLE— continued.
    Article.Taken Formally.Adulterated.Taken Informally.Adulterated.Total Samples AnalysedTotal Samples Adulterated.Per centage Adult trated.
  • Page -
    STATISTICS. YEAR 1942.
  • Page -
    STATISTICS. YEAR 1942.