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

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Chelsea 1945

Annual (abridged) report on the health of the Borough during 1945

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DISTRIBUTION OF VITAMINS TO EXPECTANT MOTHERS AND CHILDREN. By
arrangement with the local office of the Ministry of Food,
these preparations were distributed from the welfare Centre
by a member of the Public Health staff.
WAR-TIME NURSERIES. The total accommodation provided at the
two war-time nurseries is 143. Attendances during the year
numbered 29,972,
INSULIN FOR DIaBETIC PATIENTS. In accordance with the Ministry
of Health's Circular 2734, one applicant was supplied with
insulin,free of cost.
CARE OF ILLEGITIMATE CHILDREN. The Council guarantees payment
to approved foster mothers willing to undertake the care and
maintenance of illegitimate children. No application for this
service was received during the year. The provision of furnished
accommodation for unmarried mothers immediately before and after
confinement continued throughout the year. One applicant
utilised the accommodation provided under this scheme.
CARE OF PREMATURE INFANTS. A space has been provided in the
notification of birth cards for the weight at birth when this is
5½ lbs or less. During the year 15 such births were notified.
A follow-up of these births showed the following results:-
Born at home 5 - of which one died during the firs
24 hours and 4 survived at the end
of one month.
Born in hospital 10 - of which none died during the first
24 hours and 7 survived at the end of
one month,
SANITaRY CIRCUMSTANCES and ADMINISTRATION
11,005 visits (including re-visits) were carried out by the
Sanitary Inspectors.
362 Intimation Notices, 82 Nuisance Notices under the Public
Health (London) Act 1936, and 5 Notices under the Food and Drugs
Act, 1938, (Section 13) were served during the year.
Legal proceedings were instituted under the Public Health
(London) Act, 1936, in nine instances, in respect of
insanitary conditions, in every case abatement orders were
obtained.
DISINFECTION OR DISINFESTATION. The routine disinfection of
rooms after the occurrence of infectious disease was continued
and also disinfestation for vermin. At the Council's
Disinfecting Station, 15,092 articles were disinfected or
disinfested.
SCABIES. 272 adults and 179 children were treated at the
Cleansing Station. The total number of treatments was 984.
Disinfection of the patients' personal clothing was carried
out whilst the patients were being treated. The Woman Sanitary
Inspector inspected the homes, and arranged for examination
of contacts.
VERMINOUS PERSONS. 25 adults and 296 children (including
children attending elementary schools) were cleansed at the
Disinfecting Station.

STATISTICS. YEAR 1942

AREA660 acres.
LIVE BIRTHS:-Male.Female.Total.
Legitimate205184389
Illegitimate304070
235224459
STILL BIRTHS.Male.Female.Total.
5611
(Rate per 1,000 total (live and still) births = 23.4).
DEATHS.Male.Female.Total.
267287554
DEATHS FROM PUERPERAL CAUSES:-Deaths.Rate per 1,000 total (Live and still) births.
puerperal Sepsis--
Other puerperal Causes12.1
INFANT MORTAL ITY.Male.Female.Total.
201232

The causes of deaths (554) ware as follows:-

Scarlet Fever1Bronchitis36
Tuberculosis of respiratory system22Pneumonia44
Other respiratory diseases8
Other forms of T.B.2
Syphilitic disease6Ulceration of Stomach or duodenum11
Influenza12
Cancer - various sites99Diarrhoea (under 2)8
Diabetes1Appendicitis2
Intra-cranial vascular lesions30Other digestive diseases17
Nephritis7
Heart disease152Maternal Causes1
Premature birth10
Other diseases of the circulatory system18Congenital malformations, birth injuries8
Suicide7
Road Traffic accidents3
Other violent causes14
All other causes35