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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

Fulham 1933

[Report of the Medical Officer of Health for Fulham Borough]

Published
1934
Pages
166
Tables
88

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88 tables in this report

  • Page 9
    General Statistics.
  • Page 9
    Extracts from Vital Statistics for the Year.
    Total.Males.Females.
  • Page 12
    Deaths of Fulham residents outside the borough. The deaths of Fulham residents in institutions outside the borough numbered 477 and occurred in the following places:—
  • Page 12
    Of the deaths of Fulham persons 58.1 per cent, took place in public institutions as follows :
    Per cent.
  • Page 12
    Seasonal Mortality. The mortality in the four quarters of the year under review was as follows :
    19331932
  • Page 13
    Causes of Death. These are classified in Table II., pages 19 and 20. The following table shows the diseases which caused the largest number of deaths:—
    Disease.Males.Females.Both Sexes.Percentage of total deaths.
  • Page 14
    Deaths from Cancer in 1933.
    Males.Females.Total.
  • Page 15
    Ages at Death of Persons Dying from Cancer in 1933.
    Age Periods.Males.Females.Total.
  • Page 16
    Infantile Mortality Rate in Fulham since 1891.
    Average for five years.Actual rate for last seven years.
  • Page 16
    The following table shows the birth and infantile mortality rates during the last two years for the various wards in the borough:—
    Wards.Births and Birth rates.Infantile deaths.Infantile mortality rates.
    193319321933193219331932
  • Page 17
    The following table shows the number of infantile deaths from all causes as compared with infantile deaths from diarrhoea since 1923:—
    Infantile deaths from all causes.Infantile deaths from Diarrhoea.
  • Page 18
    Table I.—Vital Statistics of the Whole Borough during 1933 and Ten preceding Years.
    Year.Population Estimated to Middle of each Year.Births.Total Deaths Registered in the Borough.Transferable Deaths. †Nett Deaths Belonging to the Borough.
    Uncorrected Number.Nett.Number. *Rate.Of Non- Residents registered in the Borough.Of Residents not registered in the Borough.Under 1 Year of Age.At all Ages.
    Number. *Rate.Number. *Rate per 1,000 Nett Births.Number *Rate.
    12345678910111213
  • Page 19
    19 Table II. Causes of and Ages at Death during the Year 1933.
    Nett deaths at the subjoined ages of "Residents," whether occurring within or without the District (a).Total Deaths, whether of "Residents or "Non-Residents" in Institutions in the District. (b)Nett deaths at all ages of "Residents" in the Wards of the Borough, whether occurring in or beyond the Wards.
    Causes of Death.All agesUnder 1 year1 and under 2 years2 and under 5 years5 and under 15 years15 and under 25 years25 and under 35 years35 and under 45 years45 and under 55 years55 and under 65 years65 and under 75 years1 75 years and upwardsBaron's Court WardLillie WardWalham WardMargravine WardMunster WardHurlingham WardSands End WardTown Ward
    12345678910111213141516171819202122
  • Page 21
    21 Table III. Infant Mortality during Year 1933.
    Nett Deaths from stated causes at various ages under One Year of Age.Nett Deaths under One Year of Residents in the Wards of the Borough.
    Cause of Death.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 months.Total Deaths under One Year.Baron's Court WardLillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
  • Page 23
    The following is a list of the cases with the causes of death:—
    Occupation.Age.Date and Place of death.Cause of Death.
  • Page 25
    The following table shows that most cases occurred in children under ten years of age:—
    0 to 11 to 22 to 33 to 44 to 55 to 66 to 77 to 88 to 99 to 1010 to 1515 to 2020 to 3535 t0 4545 to 6565 and UpTOTALS
  • Page 25
    The following summary shows the number of notifications received during each month of the year:—
    First Quarter: —Second Quarter:—
  • Page 26
    Continued from previous page...
    Third Quarter: —Fourth Quarter: —
  • Page 32
    The ages at which the disease occurred will be seen from the following table:
    0 to 11 to 22 to 33 to 44 to 55 to 66 to 77 to 88 to 99 to 1010 to 1515 to 2020 to 3535 to 4545 to 6565 and upTOTALS
  • Page 33
    Vaccination. Mr. H. Davies, the Council's Vaccination Officer, has supplied me with the following statis tics relating to his work:
  • Page 34
    The number of cases which occurred during each month of the year 1933 was as follows :
    First Quarter: —Third Quarter: —
  • Page 34
    There were 99 cases in girls and 64 cases in boys. Regarding the ages of the children affected the following summary shows that those under five years of age were the chief sufferers :
    0 to 11 to 22 to 33 to 44 to 55 to 1010 to 1515 to 2020 to 3535 to 4545 to 6565 and up.TOTAL.
  • Page 36
    Through an arrangement between the Borough Council and the District Nursing Association, the services of the District Nurses are available for cases which are under medical treatment in their own homes. During 1933, visits were paid to one such case.
    Cases NotifiedTreated.Vision.Total BlindnessDeathsLeft the BoroughStill receiving Treatment
    At homeIn hospitalImpairedUnimpaired
  • Page 37
    Table IV.— Cases of Infectious Diseases notified during the Year 1933.
    Notifiable Diseases.Number of Cases Notified.Total Cases Notified in each Ward of the Borough.Total cases removed to Hospital.Deaths.
    At all Ages.At Ages—Years.Baron's Court Ward.Lillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
    0—1.1—2.2—3.3—4.4—5.5—10.10—15.15—20.20—35.35—45.45—65.65 and upwards.
  • Page 41
    There are seven health visitors working in the Department, and the scope of their work is indicated by the figures which follow:—
  • Page 43
    The following is a table showing the attendances since the Centres were taken over by the Borough Council from a Voluntary Committee :—
    Year.Notified births.Total attendances.Percentage of births attending.
  • Page 45
    There are nine Infant Welfare sessions per week, including two morning ones, and the following table shows the attendances of children at these clinics during 1933:—
    Clinic.Number of Clinics held.First attendance of babies.Total Attendances.
    Age in Years0—11—22—50—11—22—5
  • Page 47
    The following is a record of the work done at the Ante-natal clinics:—
    Clinic.No. of Sessions.No. of Patients.No. of Attendances.
    New.Total.
  • Page 50
    The following is a record of the work done during the year 1933:—
  • Page 51
    The following are the figures showing the attendances at the Day Nursery during 1933:—
  • Page 52
    The approximate cost of the milk granted free or at less than cost price during 1933 was:—
    £s.d.
  • Page 56
    The Borough Council give a grant to the Hospital part of which is derived from the Ministry of Health and the public can be assured that the work of the institution is carried out on the most modern and enlightened principles.
  • Page 57
    Reasons for admission of the 127 children were:—
  • Page 58
    Home Nursing by the District Nursing Association on behalf of the Fulham Borough Council.
    Jan. to Mar.April to June.July to Sept.Oct. to Dec.TOTALS.
    Cases.Visits.Cases.Visits.Cases.Visits.Cases.Visits.Cases.Visits.
  • Page 59
    The details of these removals and additions are as follows:—
    Pulmonary:Non-Pulmonary:TOTALS
    Males.Females.Males.Females.
  • Page 60
    Period between Primary Notification and Death.
  • Page 61
    DISPENSARY STATISTICS, 1913—1933.
    Year.New Patients.Attendances at Dispensary.Doctors' Home Visits.Nurses Home Visits.
    Suffering from Pulmonary Tuberculosis.Suffering from other forms of Tuberculosis.Doubtful Cases.Non-Tuberculous Cases.Insured.Uninsured.
  • Page 62
    TABLE VI.
    Year.Notifications.Deaths.Death-Rate.
    Pulmonary.Other forms of Tuberculosis.Pulmonary.Other forms of Tuberculosis.Pulmonary.Other forms of Tuberculosis
  • Page 63
    TABLE VII. PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of notifications during the period from lst January, 1933, to 31st December, 1933.
    Age Periods.Formal Notifications.
    Number of Primary Notifications of new cases of tuberculosis.Total Notifications
    0—11—55—1010—1515—2020—2525—3535—4545—5555—6565 and upwards.Total (all ages).
  • Page 64
    TABLE VIII. NEW CASES OF TUBERCULOSIS COMING TO THE KNOWLEDGE OF THE MEDICAL OFFICER OF HEALTH DURING THE PERIOD, OTHERWISE THAN BY FORMAL NOTIFICATION.
    Age Periods.0-11-55-1010-1515-2020-2525-3535-4545-5555-6565 upwardsTotal Cases.
  • Page 81
    Summary of Statistics, 1933.
    No. of New Patients:—
  • Page 82
    Continued from previous page...
  • Page 82
    TABLE IX. 163 Patients were sent to residential institutions on the recommendation of the Dispensary Medical Officers.
    (a) 121 by the London County Council:—
  • Page 83
    Table X. Showing sources of New Cases.
  • Page 83
    Table XI.
    New Cases.Pulmonary Tuberculosis.Other Forms.Suspects.Non-Tubercular.Percentage Tuberculous.
  • Page 84
    Table XII. Sex and Age of the New Patients for 1933.
    Under 5 years.5 to 10 yrs.10 to 15 yrs.15 to 25 yrs.25 to 35 yrs.35 to 45 yrs.45 years and over.All Ages.
  • Page 84
    Table XIII. Diagnosis at Various Age Periods. New Patients.
    Pulmonary Tuberculosis.Other Forms.Suspects.Non Tubercular.Percentage Tuberculous
  • Page 84
    Table XIV. Housing Conditions. Of 164 of the 175 tuberculous patients found in 1933:—
  • Page 85
    Table XV. Housing Accommodation.
    Number of Families occupying
    One room.Two rooms.Three rooms.Four rooms.Five rooms.Six rooms or more.
  • Page 85
    Table XVI. Sleeping accommodation of 164 Tuberculosis Patients.
    The patient slept:—
  • Page 86
    Table XVII. Occupations of 93 Men (New Cases) in 1933.
  • Page 86
    Occupations of 73 Women (New Cases) in 1933.
  • Page 87
    Bacteriological examinations were made during the year as follows:—
    Material from cases of suspected Diphtheria:—
  • Page 88
    Disinfection. The following rooms were disinfected and cleansed after infectious disease, etc:—
  • Page 89
    The following articles were disinfected at the Council's Disinfecting Station:—
    Articles.From private houses.From institutions.Total.
  • Page 89
    Public Mortuary.—One hundred and ten bodies were removed to the Mortuary during 1933, and were admitted as follows:—
  • Page 93
    The following inspections of dwelling-houses were made during the year by the Sanitary Inspectors :
    Cause.Inspections.
  • Page 93
    The following notices were served in respect of dwelling-houses during the year
    Intimation Notices.Statutory Notices.
    Number served.Number complied with up to 31st December, 1933.Number served.Number complied with up to 31st December, 1933.
  • Page 93
    The following works were carried out and repairs effected as a result of the action of the Sanitary Inspectors —
  • Page 94
    Continued from previous page...
  • Page 95
    Drainage of Buildings.—The following drainage plans were submitted to and approved by the Public Health Committee during 1933:—
    Plans of drainage of new buildings:—
  • Page 96
    The following table shows the number of inspections of the various types of food premises:—
  • Page 98
    The following table gives details of the number and percentage of adulterated samples of all articles during the years 1928 to 1933 inclusive:— SAMPLES OF ALL FOODS (INCLUDING MILK) REPORTED AS ADULTERATED ON CHEMICAL ANALYSIS.
    Year192819291930193119321933
  • Page 99
    SAMPLES OF MILK REPORTED ADULTERATED.
    Year192819291930193119321933
  • Page 99
    The following table gives the average monthly composition of samples of milk (excluding skimmed milk) taken in the Borough during 1933:—
    Months.No. of samples examined.Average Composition.Remarks.
    Percentage of milk fat.Percentage of Solids not fat.
  • Page 100
    The following samples were taken during 1933 and in all cases the milk was found to be genuine:
    Institution.Samples taken for—
    Chemical Analysis.Bacteriological Examination.
  • Page 102
    Particulars of all Samples Reported to be Adulterated or not in Accordance with Legal Standards.
    Sample No.Article.Result of Analysis.Action Taken.
  • Page 104
    The following are details of changes which took place during 1933:—
  • Page 106
    The licences granted by the Borough Council during 1933 were as follows:—
  • Page 107
    The following table gives the number of samples of the various kinds of milk examined, including designated milks:—
    Type of Milk.Examinations made.
    Bacteriological count only.Bacteriological count and animal inoculation for tubercle bacilli.
  • Page 108
    Grade A (T.T.) Milk: The reports received on three of the ten samples examined showed that the number of bacteria present in the milk exceeded the number permitted. The details were as as follows:—
    Date.Legal Standards.Result of Samples.
    No. of bacteria permitted per c.c.B. Coli.No. of bacteria present per c.c.B. Coli
  • Page 109
    Raw Milk.
    Samples taken from :Bacteria per c.c.B. Coli.Tubercle Bacilli.
  • Page 109
    Pastuerised Milk.
    Sample taken from:Bacteria per c.c.B. Coli.Tubercle Bacilli.
  • Page 111
    BACTERIOLOGICAL EXAMINATIONS OF MILK SOLD IN BOTrLES.
    Date taken.Temperature on arrival at Laboratory. Degrees Centigrade.Number of Bacteria per c.c.B. Coli Test.
    48 Hours.Three Days.
    l/100th.1/1,000th.1/10,000thl/100th.1/1,000th.1/10,000th.
  • Page 117
    The following is a summary of Mr. Hutchinson's work under this heading:—
  • Page 118
    The registrations were as follows:—
  • Page 125
    INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.
    Premises.Number of
    InspectionsWritten Notices.Occupiers prosecuted.
  • Page 125
    DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
    Particulars.Number of Defects.Number of offences in respect to which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 126
    The following table gives the number of out-workers' premises in the Borough, the nature of the work carried on, and the classification of the outworkers' premises into factories, workshops and workplaces.
    Nature of Work.Nature of Premises.Total.
    Factories.Workshops.Workplaces.
  • Page 127
    In accordance with the provisions of the Factory and Workshop Act, 1901, sec. 107, lists known as Outworkers' Lists giving the names of the workers and the addresses of the premises in which they work, must be sent by the employers and contractors to the Borough Council on 1st February and 1st August. The following table shows the lists received from Employers and Contractors in accordance with the section :—
    Nature of Work.No. of Lists.No. of Contractors.No. of Outworkers.
  • Page 127
    Outwork in Unwholesome Premises, Section 108.
    Nature of Work.Instances.Notices served.Prosecutions.
  • Page 127
    Other Matters.
    Class.Number.
  • Page 127
    Total Inspections.
    Premises.Male Inspectors.Woman Inspector.Total
  • Page 134
    The following table shows the number of families accommodated on the various estates since October, 1924:—
    Estate.Accommodated on recommendation by the Fulham Borough Council.Accommodated on applying direct to the London County Council.Total Fulham families accommodated.
  • Page 138
    Out of the 149 rat complaints investigated, in 63 instances (42.2 per cent.) the rats gained admission to the premises on account of defective drains. The type of drainage defect is shown in the following table:—
  • Page 140
    Legal Proceedings. Proceedings were instituted in the following cases during the year :—
    Offence.Result.Penalty.Costs.
  • Page 143
    The following list shows the number of lectures and cinema displays given by the Council in this Borough during the year : SINGLE LECTURES.
    Organisation Date. or Place.Type of Audience.Film.Speaker.Attendance.
  • Page 157
    SAMPLES PURCHASED FOR ANALYSIS DURING 1933.
    Article.Number of Samples
    Taken officially.Adulterated.Taken unofficially.Adulterated.Total Samples AnalysedTotal Samples Adulterated.Percentage of Adulteration.