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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 1938

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

Published
1939
Pages
124
Tables
97

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97 tables in this report

  • Page 10
    TABLE A. Total number of women of child-bearing age, with total number of Children of less than five years of age, for the years 1901,1911,1921 and 1931, in the Borough of Fulham.
    Year.1901191119211931
  • Page 18
    GENERAL STATISTICS
  • Page 18
    EXTRACTS FROM VITAL STATISTICS FOR THE YEAR
    LIVE BIRTHS:-Total.Males.Females.
  • Page 18
    EXTRACTS FROM VITAL STATISTIC FOR THE YEAR
    Deaths.Rate per 1,000 total (live and still births.)
  • Page 19
    The Manager of the Local Employment Exchange has kindly supplied me with the following particulars relating to the number of persons registered as unemployed:—
    October, 1938.January, 1939.
  • Page 20
    DEATHS IN PUBLIC INSTITUTIONS Of the deaths of Fulham persons 63.98 per cent. took place in Public Institutions. The distribution of these institutional deaths according to the type of institution was as follows:—
    Per Cent.
  • Page 21
    DEATHS OF FULHAM RESIDENTS OUTSIDE THE BOROUGH The deaths of Fulham residents outside the borough numbered 509, and occurred in the following places:—
  • Page 21
    SEASONAL MORTALITY The number of deaths in each of the four quarters of the year was as follows:—
    19381937
  • Page 21
    CAUSES OF DEATH These are classified in Table 6, pages 29 and 30. The following table shows the number of deaths from the five commonest causes:—
    Disease.No. of Persons.Males.Females.Percentage of total deaths.Death Rate per 1,000 inhabitants.
  • Page 22
    INFANTILE MORTALITY RATE IN FULHAM SINCE 1891.
    Average for 5 years.Actual rate for the last 10 years
  • Page 23
    The following table shows the births, infantile mortality and death rates during the last two years for the various wards in the Borough:— TABLE 1.
    Wards.Births.Birth Rates.Infantile Deaths.Infantile Mortality Rates.General Death Rates.
    1938193719381937193819371938193719381937
  • Page 24
    TABLE 2.—MATERNAL MORTALITY.
    Year.Total Births (including Stillbirths).Maternal Deaths.Rate (per 1,000 Births).
  • Page 25
    TABLE 3.—VITAL STATISTICS OF THE BOROUGH DURING 1938 AND TEN PRECEDING YEARS
    Year.Population Estimatedto Middle of each Year.Occurring in the Borough.Births.Total Deaths Registered in the Borough.Transferable Deaths.Nett Deaths Belonging to the Borough.Nett Deaths under One Year.Nett DeathsunderFive Years.Zymotic Death Rate (Influenzaincluded).
    Nett.Of Non-Residents registered in the Borough.Of Residents not registered in the Borough.At all Ages.Under 1 Year of Age.
    Number.Rate.Number.Rate.Number.Rate per 1,000 Nett Births.Percentage of Total Nett Deaths.
    123456789101112131415
  • Page 27
    TABLE 4. STATISTICS 1901-1938.
    Year.Population.Structurally separate Dwellings (Census).Numberof Private Families (Census).Average size of Family (Census).Birth Rate.Death Rate.Infant Mortality Rate.Pulmonary Tuberculosis Rate.
  • Page 28
    TABLE 5.—VITAL STATISTICS OF LONDON BOROUGHS, 1938.
    Borough.Estimated Resident Population (mid-1938).Live Births Rate per 1,000 Population.Death Rateper 1,000 Population.Infantile Mortality Rate per 1,000 Live Births.
    Crude.Adjusted.
  • Page 29
    TABLE 6.—CAUSES OF AND AGES AT DEATH DURING THE YEAR 1938.
    Nett deaths at the subjoined ages of " Residents," whether occurring within or without the District.Total Deaths,whether of" Residents " or " Non-residents "inInstitutionsin theDistrict.Nett deaths at all ages of " Residents " in the Wards of the Borough, wherever occurring
    Causes of Death.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.Baron's Court Ward.Lillie Ward.Walham Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
    12345678910111213141516171819202122
  • Page 31
    TABLE 7.—INFANT MORTALITY DURING YEAR 1938.
    Nett Deaths from stated causes at various ages under One Year of Age.Nett Deaths under One Year in Wards.
    Causes 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 Ward.Lillie Ward.Walhara Ward.Margravine Ward.Munster Ward.Hurlingham Ward.Sands End Ward.Town Ward.
  • Page 34
    SPECIMENS EXAMINED
    SpecimensAt Council's LaboratoryBy Clinical Research Association and Lister InstituteTotal examined
  • Page 35
    TABEL 8 HOME NURSING BY THE FULHAM NURSING ASSOCIATION ON BEHALF OF THE FULHAM BOROUGH COUNCIL, 1938
    IllnessJanuary to MarchApril to JuneJuly to SeptemberOctober to DecemberTotals
    CasesVisitsCasesVisitsCasesVisitsCasesVisitsCasesVisits
  • Page 38
    The attendances during the year were as follows :—
    First attendances.Re-attendances.Total.
  • Page 38
    The 946 cases which attended the Clinic for the first time during 1938 were classified as follows:
  • Page 39
    The British Social Hygiene Council, through its Fulham branch, have continued their propa-ganda work in the Borough and they held the following meetings during the year:— SINGLE LECTURES.
    Date.Place.Speaker.Film.Attendance.
  • Page 42
    The following illustrates the scope of the Health Visitors' work :—
  • Page 43
    The highest fee charged during 1938-39 was £10 for the two weeks, and the lowest fee charged was £2.
  • Page 45
    The following table shows the attendances at the Infant Clinics during the year 1938:—
    Clinic.Number of Clinics held.First Attendances of of Babies.Total Attendances.
    Age in years0—11—50—11—5
  • Page 46
    The following is a record of the work done at the ante-natal clinics during the year:—
    Clinic.Number ofSessions.Number of Patients.Number of Attendances.
    New.Total.
  • Page 47
    The following are the figures showing the attendances at the Day Nursery during 1938 :—
  • Page 48
    The following Table gives details of the amounts of milk granted during the year :—
    Dried Milk, lbs.Liquid Milk. Gallons.
  • Page 50
    TABLE 9 DWELLING HOUSES
  • Page 51
    Continued from previous page...
  • Page 52
    continued from privious page...
  • Page 52
    SUMMARY
    Cause of InspectionFirst inspections.Re-inspections.Total inspections.
  • Page 52
    The following notices were served in respect of dwelling houses during the year:— INTIMATION NOTICES
  • Page 52
    STATUTORY NOTICES
  • Page 53
    TABLE 10
  • Page 54
    Continued from previous page...
  • Page 54
    DRAINAGE OF BUILDINGS The following drainage plans were submitted to and approved by the Public Health Committee during 1938.
  • Page 55
    TABLE 11 LEGAL PROCEEDINGS Proceedings were instituted in the following cases during the year:—
    Address.Offence.Result.
  • Page 56
    During 1938, two samples of rag flock were taken with the following results
    Sample No.Parts of Chlorine per 100,000 of flock.
  • Page 59
    INSPECTION OF FACTORIES TABLE 12
    Premises.Number of
    Inspections.Written Notices.Occupiers prosecuted.
    (1)(2)(3)(4)
  • Page 60
    DEFECTS FOUND IN FACTORIES. TABLE 13.
    Particulars.Number of Defects.Number of Defects in respect of which Prosecutionswere instituted.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 60
    TOTAL INSPECTIONS.
    Premises.Male Inspectors.Woman Inspector.Total.
  • Page 61
    HOME WORK DONE BY OUTWORKERS The Council's woman inspector continued to supervise the premises used by Outworkers during the year and the following Tables give details of the premises:—
    Nature of Work.Nature of Premises.Total
    Factories with mechanical power.Factories without mechanical power.Other premises.
  • Page 64
    TABLE 14
  • Page 65
    3. Action under Statutory Powers during the Year:—
  • Page 66
    TABLE 15.
  • Page 68
    TABLE 16
    Estate.Accommodated on recommendation by the Fulham Borough Council.Accommodated on applying direct to the London County Council.Total Fulham families accommodated.
  • Page 69
    TABLE 17.
    Fulham Borough.Fulham Court.Lewis Trust, S.W.6.Lewis Trust, W.14.Peabody Buildings.
  • Page 72
    Five, or 0.9 per cent., of the 546 samples of milk examined, were reported as adulterated, and the following table gives details of the results of the analyses of the samples and the action taken:— TABLE 18.
    Sample No.Result of Analysis.Action taken.
  • Page 72
    Particulars of the number and percentage of adulterated samples of milk for the years 1929 to 1938 inclusive are given in the following table:— TABLE 19 SAMPLES OF MILK ADULTERATED
    Year.1929193019311932193319341935193619371938
  • Page 73
    TABLE 20.
    Institution.No. of Samples taken.
  • Page 73
    COMPOSITION OF MILK SAMPLES The monthly average composition of all samples of milk (excluding machine-skimmed milk) is given in the following table:— TABLE 21
    Month.No. of Samples.Fat.Solids-not-Fat.Remarks.
  • Page 75
    The following table gives details of the various examinations carried out:— TABLE 22
    Grade.Methylene blue and Coliform Tests.Count only.Count and Coliform Test.Count, Coliform and Phosphatase Tests.Count and Phosphatase Test.Complete Examination.Total.
  • Page 77
    TABLE 23 SAMPLES OF ALL FOOD AND DRUGS (INCLUDING MILK) REPORTED AS ADULTERATED ON CHEMICAL ANALYSIS
    Year.1929.1930.1931.1932.1933.1934.1935.1936.1937.1938.
  • Page 78
    TABLE 24 DETAILS OF ACTION TAKEN IN CONNECTION EITH SAMPLES (EXCLUDING MILK REPORTED) TO BE ADULTERATED OR NOT IN ACCORDANCE WITH PRESCRIBED STANDARDS
    Sample No.Article.Result of Analysis.Action taken.
  • Page 79
    INSPECTION OF MEAT AND OTHER FOODS AND OF FOOD PREMISES The following table shows the number of inspections of the various types of food premises:-
  • Page 80
    UNSOUND FOOD The undermentioned articles of food examined at the request of the owners were condemned and destroyed during the year:-
  • Page 86
    TABLE 25—SAMPLES ANALYSED, 1938.
    Article.Taken Formally.Adulterated.Taken Informally.Adulterated.Total Samples Taken.Total Samples Adulterated.Percentage Adulterated.
  • Page 88
    TABLE 26 TABLE SHOWING THE AGE AND WARD DISTRIBUTION OF THE CASES OF INFECTIOUS DISEASES NOTIFIED DURING 1938
    Notifiable Diseases.Number of cases notified.Total cases notified in each Ward of BoroughTotal cases removed to Hospital.Deaths.D.N.C.
    At allAges.At Ages—Years.Baron's CourtLillieWalhamMargravineMunsterHurlinghamSands EndTown
    0—11—22—33-44—55—1010—1515—2020—3535—45I45—6565 and upwards
  • Page 89 90
    TABLE 27. NUMBER OF CASES OF INFECTIOUS DISEASE NOTIFIED FROM 1900-1938 INCLUSIVE
    190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938
  • Page 89 90
    TABLE 28. NUMBER OF DEATHS FROM THE SEVEN PRINCIPAL ZYMOTIC DISEASES DURING 1900-1938 INCLUSIVE
    190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938
  • Page 92
    TABLE 29 MONTHLY DISRTRIBUTION OF INFECTIOUS DISEASE, 1938.
    Notifiable Disease.Jan.Feb.Mar.Apr.MayJuneJulyAug.Sept.Oct.Nov.Dec.Total
  • Page 93
    DIPHTHERIA IMMUNISATION
  • Page 93
    TABLE 30 SUMMARY OF TREATMENTS
    Age Groups in Years.Primary Schick.Inoculations A.P.T.Inoculations T.A.F.Posterior Schick.Discontinued treatment.
    PositiveNegativeNot read1st2nd1st2nd3rdPositiveNegative
  • Page 94
    TABLE 31. MEASLES EPIDEMIC, 1937-1938, COMPARED WITH EPIDEMIC OF 1936.
    Population.1937-81936
  • Page 95
    Continued from previous page...
  • Page 95
    NOTIFIED CASES AND DEATHS BY AGE GROUPS.
    Age Group.1937-19381936
    Cases.Deaths.Cases.Deaths.
  • Page 98
    CANCER The 275 deaths classified as Cancer occurred as follows:— TABLE 32
    Organ Affected.Total.Males.Females.
  • Page 99
    The ages at death of persons dying from Cancer were:- TABLE 33
    Age Periods.Total.Males.Females.
  • Page 99
    The details of these removals and additions are as follows:—
    Pulmonary:Non-Pulmonary:TOTALS.
    Males.Females.Males.Females.
  • Page 100
    MORTALITY FROM TUBERCULOSIS
  • Page 100
    PERIOD BETWEEN PRIMARY NOTIFICATION AND DEATH
  • Page 101
    PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930 TABLE 34.-Summary of notifications during the period from 1st January, 1938 to 31st December, 1938.
    Age Periods.Formal Notifications.
    Number of Primary Notifications of new cases of Tuberculosis.Total Notifications.
    0—1.1—5.5—10.10—15.15—20.20—25.25—35.35—45.45—55.55—65.65 & upwards.Total (all ages).
  • Page 102
    TABLE 35.—New Cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the year, otherwise than by formal notification.
    Age Periods.0-11-55-1010-1515-2020-2525-3535-4545-5555-6565 upwards.Total Cases.
  • Page 103
    TABLE 39. PRIMARY NOTIFICATIONS AND DEATHS, 1918-38
    Year.Notifications.Deaths.Death-Rate.
    Pulmonary.Other forms of Tuberculosis.Pulmonary.Other forms of Tuberculosis.Pulmonary.Other forms of Tuberculosis.
  • Page 106
    MANTOUX AND VOLLMER TESTS, 1938.
    No. of Injections.Positive Reactions.
    Number.Percentage.
  • Page 106
    MANTOUX AND VOLLMER TESTS,1938.
    Number of Children who received the Test.Number.Reaction.
    Positive.Negative.
  • Page 107
    The following is a summary of specialised treatments arranged by the Dispensary under the Tuberculosis Scheme :—
    £s.d.
  • Page 110
    TABLE 37 DISPENSARY STATISTICS, 1918—1938
    Year.New Patients.Attendances at Dispensary.Doctors' Home Visits.Nurses' Home Visits.
    Sufferingfrom Pulmonary Tuberculosis.Suffering from other forms of Tuberculosis.DoubtfulCases.Non-TuberculousCases.Insured.Uninsured.
  • Page 111
    SUMMARY OF STATISTICS
  • Page 111
    TABLE 38. One hundred and ninety-four patients were sent to residential institutions on the recommendation of the Dispensary Medical Officers. (a) 123 by the London County Council Public Health Department:—
    41 to Sanatoria.2 to Colonies.11 toConvalescent Homes.69 to Hospitals.
  • Page 112
    TABLE 39.
  • Page 112
    TABLE 40 New Cases—Diagnosis.
    New Cases.Pulmonary Tuberculosis.Other Forms.Suspects.Non-Tubercular.Percentage Tubercular.
  • Page 113
    TABLE 41 Sex and Age of the New Patients for 1938
    Under 5 years.5 to 10 years.10 to15 years.15 to25 years.25 to 35 years.35 to 45 years.45 years and over.Allages.
  • Page 113
    TABLE 42 Sex and Age of the New Patients for 1938
    Pulmonary Tuberculosis.Other Forms.Suspects.Non-Tuberculous.Percentage Tuberculous.
  • Page 113
    TABLE 43
  • Page 114
    TABLE 44 Housing Accommodation
    Number of Families occupying
    One room.Two rooms.Three rooms.Four rooms.Five rooms.Six rooms or more.
  • Page 114
    TABLE 45
  • Page 114
    TABLE 46.
  • Page 115
    Occupations of 81 Women (New Cases) in 1938.
  • Page 115
    VACCINATION
  • Page 116
    TABLE 47
  • Page 116
    TABLE 48 The following articles were disinfected at the Council's Disinfecting Station :—
    Articles.From Private Houses.From Institutions.Total.
  • Page 117
    APPENDIX I.
  • Page 117
    DETAILS OF DELIVERIES.
    Types of Cases.Number.Details.
  • Page 118
    Details of Deliveries (Continued).
    Types of Cases.NumberDetails.
  • Page 119
    DETAILS CONCERNING INFANTS.
    Types of CasesNumber.Details.