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Kensington 1923

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

Published
1924
Pages
100
Tables
106

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106 tables in this report

  • Page 4
    For 1923 the Registrar-General has estimated the population to be 178,500, and from this figure the populations in the different wards of the Borough have been estimated to be as shown in the following table:—
  • Page 4
    MARRIAGES.
  • Page 4
    BIRTHS. The number of births registered was 3,121, after correction for inward and outward transfers, and the birth rate for the Borough was 17.5 per 1,000 population. Distributed according to sex and legitimacy the births were as follows:—
    Male.Female.Total.
  • Page 5
    Table showing the number of births and the birth rates in England and Wales, London, Kensington and the various districts in the Borough in 1923, and the rates for the previous five years:—
    District1923.Birth rates in previous years.
    No. of Births.Birth-rate.1922.1921.1920.1919.1918.
  • Page 5
    The birth rates in Kensington since 1881 are shown in the following table:—
    Period.Birth-rate per
    1.000 population.
  • Page 6
    The following table indicates the source of notification and the kinds of births notified.
    Source of Notification.Number of Births Notified.
    Still Births.Live B.rths.Total Births.
  • Page 6
    Total deaths registered in the Borough 2,551
  • Page 6
    The corrected number of deaths gives a death-rate of 12 3 per 1,000 living. Table showing the number of deaths and the death-rates in England and Wales, London, Kensington and the various districts in the Borough in 1923, and the rates for the previous five years:—
  • Page 7
    Table showing Kensington death-rates since 1896:—
    Period.Death-reat per 1,000 living
  • Page 7
    Causes of Death.—The following list shows certain causes of death which are important in themselves or from the fact that they contributed a considerable share to the total mortality tor the year:—
    Cause of Death.Number of Deaths.
  • Page 7
    Deaths from Principal Zymotic Diseases per 1000 persons living
    Period.Kensington.London.
  • Page 7
    Table showing various Causes of Death in 1923, arranged in Four-Weekly Periods.
    Four Weeks endingMeasles.Scarlet Fever.Whooping. CougbDiphtheriaInfluenza.Phthisis.Cancer.Bronchitis.Pneumonia.Diarrhœaand Enteritis.
  • Page 8
    The following table gives the births and the infantile deaths and death rates for the year 1923 in England and Wales, London, the Borough and the various Wards of the Borough.
    DistrictNo. of BirthsNo. of Deaths of children under 1 year of age.Infantile Mortality rate
  • Page 8
    INFANTILE MORTALITY RATES, 1896-1923
    Period.England and Wales.London.Kensington.
  • Page 9
    THE NUMBER OF DEATHS OF KENSINGTON INFANTS OCCURRING IN EACH MONTH DURING 1923.
  • Page 9
    CAUSES OF, AND AGES AT, DEATH OF INFANTS UNDER ONE YEAR OF AGE IN KENSINGTON DURING 1923.
    Causes of Death.Under 1 week1—2 weeks.2—3 weeks.3—4 weeks.Total 4 weeks.1—3 months.3-6 months.6—9 nonths9—12 'months.Total Infant Deaths under 1 year.
  • Page 11
    The causes of death in the "above standard" cases were as follows:—
  • Page 11
    The following table compares the legitimate and illegitimate births, mtant deaths and inf mortality rates in Kensington for 1923.
    Total.Legitimate.Illegitimate.
  • Page 11
    The following table compares the total infantile mortality rate for the Borough in recent years with the illegitimate infantile mortality rate:—
    YearDeaths of all children under 1 year of age per 1,000 birthsDeaths of illegitimate children under 1 year of age per 1,000 illegitimate births
  • Page 12
    The actual causes of death were:—
  • Page 13
    TABLE SHOWING THE BIRTH RATES, DEATH RATES AND INFANTILE MORTALITY RATES IN THE 29 METROPOLITAN CITIES AND BOROUGHS IN 1923.
    Births per 1000 Population.Deaths per 1000 Population.Infantile Deaths per 1000 Births.
  • Page 14
    Table showing Notifications of Infectious Diseases received in 1923, arranged in Four-Weekly Periods.
    Four Weeks endingScarlet FeverDiphtheria.Enteric Fever.Erysipelas.Ophthalmia Neonatorum.Puerperal Fever.Pneumonia.Malaria.Encepha. litis Lethargica.P. M'etis & Polio-Encephalitis.Total.
  • Page 14
    Small-Pox.—Only 11 cases of this disease were notified in the Metropolis during the year. The Boroughs affected were:—
  • Page 15
    The following table shows the number of cases notified in each tour-weekly period during 1923.
    District.Period No. 1.Period No. 2Period No. 3.Period No. 4.Period No. 5.Period No. 6.Period No. 7.Period No. 8.Period No. 9.Period No. 10.PeriodNo. 11.Period No. 12.Period No. 13.
  • Page 16
    The following table shows the number of cases notified in each four-weekly period during 1923:-
    District.Period No. 1.Period No. 2.Period No. 3Period No. 4.Period No. 5.Period No. 6.Pe> iod NO. 7.Period No. 8Period No 9Period No. 10.Period No 11Period Period No 12. No. 13.
  • Page 19
    The parts of the body which were affected in each case are shown in the following table:— DEATHS FROM CANCER 1923.
    Parts Affected.Sex.
    Male.Female.Total.
  • Page 19
    The deaths in the several wards, etc., are set out in the following table:—
  • Page 19
    The following table shows the number of cases of both forms of the disease notified in the Borough and the several Wards therein during each year since 1913.
    District.Years.
    1913.1914.1915.1916.1917.1918.1919.1920.1921.1922.1923.
  • Page 20
    The following table shows the number of notifications of pulmonary and non-pulmonary tuberculosis received since 1913, together with the number of deaths and death-rates in each year.
    The Year.Pulmonary Tuberculosis.Other Forms of Tuberculosis.Tuberculosis (all formsi.
    No. of NotificationsNo, of Deaths.Deaths per 100,000 persons living.No. of Notifications.No. of Deaths.Deaths per 100,000 persons living.No. of Deaths.Deaths per 100,000 persons living.
  • Page 20
    Deaths from Tuberculosis in 1923 Allocated to District of Usual Residence of Patients.
    Pulmonary Tuberculosis.Other Forms of Tuberculosis
  • Page 20
    The places where deaths from tuberculosis occurred are set forth in the following list:—
    Pulmonary Tuberculosis.Other Forms of Tuberculosis.
  • Page 21
    The number of new cases seen at the Dispensary during the year, with the original diagnosis, is shown in the following table:— New Cases.
    Adults.Children under 15 yrs.Total.
    Males.Females.Males.Females.
  • Page 21
    The following table shows the disposal of the 179 "suspects ":—
  • Page 22
    The record of work carried out at Brompton Hospital on behalf of the Council during the months of January, February and March of 1923 is as follows:—
  • Page 23
    The work done during the year is shown in the following table:—
  • Page 25
    The number of home visits paid by the Council's Women Health Officers is shown in the following table: —
    Women Health Officers.total.
    No. 1No. 2No. 3No. 4No. 5No. 6No. 7
  • Page 25
    The following table giving the number of rooms occupied by the families of definite cases of tuberculosis and the number of occupants, ascertained by the Health Officers on their visits to the homes, is inserted to show the difficulties experienced in securing home isolation in many cases.
  • Page 26
    At the present time there are 8 patients to whom bedsteads and bedding have been loaned. In 4 of these the assistance was given during the past 12 months and the articles loaned in 1923 are as follows :—
  • Page 27
    The work performed by the Women Health Officers in 1923 in regard to Maternity and Child Welfare is summarised in the following table;—
    Description of Work.No. lNo. 2No. 3Health Officers.Total
    No. 4No. 5No 6No. 7
  • Page 28
    The work done by the Infant Welfare Centres during the year 1923 is shown in the following table :—
    Particulars of Work done.Archer StreetBramley Road ] with Kenley Street branchCamp-den HillEarl's Court.GolborneLan-caster RoadRay-medeTotals
  • Page 29
    table showing the amount of dental treatment p rformed at the various centres in 1923.
    CentreNo. of patients.No. of attendances.Extractions.FillingsDenturesOther Treatments.
  • Page 31
    The following are the records for the year ending December 31st, 1923:—
  • Page 31
    Records for the year 1923 :—
  • Page 32
    The following table shows a record of children s attendances at the five Day Nurseries in the Borough in the year 1923.
    Gol-borne.Kensal Creche (Medical Mission)Lancaster Road.Notting Hill Day NurserySt. Clement's, Tread-gold St.Totals
  • Page 32
    A record of work done at the institutions in the Borough in 1923 is shown in the following table :—
    4C6, Uxbridge Road.2, Upper Phillimore PlaceTotals
  • Page 33
    STATISTICS FOR THE YEAR ENDED 31st DECEMBER. 1923.
  • Page 33
    RECORD OF WORK DONE IN 1923.
  • Page 33
    RECORD OF WORK DONE IN 1923.
  • Page 34
    The following is a Table of cases attended and visits paid by nurses of the Kensington Nursing Association from January 1st to December 31st, 1923:—
    Cases.Visits.
  • Page 34
    The cases attended and visits paid by the Golborne Home Nurse during the past year are given in the following table:—
    Cases Attended.Visits Paid.
  • Page 35
    GRANTS TO MATERNITY AND CHILD WELFARE INSTITUTIONS PAID BY THE BOROUGH COUNCIL FOR THE YEAR 1923.
    £s.d.
  • Page 35
    In addition to the above mentioned grants, the Council gave the following subscriptions during the year.
    £s.d.
  • Page 37
    During the year 27 applications for registration were received from persons who proposed to sell milk, and all were granted. The alterations made in the Register of Milk Purveyors in 1923 are summarised in the following table :—
    Class of Premises
    Milkshops.General Stores.Restaurants.Totals.
  • Page 38
    All condensed milk must contain not less than the appropriate percentages of milk fat and milk solids as specified in the following Table:—
    Description of Condensed Milk.Percentage of Milk Fat.Percentage of all milk solids including fat.
  • Page 39
    The inspections of the above premises during the year numbered 1,124, and resulted in the discovery of the following; defects which were remedied after the service of notices :—
    Defects found.Number of Defects.
  • Page 39
    Unsound Food.—The unsound food surrendered and destroyed during the year is shown in the following list:—
  • Page 40
    (a) Formal Samples.—These are samples which are taken strictly in conformity with the requirements of the Sale ot Food and Drugs Act, 1875, and during the year the Inspector collected 694, of which 56 or 8T per cent. were adulterated. Particulars of formal sampless collected are as follows :—
    Nature of Sample.Number Taken.Number Adulterated.
  • Page 41
    (b) Informal samples.—These are taken without compliance with the strict formalities of the Food and Drugs Act and serve to show the conditions obtaining without disclosing to the vendor the fact that samples are being taken for analysis. Particulars of informal samples collected are as follows:—
    Nature of Sample.Number Taken.Number Adulterated.
  • Page 42
    Summary of the Results of Analysis of the 89 Adulterated Formal and Informal Samples, together with a record of the action taken by the Council.
    Article Analysed.Nature and Amount of Adulteration.Action taken.
  • Page 43
    Continued from previous page...
    Article Analysed.Nature and Amount of Adulteration.Action taken.
  • Page 44
    Continued from previous page...
    Article Analysed.Nature and Amount of Adulteration.Action taken.
  • Page 45
    Average Composition of Formal Milk Samples taken in 1923.
    Months.Number of Formal Samples Taken.Average Composition of allSamples Submitted. Genuine and Adulterated.Average Composition ofGenuine Samples.Ministry of Agriculture Standard.
    Percentage of Milk Fat.Percentage of Solids not Fat.Percentage of Milk Fat.Percentage of Solids not FatPercentage of Milk Fat.Percentage of Solids not Fat.
  • Page 47
    TABLE showing the extent to which boric acid has been found in some of the more commonly adulterated articles which have been taken in Kensington since 1900 for analysis under the Sale of Food and Drugs Act, 1875.
    Name of article sampled.No. of samples taken for analysis since 1900.No. found to contain boric acid.Percentage free from preservative.Highest amountof boric acid found in any one sample.(grains per pouns)Lowest amount of boric acid found in any onesample.
  • Page 48
    The following is a list of the samples of sponge cake taken in Kensington during the year 1923, and found to contain boric acid:—
    Date of purchase of sample.Amount of boric acid found present.
  • Page 50
    Particulars of Fresh Milk supplied under the Council's Scheme.
    No. of pints of Milk granted.Price per pint paid by Recipients.Estimated Cost to Council.
    £s.d.
  • Page 50
    Particulars of Dried Milk supplied free or below Cost Price under the Council's Scheme.
    No. of packets of Milk granted.Price per lb. packet paid by Recipients.Estimated Cost to Council.
    £s.d.
  • Page 50
    Particulars of Dried Milk supplied at Cost Price under the Council's Scheme.
    Name of Welfare Centre at which the dried milk was distributedNo. of 1lb. packets sold.Value of milk sold.
  • Page 50
    Particulars of Dinners supplied under the Council's Scheme.
    No. of Dinners granted.Price per Dinner paid by Recipients.Estimated Cost to Council.
    £s.d.
  • Page 51
    The dried milk and dinners supplied during the year by the Board of Guardians under this scheme are shown below:—
    No. of packets of Dried Milk supplied.Cost to the Board of Guardians.No. of Dinners suppliedCost to the Board of Guardians.
  • Page 53
    The businesses carried on at the registered premises are set out in the subjoined list:—
    Trade or Business.Workshops.Factories.Total.
  • Page 54
    The number of outworkers belonging to each of these three classes is shown in the following T able:—
  • Page 54
    The nature of the work given out to the 116 home workers on the register is as follows:—
  • Page 54
    The appended Table summarises the work for the year of the Women Health Officer under the Factory and Workshops' Acts, so far as it is capable of being expressed in this form:—
  • Page 54
    I.—Inspections.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 55
    II.—Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 56
    III. -Home Work.
    NATURE OF WORK.(1)OUTWORKERS' LISTS, SECTION 107.OUTWORK IN UNWHOLESOME PREMISES, SECTION 108.OUTWORK IN INFECTED PREMISES. SECTIONS 109, 110.
    Lists received from Employers.Notices served on Occupiers as to keeping or sending lists.(8)Prosecutions.Instances(11)Notices served.(12)Prosecutions (13)Instances. (14)Orders made (s. 110).(15)Prosecutions (Sections 109, 110).(16)
    Sending twice in the year.Sending once in the year.Failing to keep or permit inspection of lists.(9)Failing to send lists.(10)
    Lists.(2)Outworkers.Lists(6)Outworkers.
    Contractors. 3)Workmen.(4)Contractors.(6)Workmen. (7)
  • Page 57
    IV.—Registered Workshops.
    Workshops on the Register (s. 131) at the end of the Year.Number.
  • Page 57
    V.—Other Matters.
    Class.Number.
  • Page 59
    Legal Proceedings under the Public Health (London) Act, 1891, Metropolis Local Management Act, and Housing, Town Planning, etc., Acts. 1890-1923, etc.
    Date.Name and Address of Defendant.Offence.Result.
  • Page 60
    Continued from previous page...
    Date.Name and Address of Defendant.Offence.Result.
  • Page 61
    SUMMARY OF WORK CARRIED OUT BY THE DISINFECTING STAFF DURING 1923.
    Nature of Infection.Premises Disinfected.Rooms Disinfected.Disinfections at Wood Lane.No. of Articles Disinfected.
  • Page 64
    MORTUARY AND CHAPEL OF REST. During the year 86 bodies were deposited in the Public Mortuary under the following circumstances:—
  • Page 65
    The record of work done at the Medicinal Baths during the year is as follows:—
    Total Cleansings.
  • Page 67
    HOUSING OF THE WORKING CLASSES. DENSITY OF POPULATION IN LONDON, KENSINGTON AND THE VARIOUS DISTRICTS OF THE BOROUGH AT THE 1921 CENSUS.
    Area in statute acresTotal Population.Persons per acre.* Residential area in acres.Persons per Residential acre.
    PersonsMales.Females.
  • Page 68
    PRIVATE FAMILIES AND DWELLINGS AT THE 1921 CENSUS.
    Private Families.Population in Private Families.Structurally Separate Dwell-ings Occupied.Rooms Occupied.Per sonsperRoom.
  • Page 68
    HOUSING ACCOMMODATION PROVIDED BY THE COUNCIL BEFORE THE WAR. The number of tenements for the working classes provided, prior to the War, by the Council under the Housing Acts, is shown in the following Table:—
    Rooms in TenementNumber of Tenements.Rent per Week.
  • Page 68
    COMMON LODGING HOUSES. The Common Lodging Houses in the Borough number 8 and contain accommodation for 416 persons.
    WardName of KeeperAddress of Common Lodging HouseNo. of Lodgers for which licensed in 1928.
    MaleFemaleTotal
  • Page 70
    The following figures show the number of houses let in-furnished rooms in the different parts of the Borough.
  • Page 70
    RETURN OF BASEMENT DWELLINGS IN THE BOROUGH, IN NORTH AND SOUTH KENSINGTON AND IN THE SEVERAL WARDS.
    No. of basementsused for dwelling purposes.No. of basement dwellings with ceilings at or below street level.No. of basementdwellings in which the width of the front area does not exceed 3 feet.No. of basementdwellings in which the width of the front area exceeds 3 feet and does not exceed 4 feet.
  • Page 72
    The following table shows the number of houses let in lodgings on the Council's Register at the commencement of the year, the number of these houses specially inspected by the ten District Sanitary Inspectors with a view to bringing them up to the standard fixed at the commencement of the year, and some of the main requirements called for in notices served as a result of the inspections.
    DistrictNo. of houses on Register at commencement of yearNo.of houses inspected in accordance with Council's Resolutions of Jan. 11th, 1923Particulars of notices served
    Additional W.C. accommodation requiredInstallation of supply of water on upper storeyCleansingGeneral repairs
  • Page 76
    The following is a tabulation of the principal improvements secured during the year as a result of the issue of notices under the Public Health Acts :—
  • Page 80
    APPENDIX. TABLE I. Vital Statistics of Whole District during 1923 and previous Years.
    Year. 1Population estimated to Middle of each Year.2Births.Total Deaths Registered in the District.Transferable Deaths.Nett Deaths belonging to the District
    Uncorrected Number.3Nett.
    of Nonresidents registered in the District.8of Resi-dents not rgisteredin the District.9U nder 1 Year of AgeAt all Ages.
    Number. 4Rate*5Number. 6Rate.*7Number. 10Rate per 1,000 Nett Births 11Number. 12Rate. * 13
  • Page 81
    TABLE II. Cases of Infectious Disease notified during the Year, 1923.
    Notifiable DiseaseNumber of Cases Notified.Total Cases Notified in each WardTotal Cases Removed to Hospital.
    At all Ages.At Ages.—Years.St. Charles.Golborne.Norland.Pembridge.Holland.Earl's Court.Queen's Gate.Redcliffe.Brompton.
    Under 1.1 to 5.5 to 15.15 to 25.25 to 45.45 to 65.65 and upwards.
  • Page 82
    TABLE III. Causes of, and Ages at, Death during the Year 1923.
    Causes of DeathNett Deaths at the subjoined ages of" Residents " whether occurring within or without the District.
    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 45 years45 and under 65 years.65 and upwards.
  • Page 83
    TABLE IV. INFANT MORTALITY DURING THE YEAR 1923. Nett Deaths from stated Causes, at Various Ages, under One Year of Age.
    Cause of Death.U nder 1 week.1-2 Weeks.2-3 Weeks.| 3-4 Weeks.Total under 4 Weeks.1-3 Months.3-6 Months.6-9 Months.9-12 Months.Total Deaths under One Year.
  • Page 84
    TABLE V. Causes of Death at different periods of life in the Year 1923.
    CAUSES OF DEATH.Classification No.Totals— All Ages.Under 1 year.1 and under 2 years.2 and under 5 years.Totals— Under 5 years.5 and under 15 years.15 and under 25 years.25 and under 45 years45 and under 65 years.65 yearsand upwards.Totals— Above 5 years.
    TotalMFMFMFMFMFTotalMFMFMFMFMFMFTotal
  • Page 85
    TABLE V.—continued.
    CAUSES OF DEATH.Classification No.Totals-All AgesUnder 1 year.1 and under 2 years.2 and under 5 years.Totals-Under 5 Years.5 and under 15 years.15 and under 25 years.'25 and under 45 years.45 and under 65 years.65 yearsand upwardsTotals-Above Five Years.
    TotalMFMFMFMFMFTotalMFMFMFMFMFMFTota
  • Page 86
    TABLE V.— continued.
    CAUSES OF DEATH.ClassificationNo.Totals All AgesUnder 1 year.1 and under 2 years.2 and under 5 yearsTotals-Under 5 Years.5 and under 15 years.15 and under 25 years.25 and under 45 years.45 and undsr 65 years.65 yearsand upwards.Totals-Above 5 Years.
    TotalMFMFMFMFMFTotalMFMFMFMFMFMFTotal
  • Page 87
    TABLE V.— continued.
    CAUSES OF DEATH.Classification No.Totals-All Ages.Under 1 year.1 and under 2 years.2 and under 5 years.Totals-Under 5 years.5 and under 15 years.15 and under 25 years.25 and under 45 years.45 and under 65 years.65 yearsand upwards.Totals-Above 5 years.
    TotalMFMFMFMFMFTotalMFMFMFMFMFMFTotal
  • Page 88
    TABLE V.—continued.
    CAUSES OF DEATH.Classification No.Totals -All Ages.Under 1 year.1 and under 2 years.2 and under 5 years.Totals-Under 5 years.S and under 15 years.15 and under 25 years.25 and under 45 years.45 and under 65 years.65 yearsand upwards.Totals-Above 5 years.
    TotalMFMFMFMFMFTotalMFMFMFMFMFMFTotal.
  • Page 89
    TABLE V.-continned.
    CAUSES OF DEATH.Classification No.Totals-All Ages.Under 1 year.1 and under 2 years.2 and under 5 years.Totals-Under 5 years.5 and under 15 years.15 and under 25 years.25 and under 45 years45 and under 65 years.65 yearsand upwards.Totals-Above 5 years
    TotalMFMFMFMFMFTotalMFMFMFMFMFMFTotal
  • Page 90
    TABLE VI. Summary of Inspections, &c., done by the Male Sanitary Inspectors during the year 1923.
    DESCRIPTION OF WORK, &cNUMBER OF DISTRICTGrandTotal
    ]22A845673910
  • Page 91
    TABLE V1A. Summary of Works completed by the Sanitary Inspectors during the Year 1923.
    DESCRIPTION OF WORK, &c.NUMBER OF DISTRICT.GrandTotal
    122a345678910
  • Page 92
    TABLE VII. The Work of the Women Health Officers for the Year 1923.
    HEALTH OFFICERSTotal
    1234567
  • Page 93
    TABLE VIII. Vaccination Officer's Return respecting the Vaccination of Children whose Births were Registered in 1922.
    DATE.Registration Sub-Districts comprised in Vaccination Officer s District.1Number ofBirths returned in Birth List Sheets.2Number of these Births duly entered in Columns 1, 2, 4, and 5 of the Vaccination Register (Birth List Sheets), viz,:Number of these Births which are not entered in the Vaccination Register, on account,(as shown by Report Book) of
    Column I. Successfully Vaccinated.3Column II.Removed to other Districts and notified to Vaccination Officers of the Districts.9Removal to places unknown, or which cannot be reached, and cases not having been found.10Not accounted for.Total Number of Certificates of Successful Vaccination received during the Calendar Year, 1923.
    Insusceptible of Vaccination.4Certificate ofConscientious Objection.6Column V, Dead, Un vaccinated.7Postpone ment by Medical Certificate.8
    1922
  • Page 94
    TABLE IX. PARTICULARS OF THE STAFF OF THE PUBLIC HEALTH DEPARTMENT AT THE END OF 1923. (as required by Ministry of Health Circular 359).
    Year of Appointment