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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

Kensington 1931

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

Published
1932
Pages
80
Tables
84

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84 tables in this report

  • Page 3
    From this latter figure, the inhabitants in the different wards of the borough have been estimated to be as shown in the following table:—
  • Page 3
    MARRIAGES. During the year, 1,890 marriages were registered, representing a rate of 21.6 per 1,000 of the population. The place of marriage is set out in the following table:—
  • Page 4
    BIRTHS. The number of births registered was 2,485, after correction for inward and outward transfers ; and the birth rate for the borough was 14.2 per 1,000 population. Distributed according to sex and legitimacy the births were as follow:—
    Male.Female.Total.
  • Page 4
    Table showing the number of births and the birth rates in England and Wales, London, Kensington, and the various districts in the borough in 1931, and the rates for the previous five years:—
    District.1931.Birth rates in previous years.
    No. of births.Birth rate.1930.1929.1928.1927.1926.
  • Page 4
    The decline in the birth rate in Kensington since 1881, which is similar to that taking place throughout the country, is shown in the following table:—
    Period.Birth rate per 1,000 population.
  • Page 5
    The following table indicates the source of notification and the kinds of births notified.
    Source of notification.Number of births notified.
    Still births.Live births.Total births.
  • Page 6
    The following table shows the number of deaths and the death rates in England and Wales, London, Kensington and the various districts in the borough in 1931, and the rates for the previous five years:—
    District.1931.Death rates in previous years.
    No. of deaths.Death rate.1930.1929.1928.1927.1926.
  • Page 6
    The following table shows the Kensington death rates since 1896:—
    Period.Death rate per 1,000 living.
  • Page 7
    The following table shows the zymotic death rate for Kensington and London in each of the last five years.
    Deaths from principal zymotic diseases per 1,000 persons living.
    Period.KensingtonLondon.
  • Page 7
    The parts of the body which were affected in each case are shown in the following trable:- DEATHS FROM CANCER, 1931.
    Parts affected.Sex.Total.
    Male.Female.
  • Page 7
    The deaths in the several wards, etc., are set out in the following table :—
  • Page 8
    Table showing the number of deaths in 1931 from certain diseases of public health importance, arranged in four-weekly periods.
    Four weeks endingEnteric fever.Scarlet fever.Whooping cough.Diphtheria.Influenza.Phthisis.Cancer.Bronchitis.Pneumonia.Diarrhœa . and enteritis.
  • Page 8
    The following table gives the births and the infantile deaths and death rates in England and Wales, London, Kensington and the various wards of the borough for the year 1931, and the infantile death rates for the previous four years
    District.1931.Infantile mortality rates in previous four years.
    No. of births.No. of deaths of children under 1 year of age.Infantile mortality rate.
    1930192919281927
  • Page 9
    INFANTILE MORTALITY RATES, 1896 1931.
    Period.England and Wales.London.Kensington.
  • Page 10
    CAUSES OF, AND AGES AT, DEATH OF INFANTS UNDER ONE YEAR OF AGE IN KENSINGTON DURING 1931.
    Causes of death.Under 1 week.1—2 weeks.2—3 weeks.3—4 weeksTotal 4 weeks.1—3 months3—6 months.6—9 months.9—12 months.Total infant deaths under 1 year.
  • Page 12
    SUMMARY OF PARTICULARS RELATING TO MATERNAL DEATHS IN KENSINGTON IN 1931.
    Married or single.Cause of death.Did patient receive ante natal care ?Where did confinement take place ?Was a doctor in attendance at confinement ?Was a midwife in attendance at confinement ?Where did death take place ?When was patient admitted to hospital ?Remarks.
  • Page 13
    The following is a table of cases attended and visits paid by nurses of the Kensington District Nursing Association on behalf of the council from January 1st to December 31st, 1931 :—
    Cases.Visits.
  • Page 14
    A trained nurse is employed by the Golborne infant welfare centre to undertake home nursing of expectant and nursing mothers and infants in the very poor area allocated to that centre. The cases attended and visits paid by the Golborne home nurse during the year are given in the following table :—
    Cases attended.Visits paid.
  • Page 17
    TABLE SHOWING NUMBER EXAMINED AND DEFECTS FOUND
    Number examinedBoys.Girls.
    Entrants.Age 8.Age 12.Age 14.Entrants.Age 8.Age 12.Age 14.
    1,1207556714941,129762698498
    Defect.Cases.Cases referred for treatment.Cases.Cases referred fortreat-ment.Cases.Cases referred for treatment.Cases.Cases referred for treatment.CasesCases referred for treatment.Cases.Cases referred for treatment.CasesCases referred for treatment.Cases.Cases referred for treatment.
  • Page 17
    TABLE SHOWING THE CONDITIONS IN REGARD TO CLOTHING, NUTRITION, CLEANLINESS, TEETH AND VISION OF THE CHILDREN EXAMINED.
    Age Group.Number examined.Clothing and boots.Nutrition.Cleanliness of head.Cleanliness of bodyTeeth.Vision.
    Good.Fair.Poor.Good.Average.Below normal.Bad.Clean.Nits.Pediculi.Clean.Dirty.Pediculi.All sound.Less than 4 decayed.Four or more decayed.6/6 in both eyes.6/9 in either or both eyes.6/12 or worse in either eye-
  • Page 20
    The following table deals with (a) drainage work undertaken voluntarily by owners and supervised by the officers of the public health department from the 1st January to the 31st December, and (b) all drainge work required by notices served under the Public Health (London) Act, and carried out under the supervision of the sanitary inspectors :—
    Voluntary work.Work under notice.
  • Page 21
    SANITARY INSPECTION. The following table shows a summary of the inspections, etc., carried out by the male sanitary inspectors during the year:—
    DESCRIPTION OF INSPECTIONS. &c.NUMBER OF DISTRICTHousing Inspector.Grand Total
    12345678910
  • Page 22
    The following table shows the number of notices which have been issued in respect of nuisances, defects, etc., found in the various districts during the year:—
    NUMBER OF DISTRICT.Housing Inspector.Grand Total
    12345678910
  • Page 23
    Summary of Works completed under the Supervision of the Sanitary Inspectors during the Year.
    DESCRIPTION OF WORK, &c.NUMBER OF DISTRICT.Housing Inspector.Grand Total.
    12345678910
  • Page 24
    Summary of Legal Proceedings taken during the year 1931.
    Nature of offence.No. of summonses.Magistrates' decisions.
  • Page 25
    The number of bathers using the swimming baths and slipper baths in the last five years is shown in the following table:—
    Year.Bathers.
  • Page 25
    The number of women using the wash-tubs in the last five years is shown in the following table:—
  • Page 26
    A rat officer is employed to assist in the work of rat destruction under the supervision of the sanitary inspectors. He has carried out good work during the year as is evidenced by the following table:—
  • Page 27
    FACTORIES AND WORKSHOPS. The following table shows the various trades and occupations carried on in registered workshops and factories where men are employed:—
    Trade or Business.Workshops.Factories.Total.
  • Page 28
    Factories and workshops where women are employed.—The following table shows the various trades and occupations carried on in registered workshops and factories where women are employed:—
    Trade or Business.Workshops.Factories.Total.
  • Page 28
    The number of outworkers belonging to each of these three classes is shown in the following table:—
  • Page 29
    Home Office Tables. The following tables contain a summary of the inspections made and the defects found and remedied in workshops and factories within the borough where men, women, or young persons are employed:— I.—Inspections.
    Premises.Number of
    Inspections.Written notices.Prosecutions.
  • Page 29
    II.—Defects Found.
    Particulars.Number of DefectsNumber of prosecutions.
    Found.Remedied.Referred to H.M. Inspector
  • Page 30
    WOMEN HEALTH OFFICERS. Seven women health officers are attached to the infant welfare centres serving the borough, and the work performed by these officers during the year 1931 in regard to maternity and child welfare is summarised in the following table:—
    Description of work.Health officers.
    No. 1.No. 2.No. 3.No. 4.No. 5.No. 6.No. 7.Total.
  • Page 31
    The work done at the infant welfare centres during the year 1931 is shown in the following table:—
    Particulars of work done.Archer Street.Bramley RoadCampden Hill.Earl's Court.Golborne.Kenley Street.Lancaster Road.Raymede.Sutton Trust.Totals.
  • Page 32
    TABLE SHOWING THE DENTAL TREATMENT PERFORMED AT THE CENTRES IN 1931.
    Centre.No. of patients.No. of attendances.Extractions.Fillings.Dentures.Other treatments.
  • Page 33
    Statement of work done during last five years.
    1927.1928.1929.1930.1931.
  • Page 34
    The following table shows a record of children's attendances at the day nurseries in the year 1931:—
    Golborne.Lancaster Road.Notting Hill.St. Clement's.Totals.
  • Page 35
    The following is a record of the work of the health lecturer during the year 1931:—
    Number of lectures.Number attending.Average attendance at lecture.
  • Page 35
    The following table gives particulars of the dried milk supplied at cost price under the council s scheme:—
    Name of welfare centre at which the dried milk was distributed.No. of 1lb. packets sold.Value of milk sold.
  • Page 37
    COMMON LODGING HOUSES. The following table shows details of the accommodation available in the six common lodging houses in the borough:—
    Ward.Name of registered keeper.Address of common lodging house.No. of lodgers for which licensed in 1931.
    Male.Female.Total.
  • Page 38
    The following table shows the number of cases of overcrowding and indecent occupation detected in the last six years and the effectiveness of the action taken can be deduced therefrom.
    192619271928192919301931
  • Page 38
    The results have been as follows:—
    No. of houses let and notified to M.O.H. in advance of occupation.No. of instances in which rooms vacated have been let to Kensington families living under unsatisfactory or overcrowded conditions.
  • Page 38
    FITNESS OF HOUSES. Work under Section 17 of the Housing Act, 1930.The following table gives a statement of the action taken and the results obtained during 1931:—
  • Page 39
    Continued from previous page...
  • Page 41
    Average composition of formal milk samples taken in 1931.
    Months.Number of formal samples taken.Average composition of all samples submitted, genuine and adulterated.Average composition of genuine samples.Ministry of Agriculture standard.
    Percentage of milk fat.Percentage of solids not fat.Percentage o milk fat.Percentage of solids not fat.Percentage of milk fat.Percentage of solids not fat
  • Page 41
    Milk and Dairies (Amendment) Act, 1922, and Milk and Dairies Order, 1926.—A summary of the alterations made in the register of dairymen and dairies during the year 1931 and the number of persons and dairies registered at the end of the year is shown in the following table:—
    Purveyors of milk in sealed bottles.Dairymen.Dairies and milkshops.
  • Page 43
    The following table shows the number of animals slaughtered in the borough in 1931:—
    Month.Beasts.Animals Slaughtered. Swine.Sheep.
  • Page 48
    Table showing Notifications of certain Infectious Diseases received in 1927-31.
    Year.Small pox.Scarlet fever.Diph. theria.Enteric fever.Erysipelas.Ophthalmia neonatorum.Puer. peral fever.†Puerperal pyrexia.Pneumonia.Malaria.Encephalitis lethargica.P. m'ltis & polioencephalitis.‡Acute rheumatism.Cerebro spina) meningitia.Dysent. ery.*Enteritis.Total.
  • Page 49
    Table showing Cases of Infectious Diseases occurring in 1931, arranged in Four-Weekly Periods (January 4th, 1931, to January 2nd, 1932).
    Four Weeks endingSmall pox.Scarlet feverDiphtheria.Enteric fever.Erysipelas.Ophthalmia neonatorum.Puerperal fever.Puerperal pyrexia.Pneumonia.Malaria.Encephalitis lethargica.Acute rheumatism.Cerebro spinal meningitis.Dysentery.Enteritis.Total.
  • Page 49
    The following table shows the number of cases notified in the various wards in each four-weekly period during 1931:—
    District.Period No. 1.Period No. 2.Period No. 3.Period No. 4.Period No. 5.Period No. 6.Period No. 7.Period No. 8.Period No 9.Period No. 10.Period No. 11.Period No. 12.Period No. 13.
  • Page 50
    The following table shows the number of cases notified in the various wards in each four-weekly period during 1931:—
    District.Period No. 1.Period No. 2Period No. 3.Period No. 4.Period No. 5.Period No. 6.Period No. 7.Period No. 8Period No. 9Period No. 10.Period No. 11Period No. 12.Period No. 13
  • Page 51
    Ophthalmia Neonatorum.—The following table gives particulars of ophthalmia cases notified in 1931 and the results of treatment.
    Case No.Notified.Cases. Treated.Vision unimpaired.Vision impaired.Total blindness.Death.
    At home.In hospital.
  • Page 52
    Cerebro-Spinal Meningitis.—There were seven cases of this disease notified during the year ; particulars are subjoined:—
    No.Sex.Age.Date of notification.Result.
  • Page 54
    Disinfection. * SUMMARY OF WORK CARRIED OUT BY THE DISINFECTING STAFF DURING 1931.
    Nature of infection.Premises disinfected.Rooms disinfected.Disinfections at Wood Lane.No. of articles disinfected.
  • Page 56
    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 1922.
    District.1922.1923.1924.1925.Years.1928.1929.1930.1931.
    1926.1927.
  • Page 56
    The following summary shows the age and sex distribution of the cases notified and the deaths from this disease during the year:—
    Age periods. (Years).New cases†Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 57
    The following table shows the number of notifications of pulmonary and non-pulmonary tuberculosis received since 1921, together with the number of deaths and death rates in each year:—
    Year.Pulmonary tuberculosis.Other forms of tuberculosis.Tuberculosis (all forms).
    No. of notifications.No. 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 57
    Deaths from Tuberculosis in 1931 Allocated to District of Usual Residence of Patients.
    Pulmonary tuberculosis.Non-pulmonary tuberculosis.
  • Page 57
    The places where deaths from tuberculosis occurred are set forth in the following list:—
    Pulmonary tuberculosis.Non-pulmonary tuberculosis.
  • Page 58
    Dispensary Diagnosis and Treatment. The number of new cases seen at the dispensary during the year, with the original diagnoses made, is shown in the following table:—
    New Cases.
    Adults.Children under 15 yrs.Total.
    Males.Females.Males.Females.
  • Page 59
    An analysis of the tuberculosis register is shown in the following table.—
    Pulmonary.Non-pulmonary.
    MalesFemalesMalesFemales
  • Page 59
    Home Visiting. The number of home visits paid in 1931 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 60
    The following table giving the number of rooms occupied by the families of definite cases of tuberculosis diagnosed in 1931 by the tuberculosis officer, and the number of occupants ascertained by the women health officers on their visits to the homes, is inserted to show the difficulties experienced in securing home isolation in many cases:—
    No. of Rooms.No. of occupants.
    12345678910Total Cases.
  • Page 60
    It is now seven years since this table was first given in the annual report, and it is interesting to note that the overcrowding which is so often associated with tuberculosis shows slight improvement as follows:—
  • Page 60
    The work at the dispensary during the year is shown in the following table:—
  • Page 61
    The cases of tuberculosis attended and the visits paid by the nurses of the Kensington District Nursing Association during the past five years are shown in the following table:—
    Year.Cases.Visits.
  • Page 63
    Analysis of (first) notifications of acute rheumatism.
    First year, 1927-1928Second year, 1928-1929Third year, 1929-1930Fourth year, 1930-31
  • Page 63
    New Cases from Kensington Attending the Rheumatism Supervisory Centre.
    1927-19281928-19291929-19301930-1931Total.
  • Page 64
    Last year, 78 cases were analysed, this year 52 have been added, making 130 cases in all. The following is an analysis of the 130 cases:—
    19301931TotalPer cent.
  • Page 65
    The incidence of a disease is also related to the number of susceptible persons, and in the case of a malady such as juvenile rheumatism, which has a particular age incidence, the population must be corrected for age ; therefore, the ratio of the total number of children under sixteen in North and South Kensington has been calculated. This calculation, based on the Census figures for 1921, corrected by the births and child deaths in each year since 1921, is presented below :—
    Ward.Estimated population in wards, 1931.Estimated child population under 16 years of age in 1931.Notifications of acute rheumatism under 16 years of age.
    1927- 281928-291929-301930-31
  • Page 66
    Cases attending the Centre.
    1929-301930-311927-31
  • Page 66
    The total number of attendances of patients during 1930-31 is as follows:—
  • Page 66
    The new Kensington cases in 1930-31 were recommended to attend the clinic from the following sources:—
  • Page 66
    The disposal of cases which attended the centre may be summarised as follows:—
  • Page 67
    This group was not divided into those with healthy tonsils and those with unhealthy tonsils owing to the difficulty of making this differentiation accurately.
    A cases.Percentage of total of 101.B cases.Percentage of total of 50.C cases.Percentage of total of 393.
  • Page 68
    Female.Male.
    Ages.Rheumatism.Chorea.Rheumatism.Chorea.C.D.E.F.
    A.B.A.B.A.B.A.B.
  • Page 70
    TABLE I. Vital Statistics of Whole District for 1931 and previous Years.
    Year.Population estimated to middle of each year.Births.Total deaths registered in the district.Transferable deaths.Net deaths belong:ng to the district.
    Uncorrected number.Net.
    of nonresidents registered in the district.of resi-dentsnot registered in the district.Underlyearof ageAt all ages.
    Number.Rate. *Number.Rate.*Number.Rate per 1,000 net births.Number.Rate. •
    12345678910111213
  • Page 71
    TABLE II. Table showing the number of cases of infectious diseases notified in the various age periods and wards; the number admitted; and the total deaths from these disease in 1931:-
    Notifiable Disease.Number of cases notified.Total cases notified in each ward.Cases admitt-d toe hospital.Total deaths
    At all agesAt ages.—Years.St. Charles.Golborne.Norland.Pembridge.Holland.Earl's Court.Queen's Gate.Redcliffe.Brompton.
    Under 1.1 to 2.2 to 3.3 to 4.4 to 5.5 to 10.10 to 15.15 to 20.20 to 35.35 to 45.45 to 65.65 and over.
  • Page 72
    TABLE III. Causes of Death at Different Periods of Life in 1931.
    Causes of Death.Sex.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 years35 and under 45 years.45 and under 55 years.55 and under 65 years.65 and under 75 years.75 and upwards
  • Page 73
    TABLE IV. INFANT MORTALITY DURING THE YEAR 1931. Net Deaths stated Causes, at Various Ages under One Year of Age.
    Causes of deathUnder 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 74
    TABLE V. The Work of Women Health Officers for the Year 1931.
    HEALTH OFFICERSTotal.
    1234567
  • Page 75
    TABLE VI. Vaccination officer's Return Respecting The Vaccination of Children Whose Births were Registered in 1930.
    DATE.Registration sub-districts comprised in vaccination officer's district.Number of births returned in birth list sheets.Number 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) ofTotal number of certificates of successful vaccination received during the calendar year, 1931.
    Column I. success -fully vaccinated.Column II.Column V. dead, unvacci-nated.Postpone-ment by medical certificate.Removal to other dis-tricts and notified to vaccination officers of the districts.Removal to places unknown, or which cannot be reached, and cases not having been found.Not accounted for.
    1930.Insuscep-tible of vaccination.Certificate of conscien-tious objection.
  • Page 76
    TABLE VII. PARTICULARS OF THE STAFF OF THE PUBLIC HEALTH DEPARTMENT AT THE END OF 1931. (as required by minister of health circular 359).
    Year of appointment