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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 1932

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

Published
1933
Pages
80
Tables
108

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108 tables in this report

  • Page 2
    SUMMARY OF STATISTICS For the year 1932.
  • Page 4
    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 4
    Population by sex.
    Area.1921.1931.
    Males.Females.Males.Females.
  • Page 5
    MARRIAGES. During the year, 1,783 marriages were registered, representing a rate of 195 per 1,000 of the population. The place of marriage is set out in the following table:— 10:50 AM 1/8/2013
  • Page 5
    BIRTHS. The number of births registered was 2,362, after correction for inward and outward transfers ; and the birth rate for the borough was 129 per 1,000 population. Distributed according to sex and legitimacy the births were as follow:—
    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 1932, and the rates for the previous five years:—
    District.1932.Birth rates in previous years.
    No. of births.Birth rate.1931.1930.1929.1928.1927.
  • Page 6
    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 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 births.Total births.
  • Page 6
    Percentage of births in Kensington notified during the past five years, in accordance with the Notification of Births Act, 1907.
    Year.Percentage.
  • Page 7
    The number of deaths registered in the borough during the year was '2,930, but this does not represent the true mortality among the population and, in order to obtain the corrected number of deaths which does so represent the true mortality, it is necessary to add the deaths of Kensington "residents" occurring outside the district to the number registered as actually occurring in the borough, and to subtract from the total thus arrived at the deaths of " nonresidents " taking place in the institutions provided in Kensington for the reception of sick or infirm persons.
  • Page 7
    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 1932, and the rates for the previous five years:—
    District.1932.Death rates in previous years.
    No. of deaths.Death rate.1931.1930.1929.1928.1927.1926
  • Page 7
    The following table shows the Kensington death rates since 1896:—
    Period.Death rate per 1,000 living
  • Page 8
    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 for the year:—
    Cause of death.Number of deaths
  • Page 8
    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 8
    The parts of the body which were affected in each case are shown in the following table :— DEATHS FROM CANCER, 1932.
    Farts affected.Sex.Total.
    Male.Female.
  • Page 9
    The deaths in the several wards, etc., are set out in the following table:—
  • Page 9
    Table showing the number of deaths in 1932 from certain diseases of public health importance. arranged in four-weekly periods.
    Four weeks endingEnteric fever.Scarlet fever.Whooping coughDiphtheria.InfluenzaPhthisis.Cancer.Bronchitis.Pneumonia.Diarrhoea and enteritis.
  • Page 10
    The following table gives the births and the infantile deaths and death rates m England ant Wales, London, Kensington and the various wards of the borough for the year 1932, and th infantile death rates for the previous four years
    District.1932.Infantile mortality rates in previous four years.
    No. of birthsNo. of deaths of children underyear of age.Infantile mortality rate.1931193019291928
  • Page 11
    CAUSES OF, AND AGES AT, DEATH OF INFANTS UNDER ONE YEAR OF AGE IN KENSINGTON DURING 1932.
    Causes of deathUnder 1 week.1—2 weeks.2—3 weeks.3—4 weeks.Total 4 weeks1—3 months3—6 month6—9 month9—12 months.Total infant deaths under 1 year
  • Page 12
    The following is a table of cases attended and visits paid by nurses of the Association on behalf of the council from January 1st to December 31st, 1932:—
    Cases.Visits.
  • Page 13
    A trained nurse was employed by the Golborne infant welfare centre until October 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 15
    The record of work carried out at the centre during the year 1932 is as follows :—
  • Page 16
    TABLE SHOWING NUMBER EXAMINED AND DEFECTS FOUND
    Number examinedBoys.Girls.
    Entrants.Age 8.Age 12.Age 14.Entrants.Age 8.Age 12.Age 14.
    9037139485108376791,038525
  • Page 16
    TABLE SHOWING THE CONDITIONS IN REGARD TO CLOTHING, NUTRITION, CLEANLINESS, TEETH AND VISION OF THE CHILDREN EXAMINED.
    Age Groups.Number examined.Clothing and boots.Nutrition.Cleanliness of head.Cleanliness of body.Teeth.Vision.
    Good.Fair.Poor.GoodAverage.Below normal.Bad.Clean.NitsPediculi.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 cither
  • Page 17
    SUBSCRIPTIONS BY THE BOROUGH COUNCIL TO VOLUNTARY HEALTH ORGANISATIONS DURING 1932. Subscriptions to Hospitals, etc.
    £s.d.£s.d.
  • Page 18
    The following table deals with(a) drainage work undertaken voluntarily by owners and supervised by the officers of the public health department, and (b) all drainage 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 18
    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 19
    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
    1234568910
  • Page 20
    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 21
    Summary of Legal Proceedings taken during the year, 1932.
    Nature of offence.No. of summonses.Magistrate's decisions.
  • Page 21
    MORTUARY AND CHAPEL OF REST. During the year 156 bodies were deposited in the public mortuary in the following circumstances:—
  • Page 22
    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 22
    The number of women using the wash-tubs in the last five years is shown in the following table:—
    Year.Washers.
  • Page 24
    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 25
    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 25
    The number of outworkers belonging to each of these three classes is shown in the following table :—
  • Page 25
    The nature of the work given out to the 92 home workers on the register is as follows :—
  • Page 26
    The appended table summarises the work for the year of the women health officers under the Factory and Workshop Acts, so far as it is capable of being expressed in this form :—
  • Page 26
    I.—Inspections.
    Premises.Number of
    Inspections.Written notices.Prosecutions.
  • Page 26
    II.—Defects Found.
    Particulars.Number of Defects.Number of prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 27
    Seven women health officers are attached to the infant welfare centres serving the borough, and the work performed by these officers during the year 1932 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 28
    The work done at the infant welfare centres during the year 1932 is shown in the following table :—
    Particulars of work done.Archer Street.Bramley RoadCampden Hill.Golborne.Kenley Street.Lancaster Road.Raymede.South KensingtonSutton Trust.Totals.
  • Page 29
    TABLE SHOWING THE DENTAL TREATMENT PERFORMED AT THE CENTRES IN 1932.
    Centre.No. of patients.No. of attendances.Extractions.Fillings.Dentures.Other treatments.
  • Page 29
    The following are the records for the year ending December 31st, 1932:—
  • Page 29
    The following is the record for the year 1932 :—
  • Page 30
    Massage and electrical treatment is undertaken at rhe Princess Louise Kensington Hospital for Children, and the following is a record of the work conducted thereat during the year 1932 : —
  • Page 30
    Statement of work done during last five years.
    19281929.1930.1931,1932.
  • Page 31
    The following table shows a record of children's attendances at the day nurseries in the year 1932:-
    Golborne.Lancaster Road.Notting Hill.St. Clement's.Totals.
  • Page 31
    Each mother and baby stays in the home for a period of 14 days.
  • Page 32
    The following is a record of the work of the health lecturer during the year 1932 :—
    Number of lectures.Number attending.Average attendance at lecture.
  • Page 32
    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. ol lib. packets sold.Value of milk sold.
    £s.d.
  • Page 33
    POPULATION PER ACRE.
    Area.Year.
    1921.1931.
  • Page 34
    POPULATION PER ACRE IN KENSINGTON WARDS.
    1921.1931.
  • Page 34
    In these circumstances, a more helpful figure of population density is that which is based on residential area, and the following table shows the residential acreage of London, Kensington and the wards of the borough, together with the number of persons per residential acre in 1921 and 1931 :—
    *Residential acreage in 1921.Persons per Residential Acre.
    1921.1931.
  • Page 35
    Rooms.—These are the usual living rooms, including bedrooms and kitchens, but excluding sculleries, landings, lobbies, closets, bathrooms or any warehouse, office or shop rooms.
    19211931..Increase or Decrease.
    North Kensington.South Kensington.North Kensington.South Kensington.Number.Percentage.
    N. Ken.S. Ken.N. Ken.S. Ken.
  • Page 36
    STRUCTURALLY SEPARATE DWELLINGS—KENSINGTON.
    1921.1931.Increase or decrease.
  • Page 36
    SIZE OF STRUCTURALLY SEPARATE DWELLINGS OCCUPIED—KENSINGTON.
    Number of Rooms.1921.1931.
    Number,Percentage.Number.Percentage.
  • Page 36
    DISTRIBUTION OF FAMILIES ACCORDING TO NUMBER OF ROOMS OCCUPIED- KENSINGTON.
    Number of rooms.Private Families.
    Number in 1931.Increase or Decrease, 1921—1931.Distribution. %
    1921.1931.
  • Page 37
    PRIVATE FAMILIES—KENSINGTON.
  • Page 37
    DISTRIBUTION OF PRIVATE FAMILIES ACCORDING TO NUMBER OF PERSONS IN FAMILY—KENSINGTON.
    Number in family.Private families.Rooms per family.Persons per room.
    Number in 1931.Increase or decrease. 1921—1931.Distribution par cent.
    1921.1931.1921.1931.1921.1931.
  • Page 39
    The following table shows details of the accommodation available in the five common lodging houses in the borough :—
    Ward.Name of registered keeper.Address of common lodging house.No. of lodgers for which licensed in 1932.
    Male.Female.Total.
  • Page 40
    In houses let in lodgings, of which there are several thousand in Kensington, the council can take action to prevent overcrowding unless each cccupant has the amount of cubic feet of air space set out below :—
    Each person over 10 years, must have in aEach person under 10 years, must have in a
    room used exclusively for sleeping c. ft.room used for living and sleeping c. ft.room used exclusively for sleeping c. ft.room used for living and sleeping. c. ft.
  • Page 40
    The following table shows the number of cases of overcrowding and indecent occupation detected in the last seven years and the effectiveness of the action taken can be deduced therefrom.
    1926192719281929193019311932
  • Page 41
    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 41
    The following table gives a statement of the action taken and the results obtained during 1932 :—
  • Page 42
    The following is a tabular statement in regard to the clearance areas which I have represented since the introduction of the Housing Act, 1930 :—
    Description Of area.Date of declaration by the council.Number of occupants.Remarks.
  • Page 42
    The Minister of Health has required that certain information shall be given in this Annual Report, and I now beg to submit particulars requested by him in Circular 1269 :—
  • Page 43
    continued to previous page
  • Page 43
    Average composition of formal milk samples taken in 1932.
    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 of milk fatPercentage of solids not fat.Percentage of milk fat.Percentaee of solids not fat.
  • Page 44
    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 1932 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.Dairvmen.Dairies and milkshops.
  • Page 44
    The licences granted in 1932 were as follows :—
  • Page 44
    During the year, twenty-two samples of "Certified Milk," and twenty-five of " Pasteurised Milk " were taken for the purpose of ascertaining whether they complied with the bacteriological standards laid down in the Milk (Special Designations) Order, which are as follows :—
    Special class of milk.Maximum number of bacteria permitted per c.c.Standard for bacillus coli.
  • Page 44
    The results of the examinations, together with the action taken, are shown in the following tables :— " Certified Milk."
    Sample collected OilBacteria per 1 c.c.Coli per l/10th c c.Sample collected onBacteria per 1 c.c.Coli per l/10th c.c.
  • Page 45
    " Pasteurised, Milk."
    Sample collected onBacteria per 1 c.c.Sample collected onBacteria per 1 c.c.
  • Page 45
    The following table shows the number of animals slaughtered in the borough in 1932 :—
    Month.Animals slaughtered.
    Beasts.Sheep.
  • Page 50
    The following is a summary of the results of analysis of the 30 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 51
    Table showing Notifications of certain Infectious Diseases received in 1928-32.
    Year.Small pox.Scarlet fever.Diph-theria.Enteric fever.Erysipelas.Ophthal. mia neonatorum.Puer. peral fever.Puerperal pyrexiaPneumonia.Malaria.Encepha-litis le. tbargica.P. m'itis & polio. encephalitis.‡ Acute rheumatism.Cerebro spina) mening. itis.Dysentery.&Enter itis.Total.
  • Page 52
    Table showing Cases of Infectious Diseases occurring in 1932, arranged in Four-Weekly Periods (January 3rd, 1932, to December 31st 1933).
    Four Weeks endingSmall pox.Scarlet feverDiphtheria.Enteric fever.Erysipelas.Ophthalmia neonatorum.Puer. peral fever.Puerperal pyrexia.Pneu-monia.Malaria.Encephalitis le-thargica.Acute rheumatism.Cerebro spinal meningitis.Dysentery.Enteritis.Polio myelitis.Total.
  • Page 52
    The following table shows the number of cases notified in the various wards in each four-weekly period during 1932 :—
    District.Period No. 1.Period No. 2.Period No. 3Period No. 4.Period No. 5.Period No. 6.Period No. 7.Period No. 8.Period No. 9Period No. 10.Period No. 11.Period No. 13.Period No. 13
  • Page 53
    The following table shows the number of cases notified in the various wards in each four-weekly period during 1932 :—
    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 54
    Ophthalmia Neonatorum.—The following table gives particulars of ophthalmia cases notified in 1932 and the results of treatment.
    Case No.Cases.Vision unimpaired.Vision impaired.Total blindness.Death.
    Notified.Treated.
    At home.In hospital.
  • Page 55
    Cerebro-Spinal Meningitis.—There were ten cases of this disease notified during the year ; particulars are subjoined :—
    No.Sex.Age.Date of notification.Result.
  • Page 57
    The cleansing of verminous persons is carried out at the medicinal baths, Blechynden Mews. The record of work done during the vear 1932 is as follows :—
    Scabies—Total cleansings.
  • Page 58
    Disinfection. *SUMMARY OF WORK CARRIED OUT BY THE DISINFECTING STAFF DURING 1932.
    Nature of infection.Premises disinfected.Rooms disinfected.Disinfections at Wood Lane.No. of articles disinfected.
  • Page 59
    The following table shows the number of cases of both forms of the disease notified in the borough and the several wards therein daring each year since 1923.
    DistrictYears.
    1923.1924.1925.1926.1927.1928.1929.1930.1931.1932.
  • Page 59
    The following summary shows the age and sex distribution of the cases notified and the deaths from this disease during the year :—
    Age periods.New cases†Deaths.
    Respiratory.Non-respiratory.Respiratory.Non-respiratory.
    M.F.M.F.M.F.M.F.
  • Page 60
    The following table shows the number of notifications of pulmonary and non-pulmonary tuberculosis received since 1922, 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. if notifications.No. of deaths.Deaths per 100,000 persons living.No. of deaths.Deaths per 100,000 persons living
  • Page 61
    New Cases.
    Adults.Children under 15 yrs.Total.
    Males,Females.Males.Females.
  • Page 61
    Records. An analysis of the tuberculosis register is shown in the following table .—
    Pulmonary.Non-pulmonary.
    MalesFemalesMalesFemales
  • Page 62
    The number of home visits paid in 1932 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 62
    The following table, giving the number of rooms occupied by the families of definite cases of tuberculosis diagnosed in 1932 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.Rooms. No. of occupants.
    12345678910Total Cases.
  • Page 63
    The following table shows the room space per occupant for the last eight years
  • Page 63
    The work at the dispensary during the year is shown in the following table :—
  • Page 63
    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 65
    The detailed particulars are given below. It will be seen that the notification figures show a steady decline ; this is probably due to the notification in the first years of an accumulation of patients in whom the first symptoms had occurred before the year 1927.
    1927-28.1928-29.1929-30.1930-31.1931-32.
    Source of notification.No. of notifications.No. of patients notified in the year who attended the Centre.No. of notifications.No. of patients notified in the year who attended the Centre.No. of notifications.No. of patients notified in the year who attended the Centre.No. of notifications.No. of patients notified in the year who attended the Centre.No. of notifications.No. of patients notified in the year who attended the Centre.
  • Page 65
    The percentage attendance of the notified cases at the supervisory centre remains very stationary, as the following table shows:—
  • Page 67
    Cases attending the Centre.
    1929-301930-311931-32
  • Page 67
    During the year 1931-32, 48 sessions have been held at the Princess Louise Hospital, and the average attendance has risen from 23.7 in 1930-31, to 25.4 in 1931-32; the total number of attendances during this year has risen from 1,160 to 1,254.
  • Page 67
    The total number of attendances of patients during 1931-32 is as follows:—
  • Page 67
    The new Kensington cases in 1931-32 were recommended to attend the clinic from the following sources:—
  • Page 67
    The disposal of cases which attended the centre may be summarised as follows :—
  • Page 71
    APPENDIX II. TABLE I. Vital Statistics of Whole District for 1932 and previous Years.
    Year.Population estimated to middle of each year.Births.Total deaths registered in the district.Transferable deaths.Net deaths belonging to the district.
    Uncorrected number.Net.
    of nonresidents registered in the district.of resi-dentsnot registered in the district.Under 1 year of ageAt all ages.
    1Number.Rate.*Number.Rate.*Number.Rate per 1,000 net births.Number.Rate. *
    2345678910111213
  • Page 72
    TABLE II. Table showing the number of cases of infectious disease notified in the various age periods and wards; the number admitted to hospitals; and the total deaths from these diseases in 1932:—
    Notifiable Disease.Number of cases notified.Total cases notified in each ward.Cases admitted to hospitalTotal 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 6.5 to 10.10 to 15.15 to 20.20 to 35.35 to 45.45 to 65.65 and over.
  • Page 73
    TABLE III. Causes of Death at Different Periods of Life in 1932.
    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 years.35 and under 45 years.45 and under 55 years.55 and under 65 years.65 and under 75 years.75 and upwards
  • Page 74
    TABLE IV. INFANT MORTALITY DURING THE YEAR 1932. Net Deaths from stated Causes, at Various Ages under One Year of Age.
    Cause of death.Under 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 75
    TABLE V. The Work of the Women Health Officers for the Year 1932.
    HEALTH OFFICERSTotal.
    1234567
  • Page 76
    TABLE VI. Vaccination Officer's Return respecting the Vaccination of Children whose Births were Registered in 1931.
    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, 1932.
    Column I. successfully vaccinated.Column II.Column V. dead, unvaccinated.Postponement by medical certificate.Removal to other districts 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.
    Insusceptible of vaccination.Certificate of conscientious objection.
    1931.
  • Page 77
    TABLE VII. PARTICULARS OF THE STAFF OF THE PUBLIC HEALTH DEPARTMENT AT THE END OF 1932. (as required by Ministry of Health Circular 359).
    Year of appointment.