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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 1933

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

Published
1934
Pages
80
Tables
102

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102 tables in this report

  • Page 2
    SUMMARY OF STATISTICS for the Year 1933.
  • Page 4
    BIRTHS. The number of births registered was 2,165, after correction for inward and outward transfers; and the birth rate for the borough was 12.0 per 1,000 population. Distributed according to sex and legitimacy the births were as follows:—
  • 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 1933, and the rates for the previous five years:—
  • Page 5
    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:—
  • Page 5
    The following table indicates the source of notification and the kinds of births notified.
  • Page 5
    Percentage of births in Kensington notified during the past five years, in accordance with the Notification of Births Act, 1097.
  • 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 1933, and the rates for the previous five years:—
  • Page 6
    The following table shows the Kensington death rates since 1896:—
  • Page 6
    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:—
  • Page 7
    The following table shows the zymotic death rate for Kensington and London in each of the last five years:—
  • Page 7
    The parts of the body which were affected in each case are shown in the following table:— Deaths from Cancer, 1933.
  • 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 1933 from certain diseases of public health importance, arranged in four.weekly periods.
  • Page 8
    The following table gives the births and the infant deaths and death rates in England and Wales, London, Kensington and the various wards of the borough for the year 1933, and the infant death rates for the previous four years:—
  • Page 9
    INFANT MORTALITY RATES, 1896-1933.
  • Page 9
    THE NUMBER OF DEATHS OF KENSINGTON INFANTS OCCURRING IN EACH MONTH DURING 1933.
  • Page 10
    CAUSES OF, AND AGES AT, DEATH OF INFANTS UNDER ONE YEAR OF AGE IN KENSINGTON DURING 1933.
  • Page 13
    The following is a table of cases attended and visits paid by nurses of the association behalf of the council from the 1st January to the 31st December, 1933:—
  • Page 14
    The work performed at the hospital during the year 1933 was as follows:— In-patients.
  • Page 14
    The beds are allocated as follows:—
  • Page 15
    There is in Notting Dale a school treatment centre managed by a sub-committee of the Princess Louise Hospital Board of Management, and the work performed thereat during 1933 was as follows:—
  • Page 15
    A school treatment centre has also been established at the Baby Clinic premises in Tavistock Road, and the record of work for the year 1933 is as follows:—
  • Page 16
    TABLE SHOWING NUMBER EXAMINED AND DEFECTS FOUND
  • Page 16
    TABLE SHOWING THE CONDITIONS IN REGARD TO CLOTHING, NUTRITION, CLEANLINESS, TEETH AND VISION OF THE CHILDREN EXAMINED.
  • Page 17
    SUBSCRIPTIONS BY THE BOROUGH COUNCIL TO VOLUNTARY HEALTH ORGANISATIONS DURING 1933.
  • 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:—
  • Page 19
    SANITARY INSPECTION. The following table shows a summary of the inspections, etc., carried out by the male sanitary inspectors during the year:—
  • Page 20
    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:—
  • Page 21
    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 22
    SUMMARY OF LEGAL PROCEEDINGS TAKEN IN 1933.
    Offence.No. of summonses.Magistrate's decision.
  • Page 22
    During the year 141 bodies were deposited in the public mortuary in the following circumstances:—
  • Page 23
    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 23
    The number of women using the wash-tubs in the last five years is shown in the following table :—
    Year.Washers.
  • Page 24
    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 25
    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 26
    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 26
    The number of outworkers belonging to each of these three classes is shown in the following table :—
  • Page 26
    The nature of the work given out to the 97 home workers on the register is as follows:—
  • Page 27
    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 27
    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 27
    II.—Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to h.m. Inspector.
  • Page 28
    Seven women health officers are attached to the infant welfare centres serving the borough, and the work performed by these officers during the year 1933 in regard to maternity and child welfare is summarised in the following table:—
    Description of work.Health officers.
    No. 1No. 2No. 3No. 4No. 5No. 6No. 7Total.
  • Page 29
    The work done at the infant welfare centres during 1933 is shown in the following table:—
    Particulars of work done.Archer Street.Bramley Road.Campden Hill.Golborne.Kenley Street.Lancaster Road.Raymede.South Kensington.Sutton Trust.Totals.
  • Page 30
    table showing the dental treatment performed at the centres in 1933.
    Centre.No. of patients.No. of attendancesExtractions.Fillings.Dentures.Other treatments.
  • Page 30
    The following are the records for the year ending the 31st December, 1933:—
  • Page 30
    The following is the record for the year 1933:—
  • Page 32
    The following table shows a record of children's attendances at the day nurseries in 1933:—
    Golborne.Lancaster Road.Notting Hill.St. Clement's.Totals.
  • Page 33
    The following is a record of the work of the health lecturer during 1933:—
    Number oflectures.Number attending.Average attendance at lecture.
  • Page 33
    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 1-lb. packets sold.Value of milksold.
    £s.d.
  • Page 36
    It was proposed that the houses in the following areas should be demolished:—
    Description of Area.No. of houses.No. of persons in occupation who would be displaced on demolition.
  • Page 36
    The following is a list of the seven areas recommended for treatment as unprovement areas:—
    Area.Estimated No. of persons to be displaced.
    By demolition of unfit houses.By enforcing new bylaws for overcrowding in improvement areas.By closure of unsatisfactory basement rooms and other individual unfit rooms.Total.
  • Page 38
    BUILDING SCHEMES APPROVED.
    No. of flats or tenements.No. of habitable rooms.No. of persons for whom accommodation is available.
    Housing society's or council's scale.1½ persons per habitable room.
  • Page 38
    BUILDING SCHEMES SUGGESTED. (Council or Public Utility Society.)
  • Page 40
    The following is a list of the properties owned and managed by the borough council:—
    Situation of properties.No. of houses or flats.
  • Page 41
    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.
    Overcrowding1927192819291930193119321933
  • Page 41
    The following table shows details of the accommodation available in the common lodging houses :—
    Ward.Name of registered keeper.Address of common lodging house.No. of lodgers for which licensed in 1933.
    Male.Female.Total.
  • Page 44
    Of 322 formal samples of milk taken under the Food and Drugs (Adulteration) Act in 1933, 11 were certified by the public analyst as adulterated, i.e., containing less than 3 per cent, of fat or 8.5 per cent, of non.fatty solids. These particulars, however, do not give any indication of the general quality of the milk supplied in Kensington ; therefore, it will be interesting to note the average composition of the samples taken during the year. These figures are given in the following table :— Average composition of formal milk samples taken in 1933.
    Months.Number of formal samples taken.Average composition of all samples 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 fat.Percentage of milk fat.Percentage 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 1933 and the number of persons and dairies registered at the end of the year is shown in the following table :—
    Purveyous ofmilk in sealedbottles.Dairymen.Dairies and milkshops.
  • Page 45
    The results of the examinations, together with the action taken, are shown in the following tables:- " Certified Milk."
    Sample collectiononBacteria per1 c.c.Coli per1/10th c.c.Sample collectiononBacteria per1 c.c.Coli per1/10th c.c.
  • Page 45
    " Pasteurised Milk."
    Sample collected onBacteria per 1 c.c.Sample collected onBacteria per 1 c.c.
  • Page 47
    The following is a summary of the alterations made in the council's register of food premises during 1933 :—
    On register Dec. 31, 1932.Added to register during 1933.On register Dec. 31, 1933.
  • Page 48
    Under the provisions of subsection 8 of section 47 of the Public Health (London) Act, 1891, any persons having in their possession food intended for sale which is diseased or unsound, or unfit for human consumption, may surrender it to the council for destruction as trade refuse. The unsound food surrendered and destroyed during the year is shown in the following list:—
  • Page 49
    Particulars of formal and informal samples collected are as follows :
    Nature of sample.Formal.Informal.
    Number taken.Number adulterated.Number taken.Number adulterated.
  • Page 50
    The following is a summary of the results of analysis of the 21 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 50
    In the cases notified an analysis of the foods suspected of causing the illness was made and resulted as follows :—
    Food causing illness.No. of cases.Food causing illness.No. of cases.
  • Page 51
    Table showing Notifications of certain Infectious Diseases received in 1929.33.
    Year.Smallpox.Scarlet fever.Diphtheria.Enteric fever.Erysipelas.Ophthalmia neonatorum.Puerperal fever.†Puerperalpyrexia.Pneumonia.Malaria.Encephalitis lethargica.P. m'itis & polioencephalitis.Acute rheumatism.Cerebro spinal meningitis.Dysentery.*Enteritis.Total.
  • Page 51
    Table showing Cases of Infectious Diseases occurring in 1933, arranged in Four.Weekly Periods (1st January, 1933, to 30th December, 1933).
    Four Weeks endingSmall-pox.Scarlet fever.Diphtheria.Enteric fever.Erysipelas.Ophthalmia neonatorumPuerperal fever.Puerperal pyrexia.Pneumonia.Malaria.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 1933:-
    District.Period No. 1Period No. 2PeriodNo. 3PeriodNo. 4Period No. 5Period No. (5Period No. 7Period No. 8PeriodNo. 9PeriodNo. 10Period No. 11Period No. 12Period No. 13
  • Page 53
    The following table shows the number of cases notified in the various wards in each four-weekly period during 1933:—
    District.Period No. 1Period No. 2Period No. .1Period No. 4Period No. 5Period No. 6Period No. 7Period No. 8Period No. 9Period No. 10Period No. 11Period No. 12Period No. 13
  • Page 54
    Ophthalmia Neonatorum.—The following table gives particulars of ophthalmia cases notified in 1933 and the results of treatment:—
    Case. No.Cases.Vision unimpaired.Vision impaired.Total blindness.Death.
    Notified.Treated.
    At home.In hospital.
  • Page 54
    Cerebro.Spinal Meningitis.—There were five cases of this disease notified during the year; particulars are subjoined :—
    No.Sex.Age.Date of notification.Result.
  • Page 57
    Disinfection. *SUMMARY OF WORK CARRIED OUT BY THE DISINFECTING STAFF DURING 1933.
    Nature of infection.Premises disinfected.Rooms disinfected.Disinfections at Wood Lane.No. of articles disinfected.
  • Page 58
    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 1924.
    District.Years.
    1924.1925.1926.1927.1928.1929.1930.1931.1932.1933.
  • Page 58
    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 59
    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. of notifications.No. of deaths.Deaths per 100,000 persons living.No. of deaths.Deaths per 100,000 persons living.
  • Page 59
    Deaths from Tuberculosis in 1933 Allocated to District of Usual Residence of Patients.
    Pulmonary tuberculosis.Non.pulmonary tuberculosis.
  • Page 60
    Dispensary Diagnosis and Treatment. The number of new cases seen at the dispensary during the year, with the original diagnose: made, is shown in the following table :— New Cases.
    Adults.Children under 15yrs.Total.
    Males.Females.Males.Females.
  • Page 60
    Records. An analysis of the tuberculosis register is shown in the following table :—
    Pulmonary.Non.pulmonary.
    Males.Females.Males.Females.
  • Page 61
    Home Visiting. The number of home visits paid in 1933 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 61
    The following table, giving the number of rooms occupied by the families of definite cases of tuberculosis diagnosed in 1933 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 62
    The following table shows the room-space per occupant for the last nine years:—
  • Page 62
    The work at the dispensary during the year is shown in the following table :—
  • Page 62
    Home Nursing. 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 :—
  • Page 63
    Provision of Bedding for Home Isolation. At the present time there are 19 patients to whom bedsteads and bedding are being loaned. In 13 of these the assistance was given for the first time during the past 12 months, the articles issued being as follows :—
  • Page 64
    The following table shows the number of disinfections carried out during the year :—
  • Page 64
    Bacteriological Examinations. Specimens of sputum submitted by medical practitioners for bacteriological examination at the expense of the council:—
  • Page 65
    Detailed particulars in regard to notification are given below :—
    1927-28.1928-29.1929-30.1930-31.1931-32.1932-33.
    Source of notification.No. of notifications.No. of patients notified in the year who attendedthe Centre.No. of notifications.No. of patients notified in the year who attendedthe Centre.No. of notifications.No. of patients notified in the year who attendedthe Centre.No. of notifications.No. of patients notified in the year who attendedthe Centre.No. of notifications.No. of patients notified in the year who attendedthe Centre.No. of notifications.No. of patients notified in the year who attendedthe Centre.
  • Page 66
    Cases attending the Centre.
  • Page 66
    During the year 1932-33, 48 sessions have been held at the Princess Louise Hospital, and the average attendance has risen from 25-4 in 1931-32 to 28 in 1932-33 ; the total number of attendances during this year has risen from 1,254 to 1,344.
  • Page 66
    The total number of attendances of patients during 1932-33 is as follows :—
  • Page 66
    The new Kensington cases in 1932-33 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
    Table 1. Definite new rheumatic cases seen.
    Year.Acute.Non-acute.
  • Page 68
    Table II. New cases seen.
    Year.Total.Rheumatic cases.Non-rheumatic or doubtful.Percentage of rheumatic cases to all new cases.
    Acute.Non-acute.Total.
  • Page 68
    APPENDIX II. TableI. Vital Statistics of Whole District for 1933 and previous Years.
    Year. 1Population estimated to middle ot each year.2Births.Total deathsregistered inthe district.Transferable deathsNet deaths belonging tothe district
    Uncorrected number.3Net.of nonresidents registeredin thedistrict.8of residents not registeredin the district.9Under 1 year of age.At all ages.
    Number. 4Rate.* 5Number. 6Rate.* 7Number. 10Rate per 1,000 net births. 11Number. 13Rate.* 13
  • Page 68
    At Census of 1931.
  • Page 69
    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 1933.
    Notifiable Disease.Number of cases notified.Total cases notified in each ward.Cases admitted to hospital.Total deaths.
    At allagesAt 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 70
    Table III. Causes of Death at Different Periods of Life in 1933.
    Causes of Death.Sex.All ages.Under 1 year.1 and under 2 years.2 and under5 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 71
    Table IV. INFANT MORTALITY DURING THE YEAR 1933. 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 underone year.
  • Page 72
    Table V. The Work of the Women Health Officers for the Year 1933.
    HEALTH OFFICERS..Total.
    1234567
    Child Welfare-
  • Page 73
    Table VI. Vaccination Officer's Return respecting the Vaccination of Children whose Births were Registered in 1932.
    date.Registration sub-districts comprised in vaccination officer's district.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) of
    Number ofbirths returned in birth list sheets.Column I. successfully vaccinatedColumn II.Removal to other districts and notified to vaccination officers ofthe districts.Removal to places unknown, or which cannot be reached, and cases not having been found.Not accounted for.Total number of certificates of successful vaccination received during the calendar year, 1933.
    1932.Insusceptible of vaccinationCertificate ofconscientious objection.Column V. dead, unvacci-nated.Postponement by medical certificate.
  • Page 74
    TABLE VII. PARTICULARS OF THE STAFF OF THE PUBLIC HEALTH DEPARTMENT AT THE END OF 1933 (as required by Ministry of Health Circular 359).