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Kensington 1934

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

Published
1934
Pages
90
Tables
95

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95 tables in this report

  • 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
    Marriages. During the year, 2,067 marriages were registered, representing a rate of 11.5 marriages 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 2,195, after correction for inward and outward transfers; and the birth rate for the borough was 12.3 per 1,000 population. Distributed according to sex and legitimacy the births were as follows:—
    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 1934, and the rates for the previous five years:—
    District.1934.1933Birth rates in previous years.1929
    No. of births.Birth rate.193219311930
  • 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:—
    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 1934, and the rates for the previous five years:—
    District.1934Death rates in previous years.
    No. of deaths.Death rate.193319321931193019291928
  • 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.Kensington.London.
  • Page 7
    The parts of the body which were affected in each case are shown in the following table:— Deaths from Cancer, 1934.
    Parts affected.Sex.
    Male.Female.Total.
  • 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 1934 from certain diseases of public health importance, arranged in four-weekly periods.
    Four weeks endingScarlet fever.Whooping cough.Diphtheria.Influenza.Phthisis.Cancer.Bronchitis.Pneumonia.Diarrhoea and enteritis.
  • 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 year1934, and the infant death rates for the previous four years:—
    District.1934Infant mortality rates in previous four years.
    No. of births.No. of deaths of children under 1 year of age.Infant mortality rate.1933193219311930
  • Page 9
    Infant Mortality Rates, 1896-1934.
    Period.England and Wales.London.Kensington.
  • Page 9
    Causes of, and ages at, deaths of infants under one year of age in Kensington during 1934.
    Causes of death.Under 1 week.1—2 weeks.2—3 weeks.3—4 weeks.Total 4 weeks.1—3 months3—6 months6—9 months9—12 months.Total infant deaths under 1 year.
  • Page 14
    The following is a table of cases attended and visits paid by nurses of the association on behalf of the council from the 1st January to the 31st December, 1934:—
    Cases.Visits.
  • Page 17
    Table showing number examined and Defects found.
    Number examinedBoys.Girls.
    Entrants. 916Age 7. 426Age 11. 663Age 14. 852Entrants. 906Age 7. 486Age 11. 762Age 14. 849
  • Page 17
    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.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 or both eyes.
  • Page 19
    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 20
    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 DISTRICT.Housing Inspectors.Grand Total
    12345678910
  • Page 21
    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 Inspectors.Grand Total
    12345678910
  • Page 22
    Summary of works completed under the supervision of the sanitary inspectors during the year:-
    DESCRIPTION OF WORK, &c.NUMBER OF DISTRICT.Housing Inspectors.Grand Total
    12345678910
  • Page 23
    Summary of Legal Proceedings taken in 1934.
    Offence.No. of summonses.Magistrate's decision.
  • Page 23
    Mortuary and Chapel of Rest. During the year 184 bodies were deposited in the public mortuary in the following circumstances:—
  • Page 24
    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 24
    The number of women using the wash-tubs in the last five years is shown in the following table:—
    Year.Washers.
  • Page 26
    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 27
    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 27
    The number of outworkers belonging to each of these three classes is shown in the following table:—
  • Page 27
    The nature of the work given out to the115 home workers on the register is as follows:-
  • Page 28
    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 28
    I.—Inspections.
    Premises.Number of
    Inspections.Written notices.Prosecutions.
  • Page 28
    II.—Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 30
    Women Health Officers. Eight women health officers are attached to the infant welfare centres serving the borough, and the work performed by these officers during 1934 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. 7* No. 8Total.
  • Page 31
    Infant Welfare Centres. There are eight voluntary infant welfare centres and one branch centre in Kensington, and the work done at these institutions during 1934 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.
    1st Jan. to 30th Sept.
  • Page 32
    TABLE SHOWING THE DENTAL TREATMENT PERFORMED AT THE CENTRES IN 1934.
    Centre.No. of patients.No. of attendancesExtractions.Fillings.Dentures.Other treatments.
  • Page 33
    Message and Electrical Treatment Centre. Massage and electrical treatment is undertaken at the Princess Louise Kensington Hospital for Children, and following is a record of the work conducted thereat during 1934:-
  • Page 33
    Statement of work done during last five years.
    19301931193219331934
  • Page 33
    Gynæcological Clinic. The following is a record of the work carried out in the gynaecological clinic at the North Kensington Women's Welfare Centre, No. 12, Telford Road, during the year :—
  • Page 34
    The following table shows a record of children's attendances at the day nurseries in 1934:—
    Golborne.Lancaster Road.Notting Hill.St. Clement's.Totals.
  • Page 34
    The following is a record of the work of the health lecturer during 1934:—
    Number of lectures. 1Number of individual mothers attending.Number of attendances.Average attendance at lecture.
  • Page 35
    The following table gives particulars of the dried milk supplied at cost price under the council scheme:—
    Name of welfare centre at which the dried milk was distributed.No. of 1-lb. packets sold.Value of milk sold.
  • Page 37
    The following table gives a summary of the action taken and the results obtained during 1934. These figures are in respect of premises outside improvement areas.
  • Page 40
    The following statistics show the number of basement rooms vacated by the end of the year and how the families have been dealt with.
    No. of rooms in respect of which closing orders were made.No. of these rooms vacated.Rooms still to be vacated at the end of year.
  • Page 43
    Closure of Basement Rooms.
  • Page 44
    The following table shows the licensed common lodging houses and the accommodation available on the 1st January, 1934:—
    Ward.Name of registered keeper.Address of common lodging house.No. of lodgers for which licensed.
    Male.Female.Total.
  • Page 47
    Average composition of formal milk samples taken in 1934.
    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 fat.Percentage of solids not fat.Percentage of milk fat.Percentage of solids not fat.
  • Page 47
    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 1934, 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 48
    The licences granted in 1934 were as follows:—
    Principal licences.* Supplementary licences.
  • Page 50
    The following is a summary of the alterations made in the council's register of food premises during 1934:—
    On register Dec. 31, 1933.Added to register during 1934.On register Dec. 31, 1934.
  • Page 52
    Particulars of formal and informal samples collected are as follows:—
    Nature of sample.Formal.Informal.
    Number taken.Number adulterated.Number taken.Number adulterated.
  • Page 53
    Nature of Sample.Formal.Informal.
    Number taken.Number adulterated.Number taken.Number adulterated.
  • Page 55
    An analysis was made of the foods suspected of causing the illness in the notified cases, and resulted as follows:—
    Food causing illness.No. of cases.
  • Page 56
    Table showing Notifications of certain Infectious Diseases received in 1930-34.
    Year.Small-pox.Scarlet fever.Diph-theria.Enteric fever.Ery-sipelas.Ophthal-mia neo-natorum.Puer-peral fever.Puer-peral pyrexia.Pneu-monia.Malaria.Encepha-litis le-thargica.P.m'itis & polio-ence-phalitis.‡ Acute rheum-atism.Cerebro spinal mening-itis.Dysent-ery.* Enter-itis.Total.
  • Page 56
    Table showing Cases of Infectious Diseases occurring in 1934, arranged in Four-Weekly Periods (1st January, 1934, to 29th December, 1934).
    Four Weeks endingSmallpox.Scarlet fever.Diphtheria.Enteric fever.Erysipelas.Ophthalmia neonatorum.Puerperal fever.Puerperal pyrexia.Pneumonia.Malaria.Acute rheumatism.Cerebro spinal meiiingitis.Dysentery.Enteritis.Polio myelitis.Total.
  • Page 57
    The following table shows the number of cases notified in the various wards in each four-weekly period during1934:—
    District.Period No. 1Period No. 2Period No. 3Period No. 4Period No. 5Period No. 6Period No. 7Period No. 8Period No. 9Period No. 10Period No. 11Period No. 12Period No. 13
  • Page 58
    The following table shows the number of cases notified in the various wards in each four-weekly period during 1934:—
    District.Period No. 1Period No. 2Period No. 3Period No. 4Period No. 5Period No. 6Period No. 7Period No. 8Period No. 9Period No. 10Period No. 11Period No. 12Period No. 13
  • Page 59
    Ophthalmia Neonatorum.—The following table gives particulars of ophthalmia cases notified in 1934 and the results of treatment:—
    Case. No.Cases.Vision unimpaired.Vision impaired.Total blindness.Death.
    Notified.Treated.
    At home.In hospital.
  • Page 59
    Cerebro-Spinal Meningitis.—There were four cases of this disease notified during the year ; particulars are subjoined:—
    No.Sex.Age.Date of notification.Result.
  • Page 61
    The record of work done during 1934 is as follows:—
    Scabies—Total cleansings.
  • Page 63
    SUMMARY OF WORK CARRIED OUT BY THE DISINFECTING STAFF DURING 1934.
    Nature of infection.Premises disinfected.Rooms disinfected.Disinfections at Wood Lane.No. of articles disinfected.
  • Page 64
    The following table shows the number of cases and deaths in Kensington during the past six years:—
    Year.Cases.Deaths.
  • Page 66
    The following are particulars of the work done under the scheme from its commencement on the 1st May to the end of the year.
  • Page 67
    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 1925.
    District.Years.
    1925.1926.1927.1928.1929.1930.1931.1932.1933.1934.
  • Page 67
    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 68
    The following table shows the number of notifications of pulmonary and non-pulmonary tuberculosis received since 1923, 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 per-sons living.No. of notifications.No. of deaths.Deaths per 100,000 per-sons living.No. of deaths.Deaths per 100,000 persons living.
  • Page 68
    Deaths from Tuberculosis in 1934 Allocated to District of Usual Residence of Patients.
    Pulmonary tuberculosis.Non-pulmonary tuberculosis.
  • Page 68
    The places where deaths from tuberculosis occurred are set forth in the following list:—
    Pulmonary tuberculosis.Non-pulmonary tuberculosis.
  • Page 69
    The number of new cases seen at the dispensary during the year, with the original diagnoses made, is shown in the following table:—
    Adults.Children under 15 yrs.Total.
    Males.Females.Males.Females.
  • Page 69
    Records. An analysis of the tuberculosis notification register is shown in the following table:—
    Pulmonary.Non-pulmonary.
    Males.Females.Males.Females.
  • Page 70
    Home Visiting. The number of home visits paid in 1934 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 70
    The following table, giving the number of rooms occupied by the families of definite cases of tuberculosis diagnosed in 1934 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 71
    The following table shows the room-space per occupant for the last ten years:—
    Year.Rooms per occupant.
  • Page 71
    The work at the dispensary during the year is shown in the following table:—
  • Page 71
    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:—
    Year.Cases.Visits.
  • Page 73
    Response to notification. Detailed particulars in regard to notification are given below:—
    Year.No. of notifications.Total number of notifications.Total number of patients notified in the year who attended the centre.
    Medical officers at rheumatism super-visory centre.Private doctors.School medical officers.Hospitals and other institutions.
  • Page 73
    Cases attending the centre.
    1929-301930-311931-321932-331933-34
  • Page 74
    The total number of attendances of patients during 1933-34 is as follows:—
  • Page 74
    The new Kensington cases in 1932-33 were recommended to attend the clinic from the following sources:—
  • Page 74
    The disposal of cases which attended the centre may be summarised as follows:—
  • Page 75
    (Abbreviations used in the following tables:— L.=lying. S.=standing. E.=expiration. I.=inspiration. T.A.=tricuspid area. A.A.=aortic area. P.A.=pulmonary area. >=greater than. Physiolog.=physiological.) GROUP I.—Basal murmur with no other signs of carditis. A.—Basal murmur unchanging—no history of juvenile rheumatism.
    Case.Site.Posture.Persistence after first heard.Electrocardiogram.Remarks.
  • Page 75
    B.—Basal murmur not present when first seen—no history of juvenile rheumatism.
  • Page 75
    C.—Murmur unchanging—history of juvenile rheumatism, but no evidence of carditis since attending centre.
  • Page 75
    D.—Murmur not heard when first seen—history of juvenile rheumatism, but no evidence of carditis since attending centre.
  • Page 75
    GROUP II.—Basal murmur preceding other signs of carditis. A.—Basal murmur unchanging—no history of juvenile rheumatism.
    Case.Site.Posture.Persistence after first heard.Electrocardiogram.Remarks.
  • Page 76
    C.— Basal murmur unchanging—previous history of juvenile rheumatism.
    Case.Site.Posture.Persistence after first heard.Electro-cardiogram.Remarks.
  • Page 76
    GROUP III.—Basal murmur following other signs of carditis noted at centre. N.B.—All these cases therefore have history of juvenile rheumatism before onset of murmur, which was not present when first seen.
    Case.Site.Posture.Persistence after first heard.Electro-cardiogram.Remarks.
  • Page 76
    GROUP IV.—Basal murmur coincident with other signs of carditis.
    Case.Site.Posture.Persistence after first heard.Electro cardiogramRemarks.
  • Page 78
    APPENDIX II. TABLE I. Vital statistics of whole district for 1934 and previous years.
    Year.Population estimated to middle of each year.Births.Total deaths registered in the district.Transferable deathsNet deaths belonging to the district
    Uncorrected number.Net.of nonresdents registered in the district. of residents not registered in the district. Under 1 year of age.At all ages.
    Number.Rate.*Number.Rate.*Number.Rate per 1,000 net births.Number.Rate.*
    12345678910111213
  • Page 78
    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 1934.
    Notifiable Disease.Number of cases notified.Total cases notified in each ward.Cases admitted to hospital.Total deaths.
    At ages.— Years.St. Charles.Golborne.Norland.Pembridge.Holland.Earl's Court.Queen's Gate.Redcliffe.Brompton.
    At all agesUnder 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 79
    TABLE III. Causes of Death at Different Periods of Life in 1934.
    Causes of Death.Sex.All ages.Under 1 year.1 and under 2 years.2 and under 6 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 80
    TABLE IV. Infant Mortality during the Year 1934. 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 81
    TABLE V. The Work of the Women Health Officers for the Year 1934.
    HEALTH OFFICERTOTAL
    1234567*8
  • Page 82
    TABLE VI. Vaccination Officer's Return respecting the Vaccination of Children whose Births were Registered in 1933.
    DATE.1933.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 vaccinatior received during the calendar year, 1934.
    Column I. success-fully vaccinatedColumn 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.
    Insuscep-tible of vaccinationCertificate of conscien-tious objection.
  • Page 83
    Particulars of the Staff of the Public Health Department at the end of 1934 (as required by Ministry of Health Circular 359).
    Year of Appointment.