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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 1935

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

Published
1936
Pages
80
Tables
84

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84 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.
  • 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 1935, and the rates for the previous five years:—
    District.1935.Birth rates in previous years.
    No. of births.Birth rate.19341933193219311930
  • 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 1935, and the rates for the previous five years:—
    District.1935Death rates in previous years.
    No. of deaths.Death rate.193419331932193119301929
  • Page 6
    The following table shows the Kensington death rates since 1896:—
    Period.Death rate per 1,000 living.
  • Page 7
    Deaths from Cancer, 1935.
    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 1935 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 death rates in England and Wales, London, Kensington and the various wards of the borough for the year 1935, and the infant death rates for the previous four years :—
    District.1935Infant mortality rates in previous four years.
    No. of births.No. of deaths of children under 1 year of age.Infant mortality rate.1934193319321931
  • Page 9
    Infant Mortality Rates, 1896-1935.
    Period.England and Wales.London.Kensington.
  • Page 9
    The number of deaths of Kensington infants occurring in each month during 1935.
  • Page 9
    Causes of, and ages at, deaths of infants under one year of age in Kensington during 1935.
    Causes of death.Under 1 week.1—2 weeks.2—3 weeks.3—4 weeks.Total 4 weeks.1—3 months.3—6 nonths.6—9 months.9—12 months.Total infant deaths under 1 year
  • Page 15
    Table showing number examined and defects found.
    Number examinedBoys.Girls.
    Entrants. 690Age 7. 561Age 11. 668Age 14. 675Entrants. 746Age 7. 531Age 11. 622Age 14. 739
    Cases.•Cases.•Cases.•Cases.*Cases.•Cases.*Cases.•Cases.•
  • Page 15
    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 16
    Subscriptions by the Borough Council to Voluntary Health Organisations during 1935.
    £s.d.£s.d.
  • Page 17
    Payments to Maternity and Child Welfare Institutions.
    £s.d.£s.d.
  • Page 18
    Sanitary Inspection. The following table shows a summary of the inspections, etc., carried out by the male sanitary and housing inspectors during the year:—
    DESCRIPTION OF WORK.NUMBER OF DISTRICT.Housing Inspectors.Total
    12345678
  • Page 18
    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 Inspec. tors.Total
    12345678
  • Page 19
    Summary of works completed under the supervision of the sanitary and housing inspectors during the year:—
    DESCRIPTION OF WORK.NUMBER OF DISTRICT.Housing Inspectors.Total
    12345678
  • Page 20
    Summary of Legal Proceedings taken in 1935.
    Offence.No. of summonses.Magistrate's decision.
  • Page 21
    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 21
    The number of women usmg the wash-tubs in the last five years is shown in the following table:—
    Year.Washers.
  • Page 22
    The Rats and Mice (Destruction) Act, 1919. 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 23
    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 24
    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 24
    The number of outworkers belonging to each of these three classes is shown in the following table:—
  • Page 25
    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 25
    II.—Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 28
    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 1935 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. 7No. 8Total.
  • Page 29
    Infant Welfare Centres. There are eight infant welfare centres; seven centres are conducted by voluntary institutions and one, namely, the Sutton Trust centre, is under municipal control. The work done at these institutions during 1935 is shown in the following table:—
    Particulars of work done.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 1935.
    Centre.No. of patients.No. of attendancesExtractions.Fillings.Dentures.Other treatments.
  • Page 31
    Statement of work done during last five years.
    19311932193319341935
  • Page 32
    The following table shows a record of children's attendances at the day nurseries in 1935:—
    Golborne.Lancaster Road.Notting Hill.St. Clement's.Totals.
  • Page 32
    Convalescent Homes. The council, under their maternity and child welfare scheme, provide convalescent home treatment for mothers with babies under the age of six months. The following table shows the institutions to which mothers and infants were sent during 1935, together with the number of cases admitted. Each mother and baby stays in the home for a period of 14 days.
    Institution.No. of mothers admitted with babies.No. of mothers admitted without babies.
  • Page 32
    The following is a record of the work of the health lecturer during 1935:—
    Number of lectures.Number of individual mothers attending.Number of attendances.Average attendance at lecture.
  • Page 33
    The following table gives particulars of the dried milk supplied at cost price:—
    Name of welfare centre at which the dried milk was distributed.No. of 1-lb. packets sold.Value of milk sold.
    £s.d.
  • Page 35
    Section 17 of the Housing Act, 1930. Unfit Houses Repairable at Reasonable Cost. The following table gives a summary of the action taken and the results obtained during 1935. These figures are in respect of premises outside improvement areas:—
  • Page 36
    The following table gives the clearance and compulsory purchase areas in the borough which were in hand or completed during 1935 :—
    Name of area.Date of declaration.Action taken.No. of premises originally on site.No. of persons originally in occupation.Position at end of 1935.
  • Page 40
    The following table shows the licensed common lodging houses and the accommodation available on the 1st January, 1935 :—
    Ward.Name of registered keeper.Address of common lodging house.No. of lodgers for which licensed.
    Male.Female.Total.
  • Page 43
    Distribution of working-class families in relation to size of family and size of dwelling occupied.
    Size of family (" equivalent number " of persons).Size of dwelling occupied, in terms of the maximum " equivalent number * of persons permitted to occupy it without causing it to be overcrowded.Totals of families.
    0*½*11½22½33½44½55½6777½88½99½10l0½1111½1212½13 & overOvercrowded.Not overcrowded.TOTAL.
  • Page 44
    The following table gives a summary of the survey for each ward :—
    Ward.Total families investigated.Families overcrowded.Families not overcrowded.
  • Page 44
    The tollowing table gives tne extent ot overcrowding in each metropolitan Dorougn in relation to overcrowding in London as a whole, and the proportion which the " equivalent number " of persons living in overcrowded conditions bears to the estimated total " equivalent population " in each borough :—
    Metropolitan borough.Number of overcrowded families.Number of " equivalent persons " overcrowded.Proportion of estimated total " equivalent population " in the borough overcrowded. Per cent.
  • Page 47
    The results of the examinations are shown in the following tables :— " Certified. Milk."
    Sample collected onBacteria per 1 c.c.Coli per l/10th c.c.Sample collected onBacteria per 1 c.c.Coli per l/10th c.c.
  • Page 47
    " Grade A (Tuberculin Tested) Milk."
    Sample collected onBacteria Coli per per 1 c.c. l/100th c.c.Sample collected onBacteria Coli per per 1 c.c. l/100th c.c.
  • Page 48
    The following is a summary of the alterations made in the council's register of food premises during 1935 :—
    On register Dec. 31, 1934.Added to register during 1935.On register Dec. 31. 1935.
  • Page 49
    Unsound Food.—Under the provisions of section 47 of the Public Health (London) Act, 1891, authorised officers of the council are empowered to seize and carry before a magistrate any diseased, or unsound, or unwholesome food deposited for sale or exposed for sale, and the magistrate before whom such food is carried may make an order for its destruction. Proceedings may be taken against the persons in whose possession the food was at the time of seizure. Particulars of offences occurring in Kensington during the past year together with the results of action taken are as follows:—
    Offence.Action taken.
  • Page 49
    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 50
    Particulars of formal and informal samples collected are as follows :—
    Nature of sample.Formal.Informal.
    Number taken.Number adulterated.Number taken.Number adulterated.
  • Page 51
    Continued from previous page...
    Nature of Sample.Formal.Informal.
    Number taken.Number adulterated.Number taken.Number adulterated.
  • Page 52
    The following is a summary of the results of analysis of the 43 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 54
    Table showing Notifications of certain Infectious Diseases received in 1931-35.
    Year.Smallpox.Scarlet fever.Diphtheria.Enteric fever.Erysipelas.Ophthalmia neonatorumPuerperal fever.Puerperal pyrexia.Pneumonia.Malaria.Encephalitis lethargica.P. m'itis 3c polioencephalitis.JAcute rheumatism.Cerebro spinal meningitis.Dysentery.•Enteritis.Total.
  • Page 54
    Table showing Cases of Infectious Diseases occurring in 1935, arranged in Four-Weekly Periods (1st January, 1935, to 29th December, 1935).
    Four Weeks endingSmallpox.Scarlet fever.Diphtheria.Enteric fever.Erysipelas.Ophthalmia neonatorum.Puerperal fever.Puerperal pyrexia.Pneumonia.Malaria.Encephalitis lethargica.Acute rheumatism.Cerebro spinal meningitis.Dysentery.Enteritis.Polio myelitis.Total.
  • Page 55
    The following table shows the number of cases notified in the various wards in each four-weekly period :—
    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 55
    Ihe loilowmg table snows tne number ot cases notinea in tne various wards in each four-weekly period :—
    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 56
    Ophthalmia Neonatorum.—-The following table gives particulars of ophthalmia cases notified and the results of treatment:—
    Case No.Cases.Vision unimpaired.Vision impaired.Total blindness.Death.
    Notified.Treated.
    At home.In hospital.
  • Page 57
    Cerebro-spinal Meningitis.—There were two cases of this disease notified; particulars are subjoined :—
    No.Sex.Age.Date of notification.Result.
  • Page 58
    Cleansing of Verminous Persons. The cleansing of verminous persons is carried out at the medicinal baths, Blechynden Mews. The record of work done is as follows :—
    Scabies—Total cleansings.
  • Page 60
    Disinfection after Infectious Diseases, etc. SUMMARY OF WORK CARRIED OUT BY THE DISINFECTING STAFF DURING 1935.
    Nature of infection.Premises disinfected.Rooms disinfected.Disinfections at Wood Lane.No. of articles disinfected.
  • Page 61
    This decrease is still continuing, and the following table shows the age and sex distribution of the cases notified and the deaths from all forms of this disease during the year :—
    Age periods.New cases.Deaths.
    Pulmonary.Non-pulmonaryPulmonary.Non-pulmonary
    M.F.M.F.M.F.M.F.
  • Page 61
    The following table shows the incidence of the disease in the borough during the year :—
    Pulmonary.Non-pulmonary.
    Males.Females.Males.Females.
  • Page 61
    The following table shows over the past ten years the incidence of the disease, as registered by notifications of cases, and deaths :—
    Year.Pulmonary tuberculosis.Non-pulmonary 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 62
    The following table shows the number of cases of all forms of the disease notified in the borough and the several wards therein during each year since 1926.
    District.Years.
    1926.1927.1928.1929.1930.1931.1932.1933.1934.1936.
  • Page 62
    Deaths from Tuberculosis in 1935 Allocated to District of Usual Residence of Patients.
    Pulmonary tuberculosis.Non-pulmonary tuberculosis.
  • Page 62
    The places where deaths from tuberculosis occurred are set forth in the following list
    Pulmonary tuberculosis.Non-pulmonary tuberculosis.
  • Page 63
    Dispensary Diagnosis and Treatment. The number of new cases seen at the dispensary during the year is shown in the following table:—
    Adults.Children under 15 yrs.Total.
    Males. Females.Males. Females.
  • Page 64
    An analysis of the register of the patients under dispensary supervision is shown in the following table:—
    Condition at the time of the last record made during the year to which the return relatesPulmonaryNon-pulmonary
    Previous to 19351935Previous to 19351935
    Class T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusBones and jointsAbdominalOther organsPeripheral glandsTotalBones and jointsAbdominalOther organsPeripheral glandsTotal
    Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)
  • Page 65
    The work at the dispensary during the year is shown in the following table:—
  • Page 65
    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 67
    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.
  • Page 68
    Total new and old cases attending the centre during the last five years.
    1930-311931-321932-331933-341934-35
  • Page 68
    During the year 1934-35, 48 sessions have been held at the Princess Louise Hospital.
  • Page 68
    The total number of attendances of patients during 1934-35 is as follows:—
  • Page 68
    The new Kensington cases in 1934-35 were recommended to attend the clinic from the following sources :—
  • Page 68
    The disposal of cases which attended the centre and which needed special treatment may be summarised as follows :—
  • Page 69
    The electrocardiographics curve is empirically lettered P, Q, R, S, T. Abbreviations used in the following table :— Sl.L.A.D. = Slight left axis deviation. R.A.D. = Right axis deviation. M.S. = Mitral stenosis. A.R. = Aortic regurgitation. E.C. = Electrocardiogram. Electrocardiograms in Mitral Stenosis.
    Name.Sex.Pre-sect age.First attack.First seen.MS. first noted.A.R.Date of E.C.Time of E.C. after M.S. first noted.Age at E.C.Active rheumatic carditis at date of E.C.Deviation.P waves.E.C.
  • Page 72
    TABLE I. Vital statistics of whole district for 1935 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 nonresidents registered in the district.of residents not registered in the district.Under 1 year of age.At all ages.
    Number.Rate.1Number.Rate."Number.Rate per 1,000 net births.Number.Rate.*
    1334S678910111313
  • 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 1935.
    Notifiable Disease.Number of cases notified.Total cases notified in each ward.Cases admitted to 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 73
    TABLE III. Causes of Death at Different Periods of Life in 1935.
    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 1935. 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 1935.
    HEALTH OFFICERS.total
    *12345678
  • Page 76
    TABLE VI. Vaccination Officer's Return respecting the Vaccination of Children whose Births were Registered in 1934.
    DATE. 1934.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, 1935.
    Column I. successfully vaccinatedColumn II.Column V. dead, unvacci-nated.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 vaccinationCertificate of conscientious objection.
  • Page 77
    TABLE VII. Particulars of the Staff of the Public Health Department at the end of 1935 (as required by Ministry of Health Circular 359).
    Year of Appointment.