[Report of the Medical Officer of Health for Bethnal Green Borough]

Page 9

LONDON COUNTY COUNCIL. PUBLIC ASSISTANCE DEPARTMENT — AREA II. Persons Afforded Institutional Relief (in Bethnal Green Institutions) other than Casuals.

	SICK CASES.								OTHER CASES								TOTAL
	Men		Women		Children 3-16		Children under 3		Men		Women		Children 3-16		Children under 3		TOTAL

Page 12

Other. The Officers of the hospitals have furnished me with the following statistics concerning their work last year—

	Beds	No. of new Outpatients	Outpatients Attendances	No. ofInpatients	Average duration Inpatient treatment (days)

Page 13

DISPENSARIES, &c. The following Dispensaries exist in the Borough, and I have been furnished with the following statistics concerning last year's work.

No. of Out-Patients		Out-Patients' Attendances.	Visits to Patients Homes.
No. of Out-Patients		Out-Patients' Attendances.	Visits to Patients Homes.

Page 14

I have been furnished with the following information concerning the work of the day nurseries:—

	Somerford Street.	Bishops Road.

Page 19

Ambulance Stations. The following are the nearest stations which are open always:—

Name of Station.	Address.

Page 23

VITAL STATISTICS of Bethnal Green During 1933 and Previous 5 Years.

Year	Population Estimated to Middle of Each Year	Births			Total Deaths Registered in the Borough	Transferable Deaths		Net Deaths of Persons Resident in the Borough
		Uncorrected Number	Net			Of Nonresidents registered in the Borough	Of Residents not registered in the Borough	At all Ages		Under 1 year of Age
		Uncorrected Number	Number	Birth Rate		Of Nonresidents registered in the Borough	Of Residents not registered in the Borough	Number	Death rate	Number	Rate per 1,000 births or infantile mortality

Page 26 27

Causes of death at different periods of life in the Metropolitan Borough of Bethnal Green, 1933.

Cause of Death.	All Ages	Number of Deaths of residents at various ages, whether occurring within or without the Borough
Cause of Death.	All Ages	Under 1year	1and under 2years	2 and under 5years	5and under15 years	15 and under25 years	25 and under35 years	35 and under45 years	45 and under55 years	55 and under65 years	65 and under75 years	75 and upwards

Page 29

The causes of death among infants are shown in the following table. Infantile Mortality in Bethnal Green in 1933

Causes of Death		Under 1 week	1-2 weeks	2-3 weeks	3-4 weeks	Total under 4 weeks	4 weeks & under 3 months	3 months & under 6 months	6 months & under 9 months	9 months & under 12 months	Total Deaths under 1 year	Rate per 1,000 Births

Page 35

WORK OF HEALTH VISITORS. The following table gives some account of the outdoor work of the Health Visitors so far as this can be expressed in statistics :—

	Visits.		Re-visits.

Page 64

Nursing Assistance, 1933.

Disease	Children UNDER FIVE years		Mothers		Others		Total Visits
	Cases	Visits	Cases	Visits	Cases	Visits

Page 67

Routine Medical Inspection of Elementary School Children in Bethnal Green in 1933.

Age Groups	Number Examined	clothing and boots			nutrition				cleanliness of head			cleanliness of body			teeth			vision
Age Groups	Number Examined	Good	Fair	Poor	Good	Average	Below normal	Bad	Clean	Nits	Pediculi	Clean	Dirty	Pediculi	All sound	Less than 4 decayed	4 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 68

Examination of Elementary School Children in Bethnal Green, 1933.

	BOYS								GIRLS
	Entrants		Age 8		Age 12		Age 14		Entrants		Age 8		Age 12		Age 14
Number examined	1023		849		692		851		933		807		920		1059
Number examined	Cases	*	Cases	*	Cases	*	Cases	*	Cases	*	Cases	*	Cases	*	Cases	*

Page 70

Cases of Notifiable Diseases Notified during 1933.

Disease	Number of Cases Notified														Removed to Hos-pital
Disease	Reported by †Registrar-General.	Total	Under 1year	1 and under 2years	2 and under 3years	3 and under 4years	4 and under 5years	5 and under10 years	10 and under15 years	15 and under20 years	20 and under25 years	25 and under45 years	45 and under65 years	65 andup-wards	Removed to Hos-pital

Page 73

VACCINATION. The following is the latest available return prepared by the Vaccination Officers for the Borough, respecting the Vaccination of Children whose Births were registered from 1st January to 31st December, 1932, inclusive.

Registration Sub-Districts comprised in each Vaccination Officer's District.	No. of Births from 1st Jan. to31st Dec., 1932.	Number of these Births duly entered by 31st Jan., 1934.					No. of Births which on 31st Jan.. 1934, remained unentered in the Vaccination Register on account of—			No. of these births remainingon 31st Jan., 1934, not accounted for	Total No. of Certificates of successful Primary Vaccination of children under 14 received during Calendar Year 1933.	No. of Declarations of Conscien-ous Objection actually received by Vaccination Officer during the Calendar Year 1933.
	No. of Births from 1st Jan. to31st Dec., 1932.	Success-fully Vacci-nated.	Insuscept-ible of Vacci-nation.	Had Small-pox.	Declara-tion of con-scientious objection received.	Died, Unvacci-nated.	Postpone-ment by Medical Certificate	Removal to Districts, V.O. of which apprised.	Removal to places un-known and cases not found.

Page 74

The number of deaths from Tuberculosis of all kinds during the past few years is as follows:—

	Pulmonary	Non-Pulmonary	Total

Page 75

Public Health (Tuberculosis) Regulations, 1930. PART 1.—SUMMARY OF NOTIFICATIONS (during the period from the 2nd January, 1933, to the 30th December, 1933, in the area of the Metropolitan Borough of Bethnal Green.

AGE PERIODS		Formal Notifications
		Number of Primary Notifications of new cases of tuberculosis																				Total Notifications
		0—	l—	5—	10—	15—	20—	25—		35—		45—		55—			65—		Total (all ages)			Total Notifications

Page 77

Tuberculosis Register.

	Pulmonary		Non-Pulmonary		Total
	Males	Females	Males	Females	Total

Page 82

The table appended gives full details of the rooms, bedding and clothing disinfected.

	No. of Rooms Disinfected	Articles of Clothing, etc.
	No. of Rooms Disinfected	Articles of Clothing, etc.

Page 87

The details are given in the following table:— SUMMARY OF ANALYST'S REPORTS.

Article	Samples taken formally			Samples taken informally			Total number of samples taken
Article	No. taken	Genuine	Adulterated	No. taken	Genuine	Adulterated	Total number of samples taken

Page 88

SUMMARY OF ANALYST'S REPORTS—continued.

Article	Samples taken formally			Samples taken informally			Total number of Samples taken
	No. taken	Genuine	Adulterated	No. taken	Genuine	Adulterated

Page 89

The adulteration in the Borough for the past ten years was as follows:—

Year	No. of samples examined	Percentage of adulteration
Year	No. of samples examined	Percentage of adulteration

Page 89

The milk adulteration for the past 10 years was as follows:

Year	No. of milks examined	Percentage of adulteration
Year	No. of milks examined	Percentage of adulteration

Page 90

One hundred and thirty samples were taken informally during the year, 11 of which were found to be adulterated as follows:—

Article	No. of Sample	Offence
Article	No. of Sample	Offence

Page 96

On 11 occasions during the year, unsound food, comprising the following articles was surrendered by the owners and destroyed as trade refuse:—

Description of Article.	Weight.
	Tons.	Cwts.	lb.

Page 98

A Summary of Inspections and Visits, with Matters Outstanding, for the 52 weeks ended 30th december, 1933.

Nature of Visit	Totals

Page 98

The following sanitary defects were discovered during the year:—

Page 109

Inspection of Factories, Workshops and Workplaces.

Premises	Number of
Premises	Inspections	Written Notices	Prosecutions

Page 109

Defects found in Factories, Workshops and Workplaces.

Particulars	Number of Defects			Number of Prosecutions
Particulars	Found	Reme-died	Referred to H.M. Inspector	Number of Prosecutions

Page 110

Registered Workshop

Workshops on the Register (s. 131) at the end of the year.		Number

Page 112

HOME WORK.

OUTWORKERS' LISTS, SECTION 107											*Outworkers in un-wholesome pre-mises, Section 108			Outwork in infected pre-mises, Sec-tions 109,110
Lists received from Employers						Addresses of Outworkers		Notices served on Occupiers as to keeping or sending lists	Prosecu-tions		Instances	Notices served	Prosecutions	Instances	Orders made (s. 110)	Prosecutions (s. 109, 110)
Sending twice in the year			Sending once in the year						Prosecu-tions
Sending twice in the year			Sending once in the year						Failing to keep or per-mit inspection of lists	Failing to send lists
Lists	Outworkers		Lists	Outworkers		Received from other Councils	Forwarded to other Councils
Lists	Con-tractors	Work-men	Lists	Contractors	Work-men	Received from other Councils	Forwarded to other Councils

Page 113

Legal Proceedings, 1933.

Sample	Date	Offence	Result

Page 114

Legal Proceedings—contd.

Sample	Date	Offence	Result

Page 115

Legal Proceedings—contd.

Sample	Date	Offence	Result

Page 116

Legal Proceedings—contd.

Date	Offence	Inspector	Result

Page 123

STATISTICAL TABLES. BOROUGH OF BETHNAL GREEN. 1.The Totals of New Cases.

Page 123

2. The Sources of the New Cases.

	Total.	Tuberculous.

Page 123

3. The Diagnosis of the New Cases.

Diagnosis.	Adults.		Children under 15.		Total.
	Males.	Females.	Males.	Females.
	Males.	Females.	Males.	Females.

Page 124

Continued from previous page...

Page 124

5. Sputum Examinations.

Page 124

6. Other Figures.

Page 126 127

TUBERCULOSIS SCHEME OF THE BETHNAL GREEN METROPOLITAN BOROUGH COUNCIL. (a) PULMONARY TUBERCULOSIS—Supplementary Annual Return showing in written off the Register. The Table is arranged according to the years in summary form (a) the condition at the end of 1933 of all Patients remaining on which the patients were first entered on the Dispensary Register as definite the Dispensary Register ; and (b) the reasons for the removal of all cases cases of pulmonary tuberculosis, and their classification at that time.

Condition at the time of the last record made during the year to which the return relates				Prev. to 1926					1926					1927					1928					1929					1930					1931					1932					1933
				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T. B. plus				Class T.B. minus	ClaasT B. plus				Class T.B. minus	Class T. B. plus				Class T.B. minus	Class T.B- plus				Class T.B. minus	Class T.B plus				Class T.B- minus	Class T.B. plus				Class T.B. minus	Class T B. plus				Class T.B. minus	Class T B- plus
				Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class) T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B- minus	Group 1	Group 2	Group 3	Total (Class T.B Plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class P.B. Plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)

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(b) NON-PULMONARY TUBERCULOSIS.— Supplementary Annual Return showing in Dispensary Register; and (b) the reasons for the removal of all cases written off summary form (a) the condition at the end of 1933 of all Patients remaining on the Register.

Conditional the time of the last record made during the year to which the Return relates				Prev. to 1926					1926					1927					1928					1929					1930					1931					1932					1933
				Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	\| Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total

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Bethnal Green 1933

42 tables in this report

LONDON COUNTY COUNCIL. PUBLIC ASSISTANCE DEPARTMENT — AREA II. Persons Afforded Institutional Relief (in Bethnal Green Institutions) other than Casuals.

Other. The Officers of the hospitals have furnished me with the following statistics concerning their work last year—

DISPENSARIES, &amp;c. The following Dispensaries exist in the Borough, and I have been furnished with the following statistics concerning last year's work.

I have been furnished with the following information concerning the work of the day nurseries:—

Ambulance Stations. The following are the nearest stations which are open always:—

VITAL STATISTICS of Bethnal Green During 1933 and Previous 5 Years.

Causes of death at different periods of life in the Metropolitan Borough of Bethnal Green, 1933.

The causes of death among infants are shown in the following table. Infantile Mortality in Bethnal Green in 1933

WORK OF HEALTH VISITORS. The following table gives some account of the outdoor work of the Health Visitors so far as this can be expressed in statistics :—

Nursing Assistance, 1933.

Routine Medical Inspection of Elementary School Children in Bethnal Green in 1933.

Examination of Elementary School Children in Bethnal Green, 1933.

Cases of Notifiable Diseases Notified during 1933.

VACCINATION. The following is the latest available return prepared by the Vaccination Officers for the Borough, respecting the Vaccination of Children whose Births were registered from 1st January to 31st December, 1932, inclusive.

The number of deaths from Tuberculosis of all kinds during the past few years is as follows:—

Public Health (Tuberculosis) Regulations, 1930. PART 1.—SUMMARY OF NOTIFICATIONS (during the period from the 2nd January, 1933, to the 30th December, 1933, in the area of the Metropolitan Borough of Bethnal Green.

Tuberculosis Register.

The table appended gives full details of the rooms, bedding and clothing disinfected.

The details are given in the following table:— SUMMARY OF ANALYST'S REPORTS.

SUMMARY OF ANALYST'S REPORTS—continued.

The adulteration in the Borough for the past ten years was as follows:—

The milk adulteration for the past 10 years was as follows:

One hundred and thirty samples were taken informally during the year, 11 of which were found to be adulterated as follows:—

On 11 occasions during the year, unsound food, comprising the following articles was surrendered by the owners and destroyed as trade refuse:—

A Summary of Inspections and Visits, with Matters Outstanding, for the 52 weeks ended 30th december, 1933.

The following sanitary defects were discovered during the year:—

Inspection of Factories, Workshops and Workplaces.

Defects found in Factories, Workshops and Workplaces.

Registered Workshop

HOME WORK.

Legal Proceedings, 1933.

Legal Proceedings—contd.

Legal Proceedings—contd.

Legal Proceedings—contd.

STATISTICAL TABLES. BOROUGH OF BETHNAL GREEN. 1.The Totals of New Cases.

2. The Sources of the New Cases.

3. The Diagnosis of the New Cases.

Continued from previous page...

5. Sputum Examinations.

6. Other Figures.

(b) NON-PULMONARY TUBERCULOSIS.— Supplementary Annual Return showing in Dispensary Register; and (b) the reasons for the removal of all cases written off summary form (a) the condition at the end of 1933 of all Patients remaining on the Register.

DISPENSARIES, &c. The following Dispensaries exist in the Borough, and I have been furnished with the following statistics concerning last year's work.