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Deptford 1937

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

Published
1938
Pages
142
Tables
104

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104 tables in this report

  • Page 8
    The permanent open spaces are as follows:—
    Situation.Size.Maintained by.
  • Page 9
    The following figures have been kindly supplied to me by the Manager of the Deptford Labour Exchange:—
  • Page 10
    Figures dealing with the number of births and deaths and the mortality from certain specified diseases serve as a rough index of the health of a community, and the following extracts from the vital statistics are of interest in this connection :
    Male.Female.Total.Grand Total.Birth-rate.
  • Page 11
    Marriages. During the year 936 marriages took place, equivalent to a rate of 19.4 persons marrying per 1,000 of the population. By courtesy of the Superintendent Registrar the following gives details as to the places in which these marriages were conducted:
  • Page 11
    The following table illustrates the steady fall that has taken place: BIRTHS.
    No.Deptford. Crude rate per 1.000 population.England and Wales. Crude rate per 1.000 population.County of London. Crude rate per 1,000 population
  • Page 11
    Still-Births. 60 still-births were registered during the year as follows:—
  • Page 12
    Illegitimacy. The number of illegitimate births was equivalent to 2.9 per cent. of the total births. The figures relative to illegitimacy for previous years areas follows:
    Av. for 10 yrs. 1915-24.Av. for 5 yrs. 1925-29Av. for 5 yrs. 1930-34193519361937
  • Page 12
    The following is an analysis of these notifications: Births Notified in the Borough, Year ending 31/12/37.
    Ward.Births notified.AliveDeadParentBy whom notified
    TotalMaleFemaleDoc torMidwifeOther
  • Page 13
    Deaths. In order to express the number of deaths as a death-rate applicable to the Borough, it is necessary to make allowance in respect of death; of persons occurring within, but belonging outside the Borough, and conversely, for those who died while temporarily living outside Deptford
  • Page 13
    Seasonal Mortality.
    Quarter ended.No.1936 Rate per 1,000 of population.No.1937 Rate per 1,000 of population.
  • Page 13
    The trend of the death-rate in recent years is shown by the following table:—
    Year.No.Rate per 1,000 of the population.
    Average for 10 years,
    1915-1924156014.113.613.9
    1925139912.112.211.7
    1926130211.311.611.4
    1927131211.512.311.9
    1928135412.011.711.6
    1929148113.313.413.8
    1930125011.311.411.4
    1931128412.012.312.4
    1932129012.212.012.3
    1933124712.112.312.2
    1934132713.111.811.9
    1935110611.111.711.4
    1936120212.212.112.5
    1937113911.712.412.3
  • Page 14
    Deaths—Sex and Ward Distribution.
    Ward.Males.FemalesChildren under 1 year.Total deaths.
  • Page 14
    Causes of Death. An analysis of the causes of death will be found in Table I of the Appendix. The following is a comparative statement of the chief causes of mortality in recent years:
    Cause of Death.Rate ner 1.000 deaths (all causes). 1936.Average No. for 10 years 1915-24.Average 1925-1929Average 1930-1934193519361937Increase or decrease over 1936[/##]
    Measles75272018191- 8
    Whooping Cough5.82413105710+ 3
    Diphtheria5.0191491063- 3
    Influenza5.87035236727+ 20
    Tuberculosis—Pulmonary5.4136102100836566+ 1
    Non-pulmonary9.13218126119- 2
    Cancer146133159168167176162-14
    Heart Disease247128232304260298357+ 59
    Cerebral Haemorrhage, Em bolism and Thrombosis55675453606636- 30
    Bronchitis611409553467333-40
    Pneumonia (all forms)5215412187646383+ 20
    Nephritis23353433202831+ 3
    Diarrhoea and Enteritis17452021192012- 8
    Violence (excluding Suicide40484943424825- 23
    Premature Birth, Malforma tion and Debility38864945274033- 7
  • Page 15
    The following Table expresses as percentages of the total mortality the incidence in the various age groups:—
  • Page 15
    The infantile mortality rate for 1937 was 45 per 1,000 births and the following Table gives the death-rates for England and Wales, London and Deptford for previous years:—
    YearDeptfordEngland & WalesLondon
    No.Death-rate per 1.000 BirthsDeath-rate per 1,000 BirthsDeath-rate per 1,000 Births
  • Page 16
    The following Table gives details of the causes of death in the various age groups:— Infantile Mortality, 1937. Nett Deaths from stated causes at various Ages under 1 year of Age.
    CAUSE OF DEATH.Under 1 week.1 to 2 weeks.2 to 3 weeks.3 to 4 weeks.Total under 4 weeks.4 weeks and under 3 months.3 months and under 6 months.6 months and under 9 months.9 months and under 12 monthsTotal Deaths under 1 year.
  • Page 17
    The following Table illustrates the trend of infant mortality during recent years in regard to deaths in the various age groups. Mortality (Stated as Percentages) in Age-groups.
    Year.Under 1 week1-2 weeks2-3 weeks8-4 weeksTotal under 4 weeks4 weeks to 8 mths.3-6 mths.6-9 mths.9-12 mths.
  • Page 17
    Particulars of the bodies received were as follows:
    Month, 1937MaleFemaleInquestsPost-MortemsUnder 1 year
  • Page 18
    Inquests.
    Natural CausesAccidental CausesSuicideMisadventureMurderOpen Verdict
  • Page 18
    Bodies Received.
    1987DeptfordOther Districts
  • Page 23
    The following is a summary of the cases visited on behalf of the Borough Council by members of the District Nursing Associations:—
    Condition.Children under 5 yearsOthersTotal cases nursed
    CasesVisitsCasesVisits
  • Page 28
    In accordance with my usual practice, I submit herewith the general statement as to the past year's work, together with comparative figures for previous years :—
    1931193219331934193519361937
  • Page 29
    Summary of Sanitary Work carried out during the year 1937.
    Inspections—Number of District.Comparative figures for 1936.
    123456789Totals
  • Page 30
    Summary of Sanitary Work —continued.
    Number of District.Comparative figures for 1936.
    123456789Totals
  • Page 31
    Legal Proceedings. The following is a full list of legal proceedings instituted during the year under report, with the exception of those dealing with Food and Food premises, particulars of which will be found in a later section of this Report:—
    DateNature of Offence.FineCostsRemarks.
  • Page 36
    Inspections.
    Premises.Number of
    Inspections.Written Notices.Occupiers prosecuted.
  • Page 36
    The types of premises inspected were as follows :—
    Type.Factories, N umber.Workshops, Number.Workplaces, Number.
  • Page 37
    DEFECTS FOUND.
    PARTICULAR.Number of Defects'Number of Prosecutions.
    Found.Remedied .Referred to H M. Inspector.
  • Page 44
    The London County Council provide accommodation upon their various estates, for families from Deptford, and the following figures indicate the number of families for whom provision was made in 1937:—
    EstateFamilies
  • Page 46
    The following is a tabular statement of the visits made by Mr. Yates, Food Inspector :—
    No. of Visits.
  • Page 49
    During the year 1937, large quantities of foodstuffs were imported at the Wharf, and the following is a summary of the work done:— Inspector Webster.
    Description.QuantityExtent of Examination.Remarks.
  • Page 50
    Continued from previous page...
    Description.Quantity.Extent of Examination.Remarks.
  • Page 51
    Continued from previous page...
    Description.Quantity.Extent of ExaminationRemarks.
  • Page 52
    Transhipped
    DescriptionQuantity
  • Page 52
    In Bond
    DescriptionQuantity
  • Page 52
    Overside
    DescriptionQuantity
  • Page 53
    Continued from previous page...
    DescriptionQuantity
  • Page 55
    The following is a statement of the sampling done and results obtained in 1937:—
    Total.Number Adulterated.Percentage of samples adulterated.*
  • Page 55
    The adulteration in respect of samples submitted for analysis during previous years is as follows:—
    Year.Number of Samples taken.Percentage Adulterated.
  • Page 56
    Food and Drugs—Samples Taken.
    Articles.Number Genuine.Number Adulterated.Total.Percentage of Adulterated Samples.
  • Page 57
    Samples Taken—continued.
    Articles.Number Genuine.Number Adulterated.TotalPercentage of Adulterated Samples.
  • Page 58
    Samples Taken— continued.
    Articles.Number Genuine.Number Adulterated.Total.Percentage of Adulterated Samples.
  • Page 58
    Action Taken in regard to Formal Samples Purchased under the food and drugs (adulteration) act during the year 1937.
    Sample No.Article.Particulars of Adulteration or Infringement.FineCosts.Remarks.
    £s.d.£s.d.
  • Page 59
    Action Taken in regard to Formal Samples Purchased under the food and drugs (adulteration) act during the Year 1937—continued.
  • Page 60
    Action Taken in regard to Informal Samples.
    Sample NoArticleParticulars of Adulteration or InfringementAction taken.
  • Page 64
    PREVALENCE OF AND CONTROL OVER INFECTIOUS AND OTHER DISEASES. Notifiable Infectious Disease. The following Tables present a Summary of the cases notified, analysed according to age and ward distribution and seasonal incidence: — CASES OF INFECTIOUS DISEASE, EXCLUDING TUBERCULOSIS. NOTIFIED DURING THE YEAR 1987. INCIDENCE AND MORTALITY BY AGE GROUPS.
    Notifiable DiseaseAt all AyesTotal Cases Notified. At Ages—YearsTotal Cases Removed to HospitalTotal DeathsDeaths it Ages—Years
    Under 11 to 55 to 1515 to 2525 to 4545 to 6565 and upUnder 11 to 55 to 1515 to 2525 to 4545 to 6565 and up
  • Page 65
    SEASONAL INCIDENCE OF NOTIFIABLE INFECTIOUS DISEASES.
    Disease.1st quarter2nd quarter3rd quarter4th quarterTotal for year
  • Page 65
    Scarlet Fever.
    YearNo. of CasasAttack Rate per 1,000 populationNo. of DeathsCase Mortality per cent.
  • Page 66
    WARD DISTRIBUTION OF CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1937.
    Notifiable DiseaseTotal Cases in BoroughTotal Cases Notified in each Ward
    Deptford ParkEvelynSt. Paul'sValeCliftonCanter buryHatchamPepysSt. Catherine's. St. Peter'sSt. John'sTown Hall
  • Page 67
    Diphtheria. The following table shows the incidence and mortality from Diphtheria in 1937 as compared with previous years:-
    YearNo. of CasesAttack Rate per 1,000 populationNo. of DeathsCase Mortality per cent.
  • Page 67
    Schick testing and inoculation began in March, 1927. The figures for successive years are as follows :—
    Year.Positive.Number of Negative.Schick Tests. Unknown Result.Total.Fully Inoculated.Partly Inoculated.No. of Inoculations given.
  • Page 68
    Number of Schick Re-tests.
    Year.Positive.Negative.Unknown Result.Total.
  • Page 68
    Chicken-pox. Since made compulsorily notifiable, the number of notifications have been as follows:—
    Year.Year.
  • Page 69
    Return made on or before the 13th of February, 1938, by Mr. E. S. Elliott, Vaccination Officer, respecting the vaccinationof children whose births were registered from 1st January to 31st December, 1936, inclusive:—
    Registration Sub-Districts comprised in the vaccination Officer's District.No. of Births from 1st Jan. to 31st Dec., 1936.Number of these Births duly entered by 31st Jan., 1938.No. ot Mirtns which on 31st Jan. 1938 remained unentered in the Vaccination Register on account of—No. of these births remaining on 31st Jan., 1938 not accounted for.Total No. of Certificates of successful Primary Vaccination children under 14 received during Calendar Year 1931.No. of Declarations of Conscientious Objections actually received by Vaccination Officer during the Calendar Year 1937.
    Successfully Vaccinated.Insusceptible of Vaccination.Had Smallpox.Certificates of Conscientious Objection received.Dead, Unvaccin-ated.Postpone ment by-Medical Certificate.Removal to Districts, V.O. of which apprised.Removal to places unknown and cases not found.
  • Page 71
    a statement of the notifications received and deaths recorded follows:—
    No. of cases Notified.No. of deaths (all forms of Pneumonia.)Death rate per 1,000 population.
  • Page 72
    Puerperal Fever. The following is a tabular statement of the notifications and deaths in recent years.
    Year.Cases.Deaths.Death-rate per 1,000 births.
  • Page 74
    Influenza. The following indicates the mortality directly attributed to Influenza since 1920:-
    No. of Deaths.Percentage of total Deaths.Death rate per 1,000 population.
  • Page 75
    Measles. That Measles is a most important cause of death is often overlooked. The following is a statement of the mortality during recent years.
    No. of Deaths.Percentage of total Deaths.Death-rate per 1,000 population.
  • Page 75
    Whooping-Cough. The fatality in past years is as follows:—
    No. of Deaths.Percentage of total Deaths.Death-rate per 1,000 population.
  • Page 76
    Laboratory Work at Seamen's Hospital, Greenwich, 1937.
    Material.Number Positive.Number Negative.Total.
  • Page 76
    Disinfection. The following is a summary of the work carried out. Full deatails are shown in tabular form in the Appendix (Tables II and III).
  • Page 77
    Continued from previous page...
  • Page 78
    Cancer. The incidence of Cancer is so intimately bound up with the sex and age distribution of the population that only a very general inference can be drawn from the following figures:-
    YearNo. of Deaths.Percentage of total Deaths.Rate per 1,000 population.
  • Page 79
    Deaths from Cancer by Sex and Age.
    Average, YearSexUnder 25 years25 to 45 years45 to 65 years65 to 75 years75 years and upwardsTotals
  • Page 82
    TUBERCULOSIS. The following is a tabular statement of the cases coming to our knowledge by notification and otherwise:-
    Pulmonary.Non-Pulmonary.
    Year.M.F.Total per 1,000 of population.M.F.Total per 1,000 of population
  • Page 82
    The Death-rate in recent years is as follows:—
    Year.England and Wales, per 1,000 population. Pulmonary1 Non-pulmonary.Deptford. per 1,000 population. Pulmonary* Non-pulmonary.
  • Page 83
    PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1930. Summary of Notifications during the period from the 1st January, 1937 to the 31st December, 1937 Notifications on Form A. Total Notifications on Form A. 92 75 12 9
    Pulmonary—MalesFemalesNon-PulmonaryMalesFemales
  • Page 84
    SUPPLEMENTAL RETURN. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health, otherwise than by formal notification.
    Age periods0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upTotal Cases
  • Page 84
    The source or sources from which information as to the above-mentioned cases was obtained is stated below:—
    No. of Cases.
    Source of Information.Pulmonary.Non-Pulmonary.
  • Page 85
    Supplemental Return-Continued. NOTIFICATION REGISTER.
    PulmonaryNon-pulmonaryTotal Cases
    MalesFemalesTotalMalesFemalesTotal
  • Page 87
    Home accommodation of 135 of the Cases notified in 1937 (mental hospital, lodging-house and "diagnosis not confirmed" cases omitted).
    CASES and Number in Family.115 Pulmonary Tuberculosis.20 Non-Pulmonary Tuberculosis.
    78 Cases with T.B. in Sputum. Rooms.37 Cases in which T.B. not known to be present in Sputum. Rooms.Rooms.
    12345 or more12345 or more12345 or more
  • Page 88
    Report of Tuberculosis Officer-continued. The number of deaths for the year is 75 as compared with 76 for 1936.
    1931193219331934193519361937
  • Page 88
    Analysis of the notifications and deaths for the year according to sex and age are given in the accompanying tables:- Particulars of New Cases and of Deaths during the Year 1937.
    Age Periods.New Cases.*Deaths.
    PulmonaryNon-PulmonaryPulmonaryNon-Pulmonary
    mfmfmfmf
  • Page 88
    Pulmonary Tuberculosis. Interval between Notification and Deaths in 1937.
  • Page 89
    Report of Tuberculosis Officer-continued. The notifications of non-Pulmonary Tuberculosis were as follows:-
  • Page 90
    Memo 37/t. Table 1. TUBERCULOSIS SCHEME. Return showing the work of the Dispensary during the Tear 1937.
    Diagnosis.Pulmonary.Non-Pulmonary.TotalGrand Total
    Adults.Children.Adults.Children.Adults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 92
    Examination and Supervision of Contacts. Analysis of contacts of 143 of the cases primarily notified during the year (including cases notified after death but excluding lodging-house cases and cases in which the diagnosis was not confirmed):-
    TotalT.B. PositiveT.B. NegativeNon-Pul monary
  • Page 103
    Summary of Visits paid by Health Visitors, 1937.
    Health VisitorDistrictVisitsRe-visitsTotal
  • Page 103
    Analysis of Visits paid by Health Visitors, 1937.
    To infants under 5 years
    Enquiries reVisits.Re-visits.Total.
  • Page 104
    To children over 5 years
    Enquiries re
  • Page 104
    Other visits
  • Page 105
    Attendances of Health Visitors at Clinics.
    Health VisitorInfant Toddlers' Ante-
    WelfareClinicNatalLightMassageSchickDentalTotal
  • Page 106
    (For details, see Appendix, Table IV.)
    Clinic.No. of times open.New CasesAttendancesConsultations with Doctor
    Under | 1 year.Ages 1-5 years.Total New CasesTotal Old CasesTotal New and Old Cases1 Under year1-5 years
  • Page 107
    The work of the Ante-natal Clinic during recent years is illustrated by the following figures.
    Year.No. of individual women attending.Average number of attendances per week.Total number of attendances made.
  • Page 109
    The following is a statement of the year's work :—
    1937. Months.Patients on Register at commencement of each month.New Patients Admitted.Patients Re-admitted.Patients Discharged.Patients on Register at end of month.Attendances each month.Total Attendance for each month
    Under 1 Year1—5 /earsA.-N.P.-N.Under 1 Year1-5 YearsA.-N.P.-N.Under 1 Year1 -5 YearsA.-n.P.-N.Under 1 Year1—5 YearsA.-N.P.-N.Under 1 Year1—5YearsA.-N.P.-N.Under 1 Year1—5 YearsA.-N.P.-N.
  • Page 110
    Classification of Patients admitted during the Year.
    Diseases.Admissions.Re-admissions.
    Under 1 Yr.Over 1 Yr.Ante-Nat.Post Nat.Under l Yr.Over 1 Yr.Ante-Nat.Post-Nat.
  • Page 111
    Summary of Defects found.
  • Page 116
    The following table shows the numbers on the Register during the year under report:—
    No. at end of 1936.Added.Removed.No. at end of year 1937.
  • Page 118
    Table I. Causes of Death at Different Periods of Life in the Metropolitan Borough of Deptford, 1937.
    CAUSES OF DEATH.Sex.All Ages0–1–2–5–15–25–35–45–55–65–75–
  • Page 119
    Table I—continued.
    CAUSES OF DEATH.Sex.All Ages.0–1–2–5–15–25–35–45–55–65–75–
  • Page 120
    1 Table II. SHOWING NUMBER OF ARTICLES DISINFECTED OR DESTROYED AT OWNER'S REQUEST.
    1937Articles StovedArticles Destroyed at Owner's RequestBooksBathing StationLodging Houses
    BedsPillowsBolstersMattressesSheetsBlanketsMiscellan'usTotalBedsPillows 1BolstersMattressesSheetsBlanketsMiscellan'usBooksTotalD.B.C. LibraryPrivateTotalTowelsBlanketsWearing ApparelTotalPersons I Cleanse.1Wearing Apparel Stoved
  • Page 121
    1 Table III.
    1937Premises VisitedRooms Disinfected
    Infectious DiseasesRequestsBedding onlyRemovalsVerminousScarlet FeverDiphtheriaPulmonary TuberculosisScabies 1CancerT vphoid FeverErysipelasPuerperal Fever\V hoo-<injj CoughCerebro-S inill. MeningitisAnthraxInfantile ParalysisFormalin SpravSulphurTotal Rooms
    Infectious DiseasesRequestsKemovals
    Ver- I minous
  • Page 122
    MONDAY SESSIONS AT ST. LUKE'S HALL, GOSTERWOOD STREET
    1937No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1~i-
  • Page 122
    CENTRAL CLINIC—MONDAY SESSIONS
    1937No. of times Clinic opened.NewCases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor
    Breast Fed.Mixed.Hand.Ages 1—5
  • Page 123
    CENTRAL CLINIC—TUESDAY SESSIONS (Hatcham-Pepys District)
    1937No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5.
  • Page 123
    CENTRAL CLINIC—TUESDAY SESSIONS (VALE DISTRICT)
    1937No. of times Clinic opened.New Cases.Total New CasesTotal Old Cases.Total New and Old Cases-Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5.
  • Page 124
    CENTRAL CLINIC—WEDNESDAY SESSIONS (ST. JOHN'S DISTRICT)
    1937No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1-5.
  • Page 124
    CENTRAL CLINIC—WEDNESDAY SESSIONS (TOWN HALL-ST. PETER'S DIST.)
    1937No. of times Clinic opened.New Cases-Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1-5.
  • Page 125
    CENTRAL CLINIC—THURSDAY SESSIONS (Deptford Park-Evelyn Dist.)
  • Page 125
    PRINCESS LOUISE INSTITUTE, HALES STREET CLINIC
  • Page 126
    ILDERTON ROAD CLINIC
    1937No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations witd Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5
  • Page 126
    ILDERTON ROAD CLINIC
    1937No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations witd Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5
  • Page 127
    CENTRAL CLINIC—FRIDAY SESSIONS (Hatcham-Pepys District)
    1937No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.MixedHand.Ages 1—5
  • Page 127
    CENTRAL CLINIC—FRIDAY SESSIONS (St. Catherine's District)
    1937No. of times Clinic opened.New Cases.Total New Cases.Total Old Cases.Total New and Old Cases.Consultations with Doctor.
    Breast Fed.Mixed.Hand.Ages 1—5