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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
Deptford 1938
[Report of the Medical Officer of Health for Deptford Borough]
- Published
- 1939
- Pages
- 144
- Tables
- 107
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Page 6
The permanent open spaces are as follows:—
Situation. Size. Maintained by. -
Page 6
Statistics.
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Page 6
The following figures have been kindly supplied to me by the Manager of the Deptford Labour Exchange:—
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Page 7
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. Birth-rate. -
Page 8
Continued from previous page...
Still-births, 43. Rate per 1,000 total births, 30·2. Death-rate. -
Page 8
Number of women dying in, or in consequence of, childbirth:
Rate per 1,000 (live and still) births. -
Page 8
Death-rate of infants under one year of age, per 1,000 live births:
-
Page 8
Deaths from Measles (all ages) 2
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Page 9
The following table illustrates the steady fall that has taken place:
No. BIRTHS. County of London. Deptford. England and Wales. Crude rate per 1,000 population. Crude rate per 1.000 population. Crude rate per 1.000 population -
Page 9
43 still-births were registered during the year as follows:—
Legitimate Illegitimate Total -
Page 9
Illegitimacy. The figures relative to illegitimacy in 1938 and in previous years are as follows:
Av. for 10 yrs. 1915-24. Av. for 5 yrs. 1925-29 Av. for 5 yrs. 1930-34 1935 1936 1937 1938 -
Page 10
The following in an analysis of these notifications: Birth Notified in the Borough, Year ending 31/12/38.
Ward. Births notified. Alive Dead By whom notified Total Male Female Parent Doctor Midwife Other -
Page 11
Seasonal Mortality.
Quarter ended. 1937 1938 No. Rate per 1,000 of population. No. Rate per 1,000 of population. -
Page 11
The trend of the death.rate in recent years is shown by the following table:—
Year. Deptford. England & Wales. London. No. Rate per 1,000 of the population. -
Page 11
Causes of Death. An analysis of the causes of death will be found in Table 1 of the Appendix. The following is a comparative statement of the chief causes of mortality in recent years:
Cause of Death. Rate per 1 000 deaths (all causes). 1938. Average No. for 10 years 1915.24. Average 1925-1929 Aveiage 1930-1934 1935 1936 1937 1938 Increase or decrease over 1937 -
Page 12
The following Table expresses as percentages of the total mortality the incidence in the various age groups:—
Average 1915-24 Average 1925-29 Average 1930-34 1935 1936 1937 1938 -
Page 12
The infantile mortality rate for 1938 was 54 per 1,000 births and the following Table gives the death-rates for England and Wales, London and Deptford for previous years:—
Year Deptford England & Wales (148 smaller towns) Death-rate Death-rate No. per 1.000 per 1,000 Births Births London Death-rate per 1,000 Births -
Page 13
The following Table gives details of the causes of death in the various age groups:- various age groups:- Infantile Mortality, 1938. 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 1 months Total Deaths under 1 year. -
Page 14
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 week 1-2 weeks 2-3 weeks 3-4 weeks Total under 4 weeks 4 weeks to 3 mths. 3-6 mths. 6-9 mths. 9-12 mths. -
Page 14
Pubic Mortuaty. During the year there were received the bodies of 300 persons, of whom 71 had been resodents of Deptford. Particulars of the bodies received were as follows:
Month, 1938 Male. Female. Inquests. Post-Mortems. Under 1 year. Deposited to Await Burial. -
Page 15
Inquests.
Natural Causes Accidental Causes Suicide Misadventure Murder Open Verdict -
Page 15
Bodies Received.
1938 Deptford Other 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 years Others Total cases nursed Cases Visits Cases Visits -
Page 30
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 :—
1932 1933 1934 1935 1936 1937 1938 -
Page 31
Summary of Sanitary Work carried out during the year 1938.
Inspections— Number of District. Comparative figures for 1937. 1 2 3 4 5 6 7 8 9 Totals -
Page 32
Summary of Sanitary Work—continued.
Number of District Comparative figures for 1937. 1 2 3 4 5 6 7 8 9 Totals -
Page 34
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 Section E of this Report:—
Date Nature of Offence. Fine Costs Remarks. -
Page 40
DEFECTS FOUND.
Defects found. Number of defects. Number of Prosecutions. Found. Remedied. Referred to H.M. Inspector. -
Page 52
The following is a statement of the animals slaughtered and the carcases inspected and condemned.
Cattle excluding Cows Cows Calves Sheep and Lambs Pigs -
Page 55
The following is a statement of the sampling done and results obtained in 1938:—
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. N umber Adulterated. Total. Percentage of Adulter-ated Samples. -
Page 57
Samples Taken—continued.
Articles. Number Genuine. Number Adulterated. Total Percentage of Adulterated Samples. -
Page 58
Samples Taken—continued.
Articles. Number Genuine. Number Adulterated. Total. Percentage of Adulterated Samples. -
Page 59
Legal Proceedings Taken in regard to Formal Samples Purchased under the Food and Drugs (Adulteration) Act during the Year 1938.
Sample No. Article. Particulars of Adulteration or Infringement, Fine. Costs. Remarks. -
Page 62
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 1938. INCIDENCE AND MORTALITY BY AGE GROUPS.
Notifiable Disease At all Ages Total Cases Notified. At Ages—Years Total Cases Removed to Hospital Total Deaths Deaths at Ages—Years Under 1 1 to 5 5 to 15 15 to 25 25 to 45 45 to 55 65 and up Under 1 1 to 5 5 to 15 15 to 25 25 to 45 45 to 65 65 and up -
Page 63
SEASONAL INCIDENCE OF INFECTIOUS DISEASES NOTIFIED IN 1938.
Disease 1st quarter 2nd quarter 3rd quarter 4th quarter Total for year -
Page 63
Scarlet Fever.
Year No. of Cases Attack Rate per 1,000 population No. of Deaths Case Mortality per cent. -
Page 64
WARD DISTRIBUTION OF CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1938.
Notifiable Disease Total Cases in Borough Total Cases Notified in each Ward Deptford Park Evelyn St. Paul's Vale Clifton Canter bury Hatcbam Pepys St. Cath-erine's St. Peter's St. John's Town Hall -
Page 65
The following table shows the incidence and mortality from Diphtheria in 1938 as compared with previous years:—
Year No. of Cases Attack Rate per 1,000 population No. of Deaths Case Mortality per cent. -
Page 65
Schick testing and inoculation began in March, 1927. The figures for successive years are as follows :—
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Page 66
Number of Schick Re-tests.
Year. Positive. Negative. Unknown Result. Total. -
Page 67
Return made on or before the 14th of February, 1939, by Mr. R. O. Budds, Acting Vaccination Officer, respecting the vaccination of children whose births were registered from 1st January to 31st December, 1937, inclusive:—
Registration Sub-Districts comprised in the vaccination Officer's District. No. of Births from 1st Jan. to 31st Dec. 1937. Number of these Births duly entered by 31st Jan.. 1939. No. of Births which on 31st Jan. 1939 remained unentered in the Vaccination Register on account of— No. of these births remaining on 31st Jan., 1939 not accounted for. Total No. of Certificates of successful Primary Vaccination children under 14 received during Calendar Year 1938. No. of Declarations of Conscientious Objections actually received by Vaccination Officer during the Calendar Year 1938. Success-fully Vacci-nated. Insuscept-ible of Vacci-nation. Had Smallpox. Certificates icf Con-scientious Objection received. Died Unvaccin-ated. Postpone ment by Medical Certificate. Removal to Districts, V.O. of which apprised. Removal to places unknown and cases not found. -
Page 68
Since made compulsorily notifiable, the number of notifications have been as follows:—
Year. Year. -
Page 69
The fatality in past years is as follows:—
No. of cases notified since 1-10-38. No. of Deaths. Percentage of total Deaths. Death-rate per 1,000 population. -
Page 69
During the decennium 1915-1924, the yearly notifications averaged three cases. The figures since then are as follows:—
Average 1925 1929 Average 1930-1934 1935 1936 1937 1938 -
Page 69
The average number of notifications received between 1915-1924 was two. The figures since 1924 are as follows : —
Average 1925-1929 Average 1930-1934 1935 1936 1937 1938 -
Page 70
Both Acute Primary and Influenzal Pneumonia are notifiable, and 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 70
Since the 1st January, 1928, Malaria, induced therapeutically, is notifiable if liable to recur.
Average 1920-1924 Average 1925-1929 Average 1930-1934 1935 1936 1937 1938 -
Page 70
The figures are as follows:—
Average 1920-1924 (total) Average 1925-29 Average 1930-1234 1935 1936 1937 1938 -
Page 71
Since 1920, this has been notifiable in the case of children under two years of age, and the following are particulars of notifications received and deaths:—
Average 1920-24 Average 1925-29 Average 1930-34 1935 1936 1937 1938 -
Page 71
The following is a tabular statement of the notifications and deaths in recent years.
Year. Cases. Deaths. Death-rate per 1,000 births. -
Page 72
The following is a statement of notifications received
Average 1926 (part) 1927 1928 1929 1930-34 1935 1936 1937 1938 -
Page 72
The following is a statement of the results of treatment in respect of the cases notified in 1938:—
Notified Treated At home In hospital Vision unimpaired Vision impaired Total blindness Since died from other Causes -
Page 73
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 74
tde following is a summary of tde work done*:— Laboratory Work at Seamen's Hospital, Greenwich, 1938.
Material Number Positive. Number Negative. Total. -
Page 75
Disinfection. The following is a summary of the work carried out. Full details are shown in tabular form in the Appendix (Tables 11 and III).
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Page 76
III. OTHER DISEASES. 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 :—
Year No. of Deaths. Percentage of total Deaths. Kate per 1,000 population. -
Page 77
Deaths from Cancer by Sex and Age.
Average, Year Sex U nder 25 years 25 to 45 years 45 to 65 years 65 to 75 years 75 years and upwards Totals -
Page 80
TUBERCULOSIS. The following is a tabular statement of the cases coming to our knowledge by notification and otherwise :—
Year. Pulmonary. Non-Pulmonary. M. F. Total per 1,000 of population. M. F. Total per 1,000 of population -
Page 80
The Death-rate in recent years is as follows:—
Year. England and Wales, per 1,000 population. Pulmonary* Non-pulmonary. Deptford. per 1.000 population. Pulmonary* Non-pulmonary. -
Page 81
PUBLIC HEALTH (TUBERCULOSIS) RF.GULATIONS. 1930. Summary of Notifications during the period from the 1st January, 1938 to the 31st December, 1938.
Notifications on Form A. Age Periods Total Notifications on Form A. 0-1 1-5 5-10 10-15 15-20 20-25 25-35 35-45 45-55 55-65 65 and up Total Primary Notifications, -
Page 82
SUPPLEMENTAL, RETURN. Newcases of Tuberculosis coming to the knowledge of the Medical Officer of Health,otherwise than by formal notification.
Age periods 0 to 1 1 to 5 5 to 10 10 to 15 15 to 20 20 to 25 25 to 35 35 to 45 45 to 55 55 to 65 65 and up Total Cases -
Page 82
The source or sources from which information as to the above-mentioned cases was obtained is stated below:—
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Page 83
Supplemental Return—continued. NOTIFICATION REGISTER.
Pulmonary Non-pulmonary Tota Cases Males Females Total Males Females Total -
Page 85
Home accommodation of 144 of the Cases notified in 1938 (mental hospital, lodging-house and "diagnosis not confirmed" cases omitted).
CASES and Number in Family. 117 Pulmonary Tuberculosis. 27 Non-Pulmonary Tuberculosis. 86 Cases with T.B. in Sputum. Rooms. 31 Cases in which T.B. not known to be present in Sputum. Rooms. Rooms. 1 2 3 4 5 or more 1 2 3 4 5 or more 1 2 3 4 5 or more -
Page 86
Report of Tuberculosis Officer—continued. The number of deaths for the year is 64 as compared with 75 for 1937.
1931 1932 1933 1934 1935 1936 1937 1938 -
Page 86
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 1938.
New Cases.* Deaths. Age Periods. Pulmonary Non-Pulmonary Pulmonary Non-Pulmonary m f m f m f m f -
Page 86
The notifications of non-Pulmonary Tuberculosis were as follows:—
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Page 87
Memo 37/T. Table 1. TUBERCULOSIS SCHEME. Return showing the work of the Dispensary during the Tear 1938.
Diagnosis. Pulmonary. Non-Pulmonary. Total. Grand Total Adults. Children. Adults. Children. Adults. Children. M. F. M. F. M. F. M. F. M. F. M. F. -
Page 88
Report of Tuberculosis Officer—continued.
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Page 90
Report of Tuberculosis Officer—continued. Examination and Supervision of Contacts. Analysis of contacts of 141 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):—
Total T.B. Positive T.B. Negative Non-Pulmonary -
Page 93
The income and expenditure in connection with the supply of dentures and repairs to dentures to patients were as follows:—
£ s. d. -
Page 93
The Dental Surgeon, Mr. W. H. Jennings, reports the following as a summary of the year's work:—
Cases. Attendances. Extractions. Fillings. Scalings, etc. Dentures. Repairs -
Page -
Supplementary Annual Return showing in summary form (a) the condition at the end of 1938 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written oft the Register. The Table is arranged according to the years in which the Patients were first entered on the Dispensary Register as definite 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. Previous to 1928 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 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 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 Group 1 Group 2 Group 3 Total (Class T.B plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total(Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) Group 1 Group 2 Group 3 Total (Class T.B. plus) -
Page 97
Summary of Visits paid by Health Visitors, 1938.
Health Visitor District Visits Re-visits Total -
Page 97
Analysis of Visits paid by Health Visitors, 1938.
To infants under 5 years Enquiries re Visits. Re-visits. Total. -
Page 98
To children over 5 years
Enguiries re Visits. Re-visits. Total. -
Page 99
Attendances of Health Visitors at Clinics.
Health Visitor Infant Welfare Toddlers' Clinic Ante-Natal Light Massage Schick Dental Sewing Class Total -
Page 100
The following is a summary of the work done at the various Infant Welfare Clinics during the year:— (For details, see Appendix, Table IV.)
-
Page 101
Ante-Natal Clinics. The work of the ante-natal Clinics during recent year is illustrated by the following figures.
Year. No. of individual women attending. Average number of attendances per week. Total number of attendances made. -
Page 102
The following is the text of Dr. Hill's Report for 1938:—Ante-Natal Clinic Statistics, 1938
Central Clinic Clyde Street -
Page 103
Continued from previous page...
Central Clinic Clyde Street -
Page 103
Central Clinic.
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Page 103
Post-Natal Clinic. Amongst the patients seen the following defects were found and dealt with:—
-
Page 104
The following particulars have been kindly given to me:—
-
Page 105
The following is a statement of the year's work
1938. Patients on Register at commencement of each month. New Patients Admitted. Patients Re-admitted. Patients Discharged. Patient on Register at end of month. Attendances each month. Total Attendance for each month Months. Under 1 Year 1-5 Years A.-N. P.-N. Under 1 Year 1—5 Years A.-N. P.-N. Under 1 Year 1 -5 Years A.-N. P.-N. Under 1 Year 1—5 Years A.-N. P.-N. Under 1 Year 1—5 Years A -N. P.-N. Under 1 Year 1—5 Years A.-N. P.-N. -
Page 106
Classification of Patients Admitted During The Year.
Diseases. Admissions. Re-admissions. Under 1 Yr. Over 1 Yr. Ante-Nat. Post Nat. Under 1 Yr. Over 1 Yr. Ante-Nat. Post Nat. -
Page 107
Summary of Defects found.
-
Page 108
The Dental Surgeon, Mr. W. H. Jennings, has furnished me with the following details of the work in 1938:—
Cases. Extractions. Fillings. Scalings, Silver Nitrate etc. Gas Cases. Dentures Supplied. Repaired -
Page 113
The following table shows the numbers on the Register during the year under report:—
No. at end of 1937. Added. Removed. No. at end of year 1938. -
Page 116
Table Causes of death at different Periods of life In the metroplitaian borogh of deptford, 1938.
causes of death. Sex All Ages 0- 1 - 2- 5— 15- 25— 35- 45— 55— 65— 75 - -
Page 117
Table 1—continued.
CAUSES OF DEATH. Sex. All Ages. 0— 1- 2— 5— 15— 25 35— 45— 55— 65— 75- -
Page 118
Table II. SHOWING NUMBER OF ARTICLES DISINFECTED OR DESTROYED AT OWNER'S REQUEST.
1938 Articles Stoved Articles Destroyed at Owner's Request Books Rathing Station Adults Balhs Beds Pillows Bolstens Mattresses Sheets Blankets Miscellan'us Total Beds Pillows Bolsters Mattresse Sheets Blankets Miscellan'us Books Total D.B.C. Library Private Total Towels Blankets Wearing Apparel Total Scabies Persons Cleanse WearingApparel Stoved -
Page 119
Table III. SHOWING NUMBER OF PREMISES VISITED AND ROOMS DISINFECTED.
1938 Premises Visited Rooms Disinfected Infectious Diseases Requests Bedding only Removals Verminous Scarlet Fever Diphtheria Pulmonary Tuberculosis Scabies Measles Cancer Puerperal Fever Whooping Cough Erysipelas Cerebro-spinal- Meningitis Typhoid Fever Infantile Paralysis Pneumonia Formalin Spray Sul- phur Total Rooms Infectious Diseases Requests Removals Ver- "g minous e -
Page 120
MONDAY SESSIONS AT St. Luke's Hall, Gosterood Street
1938 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed. Mixed. Artificial. Ages 1-5. -
Page 120
CENTRAL CLINIC—MONDAY SESSIONS
1938 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases Consultations with Doctor Breast Fed. Mixed. Arti-ficial. Ages 1—5 -
Page 121
CENTRAL CLINIC—TUESDAY SESSIONS (Hatchavt-Pepys District)
1933 No. of times Clinic opened. Breast Fed. New Cases. Ages 1—5. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Mixed. Artificial. -
Page 121
CENTRAL CLINIC—TUESDAY SESSIONS (Vale District)
1938 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed. Mixed. Artificial. Ages 1-5. -
Page 122
CENTRAL CLINIC—WEDNESDAY SESSIONS (St. John's District)
1933 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed Mixed. Artificial. Ages 1-5. -
Page 122
CENTRAL CLINIC—WEDNESDAY SESSIONS (TOWN HALL-St. Prter's Dist.)
1938 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed. Mixed. Artificial. Ages 1-5. -
Page 123
CENTRAL CLINIC—THURSDAY SESSIONS (Deptford Park-Evelyn Dist.)
1938 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed. Mixed. Artificial. Ages 1—5 -
Page 123
PRINCESS LOUISE INSTITUTE, HALES STREET CLINIC
1938 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed. Mixed. Artificial. Afies 1-5 -
Page 124
CENTRAL CLINIC—THURSDAY SESSIONS (Vale District)
1938 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed Mixed. Artificial. Ages 1-5 -
Page 124
ILDERTON ROAD CLINIC
1938 No. of times Clinic opened. New Cases. T otal New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed. Mixed. Artificial. Ages 1—5 -
Page 125
CENTRAL CLINIC—FRIDAY SESSIONS (Hatcham-Pepys District)
1938 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed. Mixed. Artificial. Ages 1—5 -
Page 125
CENTRAL CLINIC—FRIDAY SESSIONS (St. Catherine's District)
1938 No. of times Clinic opened. New Cases. Total New Cases. Total Old Cases. Total New and Old Cases. Consultations with Doctor. Breast Fed. Mixed Artificial Aries 1—5