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

Page 5

The figures relating to the different constituent parts of the Borough are as follows:-

Districts	Birth Rate	Death Rate	Infantile Mortality per 1000 Births.	Zymotic Death Rate	Diarrhcea and EnteritisDeath Rate (under 2 yrs.)	Consumption Death Rate

Page 5

Attack Rates of the various notifiable diseases per 1,000 living in the several districts are as follows:-

Districts	Small-pox	Diphtheria	Scarlet Fever	Erysipelas	Typhoid Fever	Puerperal Fever per 1,000 Births)

Page 7

A total of £2,330 3s. 6d. was spent in affording relief, as follows :—

	£	s.	d.

Page 8

Elevation—Varies from below high-water mark up to 249 feet above sea level.

Area of the Borough and Districts—

Page 9

The following is the distribution of the population throughout the Borough and upon which the statistics in this Report are based :-

	Census 1921 (Adjusted)	Estimated Population at middle of year 1928.
	Census 1921 (Adjusted)	For Death Kate.	For Birth Rate.

Page 10

EXTRACTS FROM VITAL STATISTICS OF THE YEAR.

			Total		M.	F.

Page 10

The following table shows these particulars, giving the number of marriages in Greenwich and St. Nicholas, etc., for each year since 1914:—

Year	In Churches of England in Greenwich	Charlton & Kidbrooke		St. Nicholas Parish Church	Marriages in Superintendent-Registrar's Office of parties resident in Greenwich or outside the Registration District, and in Chapels and Roman Catholic Church in St. Nicholas & Greenwich	Total	Approximate Population of the districts concerned
Year	In Churches of England in Greenwich	In Churches of England	In Non-Conformist Churches	St. Nicholas Parish Church		Total	Approximate Population of the districts concerned

Page 13

It should be mentioned that the Table refers to deaths during the calendar year, whereas the Tables appearing in the Appendix of this Report relate to the weekly Returns furnished by the local Registrars.

Causes of Death.	Sex.	Deaths at Subjoined ages of "Residents," whether occuring within or without the District.
Causes of Death.	Sex.	All Ages.	Under 1.	1 and under 2.	2 and under 5.	5 and under 15.	15 and under 25.	25 and under 45.	45 and under 65.	65 and under 75.	75 and over.

Page 14

The following table which is compiled by the Registrar-General shows at a glance the relative position occupied by Greenwich with other Boroughs in London: —

Borough.	Rate per 1000population	Borough.	Rate per 1000 Population.

Page 14

The following table shows the variation in, and average of the Death Rates in each of the five Districts of the Borough in the five years 1923 to 1927 compared with the figures for 1928.

District.	1923	1924	1925	1926	1927	Averagefor 5 years.	1928

Page 15

DEATHS IN INSTITUTIONS. The following table shows the number of deaths of Greenwich residents in Public Institutions during the last six years: —

Year	Total Deaths of Greenwich Residents	Total Deaths of Greenwich Residents in Public Institutions

Page 15

AGE MORTALITY. The age mortality and the distribution of the deaths between the different quarters of the year is shown by the following table:—

Deaths	1st Quarter	2nd Quarter	3rd Quarter	4th Quarter	Total

Page 16

The following table shows at a glance these figures since the formation of the Borough:—

District.	Average for five years, 1901-1905, inclusive.	Average for five years, 1906-1910, inclusive.	Average for five years, 1911-1915, inclusive.	Average for five years, 1916-1920, inclusive.	Average for five years, 1921-1925, inclusive.	1926.	1927.	1928

Page 19

CANCER. Year 1928. MALE.

	Buccal Cavity			Oesophagus			Stomach			Liver and Gall Bladder			Intestines			Rectum			Prostate Glands			Other Organs						Total
	25—45 yrs.	45—65 yrs.	65 & over.	25—45 yrs.	45—65 yrs.	65 & over.	25—45 yrs.	45—65 yrs.	65 & over.	25—45 yrs.	45—65 yrs.	65 & over.	25—45 yrs.	45—65 yrs.	65 & over.	25—45 yrs.	45—65 yrs.	65 & over.	25—45 yrs.	45—65 yrs.	65 & over.	25—45 yrs.	45—65 yrs.	65 & over.	25—45 yrs.	45—65 yrs.	65 & over.	Total

Page 20

MORTUARY. The Council's Mortuary was erected in 1904, and is situate adjacent to the Coroner's Court in Lamb Lane. The number of bodies dealt with since 1916 is shown below:-

Year	Drowned Bodies from River	Other Bodies	Total

Page 23

Clinics and Treatment Centres.

Name.	Situation	Nature of Accommodation	By whom provided	Period when held

Page 24

Clinics and Treatment Centres—Continurd.

Name	Situation	Nature of Accommodation	By whom provided	Period when held

Page 25

The conditions found might be classified as follows:—

Page 28

POOR-LAW RELIEF. The Clerks of the Greenwich and Woolwich Boards of Guardians have been good enough to furnish me with the following figures for the year ended 31st December, 1928 :—

	Greenwich Parish	St. Nicholas Deptford	Charlton and Kidbrooke Parish

Page 31

FACTORIES, WORKSHOPS, LAUNDRIES, WORKPLACES and HOMEWORK. 1.—INSPECTION.

Premises	Number of
Premises	Inspections	Written Notices	Prosecutions

Page 31

2.—DEFECTS FOUND.

Particulars	Number of Defects			N umber of Prosecut's
Particulars	Found	Remedied	Referred to H.M. Inspector	N umber of Prosecut's

Page 32

3.—Outwork in Unwholesome Premises (Section 108).

Nature of Work	Instances	Notices Served	Prosecutions

Page 32

4.—WORKSHOPS AND WORKPLACES ON THE REGISTER AT THE END OF 1928.

	No.

Page 33

5.—OTHER MATTERS.

Page 34

Particulars of Public sanitary Conveniences in the Borough.

Convenience	Men					Women
Convenience	W.C.s	Lavatory Basins	Urinal Stalls	Open	Close	W.C s	Lavatory Basins	Open	Close
				a.m.	p.m.			a.m.	p.m.

Page 35

Other urinals.

	Accommodation

Page 37

SUMMARY OF WORK PERFORMED BY THE SANITARY INSPECTORS DURING THE YEAR 1928.

	1st Qtr.	2nd Qtr.	3rd Qtr.	4 th Qtr	Total

Page 38

Summary of Sanitary Work—continued.

	1stQtr.	2ndQtr.	3rd Qtr.	4thQtr.	Total

Page 39

Summary of Sanitary Work—continued.

	1st Qtr.	2ndQtr.	3rd Qtr.	4th Qtr.	Total

Page 40

Summary of Sanitary Work—continued.

	1st Quarter	2nd Quarter	3rd Quarter	4th Quarter

Page 40

Summary of Sanitary Work—continued.

	1st Qtr.	2ndQtr.	3rd Qtr.	4thQtr.	Total

Page 41

Return Made to London County Council. Proceedings during 1928.

Premises	Number of Places				Number ofInspections, 1928	Number ofNotices, 1928	Numberof Prosecutions, 1928
Premises	On Register at end of 1927	Added in 1928	Removed in 1928	On Register at end of 1928	Number ofInspections, 1928	Number ofNotices, 1928	Numberof Prosecutions, 1928

Page 48

The following table shows the average composition of milk examined by the Analyst during the year:—

Period	No. of Samples Examined	Average Composition of all Samples, i.e. Genuine and Adulterated		Average Composition of Genuine Samples		Ministry of Agriculture Standard
Period	No. of Samples Examined	Per cent. ofMilk Fat	Per cent. of Solids not Fat	Per cent. ofMilk Fat	Per cent. of Solids not Fat	Per cent. ofMilk Fat	Per cent. of Solids not Fat

Page 49

Slaughterhouses.—The number of slaughterhouses in use in the Borough are as follow:—

	In 1920	In January 1928	In December, 1928

Page 50

Other Foods.—Places where food is prepared have been visited on 205 occasions, improvements being required in 20 instances as detailed below:—

Class of Premises	Number of Lists				Number of Inspections	Number of Instances where matters needed attention
Class of Premises	At end of 1927	Added 1928	Removed 1928	At end of 1928	Number of Inspections	Number of Instances where matters needed attention

Page 52

Sale of Food and Drugs Acts.—Number and Description of Samples purchased for Analysis under the above Acts during the Year 1928

Description of Samples	Number ofSamples Purchased	Number Genuine	NumberNot Genuine

Page 53

Administrative Action Taken Regarding Samples reported to be NOT GENUINE.

No. of Sample	Description of Sample	Nature of Adulteration	Result of Proceedings

Page 57

Notifications under the Provisions of the Public Health (London) Act, 1891.—During the year 4,832 cases have been notified under the above Act. The following table shows the comparison since 1923:—

No.	Year.

Page 58

The quarterly incidence of the disease for 1928 has been as follows: —

	1st Quarter	2nd Quarter	3rd Quarter	4th Quarter	Total

Page 60

Quarter ended 31st March, 1928.

	Under 1	1 to 5	5 to 15	15 to 25	25& over	Total

Page 60

Sources of N otipcation:—

Page 60

Quarter ended 30th June, 1928.

	Under 1	1 to 5	5 to 15	15 to 25	25 & over	Total

Page 60

Sources of Notification :—

Page 61

Quarter ended 29th September, 1928.

	Under 1	1 to 5	5 to 15	15 to 25	25 & over	Total

Page 61

Sources of Notification :—

Page 61

Quarter ended 29th December, 1928.

	Under 1	1 to 5	5 to 15	15 to 25	Total

Page 61

Page 64

Number of Articles and Rooms Disinfected in connection with the Undermentioned Diseases for the 52 weeks ended 29th December, 1928. The following returns show in detail the amount of work performed during the year by the Disinfecting Staff : —

Diseases, &c.	Rooms	Premises Entered	Beds	Palliasses	Mattresses	Bolsters	Pillows	Blanket	Sheets	Cushions	Quilts	Odd Articles	Total No.ArticlesDisinfected

Page 65

Number of Articles Destroyed in connection with the Undermentioned Diseases during the 52 weeks ended 29th December, 1928.

Diseases, &c.	Beds	Palliasses	Mattresses	Bolsters	Pillows	Blankets	Sheets	Cushions	Quilts	Odd Pieces	Total No.ArticlesDestroyed

Page 66

Supplemental Vaccination Returns for 1927. Return made on or before the 9th of February, 1929, by Mr. E. S. Elliott, Vaccination Officer of the several Districts of the Greenwich Union, respecting the vaccination of children whose births were registered in his District from 1st January to 31st December, 1927, inclusive :—

Registration Sub-Districts comprised in the Vaccination Officer's District.	No. of Births from 1st Jan. to31st Dec., 1927.	Number of these Births duly entered by 31st Jan., 1929.					No. of Births which on 31st Jan.. 1929. remained unentered in the Vaccination Register on account of—			No. of these birthson 31st Jan.,1929, notaccountedfor	Total No. of Certificates of successfulPrimary Vaccination at all ages received during Calendar Year, 1928.	No. of Declarations of Conscienti-ous Objection actually received by Vaccination Officer during the Calendar Year 1928.
	No. of Births from 1st Jan. to31st Dec., 1927.	Success-fully Vacci-nated.	Insuscept-ible of Vacci-nation.	Had Small-pox.	Certificatesof con-scientious objection received.	Dead, Unvacci-nated.	Postpone-ment by Medical Certificate	Removal to Districts, V.O. of which apprised.	Removal to places un-known and cases not found.	No. of these birthson 31st Jan.,1929, notaccountedfor

Page 66

CHARLTON AND KIDBROOKE

Page 67

The following books belonging to the Libraries, etc., were destroyed in consequence of Infectious Disease:—

Page 68

The following table shows the number of children cleansed during the year:—

Page 68

NOTIFIABLE DISEASES (OTHER THAN TUBERCULOSIS) DURING THE YEAR 1928.

Disease.	Total Cases Notified.*	Cases admitted'to Hospital	Total Deaths.*

Page 69

The Notifications and Deaths were as follow:—

Notifications.				Deaths.
Pulmonary		Non-Pulmonary	Total.	Pulmonary	Non-Pulmonary	Total.

Page 70

Notifications and deaths from Pulmonary Tuberculosis, with the Incidence and Death Rates for the previous five years, are recorded below:—

Year.	Notifications	Incidence per 1,000	Deaths	Death Rate per 1,000

Page 72

At the close of 1928 the estimated number of persons suffering from Tuberculosis and residing in the Borough was as follows:—

	Men.	Women.	Children.	Total.

Page 75

TUBERCULOSIS.

Age-Periods	New Cases				Deaths
	Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary
	M	F	M	F	M	F	M	F

Page 76

(a) PULMONARY TUBEHCULOSIS.— Annual Return showing in summary form the condition of all Patients whose case records are in the possession of the Dispensary at the end of 1928, arranged according to the years in which patients first came under Public Medical Treatment for pulmonary tuberculosis, and their classification as shown on Form A.

Condition at the time of the last record made during the year to which the Return relates				Previous to 1926					1926					1927					1928
				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)

Page 77

Continued from previous page...

Page 78

(b) NON-PULMONARY TUBERCULOSIS.-Annual Return showing in summary form the condition of all Patients whose case records are in the possession of the Dispensary at the end of 1928, arranged according to the years in which the Patients first came under Public Medical Treatment, and their classification as shown on Form A.

Condition at the time of the last record made during the year to which the Return relates				Previous to 1926					1926					1927					1928
				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

Page 79

Continued from previous page...

Page 80

Return of work carried out in connection with the Maze Hill Tuberculosis Dispensary for the Year 1928.

DIAGNOSIS.	Pulmonary.				Non-pulmonary.				TOTAL.
	Adults.		Children.		Adults.		Children.		Adults.		Children.
	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

Page 82

The following table shows at a glance the work undertaken at the various Infant Consultation Centres during the year:—

	Borough Hall	Conduit House	105. Shooter's Hill Rd.	Armada Street	Charlton Vale	Total

Page 83

The attendances for the year were as follow:-

Page 83

The following tables show (a) the number of visits made by the Health Visitors during the year in connection with Births and cases of Infectious Diseases, and (b) number of Infant Consultations and Pre-Maternity Clinics attended. Health Visitors' Visits, &c., 1928.

Table A.	Visits	Re-Visits	Total

Page 86

The following were the conditions treated:—

Page 88

Maternity Home.—The year 1928 witnessed the largest number of admissions to the Maternity Home since its opening in the early part of 1922, the figure for the year in question being 328. The number of admissions during the preceding years were as follow :—

Page 89

NOTIFICATION OF BIRTHS ACTS, 1907. The following table gives the number and charactger of the intimations received respecting births in the Borough:-

	1920	1921	1922	1923	1924	1925	1926	1927	1928

Page 91

(a) Milk, Virol, &c., Distributed Free

Quarter ended	Milk		Virol		Malt & Oil		Cod Liver Oil
Quarter ended	1bs.	No. of Recipients	lbs.	No. of Recipients	lbs.	No. of Recipients	lbs.	No. of Recipients

Page 91

(b) Milk, Virol, &c., Sold at Full or Reduced Prices.

Quarter ended	Milk	Virol	Malt & Oil	Cod Liver Oil	Total Amount Received
	lbs.	lbs.	lbs.	lbs.	Total Amount Received
					£ s. d.

Page 92

The following are the particulars of the treatment carried out :—

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BOROUGH OG GREENWWICH. Return of Births and Deaths registered during the 13 weeks ended 31st March, 1928.

Estimated Population at	the middle of the Year.	Births Registered during the 13 weeks ended 31st March, 1928.		Deaths Registered during the 13 weeks ended 31st March, 1928.		AGE MORTALITY.			SEVEN ZYMOTIC DISEASES.								Rate of Mortality per
						Under 1 year.	Over 1 and under 5 Years.	Persons aged 65 Years and upwards.	Small-Pox.	Measles	Scarlet Fever.	Diphtheria.	Whooping Cough.	Fevers			All Causes.		Seven Zymotics.
														Typhcid.	Other.	Diarrhœa and Dysentery.	During the corres-ponding period year previous.	During the 13 weeks ' ended 31st March, 1928.	During the corres-ponding period year previous.	During the 13 weeks ended 3lst March. 1928.
Death Kate	Birth Kate	1 M.	F.	M.	F.									Typhcid.	Other.	Diarrhœa and Dysentery.	During the corres-ponding period year previous.	During the 13 weeks ' ended 31st March, 1928.	During the corres-ponding period year previous.	During the 13 weeks ended 3lst March. 1928.

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BOROUGH OF GREENWICH. Return of Births and Deaths registered during the 13 weeks ended 30th June, 1928.

.Estimated Population at the middle of the Year.		Births Registered during he 13 weeks ended 30th June, 1928.		Deaths Registered during be 13 weeks ended 30thJune, 1928		age mortality.			SEVEN ZYMOTIC DISEASES.						Rate of Mortality per 1,000
						Under 1 year.	Over 1 and under 5 Years.	Persons aged 65 Years and upwards.	Measles	Scarlet Fever.	Diphtheria.	Whooping Cough.	Fevers		All Causes.		Seven Zymotics.
													Typhcid.	Other.	During the corresponding period year previous.	During the 13 weeks ended 30th June, 1928.	During the corresponding period year previous.	During the 13 weeks ended 30th June, 1928.
forDeath Rate	for Birth Rate	M.	F.	M.	F.								Typhcid.	Other.	During the corresponding period year previous.	During the 13 weeks ended 30th June, 1928.	During the corresponding period year previous.	During the 13 weeks ended 30th June, 1928.

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BOROUGH OF GREENWICH. Return of Births and Deaths registered during the 13 weeks ended 29th Sept. 1928.

Estimated Population at the middle of the Year.		Births Registered during the 18 weeks ended 29th Sept. 1928.		Deaths Registered during the 18 weeks ended 29th Sept. 1928.		AGE MORTALITY.			SEVEN ZYMOTIC DISEASES.								Rate of Mortality per 1,000.
						Under 1 year.	Over 1 and under 5 Years.	Persons aged 65 Years and upwards.	Small-Pox.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Fevers		Diarrhoea and Dysentery.	All Causes.		Seven Zymotics.
														Typhoid.	Other.		During the corresponding period year previous.	During the 13 weeks ended 29th Sept. 1928.	During the corresponding period year previous.	During the 13 weeks ended 29th Sept. 1928.
for Death Rate	for Birth Rate	M.	F.	M.	F.									Typhoid.	Other.		During the corresponding period year previous.	During the 13 weeks ended 29th Sept. 1928.	During the corresponding period year previous.	During the 13 weeks ended 29th Sept. 1928.

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BOROUGH OF GREENWICH. Return of Births and Deaths registered during the 13 weeks ended 29th Dec. 1928.

Estimated Population at the middle of the Year.		Dearths Registered during the 13 weeks ended 29th Dec., 1928.		Deaths Registered during the 13 weeks ended 29th Dec., 1928.		AGE MORTALITY.			SEVEN ZYMOTIC DISEASES.								Rate of Mortality per 1,000
						Under 1 year.	Over 1 and under 5 Years.	Persons aged 65 Years and upwards.	Small-Pox.	Measles	Scarlet Fever.	Diphtheria.	Whooping Cough.	Fevers		Diarrhoea and Dysentery.	All Causes.		Seven Zymotics.
														Typhcid.	Others.		During the corresponding period year previous.	During the 13 weeks ended 29th Dec., 1928.	During the corresponding period year previous.	During the 13 weeks i ended 29th Dec., 1928.
forDeath Rate	for Birth Rate	M.	F.	M.	F.									Typhcid.	Others.		During the corresponding period year previous.	During the 13 weeks ended 29th Dec., 1928.	During the corresponding period year previous.	During the 13 weeks i ended 29th Dec., 1928.

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BOROUGH OF GREENWICH. Return of Births and Deaths registered during the 52 weeks ended 29th Dec. 1928.

Estimated Population at the middle of the Year.		Births Registered during the 52 weeks ended 29th Dec., 1928.		Deaths Registered during the 52 weeks ended 29th Dec., 1928.		age mortality.			SEVEN ZYMOTIC DISEASES.								Rate of Mortality per l,000
						Under 1 year.	Over 1 and under 5 Years.	Persons aged 65 Years and upwards.	. Small-Pox.	Measles	Scarlet Fever.	Diphtheria.	Whooping Cough.	Fevers		Diarrhoea and Dysentery.	All Causes.		Seven Zymotics.
														Typhcid.	Others.		During the corresponding period year previous.	During the 52 weeks ended 29th Dec., 1928.	During the corresponding period year previous.	During the 52 weeks ended 29th Dec., 1928.
for Death Hate	for Birth Rate	m.	F.	m.	F.									Typhcid.	Others.		During the corresponding period year previous.	During the 52 weeks ended 29th Dec., 1928.	During the corresponding period year previous.	During the 52 weeks ended 29th Dec., 1928.

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BOROUGH OF GREENWICH. Causes of, and Ages at, Death during the 13 weeks ended 31st March, 1928.

Causes of Death.	Deaths at Subjoined ages of "Residents" whether occurring within or without the District									Deaths at all Ages of "Residents" belonging to Localities, whether occurring in or beyond the District					Deaths of "Residents" in Public Institutions								Total Deaths whether of "Residents" or "Non-Residents " in Public Institutions in the District.
Causes of Death.	All Ages	Under 1	1 and under 2	2 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and upwards	Greenwich East	Greenwich West	St. Nicholas, Deptford	Charlton	Kidbrooke	G'n'n'ch & Deptford Hospital	Seamen's Hospital	Miller Hospital	Herbert Military Hospital	Brook Hospital M.A.B.	Cottage Hospital	Other Institutions	Outside Institutions

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BOROUGH OF GREENWICH. Causes of, and Ages at, Death during the 13 weeks ended 30th June, 1928.

Causes of Death.	Deaths at Subjoined ages of " Residents " whether occurring within or without the District									Deaths at all Ages of "Residents" belonging to Localities, whether occurring in or beyond the District					Deaths of " Residents " in Public Institutions								Total Deaths whether of "Residents" or "Non-Residents" in Public Institutions in the District.
Causes of Death.	All Ages	Under 1	1 and under 2	2 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	165 and upwards	Greenwich East	Greenwich West	St. Nicholas, Deptford	iCharlton	Kidbrooke	Gr'n'ch & Dept ford Hospital	Seamen's Hospital	Miller Hospital	Herbert Military Hospital	Brook Hospital M.A.B.	Cottage Hospital	Other Institutions	Outside Institutions

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BOROUGH OF GREENWICH. Causes of, and Ages at. Death during the 13 weeks ended 29th Sept 1928.

Causes of Death.	Deaths at Subjoined ages of " Residents " whether occurring within or without the District									Deaths at all Ages of " Residents " belonging to Localities, whether occurr-aing in or beyond the District					Deaths of "Residents" in Public Institutions								Total Deaths whether of "Residents" or "Non-Residents" in Public Institutions in the District./
Causes of Death.	All Ages	Under 1	1 and under 2	2 and under 5	5 and under 15	15 and under 25	25 and under 45 '	45 and under 65	*65 and upwards	Greenwich East	Greenwich West	St. Nicholas, Deptford	Charlton	Kidbrooke	Gr'n'ch & Dept. ford Hospital	Seamen's Hospital	Miller Hospital	Herbert Military Hospital	Brook Hospital M.A.B.	Cottage Hospital	Other Institutions	Outside Institutions
Enteric Fever	1	...	...	...	...	...	1	...	...	...	1	...	...	...	...	1	...	...	...	...	...	...	2
Small Pox	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...
Measles	2	...	2	...	...	...	...	...	...	...	2	...	...	...	...	...	...	...	1	...	...	1	2
Scarlet Fever	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	4
Whooping Cough	1	...	1	...	...	...	...	...	...	...	...	...	1	...	...	...	...	...	...	...	...	1	7
Diphtheria and Croup	2	1	...	1	...	...	...	...	...	1	...	...	1	...	...	...	...	...	1	...	...	1	6
Influenza	1	...	...	...	...	...	...	1	...	1	...	...	...	...	...	...	...	...	...	...	...	...	...
Encephalitis Lethargica	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	1
Meningococcal Meningitis	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...
Tuberculosis of Respiratory System	17	...	...	...	...	5	7	3	2	8	4		5		3	1	...	...	...	...	...	6	13
Other Tuberculous Diseases	6	...	...	1	3	...	1	1	...	3	1	...	2	...	2	...	...	...	...	...	...	3	5
Cancer, malignant disease	45	...	...	...	...	...	2	23	20	18	10	2	12	3	14	4	...	...	...	...	...	7	35
Rheumatic Fever	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...
Diabetes	2	...	...	...	...	...	...	...	2	1	1	...	...	...	...	...	...	...	...	...	...	...	1
Cerebral Hæmorrhage, &c.	15	...	...	...	...	...	1	6	8	7	4	...	4	...	7	1	...	...	...	...	...	1	10
Heart Disease	32	...	...	...	1	...	1	11	19	11	8	5	6	2	7	2	...	...	...	...	2	6	31
Arterio-Sclerosis	2	...	...	...	...	...	...	...	2	...	1	...	1	...	...	...	...	...	...	...	...	1	2
Bronchitis	7	...	...	...	...	...	...	1	6	4	...	...	3	...	...	...	...	...	...	...	...	2	5
Pneumonia (all other forms)	9	...	1	1	1	1	...	3	2	5	3	1	...	...	5	...	...	...	...	...	...	1	12
Other Respiratory Diseases	1	...	...	...	...	...	...	1	...	...	1	...	...	...	...	...	...	...	...	...	...	1	1
Ulcer of Stomach or Duodenum	3	...	...	...	...	...	...	3	...	2	1	...	...	...	3	...	...	...	...	...	...	...	5
Diarrhoea, &c.	3	3	...	...	1	...	...	...	...	...	2	...	1	...	1	...	...	...	...	...	...	1	5
Appendicitis	2	...	...	...	...	...	...	...	2	...	...	...	2	...	...	...	1	...	...	...	...	1	3
Cirrhosis of Liver	3	...	...	...	...	...	...	1	2	1	2	...	...	...	...	2	...	...	...	...	...	...	3
Ac. & Cr. Nephritis	8	...	...	...	...	3	...	2	3	5	3	...	...	...	4	...	...	...	...	...	...	2	6
Puerperal Sepsis	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...
Other Accidents and Diseases of Pregnancy and Parturition	1	...	...	...	...	...	1	...	...	...	...	...	1	...	...	...	...	...	...	...	...	1	2
Congenital Debility and Malformation, including Premature Birth	12	12	...	...	...	...	...	...	...	2	7	1	2	...	2	...	...	...	...	...	...	2	6
Violent Deaths, excluding Suicide	9	...	1	...	...	1	3	...	4	3	4	1	1		3	1	...	...	...	...	...	3	13
Suicides	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...
Other Defined Diseases	49	1	2	1	1	2	6	15	21	21	12	3	12	1	14	3	2	...	...	1		13	47
Diseases ill-defined or unknown	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...	...
	233	17	7	4	6	12	23	71	93	93	67	13	54	6	65	15	3	...	2	1	2	54	227

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BOROUGH OF GREENWICH. Causes of, and Ages at, Death during the 13 weeks ended 29th Dec., 1928.

Causes of Death.	Deaths at Subjoined ages of " Residents " whether occurring within or without the District									Deaths at all Ages of "Residents" belonging to Localities, whether occurring in or beyond the District					Deaths of " Residents " in Public Institutions								Total Deaths whether of "Residents" or "Non-Residents " in Public Institutions [in the District.
Causes of Death.	All Ages	:Under 1—	1 and under 2	2 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and upwards	Greenwich East	Greenwich West	St. Nicholas, Deptford	Charlton	Kidbrooke	Gr'n'ch & Deptford Hospital	Seamen's Hospital	Miller Hospital	Herbert Military Hospital	Brook Hospital M.A.B.	Cottage Hospital	Other Institutions	Outside Institutions

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BOROUGH OF GREENWICH. Causes of, and Ages at, Death during the 52 weeks ended 29th Dec., 1928.

Causes of Deaths.	Deaths at Subjoined ages of " Residents " whether occurring within or without the District									Deaths at all Ages of "Residents" belonging to Localities, whether occurr-ing in or beyond the District					Deaths of " Residents " in Public Institutions								Total Deaths whether of "Residents" or "Non-Residents " in Public Institutions in the District.
Causes of Deaths.	All Ages	Under 1	1 and under 2	2 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and upwards	Greenwich East	Greenwich West	St. Nicholas, Deptford	Charlton	Kidbrooke	Gr'n'ch & Dept ford Hospital	Seamen's Hospital	Miller Hospital j	Herbert Military Hospital	Brook Hospital M.A.B.	Cottage Hospital	Other Institutions	Outside Institutions

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BOROUGH OF GREENWICH. Cases of Infections Disease notified during the 13 weeks ending 31st March, 1928.

Notifiable Disease	Cases Notified in Whole District.								Total Cases Notified in each Locality.					Number of Cases Removed to Hospitalfrom each locality.
	At allAges.	At Ages—Years.							Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke.(A)	Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (H)	Total.
	At allAges.	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and upwards	Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke.(A)	Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (H)	Total.

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BOROUGH OF GREENWICH. Cases of Infectious Diseases notified during the 13 weeks ending 30th June, 1928.

Notified Diseases	Cases Notified in Whole Districts.								Total Cases Notified in each Locality.						Number of Cases Removed to hospitalfrom each locality.
	At all Ages.	Under 1	At Ages—Years.						Greenwich East	Greenwich West	St. Nicholas. Deptford.	Chariton.		Kidbrooke.(h)	Greenwich East	GreenwichWest	St. Nicholas, Deplfonl.	Chart tea.	Kidbrooke. (h)	Total.
	At all Ages.	Under 1	1 to 5	5 to 15	15 to 25	26 to 45	45 to 65	65 and upwards	Greenwich East	Greenwich West	St. Nicholas. Deptford.	Chariton.		Kidbrooke.(h)	Greenwich East	GreenwichWest	St. Nicholas, Deplfonl.	Chart tea.	Kidbrooke. (h)	Total.

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BOROUGH OF GREENWICH. Cases of Infectious Disease notified during the 13 weeks ending 29th Sept. 1928.

Notifiable Diseases.	Cases Notified in Whole District.									Total Cases Notified in each Locality.					Number of Cases Removed to Hospital from each Locality.
	At allAges.	Under 1	1 to 0	At Ages—Years.						Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (h)	Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (h)	Total.
	At allAges.	Under 1	1 to 0	5 to 15	15 to 25	.23 to 45	45 to65	65 and upwards		Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (h)	Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (h)	Total.

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BOROUGH OF GREENWICH. Cases of Infectious Disease notified during the 13 weeks ending 29th Dec., 1928.

Notified Diseases.	Cases Notified in Whole District.								Total Cases Notified in each Locality.					Number of Cases Removed to Hospital from each Locality.
	At all Ages.	At Ages—Years.							Greenwich East	Greenwich West	St. Nicholas, 1 Deptford.	1Charlton.	Kidbrooke. (h)	Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (h)	Total.
	At all Ages.	Under 1	1 to 5	5 to 15	15 to 25	26 to 46	45 to 65	65 an.) upwards	Greenwich East	Greenwich West	St. Nicholas, 1 Deptford.	1Charlton.	Kidbrooke. (h)	Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (h)	Total.

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BOROUGH OF GREENWICH. Cases of Infectious Diseases notified during the 52 weeks ended 29th Dec., 1928.

Notified Diseases.	Cases Notified in Whole District.								Total Cases Notified in each Locality.					Number of Cases Removed to Hospitalfrom Each Localiv.
	At all Ages.	At Ages—Years.							Greenwich East	Greenwich West	St. Nicholas, Deptford. j	Charlton.	Kidbrooke. (h)	Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (h)	Total.
	At all Ages.	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and upwards	Greenwich East	Greenwich West	St. Nicholas, Deptford. j	Charlton.	Kidbrooke. (h)	Greenwich East	Greenwich West	St. Nicholas, Deptford.	Charlton.	Kidbrooke. (h)	Total.

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BOROUGH OF GREENWICH. INFANTILE MORTALITY DURING THE YEAR 1928. Deaths from stated Causes in Weeks and Months under One Year of Age.

Cause of Death.		Under 1 Week	1—2 Weeks	2—3 Weeks	3—4 Weeks	Total under I Month	1—3 Months	3—6 Months	1 6—9 Months	9—12 Months	Total Deaths under 1 Year

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

Greenwich 1928

89 tables in this report

The figures relating to the different constituent parts of the Borough are as follows:-

Attack Rates of the various notifiable diseases per 1,000 living in the several districts are as follows:-

A total of £2,330 3s. 6d. was spent in affording relief, as follows :—

Elevation—Varies from below high-water mark up to 249 feet above sea level.

The following is the distribution of the population throughout the Borough and upon which the statistics in this Report are based :-

EXTRACTS FROM VITAL STATISTICS OF THE YEAR.

The following table shows these particulars, giving the number of marriages in Greenwich and St. Nicholas, etc., for each year since 1914:—

It should be mentioned that the Table refers to deaths during the calendar year, whereas the Tables appearing in the Appendix of this Report relate to the weekly Returns furnished by the local Registrars.

The following table which is compiled by the Registrar-General shows at a glance the relative position occupied by Greenwich with other Boroughs in London: —

The following table shows the variation in, and average of the Death Rates in each of the five Districts of the Borough in the five years 1923 to 1927 compared with the figures for 1928.

DEATHS IN INSTITUTIONS. The following table shows the number of deaths of Greenwich residents in Public Institutions during the last six years: —

AGE MORTALITY. The age mortality and the distribution of the deaths between the different quarters of the year is shown by the following table:—

The following table shows at a glance these figures since the formation of the Borough:—

CANCER. Year 1928. MALE.

MORTUARY. The Council's Mortuary was erected in 1904, and is situate adjacent to the Coroner's Court in Lamb Lane. The number of bodies dealt with since 1916 is shown below:-

Clinics and Treatment Centres.

Clinics and Treatment Centres—Continurd.

The conditions found might be classified as follows:—

POOR-LAW RELIEF. The Clerks of the Greenwich and Woolwich Boards of Guardians have been good enough to furnish me with the following figures for the year ended 31st December, 1928 :—

FACTORIES, WORKSHOPS, LAUNDRIES, WORKPLACES and HOMEWORK. 1.—INSPECTION.

2.—DEFECTS FOUND.

3.—Outwork in Unwholesome Premises (Section 108).

4.—WORKSHOPS AND WORKPLACES ON THE REGISTER AT THE END OF 1928.

5.—OTHER MATTERS.

Particulars of Public sanitary Conveniences in the Borough.

Other urinals.

SUMMARY OF WORK PERFORMED BY THE SANITARY INSPECTORS DURING THE YEAR 1928.

Summary of Sanitary Work—continued.

Summary of Sanitary Work—continued.

Summary of Sanitary Work—continued.

Summary of Sanitary Work—continued.

Return Made to London County Council. Proceedings during 1928.

The following table shows the average composition of milk examined by the Analyst during the year:—

Slaughterhouses.—The number of slaughterhouses in use in the Borough are as follow:—

Other Foods.—Places where food is prepared have been visited on 205 occasions, improvements being required in 20 instances as detailed below:—

Sale of Food and Drugs Acts.—Number and Description of Samples purchased for Analysis under the above Acts during the Year 1928

Administrative Action Taken Regarding Samples reported to be NOT GENUINE.

Notifications under the Provisions of the Public Health (London) Act, 1891.—During the year 4,832 cases have been notified under the above Act. The following table shows the comparison since 1923:—

The quarterly incidence of the disease for 1928 has been as follows: —

Quarter ended 31st March, 1928.

Sources of N otipcation:—

Quarter ended 30th June, 1928.

Sources of Notification :—

Quarter ended 29th September, 1928.

Sources of Notification :—

Quarter ended 29th December, 1928.

Number of Articles and Rooms Disinfected in connection with the Undermentioned Diseases for the 52 weeks ended 29th December, 1928. The following returns show in detail the amount of work performed during the year by the Disinfecting Staff : —

Number of Articles Destroyed in connection with the Undermentioned Diseases during the 52 weeks ended 29th December, 1928.

CHARLTON AND KIDBROOKE

The following books belonging to the Libraries, etc., were destroyed in consequence of Infectious Disease:—

The following table shows the number of children cleansed during the year:—

NOTIFIABLE DISEASES (OTHER THAN TUBERCULOSIS) DURING THE YEAR 1928.

The Notifications and Deaths were as follow:—

Notifications and deaths from Pulmonary Tuberculosis, with the Incidence and Death Rates for the previous five years, are recorded below:—

At the close of 1928 the estimated number of persons suffering from Tuberculosis and residing in the Borough was as follows:—

TUBERCULOSIS.

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Continued from previous page...

Return of work carried out in connection with the Maze Hill Tuberculosis Dispensary for the Year 1928.

The following table shows at a glance the work undertaken at the various Infant Consultation Centres during the year:—

The attendances for the year were as follow:-

The following tables show (a) the number of visits made by the Health Visitors during the year in connection with Births and cases of Infectious Diseases, and (b) number of Infant Consultations and Pre-Maternity Clinics attended. Health Visitors' Visits, &amp;c., 1928.

The following were the conditions treated:—

Maternity Home.—The year 1928 witnessed the largest number of admissions to the Maternity Home since its opening in the early part of 1922, the figure for the year in question being 328. The number of admissions during the preceding years were as follow :—

NOTIFICATION OF BIRTHS ACTS, 1907. The following table gives the number and charactger of the intimations received respecting births in the Borough:-

(a) Milk, Virol, &amp;c., Distributed Free

(b) Milk, Virol, &amp;c., Sold at Full or Reduced Prices.

The following are the particulars of the treatment carried out :—

The following tables show (a) the number of visits made by the Health Visitors during the year in connection with Births and cases of Infectious Diseases, and (b) number of Infant Consultations and Pre-Maternity Clinics attended. Health Visitors' Visits, &c., 1928.

(a) Milk, Virol, &c., Distributed Free

(b) Milk, Virol, &c., Sold at Full or Reduced Prices.