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

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Notification Received from

Midwives.	Doctors.	Lying-in Hospitals.	Poor Law Institutions.	Parents.	M.O.H.'s.

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TABLE III. Infantile Mortality during the year 1931. Nett Deaths from stated causes at various ages under one year of age.

CAUSE OF DEATH.		Under 1 Week.	1-2 Weeks.	2-3 Weeks.	3-4 Weeks.	Total under 4 Weeks.	4 Weeks, and under 3 months.	3 months and under 6 months.	6 months and under 9 months.	9 months and under 1 year.	Total Deaths under 1 Year.

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Causes of, and Ages at, Death during the year 1931 METROPOLITAN BOROUGH OF HAMMERSMITH.

CAUSES OF DEATH.	Sex.	All Ages.	0-	1-	2 -	5-	15-	25 -	35-	45-	55-	65-

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This rate is calculated on the estimated population of each Ward.

Ward.	Estimated Population.	No. of Deaths.	Death Rate.

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LONDON AND METROPOLITAN BOROUGHS.

Cities and Boroughs.	Estimated population to the middle of year 1929.	Births. Annual rate per 1,000 persons living.	Death- rate per 1,000 living.	Infantile Mortality rate per 1,000 births.

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No. of beds available for each sex for the following services:—

	M.	F.

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No. of beds available for each sex for the following services:—

	M.	F.

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The number of Maternal Deaths during the past twelve years is as follows:-

Year.	Number of Deaths		Number of Births.	Maternal Death Rate.
Year.	Puerperal Sepsis.	Other Accidents of Pregnancy.	Number of Births.	Maternal Death Rate.

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Notices.—The following table shows the number of visits paid by the Inspectors and the Preliminary Notices served and complied with during the year:—

	Number of Inspections.	Notices Served.	Notices complied with

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The following table shows the result of proceedings taken:— SUMMONSES—YEAR 1931.

Situation of Premises.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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Summonses—continued.

Situation of Premises.	Nature of Offence.	No. of Summonses	Result of Proceedings.

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Summonses-continued.

Situation of Premises.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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Summonses—continued.

Situation of Premises.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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PUBLIC HEALTH (LONDON) ACT, 1891.—UNSOUND FOOD.

Name and Address.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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HAMMERSMITH BOROUGH COUNCIL BY-LAWS—DOGS.

Name and Address.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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LONDON COUNTY COUNCIL (GENERAL POWERS) ACTS.

Name and Address.	Nature of Procedings.	No. of Summonses.	Result of Proceedings.

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MILK AND DAIRIES (CONSOLIDATION) ACT, 1915. MILK AND DAIRIES ORDER, 1926.

Name and Address.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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PUBLIC HEALTH (LONDON) ACT, SECTION 55— INFECTIOUS DISEASES.

Name and Address.	Nature of Offence.	No. of Summonses.	Result of Proceedings.

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The following is a list of the Factories, Workshops and Workplaces upon the Register:—

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1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

Premises	Number of
Premises	Inspections	Written Notices	Prosecutions

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2.—DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.

Particulars		Number of Defects			Number of Prosecutions
Particulars		Found	Remedied	Referred to H.M. Inspector	Number of Prosecutions

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3.—HOME WORK.

Nature of Work		Outwork in Unwholesome premises, Sec. 108			Outwork in Infected Premises Secs. 109, 110
Nature of Work		Instances	Notices served	Prosecutions	Instances	Orders made (Sec. 110)	Prosecutions (Secs. 109, 110)

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4.—REGISTERED WORKSHOPS.

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

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5.—OTHER MATTERS.

Class		Number

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Certificates granted with regard to water supply under Section 48 (Sub-sec. 2) of the Public Health (London) Act, 1891.

Year.	L.C.C. Estate.	H.B.C. Estate.	Private Enterprise.

Page 56

The following is a list of the licences issued during the year under the Milk (Special Designations) Order, 1923:—

Description.	Number.

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The following is a list of Unsound Food found during the Inspection of the Carcases of Animals Slaughtered in the Local Slaughterhouses.

Description.	Disease.	Approximate Weight.

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The following is a list of the slaughterhouses in the Borough:—

Premises.	Name of Licensee

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The following table gives a summary of the work relating to milk premises, slaughterhouses and ice cream premises:—

PREMISES.	NUMBER OF PREMISES.					N amber of inspections 1931	Number of notices 1931	Numbei of prosecutions 1931
PREMISES.	On register in 1920.	On register at end of 1930	Added in 1931	Removed in 1931	On regis-ter at end of 1931	N amber of inspections 1931	Number of notices 1931	Numbei of prosecutions 1931

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The following is a list of unsound food condemned during the year:—

Commodity.	Condition.	Result.

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Table I.

Samples received.	Genuine.	Inferior.	Adulterated.	Total.

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In Table II will be found a statement of the number and nature of the various articles examined during the year. Table II.

Article.	No. of Samples examined.	Result of Examination.
Article.	No. of Samples examined.	Genuine.	Inferior	Adulterated.

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The following Table gives the average composition of the milk calculated on the total number of samples taken in the Borough during the four quarters of the year:- Table III.

	Fat.	Non-fatty Solids.	Water.
	Per cent.	Per cent.	Per cent.

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The following Table shows the action taken on adulterated samples and other infringements of the Sale of Food and Drugs Act:- Table IV.

Sample No.	Article.	Adulteration.	Action.	Result.

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BACTERIOLOGY. The following bactoriological examinations were made on behalf of the Council:-

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Cases of Infectious Diseases notified during the year 1931. TABLE IV.

Number of Cases Notified								Total cases notified in each Ward
At all Ages								Total cases notified in each Ward
	Under 1	1 & under 5 Years	5 &, under 15 Years	15 & under 25 Years	25 & under 45 Years	45 & under 65 Years	65 and upwards	S'th	Centre		North
	Under 1	1 & under 5 Years	5 &, under 15 Years	15 & under 25 Years	25 & under 45 Years	45 & under 65 Years	65 and upwards	Ward 1	Ward 2	Ward 3	Ward 4	Ward 5	Ward 6	Ward 7

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Tuberculosis.

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The following table shows the deaths of residents registered from the seven principal zymotic diseases which occurred in the ten years, 1922 to 1981:—

Year.	Smallpox.	Measles.	Scarlet Fever.	Diphtheria and Membranous Croup.	Whooping Cough.	Enteric Fever.	Diarrhœa and Cholera.	Total.

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Notifiable Diseases (other than Tuberculosis) during the year 1931.

DISEASE.	Total cases notified.	Cases admitted to Hospital.	Total deaths.

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from the disease stated on the certificates, or any other notifiable disease—

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TABULAR STATEMENT—ZYMOTIC DISEASES. The following table shows the number of cases that were reported as due to the undermentioned diseases during the years 1922 to 1931.

Year.	Smallpox.	Scarlet Fever.	Diphtheria or Diphtheritic Croup.	Typhus Fever.	Enteric Fever.	Simple Continued Fever.	Relapsing Fever.	Puerperal Fever.	Puerperal Pyrexia, d	Cholera.	Erysipelas.	Plague.	Chicken pox. f	Measles, b a	Whooping Cough, a	Cerebro-Spinal Fever.	Anthrax.	Gland rs.	Hydrophobia.	Ophthalmia Neonatorum.	Acute Polio-Myelitis.	Encephalitis Lethargica.	Pneumonia, c	Malaria, c	Dysentery, c	Trench Fever.e	Total.

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VACCINATION RETURNS. RETURN FOR 1930.

Registration Sub-Districts comprised in the Vaccination Officers' District	Number of Births returned in the "Birth List Sheets" as registered from 1st January to 31st Dec., 1930	Number of these Births duly entered by 31st January, 1932, in Columns I, II, IV and V of the "Vaccination Register" (Birth List Sheets), viz.:					Number of these Births which on 31st January, 1932, remained unentered in the " Vaccination Register" on account (as shown by Report Book) of			Number of these Births remaining on 31st January, 1931. neither duly entered in the "Vaccination Register" (columns 3, 4, 5, 6 and 7 of this Return) nor temporarily accounted for in the "Report Book" (columns 8, 9 and 10 of this Return	Number of Certificates of Successful Primary Vaccination of children under 14 years received during the calendar year 1931	Number of Statutory Declarations of Conscientious Objection actually received by the Vaccination Officer irrespective of the dates of birth of the children to which they relate during the calendar year 1931
		Col. 1	Col. II		Col. IV. Number in respect of whom Certificates of Conscientious Objection have been received	Col. v Dead, Unvaccinated	Postponement by Medical Certificate	Removal to Districts, the Vaccination Officer of which has been duly apprised	Removal to Places unknown or which cannot be reached; and Cases not having been found
		Successfully Vaccinated	Insusceptible of Vaccination	Had Small-Pox		Col. v Dead, Unvaccinated	Postponement by Medical Certificate
1	2	3	4	5	6	7	8	9	10	11	12	13

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Table showing Work of Vaccination Officer from 1st January to 31st December, 1931.

	No. of Vaccination Certificates received from—							No. of Insusceptibility Certificates.	Total No. of Certificates.	No. of Declarations of Conscientious Objection.	No. of Postponement Certificates Received.	No. of Cases Removed Inwards.	No. of Cases Removed Outwards.	No. of "Q" Notices Sent.	No. of "K" Notices Served.	No. of Children Died Unvaccinated.	No. of Visits of Vaccination Officer.	No. of Cases Removed and not Traced.	Nos. entered on "H" Lists to Public Vaccinators.						No. of Cases remaining to be dealt with.	N umbers on Birth Lists Received from Registrars
	Dr. Durward.	Dr. Dale.	Dr. Harrison.	Dr. frossard.	Dr. Dockrill.	Dr. Brash.	Other Doctors.	No. of Insusceptibility Certificates.	Total No. of Certificates.	No. of Declarations of Conscientious Objection.	No. of Postponement Certificates Received.	No. of Cases Removed Inwards.	No. of Cases Removed Outwards.	No. of "Q" Notices Sent.	No. of "K" Notices Served.	No. of Children Died Unvaccinated.	No. of Visits of Vaccination Officer.	No. of Cases Removed and not Traced.	Dr. Durward.	Dr Dale.	Dr. Harrison.	Dr. Frossard.	Dr. Dockrill.	Dr. Brash.	No. of Cases remaining to be dealt with.	N umbers on Birth Lists Received from Registrars

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PART I. Summary of Notifications during the period from the 28th December, 1930, to the 2nd January, 1932.

Age Periods	Formal Notifications
	Number of Primary Notifications of new cases of Tuberculosis'												Total Notifications
	0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	Total (all ages)

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PART II. Supplemental Return. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by formal notification.

Age Periods		0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	Total

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The source or sources from which information as to the above-mentioned cases was obtained should be stated below :—

Source of Information		No. of Cases
Source of Information		Pulmonary	Non-pulmonary

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PART III. Notification Register.

	Pulmonary			Non-pulmonary			Total Cases
	Males	Females	Total	Males	Females	Total

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A append figures for the years 1920-31, showing the interval between notification and death of tuberculous persons.

	1920.	1921.	1922.	1923.	1924.	1925.	1926.	1927.	1928.	1929.	1930.	1931.

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The following table has been prepared, giving particulars of new cases of tuberculosis and of deaths from tuberculosis during 1931:—

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

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Return showing the work of the Dispensary during the year 1931.

Diagnosis	Pulmonary				Non-pulmonary				Total
	Adults		Childr'n		Adults		Childr'n		Adults		Childr'n
	m.	f.	m.	f.	m.	f.	m.	f.	m.	f.	m.	f.

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Supplementary Annual Return showing in summary form (a) the condition at the end of 1931 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off 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 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)

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Continued from previous page...

				1929					1930					1931

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Supplementary Annual Return showing in summary form (a) the condition at the end of 1931 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

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

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Continued from previous page...

				1929					1930					1931

Page 106

The visits paid are enumerated in detail below:—

Page 107

The feeding of the 1,873 infants visited was found to be as follows:—

Page 107

The following table gives the number of births and deaths of infants and the rate per 1,000 births since 1906, the year of the appointment of the first Health Visitor:—

Year.	Births.	Deaths of Infants.	Deaths of Infants per 1000 births.

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Schedule of Attendances at Infant Welfare Centres.

Address of Clinic.	No. of Clinics	New Cases.				Attendances.
		Mothers.		Children.		Mothers.		Children.
		Antenatal.	Postnatal.	Under 1 yr.	Over 1 yr.	Antenatal.	Postnatal	Under 1 yr.	Over 1 yr.

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OUT OF WORK.

				Rooms	Income.		Rent.		Net Inc.		Average per head.

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Number of Beds.— 10 :—

Information Required.	Particulars.

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Queen Charlotte's Auxiliary Hospital, "Invermead," Goldhawk Road, W.12, 10 beds reserved for Hammer smith Borough Council cases.

Information Required	Particulars.

Page 117

Statistics showing the incidence of all infectious diseases during the year are included in the general report, but in so far as they relate particularly to diseases of parturient women and children under five years of age, are tabulated below:—

Disease.	No. of Cases Notified.	Previous Year.	No. of Cases Visited.	No. of Cases Nursed.	No. of Cases Removed to Hospital.

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Ophthalmia Neonatorum.—The number of cases reported was twelve, against fourteen in the previous year. The analysis of the final reports received is as follows:—

Cases.			Vision unimpaired.	Vision Impaired.	Total Blindness.	Deaths.
Notified.	Treated.
Notified.	At Home.	In Hospital.

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

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Hammersmith 1931

64 tables in this report

Notification Received from

TABLE III. Infantile Mortality during the year 1931. Nett Deaths from stated causes at various ages under one year of age.

Causes of, and Ages at, Death during the year 1931 METROPOLITAN BOROUGH OF HAMMERSMITH.

This rate is calculated on the estimated population of each Ward.

LONDON AND METROPOLITAN BOROUGHS.

No. of beds available for each sex for the following services:—

No. of beds available for each sex for the following services:—

The number of Maternal Deaths during the past twelve years is as follows:-

Notices.—The following table shows the number of visits paid by the Inspectors and the Preliminary Notices served and complied with during the year:—

The following table shows the result of proceedings taken:— SUMMONSES—YEAR 1931.

Summonses—continued.

Summonses-continued.

Summonses—continued.

PUBLIC HEALTH (LONDON) ACT, 1891.—UNSOUND FOOD.

HAMMERSMITH BOROUGH COUNCIL BY-LAWS—DOGS.

LONDON COUNTY COUNCIL (GENERAL POWERS) ACTS.

MILK AND DAIRIES (CONSOLIDATION) ACT, 1915. MILK AND DAIRIES ORDER, 1926.

PUBLIC HEALTH (LONDON) ACT, SECTION 55— INFECTIOUS DISEASES.

The following is a list of the Factories, Workshops and Workplaces upon the Register:—

1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

2.—DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.

3.—HOME WORK.

4.—REGISTERED WORKSHOPS.

5.—OTHER MATTERS.

Certificates granted with regard to water supply under Section 48 (Sub-sec. 2) of the Public Health (London) Act, 1891.

The following is a list of the licences issued during the year under the Milk (Special Designations) Order, 1923:—

The following is a list of Unsound Food found during the Inspection of the Carcases of Animals Slaughtered in the Local Slaughterhouses.

The following is a list of the slaughterhouses in the Borough:—

The following table gives a summary of the work relating to milk premises, slaughterhouses and ice cream premises:—

The following is a list of unsound food condemned during the year:—

Table I.

In Table II will be found a statement of the number and nature of the various articles examined during the year. Table II.

The following Table gives the average composition of the milk calculated on the total number of samples taken in the Borough during the four quarters of the year:- Table III.

The following Table shows the action taken on adulterated samples and other infringements of the Sale of Food and Drugs Act:- Table IV.

BACTERIOLOGY. The following bactoriological examinations were made on behalf of the Council:-

Cases of Infectious Diseases notified during the year 1931. TABLE IV.

Tuberculosis.

The following table shows the deaths of residents registered from the seven principal zymotic diseases which occurred in the ten years, 1922 to 1981:—

Notifiable Diseases (other than Tuberculosis) during the year 1931.

from the disease stated on the certificates, or any other notifiable disease—

TABULAR STATEMENT—ZYMOTIC DISEASES. The following table shows the number of cases that were reported as due to the undermentioned diseases during the years 1922 to 1931.

VACCINATION RETURNS. RETURN FOR 1930.

Table showing Work of Vaccination Officer from 1st January to 31st December, 1931.

PART I. Summary of Notifications during the period from the 28th December, 1930, to the 2nd January, 1932.

PART II. Supplemental Return. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by formal notification.

The source or sources from which information as to the above-mentioned cases was obtained should be stated below :—

PART III. Notification Register.

A append figures for the years 1920-31, showing the interval between notification and death of tuberculous persons.

The following table has been prepared, giving particulars of new cases of tuberculosis and of deaths from tuberculosis during 1931:—

Return showing the work of the Dispensary during the year 1931.

Continued from previous page...

Supplementary Annual Return showing in summary form (a) the condition at the end of 1931 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

Continued from previous page...

The visits paid are enumerated in detail below:—

The feeding of the 1,873 infants visited was found to be as follows:—

The following table gives the number of births and deaths of infants and the rate per 1,000 births since 1906, the year of the appointment of the first Health Visitor:—

Schedule of Attendances at Infant Welfare Centres.

OUT OF WORK.

Number of Beds.— 10 :—

Queen Charlotte's Auxiliary Hospital, "Invermead," Goldhawk Road, W.12, 10 beds reserved for Hammer smith Borough Council cases.

Statistics showing the incidence of all infectious diseases during the year are included in the general report, but in so far as they relate particularly to diseases of parturient women and children under five years of age, are tabulated below:—

Ophthalmia Neonatorum.—The number of cases reported was twelve, against fourteen in the previous year. The analysis of the final reports received is as follows:—

Hammersmith—