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

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STATISTICS AND SOCIAL CONDITIONS OF THE AREA. General Statistics, 1937.

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Vital Statistics.

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The following table shows the number of deaths from Cancer under the various age groups during the past 10 years :—

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Statistics.—The following table gives the statistics of the Borough during 1937 and previous years:— Vital Statistics of Whole District during 1937 and Previous Years.

Year.	Population estimated to middle of each year.	Births.			Total Deaths Registered in the District.		Transferable Deaths		Nett Deaths belonging to the District.
		Uncorrected Number.	Nett.		Number.	ltate.	of Non-residents registered in the District.	of Residents not registered in the District	Under 1 Year of Age.		At all Ages.
		Uncorrected Number.	Number.	Rate.	Number.	ltate.	of Non-residents registered in the District.	of Residents not registered in the District	Number.	Rate per 1.000 Nett Births.	Number.	Rate.
1	2	3	4	5	6	7	8	9	10	11	12	13

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Deaths of Residents.—Belonging to the Borough, occurring in Public Institutions, &c., in districts outside, during the year :—

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GENERAL HOSPITALS, NURSING HOMES, &c.

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FEVER HOSPITALS.

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PUBLIC INSTITUTIONS.

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VARIOUS.

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Causes of, and Ages at, Death during the Year 1937.

CAUSES OF DEATH.		Sex.	All Ages.	0—	1 —	2-	5—	15-	25—	35—	45-	55-	65—	75—

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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 Resident population (mid-1937).	Live Births rate per 1,000 population.	Death rate per 1,000 population.		Infantile Mortality rate per 1,000 live births.
Cities and Boroughs.	Estimated Resident population (mid-1937).	Live Births rate per 1,000 population.	Crude.	Adjusted.	Infantile Mortality rate per 1,000 live 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 visits paid are enumerated in detail below:—

	District.
	No. 1	No. 2	No. 3	No. 4	No. 5	No. 6	No. 7	Total.

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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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Notification Received from

Midwives.	Doctors.	Lying in Hospitals and Nursing Homes.	L.C.C. Institutions.	Parents.	M.O.H.'s.

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INFANT MORTALITY, 1937. Infantile Mortality during the year 1937. 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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The following table gives the births, infant deaths and infantile mortality rates in England and Wales, London and Hammersmith and the wards of the Boroughs for the year 1937:—

District.	1937.
District.	No. of Births.	No. of Deaths of Children under 1 year of age.	Infant Mortality Rate.

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Schedule of Attendances at Infant Welfare Centres.

Address of Clinic.	No. of Clinics	New Cases.				Total Attendances.
		Mothers.		Children.		Mothers.		Children.
		Ante-natal.	Post-natal.	Under 1 yr.	Over lyr.	Ante-natal.	Post-natal.	Under 1 yr.	Over 1 yr.

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The number of Maternal Deaths during the past fifteen years is as follows:—

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

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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:

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

Page 48

The analysis of the final reports received is as follows:—

Cases.			Vision unimpaired.	Vision Impaired.	Total Blindness.	Removed from Dis trict.	Still under Treatment.	Deaths
Notified.	Treated.
Notified.	At Home.	In Hospital.

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A summary of the work carried out during the year under review follows:—

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Inspections.—The following table shows the number of visits made in each district under the various inspection head :— NUMBER OF INSPECTIONS MADE DURING 1937.

Cause of Inspection.	Districts.
	1	2	3	4	5	6	7	8	Lady Sanitary Inspector	Food and Drugs Inspector	Housing Inspector	Total.

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Notices.—The following table shows the number of Preliminary Notices served and complied with during the year:-

	Notices Served.	Notices complied with.

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The following table shows the result of proceedings taken:— SUMMONSES—YEAR 1937.

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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HAMMERSMITH BOROUGH COUNCIL BYE-LAWS—DOGS.

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

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Summonses—continued. PUBLIC HEALTH (LONDON) ACT—UNSOUND FOOD.

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

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1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

Premises.	Number of
Premises.	Inspections.	Written Notices.	Occupiers Prosecuted.

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2.—DEFECTS FOUND IN FACTORIES, WORK SHOPS 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, Sees. 109, 110
Nature of Work		Instances	Notices served	Prosecutions	Instances	Ordeis made (Sec. 110)	Proscutions (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 95 (Sub-sec. 2) of the Public Health (London)

Act, 1936. Year.	L.C.C. Estate. H.B.C. Estate			Private Enterprise.

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The following table gives particulars of the Clearance Areas dealt with during the past three years:—

Name of Area	Date of Declaration	Action taken by Council	No. of Premises on Site	No. of Persons Living on Site	Position at end of 1937

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Milk (Special Designations) Order, 1936. The following is a list of the licences issued during the year under the Milk (Special Designations) Order, 1936:—

Description	Number.

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I append the number of animals slaughtered and examined in the slaughterhouses during the year:—

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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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Carcases Inspected and Condemned.

	Cattle, excluding Cows	Cows	Calves	Sheep and Lambs	Pigs

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

Premises.	Name of Licensee.

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Offensive Trades—Slaughterers of Poultry.—There is one authorised slaughterer of poultry in the Borough :—

Premises.	Name of Occupier.

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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.					Number of inspections 1937	Number of notices 1937	Number of prosecutions 1937
PREMISES.	On register in 1920.	On register at end of 1936	Added in 1937	Re-moved in 1937	On register at end of 1937	Number of inspections 1937	Number of notices 1937	Number of prosecutions 1937

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The voluntary surrender of the following unsound food was accepted during the year :—

Commodity	Condition	Result.

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Table I.

Period.	Genuine.	Inferior.	Adulterated.	Total.

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In Table 11 comparative percentages are given for the last ten years.

Year.	Genuine.	Inferior.	Adulterated.

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The number and nature of the various articles analysed during the year are set out fully in Table III below:— Table III.

Article.	No. of samples analysed.	Result of examination.
Article.	No. of samples analysed.	Genuine.	Inferior.	Adulterated.

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Continued from previous page...

Article.	No. of samples analysed.	Result of examination
Article.	No. of samples analysed.	Genuine	Inferior	Adulterated.

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Table IV.

Period.	No. analysed.	Fat (per cent.)	Non-fatty Solids (per cent.)

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BACTERIOLOGY.

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Cases of Infectious Disease notified during the year 1937.

Number of Cases Notified													wards
At all Ages	Age Periods
	Under 1	1â€”	2â€”	3â€”	4â€”	5â€”	10â€”	15â€”	20â€”	35â€”	45â€”	65â€”
	Under 1	1â€”	2â€”	3â€”	4â€”	5â€”	10â€”	15â€”	20â€”	35â€”	45â€”	65â€”	1	2	3	4	5	6	7

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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, 1928 to 1937:—

Year.	Smallpox.	Measles.	Scarlet Fever.	Diphtheria and Membranous Croup.	Whooping Cough.	Enteric Fever.	Diarrhoea and C holera.	Total.

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Notifiable Diseases (other than Tuberculosis) during the Year 1937.

DISEASE.	Total cases notified	Cases ad-mitted to Hospital.	Total deaths.

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Fees paid to medical practitioners.

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DISINFECTION. The following table shows the amount of disinfection carried out by your Council during the year; all bedding and articles of clothing, &c., being removed to the Council's Disinfecting Station.

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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 1928 to 1937.

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.	Chickenpox. a	Measles b a	Whooping Cough. a	Cerebro-Spinal Fever.	Anthrax.	Glanders.	Hydrophobia.	Ophthalmia Neonatorum.	Acute Polio-Myelitis.	Encephalitis Lethargica.	Pneumonia. c	Malaria. c	Dysentery. c	Trench Fever. e	Food Poisioning. f	Total.

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VACCINATION RETURNS. RETURN FOR 1936.

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., 1936	Number of these Births duly entered by 31st January, 1938, in Columns I, II, IV and V of the " Vaccination Register " (Birth List Sheets), viz.:					Number of these Births which on 31st January, 1938, remained unentered In the " Vaccination Register" on account (as shown by Report Book) of			Number of these Births remaining on 31st January, 1938, 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 1937	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 1937
		Col. 1 Success-fully Vaccinated	Col. II		Col. IV. Number in respect of whom Certificates of Con-scientious 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
		Col. 1 Success-fully Vaccinated	Insus-ceptible of Vaccination	Had SmallPox		Col. V Dead, Unvaccinated	Postponement by Medical Certificate

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Table showing Work of Vaccination Officer from 1st January to 31st December, 1937.

	No. of Vaccination Certificates received from—								No. of Insusceptibility Certificates.	Total No. of Certificates.	No. of Declarations of Conscientious Objection.	No. of Postponement Certificates.	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 Cases Removed and not Traced.	Nos. entered on "H" Lists to Public Vaccinators.
	District No. 1.	District No. 2.	District No. 3.	District No. 4.	District No. 5.	Queen Char-lotte Hospital.	Marlesford Lodge.	Other Doctors.	No. of Insusceptibility Certificates.	Total No. of Certificates.	No. of Declarations of Conscientious Objection.	No. of Postponement Certificates.	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 Cases Removed and not Traced.	District No. 1.	District No. 2	District No. 3.	District No. 4.	District No. 5.	Total

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PART I. Summary of Notifications during the period from the 1st January, 1937, to the 31st December, 1937.

Age Periods	Formal Notifications												Total Notifications
	Number of Primary Notifications of new cases of Tuberculosis
	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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PART III. Notification Register.

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

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I append figures for the years 1928-37, showing the interval between notification and death of tuberculous persons.

		1923.	1924.	1925.	1923.	1927.	1928.	1929.	1930.	1931.	1932.	1933.	1934.	1935.	1936.	1937.

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The following table has been prepared, giving particulars of new cases of tuberculosis and of deaths from tuberculosis during 1937:—

Age Periods	New Cases.				Deaths.
	Respiratory		Non-Respiratory		Respiratory		Non-Respiratory

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The following table indicates the reduction in the number of cases and deaths from Tuberculosis and the efforts made throughout the country are clearly reflected thereby :—

Year.	No. of Cases notified.			No. of Deaths.	No. of Cases on Dispensary Register.	No. of Cases on Register of Notifications.
Year.	Pulmonary	NonPulmonary.	Total.	No. of Deaths.	No. of Cases on Dispensary Register.	No. of Cases on Register of Notifications.

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Return showing the work of the Dispensary during the year 1937.

Diagnosis	Pulmonary				Non-pulmonary				Total				Grand 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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PULMONARY TUBERCULOSIS.

Condition at the time of the last record made during the year to which the return relates			Previous to 1927					1927					1928					1929					1930					1931
			Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus
			Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)

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Continued from previous page...

			1932					1933					1934					1935					1936					1937

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NON-PULMONARY TUBERCULOSIS.

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Continued from previous page...

			1932					1933					1934					1935					1936					1937

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The following Table shows the number of articles owned by the Borough Council as Nursing Comforts, and also the number of patients who have been granted the use of these articles.

Articles	Quantity owned by the Borough Council.	Number of Patients to whom Loaned.	Number still on Loan.

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

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Hammersmith 1937

73 tables in this report

STATISTICS AND SOCIAL CONDITIONS OF THE AREA. General Statistics, 1937.

Vital Statistics.

The following table shows the number of deaths from Cancer under the various age groups during the past 10 years :—

Statistics.—The following table gives the statistics of the Borough during 1937 and previous years:— Vital Statistics of Whole District during 1937 and Previous Years.

Deaths of Residents.—Belonging to the Borough, occurring in Public Institutions, &amp;c., in districts outside, during the year :—

GENERAL HOSPITALS, NURSING HOMES, &amp;c.

FEVER HOSPITALS.

PUBLIC INSTITUTIONS.

VARIOUS.

Causes of, and Ages at, Death during the Year 1937.

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 visits paid are enumerated in detail below:—

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:—

Notification Received from

INFANT MORTALITY, 1937. Infantile Mortality during the year 1937. Nett Deaths from stated causes at various ages under one year of age.

The following table gives the births, infant deaths and infantile mortality rates in England and Wales, London and Hammersmith and the wards of the Boroughs for the year 1937:—

Schedule of Attendances at Infant Welfare Centres.

The number of Maternal Deaths during the past fifteen years is as follows:—

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:

The analysis of the final reports received is as follows:—

A summary of the work carried out during the year under review follows:—

Inspections.—The following table shows the number of visits made in each district under the various inspection head :— NUMBER OF INSPECTIONS MADE DURING 1937.

Notices.—The following table shows the number of Preliminary Notices served and complied with during the year:-

The following table shows the result of proceedings taken:— SUMMONSES—YEAR 1937.

Summonses—continued.

Summonses—continued.

Summonses—continued.

HAMMERSMITH BOROUGH COUNCIL BYE-LAWS—DOGS.

Summonses—continued. PUBLIC HEALTH (LONDON) ACT—UNSOUND FOOD.

1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES.

2.—DEFECTS FOUND IN FACTORIES, WORK SHOPS AND WORKPLACES.

3.—HOME WORK.

4.—REGISTERED WORKSHOPS.

5.—OTHER MATTERS.

Certificates granted with regard to water supply under Section 95 (Sub-sec. 2) of the Public Health (London)

The following table gives particulars of the Clearance Areas dealt with during the past three years:—

Milk (Special Designations) Order, 1936. The following is a list of the licences issued during the year under the Milk (Special Designations) Order, 1936:—

I append the number of animals slaughtered and examined in the slaughterhouses during the year:—

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

Carcases Inspected and Condemned.

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

Offensive Trades—Slaughterers of Poultry.—There is one authorised slaughterer of poultry in the Borough :—

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

The voluntary surrender of the following unsound food was accepted during the year :—

Table I.

In Table 11 comparative percentages are given for the last ten years.

The number and nature of the various articles analysed during the year are set out fully in Table III below:— Table III.

Continued from previous page...

Table IV.

BACTERIOLOGY.

Cases of Infectious Disease notified during the year 1937.

The following table shows the deaths of residents registered from the seven principal zymotic diseases which occurred in the ten years, 1928 to 1937:—

Notifiable Diseases (other than Tuberculosis) during the Year 1937.

Fees paid to medical practitioners.

DISINFECTION. The following table shows the amount of disinfection carried out by your Council during the year; all bedding and articles of clothing, &amp;c., being removed to the Council's Disinfecting Station.

TABULAR STATEMENT—ZYMOTIC DISEASES. The following table shows the number of cases that were reported as due to the undermentioned diseases during the years 1928 to 1937.

VACCINATION RETURNS. RETURN FOR 1936.

Table showing Work of Vaccination Officer from 1st January to 31st December, 1937.

PART I. Summary of Notifications during the period from the 1st January, 1937, to the 31st December, 1937.

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.

PART III. Notification Register.

I append figures for the years 1928-37, 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 1937:—

The following table indicates the reduction in the number of cases and deaths from Tuberculosis and the efforts made throughout the country are clearly reflected thereby :—

Return showing the work of the Dispensary during the year 1937.

PULMONARY TUBERCULOSIS.

Continued from previous page...

NON-PULMONARY TUBERCULOSIS.

Continued from previous page...

The following Table shows the number of articles owned by the Borough Council as Nursing Comforts, and also the number of patients who have been granted the use of these articles.

Deaths of Residents.—Belonging to the Borough, occurring in Public Institutions, &c., in districts outside, during the year :—

GENERAL HOSPITALS, NURSING HOMES, &c.

DISINFECTION. The following table shows the amount of disinfection carried out by your Council during the year; all bedding and articles of clothing, &c., being removed to the Council's Disinfecting Station.