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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

Holborn 1932

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

Published
1933
Pages
114
Tables
89

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89 tables in this report

  • Page 10
    The following further information extracted from the Census is of interest:—
    Dwellings, rooms and families.Holborn.London.
  • Page 11
    The Ward population of the Borough is given as follows:—
    WardAcreagePopulation
    19211931
    PersonsPersonsMalesFemales
  • Page 12
    Vital Statistics, 1932. England and Wales, London and Holborn.
    Annual Rates per 1,000 living.Deaths under 1 year to 1,000 Births.
    Births.Deaths.
  • Page 13
    The following is the corrected number of births and the corrected birth-rates for the year 1932 : —
    Year.Total Births.Legitimate Births.Illegitimate Births.
    No.Rate per 1,000 of Population.No.Kate per 1,000 of population.Proportion per 1.000 total Registered Births.No.Rate per 1,000 of population.Proportion per 1,000 total Registered Births.
  • Page 13
    Of these deaths the following occurred in Public Institutions, etc., within the area of the Borough:—
    Institution.Residents.Non-Residents.
    St. Giles and Bloomsbury.Holborn.St. Giles and Bloomshury.Holborn.
  • Page 14
    Corrected Deaths and Death-Rates, 1932. compared with 1931
    Year.Total Deaths at all ages registered in District.Deaths in Public Institutions in District.Deaths of non-residents of Borough registered in District.Deaths of residents registered beyond the District.Nett Deaths at all ages.Death Rate for BoroughDeath Rate Registration London
  • Page 14
    The mortality in the four quarters of the year as given in the Quarterly Reports of the Registrar-General is shown below:—*
    Deaths.Death-rate per 1,000.London Rate.
  • Page 14
    The number of deaths of children under one year of age, and the number of deaths of children under one year of age per 1,000 corrected births, were the following:—
    Year.Deaths under 1 year of age.Deaths under 1 year per 1000 corrected legitimate Births.Deaths under 1 year per 1( 00 corrected illegitimate Births.Deaths under 1 year per 1000 corrected Births.London.
    Deaths under 1 year per 1000 Births.
  • Page 14
    Death-rate per 1,000 corrected births in 1932 and in ten preceding years.
    1922192319241925192619271928192919301931Avge. 1922-311932
  • Page 17
    Sanitary Inspectors' and Health Visitors' Work Year, 1932.
    Mr. BennettMr. ClarkMr. Larard*Mr. Wood.Miss Charles-worthMiss StockwellTotal
  • Page 18
    Continued from previous page...
    Mr. BennettMr. ClarkMr. LarardMr. Wood.Miss Charles-worthMiss StockwellTotal
  • Page 19
    The following table shows the work done to abate nuisances for which intimation notices were served:—
    Water Supply—Houses.Factories, Workshops and Workplaces
  • Page 19
    Statutory Notices.
    Houses.Factories, etc.
  • Page 21
    Rats and Mice (Destruction) Act, 1919. Summary of conditions found on inspections, action taken and results obtained.
    WARD.Number of premises inspected.Number rat infested.Action for Rat RepressionRESULT
    TrapsPoisionRat catchers.Dogs.Cats.Proofing
  • Page 23
    No fewer than 155 different industries are carried on in these workshops, among the principal being the following:—
    No. or Workshops Employing
    Men only.Women only.Both Sexes.Total.
  • Page 24
    Continued from previous page...
    Mr. Bennett.Mr. . Clark.Mr. Larard.Mr. Wood.Miss Charles worth.Total.
  • Page 24
    Notices served.
    Mr. Bennett.Mr. Clark.Mr. Larard.Miss Charles-worth.Total.
  • Page 27
    The following table gives details of the accommodation available in the common lodging houses in the Borough:—
    Ward.Situation of House.Licensee.No. of Lodgers for which licensed.Total.
    Males.Females
  • Page 31
    I received information from the Borough Engineer respecting 106 applications from street traders for annual licences to sell various articles of food as follows : —
  • Page 32
    At the end of the year the following premises were on the register: —
  • Page 32
    Ice cream is manufactured in the Italian colony as follows :—
  • Page 32
    In addition ice cream was also manufactured on the following premises :—
    Mr. Bennett's District.Mr. Clark's District.Mr. Larard's District.
  • Page 33
    The following summary shows the number of butchers' shops and meat stalls in the Borough, and the number of other shops where meat is sold: —
  • Page 33
    The number of such places on the register at the end of the year was as follows: —
  • Page 34
    The following unsound food was condemned during the year, 1932: —
    Commodity.Quantity.Condition.Result of Action taken.
    Fish:—Tons.Cwts.Qrs.lbs.
  • Page 35
    Articles Analysed. Format, Samples.
    ARTICLE.Number PurchasedResult of AnalysesProceedings taken.Convictions.Fines and Costa
    Genuine.Adulterated.
  • Page 36
    Continued from previous page...
    ARTICLE.Number Purchased.Result of Analyses.Proceedings taken.Convietions.Fines and Costs
    Genuine.Adulterated.
  • Page 37
    Informal Samples.
    article.Number Taken.Result of Analyses.
    Genuine.Adulterated.
  • Page 38
    Cream Cheese.
    Water.Fat.
  • Page 39
    MILK. The table below shows the fat content of 177 samples of milk examined:-
    Percentage of FatNumber of Samples.
    Shops.RestaurantsStreets.Total
  • Page 39
    Monthly Variation of Chemical Composition of Milk.
    Number of Samples examined.Total Solids. Per cent. average.Solids Non-fat. Per cent. average.Fat. Per cent. average.
  • Page 40
    Orders were found, viz.: —
    Order No.Article.Number of breaches.
  • Page 41
    registered in accordance with the requirements of the Act:—
  • Page 42
    PREVALENCE OF AND CONTROL OVER INFECTIOUS DISEASES. The relative importance of the commoner infectious diseases as regards numbers of deaths caused is shown by the following table :— ENGLAND AND WALES. Common Infectious Diseases. Deaths at all Ages.
    1922.1923.1924.1925.1928.1927.1928.1929.19301931._Yearly average 1922-1931
  • Page 43
    to the Medical Officers of Health of the districts concerned. The diseases notified were :—
  • Page 44
    Total Number of BirthsVaccinatedDied before VaccinationCons. ObjectorsInsus. ceptiblePostponed by Medical CertificateRemoved. No information as to VaccinationTemporarily unaccounted for
  • Page 45
    Age at Notification of 76 Notified Cases of Diphtheria.
    0—11—55—1516—2525—4545—65Total.
  • Page 45
    Secondary clinical cases were nine in number; details follow: —
    Primary CaseAgeDate notifiedSecondary CaseAgeDate notifiedRemarks e.g. Character of Premises
  • Page 46
    Diphtheria in Hospitals.
    Hospital.Cases Notified.Disease Notified asHolborn Cases.Non-Holborn Cases.Total.
    Staff.Inpatients.Clinical.Carrier.
  • Page 47
    Analysis of the swab results relating to the contacts is given below: —
    Contacts swabbed.Positive Results.Contacts positive.
    Nose and Throat.Nose only.Throat only.
  • Page 48
    TABLE I. HOLBORN MUNICIPAL INFANT WELFARE CENTRE. Schick Test and Diphtheria Immunisation. Eleven years, 1922-32.
    A Total number of individuals who attended clinicB Total testedC Total immunised without preliminary Schick testResult of Test. DImmunisation of Positives. e f g h ij
    Positive.Nega tiveNot read.Found NEGATIVE to Re Schick Test afterFound NEGATIVE to Be Schick Test afterFirst immunised With T A.F. and found NEGATIVE to lie Schick afterFound POSITIVE to Re Schick Test after 3 ccm T.A. M or with T.A.F.Total Re Schick testedGiven 3 ccm T.A.M. or with T.A.F. Not retested.Given 1 ccm not yet retested.Failed to complete 3 inoculatns.Inoculatns. not begun.Inoculatns still in progress.
    1 ccm T. A.M.2 ccm T. A.M.3 ccm T. A.M. or with T.A.F.4 ccm T.A.M.5 ccm T.A.M.6 ccm T.A.M.8 ccm T.A.M.Further doses of T.A.F.3 ccm T A.M.Given further inoculation but not yet retested.No further inoculation given.
    ChildrenAdultsCACACAC ACACACACACAcAcAcAcACAccACACACAcACACA
  • Page 49
    TABLE II. HOLBORN MUNICIPAL INFANT WELFARE CENTRE, 1922-1932. Summary of Work Done.
    to 2 years2 to 3 years3 to 4 years4 to 5 years5 to 6 years6 to 7 years7 to 8 years8 to 9 years8 to 10 years10 to 11 years11 to 12 years12 to 13 years13 to 14 years14 to 15 years
    271571301099281625771574839388
    Neg.Not readPos..Neg.Pos.Neg.NotreadPos.Neg.NotreadPos.Neg.NotreadPos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.Pos.Neg.
  • Page 50
    table gives particulars of the nine cases of diphtheria : — TABLE III. Diphtheria in Children Schick-Tested and Treated with Immunising Injections.
    Type of HomeDate of Schick TestFirst In jectionFinal InjectionRetestResult of RetestDate of onset of DiphtheriaInterval between last injection and date of onset of diseaseConfirm of diag by
  • Page 53
    Age and Sex Distribution of notified cases.
    SexTotal.
    Age in years.M.F.
  • Page 54
    Sleeping Arrangements—96 Cases of Notified Rheumatism 1
    No. of Rheu matic ChildrenSeparate RoomSeparate Bed in Living RoomSeparate Bed in Room shared withBed shared withBed shared in living room with
    AdultsChildrenAdults and ChildrenAdultsChildrenAdults and ChildrenChildAdults and Children
    12312312351231231213
  • Page 56
    The following table gives particulars of the cases notified in Holborn:— Probable Source of Disease. No information Abroad during the two months preceding onset Visitor from provincial town
    Case.M.C.B.H.O.R.H.B.
  • Page 57
    The following table gives information up to the end of 1931 respecting the 13 real eases of encephalitis lethargica notified in the Borough since the Public Health (Encephalitis Lethargica) Regulations came into force on the 1st January, 1919:—
    Date of NotificationPatient.Sex.Age when notified.Subsequent History.
  • Page 58
    The following gives particulars of these cases: —
    Date of Onset.Patient.SexDate of Birth.Where Treated.Condition at end of 1932.
  • Page 58
    The following table gives particulars of these cases with the condition at the end of 1931:—
    Date of Notification.Patient.SexAgeat date of Notification.Where Treated.Subsequent History.
  • Page 59
    Continued from previous page...
    Date of Notification.Patient.Sex.Age at date of Notification.Where Treated.Subsequent History.
  • Page 60
    The following table gives details of the examinations made during the year:—
    DiphtheriaPulmonary TuberculosisOther Diseases
    Number SubmittedResult of ExaminationNumber SubmittedResult of ExaminationNumber SubmittedResult of Examination.
  • Page 62
    Tuberculosis. Summary of Notifications and Deaths. The following table gives the number of new cases of tuberculosis and deaths from the disease in the Borough during 1932 in the form required by the Ministry of Health: —
    Age periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary,Pulmonary.Non-pulmonary.
    MFVFMFMF
  • Page 63
    Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications during the period from the 3rd January, 1932, to the 3l st December, 1932, in the Metropolitan Borough of Holbom.
    Age-peridosFormal 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).
  • Page 63
    Supplemental Return. New eases 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—l—5—10—15—20—25—35—45—55—65—Total.
  • Page 64
    The source or sources from which information as to the above-mentioned cases was obtained are stated below: —
    Source of Information tNo. of Cases.
    PulmonaryNon-Pulmonary
  • Page 64
    Notification Register.
    PulmonaryNon-pulmonaryTotal Cases
    MalesFemalesTotalMalesFemalesTotal
  • Page 67
    The following table shows whether the patients died in their own homes or institutions:— Showing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.
    0-1-5-10-15-20-25-35-45-55-65-All Ages.
    Males.Females.Total.
  • Page 68
    Tuberculosis Dispensary. the Report of the Tuberculosis Officer, J. A. Struthers, M.D.,B.Ch., M.R.C.P., D.P.H., for Return showing the work of the Dispensary during the year 1932.
    gnosis.Pulmonary.Non-Pulmonary.
    Adults.Children.Adults.Children.Adults.
    M.F.M.F.M.F.M.F.M.F.
  • Page 69
    Continued from previous page...
  • Page 73
    Births in Crowded Homes. The following table is an indication of the home conditions of 313 mothers in relation to their confinement: —
    Living in:—Confined at home.Confined in hospital.
    No.Percentage of Total Births.No.Percentage of Total Births.
  • Page 74
    The visits paid to the homes by the Health Visitors during the year were as follows:—
    First Visits.Revisits.Total.
  • Page 74
    The following is an analysis of the attendance at this Municipal Centre:
    Monday.Tuesday.Wednesday.Thursday.Friday.
    Medical Consultation Pre-school child 2—4.30 p.m.Antenatal and Post-natal cases 2—4.30 p.m.Medical Consultation 2—4.30 p.m.Class 3—4 p.m.Dentist. 2—4 p.m.Medical Consultation 2—4.30 p.m.
  • Page 77
    Nature of defects found at Municipal Centres.
    10, John Street, Holborn.Short's Gardens, St. Giles.
  • Page 78
    Maternal and Infant Consultations The following summary refers to maternal and infant consultations at 10, John Street and Short's Gardens Centres during the year 1932:—
    Reasons for attendance.10, John Street.Short's Gardens.
  • Page 79
    Mothers and children attending the Municipal Centres during 1932 were referred to other departments or organisations as follows:—
    Mothers.Children.
  • Page 79
    Breast Massage. The following summary gives particulars of mothers referred for breast massage in 1932:—
    John Street.Short's Gardens.
  • Page 81
    Dental Treatment. The following is a summary of the work during 1932 at the Council's Dental Clinic, No. 10, John Street, open on Thursday afternoons for nursing or expectant mothers, and children under five years of age:—
    Women.Children.Total.
  • Page 82
    At the end of the year 1932, 157 applicants were receiving assistance, viz.:
    Mothers.Children.Total.
  • Page 82
    The following table shows in detail how the 167 new applicants were assisted in 1932:—
    Milk.Prepared Milk.
    Free.Part Cost.Free.Part Cost.
  • Page 83
    Deaths of Children One to Five Years, 1932. Ten children between the ages of one and five years died from the following causes:—
    Causes of Death.1—22-33-44-5Age of Group 1—5
    M.F.M.F.M.F.M.F.M.F.Both Sexes.
  • Page 84
    The causes of and age at death are given in the following Table:—
    Cause of DeathUnder 1 Week1-2 Weeks2-3 Weeks3 4 WeeksTotal under 4 Weeks4 Weeks and under 3 Months3-6 Month6-9 Months9-12MonthsTotal under 1 Year
    MFMFMFMFMFBoth sexesMFMFMFMFMFBoth sexes
  • Page 85
    DIARRHŒA AND ENTERITIS.— DEATHS UNDER 1 YEAR.—1932.
    Name.Date of Death.Age at Death.Cause of Death stated in Certificate.Died at home.Died in hospital.Attended at M. & C.W. Centre.Remarks.
  • Page 86
    INFECTIOUS DISEASES AMONG MOTHERS AND CHILDREN. Puerperal Fever and Puerperal Pyrexia.
    No.InitialsDate of NotificationPrimipara or MultiparaAntenatal CareBirth occurred inOnset subsequent toRecoveryRemarks
    Patient's HomeInstitution
  • Page 87
    Four Cases Notified in Accordance with the Public Health (Ophthalmia Neonatorum) Regulations.
    Case Number.Age when Notified.Age at Onset.By whom Notified.Type of Disease on Health Visitor's first call.Where Treated.Medical Attendance and Nursing.Result.Birth Notified by.
  • Page 89
    The services of the district nurses were used as follows in 1932:—
  • Page 91
    Routine Medical Examination of Elementary School Children in Holborn in 1932.
    Age Groups.Number examined.Clothing and Boots.NutritionCleanliness of Head.Cleanliness of Body.Teeth.Vision.
    Good.Fair.Poor.Good.Average.Below normal.Bad.Clean.Nits.Pediculi.Clean.Dirty.Pediculi.All sound.Less than four decayed.Four or more decayed.6/6 in both eyes.6/9 in either or both eyes.6/12 or worse in either or both eyes.
  • Page 92
    Examination of Elementary School Children in Holborn in 1932.
    Defect.Boys.Girls.
    EntrantsAge 8Age 12Age 14EntrantsAge 8Age 12Age 14
  • Page 97
    APPENDIX. TABLE I. Vital Statistics of Whole District during 1932 and Ten Previous Years.
    YearPopulation estimated to Middle of each Year.Births.Total Deaths Registered in the DistrictTransferable DeathsNet Deaths belonging to the District.
    Under 1 Year of AgeAt all Ages
    Uncorrected NumberNet' NumberRateof Nonresidents registered in the Districtof Residents not registered in the DistrictNumberRate per 1,000 BirthsNumberRate
    NumberKate
  • Page 98
    TABLE II. Causes of, and Ages at, Death, 1932.
    causes of Death.NET DEATHS AT THE SUBJOINED AGES OF "RESIDENTS," whether occurring within or without the Borough.Total Deaths whether of "Resilient s "or "Non-Residents" in Institutions in the Borough.
    All Ages.Under 1 year.1 and under 2 years.2 and under 5 years.5 and under 15 years.15 and under 25 years.25 and under 45 years.45 and under 1 65 vears. 165 and under i 75 years.75 and upwards.
  • Page 99
    TABLE III. Cases of Infectious Disease notified during the year 1932.
    Disease.TotalUnder 11 to 22 to 33 to 44 to 55 to 1010 to 1515 to 2020 to 3535 to 4545 to 6565 upTotal Deaths
  • Page 100
    TABLE IV. INFORMATION REQUIRED BY THE LONDON COUNTY COUNCIL.
    PREMISES.Number in Borough at end of 1931.Number of Inspections.Number of Prosecutions.
  • Page 101
    TABLE V. Factories, Workshops, Laundries, Workplaces and Homework 1.—INSPECTION. Including Inspections made by Sanitary Inspectors.
    PREMISES.Number of
    Inspections.Written Notices.Prosecutions.
    Intimations.Statutory.
  • Page 101
    2.—DEFECTS FOUND.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 102
    TABLE V.—continued. 3.—HOME WORK.
    NATURE OF WORK.Outworkers' Lists, Section 107.Outwork in Unwholesome Premises, Section 108.Outwork in Infected Premises, Sections 109, 110.
    Lists received from Employers.Notice served on occunpiers as to keeping or sending lists.ProsecutionsInstances.Notices served.Proseeutions.Instances.Orders made (S. 110).Proseeutions (Sections 109,110)
    Sending twise in the year.Sending once in the year.Failing to keep or permit inspection of lists.Failing to send lists.
    ListsOutworkers.ListsOutworkers.
    contractorsWorkmencontractorsWorkmen
  • Page 103
    TABLE V.—continued. 4.—REGISTERED WORKSHOPS.
    Workshops on the Register (S. 131) at the end of the year.Number.
  • Page 103
    5—OTHER MATTERS.
    Class.Number.
  • Page 104
    TABLE VI. METEOROLOGY OF LONDON, 1932. (Deduced from observations at Greenwich under the superintendence of the Astronomer Royal)
    1930.Air Temperature.Bright Sunshine.Rain and other forms of Precipitation.
    Mean of—Mean of A.& B.Difference from Average.*Daily Mean.Difference from Average. *Per cent. of possible.Total Fall.Difference from Average.*
    Maximum. A| Minimum.. B
  • Page 105
    LEGAL PROCEEDINGS. Food and Drugs (Adulteration) Act, 1928
    Date.Name.Address.Offence.Result.
  • Page 105
    Public Health (London) Act, 1891.
    Date.Name.Address.OffenceResult.