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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 1937

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

Published
1938
Pages
94
Tables
84

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84 tables in this report

  • Page 9
    Vital Statistics, 1937. England and Wales, London and Holborn.
    Annual Rates per 1,000 living.Deaths under 1 year to1,000 Births.
    Births.Deaths.
  • Page 10
    The following is the corrected number of births and the corrected birth-rates for the year 1937:—
    Year.Total Births.Legitimate Births.Illegitimate Births.
    No.Rate per 1,000 of population.No.Hate per 1,000 of population.Proportion per 1,000total Rpgistered BirthsNo.Rate per 1,000 of population.Proportion per 1,000total Registered Births.
  • Page 10
    Of these deaths the following occurred in Public Institutions, etc., within the area of the Borough:—
    Institution.Residents.Non-Residents.
  • Page 11
    Corrected Deaths and Death-Rates, 1937, compared with 1936.
    Year.Total Deaths at all ages registered in District.Deaths in Public Institutions in District.Deaths of nonresidents of Borough registered in District.Deaths of residents registered beyond the District.Net Deaths at all ages.Death Rate for Borough.(crude).Death Bate for Borough.(adjusted).Death Kate for London
  • Page 11
    The number of deaths of children under one year of age, and the number oi deaths of children under one year of age per 1,000 corrected births, were the following:—
    Year.Deaths under 1 year of age.Deaths of legitimate infants under 1 year per 1000 corrected legitimate Births.Deaths of illegitimate infants under 1 year per 1000 corrected illegitimate Births.Deaths, all infants, under 1 year per 1000 corrected Births.London.
    Deaths under 1 year per 1000 Births.
  • Page 11
    Death-rate per 1,000 corrected births in 1937 and in ten preceding years.
    1927192819291930193119321933193419351936Avge. '1927-361937
  • Page 13
    By-Laws and Kegulations in force, relating to Public Health, made by London County Council.
    Subject.Act under which made.Date.
  • Page 14
    By-Laws and Regulations in force, relating to 1'ublic Health, made by London County Council, continued.
    Subject.Act under which made.Date.
  • Page 14
    Made by the Holborn Borough Council.
    Subject.Act under which made.Date
  • Page 15
    Hospitals Situated in the Borough of Holborn—Not Subsidised by the Local Authority.
    Name.Situation.Purpose.Number of Beds.Management.Remarks.
  • Page 16
    Clinic and Treatment Centres
  • Page 18
    Sanitary Inspectors' and Health Visitors' Work Year, 1937.
    Mr. BaileyMr. ClarkMr.CrabtreeMr. FisherMr. Larardm1shCharlesworlliMissStockwellMiss WilliamsonTotal
  • Page 19
    Continued from previous page...
    Mr. BaileyMr. ClarkMr. CrabtreeMr. FisherMr. LarardMiss Charles, worthM)6sStockwellMiss William, sonTotal
  • Page 19
    Public Health (London) Act, 1936—
  • Page 20
    The following table shows the work done to abate nuisances for which intimation notices were served:—
    Water Supply-Houses.Factories, Workshops and Workplaces
  • Page 21
    Statutory Notices. The following table shows the nuisances for which the 46 Statutory Notices were issued under the Public Health (London) Act, 1936:—
    Houses.Factories, etc
  • Page 22
    Rats and Mice (Destruction) Act, 1919. Summary of conditions found on inspections, action taken and results obtained.
    WARD.Number ofpremises inspected.Numberrat infested.Action for Rat Repression.RESULT.
    Traps.Poisons.Rat catchers.Dogs.Cats.Proofing
  • Page 24
    No fewer than 156 different industries are carried on in these workshops, among the principal being the following:—
    No. of Workshops Employing
    Menonly.Women only.Both Sexes.Total.
  • Page 25
    Factory and Workshop Inspection—Summary. The following is a summary in tabular form of the work done by the Inspectors in factories, workshops and workplaces in the year 1937:—
    Mr.Bailey.Mr. ClarkMr. OrabtreeMr. LarardMr. Fisher.Miss Charles worth.Total.
  • Page 26
    Notices served.
    Mr. Bailey.Mr. Clark.Mr. Crabtree.Mr. Fisher.Mr. Larard.Miss Charles. worth.Total.
  • Page 31
    Bacteriological Examinations of Milk. The following table shows the results of examinations in 1937:—
    Nature of premises where sample obtainedGradeNo. of bacteria per c.c.Minimal amount showing coliform bacteriaPhosphatase testMethylene Blue testEvidence of Tuberculous InfectionSample Letter
  • Page 32
    Continued from previous page...
    Nature of premises where sample obtainedGradeNo. of bacteria per c.c.Minimal amount showing coliform bacteriaPhospha-tose testMethylene Blue testEvidence of Tuberculous InfectionSample Letter
  • Page 33
    Street Trading. I received information from the Borough Engineer respecting 84 applications from street traders for annual licences to sell various articles of food as follows: —
  • Page 33
    Ice Cream. At the end of the year the following premises were on the register: —
  • Page 34
    Bacteriological Examinations of Ice Cream. The following table shows the results of examination in 1937: —
    Sample letterDescriptionNature of premises where sample obtainedNo. of bacteria per c.c.Minimal amount showing coliform bacteria
  • Page 35
    Public Health (Meat) Regulations, 1924. 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 35
    The number of such places on the register at the end of the year was as follows: —
  • Page 36
    Unsound Food. The following unsound food was condemned during the year 1937:—
    Cert. No.Article.Country of origin.Weight
    Ton8.Cwt.Qrs.Lbs.
  • Page 37
    Continued from previous page...
    Cert. No.Article.Country of origin.Weight
    Tons.Cwt.Qrs.Lbs
  • Page 38
    Food and Drugs (Adulteration) Act, 1928. Articles Analysed. Formal Samples.
    ARTICLE.Number PurchasedResult of AnalysesProceedings taken.Convictions.Fines and Costs.
    Genuine.Adulterated.
  • Page 39
    Continued from previous page...
    ARTICLE.Number Purchased.Result of Analyses.Proceedings taken.Convictions.Fines and Costs.
    Genuine.Adulterated.
  • Page 40
    Continued from previous page...
    ARTICLE.Numberof Samples Taken.Result of Analyses.
    Genuine.Adulterated
  • Page 41
    Continued from previous page...
    ARTICLE.Number of Samples taken.Result of Analysis.
    Genuine.Adulterated.
  • Page 42
    No. 1. Fat Content.
    Porcantage of FatShops.Number of Samples.
    liestaurants.Streets.School.Total
  • Page 43
    No. 2. Monthly Variation of Chemical Composition of Milk, 1937.
    Month.Number of Samples examined.Total Solids. Per cent, average.Solids Non-fat. Per cent, average.Fat. Per cent, ave
  • Page 43
    It will be observed that the average composition of the milk supplied to the Borough during the year was fat 3.43 per cent. and non-fatty solids 8.92 per cent. These figures approximate very closely to those of the previous four years, averages of which are tabulated below:—
    Year.No. of samples examinedTotal solids, (average).Fat. (average).Non-fatty solids.(average).
  • Page 45
    Public Health (London) Act, 1936, Section 187. Registration of Food Premises. At the date of the preparation, of this report 44 premises were registered in accordance with the requirements of the Act, for the purposes shown below:—
  • Page 46
    The following are the principal variations: —
  • Page 46
    In addition to the above we received 245 notifications respecting patient not residing in Holborn, many being in-patients of hospitals in the Borough. All these were to the Medical Officers of Health of the districts concerned. The diseases notified were :—
  • Page 46
    Vaccination. The following table gives information respecting the vaccination of Holborn children during the year ended 30th June, 1937: —
  • Page 47
    Age at Notification of 76 Notified Cases of Diphtheria.
  • Page 47
    Secondary clinical cases were three in number; details follow: —
  • Page 48
    Diphtheria in Hospitals.
    Hospital.Cases Notified.Disease notified asHolborn Cases.Non-Holborn Cases.Total.
    Staff.Inpatients.Clinical.Carrier.
  • Page 49
    Age groups of 158 persons attending during 1937.
    Ages.6 to 12 months1 to 2 years2 to 3 years3 to 4years4 to 5 years5 to 6 years6 to 7years7 to 8 years8 to 9 years9 to 10 years10 to 11 years11 to 12 years12 to 13 years13 to 14 years14 to 15yearsAdults 16 years and above
  • Page 50
    The following table gives particulars of two cases of diphtheria in 1937 in children Schick-tested and treated with immunising injections.
    InitialsAge in years at date of Schick TestSexFirst InjectionFinal InjectionRetestResultof RetestDate of onset of DiphtheriaInterval between lastinjection and dats of onset of diseaseConfirmation of diagnosis byCharacter of Attack
  • Page 52
    Aye and Sex Distribution oj notified cases.
    Sex
    Age in years.M.F.Total.
  • Page 54
    Bacteriological Work. 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 55
    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 1937 in the form required by the Ministry of Health:—
    New Cases.Deaths.
    Ape periods.Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    MFMFMFMF
  • Page 56
    Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications during the period from the 1st January, 1937, to the 31si December, 1937, in the Metropolitan Borough of Holkorn.
    Age-periods.Formal Notification?.
    Number of Primary Notifications of new cases of Tuberculosis.Total Notiflca. tons.
    0-1-5-10-15-20-25-35-45-55-61-Total (all ages).
  • Page 57
    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—6—10—16—20—25—85—45-55—05—Total.
  • Page 57
    The source or sources from which information as to the above-mentioned cases was obtained are stated below:—
    Source of InformationNo, of Cases.
    PulmonaryNo:.-Pulmonary
  • Page 57
    Notification Register.
    PulmonaryNon-pulmonaryTotal Cases
    MalesFemalesTotalMalesFemalesTotal
  • Page 58
    Classification of Homes. The classification of homes as suggested by the London County Council has been reported on as far as practicable with the following results:—
  • Page 60
    Tuberculosis Dispensary. The following is the Report of the Tuberculosis Officer, Andrew Morland, M.D., M.R.C.P., for the year 1937:— Return showing the work of the Dispensary during the year 1937.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 62
    Deaths of Tuberculous Persons. Showing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.
    0-1-6-10-15-20-25-35-46-55-65-All Ages
    Males.FemalesTotal.
  • Page 64
    The Secretary of the Hospital has kindly supplied the following information of the work at the Clinic during the year 1937:— Summary of Work carried out at Dental Clinic, 10, John Street, llolborn, on Tuesday Evenings, duritiq 1937.
    Tuberculous Patients.AllPatients.
  • Page 65
    Out-patient Midwifery Departments of General Hospitals and Institutions:—
  • Page 65
    Home Visiting. The visits paid to the homes by the Health Visitors during the year were as follows:—
    First Visits.Revisits.Total.
  • Page 68
    Nature of defects found at Municipal Centres.
    10, John Street, Holborn.Short's Gardens, St. Giles.
  • Page 69
    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 1937:—
    Reasons for attendance.10, John Street.Short's Gardens
  • Page 70
    Mothers and children attending the Municipal Centres during 1937 were referred to other departments or organisations as follows:—
    Mothers.Children.
  • Page 70
    Breast Massage. The following summary gives particulars of mothers referred for breast massage in 1937:—
    John Street.Short's Garden.
  • Page 72
    The following is a summary of the work during 1037 at the Council's Denta Clinic, No. 10, John Street, open on Thursday afternoons for nursing or cxpectan mothers, and children under five years of age:—
    Women.Children.Total
  • Page 73
    At the end of the year 1937, 147 applicants were receiving assistance, viz.:—
    Mothers.Children.Total.
  • Page 73
    The following table shows in detail how the 149 new applicants were assisted in 1937:—
    Milk.Dried Milk.Prepared Milk.
    Free.Part Cost.Free.Part Cost.Free,Part Cost.
  • Page 75
    The number of meals provided in the remainder of the year was as follows:—
    No. of Mothers.No. of Meals.
    Part Cost.Free.
  • Page 76
    The causes of and ages at death are given in the following Table :—
    Cause of DeathUnder 1 Week1-2 Weeks2-3 Weeks'3 4 WeeksTotal under 4 Weeks4 Weeksand under 3 Months3-6 Months6-9 Months9-12 MonthsTotal und.r 1 Year
    MFMFMFMFMFBoth sexesMFMFMFMFMFBoth sexes
  • Page 76
    Net births registered during the calendar year.Net deaths registered during the calendar year.
    MalesFemalesBoth sexesMalesFemalesBoth sexes
  • Page 77
    INFECTIOUS DISEASES AMONG MOTHERS AND CHILDREN. Puerperal Fever and Puerperal Pyrexia.
    No.InitialsDate of NotificationPrimipara orMultiparaAntenatal CareDelivery occurred inOnset subsequent toResultsRemarks
    Patient's HomeInstitution
  • Page 78
    Three Cases Notified in Accordance with the Public Health (Ophthalmia Neonatorum) Regulations.
    Case Number.Age when notifiedAge on Setby Whom notifiedType of Disease on Health Visitor's first call.Where TreatedMedical Attendance and Nursing.Result.Birth Notified by.
  • Page 81
    Routine Medical Inspection of Elementary School Children in Holborn, 1937.
    Age Groups.Number examined.Clothing and Boots.NutritionCleanliness of Head.Cleanliness of Body.Teeth.Vision.
    GoodFair.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 82
    Examination of Elementary School Children in Holborn in 1937.
    Defect.Boys.Girls.
    EntrantsAge 7Age 11Age 14EntrantsAge 7Age 11Age 14
  • Page 86
    APPENDIX. TABLE I. Vital Statistics of Whole District during 1937 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
    Un-corrected NumberNetNumberof Non-residents registered in the Districtof Resi-dents not registered in the DistrictNumberRate per 1,000 BirthsN umberRate
    NumberRate
  • Page 87
    TABLE II. Causes of, and Ages at, Death, 1937.
    Causes of Death.NET DEATHS AT THE SUBJOINED AGES OF"RESIDENTS," whether occurring within or without the Borough.Total Deaths whetherof "Resi-dents" or "Non-Residents' in Insti-tutions inthe 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 65 years.65 and under 75 years.75 and upwards.
  • Page 88
    TABLE III.
    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 89
    TABLE IV.INFORMATION REQUIRED BY THE LONDON CONTY COUNCIL
    PREMISES.Number in Borough at 31st December, 1937.Number of Inspections.Number of Prosecutions.
  • Page 89
    Smoke nuisances.
  • Page 90
    TABLE IV.—continued. Housing—continued.
  • Page 90
    Infectious Diseases. Infectious diseases—cases notified under local orders (excluding cases coming to knowledge otherwise than by notification).
    Disease.Cases notified.Period.
  • Page 91
    INPECTION. Including Inspections by Sanitary Inspectors.
    PREMISES.Number of
    Inspections.Written Notices.Prosecutions.
    Intimations.Statutory.
  • Page 91
    2.—DEFECTS FOUND.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referredto H.M. Inspector.
  • Page 92
    TABLE V —continued. 3.—HOME WORK.
    NATURE OF WORK.Outworkers' Lists, Section 107.Outwork in Unwhole-some Premises, Section 108.Outwork in Infected Premises. Sections 109, 110.
    Lists received from Employers.Notices served on occu-piers as to keep-ing or sending lists.Prosecutions.In-stances.Notices served.Prose-cutions.In-stances.Orders made(S. 110).Prose-cutions (Sections109,110)
    Sending twice in the year.Sending once in the year.Failing to keep or permit inspec-tion of lists.Failing to send lists.
    Lists.Outworkers.Lists.Outworkers.
    Contractors.Workmen.Contractors.Workmen.
  • Page 93
    TABLE V.—continued 4.— REGISTERED WORKSHOPS
    orkshops on the Register (S. 131) at the end of the year.Number.
  • Page 94
    LEGAL PROCEEDINGS. Food and Drugs (Adulteration) Act, 1928.
    DateNameAddressOflenceResult