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

View report tables

Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Holborn 1938

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

Published
1939
Pages
90
Tables
88

This page requires JavaScript

88 tables in this report

  • Page 9
    STATISTICS AND SOCIAL CONDITIONS. Statistical Summary, 1938.
  • Page 9
    Vital Statistics, 1938. England and Wales, London and Holborn.
  • Page 10
    The following is the corrected number of births and the corrected birth-rates for the year 1938: —
  • Page 10
    Of these deaths the following occurred in Public Institutions, etc., within the area of the Borough: —
  • Page 11
    Corrected Deaths and Death-Rates. 1938, compared with 1937.
  • Page 11
    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: —
  • Page 11
    Death-rate per 1,000 corrected births in 1938 and in ten preceding years.
  • Page 13
    Hospitals Situated in the Borough of Holborn—Not Subsidised by the Local Authority.
  • Page 14
    Clinics and Treatment Centres.
  • Page 16
    Sanitary Inspectors' and Health Visitors' Work Year, 1938.
    Mr. BaileyMr. ClarkMr. CrabtreeMr. FisherMiss Charles-worthMiss StockwellMiss WebleyMiss William-sonTotal
  • Page 17
    Continued from previous page...
    Mr. BaileyMr. ClarkMr. CrabtreeMr. FisherMiss Charles-worthMiss StockwcllMiss WeblejMiss William, sonTotal
  • Page 17
    The total number of notices served for nuisances found in dwelling houses and factories, workshops and workplaces, and premises subject to various By-laws, including notices requiring annual cleansing of houses let in lodgings, was 926, viz. :—
  • Page 18
    The following table shows the work done to abate nuisances for which intimation notices were served: —
    Water Supply—HouseFacto ries, Workshops and Workplaces
  • Page 19
    The following table shows the nuisances for which the 44 Statutory Notices were issued under the Public Health (London) Act, 1936 : —
    Houses.Factories, etc
  • Page 20
    Rats and Mice (Destruction) Act, 1919.
    WARD.Number of premises inspected.Number rat infested.Action for Rat Repression.RESULT.
    Traps.Poisons.Rat catchers.Dogs.Cats.Proofing
  • Page 22
    No fewer than loo different industries are carried on in these workshops, among the principal being the following :—
    No. of Workshops Employing
    Men only.Women only.Both Sexes.Total.
  • Page 23
    The more important industries carried on in these factories are :—
  • Page 23
    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 1938: —
    Mr. Bailey.Mr. ClarkMr. CrabtreeMr. Fisher.Miss Charles worth.Total.
  • Page 24
    Action taken
  • Page 24
    Notices served.
    Mr. Bailey.Mr. Clark.Mr Crabtree.Mr. Fisher.Miss Charles-worth.Total.
    Factories—
    Intimation1525—--40
    Statutory—1———1
    Workshops—
    Intimation10171--28
    Statutory12———3
    Workplaces—
    Intimation6971—23
    Statutory535——13
    Offices—
    Intimation-1—--1
    Statutory——————
    Restaurants—
    Intimation22629—39
    Statutory-142—7
    Licensed Premises—
    Intimation1---—1
    Legal Proceedings------
  • Page 24
    Outworkers.
  • Page 28
    The Milk (Special Designations) Order, 1936. During the year 1938 licences available up to the 31st December, 1938, for the sale of designated milk in the Borough were issued as follow:-
  • Page 29
    Bacteriological Examinations of Milk. The following table shows the results of examinations in 1938:-
    Nature of premises where sample obtainedGradeNo. of bacteria per c.c.Minimal amount showing coliform bacteriaPhospha-tase testMethylene Blue testEvidence of Tuberculous InfectionSample Letter
  • Page 30
    Continued from previous page...
    Nature of premises where sample obtainedGradeNo. of bacteria per e.c.Minimal amount showing coliform bacteriaPhospha-tase testMethylene Blue testEvidence of Tuberculous InfectionSample Letter
  • Page 31
    Street Trading. I received information from the Borough Engineer respecting 85 applica tions from street traders fro annual licences to sell various articales of food as follows;-
  • Page 31
    Ice Cream. At the end of the year the following premises were on the register:-
  • Page 32
    Bacteriological Examinations of Ice Cream. The following table shows the results of examinations in 1938:-
    Sample letterDescriptionNature of premises where sample obtainedNo. of bacteria per c.c.Minimal amount showing coliform bacteria
  • Page 33
    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 33
    The number of such places on the register at the end of the year was as follows:—
  • Page 34
    Unsound Food. The following unsound was condemned during the year 1938:-
    Cert. No.Article.Amount.Country of origin.
    Cwts.Qrs.Lbs.
  • Page 35
    Continued from previous page...
    Cert No.Article.Amount.Country of origin.
    Cwts.Qrs.Lbs.
  • Page 36
    Food and Drugs (Adulteration) Act, 1928. Articles Analysed. Formal Samples.
    Article.Number PurchasedResult of AnalysesProceedings taken.Conviction.Fines and Costs.
    Cenuine.Adulterated.
  • Page 37
    ARTICLE.Number Purchased.Result of Analyses.Proceedings taken.Convictions.Fines and Costs.
    GenuineAdulterated.
  • Page 38
    Informal Samples
    article.Number of Samples taken.Result of Analyses.
    Oenuine.Adulterated
  • Page 39
    ARTICLE.Number of Samples taken.Result of Analysis.
    Genuine.Adulterated.
  • Page 40
    No. 1. Fat Content.
    Percentage of FatNumber of Samples.
    Shops.Restaurants.Street.School.Total.
  • Page 41
    No. 2. Monthly Variation of Chemical Composition of Milk, 1938.
    Month.Number of Samples examined.Total Solids. Per cent. average.Solids Non-fat. Per cent. average.Fat. Per cent. average.
  • Page 41
    It will be observed that the average composition of the genuine milk supplied to the Borough during the year was fat 3•37 per cent, and non-fatty solids 8•97 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
    Age at Notification of 49 Notified Cases of Diphtheria.
  • Page 45
    There was one secondary clinical case; 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.In-patients.Clinical.Carrier.
  • Page 47
    Age groups of 183 persons attending during 1938.
    Ages.6 to 12 months1 to 2 years2 to 3 years3 to 4 years4 to 5 years5 to 6 years6 to 7 years7 to 8 years8 to 9 years9 to 10 years10 to 11 years11 to 12 years12 to 13 years13 to 14 years14 to 15 yearsAdults 15 years and above
  • Page 48
    Age and Sex Distribution of notified cases.
    Age in years.SexTotal.
    M.F.
  • Page 50
    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 52
    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 1938 in the form required by the Ministry of Health:—
    Age periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    MFMFMFMF
  • Page 53
    Public Health (Tuberculosis) Regulations, 1930. Summary of Notifications during the period from the 1st January, 1938, to the 31st December, 1938, in the Metropolitan Borough of Holborn.
    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).
  • Page 54
    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.
  • Page 54
    The source or sources from which information as to the above-mentioned cases was obtained are stated below:—
    Source of InformationNo. of Cases.
    PulmonaryNon-Pulmonary
  • Page 54
    Notification Register.
    PulmonaryNon-pulmonaryTotal Cases
    MalesFemalesTotalMalesFemalesTotal
  • Page 55
    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 55
    The following indicates the reasons for non-attendance in the remaining cases:—
  • Page 57
    Tuberculosis Dispensary. The following is the Report of the Tuberculosis Officer, Andrew Morland, M.D., M.R.C.P., for the year 1938:— Return showing the work of the Dispensary during the year 1938.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
  • Page 58
    Continued from previous page...
  • Page 59
    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.
    0-1-5-10-15-20-25-35-45-55-65-All Ages
    Males.FemalesTotal.
  • Page 61
    The Secretary of the Hospital has kindly supplied the following information of the work at the Clinic during the year 1938:— Summary of Work carried out at Dental Clinic, 10, John Street, Holborn, on Tuesday Eveninqs, durinq 1938.
    Tuberculous Patients.All Patients
  • Page 62
    Number of Births.
  • Page 62
    Home Visiting.
    First VisitsRevisits.Total.
  • Page 63
    Work at Centres. Holborn Cenyre, 10, John Street. The following is an analysis of the this Municipal Centre:
    No. of SessionsTotal Attendances ofAverage Attendance per Session
    ChildrenMothersTotalChildrenMothersTotal
  • Page 63
    St. Giles' Centre, Short's Gardens. The attendances at this Branch Centre during the year 1938 were as follows:—
    No. of SessionTotal Attendances ofAverage Attendance per Session
    ChildrenMothersTotalChildrenMothersTotal
  • Page 65
    Nature of defects found at Municipal Centres.
    10, John Street, Holborn.Short's Gardens, St. Giles.
  • Page 66
    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 1938:—
    Reasons for attendance.10, John Street.Short's Gardens
  • Page 67
    Mothers and children attending the Municipal Centres during 1938 were referred to other departments or organisations as follows:—
    Mothers.Children.
  • Page 68
    The following is a summary of the work during 1938 at the Council's Dental Clinic, No. 10, John Street, open on Monday afternoons for nursing or expectant mothers, and children under five years of age:—
    Women.Children.Total
  • Page 69
    At the end of the year 1938, 169 applicants were receiving assistance, viz.:—
    Mothers.Children.Total
  • Page 69
    The following table shows in detail how the 187 new applicants were assisted in 1938:—
    Milk.Dried Milk.Colact.
    Free.Part Cost.Free.Part Cost.Free.Part Cost.
  • Page 69
    The number of meals provided during 1938 was as follows:—
    No. of Mothers.No. of Meals.
    Part Cost.Free.
  • Page 71
    Deaths of Infants under One Year of Age, 1938. The homes were visited in all cases of the infant deaths, and any requisite information obtained, and when required, suitable advice given.
    Cause of DeathUnder 1 Week1-2 Weeks2-3 Weeks3-4 WeeksTotal under 4 Weeks4 Weeks and under 3 Months3-6 Months6-9 Months9-12 MonthsTotal under 1 Year
    MFMFMFMFMFBoth sexesMMFmMFMFBoth saxes
  • Page 71
    Net births registered during the calendar year.
    MalesFemalesBoth sexes
  • Page 71
    Net deaths registered during the calendar year.
    MalesFemalesBoth sexes
  • Page 72
    INFECTIOUS DISEASES AMONG MOTHERS AND CHILDREN. Puerperal Fever and Puerperal Pyrexia.
    No.InitialsDate of NotificationPrimipara or MultiparaAnte-natal CareDelivery occurred inOnset subsequent toResultsRemarks
    Patient's HomeInstitution
  • Page 73
    Five Cases Notified in Accordance with the Public Health (Ophthalmia Neonatorum) Regulations. Birth Notified by. Midwife Intern Department, Hospital Intern Department, Hospital Intern Department, Hospital Intern Department, Hospital
    Case Number.Age when Notified.Age at onset. By whom Notifled.Type of Disease on Heaakth Visitor's first call.Where T reatedMedical Attendance and Nursing5Reaultbirth Notifled by.
  • Page 76
    Routine Medical Inspection of Elementary School Children in Holborn, 1938.
    Age Groups.Number examined.Clothing and Boots.NutritionCleanliness of Head.Cleanliness of Body.Teeth.Vision.
    GoodFairPoor.Good.Average.Below normal.Bad.Clean.Nits.Pediculi.| Clean.Dirty.Pediculi.All sound.Less than (our decayed.Four or more decayed.6/6 in both eyes.6/9 in either orboth eyes.6/12 or worse in either or both eyes.
  • Page 77
    Examination of Elementary School Children in Holborn in 1938.
    Defect.Boys.Girls.
    EntrantsAge 7Age 11Age 14EntrantsAge 7Age 11Age 14
  • Page 79
    The causes of death certified were as follows:-
    Natural Causes.Accidents.
  • Page 81
    TABLE I. Vital Statistics of Whole District during 1938 and Ten Previous Years.
    Births.Total Deaths Registered in the DistrictTransferable DeathsNet Deaths belonging to the District.
    Under 1 Year of AgeAt all Ages
    yearPopulation estimated to Middle of each Year.Uncorrected NumberNetNumberof Non-residents registered in the Districtof Residents not registered in the DistrictNumberRate per 1,000 BirthsNumberRate
    NumberRate
  • Page 82
    TABLE II. Causes of, and Ages at, Death, 1938.
    Causes oF Death.NET DEATHS AT THE SUBJOINED AGES OF "RESIDENTS," whether occurring within or without the Borough.Total Deaths whether of "Residents " 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 65 years.65 and under 75 years.75 and upwards.
  • Page 83
    TABLE III. Cases of Infectious Disease notified during the year 1938.
    Disease.TotalUnder 1lto22 to 33 to 44 to 56 to 1010 to 1515 to 2020 to 3535 to 4515 to 6665 upTotal Deaths
  • Page 84
    TABLE IV. INFORMATION REQUIRED BY THE LONDON COUNTY COUNCIL.
    PREMISES.Number in Borough at 31st December, 1938.Number of Inspections.Number of Prosecutions.
  • Page 84
    Smoke nuisances.
  • Page 84
    Housing.
  • Page 85
    TABLE IV.—continued. Housing—continued.
  • Page 85
    Infectious Diseases. Infectious diseases—cases notified under local orders (excluding cases coming to knowledge otherwise than by notification).
    Disease.Cases notified.Period
  • Page 86
    TABLE V. Factories and Other Premises. 1.—Inspections for Purposes of Provisions as to Health. Including Inspections made by Sanitary Inspectors.
    PREMISES. (1)Number of
    Inspections. (2)Written Notices. (3)Occupiers prosecuted. (4)
  • Page 86
    2.—Defects Found.
    Particulars. (1)Number of Defects.Number of defects in respect of which Prosecutions were instituted. (5)
    Found. (2)Remedied. (3)Referred to H.M. Inspector. (4)
  • Page 87
    TABLE V.—continued. OUTWORK IN UNWHOLESOME PREMISES. (Section 108 of Act of 1901; Section III. of Act of 1937.)
    NATURE OF WORK. (1)Instances. (2)Notices served. (3)Prosecutions (4)
  • Page 88
    LEGAL PROCEEDINGS. Food and Drugs(Adulteration) Act, 1928.
    DateNameAddressOffenceResult
  • Page 88
    Milk and Dairies Order, 1936.
  • Page 88
    Public, Health(London) Act, 1936. Sections 181, 183 and 282.