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

Islington 1961

Published: 1962
Pages: 86
Tables: 91

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Page 3

SECTION A GENERAL AND VITAL STATISTICS
Page 4

Deaths Infant mortality (deaths under 1 year;
Page 5

CLASSIFICATION OF DEATHS WITH AGE DISTRIBUTION (REGISTRAR GENERAL S RETURNS)

CAUSE OF DEATH AGE GROUPS
All Ages 0- 1- 5- 15- 25- 45- 65- 75-
M. F. To t a1 M. F. M. F. M. F. M. F. M. F. M. F. M. F. M. F.
Page 6

COMPARATIVE VITAL STATISTICS - 1948 TO 1961 (Compiled from Registrar General's Returns)

1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948

Page 7

SUMMARY OF INFANT MORTALITY 1961 (Based on Registrar General's Returns)

Primary Cause of Death	Under 1 day	Days						Weeks			Months											1961	(1960)
Primary Cause of Death	Under 1 day	1 - 2	_2 - 3	3-4	4 - 5	5 - 6	6 - 7	1 - 2	2-3	3 - 4	1 - 2	2-3	3-4	4 -_5	5 - 6	6 - 7	7-8	8-9	9 - 10	10-11	11 - 12	Totals	Totals

Page 8

The Preliminary Report of the 1961 Census has been received and the following statistics have been extracted:-

Acreage Population Intercensal Change
1951 1961 Numbers Per Cent.
Page 9

The following table (extracted from the Registrar General' s Returns) gives the estimated number of children under the age of 15 years in the County of London and in Islington.

Under 1 year 1 - 4 Total under 5 5-14 Total under 15
Page 9

The following table is reproduced for the current year showing the seasonal influences affecting deaths due to respiratory causes.

Under 1 year 1-54 55 - 64 65 - 74 75 + Total
Page 10

Deaths

Male Female Total
Page 10

The following information has been kindly furnished by Dr. Brett, Medical Director, Static X-Ray Unit, Drayton Park, in respect of persons passing through the Unit and found to have primary lung cancer tumour. The figures given include residents outside the Borough as well as Islington residents.

Male Female
Page 11

There has also been some increase in deaths due to this cause in women but this seems to have affected almost entirely women over the age of 65.

Ages 25 - 45 - 65 - 75 - Total
M F M F M F M F M F
Page 11

Accidents The following table gives the deaths from accidents to Islington residents from 1952 onwards:-

1952 1953 1954 1955 1956 1957 1958 1959 1960 1961
Page 11

In the following table causes of accidental deaths in 1961 are analysed, in their respective age groups.

Type 0- 1- 5- 15- 25- 45- 65- 75+ M. F. Total

Page 12

SECTION B PREVALENCE AND CONTROL OF INFECTIOUS AND OTHER DISEASES Notifiable Infectious Diseases and Deaths during the year 1961

Disease	Number of Notifications	Number of Deaths	Removed to Hospital	Number of Cases returned to Registrar-General after correction of Diagnosis	Cases "coming to knowledge" but not Notified

Page 12

Domiciliary Visiting of Infectious Disease Cases and Contacts - No. of Visits
Page 14

The following is the table of successful vaccinations performed over the past eleven years:-
Page 16

The following table shows the age-groups of the notified cases during 1961:-

Under 1-5 5 years and
1 year upwards
Page 17

Whooping Cough Comments were made in my Annual Reports for 1958 and 1959 on the unusually low incidence of whooping cough. 1960, with 565 notifications, showed a substantial increase, but 1961, with 69 notifications, has shown the lowest number of notifications of whooping cough on record. The age groups are as follows:-

Under 1 year 1 - 5 5 years and upwards
Page 18

Whooping cough Prophylaxis
Page 18

London (Measles and Whooping Cough) Regulations. 1938 Home visiting of measles and whooping cough cases was carried out by the Home Visitors as under:-

Measles Whooping Cough No. of Ineffective Visits Re-visits
Page 18

Acute Poliomyelitis There was only one confirmed case of poliomyelitis in 1961. This, of course, not only maintains the downward trend referred to in last year ' s Annual Report but is the lowest figure recorded since 1946.

No. Reported No. CONFIRMED
Page 19

Continuted from Previous Page...

Onset dates Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec.
Page 20

Age groups Second injections given Third injections given
Page 20

Cases and Deaths 1937 - 1961

Year Notified Cases Deaths Year Notified Cases Confirmed Cases Deaths Year Notified Cases Confirmed Cases Deaths
Page 20

Corrected Notifications

Year England and Wales London Islington
Page 21

The ages and immunisation states of the cases are shown in the following table:-" Diphtheria Cases and Immunisation state 1947 • 1961 (Inclusive)

Year IMMUNISED NON-IMMUNISED Deaths
Age Groups Age Groups Unknown Total
0 - 5 5 - 15 15+ 0 - 5 5 - 15 15+
Page 22

As immunity tends to wane with the passage of time, the Immunity Index relates only to children who have been inoculated during the last 5 years by general practitioners, and in L.C.C. Welfare Centres and Schools. This is consonant with the Immunity Index given by the Ministry of Health.

Age at 31. 12.61 i.e. born in year Under 1 1961 1-4 1960 - 57
Page 22

Food Poisoning Number of notifications received
Page 22

In accordance with Circular 2/50 of the Ministry of Health, the following table summarises the outbreaks of food poisoning and the character of each outbreak.

Date No. of Notifications No. of persons served No. of cases reported No. of deaths Foods involved and Organisms responsible

Page 24

DYSENTERY IN TSLINGTON - 1961

Month 1961	No. of Cases	Sex	Notified	Coming to knowledge	Confirmed Cases	AGE GROUPS							Case employed as a food handler	Food Handler Contacts		Water Closet Acconmodation
						0-	1-	5-	15-	25-	45-	65 +		Same family	Separate family	Separate	Shared

Page 25

New Cases and Mortality during 1961

NEW CASES DEATHS
Ages Respi ratory Non-Respi ratory Respi ratory Non-Respi ratory
M. F M. F M. F. M F.
Page 25

The total number of cases on the Register of the Department as at 31st December, 1961 was: -
Page 26

The corresponding figures for previous years are:-
Page 26

Cases on Chest Clinic Registers

Pulmonary Non-Pulmonary Total
Adults Children Adults Children Adults Children
M. F. M. F. M. F. M. F. M. F. M. F.
Page 26

The corresponding figures for previous years are:-
Page 27

The figures in the table below give an analysis of the results obtained during the last decade. (This includes Islington referrals but covers a much larger area).

Total Doctors' Referrals %
Page 27

In addition to these positive findings, it is hoped that the thousands of negative reports have also assisted the General Practitioner in his daily clinical work.

1961 Male Female Total
Page 28

Home Visiting Follow-up home visiting for cases of scabies and vermin was carried out by the Home Visitors of the Treatment Centre as under:-

Families Visited Revisits Ineffective Visits Total
Page 29

Bacteriological Examinations All specimens for bacteriological examination dealt with through the Department are submitted to the Public Health Laboratory Service, County Hall, S.E.I,
Page 31

Summary of Work done by District Public Health Inspectors (i) Inspections
Page 32

(iii) Nuisances and Notices
Page 33

Applications for Cancellation of Certificates
Page 33

(ix) Improvements effected as a result of Service of Notices under the Public Health (London) Act, 1936
Page 34

This amount is apportioned as follows under the respective Acts and Sections:-

£ s. d.
Page 34

Legal Proceedings Public Health (London) Act, 1936 Failure to comply with Statutory Notices contrary to Section 82

Date Address Magistrate's Decision
Page 35

Continued from previous page...

Date Address Magistrate's Decision
Page 35

Failure to comply with Statutory Notice contrary to Section 105

Date Address Magistrate's Decision
Page 35

Disinfection and Disinfestation (a) General
Page 37

SMOKE CONTROL AREAS Revised Phased Programme

North Islington Canonbury King's Cross
Page 38

The Council is represented on the London and Home countries clean Air advisory council by councillor L. Ross and the Medical officer of Health.
Page 38

The following is a. summary of work undertaken by Technical Assistants under the Clean Air Act, 1956.

Page 39

Monthly Deposits recorded by the Deposit Gauges and Sulphur-Dioxide by the Lead-Peroxide Method

Month	Site No.	Rain fall in inches	(Tons per square mile)			Mg. of SOg/ day collected by 100 sq. cm. of Batch. A lead Peroxide (Louvered Box)
Month	Site No.	Rain fall in inches	Insoluble Deposi t	Soluble Deposit	Total Solids

Page 40

Concentration of Smoke and Sulphur Dioxide recorded by the Volumetric Method at the two stations in the Borough

Station Jan. Feb. Mar. Apl. May June July Aug. Sept. Oct. Nov. Dec.
Page 41

Work of Public Health Inspectors Adnlnlsterlng Factories Act, 1937, and other legislation. Factories Act, 1937.
Page 41

PART I OF THE ACT Prescribed Particulars on the Administration of the Factories Act, 1937. 1. Inspections for the purposes of provisions as to health (including inspections made by Public Health Inspectors.)

Number of
Premises Number on Register Inspections Written Notices Occupiers prosecuted
(1) (2) (3) (4) (5)

Page 42

2. Cases in which Defects were Pound.

Particulars	Number of cases in which defects were found				Number of cases in which prosecutions were instituted
	Found	Remedied	Referred
	Found	Remedied	To H.M. Inspector	By H. M, Inspector

Page 42

PART VIII OF THE ACT Outwork (Sections 110 and 111).

Nature of Work	SECTION 110			SECTION 111
Nature of Work	No. of out-wo rkers in August list required by Sec. 110(1)(c)	No. of cases of de f au11 in sending lists to the Council	No. of prosecutions for failure to supply lists	No. of instances of work in unwholesome premises	Notices served	Prosecutions

Page 43

Legal Proceedings Public Health (London)Act, 1936 As amended by the London County Council (General Powers) Act, 1937.

Date Address Section of Act Magistrate's Decision
Page 44

The number of inspections, etc. of offensive trades premises were:-

Inspections Re-visits Total
Page 46

(a) General The following is a summary of the work carried out during the year:• Notices Served Intimations 3 Statutory

Type of Property Local Authori ty Premi ses Dwelling Houses Bu s i n e s s Premises TOTAL
Page 49

The number of houses and flats erected in the Borough during the year was
Page 50

The number of municipal flats and houses erected since the war is
Page 50

Legal Proceedings

Date Address Magistrate's Decision
Page 50

Housing Act, 1957 During the year the following actions were taken: Section 9 (Repair of insanitary houses)
Page 51

Section 27 Closing Orders determined or part-determined upon completion of work in respect of
Page 51

Housing Subsidies Act, 1956, as Amended by Housing (Financial Provisions)Act,1958. Certificates of unfitness issued in respect of certain Municipal properties
Page 51

Licences Authorising Temporary Overcrowding No licences were issued during the year.
Page 53

Food and Drugs Act, 1955. Number of food prealses In the area, and type of business
Page 54

Preserved Food Premises Registered under Section 16 (1) (b) of the Food and Drugs Act,1955 (Included in foregoing list)
Page 54

Details of the inspections etc. by the Inspectors are given below:
Page 55

Continued from previous page...

Date Offence Magistrate's Decision
Page 57

Formal Nil
Page 59

Merchandise Marks Acts.
Page 59

The following table given through the courtesy of the Cleansing Superintendent provides details of the weekly average number of persons who availed themselves of the Council's facilities. Traders are becoming more aware of these facilities, the number of persons taking advantage of them being on the increase.

Convenience Jan. Feb. Mar. Apr. May June Jul. Aug. Sept. Oct. Nov. Dec. Approx. weekly average throughout year
Page 60

The number of premises registered:-
Page 60

Twenty samples of ice cream were sent for bacteriological examination and following Methylene Blue tests were graded as follows:-
Page 60

(b) Lollies

Number sampled Satisfactory Unsatisfactory
Page 60

2. Chemical Examination
Page 60

Details of 18 samples of ice cream examined for fat content are as under:-
Page 61

Milk Samples 1. Bacteriological Examination

Class of Milk Results Phosphatase Methylene blue Turbidity Biological Total Number of Samples
Page 61

5. Chemical Examination Details of samples submitted

Satisfactory Unsatisfactory Total
Page 61

Milk (Special Designation) Regulations,1860.
Page 63

Borne Accident Cases reported by the London Ambulance Service

London County Islington
No. of cases Rate per 10,000 population No. of cases Rate DOT 10,000 population
Page 65

Islington residents:
Page 66

Aged and Infirm-Action taken under Statutory Powers

Name and Age Reason for Council's Action Period Named in Order Type of accommodation to which removed Ultimate Result
(1) (2) (3) (4) (5)
Page 67

Continued from previous page...

Name and Age Reason for Council's Action Period Named in Order Type of accommodation to which removed Ultimate Result
(1) (2) (3) (4) (5)
Page 67

Meals supplied during the year were as follows:-
Page 69

Total Attendances at Maternity & Child Welfare Centres
Page 69

Foster Mothers The table of foster-mothers and foster-children registered under the Childrens Act, 1958, is as follows:-
Page 69

L.C.C. Day Nurseries and Child Minders At present there are 3 Day Nurseries open in Islington:-
Page 71

Maternity and Child Welfare Centres - The days and times of sessions are as follows:-

CENTRE Ante-Natal & Post-Natal Children's Toddlers Dental Diphtheria Immunisation Poliomyelitis Inoculation Smallpox Vaccination

CAUSE OF DEATH	AGE GROUPS
	All Ages			0-		1-		5-		15-		25-		45-		65-		75-
	M.	F.	To t a1	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

	NEW CASES				DEATHS
Ages	Respi ratory		Non-Respi ratory		Respi ratory		Non-Respi ratory
Ages	M.	F	M.	F	M.	F.	M	F.

	Pulmonary				Non-Pulmonary				Total
	Adults		Children		Adults		Children		Adults		Children
	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

		Number of
Premises	Number on Register	Inspections	Written Notices	Occupiers prosecuted
(1)	(2)	(3)	(4)	(5)

Year	IMMUNISED					NON-IMMUNISED							Deaths
	Age Groups					Age Groups					Unknown	Total
	0 -	5	5 -	15	15+	0 -	5	5 -	15	15+

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Islington 1961

91 tables in this report

SECTION A GENERAL AND VITAL STATISTICS

Deaths Infant mortality (deaths under 1 year;

CLASSIFICATION OF DEATHS WITH AGE DISTRIBUTION (REGISTRAR GENERAL S RETURNS)

COMPARATIVE VITAL STATISTICS - 1948 TO 1961 (Compiled from Registrar General's Returns)

SUMMARY OF INFANT MORTALITY 1961 (Based on Registrar General's Returns)

The Preliminary Report of the 1961 Census has been received and the following statistics have been extracted:-

The following table (extracted from the Registrar General' s Returns) gives the estimated number of children under the age of 15 years in the County of London and in Islington.

The following table is reproduced for the current year showing the seasonal influences affecting deaths due to respiratory causes.

Deaths

The following information has been kindly furnished by Dr. Brett, Medical Director, Static X-Ray Unit, Drayton Park, in respect of persons passing through the Unit and found to have primary lung cancer tumour. The figures given include residents outside the Borough as well as Islington residents.

There has also been some increase in deaths due to this cause in women but this seems to have affected almost entirely women over the age of 65.

Accidents The following table gives the deaths from accidents to Islington residents from 1952 onwards:-

In the following table causes of accidental deaths in 1961 are analysed, in their respective age groups.

SECTION B PREVALENCE AND CONTROL OF INFECTIOUS AND OTHER DISEASES Notifiable Infectious Diseases and Deaths during the year 1961

Domiciliary Visiting of Infectious Disease Cases and Contacts - No. of Visits

The following is the table of successful vaccinations performed over the past eleven years:-

The following table shows the age-groups of the notified cases during 1961:-

Whooping cough Prophylaxis

London (Measles and Whooping Cough) Regulations. 1938 Home visiting of measles and whooping cough cases was carried out by the Home Visitors as under:-

Acute Poliomyelitis There was only one confirmed case of poliomyelitis in 1961. This, of course, not only maintains the downward trend referred to in last year ' s Annual Report but is the lowest figure recorded since 1946.

Continuted from Previous Page...

Cases and Deaths 1937 - 1961

Corrected Notifications

The ages and immunisation states of the cases are shown in the following table:-" Diphtheria Cases and Immunisation state 1947 • 1961 (Inclusive)

As immunity tends to wane with the passage of time, the Immunity Index relates only to children who have been inoculated during the last 5 years by general practitioners, and in L.C.C. Welfare Centres and Schools. This is consonant with the Immunity Index given by the Ministry of Health.

Food Poisoning Number of notifications received

In accordance with Circular 2/50 of the Ministry of Health, the following table summarises the outbreaks of food poisoning and the character of each outbreak.

DYSENTERY IN TSLINGTON - 1961

New Cases and Mortality during 1961

The total number of cases on the Register of the Department as at 31st December, 1961 was: -

The corresponding figures for previous years are:-

Cases on Chest Clinic Registers

The corresponding figures for previous years are:-

The figures in the table below give an analysis of the results obtained during the last decade. (This includes Islington referrals but covers a much larger area).

In addition to these positive findings, it is hoped that the thousands of negative reports have also assisted the General Practitioner in his daily clinical work.

Home Visiting Follow-up home visiting for cases of scabies and vermin was carried out by the Home Visitors of the Treatment Centre as under:-

Bacteriological Examinations All specimens for bacteriological examination dealt with through the Department are submitted to the Public Health Laboratory Service, County Hall, S.E.I,

Summary of Work done by District Public Health Inspectors (i) Inspections

(iii) Nuisances and Notices

Applications for Cancellation of Certificates

(ix) Improvements effected as a result of Service of Notices under the Public Health (London) Act, 1936

This amount is apportioned as follows under the respective Acts and Sections:-

Legal Proceedings Public Health (London) Act, 1936 Failure to comply with Statutory Notices contrary to Section 82

Continued from previous page...

Failure to comply with Statutory Notice contrary to Section 105

Disinfection and Disinfestation (a) General

SMOKE CONTROL AREAS Revised Phased Programme

The Council is represented on the London and Home countries clean Air advisory council by councillor L. Ross and the Medical officer of Health.

The following is a. summary of work undertaken by Technical Assistants under the Clean Air Act, 1956.

Monthly Deposits recorded by the Deposit Gauges and Sulphur-Dioxide by the Lead-Peroxide Method

Concentration of Smoke and Sulphur Dioxide recorded by the Volumetric Method at the two stations in the Borough

Work of Public Health Inspectors Adnlnlsterlng Factories Act, 1937, and other legislation. Factories Act, 1937.

PART I OF THE ACT Prescribed Particulars on the Administration of the Factories Act, 1937. 1. Inspections for the purposes of provisions as to health (including inspections made by Public Health Inspectors.)

2. Cases in which Defects were Pound.

PART VIII OF THE ACT Outwork (Sections 110 and 111).

Legal Proceedings Public Health (London)Act, 1936 As amended by the London County Council (General Powers) Act, 1937.

The number of inspections, etc. of offensive trades premises were:-

(a) General The following is a summary of the work carried out during the year:• Notices Served Intimations 3 Statutory

The number of houses and flats erected in the Borough during the year was

The number of municipal flats and houses erected since the war is

Legal Proceedings

Housing Act, 1957 During the year the following actions were taken: Section 9 (Repair of insanitary houses)

Section 27 Closing Orders determined or part-determined upon completion of work in respect of

Housing Subsidies Act, 1956, as Amended by Housing (Financial Provisions)Act,1958. Certificates of unfitness issued in respect of certain Municipal properties

Licences Authorising Temporary Overcrowding No licences were issued during the year.

Food and Drugs Act, 1955. Number of food prealses In the area, and type of business

Preserved Food Premises Registered under Section 16 (1) (b) of the Food and Drugs Act,1955 (Included in foregoing list)

Details of the inspections etc. by the Inspectors are given below:

Continued from previous page...

Formal Nil

Merchandise Marks Acts.