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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

Lambeth 1925

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

Published
1926
Pages
121
Tables
61

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61 tables in this report

  • Page 7
    Estimated Populations, 1925 (Middle of the Year.) 1. Wards.
    Wards.Males.Females.Total.
  • Page 8
    II. Registration Sub-Districts.
  • Page 8
    III. Parliamentary Divisions.
  • Page 9
    TABLE A. Giving number of Births and Birth-Rates in each Registration Sub District of the Borough of Lambeth during the 52 weeks ended 31st December, 1925 (arranged Quarterly).
    Registration Sub-Districts.No. of Births.Total for the Year 1925.
    1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.
  • Page 10
    TABLE B. Showing Populations (Estimated), Uncorrected Births, Corrected Deaths at all ages, under 1 year, under 5 years, anc from the 7 chief Zymotic diseases and Uncorrected Deaths in Public Institutions in the Borough of Lambeth during 1925, and for the quinquennium 1920 1924 (Borough), together with the averages for the three decennia 1891-1900 (Parish), 1901-1910 (Borough) and 1911-1920 (Borough).
    Year.Estimated Population.Number of Births Registered.Corrected Numbers of Deaths.Deaths in Public Institutions in Lambeth (uncorrected).
    Total Ages.Under 1 year.Under 5 years.Deaths from 7 Chief Zymotic Diseases.
  • Page 11
    TABLE C. Showing the Birth Rate (estimated) per 1,000 population, the General and Zymotic Death Rates (corrected) per 1,000 population, the Infantile Mortality Rates (corrected) per 1,000 total Births and per 1.000 total corrected Deaths, the Death Rate (corrected) for children under 5 years of age per 1,000 total corrected Deaths and the proportion of Deaths uncorrected in Public Institutions per 1,000 total uncorrected Deaths, in the Borough of Lambeth for the Year 1925 and for the quinquennium 1920-1924 (Borough), together with the averages for the three decennia 1891-1900 (Parish), and 1901-10 (Borough) and 1911-1920 (Borough).
    The Year.Birth-Rate per i, ocx) Population (uncorrected.)Death-Rate per 1,000 Population (corrected).Corrected Deaths of Children under 1 year per 1,000 total Births.Deaths of Children under 1 year per 1,000 Deaths (corrected).Deaths of Children under 5 years per 1,000 Deaths (corrected).Zymotic Death-Rate per 1,000 Population (corrected).Deaths in Public Institutions per 1,000 total Deaths (uncorrected).
  • Page 12
    The Registrar-General's figures (total figures) for Lambeth Borough relate to the calendar year, whilst, in addition, the Registrar-General allows corrections, not only for outward transfers but also for inward transfers, as follows, giving a corrected number for the year (calendar year) of 5,543:—
    Total registered.Inward transfers.Outward transfers.Corrected numbers.
  • Page 13
    Of the total 7,734 notified births, 4,047 took place in Institutions, and, of these 4,047 births, 1,760 belong to Lambeth and 2,287 t0 outside districts, thus:—
    Institutions.*Lambeth Cases.Strangers.Totals.
  • Page 17
    (No. 1), 1918. The figures are as follow:—
    Years. (Financial)Cost of Milk distributedTotal Cost.Total amount of Milk dis- ribtued in gallons (approximately;*
    Through Welfare Centres.Through Milk Depot.*
  • Page 21
    The best details are set out in tabular form as follows:—
    YearNew Infants and Children entered upon the RegisterUnder 3 months3 to 6 Months6 to 9 Months9 to 12 monthsOver 12 months and under[ , 2 Years
  • Page 22
    cases were classified, at the time of being put upon the milk, as follows:—
  • Page 26 27
    A. Registration Sub-Districts.
    REGISTRATION SUB-DISTRICTS.Total Deaths (corrected).General corrected Death-rate per 1000 of the Population.Small Pox.Measles.Scarlet Fever.Total Deaths (corrected) fromCholera.Diarrhoea and Dysentery.Total Zymotic Deaths.Zymotic Death-rate per 1,000 of the Population (corrected).Diarrhoea Death rate per 10,000 of the Population (corrected).
    Diphtheria and *Membranous Croup.Whooping Cough.Typhus.Typhoid or Enteric.Continued Fever.
  • Page 28
    The table for the year 1925 (and the previous 5 years) at the end of the Report (Vital Statistics), known as the Local Government Board New Tables I., II., Ill, and IV., shew these corrected statistics of deaths within the Borough (differing slightly, in consequence, from the statistics in the body of the Report), the additional figures for the year 1925 being as follows:—
    Age Periods.Males.Females. .Totals.
  • Page 29
    Causes of the 88 outside deaths.
    Causes of Death.MaleFemale.
  • Page 30
    In the Registration Sub-Districts the uncorrected infantile mortality varies from 50.1 in Norwood to 88.5 in Brixton, thus:
    Registration Sub-Districts.Total No. of Births (uncorrected) 1925Total Deaths under 1 year (uncorrected) 1925.Infantile Mortality per 1000 births (uncorrected) 1925.
  • Page 32
    The details of the corrected tuberculosis deaths in the various Registration Sub-Districts are:—
    Registration Sub-Districts.Corrected Deaths from
    Pul. Tub. or Phthisis (consumpt'n)father Forms Tuberculosis.Total Deaths Tuberculosis (all forms).Phthisis rate per i,o00 population.Tuberculosisrate per 1.000 population (all forms).
  • Page 33
    A.—Total Deaths from all causes and at all ages with percentages of such deaths to total deaths (corrected).
    ClAss of Disease.BOROUGH 1925.Borough 1924.
    No. of Deaths (corrected).Percentage of Total Deaths (corrected).No. of Deaths (corrected).Percentage of Total Deaths (corrected).
  • Page 34
    TABLE E.—continued. r5.—Deaths (corrected) of Infants under One Year of age from the chief infantile diseases, and from all causes, expressed in terms of 1000 births (corrected).
    Borough 1925.Borough 1924.
    Total Deaths under One Year (Corrected).Proportion to 1000 Births (Corrected),*Total Deaths under One Year (Corrected).Proportion to 1000 Births (Corrected),*
  • Page 35
    TABLE F. Shewing the number of Deaths (corrected) from the 7 principal zymotic diseases in the Borough of Lambeth during 1925 and during the five previous years 1920-24, together with the yearly averages during the previous quinquennium 1920-24 (Borough) and the three decennia 1891-1900 (Parish), 1901-10 (Borough) and 1911-20 (Borough).
    Disease.Total (corrected) Deaths in 1925.19201921192219231924Annnual average of five years 1920-24 (Borough).Annual average of ten years 1911-20 (Borough).Annual average of ten years 1901-10 (Borough).Annual average of ten years 1891-1900 (Parish).
  • Page 37
    Smallpox Statistics.—Lambeth (old Parish and new Borough).
    Table I.Year.Table II.
    Year.Deaths registered.Cases notified officiallyDeaths registered.Cases notified officially.
  • Page 39
    The official figures are as follows (notified cases and corrected deaths registered):— Particulars of Notified Cases and Registered Deaths (with case-mortalities) for (a) Measles, and (b) German Measles for the ten years 1916-25.
    (a) MEASLES.(6) GERMAN MEASLES.
    Year.Cases.Deaths.Case Mortality.Cases.Deaths.Case Mortality.
  • Page 39
    1.—Age Periods Affected.
    Age Periods.Cases Notified-Deaths Registered.Case Mortality (per cent.)
  • Page 39
    2.—Localities Affected. (Registration Sub-Districts).
    Registration Sub-District,Cases Notified.Deaths Registered.Case Mortality (per cent.)
  • Page 44
    TABLE G. Shewing the total numbers of cases (corrected) of infectious diseases notified compulsorily by Medical Practitioners under the Notification Clauses of the Public Health (London) Act, 1891, and the Orders and Regulations made thereunder, in the Borough of Lambeth, during 1925, together with the total numbers of deaths registered from the same diseases, the case mortality per 100 persons for each disease, the numbers of cases (with percentages) removed to hospital, and the numbers of infected houses.
    Cases notifiedDeaths registered.Case Mortality per 100.Cases removed to hospital.Per cent, of cases removed.Infected houses.
  • Page 45
    Continued from previous page...
  • Page 46 47
    TABLE g (1). Shewing the number of medical Certificates (corrected) for the compulsorily Notifiable Infectious Diseases under the notification clauses of the Public Health (London) Act, 1891, or the Orders and Regulations made thereunder, received in the Borough of Lambeth during 1925, together with the averages for the three decennia 1891-1900 (Parish), 1901-1910 (Borough), and 1911-1920 (Borough), and the quinquennium 1920-24 (Borough).
    Disease.1925Annual Average, 1920-24 (Borough) 5 years.Annual Average, 1911-1920 (Borough) 10 years.Annual Average 1901-10 (Borough) 10 years.Annual Average 1891-1900 (Parish) 10 years.
  • Page 48 49
    TABLE H. Public Health (Tuberculosis) Regulations, 1912. (As amended by the Public Health (Notifications of Infections Diseases) Regulations, 1918.) Summary of Notifications received during the period from 4th January, 1925, to the 2nd January, 1926.
    Age-PeriodsNumber of Notifications on Form A.Number of Notifications on Form B.Number of Notifications on Form C.Number of Notifications on Form D.
    Primary Notifications. (Medical).♦Total Notifications {i.e., including cases previously notified by other Doctors). (Medical.)Primary Notifications (Medical.)†Total Notifications (i.e. including cases previously notified by other Doctors). (Medical).Cases admitted toCases discharged from
    0 to I.I to 5.5 to 10.10 to 15.15 to 20.20 to 25.25 to 35.35 to 45-45 55-55 to 65.upwards.Total.Under 5.5 to 10.10 to 15.Total.Poor Law Institutions.Sanatoria.Poor Law Institutions.Sanatoria.
    (Medical.)(Medi cal.)
  • Page 50
    METROPOLITAN BOROUGH OF LAMBETH. TABLE H (1). Public Health (Tuberculosis) Regulations, 1912. (As amended by the Public Health (Notifications of Infectious Diseases) Regulations, 1918). Summary of Notification Certificates (Forms A, B, C, D),) received during the period from January 4th, 1925, to January 2nd, 1926.
    Registration Sub-Districts. 1925.Tuberculosis (All forms).
    Pulmonary.Non-Pulmonary.
    A.B.C.D.A.B.C.D.
    Forms.Primary.Total.Primary.Total.Poor Law.Sanatorium.Poor Law.Sanatorium.Primary.Total.Primary.Total.Poor Law.Sanatorium.Poor Law.Sanatorium.
  • Page 51
    i.—Age Periods.
    0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 & Upwards.Total cases.
  • Page 51
    2.—Registration Sub-Districts.
    Waterloo.Lambeth Church.Kennington.Stockwell (Inner)Total Inner Districts.Stockwell (Outer).Brixton.Norwood.Total Outer Districts.Borough of Lambeth.
  • Page 54
    (1) Death-rates (corrected deaths per 1,000 population) :—
    BoroughInner DistrictsOuter Districts
    Years.Pulmonary TuberculosisTuberculosis (all forms).Pulmonary TuberculosisTuberculosis (all forms).Pulmonary TuberculosisTuberculosis (all forms).
  • Page 55
    (2) Incidence Rates (notified primary cases per 1,000 population):—
    Borough.Inner DistrictsOuter Districts
    Years.Pulmonary TuberculosisTuber-culosis (all forms).Pulmonary TuberculosisTuber-culosis (all forms).Pulmonary TuberculosisTuberculosis (all forms).
  • Page 56
    56 TABLE I. Lambeth Municipal Tuberculosis Dispensary Scheme. (.Inaugurated by the Council, October 3rdy 1912). Local Government Board Table— FORM R (revised). Return (Prepared by the Tuberculosis Officer) as to Work carried out in connection with the central dispensary for the year 1925. N.B.—The Central Dispensary (73, Effra Road, Brixton), was opened July 23rd, 1913.
    Number ofUnder observation at the Dispensary on Jan. 1st pending diagnosis.Ex-amin'd for the first time during the year.TotalFound to be—Under observation at the Dispensary on Dec. 31 pending diagnosis.Ceased aite'd-ance before completion of diag-nosis.
    Suffering from Tuberculosis.Not suffering from Tuberculosis
    PulmonaryNon-Pulmonary
  • Page 57
    TABLE I (Continued) 57 Lambeth Municipal Tuberculosis Dispensaries Scheme (Inaugurated by the Council, October 3rd, 1912). Local Government Board Table—FORM R (revised). Return (Prepared by the Tuberculosis Officer) as to Work carried out in connection with the branch dispensary for the year 1925. N.B.— The Branch Dispensary (St. Thomas's Hospital) was opened February 3rd, 1913.
    Number ofUnder observation at the Dispensary on Jan. 1st pending diag. nosis.Ex-amin'd for the first time during the year.TotalFound to be—Under observation at the Dispensary on Dec. ii pending diag-nosis.Ceased att'nd-ance before com-pletio??? of diag-nosis.
    Suffering from Tuberculosis.Not suffering from Tuberculosis
    PulmonaryNon- Pul-monary
  • Page 58 59
    TABLE J. Local Government Board Table. BOROUGH OF LAMBETH.— Particulars of cases of acute polio-myelitis (polio-encephalitis), cerebro-spinal fever (post-basic meningitis) and encephalitis lethargica acuta notified within the Borough of Lambeth during 1925.
    Total Number of Cases notified.NUMBER OF CASES.
    0-1 year.1-5 years.5-10 years.10-15 years.15-20 years.20-30 years.Over 30 years.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.
    Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*Cases.Deaths.Permanent Paralysis*
  • Page 62
    The full details of the age and sex distribution of the 63 deaths during 1925, are as follows :—
    Under 1 Year.1 to 22 to 5Under 5 Years.5 to 1515 to 2020 to 2525 to 40
  • Page 63
    Municipal Bacteriological Laboratory. (Inaugurated by the late Vestry, 1899.) Table shewing the numbers of pathological samples examined (total 960), and the results obtained, at the Bacteriological Laboratory during 1925, and the previous quinquennium 1920-1924, together with the averages for the two decennia 1901-1910 (Borough)and 1911-1920 (Borough) and the quinquennium 1920-1924 (Borough).
    Year.Sputa. Suspected Tuberculosis. Tub. Bac. found.Blood. Suspected Typhoid or Enteric Fever. Reaction obtained.Throat & Nose. Membranes and Secretions. Suspected Diphtheria. Klebs-Lœffler Bac. foundOther Sundry Samples. Result. obtained.
  • Page 64 65
    TABLE K. TABLE K. [Local Government Board Old Table A.] Table of DEATHS during the year 1925 in the Borough of Lambeth, classified according to Diseases, Ages, and Localities.
  • Page 66 67
    TABLE K. TABLE K. Local Government Board Old Table A.} Table of DEATHS during the year 1925 « the Borough of Lambeth, dassified tQ ^ and
  • Page 68
    TABLE L. Table of Civil Population, Total Registered Births and New Cases of Infectious Sickness, coming to the knowledge of the Medical Officer of Health (by notification), during the year 1925, in the Borough of Lambeth, classified according to Diseases and Localities. [LocaI Government Board Old Table B.]
    Registration Sub-Districts.Population at All Ages.Total Registered Births 1925New Cases of Sickness in each Locality, coming to the knowledge of the Medical Officer of Health during 1925
    Census 1921.Estimated 1925 (middle of year).1234567891011121314151617
    Small Pox.Scarlatina.Diphtheria.Membranous Croup.FeversPuerperal.Erysipelas.†Cerebro-spinal Fever.Polio-myelitis Acuta.Ophthalmia.Measles.German Measles.Primary Pneumonia.Influenzal Pneumonia.Malaria.
    *Typhoid or Enteric.Continued Fever.Encephalitis Lethargica.
  • Page 69
    TABLE L— continued.
    Registration Sub-Districts.Population at all Ages.Total Registered Births 1925Number of such Cases removed from their Homes in the several Localities for Treatment in Isolation Hospital during 1925.
    Census 1921.Estimated 1925. (middle of year).1234567891011121314151617
    Small Pox.Scarlatina.Diphtheria.Membranous Croup.Fevers.Puerperal.Erysipelas.Cerebro-spinal Fever.Polio-myelitis Acuta.Ophthalmia.Measles.German Measles.Primary Pneumonia.Influenzal Pneumonia.Malaria.
    *Typhoid or Enteric.Continued Fever.Encephalitis Lethargica.
  • Page 71
    Local Government Board New Tables TABLE II* CASES OF INFECTIOUS DISEASE NOTIFIED WITHIN THE BOROUGH OF LAMBETH DURING THE YEAR 1925
  • Page 74 75
    Local Government Board New Tables. TABLE IY. BOROUGH OF LAMBETH—INFANTILE MORTALITY, 1925. Nett Deaths from stated causes at various Ages under 1 Year of Age.
    Under 1 week.1-2 weeks.2-3 weeks.3-4 weeks.Total under 1 month.1-3 months.3-6 months.6-9 months.9-12 months.Total Deaths under 1 year.
  • Page 76 77
    LAMBETH BOROUGH.— Corrected Deaths registered from all causes during the year 1925 Note.— The Deaths of Non-residents occurring in Public Institu- tions in the District are excluded, and the Deaths 01 Residents occurring in Public Institutions situated beyond the limits of the District are included. (A) REGISTRATION SUB-DISTRICTS.
    Sub-Districts.Sub-Districts.Total.
    Lambeth Church.Kennington.Stockwell.Brixton.Norwood.All Ages.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 76 77
    (B.) AGE PERIODS.
    AGEPERIODS.Total.
    Under i Year.1-22-5Under 5 Years.5-1515-2020-2525-4040-4545-6060-6565 and over.Over 5 Years.All Ages.
  • Page 78
    (C.) SUMMARY OF CORRECTED DEATHS.
    No. of Deaths.Total.No. of Deaths.Total.
  • Page 81
    Ventilating Pipes defective or wanting 82
  • Page 82
    PARTICULARS OF SANITARY WORK carried out by the Male Sanitary Staff (District Inspectors) in Lambeth Borough during 1925, and during the 4 previous years (1920-1924), together with Yearly Averages for (a) the 20 Years 1901-20, (Borough), and (b) the 24 Years 1877-1900 (Parish).
    Year.Total Number of Notices (excluding those served under the Housing Acts).Sanitary Works, Structural and Permanent.Sanitary Works, Not Structural.
  • Page 82
    Summary of Work Carried Out by the 12 District Male Sanitary Inspectors during 1925.
  • Page 83
    Water Certificates issued1 150
  • Page 86
    Summary of Work carried out by the Female Sanitary Inspectors during 1925.
  • Page 87
    Continued from previous page...
  • Page 88
    Summary of Work Carried Out (Total Visits Paid) by the 4 Whole-time Official Health Visitors during 1925.
  • Page 89
    Of the total Lambeth out-workers reported, 73 were new outworkers, i.e., out-workers not previously registered, as follows :
  • Page 95
    Another interesting summary, to be tabulated in view of the new Housing Act, 1925, having come into force on July 1st 1925, is as follows (vide also Appendix I Addendum 3): —
  • Page 99
    Summary of work carried out by the Disinfecting Department during 1925.
  • Page 100
    ANALYSIS OF FOOD AND DRUGS AND WATER. Food and Drugs. Samples of Food and Drugs procured, together with the results of the analyses, were as follows:—
    Samples.Formal.Informal.
    Number Analysed.Number Adulterated.Number Analysed.Number Adulterated.
  • Page 101
    Analysis of Food and Drugs and Water— continued.
    Samples.Formal.Informal.
    Number Analysed.N umber Adulterated.Number Analysed.Number Adulterated.
  • Page 101
    Headings of Report of Administration. 1. Milk ; and cream not sold as preserved cream:—
    No. of samples examined for the presence of a preservative.No. in which a preservative was reported to be present.
  • Page 102
    2. Cream sold as preserved cream:—
  • Page 112
    ADDENDA 1. Families occupying (a) one room, and (b) two rooms (1921 Census Returns).
    No. of persons in family.No. of families occupying one room.No. of families occupying two rooms.