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

Page 10

Table shewing the Area and Population of the Borough, in Wards

Ward.	Area in acres.	Enumerated Population Census. April, 1901.	Enumerated Population Census, April, 1911.			In the 10 years 1901-11.				Estimated Population June, 1912.
			Enumerated Population Census, April, 1911.			Increase.		Decrease.
			Males.	Females.	Total Persons.	No. of Persons.	Per centage.	N o. of Persons	Per centage.

Page 11

Census, 1911. Classification of Buildings.

	1901 Total.	1911.
		Total (Cols. 4-11.)	Buildings used as Dwellings.							Vessels, Sheds, Vagrants, &c.	Separate Flats (Included In Col.5)	Buildings not used as Dwellings.
		Total (Cols. 4-11.)	Ordinary Dwelling Houses.	Blocks of Flats.	Shops.	Hotels, Inns, and Public Houses.	Offices. Warehouses, Workshops, Fac tories.	Institutions.	Others.	Vessels, Sheds, Vagrants, &c.	Separate Flats (Included In Col.5)	Kind of Buildings.	No.

Page 13

The following Table shows the number of cases notified, the person by whom notified, whether the children were born alive or dead, and the total number of births registered in the Borough:—

Total No. of Births Notified.	Notified by				No Born Alive.	No. Born Dead.	No. Births Registered.
Total No. of Births Notified.	Medical Attendant.	Parent.	Midwife.	Other Person.	No Born Alive.	No. Born Dead.	No. Births Registered.

Page 14

The following Table shows the death rates in the various Wards of the Borough during the year under review, and the previous year:—

Wards.	Males.	Females.	Total Deaths.	Death Kates, 1912.	Death Rates, 1911.

Page 15

Ages at Death.—The following table shows the number of deaths at various age periods in the years 1911 and 1912, and the percentages to the total deaths at all ages:—

	1911.		1912.
	No. of Deaths.	Percentage to Total.	No. of Deaths.	Percentage to Total.

Page 16

The following table shows the death-rates from the principal zymotic diseases in this Borough, and in the County of London, the 95 Great Towns, and England and Wales:—

	Enteric Fever.	Measles.	Scarlet Fever.	Whooping Cough.	Diphtheria

Page 17

Zymotic Death-rates in Wards.—The following table shows the deaths and death-rates from Zymotic disease in Wards of the Borough:—

Ward.	Enteric Fever.		Measles.		j Scarlet Fever.		Whooping Cough.		Diphtheria.		Diarrhoea and Enteritis. (Under 2 years).		Totals.
	No.	Rate.	No.	Rate.	No.	Rate.	No.	Rate.	So.	Rate.	No.	Rate.	No.	Rate.

Page 18

Deaths from Principal Zymotic Diseases arranged in Age Groups, for the year 1912.

Ages.	Small-Pox.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Enteric Fever.	Diarrhoea and Enteritis.	Totals in Age Groups.

Page 19

The deaths and death-rates from pulmonary tuberculosis in the various Wards .are set out in the following table:—

ward.	No. of Deaths.	Death Rate.	ward.	No. of Deaths.	Death Rate.

Page 22

The deaths were distributed as follows:—

Institution.	Number of Deaths.
Institution.	Residents.	Non-Residents.

Page 23

Table shewing Causes of, and Ages at Death, and Distribution in Wards, 1912.

Causes of Death.	Ages at Death.								Total all ages.	Wards.										Precise address unknown.
	Under 1 year.	1 and under 2 yrs.	2 and under 5 yrs.	5 and under 15 yrs.	15 and under 25yrs.	25 and under 45 yrs.	45 and under 65yrs.	65yrs.and upwards		Church.	Manor.	South.	Blackheath.	Lewisham Vill.	Lewisham Park.	Brockley.	Catford.	Forest Hill.	Sydenham.
	Under 1 year.	1 and under 2 yrs.	2 and under 5 yrs.	5 and under 15 yrs.	15 and under 25yrs.	25 and under 45 yrs.	45 and under 65yrs.	65yrs.and upwards		1	2	3	4	5	6	7	8	9	10

Page 25

Table showing Population, Birth and Death Rates, and Infant Mortality, in the Metropolitan Boroughs and the County of London.

Boroughs.	Population estimated to the middle of 1912.	Births.	Deaths.	Birth Rate.	Death Rate.	Deaths of Infants under 1 year of age.
Boroughs.	Population estimated to the middle of 1912.	Births.	Deaths.	Birth Rate.	Death Rate.	Number.	Rate per 1000 Births.

Page 26

Table showing Deaths and Death Rates from the Principal Infectious Diseases in the Metropolitan Boroughs and the County of London.

Boroughs.	Enteric Fever.		Smallpox.		Measles.		Scarlet Fever.		Whooping Cough.		Diphtheria		Diarrhœa & Enteritis (under 2).		Phthisis.
Boroughs.	Number.	Rate.	Number.	Rate.	Number.	Rate.	Number.	Rate.	Number.	Rate.	Number.	Rate.	Number.	Rate.	Number.	Rate.

Page 28

The following figures show the percentage of cases occurring among children of the age of six years and under to the total notifications of Scarlet Fever and Diphtheria:—

Age.	Scarlet Fever.			Diphtheria.
Age.	1910.	1911.	1912.	1910.	1911.	1912.

Page 29

Age Periods of Scarlet Fever ami Diphtheria, notified during the year 1912.

Age Periods	Scarlet Fever.		Diphtheria.
Age Periods	Number of Cases.	Percentage to Total Cases	Number of Cases.	Percentage to Total Cases.

Page 30

Number of Cases of Infectious Diseases notified in the Ten Wards and the Whole Borough during the Year 1912.

Wards	Scarlet Fever	Diphtheria.	Enteric Fever	Erysipelas.	Puerperal Fever.	Ophthalmia Neonatorum.	Polio-Myelitis or Polio-Encephalitis	Total.

Page 33

Table showing the Attack rates from the Principal Infectious Diseases per 1,000 of the population for the ten Wards, and the whole Borough in the years 1909 -1912.

Wards.	Diseases
	Scarlet Fever				Diphtheria				Enteric Fever				Erysipelas				Total All Diseases.
	1909	1910	1911	1912	1909	L910	1911	1912	1909	1910	1911	1912	1909	1910	1911	1912	1909	1910	1911	1912

Page 34

Table showing the Attack Rates per 1,000 persons living at all ages from Small-Pox, Scarlet Fever and Diphtheria in the Metropolitan Boroughs and the County of London for the Years 1909-1912.

Borough.	Small-Pox.				Scarlet Fever.				Diphtheria.				All Notifiable Infectious Diseases.
Borough.	1909.	1910.	1911.	1912.	1909.	1910.	1911.	1912.	1909.	1910.	1911.	1912.	1909.	1910.	1911.	1912.

Page 50

The following is a summary of the cases notified from Schools : —

	Number of children suffering.	Children excluded on account of infection in their homes.

Page 52

BACTERIOLOGICAL DIAGNOSES. During the period under review 1,034 Examinations were made of the sputum, blood or throat membrane and mucus of persons suspected to be suffering from either Pulmonary Tuberculosis, Enteric Fever or Diphtheria, of which 316, or 30 per cent., gave positive results.

Disease.	No. Negative.	No. Positive.	No. Doubtful.	Total.

Page 57

The details of the work carried out are as follows:—

	Premises.	Rooms,	Articles.

Page 58

SUMMARY OF SANITARY WORK carried out by the Male Sanitary Inspectors During the year ended 31st December , 1912.

Description of Work	Lewisham Division.			Sydenham and Forest Hill Division		Lee Division	Workshops	House to House.		Total for Who!e Boro.
Description of Work	Mr. J. A. K.Cooper	Mr. H. King	Mr. J. Crowther	Mr. E. T Ptdwell	Mr. B. A . Knappett	Mr. R. White	Mr. J. Daltry	Mr. a. H. Gray	Mr. J. H. Berry.	Total for Who!e Boro.

Page 59

WORK OF WOMEN SANITARY INSPECTORS. The following is a summary of the work carried out by the Women Sanitary Inspectors :—

	Miss Jones.	Misses Stevens & Barke.	Total

Page 60

Water Certificates Granted after inspection in accordance with Section 48 of the Public Health (London) Act, 1891, during the years 1906 -1912.

Ward.	Number of Water Certificates Granted.
Ward.	1906	1907	1908	1909	1910	1911	1912

Page 61

Houses Examined and Certified under the Customs and Inland Revenue Acts during 1912.

Name of Street or Road.	Applications Received.		Certificates Granted.		Certificates Refused.
Name of Street or Road.	Number of Houses.	Number of Tenements	Number of Houses.	Number of Tenements	Number of Houses.	Number of Tenements

Page 63

The following is a list of the cowhouses:—

Situation.	Number ot Cows for which licensed.	Occupier.

Page 64

COWHOUSES— continued.

Situation.	Number of Cows for which licensed.	Occupier.

Page 64

SLAUGHTERHOUSES. The following are the slaughterhouses in the Borough at present licensed by the London County Council:—

Situation.	Occupier.

Page 68

Inspection of Factories, Workshops & Workplaces. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances. (Home Office Table, No. 1).

Premises,	Inspections	Written Notices.	Prosecutions

Page 68

Defects found in Factories, Workshops and Workplaces. (Home Office Table, No. 2).

Particulars.	Number of Defects.			No. of Prosecutions.
Particulars.	Found.	Remedied.	Referred to H.M. Inspector.	No. of Prosecutions.

Page 69

HOME WORK. (Home Office Table, No. 3).

NATURE OF WORK.*	OUTWORKERS LISTS, SECTION 107.									Outwork in Unwholesome Premises, Section 108.			Outwork in Infected Premises, Sections 109, 110,
	Lists received from Employers.						Notices served on Occupiers as to keeping or sending lists.	Prosecutions.		Instances	Notices served.	Prosecutions.	Instances	Orders made, Sec. 110.	Prosecutions. Sections 109, 110.
	Twice in the year.			Once in the year.				Failing to keep or permit inspection of lists.	Failing to send lists.
	Lists. †	Outworkers. †		Lists.	Outworkers.
	Lists. †	Contractors.	Workmen.	Lists.	Contractors.	Workmen.
1	2	3	4	5	6	7	8	9	10	11	12	18	14	15	16

Page 79

Table A. Showing number of Samples submitted for Analysis, with Results for the year ended December 31s£, 1912.

Article. _	Total.	Genuine.	Adulterated.	Percentage Adulterated.

Page 79

(b) Test Samples purchased without the formalities of the Act.

Page 81

Showing Total Samples submitted with results during the years 1908 -1912. (Test samples not included).

Quarter.	No. of Samples.					No. Adulterated.					Percentage Adulterated.
Quarter.	1908	1909	1910	1911	1912	1908	1909	1910	1911	1912	1908	1909	1910	1911	1912

Page 81

Table D. Showing results of Total Samples of Milk submitted during the Years 1908 -1912.

Quarter.	No. of Samples.*					No. Adulterated.					Percentage Adulterated.
Quarter.	1908	1909	1910	1911	1912	1908	1909	1910	1911	1912	1908	1909	1910	1911	1912

Page 82

Table E. Average Composition of Milk Samples submitted in 1912.

Period.	Average Composition of all samples submitted genuine and adulterated.		Average Composition of genuine samples.		Board of Agriculture Standard.
Period.	Percentage of Milk fat.	Percentage of Solids not fat.	Percentage of Milk fat.	Percentage of Solids not fat.	Percentage of Milk fat.	Percentage of Solids not fat.

Page 83

Table F. Average Composition of Milk Samples submitted during the Years 1902 -1912.

Period.	Average Composition of all samples submitted genuine and adulterated.		Average Composition of genuine samples.		Board of Agriculture standard.
Period.	Percentage of Milk Fat.	Percentage of Solids not Fat.	Percentage of Milk s Fat.	Percentage of Solids not Fat.	Percentage of Milk Fat.	Percentage of Solids not Fat

Page 84

Table G. Details of Adulterated Samples of Milk during the Year ended December 31st, 1912.

Sample Marked.	Adulteration.	Remarks.

Page 85

Showing the number of samples of Butter submitted in the Four Quarters of the years 1908 -1912.

Quarter.	No. of Samples.					No. Adulterated.					Percentage Adulterated.
Quarter.	1908	1909	1910	1911	1912	1908	1909	1910	1911	1912	1908	1909	1910	1911	1912

Page 85

Details of Adulterated Samples of Butter for the Year ended December 31s/, 1912.

Page 86

Details of Other Samples Adulterated during the year ended December 31st, 1912.

No.	Article.	Adulteration.	Remarks.

Page 88

Table I. Vital Statistics of Whole District during 1912 and previous Years.

Births.			Total Deaths Registered in the District.		Transferee Deaths.		Nett Deaths belonging to the District.
Uncorrected Number.	Nett.				Transferee Deaths.		Nett Deaths belonging to the District.
	Nett.				of Non-residents registered in the District.	of Residents not registered in the District	Under 1 Year of Age.		At all Ages.
	Number.	Rate.	Number.	Rate.			Under 1 Year of Age.		At all Ages.
	Number.	Rate.	Number.	Rate.			Number.	Rate per 1000 Nett Births.	Number.	Rate.

Page 89

TABLE II. Cases of Infectious Disease notified during the Year 1912.

Notifiable Disease.	Number of Cases Notified.								Total Cases Notified in each Locality (e.g. Parish or Ward) of the District.											Total Cases Removed to Hospital.
	At all Ages.	At Ages—Years.							1 Church	2 Manor		3 South	4 Blackheath	5 Lewisham Village	6 Lewisham Park	7 Brockley	8 Catford	9 Forest Hill	10 Sydenham
	At all Ages.	Under	1 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 upwards	1 Church	2 Manor		3 South	4 Blackheath	5 Lewisham Village	6 Lewisham Park	7 Brockley	8 Catford	9 Forest Hill	10 Sydenham

Page 90

Table III. Causes of, and Ages at, Death during the Year 1912.

Causes of Death.		Nett Deaths at the subjoined ages of Residents whether occurring within cr without the District.									Total Deaths whether of residents or Non-Residents in Institutions in the District.
		All Ages	Under 1 year.	1 and under 2.	2 and under 5.	5 and under 15.	15 and under 25.	25 and under 45.	45 and under 65.	65 and upwards.

Page 91

1912.—Nett Deaths from stated Causes at various ages under One Year of Age.

Cause of Death.		Under 1 Week.	1-2 Weeks	2-3 Weeks.	3-4 Weeks.	Total under 4 Weeks	4 Weeks and under 3 Months.	3 Months and under 6 Months.	6 Months and under 9 Months.	9 Months and under 12 Months.	Total Deaths under One Year

Page 92

Table V. LONDON COUNTY COUNCIL SUMMARY.

Premises.	Number of Places				No. of Inspections 1912	No. of Notices 1912.	No. of Prosecutions 1912.
Premises.	On Register at end of 1911.	Added in 1912.	Removed in 1912.	On Register at end of 1912	No. of Inspections 1912	No. of Notices 1912.	No. of Prosecutions 1912.

Page 94

Table VI. METEOROLOGICAL TABLE for LONDON, 1912. (Deduced from Observations at Greenwich, under the Superintendence of the Astronomer Royal.)

1912.	AIR TEMPERATURE.								Bright Sunshine.			Rain and other forms of Precipitation.
	Mean of		Mean of A and B.	Difference from Normal.+	Absolute Maximum and Minimum.				Daily Mean.	Difference from Normal. +	Per cent, of Possible.	Total Fall.	Difference from Normal.+	Most in a day.
	Maximum. A	Minimum. B	Mean of A and B.	Difference from Normal.+	Maximum.	Day of Month	Minimum.	Day of Month.	Daily Mean.	Difference from Normal. +	Per cent, of Possible.	Total Fall.	Difference from Normal.+	Amount.	Day of Month.

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Lewisham 1912

47 tables in this report

Table shewing the Area and Population of the Borough, in Wards

Census, 1911. Classification of Buildings.

The following Table shows the number of cases notified, the person by whom notified, whether the children were born alive or dead, and the total number of births registered in the Borough:—

The following Table shows the death rates in the various Wards of the Borough during the year under review, and the previous year:—

Ages at Death.—The following table shows the number of deaths at various age periods in the years 1911 and 1912, and the percentages to the total deaths at all ages:—

The following table shows the death-rates from the principal zymotic diseases in this Borough, and in the County of London, the 95 Great Towns, and England and Wales:—

Zymotic Death-rates in Wards.—The following table shows the deaths and death-rates from Zymotic disease in Wards of the Borough:—

Deaths from Principal Zymotic Diseases arranged in Age Groups, for the year 1912.

The deaths and death-rates from pulmonary tuberculosis in the various Wards .are set out in the following table:—

The deaths were distributed as follows:—

Table shewing Causes of, and Ages at Death, and Distribution in Wards, 1912.

Table showing Population, Birth and Death Rates, and Infant Mortality, in the Metropolitan Boroughs and the County of London.

Table showing Deaths and Death Rates from the Principal Infectious Diseases in the Metropolitan Boroughs and the County of London.

The following figures show the percentage of cases occurring among children of the age of six years and under to the total notifications of Scarlet Fever and Diphtheria:—

Age Periods of Scarlet Fever ami Diphtheria, notified during the year 1912.

Number of Cases of Infectious Diseases notified in the Ten Wards and the Whole Borough during the Year 1912.

Table showing the Attack rates from the Principal Infectious Diseases per 1,000 of the population for the ten Wards, and the whole Borough in the years 1909 -1912.

Table showing the Attack Rates per 1,000 persons living at all ages from Small-Pox, Scarlet Fever and Diphtheria in the Metropolitan Boroughs and the County of London for the Years 1909-1912.

The following is a summary of the cases notified from Schools : —

BACTERIOLOGICAL DIAGNOSES. During the period under review 1,034 Examinations were made of the sputum, blood or throat membrane and mucus of persons suspected to be suffering from either Pulmonary Tuberculosis, Enteric Fever or Diphtheria, of which 316, or 30 per cent., gave positive results.

The details of the work carried out are as follows:—

SUMMARY OF SANITARY WORK carried out by the Male Sanitary Inspectors During the year ended 31st December , 1912.

WORK OF WOMEN SANITARY INSPECTORS. The following is a summary of the work carried out by the Women Sanitary Inspectors :—

Water Certificates Granted after inspection in accordance with Section 48 of the Public Health (London) Act, 1891, during the years 1906 -1912.

Houses Examined and Certified under the Customs and Inland Revenue Acts during 1912.

The following is a list of the cowhouses:—

COWHOUSES— continued.

SLAUGHTERHOUSES. The following are the slaughterhouses in the Borough at present licensed by the London County Council:—

Inspection of Factories, Workshops &amp; Workplaces. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances. (Home Office Table, No. 1).

Defects found in Factories, Workshops and Workplaces. (Home Office Table, No. 2).

HOME WORK. (Home Office Table, No. 3).

Table A. Showing number of Samples submitted for Analysis, with Results for the year ended December 31s£, 1912.

(b) Test Samples purchased without the formalities of the Act.

Showing Total Samples submitted with results during the years 1908 -1912. (Test samples not included).

Table D. Showing results of Total Samples of Milk submitted during the Years 1908 -1912.

Table E. Average Composition of Milk Samples submitted in 1912.

Table F. Average Composition of Milk Samples submitted during the Years 1902 -1912.

Table G. Details of Adulterated Samples of Milk during the Year ended December 31st, 1912.

Showing the number of samples of Butter submitted in the Four Quarters of the years 1908 -1912.

Details of Adulterated Samples of Butter for the Year ended December 31s/, 1912.

Details of Other Samples Adulterated during the year ended December 31st, 1912.

Table I. Vital Statistics of Whole District during 1912 and previous Years.

TABLE II. Cases of Infectious Disease notified during the Year 1912.

Table III. Causes of, and Ages at, Death during the Year 1912.

1912.—Nett Deaths from stated Causes at various ages under One Year of Age.

Table V. LONDON COUNTY COUNCIL SUMMARY.

Table VI. METEOROLOGICAL TABLE for LONDON, 1912. (Deduced from Observations at Greenwich, under the Superintendence of the Astronomer Royal.)

Inspection of Factories, Workshops & Workplaces. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances. (Home Office Table, No. 1).