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

Page 6

Their work is tabulated as follows:—

	W	N	S	Total

Page 8

Births (adjusted for inward and outward transfers)

Page 9

Infant mortality

Page 9

Comparative statistics for the year 1957 Table 1

	Birth rate		Death rate (per 1,000 population) (adjusted)	Infant mortality rate (per 1,000 livebirths)
	Live births (adjusted)	Still births	Death rate (per 1,000 population) (adjusted)	Infant mortality rate (per 1,000 livebirths)

Page 10 11

Causes of death at different perlo??? of life during the year 1957 The following table shows the causes of ??? ag es at death during the calendar year 1957:—

Code No.	Causes of death	Nett deaths at the subjoined ages of "residents" whether occurring within or without the borough									code No	Causes of death	Nett deaths at the subjoined ages of " residents " whether occurring within or without the borough
		MALES											FEMALES									Total persons (i.e incl. table opp.)
		All ages	Under 1 yr.	1 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and under 75	75 and over			All ages	Under 1 yr.	1 and under 5	5 and under 15	15 and under 25	25 and under 45	45 and under 65	65 and under 75	75 and over

Page 12

Deaths under 1 year of age Table 3

Cause of death	Sex	Under 1 day	1-6 days	1 week	2 weeks	3 weeks	Total under 4wks.	1-2 mths.	3-5 mths.	6-8 mths.	9-11 mths.	Total 1-11 mths	Total under 1. yr.

Page 13

Morbidity shown in insurance certificates

Average for period ending	" Lewisham "	"Downham"

Page 14

Social class in relation to cause of death Of the 2,433 deaths analysed by us the social categories were as follow:- Table 5

Social class	1	II	III	IV	V	Total	No information

Page 15

In detail, the social class, related to cause of death, was as follows:— Table 6

Code No.	Cause of death	Male						Female
Code No.	Cause of death	1	II	Ill	IV	V	Total	1	II	Ill	IV	V	Total

Page 16

Table 7 Grouped deaths in social class

			Male						Female
			I	II	III	IV	V	Total	I	II	III	IV	V	Total

Page 16

Table 8

		Social classification					Total	Not classifiable
		1	II	III	IV	V	Total	Not classifiable

Page 17

Heart and circulation mortality

Year (a)	Deaths from			Total heart and circulation (all ages) (e)	Age group 45-65		Total deaths in borough (h)	Percentage
	Coronary diseases (b)	Other heart diseases* (c)	Other circulatory diseases†(d)		Age group 45-65			(e) of (h) (i)	(f) of (h) (j)	(g) of (h) (k)
					Total (f)	Coronary diseases (g)

Page 18

General statistics from 1901 Table 10

Year	Population	Death rate *	% dying under age 45	% dying under age 65	Birth rate *	Premature birth rate ‡	Maternal death rate t	Stillbirth rate +	Neonatal death rate **	One month to one year death rate (12)-(10) **	Infant mortality rate **	Reproductive wastage rate (9)+(12)	Pulmonary tuberculosis		Tuberculosis (all forms)
Year	Population	Death rate *	% dying under age 45	% dying under age 65	Birth rate *	Premature birth rate ‡	Maternal death rate t	Stillbirth rate +	Neonatal death rate **	One month to one year death rate (12)-(10) **	Infant mortality rate **	Reproductive wastage rate (9)+(12)	Notif. rote††	Death rate ††	% notif. rate under 15
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)

Page 19

Table 10— continued.

Year	Population	Death rate *	% dying under age 45	% dying under age 65	Birth rate *	Premature birth rate ‡	Maternal death rate †	Stillbirth rate †	Neonatal death rate **	One month to one year death rate (12)-(10) **	Infant mortality rate **	Reproductive wastage rate (9)+(12)	Pulmonary tuberculosis		Tuberculosis (all forms)
Year	Population	Death rate *	% dying under age 45	% dying under age 65	Birth rate *	Premature birth rate ‡	Maternal death rate †	Stillbirth rate †	Neonatal death rate **	One month to one year death rate (12)-(10) **	Infant mortality rate **	Reproductive wastage rate (9)+(12)	Notif. rote††	Death rate††	% notif. rate under 15
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)

Page 20

Sex differences and ratios in Lewisham in 4-year groups Table 11

	NOTIFICATIONS			DEATHS
	M (annual average)	F (annual average)	M : F (F= 1)	M (annual average)	F (annual average)	M : F (F= 1)

Page 21

Ratio of male to female (f = 1) in Lewisham and in England & Wales Table 12

	Notifications		Deaths
	Lewisham	England and Wales	Lewisham	England and Wales

Page 22

Consumption of cigarettes in the UK in representative years (based on figures published by the the Tobacco Manufacturers) Table 13

Year	Adult males (lbs. per head)	Adult females (lbs. per head)	Ratio M :F (F= 1)

Page 23

Disinfecting Station Table 14

	West	North	South	Total

Page 23

Verminous conditions Table 15

	Number attended	Number cleansed	Number of individual families	Number of persistent cases

Page 24

Scabies Table 15— continued

	Cases	Contacts	Treatments

Page 25

Table 16

Month	Bo dies received from Institutions	Others	Post-mortem examinations		Inquests
Month	Bo dies received from Institutions	Others	Lewisham residents	Others	Inquests

Page 26

The undermentioned table gives a summary of the work on the rivers and ditches, prebait being laid on 3/4 days: — Table 17

Location	Base points	Poison bait taken (ozs.) (Est.)

Page 27

Table 18

	Type of property
	Local authority	Dwelling houses (including council houses)	All other (including business premises)	Total	Agricultural

Page 28

Table 19

Specimens	Number	Remarks

Page 30

(a) CHEMICAL Table 20

Description of the sample	No. of samples	Ammoniacal nitrogen	Albuminoid nitrogen	Oxidised nitrogen (nitrate)	Chlorides as CI.	Oxygen abs. from permanganate (4 hrs. at 2VC)	Hardness (total)	Hardness (non-carbonate)	pH value	Conductivity

Page 30

(fa) BACTERIOLOGICAL Table 21

BEFORE CHLORINATION (RAW WATER)				AFTER CHLORINATION (WATER PASSING INTO SUPPLY)
Plate counts (average per ml.) Colonies counted on aear		Coliform test		No. of samples	Plate counts (average per ml.) Colonies counted on agar		Coliform test
Plate counts (average per ml.) Colonies counted on aear		Percentage samples neg. 100 ml.			Plate counts (average per ml.) Colonies counted on agar		Percentage samples neg. 100 ml.
37° C. (20-24 hrs.)	22° C. (3 days)	Percentage samples neg. 100 ml.			37° C. (20-24 hrs.)	22° C. (3 days)	Percentage samples neg. 100 ml.
37° C. (20-24 hrs.)	22° C. (3 days)	Coliform	E. Coli		37° C. (20-24 hrs.)	22° C. (3 days)	Coliform	£. Coli

Page 32

Table 22

		1957	1956	1955	1954	1953	1952	1951	All Cases	%

Page 32

Table 23

Ages	Under 65		65-75		75 +
Ages	Total	%	Total	%	Total	%

Page 33

Table 23—( continued)

Address	West		North		South
Address	Total	%	Total	%	Total	%

Page 36

Table 24

	W (Pool Allotments)	N (Wearside Road)	S (Verdant Lane)	W. in relation to others

Page 38 39

Atmospheric Condition in 1957 Table 25

		January	February	March	April	May	June	July	August	September	October	November	December	Average or actual (as appiic.)

Page 40

Table 26

Reason for inspection	West	North	South	Total

Page 41

Summary of notices served Table 27

	West	North	South	Total

Page 41

Nuisances remedied Table 28

Nuisance	West	North	South	Total

Page 43

Inspections Table 29

Premises	Number on register	Number of
Premises	Number on register	Inspections	Written notices	Occupiers prosecuted

Page 44

Cases in which defects were found Table 30

Defects	No.of defects				Prosecutions instituted
	Found	Remedied	Referred
	Found	Remedied	To HM Inspector	By HM Inspector

Page 45

The following is a list of trades concerned, extracted from the August, 1957 lists received:—

Trade	Outworkers employed

Page 48

Table 31

Properties	Dwellings involved	Present position

Page 49

Closing Orders in respect of part of house Table 32

Properties	Part of house	Present position

Page 50

Table 33 HOUSES IN CLEARANCE AREAS AND UNFIT HOUSES ELSEWHERE

Clearance areas (Housing Act, 1936 and Housing Repairs and Rents Act, 1954).	Houses demolished	Displaced
	Houses demolished	Persons	Families

Page 50

B — UNFIT HOUSES CLOSED

	Number

Page 50

C —UNFIT HOUSES MADE FIT AND HOUSES IN WHICH DEFECTS WERE REMEDIED

	By owner	By Local Authority

Page 50

D — UNFIT HOUSES IN TEMPORARY USE (Housing Repairs and Rents Act, 1954)

	Number of houses	Separate dwellings

Page 50

E—PURCHASE OF HOUSES BY AGREEMENT

	Number of houses	Occupants

Page 54

Table 34

Page 54

The following table shows the position for the period 1 January to 5 July 1957: — Table 35

Page 55

Table 36

	Dealer's	Supplementary	Total

Page 55

Table 37

Period	Samples	Average composition of samples examined Percentage of
Period	Samples	Milk fat	Solids not fat	Water

Page 56

Table 38

Period	Samples	Average percentage composition
Period	Samples	Fat	Milk solids-not fat	Sucrose	Water

Page 56

Table 39

Grading	Samples submitted	%

Page 57

The following table gives the groupings and the results of the samples analysed : — Table 40

ARTICLES	Informal	ARTICLES	Informal

Page 57

During the year the following were registered, the total (including the previous year) being shown in the last column.

Type	1957	Total

Page 60

INFECTIOUS DISEASES Number of notified cases (corrected for revised diagnosis) during the year 1957 with comparative figures for the previous six years. Table 41

Diseases	Cases notified
Diseases	1957	1956	1955	1954	1953	1952	1951

Page 61

Notifications of infectious diseases in 1957 showing sex and age groups Table 42

Diseases	Under 1		1-		3-		5-		10-		15-		25-		45-		65 plus		Total
Diseases	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 62

Analysis of certain diseases in table 62 into divisional areas— Table 43

Disease	Div. areas	Under 1	1-	3-	5-	10-	15-	25-	45-	65+	Total

Page 63

Table 44

	W	N	S	Total

Page 63

Table 45

Year (a)	Intimated to Dept. (b)	Removed to hospital (c)	Confirmed (d)	(d) as % age of (b) (e)

Page 65

Table 46

Age periods	New coses notified						Deaths
	Respiratory		Non-Respiratory		Totals		Respiratory		Non-Respiratory		Totals
	M	F	M	F	M	F	M	F	M	F	M	F

Page 66

Analysis of new cases of tuberculosis into divisional areas:— Table 47

Division		Sex	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	Total

Page 66

Summary of statistics as to tuberculosis for the last ten years Table 48

Year	Population	New cases notified (all forms) (excluding inward transfers)	Notif. rate per thousand pop.	Deaths		Death rate from resp. tuberculosis per thousand pop.
Year	Population	New cases notified (all forms) (excluding inward transfers)	Notif. rate per thousand pop.	All forms	Respiratory	Lewisham	County of London

Page 67

Table 49

Patients	Men	Women	Total

Page 67

Case papers of patients attending the Lewisham Chest Clinic in 1957 have been analysed in 238 cases with the following results:—

	Cases	%*

Page 69

Immunisation against diphtheria; whooping cough; smallpox Table 50

Age at December 31, 1957	Under 1	1	2	3	4	5-9	10-14	Total under 15
Born in year	1957	1956	1955	1954	1953	1952-48	1947-43	Total under 15

Page 69

(iii) Vaccination.

Vaccinated during the year (age at date of vaccination)	Under 1	1-4	5-14	15 and over	Total

Page 71

The following are details of legal proceedings instituted during the year:—

Nature of Summons	No. of summonses	Total fines			Total costs			Remarks
Public Health (London) Act, 1936		£	s.	d.	£	s.	d.

Page 72

Continued from previous page...

Nature of Summons	No. of summonses	Total fines			Total costs			Remarks
Public Health (London) Act, 1936—cont.		£	s.	d.	£	s.	d.

Page 74

TABLES

TABLE NO.		SUBJECT Section A	PAGE	TABLE NO.		SUBJECT Section C		PAGE

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

View report tables

Lewisham 1957

67 tables in this report

Their work is tabulated as follows:—

Births (adjusted for inward and outward transfers)

Infant mortality

Comparative statistics for the year 1957 Table 1

Causes of death at different perlo??? of life during the year 1957 The following table shows the causes of ??? ag es at death during the calendar year 1957:—

Deaths under 1 year of age Table 3

Morbidity shown in insurance certificates

Social class in relation to cause of death Of the 2,433 deaths analysed by us the social categories were as follow:- Table 5

In detail, the social class, related to cause of death, was as follows:— Table 6

Table 7 Grouped deaths in social class

Table 8

Heart and circulation mortality

General statistics from 1901 Table 10

Table 10— continued.

Sex differences and ratios in Lewisham in 4-year groups Table 11

Ratio of male to female (f = 1) in Lewisham and in England &amp; Wales Table 12

Consumption of cigarettes in the UK in representative years (based on figures published by the the Tobacco Manufacturers) Table 13

Disinfecting Station Table 14

Verminous conditions Table 15

Scabies Table 15— continued

Table 16

The undermentioned table gives a summary of the work on the rivers and ditches, prebait being laid on 3/4 days: — Table 17

Table 18

Table 19

(a) CHEMICAL Table 20

(fa) BACTERIOLOGICAL Table 21

Table 22

Table 23

Table 23—( continued)

Table 24

Atmospheric Condition in 1957 Table 25

Table 26

Summary of notices served Table 27

Nuisances remedied Table 28

Inspections Table 29

Cases in which defects were found Table 30

The following is a list of trades concerned, extracted from the August, 1957 lists received:—

Table 31

Closing Orders in respect of part of house Table 32

Table 33 HOUSES IN CLEARANCE AREAS AND UNFIT HOUSES ELSEWHERE

B — UNFIT HOUSES CLOSED

C —UNFIT HOUSES MADE FIT AND HOUSES IN WHICH DEFECTS WERE REMEDIED

D — UNFIT HOUSES IN TEMPORARY USE (Housing Repairs and Rents Act, 1954)

E—PURCHASE OF HOUSES BY AGREEMENT

Table 34

The following table shows the position for the period 1 January to 5 July 1957: — Table 35

Table 36

Table 37

Table 38

Table 39

The following table gives the groupings and the results of the samples analysed : — Table 40

During the year the following were registered, the total (including the previous year) being shown in the last column.

INFECTIOUS DISEASES Number of notified cases (corrected for revised diagnosis) during the year 1957 with comparative figures for the previous six years. Table 41

Notifications of infectious diseases in 1957 showing sex and age groups Table 42

Analysis of certain diseases in table 62 into divisional areas— Table 43

Table 44

Table 45

Table 46

Analysis of new cases of tuberculosis into divisional areas:— Table 47

Summary of statistics as to tuberculosis for the last ten years Table 48

Table 49

Case papers of patients attending the Lewisham Chest Clinic in 1957 have been analysed in 238 cases with the following results:—

Immunisation against diphtheria; whooping cough; smallpox Table 50

(iii) Vaccination.

The following are details of legal proceedings instituted during the year:—

Continued from previous page...

TABLES

Ratio of male to female (f = 1) in Lewisham and in England & Wales Table 12