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

View report tables

Poplar 1927

[Report of the Medical Officer of Health for Poplar, Metropolitan Borough]

Published
1928
Pages
176
Tables
114

This page requires JavaScript

114 tables in this report

  • Page 10
    SUMMARY OF VITAL STATISTICS.
    TotalM.F.
  • Page 11
    Continued from previous page...
    TotalM.F.
  • Page 11
    Early in the year 1928, the Registrar-General supplied the following information relating to the year under review:—
    RegisteredInward Transfers.Outward Transfers.Nett.
  • Page 13
    Deaths during 1927 in the Metropolitan Borough of Poplar, classified according to certain localities. (Old Table.)
    Names of localities adopted for the purpose of these statistics; public institutions being shown as separate localities.1st Quarter2nd Quarter3rd Quarter4th QuarterTotal.
  • Page 14
    TABLE I. Vital Statistics during 1927 and Previous Years. (Old Table.)
    Year.Population estimated to middle of each Year.Births.Total Deaths Registered in the Borough.Transferable Deaths, †Nett Deaths belonging to the Borough.
    Uncorrected Number.Nett.
    Of Non-residents registered in the Borough.Of Residents not registered in the Borough.Under 1 Year of Age.At all Ages.
    Number.Rate.Number.*Rate.
    Number.*Rate per 1000 Nett Births.Number.*Rate.
  • Page -
    TABLE II. The Borough. Causes of. and Ages at, Death during the Year 1927.
    Causes of Death.Total Deaths.Sex.Nett Deaths at Subjoined Ages.Nett Deaths in Sub-Districts.Nett Deaths in Public Institutions and certain localities within and outside Borough (at all ages) belonging thereto.Nett Deaths in Public Institutions, etc.
    All Ages.Under 1 year.1 to 2 years.2 to 3 years.3 to 4 years.4 to 5 years.Total under 5 years.5 to 10 years.10 to 15 years.15 to 20 years.20 to 35 years.35 to 45 years.45 to 65 years.65 years and over.Poplar.Bow and Bromley.
    Poplar Institution.St. Andrew's Hospital.Bow Institution.Bromley House Institution.Poplar Hospital.See Footnotes.Outlying Institutions.
  • Page -
    The following table, compiled and furnished by the Registrar-General, is inserted at the request of the Ministry of Health (vide Circular 834 (England) ).
    Causes of Death.Sex.All Ages0—1 —2—5—15—25—45—65—75—
  • Page 15
    TABLE III. Infantile Mortality during the Year 1927. Nett Deaths from stated Causes in Weeks and Months under One Year of Age.
    Causes of DeathUnder 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.Nett total Deaths under 1 year.
    Poplar.Bow and BromleyWhole Borough
  • Page 16
    There were 218 deaths of children under one year of age, the death-rate per 1,000 births for the past 20 years being:—
    Borough of Poplar.County of London.
  • Page 17
    TABLE IV. Birth-rate, Death-rate, and Analysis of Mortality During the Year 1927.
    Bibth-rate per 1,000 Total Population.Annual Death-rate per 1,000 Population .Rate per 1,000 Births.Percentage or Total Deaths.
    All Causes.Enteric Fever.Smallpox.Measles.Scarlet Fever.Whooping Cough.Diphtheria.Influenza.Violence.Diarrhœa and Enteritis (under 2 years).Total Deaths under One Year.Causes of Death Certified by Registered Medical PractitionersInquest Cases.Certified by Coroner after P.m. No Inquest.Uncertified Causes of Death.
  • Page 18
    18 TABLE V. (1927).
    Cities and Boroughs.Estimated population to the middle of year.Births. Annual rate per 1,000 persons living.Zymotic Deaths. Annual rate per 1,000 persons living.Death-rate per 1,000 living.Deaths of Infants under one year to 1,000 births.
    *LONDON4,541,00016.111.959
    West Districts.
    Paddington142,70015.50.513.579
    Kensington176,70015.00.3613.866
    Hammersmith132,80015.60.313.061
    Fulham161,90015.10.211.366
    Chelsea63,69013.40.414.176
    City of Westminster136,50010.00.512.368.6
    North Districts.
    St. Marylebone103,50013.20.411.359
    Hampstead86,16011.90.212.251
    St. Pancras213,20015.50.412.362
    Islington334,30018.30.3812.353
    Stoke Newington52,13014.00.2712.266
    Hackney224,70015.70.4611.664
    Central Districts.
    Holborn42,20911.960.1412.538
    Finsbury75,50019.20.513.450
    City of London13,0108.70.2311.5105
    East Districts.
    Shoreditch105,70020.60.712.674
    Bethnal Green117,90019.90.611.357.7
    Stepney251,58018.10.511.668
    Poplar167,00019. 80. 611.866
    South Districts.
    South wark184,25019.00.813.461
    Bermondsey121,00018.50.3712.967
    Lambeth307,70016.20.3912.450.5
    Battersea169,00016.60.312.253.5
    Wandsworth342,70013.530.2511.351
    Camberwell271,10015.611.452
    Deptford113,80016.80.311.558
    Greenwich101,92016.20.310.853
    Lewisham188,60015.10.1511.046
    Woolwich140,77015.90.210.642
  • Page 19
    (These summaries are inserted for comparison with those shown in previous reports.)
    1922.1923.1924.1925.1926.1927.
  • Page 19
    Deaths from Various Diseases.
    Disease.1922.1923.1924.1925.1926.1927.
  • Page 20
    (lungs, larynx and throat) and 28 to other forms of tuberculosis. The
    Heading in International Manual.Part affected.Number of Deaths.
  • Page 21
    TABLE VI. Total Deaths (at all ages) in Public Institutions within the Borough. (Residents and Non-Residents included.)
    Causes of Death.Poplar Institution.St. Andrew's Hospital.Bow Institution.Bromley House Institution.Poplar Hospital.Total deaths in Public Institutions within the Borough.
  • Page 22
    The following deaths have been included in the Mortality Statistics of the Borough, in accordance with the Registrar-General's rules relating to "Transferable Deaths."
    1927. 28th Jan.Poplar Hospital, of Copenhagen.Male, 38.Fell down ship's hold. Fractured spine. P.M. Accident. Inquest.
  • Page 23
    Continued from prevoius page
  • Page 24
    MORTUARY. The number of bodies deposited in the Mortuary, Cottage Street, Poplar, during the year was 255.
  • Page 26
    Mr. G. Butler, Clerk to the Guardians, has kindly supplied the following information:—
    Outdoor Relief.Medical Relief Only.
    No. of persons.Cost.No. of persons.
  • Page 27
    The number of entries in the District Medical Officers' registers of cases for medical treatment for the year ended 31st December, 1927, are as follows:—
    Poplar Districts.
  • Page 31
    ADOPTIVE ACTS, BYE-LAWS AND REGULATIONS RELATING TO PUBLIC HEALTH IN FORCE IN THE DISTRICT. Bye-laws made by Poplar Borough Council. Public Health (London) Act, 1891.
    Section.Date of Adoption.
  • Page 32
    Bye-laws made by the London County Council. Public Health (London) Act, 1891
    Section.Date of Adoption.
  • Page 33
    London County Council (General Powers) Act, 1908.
  • Page 34
    Summary for the Year 1927.
  • Page -
    SANITARY INSPECTORS' WORK, Etc. Tabulated Statement of Inspections, Insanitary Conditions found existing, and Re-inspectious during the year 1927.
    East CombinedWest CombinedPoplar SouthBromley NorthBromley CentralBow EastBow WestTotals 1927Totals 1926.
  • Page 35
    Work of Lady Sanitary Inspector. Tabulated statement of Inspections of Insanitary Conditions found existing, and of Reinspections, etc., during the year 1927.
    PoplarBow and Bromley.Totals.
  • Page 36
    Report of Inspector—Year 1927.
  • Page 37
    The following infringements of the Bye-laws were dealt with:—
  • Page 40
    The following is an extract from the report submitted to the Public Health and Housing Committee:—
  • Page 41
    Table giving number of, and inspections, etc., of Bakehouses, Laundries, Workshops, Workplaces, Places where food is prepared, Milk premises, Cowsheds, Slaughterhouses, Offensive Businesses, Ice Cream premises, and Homeworkers' premises.
    Premises.On Register during year 1927.Number of Inspections.Number of Intimations.Number of Notices.Number of Final Notices.Number of Prosecutions.
    MaleFemale.Total.
  • Page 44
    Table C. See note, page 43. Factories, Workshops, Laundries, Workplaces and Homeworkeks. 1 .—INSPECTION.
    Premises.Inspections.Number of Written Notices.Prosecutions.
  • Page 45
    2.—DEFECTS FOUND.* (Corresponding figures for 1926 are shown in italics).
    Particulars. (1)Number of Defects.Number of Prosecu-tions. (5)
    Found. (2)Remedied. (3)Referred to H.M. Inspector. (4)
  • Page 46
    table d.—home work.
    Nature of Work.Outworkers' List (Section 107).Outwork in unwholesome premises. (Section 108).Outwork in infected premises, (Sections 199, 110).
    Lists received from Employers.Notice served on Occupiers as to keeping or sending lists.Prosecutions.
    Twice in the year.Once in the year.Failing to keep or per mit inspection of list.Failing to send lists.Instances.Notices served.Instances.Orders made (S. 110).Prosecutions (Sections 109, 110).
    Lists.Outworkers.Lists.Outworkers
    Contractors.Workmen.Contractors.Workmen.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 47
    LIST OF OUTWORKERS, FACTORY AND WORKSHOP ACT, 1901 (S. 107).
    Class of Homework.1927 Number of Lists received.Number of Addresses of Outworkers.
    Due Feb. 1st.Due Aug. 1st.Forwarded to other Authorities.Received from other Authorities.
    No. of Lists.No. of Outworkers.No. of Lists.No. of Outworkers.Due Feb. 1.Due Aug. 1.Due Feb. 1.Due Aug. 1.
  • Page 47
    Table E. Registered Workshops and Workplaces.
    Workshops and Workplaces, etc., on the Register (s. 131) at the end of the year. (1)Number. (2)
  • Page 47
    Table F.
    Class. (1)Number. (2)
  • Page 51
    CANAL BOATS ACTS. For the year ended 31st December, 1927, the inspections and reports of the Inspectors were as follows:—
    Registered boats.Non-Registered boats.
  • Page 56
    Housing Accommodation provided during 1927. The number of families re-housed during the past year was as follows:—
    Families accommodated.Number of persons (approx.)
  • Page 57
    Statistics. Year Ended December, 1927. 1.—General.
  • Page 57
    2.—Unfit Dwelling-houses. 1.—Inspection of Dwelling-houses during the year.
  • Page 58
    (4) Number of dwelling-houses (exclusive of those referred to under the preceding sub-heading) found not to be in all respects reasonably fit for human habitation 5,146
  • Page 59
    Proceedings under Sections 11, 14 and 15 of the Housing Act, 1925—
  • Page 64
    STATISTICAL REPORTS OF FOOD INSPECTORS. MR. C. A. GRABHAM. (Inspections for 1926 in italics.)
    Premises.Inspections.Intimations.Notices.Final Notices.Prosecutions.
  • Page 64
    224 Market Inspections:—Morning, 143; Evening, 81. Slaughterhouses: 321 visits.Number of Carcases inspected:—
  • Page 65
    Foodstuffs Inspected for Export.
    Tons.cwt.qrs.lbs.
  • Page 66
    MR. H. A. PEARCE. (Inspections for 1926 in italics.)
    Premises.Inspections.Intimations.Notices.Final Notices.Prosecutions.
  • Page 66
    225 Market Inspections:—Morning, 152; Evening, 73. Slaughterhouses:—275 visits. Number of Carcases inspected:—
  • Page 68
    Foodstuffs Inspected fob Export.
    Tons.cwt.qrs.lbs.
  • Page 68
    Premises Specially Inspected with a view to Improving Conditions under which food is being prepared (excluding bakehouses and Butchers' Shops).
  • Page 69
    The adulteration figures for the previous 7 years are as follows:—
    Year.No. of samples examined.Percentage of adulteration.
  • Page 71
    Preservatives. The following samples were found to contain preservatives:—
    Sample.Number examined.Percentage preserved.
  • Page 73
    The results of the analyses of 793 samples were reported to the Committee during the year:—
    Sample.Number examined.Adulterated .Action taken.
    Legal Proceedings.*Letters of caution sent.
  • Page 74
    Sample.Number examined. 1927.Adulterated.Action taken
    Legal Proceedings.*Letters of caution sent.
  • Page 75
    Administrative Action Taken Respecting Samples Reported to be Not Genuine, Etc. March Quarter, 1927.
    Sample No.Article.Result of Analysis, etc.Action taken.
  • Page 76
    March Quarter, 1927—Continued.
    Sample No.Article.Result of Analysis, etc.Action taken.
  • Page 76
    June Quarter, 1927.
    Sample No.Article.Result of Analysis, etc.Action taken.
  • Page 77
    June Quarter—Continued.
    Sample No.Article.Result of Analysis, etc.Action taken.
  • Page 78
    September Quarter, 1927. •
    Sample No.ArticleResult of Analysis, etc.Action taken.
  • Page 79
    December Quarter.
    Sample No.Article.Result of Analysis, etc.Action taken.
  • Page 81
    Public Health (London) Act, 1891, Section 47. Seizures of Foodstuffs. Proceedings under the above Section were taken as follows:—
    Particulars.Date of Decision.Result.Name of Officer.
  • Page 81
    1 — MILK; AND CREAM NOT SOLD AS PRESERVED CREAM.
    (A) Number of Samples examined for the presence of preservative.(B) Number in which preservative was reported to be present, and percentage of preservative found in each case.
  • Page 83
    The following is the number of premises in each Sub-District of the Borough registered under the above-mentioned Acts, up to and including 31st December, 1927, viz.:—
    Sub-District.Margarine.Butter.
    Wholesale Dealer.Manufacturer.Factory.Wholesale Dealer in Milk-blended.
  • Page -
    TABLE VII. Notifiable diseases during the Year 1927.
    Notifiable Disease.Cases Notified in Whole Borough.Total cases notified in each Sub-District.No. of Cases removed to Hospital from each Sub-DistrictTotal Deaths in Age-Periods.Total deaths in each Sub-District
    At all Ages.At Ages—Years.At all Ages.At Ages—Years.
    Under 1.1 to 2.2 to 3.3 to 4.4 to 5.5 to 10.10 to 15.15 to 20.20 to 35.35 to 45.45 to 65.65 and upwards.Poplar.Bow and Bromley.[ Poplar.Bow and Bromley.Total Cases Removed.Under 1.1 to 2.2 to 3.3 to 4.4 to 5.5 to 10.10 to 15.15 to 20.20 to 35.35 to 45.45 to 65.65 and upwards.Poplar.Bow and Bromley.
  • Page 85
    Cases of Infectious Disease Occurring in Institutions. (This Table does not include cases admitted with the disease.)
    Total Cases.Notifications.Removals.
    Diphtheria,Erysipelas.Scarlet Fever.Smallpox.Puerperal Fever.Ophthalmia Neonatorum.Zymotic Enteritis.Pneumonia (all forms).Diphtheria.Erysipelas.Scarlet Fever.Smallpox.Puerperal Fever.Zymotic Enteritis.Pneumonia (all forms).
  • Page 86
    Removal of Cases of Notifiable Diseases to Hospital.
    Disease.M.A.B. HospitalsPoor Law Institutions.General Hospitals etc.Total Removals.Percentage of cases notified.
  • Page 87
    Comparative Mortality.
    Diphtheria.Scarlet Fever.Enteric Fever.
  • Page 91
    Extract from the Report of the Vaccination Officer, respecting the Vaccination of Children whose Births were registered from 1st January to 31st December, 1926, inclusive:—
    Registration Sub-Districts.Number of Births registered 1st Jan. to 31st Dec., 1926.Number of Births entered by 31st January, 1928, in "Vaccination Register."Number of Births which on 31st January, 1928, remained unentered in "Vaccination Register."Number of Births neither entered in the "Vaccination Register" nor accounted for in Columns 8, 9 and 10.Total number of Certificates of Successful Primary Vaccination of Children under 14 received during the calendar year 1927.Number of Statutory Declarations of Conscientious Objection actually received during the calendar year 1927.
    Col. I Successfully vaccinated .Col. IICol. IV Number in respect of whom Statutory Declarations of Conscientious Objection have been received.Col. V Died unvaccinated.
    Postponement by Medical Certificate.Removals to Districts the Vaccination Officers of which have been duly apprised.Removals to places unknown, cases not found, etc.
    Insusceptible of Vaccination.Had Smallpox.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)
  • Page 92
    The following analysis of the Vaccination Return reveals the fact that 83 per cent. of the children whose births were registered in 1926 were not protected by successful vaccination:—
  • Page 92
    The number of vaccinations and re-vaccinations performed by the Medical Officer of Health were as follows:—
  • Page 94
    The following is a summary of the notifications, etc., during the year:—
    Puerperal Fever.Puerperal Pyrexia.
  • Page 95
    Excluding the cases who died during the year, 21 cases were investigated. The following is a summary of the reports submitted
  • Page 98
    The final diagnosis in the 94 Scarlet Fever cases was:—
  • Page 98
    The final diagnosis in the 65 Diphtheria cases was:—
  • Page 99
    CANCER. The number of deaths from Cancer is increasing year by year, the figures for the last five years being:—
    Year.Males.Females.Total.
  • Page 100
    Rooms and Articles (Infectious and Verminous) Disinfected. The following figures give the number of rooms and articles disinfected:—
    Premises.Rooms.Beds.MattressesPillows.Bolsters.Various.Totals.
  • Page 101
    Distribution of Fluid. The fluid was distributed as follows:—
  • Page 102
    Cost of Materials and Electricity. The cost of materials and electricity for manufacturing the electrolytic fluid was as follows:—
  • Page 102
    Total cost of materials and electricity to produce
  • Page 102
    Bottles, Corks and Labels.
  • Page 103
    Total Quantity Manufactured since Installation of Plant, Since the installation of the plant, a period of 22 years, 1,033,720 gallons of fluid have been manufactured (see footnote) at a cost for electricity of £1,782 12s. 1½d., and materials of £2,080 9s. lid.
    Year.Output, gallons.Materials, Chloride of Magnesium, Salt, Caustic Soda and Water Cost.Electrioity.Total.
  • Page 103
    † Since 1914 the fluid has been made of greater strength than originally. and afterwards broken down to half strength for distribution. Quantity distributed:—
  • Page 105
    VERMINOUS CHILDREN ATTENDING SCHOOLS, LONDON COUNTY COUNCIL (GENERAL POWERS) ACT, 1907. CHILDREN ACT, 1908. Number of Verminous Children Bathed.
    Quarter.Number of Children Cleansed.Total number of Cleansings.Amount.
  • Page 106
    The number of persons from Common Lodging Houses and Seamen's Lodging Houses within and without the Borough of Poplar, cleansed at the Council's Cleansing Station, Glaucus Street, during the year was:—
    Lodging House.Male.Female.Total.
  • Page 114
    STATISTICS FOR 1927.
  • Page 116
    PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications received during the period 2nd January, 1927, to 31st December, 1927.
    Age Periods.Notifications on Form A.Notifications on Form B.Number of Notifications on Forms C and D.
    Number of Primary Notifications.Total Notifications on Form A.Number of Primary Notifications.Total Notifications on Form B.Form C.Form D.
    0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwards.Total Primary Notifications.Under 55 to 1010 to 15Total Primary Notifications.PoorLaw Institutions.Sanatoria.PoorLaw Institutions.Sanatoria.
  • Page 117
    New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health, during the period 2nd January, 1927, to 31st December, 1927, otherwise than by notification on Form A or Form B under the Public Health (Tuberculosis) Regulations, 1912.
    Age Periods0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwards.Total cases.
  • Page 118
    PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1924. Summary of Quarterly Returns to the London County Council.
    Number of Cases on Register at commencement of quarterQuarter ended 1
    March.June.September.December.
  • Page 119
    Particulars of new cases of Tuberculosis and of all Deaths from the disease:—
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 121
    The work of this section of the Department has increased immensely since 1920, as will be seen by the number of attendances at the Centres: —
    Borough Council.Royal College.
  • Page 125
    The 9 cases comprised the following:—
  • Page 126
    In-patients.—There were 10 admissions to the Ward, comprising 9 new admissions and 1 re-admission. The nature of the cases was as follows:—
    Primary Diagnosis.Contributory.Result.
  • Page 126
    I append a list of the numbers of each diagnosis:—
  • Page 128
    Below is a table giving the attendances at each of the Clinics during the year 1927 :—
    Bow.West Ferry Road.Christ Church.Simpson Road.p.h. Dept. Total.Royal College of St. Katharine Total.
  • Page 128
    Total attendances at all Clinics:—
  • Page 132
    87 Stillbirths were investigated during the year 1927. (This refers to the whole Borough.)
  • Page 132
    Mothers who had had previous Stillbirths:—
    One.Two.Three.Four.
  • Page 132
    Notifications of Ophthalmia Neonatorum. Forty-eight cases of Ophthalmia Neonatorum were notified during the year:— (This table refers to the whole Borough.)
    Year.Cases.Vision unimpaired.Vision impaired.Total Blindness.Deaths
    Notified.Treated.
    At home.In hospital.
  • Page 133
    Cases or Ophthalmia Neonatorum Notified and Visited. (Whole Borough.)
  • Page 133
    Zymotic Enteritis, 1927. (Whole Borough.)
  • Page 133
    Feeding.
    Age period.Breast.Mixed feeding.Hand-fed.Not stated
  • Page 134
    The following is a summary of visits paid by Nurses during 1927:— (This table refers to the whole Borough.)
    E.L.N.S.St. John Divine.St. Mildred's District Nurse.Totals.
    Cases.Visits.
  • Page 134
    The undermentioned table shows the sales of food accessories, simple remedies, and materials for making clothing, which are sold at cost price to mothers attending the clinics:—
    £s.d.
  • Page 135
    Grants in Aid.
  • Page 135
    (The following Tables refer to the whole Borough). Statistics Respecting Infants Born in 1926.
  • Page 136
    The 2,971 children visited during 1927 and remaining under supervision at the end of their first year of life, were fed during the first six months of life as follows:—
  • Page 136
    The 136 children who died during the first year of life, were fed during the first six months of life as follows:—
  • Page 136
    Below is a statement comparing the mortality rates of children fed by the various methods:—
  • Page 137
    The following table relates to visited children of ages 1 to 5 years. On reaching the age of 5 years the completed Case Papers are forwarded to the Education Authority:—
    Year of Birth.
    1922.1923.1924.1925.
  • Page 138
    Statistical Summary for 1927.
    Public Health Department.The Royal College of St. KatharineTotal, 1927.Total, 1926.
  • Page 140
    Statistical Summary. January 1st to December 31st, 1927.
  • Page 140
    The cases have been grouped as follows:—
  • Page 141
    MATERNITY AND CHILD WELFARE DENTAL CLINIC. Mr. C. Hammond Williams, L.D.S., R.C.S. (Eng.), the Dentist in charge of the Dental Clinic, has submitted the following report:— "The following figures show details of the work carried out:—
    Sessions.New patients.Total attendances.Fillings.Teeth extracted (temporary and permanent).Scalings.Dentures.
    Supplied.Repaired.
  • Page 151
    The following table shows in comparative form the applications, etc., during the years 1920-27:—
    Year.Applications.Applications granted.Cost (approx) £Orders issued.Cases investigated by I.O. (b).Unsatisfactory cases.
    Fresh. (Pints).Dried. (Lbs.).
  • Page -
    MATERNITY WARDS. Scale op Charges suggested by Medical Officer of Health and Borough Accountant.
    Family Income (after deducting Rent and Insurance).Charges to Patients per Week.(d)
    (a)(b)(c)
    Eligible for Single Maternity Benefit and not more than one child.Eligible for Double Maternity Benefit.Not eligible for any Maternity Benefit or eligible for Single Maternity Benefit and more than one child.Daily Charge for periods extended beyond usual period of 14 days.