[Report of the Medical Officer of Health for Southwark, Borough of]

Page 2

SUMMARY OF STATISTICS, 1920.

Page 2

Cases of Infectious Diseases Notified.

Page 3

Deaths in the Sanitary Area from the principal Zymotic Diseases.

Total excluding Phthisis.	Cerebrospinal Fever.	Measles.	Scarlet Feve.	Diphtheria.	Whooping; Cough.	Influenza.	Enteric Fever.	Diarrhæa.	Phthisis.	Deaths under 1 year to 1,000 Births.

Page 4

The population of the several divisions of the Borough at each Census since 1841, and also the estimated population for 1992, 1903, 1904, 1905, 1906, 1907, 1908, 1909, 1910, 1912, 1913, 1914, 1915, 1916 1917, 1918, 1919 and 1920.

	Newington.	St. George's.	St. Saviour's and Chritohurch.

Page 5

Table 1.

WARD.	Area in Acres	Population.			Persons to the Acre.
WARD.	Area in Acres	Males.	Females.	Total.	Persons to the Acre.

Page 6

Birth-rate for the last Twenty-nine Years for the Three Division of the Borough as formerly existed.

	Newington.	St. George's	St. Saviour's and Christchurch.	Whole Borough.

Page 7

TABLE 2. Number of Births belonging to each Ward, with the Birth.rates, also the Infantile Mortality and Zymotic Rate in the several wards for 1920.

WARD.	Births.				Infantile Mortality.	Zymotic Ratbs in the Wards.
WARD.	Males.	Females.	Total.	Birth.rate.	Infantile Mortality.	Cerebro Spinal Fever.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Enteric Fever.	Diarrhea.	Phthisii.	Influenza.	Anthrax.	Encephalitis Lethargica

Page 8

table: 3. Outlying Deaths, with Localities.

	Males.	Females.	Total.

Page 9

Continued from previous page...

	Males.	Females.	Total.

Page 10

Continued from previous page...

	Males.	Females.	Total.

Page 11

Continued from previous page...

	Males.	Females.	Total.

Page 12

Continued from previous page...

	Males.	Females.	Total.

Page 13

table 4. Death Rates for the last Twenty.nine Years for the Three Divisions of the Borough as formerly existed.

	Newington.	St. George's,	Christchurch and St. Saviour's.	Whole Borough

Page 14

table 5. Death Rates for the various Wards for the last Fifteen Years.

ward.	1906.	1907.	1908.	1909.	1910.	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.	1920.

Page 15

TABLE 6. Showing the number of Deaths that occurred in Public Institutions in the Borough during the year 1920.

Institution.	In 1st Quarter.	In 2nd Quarter.	In 3rd Quarter.	In 4th Quarter.	During Year.

Page 16

TABLE 7. Births and Deaths Registered in the Sub-Districts of the Borough in 1920, with Ages at Death.

Sub-Districts.	Births.		Deaths.		0-	l-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-
Sub-Districts.	Male.	Female.	Male.	Female.	0-	l-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-

Page 17

TABLE 7. —(contd.) For the Third Quarter of thirteen weeks ending 2nd October.

Sub-Districts.	Births.		Deaths.		0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-
Sub-Districts.	Male.	Female.	male.	Female.	0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-

Page 18

Vital Statistics of Whole District during 1920 and previous ten years. Borough of Southwark.

Year.	Population estimated to Middle of each Year.	Births.		Total Deaths registered in the District.					Total Deaths in Public Institu- tions in the District.	Deaths of Non-residents regis- tered in Public Institutions in the District.	Deaths of Residents registered in Public Institutions beyond the District.	Nett Deaths at all Age? belonging to the District.
		Number.	Bate*	Under 1 Year of Age.		At all Ages.						Nett Deaths at all Age? belonging to the District.
		Number.	Bate*	Number.	Rate per 1000 Births registered.	Number.		Rate*				Number.	Rate*

Page 19

Deaths belonging to the Sanitary Area, with the Causes of Death at all Ages during 1920.

Causes of Death.	AGES.														All Ages M. F.
Causes of Death.	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	All Ages M. F.

Page 20

TABLE 9. — Continued.

Causes of Death.	AGES.														All Ages
	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	All Ages
	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	M.	F.

Page 21

TABLE 9. — Continued.

Causes of Death	AGES.														All Ages.
	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	All Ages.
	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	M.	F.

Page 22

TABLE 9. — Continued.

Causes of Death.	AGES.														All Ages
	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	All Ages
	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	M.	F.

Page 23

TABLE 9. — Continued.

Causes of Death.	AGES.														All Ages
	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	All Ages
	0-	1-	2-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	M.	F.

Page 24

Deaths belonging to the Sanitary Area with the Causes of Death at all Ages for the ten years 1911-1920.

causes of Death.	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.	1920.

Page 25

TABLE 9a — continued.

Causes of Death.	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918	1919	1920.

Page 26

TABLE 9a — continued.

Causes or Death.	1911.	1912.	1913.	1914.	1915.	1916.	1917	1918	1919.	1920.

Page 27

TABLE 9a — continued.

Causes or Death.	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.	1920.

Page 28

TABLE 9b.

Causes of Death.	Nett Death3 at the subjoined ages of "Residents" whether occurring within OR without the district (a).									Deaths at all ages of "Residents" belonging to Localities, whether occurring in or beyond the District.											Total Deaths whether of "Residents" or "Non-Eesidents" in Public Institutions in the District.
Causes of Death.	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	St. Mary's Ward.	St. Paul's Ward.	St. Peter's District.	St. John's District.	Trinity Ward.	All Saints' District.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.
1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20	21	22

Page 30

The deaths under one year of age to 1,000 births for the last twenty-six years were as follows:—

Page 31

Nett Deaths from stated causes at various ages under 1 Year of Age.

CAUSE OF DEATH		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.	1 Total Deaths under 1 Year

Page 32

TABLE 11.

Names of Localities.	1. St. Mary's Ward				2. St. Paul's Ward.				3. St. Peter's District.				4. St. John's District.				5. Trinity Ward.				6. All Saints' District.
Tear.	Population estimated to middle of each year.	Births registered.	Deaths at all ages	Deaths under 1 year.	Population estimated to middle of each year.	Births registered	Deaths at all ages	Deaths under 1 year.	Population estimated to middle of each year.	Births registered	Deaths at all ages	Deaths under 1 year.	Population estimated to middle of each year.	Births registered.	Deaths at all ages	Deaths under 1 year.	Population estimated to middle of each year.	Births registered.	Deaths at all ages.	Deaths under 1 year.	Population estimated to middle of each year.	Births registered.	Deaths at all ages.	Deaths under 1 year.

Page 34

TABLE 12. Cases of Infectious Diseases notified during the Year 1920.

Cases notified in whole District.																Total Cases notified in each locality.											Number of cases removed to Hospital from each locality.
Cases notified in whole District.																St. Mary's Ward.	St. Paul's Ward.	St. peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St. michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saint's Ward.	St Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.	Total.
At ages—Years.													Sex.		At all ages.
0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	85-	75-	85-	Male.	Female.	At all ages.

Page 35

TABLE 13. Cases of Infections Disease Notified to the Medical Officer of Health for the Borough of Southwark, during the year 1920, occurring in the several wards:—

WARD.	Scarlet Fever.	Diphtheria.	Memb. Croup.	Enteric Fever.	Cerebrospinal Fever.	Polio-Encephalitis.	Erysipelas.	Puerperal Fever.	Anthrax.	Ophthalmia Neonatorum.	Phthisis.	Other forms of Tuberculosis.	Measles.	Encephalitis Lethargica.	Epidemic Diarrhoea.	Influenzal Pneumonia.	Primary Pneumonia.	Malaria.	Dysentery.	Total.

Page 36

table 14 Deaths in the Sanitary Area from the principal Zymotic Diseases in the various wards for 1920.

ward.		Cerebro Spinal Fever.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Enteric Fever.	Diarrhæa.	Phthisis.	Pneumonia & Bronchitis.	Heart Disease.	Influenza.	Anthrax.	Encephalitis Lethargica.

Page 37

table 15. The total number of Deaths in the Sanitary Area, with the Ages apportioned to the several wards, and the Death-rate in each ward for 1920.

WARD.	Males	Females.	Total.	Rate per 1000.	AGES—TEARS.
WARD.	Males	Females.	Total.	Rate per 1000.	0-	1.	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-

Page 38

table 16. Cases of Infectious Disease. Notified to the Medical Officer of Health for Southwark, during each week of the year 1920.

Week Ending.	Scarlet Fever.	Diphtheria.	Membranous Croup.	Enteric Fever.	Cerebrospinal Fever.	Polio-Encephal is.	Erysipelas.	Puerperal Fever.	Anthrax.	Ophthalmia Neonatorum	Phthisis.	Other forms of Tuberculosis.	Measles.	Encephalitis Lethargica.	Epidemic Diarrhæa.	Influenzal Pneumonia.	Primary Pneumonia.	Malaria.	Dysentery.	Total.

Page 40

TABLE 17. Analysis of Cases treated in Hospitals and at Home belonging to the Borough of Southwark for Twenty Years.

Year.	Small Pox.							Scarlet Fever.							Diphtheria and Membranous Croup.							Enteric Fever.
Year.	Total number of Cases notified.	Cases removed to Hospital.	Died in Hospital.	Percentage of Deaths.	Cases Treated at Home.	Died at Home.	Percentage of Deaths.	Total number of Cases notified.	Cases removed to Hospital.	Died in Hospital.	Percentage of Deaths.	Cases Treated at Home.	Died at Home.	Percentage of Deaths.	Total number of Cases notified.	! Cases removed to Hospital.	Died in Hospital.	Percentage of Deaths.	Causes Treated at home	Died at Home.	Percentage of Deaths.	Total number of Cases notified.	Cases removed to Hospital.	Died in Hospital.	Percentage of Deaths.	Cases Treated at Home.	Died at Home.	Percentage of D.aths.

Page 42

table 18. Analysis of Sickness and Mortality Statistics in London during the Year 1920.

Cities and Boroughs.	Estimated Civil Population, 1920.	Small-pox.	Scarlet Fever.	Notified Cases of Infectious Disease.											Deaths from Principal Infectious Diseases.							Annual rate per 1000 persons living.	Deaths from all causes.	Death-rate per 1000 living.
Cities and Boroughs.	Estimated Civil Population, 1920.	Small-pox.	Scarlet Fever.	Diphtheria.*	Typhus Fever.	Enteric Fever.	Otber continued fevers.	Puerperal Fever.	Erysipelas.	\| Cerebro-Spinal \| meningitis.	Polio-myelitis.	Total.	Annual rate per 1000 persons living.	Small-pox.	Measles.	Scarlet Fever.	Diphtheria.*	Whooping-cough.	Enteric Fever.	Diarrhsea and Enteritis (under 2 years.	Total.	Annual rate per 1000 persons living.	Deaths from all causes.	Death-rate per 1000 living.

Page 44

PHTHISIS. TABLE 19. A summary of the cases notified and other particulars in connection therewith during the year 1920.

Notified cases remaining in district at end of 1919.	Cases notified during 1920.	Old cases returned home from Infirmary.	Visits paid at the homes of patients.	Cases removed to Infirmary.	Cases removed from Southwark or which died at home.	Notified cases remaining in Southwark at and of 1920.	Rooms periodically sprayed and otherwise disinfected.	Booms stripped on termination of cases.

Page 45

DEATHS FROM PULMONARY TUBERCULOSIS. table 20. Shewing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.

	0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	All Ages.
	0-	1-	5-	10-	15-	20-	25-	35-	45-	55-	65-	75-	85-	Males	Females	Total

Page 46

TABLE 21. PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the period from the 5th January, 1920, to the 1st January, 1921, in

	the Metropolitan Borough of Southwark.
	Notifications on Form A.													Notifications on Form B.					Number of Notifications on Form C.
	Number of Primary Notifications.												Total Notifications on Form A.	Number of Primary Notifications.				Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.
Age-periods	0-1	1-5	5-10	10-15	15-20	20-25	25-35	35-45	45-55	55-65	65 & upwards	Total Primary Notifications.	Total Notifications on Form A.	Under 5	5-10	10-15	Total Primary Notifications.	Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.

Page 47

TABLE 22. ZYMOTIC MORTALITY FOR THE SANITARY AREA, 1920. Showing the localities where the deaths occurred.

Locality.	Anthrax.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Enteric Fever.	Diarrhæa.	Cerebrospinal Fever.	Influenza.	Total.

Page 48

The greatest number of cases occurred in St. Peter's, St. John's, All Saints' and St. George's Wards. The number of cases notified, as compared with London, during the last ten years was: —

	In Southwark.	In London.		In Southwark.	In London.

Page 49

The number of cases notified as compared with London, during the last ten years was:—

	In Southwark.	In London.	In Southwark.		In London

Page 50

The number of cases notified during the last ten years:—

Page 51

The annual death-rate at all ages from Diarrhæa per 1,000 living was 0 32. Deaths from diarrhæa during the last ten years:—

Page 51

Deaths from Whooping Cough for the last ten years:—

Page 52

TABLE 22a. Cerebro Spinal Fever, Encephalitis Lethargica, Poliomyelitis and Encephalitis.

NUMBER OF CASES.
0-1 year.						1-5 years.						5-10 years.						10-15 years.						15-20 years.						20-30 years						Over 30 years.
Male.			Female.			Male.			Female.			Male.			Female.			Male.			Female.			Male.			Female.			Male.			Female.			Male.			Female.
Cases.	Deaths.	Permanent Paralvsis*	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 54

HEALTH WORK. The number of visits made by the Health Visitors and other officers of the Public Health Department to houses in connection with Births, and other Health Work during 1920. TABLE 23.

	Original Visits.				Revisits.				Visits to Ante-Natal Cases.	Visits to Post-Natal Cases.	Visits to Delicate Infants.	Attendances at Welfare Centres.	Visits where Mothers were found to be out.	Total.
	Births.	Measles.	Tuberculosis	Ophthalmia Neonatorum	Births.	Measles.	Tuberculosis	Ophthalmia Neonatorum	Visits to Ante-Natal Cases.	Visits to Post-Natal Cases.	Visits to Delicate Infants.	Attendances at Welfare Centres.	Visits where Mothers were found to be out.	Total.

Page 55

Work carried out during the year in the several Centres. Municipal. 2A CENTRE.

Page 56

2 b CENTRE.

Page 57

3 b CENTRE.

Page 58

4B CENTRE.

Page 59

6 a CENTRE.

Page 60

6 b CENTRE.

Page 61

Partly Municipal and Partly Voluntary. 3 a CENTRE.

Page 62

4 a CENTRE.

Page 63

5 CENTRE.

Page 64

6c CENTRE.

Page 65

Voluntary. 1a centRe. (This Centre serves two Districts.)

Page 66

3c CENTRE. (From January to May 31st.)

Page 67

MATERNITY AND CHILD WELFARE CENTRES. (1) Centres provided by the Council. (Six).

Distinctive No.	Address of Centre.	District served by Centre.	Health Visitor.	Day and Time of Attendance and Doctor attending.

Page 68

(2) Wholly Voluntary Centres. (Pour).

Distinctive No.	Address of Centre.	District served by Centre.	Health Visitor.	Day and Time of Attendance and Doctor attending.

Page 69

TABLE 24. Return of Families Admitted into the Council's Reception House during the tear 1920.

1920.	Scarlet Fever.			Diphtheria.			Enteric Fever.			Other diseases, &c.			Verminous Persons.
Week Ending.	No. of Families.	No. of Persona.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. cf Persons.	No. of Days.

Page 70

TABLE! 24— Continued.

1920.	Scarlet Fever.			Diphtheria.			Enteric Fever.			Other Diseases, &c.			\| Verminous Persons.
Week Ending.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.	No. of Families.	No. of Persons.	No. of Days.

Page 71

TABLE 25. The Locality of Rooms Disinfected. After the occurrence of Infectious Disease.

	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John'8 Ward.	Trinity Ward.	All Saints Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christ-church Ward.	St. Saviour's Ward.	Total.

Page 71

TABLE 26. The Locality of the Rooms Stripped after the occurrence of Infectious Disease,

	St.Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints Ward.	St. Michael's Ward.	St. Jade's Ward.	St. George's Ward.	Christ-Church Ward.	St. Saviour's Ward.	Total.

Page 72

TABLE 27. Bedding, &c., disinfected and destroyed after the occurrence of Infectious Disease during the Year 1920.

Articles.	No. Disinfected.	No. Destroyed.

Page 72

TABLE 28. The locality of the rooms periodically sprayed and disinfected in connection with cases of Phthisis notified to the Medical Officer.

	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St.Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christ-church Ward.	St. Saviour's Ward.	Total.

Page 72

TABLE 29. Rooms Stripped upon the termination of Phthisis cases.

	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christ-church Ward.	St. Saviour'sWard.	Total.

Page 74

TABLE 30. Showing the Number and Sex of Verminous or Scabious Children treated at the Council's Station, King James Street, during 1920, and the Schools from which they were sent. These 2,202 Children received 6,177 baths during 1920.

Name of School.	Verminous.		Scabious.		Total.
Name of School.	Boys.	Girls	Boys.	Girls.	Total.

Page 75

Continued from previous page...

Name of School.	Verminous.		Scabious.		Total.
Name of School.	Boys.	Girls.	Boys.	Girls.	Total.

Page 76

TABLE 31.

Address.	Male.	Female.	Total

Page 77

TABLE 32. Verminous Rooms Cleansed.

Ward.	No. of Intimation Notices served.	No. of Statutory Notices Berved.	Police Court proceedings taken.	Verminous rooms treated.
Ward.	No. of Intimation Notices served.	No. of Statutory Notices Berved.	Police Court proceedings taken.	(a) by Owners of Premises.	(b) by the Council's Disinfecting Staff.

Page 78

TABLE 33. Verminous Bedding, &c., Disinfected at the Council's Stations during 1920.

Articles.	Disinfected.	Destroyed.

Page 78

TABLE 34. The number of Verminous Rooms Stripped by the Council's Staff.

	St. Mary's Ward.	St. Paul s Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St.Michael's Ward.	St. Jude's Ward.	St. Georje's Ward.	Christ Church Ward.	St. Saviour's Ward.	Total.

Page 79

MORTUARIES. TABLE 35. During the year 482 bodies were received into the Mortuaries:—

Reasons bodies were brought to Mortuary.	Collier's Rents Mortuary.	Manor Place Mortuary.	Total.

Page 88

TABLE 36. Table showing the locality (in Wards) of the Houses Let in Lodgings on the Register at the end of 1920.

	WARDS.											Total.
	St. Mary	St. Paul	St. Peter	St. John	Trinity	All Saints'	St. Michael	St. Jude	St. George	Christchurch	St. Savicur	Total.

Page 91

ICE CREAMS. TABLE 37. Showing the Number of Inspections made of the Shops or other Premises where Ice Cream is made or stored during 1920.

WARDS.	Original 1 Inspections.	Re-inspections.	Premises found satisfactory on Inspection.	Premises found defective on Inspection.	Intimation Notices served.	Statutory Notices served.	Proceedings taken.

Page 92

TABLE 83 Showing the number of Inspections made of the Eating Houses, &c., during 1920.

WARDS.	Original Inspections.	Re-inspec-tions.	Premises found satisfactory on Inspection.	Premises found defective on Inspection.	Intimation Notices served.	Statutory Notices served.	Proceedings taken.

Page 93

TABLE 39 Inspections of Food at Wharves, Markets, and other places where food is stored, and the action taken by the officials daring the year 1920.

INSPECTION OF WHARVES, Ac.					FOOD EXAMINED, Ac.
WARD.	Inspections of Wharves and Warehouses.	Inspections of Markets	Inspections of Shops or Street Stalls.	Total.	Parcels of Food Examined.	Number of Samples Examined.	Parcels of Food Sorted.	Parcels of Food destroyed by consent of owner.	Parcels of food seized by Inspector.	Parcels of food condemned by Magistrate.	Summonses taken out.

Page 94

EXAMINATION OP FOOD. TABLE 40. Showing the quantity of Foodstuffs examined during the year 1920 by the several Inspectors throughout the Borough (The amount shown in this table is in addition to the total shown in Table 41.)

Foodstuffs Examined.		Weight.				Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs.	Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Remarks.
		T.	C.	Q.	L.		T.	c.	Q.	L.		T.	C.	Q-	L.		T.	C.	Q.	L.

Page 96

Continued from previous page...

Foodstuffs Examined.						Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs.	Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Remarks.
		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.

Page 98

Continued from previous page...

Foodstuffs Examined.						Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs.	Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Remarks.
		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.

Page 100

Continued from previous page...

Foodstuffs Examined.						Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs.	Quantity.	Weight.				Quantity.	Weight.				Quantity,	Weight.				Quantity	Weight.				Remarks.
		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.

Page 102

Continued from previous page...

Foodstuffs Examined.						Quantity and Weight found Unsound.					Surrendered by Owners.					Seized by Inspector.					Remarks.
Foodstuffs.	Quantity.	Weight,				Quantity.	Weight.				Quantity.	Weight.				Quantity.	Weight.				Remarks.
		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.

Page 104

TABLE 41. Table showing the total quantity of Foodstuffs examined at the wharves during the year 1920, the quantity found to be unsound, the notices served and the method of disposal of the unsound portion.

Foodstuffs.	Quantity and Weight examined.					Weight found to be unsound.				Surrendered by Owner.	Seized by Inspector.	Notices served.		How unsound portion disposed of.
Foodstuffs.	Quantity.	Weight.				Weight found to be unsound.				Surrendered by Owner.	Seized by Inspector.	(a) Detention.	(b) Release	How unsound portion disposed of.
		T.	C.	Q.	L.	T.	C.	Q.	L.

Page 106

Continued from previous page...

Foodstuffs.	Quantity and Weight examined.					Weight found to be unsound.				Surrendered by Owner.	Seized by Inspector.	Notioes served.		How unsound portion disposed of.
Foodstuffs.	Quantity.	Weight.				Weight found to be unsound.				Surrendered by Owner.	Seized by Inspector.	(a) Detention.	(b) Release	How unsound portion disposed of.
		T.	C.	Q.	L.	T.	C.	Q.	L.

Page 108

Continued from previous page...

Foodstuffs.	Quantity and Weight examined.					Weight found to be unsound.				Surrendered by Owner.	Seised by Inspector.	Notices served.		How unsound portion disposed of.
Foodstuffs.	Quantity.	Weight.				Weight found to be unsound.				Surrendered by Owner.	Seised by Inspector.	(a) Detention.	(b) Release.	How unsound portion disposed of.
		T.	C.	Q.	L.	T.	C.	Q.	L.

Page 110

Continued from previous page...

Foodstuffs.	Quantity and Weight examined.					Weight found to be unsound.				Surrendered by Owner.	Seized by Inspector.	Notices served.		How unsound portion disposed of.
Foodstuffs.	Quantity.	Weight.				Weight found to be unsound.				Surrendered by Owner.	Seized by Inspector.	(a) Detention.	(b) Release	How unsound portion disposed of.
		T.	C.	Q.	L.	T.	C.	Q.	L.

Page 112

TABLE 42. Showing the number of samples of Foodstuffs examined in each Ward during 1920, and the number of such samples found to be unsound.

Ward.	Number of Samples examined.	Number found to be sound.	Number found to be unsound.

Page 114

TABLE 43. Action taken in Southwark under the Housing, Town Planning, &c., Act, 1909.

Folio.	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	Action taken, notices served and Result.

Page 116

TABLE 43— continued.

]Folio	Premises complained of.		Date of Report of Medical Officer.			Date of representation of Medical Officer of Health.				Date of Council's Resolution.	Action taken, notices served and Result.

Page 118

TABLE 43— continued.

Folio	Premises complained of.	Date of Report of Medical Officer.	Date of representation of Medical Officer of Health.	Date of Council's Resolution.	Action taken, notices served and Result.

Page 120

TABLE 43— continued,.

Page 122

TABLE 44 Showing the Number of Observations, &c., in regard to Smoke Nuisances made by the several Ward Inspectors during 1920,

	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St.Michael's Ward.	St. Jude's Ward.	St.George's Ward	Christchurch Ward.	St. Saviour's Ward.	Total for Borough.

Page 123

SMOKE NUISANCES. TABLE 45. Showing number of complaints received from outside sources, and the Observations, &c., made by the Council's Inspectors during the past Twenty Years.

YEAR.	Complaints received from outside sources.	Observations made by Inspectors.	Nuisances observed.	Notices served.		Summonses taken out.	Convictions obtained.
YEAR.	Complaints received from outside sources.	Observations made by Inspectors.	Nuisances observed.	Intimation.	Statutory.	Summonses taken out.	Convictions obtained.

Page 124

TABLE 46. Factories and Workshops . Showing the number of Inspections with the Defects found and remedied in the several Wards during the year 1920.

1.—INSPECTIONS.												2.—DEFECTS FOUND.
Factories.			Workshops.			Workplaces.			Home and Outworkers' Premises.			Want of Cleanliness.			Want of Ventilation.			Over Crowding.			Want of Drainage of Floors.		Other Nuisances.			Sanitary Accommodation.
Factories.			Workshops.			Workplaces.			Home and Outworkers' Premises.			Want of Cleanliness.			Want of Ventilation.			Over Crowding.			Want of Drainage of Floors.		Other Nuisances.			Insufficient			Unsuitable or Defective.			Not separate for Sexes.
Inspections.	Notices.	Summonses.	Inspections.	Notices.	Summonses.	Inspections.	Notices.	Summonses.	Inspections.	Notices.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied. Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.	Found.	Remedied.	Summonses.

Page 126

TABLE 47. Factories, Workshops, Laundries, Workplaces and Homework. 1.—Inspection (including Inspections made by Sanitary Inspectors).

Premises.	Number
Premises.	Inspections.	Written Notices.	Prosecutions.

Page 126

2.—Defects Found.

Particulars.	Number of Defects.			Number of Prosecutions.
Particulars.	Found.	Remedied.	Referred to H.M. Inspector.	Number of Prosecutions.

Page 127

TABLE 48. 3.—Home Work .

Outworkers' Lists, Section 107.								Outwork is Unwholesome Premises, S. 108.			Outwork in Infected Premises, Sections 109-10.
Lists received from Employers.				Nos. of Addresses of Outworkers received from other Councils.	Nos. of Addresses of Outworkers forwarded to other Councils.	Prosecutions.		Instances.	Notices served.	Prosecutions.	Instances.	OrderB made. (S. 110).	Prosecutions. (Ss. 109, 10).
Twice in the year		Once in the year.				Failing to keep or permit inspection of lists.	Failing to send lists.
Lists.	Outworkers.	Lists.	Outworkers.			Failing to keep or permit inspection of lists.	Failing to send lists.

Page 128

TABLE 49 4.—Registered Workshops.

Workshops, Workplaces, Ac., on the Register (S. 131) at the end of the year.	Number.

Page 128

5.— Other Matters.

Class.	Number.

Page 129

TABLE 50.

	WARDS.															Total.
	St. Mary's.	St. Paul's.	St. Peter's.	St. John's.	Trinity.	All Saints'	St. Michael's.	St. Jude's.	St. George's.	Christchurch.	St. Saviour's.	Houses Let in Lodgings. Miss Chapple.	Houses Let in Lodgings. Miss Chapple.	Women's Workshons.	Bakehouses.	Total.

Page 129

TABLE 51.

Page 130

TABLE 52. Proceedings taken under the Public Health and Defence of the Realm Acts.

Defendant.	Cause of Proceedings.	Result.

Page 131

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 132

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 133

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 134

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 135

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 136

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 137

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 138

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 139

Continued from previous page...

Defendant.	Cause of Proceedings.	Result.

Page 140

TABLE 53 Summary of Original Inspections, &c., made in the several Wards during the year 1920.

Ward or District.	Complaints. Including houses in which deaths have occurred.)			House to House.			Principal Infectious Diseases.			Factories, Workshops Workplaces and Outworkers.		Number of Original Inspections made daily.	Number of Reinspections made daily.
	Number of Inspections made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of Reinspections made.

Page 142

TABLE 54. Summary of Sanitary Works Completed, 1920.

Ward, or District.	Intimation Notices served.	Statutory Notices served.	Sanitary Works completed.	Drain reconstructed.	Drain repaired.	Interceptor, &c.	Blocked Drains unstopped.	New Soilpipe provided.	Closet app. or repaired.	Closet provided.	Water supply.	Closet Pan and Trap.	Yards, &c., paved.	Paving repaired.	Gullies provided.	Sinks trapped.	Rain Pipes disconnected.	Roofs, Gutters, &c.	Dust-bin provided.	Basement concreted.	Foul rooms cleansed.	Floor ventilation.	House ventilated.	Draw Tap from Main.	Overcrowding abated.	Additional water supplies provided.	Surface Drains.	Miscellaneous Nuisances from Urinals, Manure, Animals, &c., abated.

Page 144

TABLE 55. Sanitary Works completed during 1920 and also in Twelve preceding Years, 1908-19.

Year.	Intimation Notices served.	Statutory Notices served.	Sanitary Works completed.	Drain reconstructed.	Drain repaired.	Interceptor, &c.	Blocked Drains unstopped.	New Soilpipe provided.	Closet app. or repaired.	Closet provided.	Water supply.	Closet Pan and Trap.	Yards, &c., paved.	Paving repaired.	Gullies provided.	Sinks trapped.	Rain Pipes disconnected.	Roofs, Gutters, &c.	Dust-bin provided.	Basement concreted.	Foul rooms cleansed.	Floor ventilation.	House ventilated.	Draw tap from Main.	Overcrowding abated.	Additional Water Supplies provided.	Surface Drains.	Miscellaneous Nuisances from Urinals, Manure, Animals, &c., abated.

Page 146

TABLE 56 Summary of Original Inspections, &c., made during 1920 and in Thirteen preceding Years, 1907-1919.

Year.	Complaints (including houses in which deaths have occurred).			House to House.			Infectious Diseases.			Factories, Workshops and Workplaces, &c.
Year.	Number of Inspections made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of drains tested.	Number of Reinspections made	Number of Inspections made.	Number of drains tested.	Number of Reinspections made.	Number of Inspections made.	Number of Reinspections made.

Page 147

NOXIOUS TRADES. There are two premises in the Borough upon which noxious businesses or trades are carried on as under:—

Situation of Premises.	Description of Business.	Name of Occupiers.

Page 148

The following is a list of the Licensed Cowkeepers in the Borough:—

Situation of Premises.	Name of Occupier.

Page 148

The following defects were discovered by the Inspector, who found it necessary to serve 16 intimation notices in order to obtain the abatement of the nuisances complained of

Page 149

There are five licensed Slaughterhouses in the Borough. The following are the premises and the licensees:—

Situation of Premises.	Name of Licensee.

Page 149

TABLE 57. Showing the number of samples taken in each Ward of the Borough during the year.

	St. Mary's Ward.	St. Paul's Ward.	St. Peter'b Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.	Total.

Page 150

TABLE 58. Showing the Wards in which proceedings were taken under the Food and Drugs Act.

	St. Mary's Ward.	St. Paul's Ward.	St. Peter's Ward.	St. John's Ward.	Trinity Ward.	All Saints' Ward.	St. Michael's Ward.	St. Jude's Ward.	St. George's Ward.	Christchurch Ward.	St. Saviour's Ward.	Total.

Page 150

The proceedings taken before the Magistrates resulted as follows:—

	Summonses.

Page 151

TABLE 59.

Article.	No. of samples purchased by Agents.	Result of Analysis.		Percentage of adulterated samples.
Article.	No. of samples purchased by Agents.	Genuine.	Adulterated.	Percentage of adulterated samples.

Page 152

TABLE 60. Return of Official Samples for the Year ending 1st January, 1921, showing the number taken, and the percentage of adulterated Samples for each quarter and for the year.

Article.	1st Quarter.				2nd Quarter.				3rd Quarter.				4th Quarter.				Whole Year.
Article.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulte rated Samples.	Number ofSamples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samplestaken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.

Page 154

TABLE 60— continued.

Article.	1st Quarter.				2nd Quarter.				Third Quarter.				Fourth Quarter.				Whole Year.
Article.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	i Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.

Page 156

TABLE 60— continued.

Article.	1st Quarter.				2nd Quarter.				3rd Quarter.				4th Quarter.				Whole Year.
Article.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulte- rated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.

Page 158

TABLE 61. SALE OF FOOD AND DRUGS AND DEFENCE OF THE REALM ACTS. PROCEEDINGS TAKEN, WITH THE RESULTS.

Name and Address of Vendor.	Sample and Number.		Result of Analysis.	Result of Proceedings.

Page 159

Continued from previous page...

Name and Address of Vendor.	Sample and Number.		Result of Analysis.	Result of Proceedings.

Page 160

Continued from previous page...

Name and Address of Vendor.	Sample and Number.		Result of Analysis.	Result of Proceedings.

Page 163

The subjoined table which also appears in the appendix gives the decline for the past 4 years.

	1917	1918	1919	1920

Page 166

TABLE A. Total number of persons examined for the first time, 1,389:—

Page 166

TABLE B. Patients found to be suffering from Pulmonary Tuberculosis: —

Page 166

TABLE C.

Page 166

TABLE D. Cases (including contacts) found Non-Tuberculous:—

Page 167

TABLE E. Total attendances of patients:—

Page 167

TABLE F. Number of examinations of patients:—

Page 167

TABLE G. The following cases were recommended to the London Insurance Committee for treatment:—

Page 167

TABLE H. The recommendations to the County Council for Institutional treatment were as follows:—

Page 167

TABLE I. The Nurses visited the homes of the following cases and advised the patients on the questions of environment and preventive measures:—

Page 168

TABLE J. Patients discharged during the year:—

Page 168

TABLE K. Statistics of cases dealt with by the Tuberculosis Care Committee—

Page 168

TABLE L. Death-rate from Pulmonary Tuberculosis for Southwark compared with London as a whole:—

Page 168

TABLE M. Notification of fresh cases of Pulmonary Tuberculosis :—

Page 169

TABLE N. Deaths from Pulmonary Tuberculosis:—

Page 169

TABLE O. Cases referred to Hospitals :—

	Insured.	Non-insured.

Page 169

TABLE P. Sexes of notified new cases of Pulmonary Tuberculosis:—

Page 169

TABLE Q. Patients still attending the Dispensary on December 31st, 1920 : —

Page 170

TABLE R. Sources of cases :—

	Insured.	Non-insured

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

View report tables

Southwark 1920

153 tables in this report

SUMMARY OF STATISTICS, 1920.

Cases of Infectious Diseases Notified.

Deaths in the Sanitary Area from the principal Zymotic Diseases.

The population of the several divisions of the Borough at each Census since 1841, and also the estimated population for 1992, 1903, 1904, 1905, 1906, 1907, 1908, 1909, 1910, 1912, 1913, 1914, 1915, 1916 1917, 1918, 1919 and 1920.

Table 1.

Birth-rate for the last Twenty-nine Years for the Three Division of the Borough as formerly existed.

TABLE 2. Number of Births belonging to each Ward, with the Birth.rates, also the Infantile Mortality and Zymotic Rate in the several wards for 1920.

table: 3. Outlying Deaths, with Localities.

Continued from previous page...

Continued from previous page...

Continued from previous page...

Continued from previous page...

table 4. Death Rates for the last Twenty.nine Years for the Three Divisions of the Borough as formerly existed.

table 5. Death Rates for the various Wards for the last Fifteen Years.

TABLE 6. Showing the number of Deaths that occurred in Public Institutions in the Borough during the year 1920.

TABLE 7. Births and Deaths Registered in the Sub-Districts of the Borough in 1920, with Ages at Death.

TABLE 7. —(contd.) For the Third Quarter of thirteen weeks ending 2nd October.

Vital Statistics of Whole District during 1920 and previous ten years. Borough of Southwark.

Deaths belonging to the Sanitary Area, with the Causes of Death at all Ages during 1920.

TABLE 9. — Continued.

TABLE 9. — Continued.

TABLE 9. — Continued.

TABLE 9. — Continued.

Deaths belonging to the Sanitary Area with the Causes of Death at all Ages for the ten years 1911-1920.

TABLE 9a — continued.

TABLE 9a — continued.

TABLE 9a — continued.

TABLE 9b.

The deaths under one year of age to 1,000 births for the last twenty-six years were as follows:—

Nett Deaths from stated causes at various ages under 1 Year of Age.

TABLE 11.

TABLE 12. Cases of Infectious Diseases notified during the Year 1920.

TABLE 13. Cases of Infections Disease Notified to the Medical Officer of Health for the Borough of Southwark, during the year 1920, occurring in the several wards:—

table 14 Deaths in the Sanitary Area from the principal Zymotic Diseases in the various wards for 1920.

table 15. The total number of Deaths in the Sanitary Area, with the Ages apportioned to the several wards, and the Death-rate in each ward for 1920.

table 16. Cases of Infectious Disease. Notified to the Medical Officer of Health for Southwark, during each week of the year 1920.

TABLE 17. Analysis of Cases treated in Hospitals and at Home belonging to the Borough of Southwark for Twenty Years.

table 18. Analysis of Sickness and Mortality Statistics in London during the Year 1920.

PHTHISIS. TABLE 19. A summary of the cases notified and other particulars in connection therewith during the year 1920.

DEATHS FROM PULMONARY TUBERCULOSIS. table 20. Shewing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.

TABLE 21. PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the period from the 5th January, 1920, to the 1st January, 1921, in

TABLE 22. ZYMOTIC MORTALITY FOR THE SANITARY AREA, 1920. Showing the localities where the deaths occurred.

The greatest number of cases occurred in St. Peter's, St. John's, All Saints' and St. George's Wards. The number of cases notified, as compared with London, during the last ten years was: —

The number of cases notified as compared with London, during the last ten years was:—

The number of cases notified during the last ten years:—

The annual death-rate at all ages from Diarrhæa per 1,000 living was 0 32. Deaths from diarrhæa during the last ten years:—

Deaths from Whooping Cough for the last ten years:—

TABLE 22a. Cerebro Spinal Fever, Encephalitis Lethargica, Poliomyelitis and Encephalitis.

HEALTH WORK. The number of visits made by the Health Visitors and other officers of the Public Health Department to houses in connection with Births, and other Health Work during 1920. TABLE 23.

Work carried out during the year in the several Centres. Municipal. 2A CENTRE.

2 b CENTRE.

3 b CENTRE.

4B CENTRE.

6 a CENTRE.

6 b CENTRE.

Partly Municipal and Partly Voluntary. 3 a CENTRE.

4 a CENTRE.

5 CENTRE.

6c CENTRE.

Voluntary. 1a centRe. (This Centre serves two Districts.)

3c CENTRE. (From January to May 31st.)

MATERNITY AND CHILD WELFARE CENTRES. (1) Centres provided by the Council. (Six).

(2) Wholly Voluntary Centres. (Pour).

TABLE 24. Return of Families Admitted into the Council's Reception House during the tear 1920.

TABLE! 24— Continued.

TABLE 25. The Locality of Rooms Disinfected. After the occurrence of Infectious Disease.

TABLE 26. The Locality of the Rooms Stripped after the occurrence of Infectious Disease,

TABLE 27. Bedding, &amp;c., disinfected and destroyed after the occurrence of Infectious Disease during the Year 1920.

TABLE 28. The locality of the rooms periodically sprayed and disinfected in connection with cases of Phthisis notified to the Medical Officer.

TABLE 29. Rooms Stripped upon the termination of Phthisis cases.

TABLE 30. Showing the Number and Sex of Verminous or Scabious Children treated at the Council's Station, King James Street, during 1920, and the Schools from which they were sent. These 2,202 Children received 6,177 baths during 1920.

Continued from previous page...

TABLE 31.

TABLE 27. Bedding, &c., disinfected and destroyed after the occurrence of Infectious Disease during the Year 1920.