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

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Cases of Infectious Diseases Notified

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Deaths in the Sanitary Area from the principal Zymotic Diseases.

Total excluding Phthisis.	Cerebrospinal Fever.	Measles.	Scarlet Fever.	Diphtheria.	Whooping: Cough.	Influenza.	Enteric Fever.	Diarrhæa.	Phthisis.	Encephalitis Lethargica.	Malaria.	Deaths under 1 year to 1000 Births.

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The population shown for 1921 is an enumerated one, but is unrevised.

	Newington.	St. George's,	St. Saviour's and Chriatoliureh.

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The Ward distribution was as follows :— TABLE 1.

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

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Birth-rate for the last Thirty Years for the Three Divisions of the Borough as formerly existed.

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

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TABLE 2. Numbar of Births belonging to each Ward, with the Birth-rates, also the Infantile Mortality and Zymotic Rate in the several wards for 1921.

WARD.	Births.				Infantile Mortality.	Zymotic Rates in the Wards.
WARD.	Males.	Females.	Total.	Birth-rate.	Infantile Mortality.	Cerebro Spinal Fever.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Enteric Fever.	Diarrhsea.	Phthisii.	Influenza.	Malaria.	Encephalitis Lethargica

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TABLE 3. Outlying Deaths, with Localities.

	Males.	Females.	Total.

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Continued from previous page...

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Continued from previous page...

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Continued from previous page...

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Continued from previous page...

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TABLE 4. Death Rates for the last Thirty Years for the Three Divisions of the Borough as formerly existed.

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

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

Ward.	1907.	1908.	1909.	1910.	1911.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.	1920.	1921.

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TABLE 6. Showing the number of Deaths that occurred in Public Institutions in the Borough during the year 1921.

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

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TABLE 7. Births and Deaths Registered in the Sub-Districts of the Borough in 1921, with Ages at Death.

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-

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TABLE 7. —(contd.) For the Third Quarter of thirteen weeks ending 1st 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-

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TABLE 8. Vital Statistics of Whole District during 1921 and previous ten years. Borough ot Southwark.

Year.	Population estimated to Middle of each Year.	Births.		Total Deaths registered in the District.				Total Deaths in Public Institutions in the District.	Deaths of Non-residents registered in Public Institutions in the District.	Deaths of Residents registered in Public Institutions beyond the District.	Nett Deaths at all Ages belonging to the District.
		Number.	Rate*	Under 1 Year of Age.		At all Ages.					Nett Deaths at all Ages belonging to the District.
				Under 1 Year of Age.		At all Ages.					Number.	Rate*
				Number.	Rate per 1000 Births registered.	Number.	Rate*				Number.	Rate*
1.	2.	3.	4.	5.	6.	7.	8.	9.	10	11	12	13

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TABLE 9. Deaths belonging to the Sanitary Area, with the Causes of Death at all Ages during 1921.

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

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TABLE 9.— Continued.

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

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TABLE 9.— Continued.

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

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TABLE 9.— Continued.

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

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TABLE 9.— Continued.

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

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TABLE 10. Deaths belonging to the Sanitary Area with the Causes of Death at all Ages for the ten years 1912-1921,

Causes of Death.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.	1920	i 1921.

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TABLE 10— continued.

Causes of Death.	1912.	1913.	1914.	1915.	1916.	1917.	1918	1919	1920.	1921.

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TABLE 10 —continued.

Causes of Death.	1912.	1913.	1914.	1915.	1916.	1917	1918	1919.	1920	1921.

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TABLE 10 — continued.

Causes of Death.	1912.	1913.	1914.	1915.	1916.	1917.	1918.	1919.	1920.	1921.

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TABLE 11. Causes of, and Ages at Death during Year 1921. Borough of Southwark.

Causesof Death.	Nett Deaths 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-Residents" in Public Institutions in the District.
Causesof 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 i	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

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

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TABLE 12. BOROUGH OF SOUTHWARK. INFANT MORTALITY, 1921. 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.	8-6 Months.	6-9 Months.	9-12 Months.	Total Deaths under 1 Year.

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TABLE 13 Vital Statistics of Separate Localities in 1921 and previous years. BOROUGH OF SOUTHWARK

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

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TABLE 14. Cases of Infectious Diseases notified during the Year 1921.

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-	56	-65	75	85-	Male.	Female.	At all ages.

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TABLE 15. Cases of Infectious Disease Notified to the Medical Officer of Health for the Borough of Southwark, during the year 1921, occurring in the several wards:—

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

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TABLE 16 Deaths in the Sanitary Area from the principal Zymotic Diseases in the various wards for 1921.

WARD.	Cerebro Spinal Fever.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Enteric Fever.	Diarrhsæa.	Phthisis.	Pneumonia & Bronchitis.	Heart Disease.	Influenza.	Malarial Fever.	Encephalitis Lethargica.

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TABLE 17. 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 1921.

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

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TABLE 18. Cases of Infectious Disease. Notified to the Medical Officer of Health for Southwark, during each week of the year 1921.

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

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TABLE 19. Analysis of Cases treated in Hospitals and at Home belonging to the Borough of Southwark for Twenty one Years.

Year.	Small Pox.							Scarlet Fever.							Diphtheria and Membranous Croup.							Enteric Fbter.						Percentage of Deaths.
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.	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.

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TABLE 20. London and the Metro- politan Boroughs. Births, Deaths and Notified Cases of Infectious Diseases.

Boroughs.	Enumerated Population, 1921. (Unrevised.)	Births.	Deaths from									Deaths under 1 year of age.	Notified Cases of Principal Infectious Diseases.
Boroughs.	Enumerated Population, 1921. (Unrevised.)	Births.	All Causes.	Enteric Fever.	Small-pox.	Measles.	Scarlet Fever.	Whooping-cough.	Diphtheria.	Diarrhæa and Enteritis (under 2 years).	Pulmonary Tuberculosis.	Deaths under 1 year of age.	Small-pox.	Scarlet Fever.	Diphtheria and Membranous Croup.	Enteric Fever.	Puerperal Fever.	Erysipelas.	Cerebro-Spinal Fever.	Polio-myelitis.	Polio-Encephalitis.	Continued Fever.	Anthrax.

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TABLE 21. A summary of the cases notified and other particulars in connection therewith during the year 1921.

Notified cast s re-mainingin district at end of 1920.	Cases notified during 1921.	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 end of 1921.	Rooms periodically sprayed and otherwise disinfected.	Booms stripped on termination of cases.

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TABLE 22. 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

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Summary of Notifications during the period from the 3rd January, 1921, to the 31st December, 1921, in the Metropolitan Borough of Southwark.

Age-periods	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.
	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.

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TABLE 24. ZYMOTIC MORTALITY FOR THE SANITARY AREA, 1921. Showing the localities where the deaths occurred.

Locality.	Encephalitis Lethargica.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Enteric Fever.	Diarrhæa.	Cerebrospinal Fever.	Influenza.	Malaria.	Total.

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

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

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Number of deaths from Scarlet Fever during the last ten vears :—

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

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

In Southwark.		In London.	In Southwark.		In London

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Number of deaths from Diphtheria during the last ten years:—

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

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

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The number of deaths from Enteric Fever for the last ten years:—

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Deaths from Measles during the last ten years:—

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Deaths from diarrhaea during the last ten years :—

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Deaths from Whooping Cough for the last ten years:—

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Deaths from Influenza during the last ten years:—

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TABLE 25. 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 Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases.	Deaths.	Permanent Paralysis*	Cases	Deaths.	Permanent Paralysis*

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TABLE 26.

	Original Visits.				Revisits.				Visits to Ante-Natal Cases.	Visits to Post-Natal Cases.	Visits to Delicate Infants.	Visits to Cases of Diarrhoea and Sick Children	Attendances at Welfare Centres and Dental Clinic.	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.	Visits to Cases of Diarrhoea and Sick Children	Attendances at Welfare Centres and Dental Clinic.	Visits where Mothers were found to be out.	Total.

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TABLE 27. Return of Families Admitted into the Council's Reception House during the teak 1921.

1921.	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.

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TABLE 27— Continued.

1921.	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.

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TABLE 28. 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'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.

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TABLE 29. 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. Jude's Ward.	St. George's Ward.	Christ-Church Ward.	St. Savion r'e Ward.	Total.

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TABLE 30. Bedding, &c., disinfected and destroyed after the occurrence of Infectious Disease during the Year 1921.

Articles.	No. Disinfected.	No. Destroyed.

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TABLE 31. 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.	Christchurch Ward.	St. Saviour's Ward.	Total.

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TABLE 32. 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's Ward.	Total.

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TABLE 33. Showing the Number and Sex of Verminous or Scabious Children treated at the Council's Station, King James Street, during 1921, and the Schools from which they were sent. These 2,952 Children received 5,195 baths during 1921.

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

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Continued from previous page...

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

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TABLE 34.

Address.	Male.	Female.	Total.

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TABLE 35. Verminous Rooms Cleansed.

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

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TABLE 36. Verminous Bedding, &c., Disinfected at the Council's Stations during 1921.

Articles.	Disinfected.	Destroyed.

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TABLE 37. 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. George's Ward.	Christ Church Ward.	St. Saviour's Ward.	Total.

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MORTUARIES. TABLE 38. During the year 470 bodies were received into the Mortuaries:—

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

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TABLE 39 RATS AND MICE (DESTRUCTION) ACT, 1919. Summary showing investigations and inspections made and details of work carried out during the year 1921.

WARD.	Number of Premises Inspected.	Number of Re-inspections made.	Premises Rat Infested.	Premises where steps were taken to destroy Rats and Mice.							Rat Proofing.	Rat Holes and Runs stopped.	Defective Drains Amended.	Defective Sewers Amended.	Notices.
WARD.	Number of Premises Inspected.	Number of Re-inspections made.	Premises Rat Infested.	Poisons used.	Wire Traps.	Breakback Traps.	Other Traps.	Varnish.	Cats or Dogs.	Ferrets.	Rat Proofing.	Rat Holes and Runs stopped.	Defective Drains Amended.	Defective Sewers Amended.	Notices.

Page 86

TABLE 40. Table showing the locality (in Wards) of the Houses Let in Lodgings on the Register at the end of 1921.

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

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ICE CREAMS. TABLE 41. Showing the Number of Inspections made of the Shops or other Premises where Ice Cream is made or stored during 1921.

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

Page 90

TABLE 42 Showing the number of Inspections made of the Eating Houses, &c., during 1921.

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

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TABLE 43. Inspections of Food at Wharves, Markets, and other places where food is stored, and the action taken by the officials during the year 1921.

INSPECTION OF WHARVES, &c.					FOOD EXAMINED, &c.
WARD.	Inspections of Wharves and Warehouses.	Inspections of Markets.	Inspections of Shops or Street Stalls.	Total.	Parcels of Food Examined.	N umber 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 92

EXAMINATION OP FOOD. TABLE 44. Showing the quantity of Foodstuffs examined during the year 1921 by the several Inspectors throughout the Borough (The amount shown this table is in addition to the total shown in Table 45.)

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.

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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.

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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.

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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.

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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.
Foodstuffs.	Quantity.	T.	C.	Q.	L.	Quantity.	T.	C.	Q.	L.		T.	C.	Q.	L.		T.	C.	Q.	L.

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

Page 104

TABLE 45. Table showing the total quantity of Foodstuffs examined at the wharves during the year 1921, 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

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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 108

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Foodstuffs.	Quantity and Weight examined.					Weight found to be unsound.				Surrendered by Owner.	Seized by Inspector.	Notice 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 110

TABLE 46. Showing the number of samples of Foodstuffs examined in each Ward during 1921, and the number of such samples found to be unsound.

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

Page 112

TABLE 47. Action taken in Southwark under the Housing, Town Planning, &c., lot, 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 114

TABLE 47—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 116

TABLE 47— 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 Results.

Page 118

TABLE 47— 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 48 Housing Conditions.

Page 121

TABLE 48— continued.

Page 122

TABLE 49 Showing the Number of Observations, &c., in regard to Smoke Nuisances made by the several Ward Inspectors during 1921.

	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 50. Showing number of complaints received from outside sources, and the Observations, &c., made by the Council 's Inspectors during the past Twenty-One 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

TABLB 51. Factories and Workshops. Showing the number of Inspections with the Defects found and remedied in the several Wards during the year 1921.

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 52. Faotories, 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.
	Found.	Remedied.	Referred to H.M. Inspector.

Page 127

TABLE 53. 3.—Home Work.

Outworkers' Lists, Section 107.								Outwork in 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.	Orders 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 54 4.—Registered Workshops.

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

Page 128

5.—Other Matters.

Class.	Number.

Page 129

TABLE 55.

Number of Summonses taken out	WARDS.
	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 T.odgings. Miss Burrows.	Houses Let in Lodgings. Miss Burrows.	Women's Workshops.	Bakehouses.	Total.

Page 129

TABLE 56. These proceedings resulted as follows

Page 130

TABLE 57, Proceedings taken under the Public Health and Other Acts.

Defendant.	Cause of Proceedings	Besult.

Page 131

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Defendant.	Cause of Proceedings.	Result.

Page 132

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Defendant.	Cause of Proceedings.	Result.

Page 133

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Defendant.	Cause of Proceedings.	Result.

Page 134

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Defendant.	Cause of Proceedings.	Result.

Page 135

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Defendant.	Cause of Proceedings.	Result.

Page 136

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Defendant.	Cause of Proceedings.	Result.

Page 137

TABLE 58 Summary of Original Inspections, &c., made during 1921 and in Fourteen preceding Years, 1907-1920.

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 Inspection 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 138

TABLE 59 Summary of Original Inspections, &c., made in the several Wards during the year 1921.

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.
Ward or District.	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.	Number of Original Inspections made daily.	Number of Reinspections made daily.

Page 140

TABLE 60 Summary of Sanitary Works Completed, 1921.

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 142

TABLE 61 Sanitary Works completed during 1921 and also in Thirteen preceding Years, 1908-20.

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 144

The following are the premises: —

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

Page 146

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

Situation of Premises.	Name of Licensee.

Page 147

TABLE 62. 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'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 147

TABLE 63. 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 148

TABLE 64.

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 149

SALE OF FOOD ORDER, 1921. These samples are included in Table 66. TABLE 65.

Article.	Number of Samples Purchased.	Result of Analysis.		Percentage of adulterated samples
Article.	Number of Samples Purchased.	Genuine.	Adulterated.	Percentage of adulterated samples

Page 150

FOOD AND DRUGS ACTS. TABLE 66. Return of Official Samples for the Year ending 31st December, 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 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.	Genuine.	Adulterated.	Percentage of Adulterated Samples.

Page 152

TABLE 86— 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 Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.

Page 154

TABLE 66— 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 Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples.	Number of Samples taken.	Genuine.	Adulterated.	Percentage of Adulterated Samples

Page 156

TABLE 67. SALE OF FOOD AND DRUGS AND OTHER ACTS. PROCEEDINGS TAKEN, WITH THE RESULTS.

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

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

Page 158

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

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

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

Page 166

TABLE A. Total number of persons examined for the first time, 260:—

Page 166

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

Page 166

TABLE C. Patients suffering from Non-Pulmonary Tuberculosis:—

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 County Council for treatment (Insured Persons):—

Page 167

TABLE H. The recommendations to the County Council for Institutional treatment were as follows (Non-insured Persons):—

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:—

	Insured.	Non-Insured.

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:—

1912	1913	1914	1915	1916	1917	1918	1919	1920	1921

Page 169

TABLE N. Deaths from Pulmonary Tuberculosis:—

1912	1913	1914	1915	1916	1917	1918	1919	1920	1921

Page 169

TABLE O. Cases referred to Hospitals:—

	Insured.	Non-insured.

Page 169

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

Page 169

TABLE Q. Patients still attending the Dispensary on December 31st, 1921:—

Page 170

TABLE R Sources of cases:—

	Insured.	Non-insured

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

View report tables

Southwark 1921

142 tables in this report

Cases of Infectious Diseases Notified

Deaths in the Sanitary Area from the principal Zymotic Diseases.

The population shown for 1921 is an enumerated one, but is unrevised.

The Ward distribution was as follows :— TABLE 1.

Birth-rate for the last Thirty Years for the Three Divisions of the Borough as formerly existed.

TABLE 2. Numbar of Births belonging to each Ward, with the Birth-rates, also the Infantile Mortality and Zymotic Rate in the several wards for 1921.

TABLE 3. Outlying Deaths, with Localities.

Continued from previous page...

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TABLE 4. Death Rates for the last Thirty 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 1921.

TABLE 7. Births and Deaths Registered in the Sub-Districts of the Borough in 1921, with Ages at Death.

TABLE 7. —(contd.) For the Third Quarter of thirteen weeks ending 1st October.

TABLE 8. Vital Statistics of Whole District during 1921 and previous ten years. Borough ot Southwark.

TABLE 9. Deaths belonging to the Sanitary Area, with the Causes of Death at all Ages during 1921.

TABLE 9.— Continued.

TABLE 9.— Continued.

TABLE 9.— Continued.

TABLE 9.— Continued.

TABLE 10. Deaths belonging to the Sanitary Area with the Causes of Death at all Ages for the ten years 1912-1921,

TABLE 10— continued.

TABLE 10 —continued.

TABLE 10 — continued.

TABLE 11. Causes of, and Ages at Death during Year 1921. Borough of Southwark.

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

TABLE 12. BOROUGH OF SOUTHWARK. INFANT MORTALITY, 1921. Nett Deaths from stated causes at Various ages under 1 Year of Age.

TABLE 13 Vital Statistics of Separate Localities in 1921 and previous years. BOROUGH OF SOUTHWARK

TABLE 14. Cases of Infectious Diseases notified during the Year 1921.

TABLE 15. Cases of Infectious Disease Notified to the Medical Officer of Health for the Borough of Southwark, during the year 1921, occurring in the several wards:—

TABLE 16 Deaths in the Sanitary Area from the principal Zymotic Diseases in the various wards for 1921.

TABLE 17. 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 1921.

TABLE 18. Cases of Infectious Disease. Notified to the Medical Officer of Health for Southwark, during each week of the year 1921.

TABLE 19. Analysis of Cases treated in Hospitals and at Home belonging to the Borough of Southwark for Twenty one Years.

TABLE 20. London and the Metro- politan Boroughs. Births, Deaths and Notified Cases of Infectious Diseases.

TABLE 21. A summary of the cases notified and other particulars in connection therewith during the year 1921.

TABLE 22. Shewing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.

Summary of Notifications during the period from the 3rd January, 1921, to the 31st December, 1921, in the Metropolitan Borough of Southwark.

TABLE 24. ZYMOTIC MORTALITY FOR THE SANITARY AREA, 1921. Showing the localities where the deaths occurred.

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

Number of deaths from Scarlet Fever during the last ten vears :—

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

Number of deaths from Diphtheria during the last ten years:—

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

The number of deaths from Enteric Fever for the last ten years:—

Deaths from Measles during the last ten years:—

Deaths from diarrhaea during the last ten years :—

Deaths from Whooping Cough for the last ten years:—

Deaths from Influenza during the last ten years:—

TABLE 25. Cerebro Spinal Fever, Encephalitis Lethargica, Poliomyelitis and Encephalitis

TABLE 26.

TABLE 27. Return of Families Admitted into the Council's Reception House during the teak 1921.

TABLE 27— Continued.

TABLE 28. The Locality of Rooms Disinfected. After the occurrence of Infectious Disease.

TABLE 29. The Locality of the Rooms Stripped after the occurrence of Infectious Disease.

TABLE 30. Bedding, &amp;c., disinfected and destroyed after the occurrence of Infectious Disease during the Year 1921.

TABLE 31. The locality of the rooms periodically sprayed and disinfected in connection with cases of Phthisis notified to the Medical Officer.

TABLE 32. Rooms Stripped upon the termination of Phthisis cases.

TABLE 33. Showing the Number and Sex of Verminous or Scabious Children treated at the Council's Station, King James Street, during 1921, and the Schools from which they were sent. These 2,952 Children received 5,195 baths during 1921.

Continued from previous page...

TABLE 34.

TABLE 35. Verminous Rooms Cleansed.

TABLE 36. Verminous Bedding, &amp;c., Disinfected at the Council's Stations during 1921.

TABLE 37. The number of Verminous Rooms Stripped by the Council’s Staff.

MORTUARIES. TABLE 38. During the year 470 bodies were received into the Mortuaries:—

TABLE 39 RATS AND MICE (DESTRUCTION) ACT, 1919. Summary showing investigations and inspections made and details of work carried out during the year 1921.

TABLE 40. Table showing the locality (in Wards) of the Houses Let in Lodgings on the Register at the end of 1921.

ICE CREAMS. TABLE 41. Showing the Number of Inspections made of the Shops or other Premises where Ice Cream is made or stored during 1921.

TABLE 42 Showing the number of Inspections made of the Eating Houses, &amp;c., during 1921.

TABLE 43. Inspections of Food at Wharves, Markets, and other places where food is stored, and the action taken by the officials during the year 1921.

EXAMINATION OP FOOD. TABLE 44. Showing the quantity of Foodstuffs examined during the year 1921 by the several Inspectors throughout the Borough (The amount shown this table is in addition to the total shown in Table 45.)

TABLE 30. Bedding, &c., disinfected and destroyed after the occurrence of Infectious Disease during the Year 1921.

TABLE 36. Verminous Bedding, &c., Disinfected at the Council's Stations during 1921.

TABLE 42 Showing the number of Inspections made of the Eating Houses, &c., during 1921.