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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

City of Westminster 1904

[Report of the Medical Officer of Health for Westminster, City of]

Published
1905
Author
Allan, Francis J.
Pages
94
Tables
75

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75 tables in this report

  • Page 2
    From this table a ratio can be
    Standard.1901.1902.1903.1904.
  • Page 2
    calculated which shows that for each 1,000 deaths which occurred in the whole of England and Wales for London and Westminster there were as follows :—
    1901.19021903.1904.
  • Page 7
    the result that the following figures are arrived at:—
  • Page 8
    The City Comptroller has been good enough to supply me with a copy of the figures sent to the Local Government Board in 1902, 1903, and 1904, and I append them so that comparisons may be made:—
    123456
    Number of Houses as defined in Local Government Board Schedule.Number of Houses comprising two or more Rateable Properties.Number of Separate Occupations included in Col. 2.Actual Number of Rated Occupiers.Estimated Population by Registrar-General.Estimated Population by Medical Officer of Health.
  • Page 9
    Table I.— Showing the number of Births in the City of Westminster and its Wards (corrected by distributing Institution Births).
    Wards.Births (corrected).
    1901.1902.1903.1904.
  • Page 10
    A comparison of the corrected and uncorrected birth-rates, and of the death-rates of infants under one year of age, is made in the following table:—
    Births.Birth-rate.Deaths, under 1, per 1,000 births.
    Uncorrected.Corrected.Uncorrected.Corrected.Uncorrected.Corrected.
  • Page 10
    Calculating legitimate births per 1,000 married women between the ages of 15 and 45, and the illegitimate per 1,000 unmarried and widows at the same ages, we get the following figures:—
    1902.1903.1904.
  • Page 11
    The following comparative statement shows at a glance the death-rates per 1,000 persons estimated to be living at certain age-periods during each of the last three years:—
    Age-Period.1901.1902.1903.1904.
    No.Rate.No.Rate.No.Rate.No.Rate.
  • Page 12
    Applying such factors (1.05107 for London, 1 13926 for Westminster) to the 1904 rates, the figures are:—
    Standard death-rate.Recorded death-rate.Corrected death-rate.Comparative mortality figure.
  • Page 13
    Table II.— Infant Mortality Statistics for 1904.
    Original Number ill Family.Number of Families.Total Births in Families.Total Deaths.
  • Page 14
    Continous from previous page...
    Original Number in Family.Number of Children Dead.
    1.2.3.4.5.6.7.8.9.10.11.12.13.14.
  • Page 15
    makes up only a small part of the loss due to the diminishing birthrate:—
    Legitimate.Illegitimate.
    Births.Deaths.Percentage.Births.Deaths.Percentage.
  • Page 16
    Table III (Required by Local Government Board).— Vital Statistics of Separate Localities in 1004 and 13 Previous Years.
    Names of Localities1. The City of Westminster.2. St. George's, comprising Conduit, Grosvenor, Victoria, and Knightshridge St. George Wards.3. Westminster, comprising St. Margaret, St. John, and the. Hamlet of Knights-bridge Wards.4 St. James, comprising Regent, Marlborough, and Pall Mall Wards.5. St. Anne Ward.6. Strand, comprising Covent Garden, Strand, and Charing Cross Wards.
    Year.Population estimated to middle of each year.Births registered (uncorrected).Deaths at all ages (cor-r cted).Deaths under 1 year.Population estimated to middle of each year.Births registered (uncorrected).Deaths at all ages (corrected).Deaths under 1 year.Population estimated to middle of each year.Births registered (uncorrected).Deaths at all ages (corrected).Deaths under 1 year.Population estimated to middle of each year.Births registered (un- | corrected).Deaths at all ages (corrected).Deaths under I year.Population estimated ! to middle of each year.Births registered (uncorrected).Deaths at all ages (corrected).Deaths under 1 year.Population estimated to middle of each year.Births registered (uncorrected).Deaths at all ages (corrected).Deaths under 1 year.
  • Page 17
    Table IV.— Vital Statistics of Separate Localities. Birth- and Death-rates per 1,000 Inhabitants, and Death-rates of Infants under 1 Year per 1,000 births, calculated from the figures in Table III., 'compared with the Average Rates in the 10 Years 1894—1906.
    Birth-rate (Uncorrected).Death-rate (Corrected).Deaths under 1 per 1,000 Births Registered in the City.
    Average, 10 Years.1904.Average, 10 Years.1904.Average, 10 Years.1904.
  • Page 18
    Table Y.— Deaths of Citizens during the Year ending 31s t December, 1904, showing Locality at Time of Death.
    Wards.Locality at Time of Death.Total Deaths.
    At Home.Workhouses and Infirmaries.General and Special Hospitals.Fever Hospitals.Lunatic Asylums.Elsewhere.
    Males,' Females.Total.Males.Females.Total.Maids.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.
  • Page 19
    Table VI. (L.G.B.).— Statistics of Births and Deaths during the 52 Weeks ending 31 st December , 1904.
    123456789101112
    Wards.Population Estimated to Middle of the Year 1904.Births (Corrected).Deaths Under One Year of Age.Total Deaths in the City.Deaths of Citizens in Public Institutions.Deaths of Non-Residents Registered in District.Deaths of Citizens Registered beyond District.Deaths at all Ages. Nett.
    Number.Rate.1Number.Rate per 1,000 Births (Corrected).Number.Rate.*
  • Page 20
    Table VII. (Required by the Local Government Board.) Vital Statistics of Whole Districts during 1904 and Three Previous Years. City of Westminster.
    12345678910111213
    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 (Uncorrected).Rate.1Under 1 Year of Age.At all Ages.
    Number.Kate per 1,000 Births Registered.Number.Rate.*Number.Rate.*
  • Page 21
    Table VII.— continued.
    I.II—continued.II—continued.
  • Page 22
    Table VI II.— Causes of, and Ages at, Death during the 52 weeks ending 31 st December, 1904.
    Causes of Death.Corrected Deaths in the City at subjoined Ages.Deaths in Wards (at all Ages).
    All ages.Under 1.1 and under 5.5 and under 15.15 and under 25.25 and under 65.65 and upwards.Conduit.Grosvenor.Hamlet of Knightsbridge.Knightsbridge St. George.Victoria... St. Margaret.St. John.St. Anne.Great Marlborough.Pall Mall.Regent.Charing Cross.Covent Garden.Strand.
  • Page 23
    Continued from previous page...
  • Page 24
    Table IX —Death- r at es pe r 1,000 Inhabitants in the City and Wards from Vari ous Causes, 1904.
    Causes of Death.Deaths in Wards at all Ages.
    Total.Conduit.Grosvenor.Hamlet of Knights-bridge.Knightsbridge St. George.Victoria.St. Margaret.St. John.St. Anne.Great Marlborough.Pail Mall.Regent.Charing Cross.Covent Garden.Strand.
  • Page 25
    Continued from previous page...
  • Page 26
    Table X.— Quarterly and Annual Death-rates per 1,000 Inhabitants in the City of Westminster (in Various Wards), in the United Kin g dom, England and Wales, and the County of London, for the 52 Weeks ending December 31st, 1904.
    Period.United Kingdom.England and Wales.County of London.The City.Conduit Ward.Grosvenor Ward.Hamlet of Knightsbridge Ward.Knightsbridge St. George Ward.Victoria Ward.St. Margaret Ward.St. John Ward.St. Anne Ward.Great Marlborough Ward.Pall Mail Ward.Regent Ward.Charing Cross Ward.Covent garden Ward.Strand Ward.
  • Page 27
    Small-pox .—Cases of this disease were notified in London and in Westminster as follows during 1904:—
    London.Westminster.London.Westminster.
  • Page 28
    Table XII.— Infectious Diseases Notified, 1890-1904, in London.
    Year.Smallpox.Scarlet Fever.Diphtheria and Croup.Enteric Fever.Typhus Fever.Other Continued Fevers.Puerperal Fever.Erysipelas.Cholera.Relapsing Fever.Totals.
  • Page 28
    In the City of Westminster.
  • Page 28
    Case-rates per 10,000 Living in London.
    Year.Smallpox.Scarlet Fever.Diphtheria.Enteric.Typhus.Other Continued Fevers.Puerperal.Erysipelas.
  • Page 28
    In the City of Westminster.
  • Page 30
    C ity o f W estminster. Table XIII.—Local Government Board Table C.— Cases of Infectious Disease Notified during the 52 weeks ending 31st December, 1904.
    Notifiable Diseases.Cases Notified in the City of Westminster.Total Cases Notified in each Ward.Number of CasEs Removed to Hospital from each Ward.
    At all Ages.At Ages—Years.Conduit.Grosvenor.Knightsbridge St. George.Victoria.St. Margaret.St. John.K amlet of Knightsbridge.Pall Mall.Regent.Great Marlborough.Charing Cross.Covent Garden.Strand.St. Anne.Conduit.Grosvenor.Knightsbridge St. George.Victoria.St. Margaret.St. John.Hamlet of Knightsbridge.Pall Mall.Regent.Great Marlborough.Charing Cross.Covent Garden. !Strand.St. Anne.Total.
    0 to 1.1 to 5.5 to 15.15 to 25.25 to 65.65 and upwards.
  • Page 32
    Table Xl V .— Vaccination Statistics.
    1903. Union.Births.Died Unvaccin-ated.Successfully Vaccinated.Insusceptible.Vaccination Postponed.Conscientious Objectors.Removed and Vaccination Officer Informed.Not Found. Removed to Address Unknown.
  • Page 32
    Table XV.
    Union.Primary Vaccinations under 14 years of Age.Revaccination.
    1901.1902.1903.1904.1901.1902.1903.1904.
  • Page 33
    The following Table shows how the notified cases were distributed, with the attack rate and mortality:—
    Scarlet Fever. 1904.Conduit.Grosvenor.Hamlet of Knightsbridge.Knightsbridge St. George.Victoria.Sr. Margaret.St. John.
  • Page 34
    only give the details for the Union districts. Taking these for comparison, we get:—
    Case-Rate per 1,000 Persons under 15 years.Deaths per 100 Cases.
    1901.1902.1903.1904.1901.1902.1903.1904.
  • Page 34
    Notification of Diphtheria Cases Received in each Month of the Years 1901, 1902, 1903 and 1904.
    January.February.March.April.May.June.July.August.September.October.November.Deeember.Total.
  • Page 38
    The City of Westminster.
    Year.Pulmonary.Abdominal.Meningeal.Other.Total.
    Deaths.Rates.Deaths.Rates.Deaths.Rates.Deaths.Rates.Deaths.Rates.
  • Page 38
    This may be effected by multiplying the rates by a factor (0.89205). The figures are then:—
    Year.Pulmonary Tuberculosis.Total Tubercular Rates.
    County.City.County.City.
  • Page 40
    Deaths from Tubercular Diseases, Years 1901-04.
    Causes of Death.Ages.All Ages.
    0—1—5—10—15-20-25—35—45—55—65—75-85—
  • Page 41
    Deaths from Tubercular Diseases —continued.
    Causes of Death.Ages.All Ages.
    0—1—5—10—15—20—25 —35—45—55—65 —75—85—
  • Page 42
    Occupations of Adult Males and of Husbands or Parents of Persons who died from Tubercular Disease in 1901, 1902 1903, and 1904.
    Occupation.Adult Males.Wives and Children of.Occupation.Adult Males.Wives and Children of.
  • Page 43
    Occupations of Adult Females where separately stated.
  • Page 43
    He became acquainted with those conditions which were favourable to health, and those which were antagonistic to it, and carried back the knowledge to his home."
    Nature of Precautions.In Sanatorium only.In- or Out-Patients of other Consumption Hospitals.
    Number of Cases.Percentage.Number of Cases.Percentage.
  • Page 44
    During the year only 181 cases came to my knowledge, 150 having been notified by school teachers, 31 by medical men and others. The deaths calculated on the total population were:—
    1901.1902.1903.1904.
  • Page 44
    As all the deaths in Westminster, and the bulk of those in London, occur in children under five years of age, it affords a better comparison to calculate the deaths on the number of children estimated to be living under five years of age:—
    1901.1902.1903.1904.
  • Page 44
    The deaths were distributed as follows:—
    Measles, 1904.Victoria Ward.Knightsbridge Ward.St. John Ward.Regent Ward.St. Anne's Ward.Strand Ward.Covent Garden Ward.
  • Page 45
    The deaths calculated on the total population are :—
    1901.1902.1903.1904.
  • Page 45
    Calculated on the number of children under five years of age, the rates per 1,000 were:—
    1901.1902.1903.1904.
  • Page 45
    As the bulk of the deaths are those of infants, it affords a better comparison to compare the number of deaths of infants with the number of births, and the figures will be found in the last three lines of the table:—
    1901.1902.1903.1904.
  • Page 47
    The follwing list show far how far notification was carried out and the cases notified:-
    l.Actual Cases.Infection in House.Other Causes.
    Chicken-pox.Measels.Mumps.Whooping-cough.Chicken-pox.Mease's.Mumps.Whooping-cough.
  • Page 47
    Copies of 373 certificates relating to teachers or children attending at the following schools notified to be suffering from illness during 1904, were sent to school teachers during 1904:—
    Small Pox.Scarlet Fever.Diphtheria.Enteric Fever.
  • Page 48
    Continued from previous page...
    Small Fox.Scarlet Fever.Diphtheria,Enteric Fever.
  • Page 50
    C. House Inspection, &c. Below is a list of details of the work done in connection with insanitary conditions in dwelling houses. In many cases some of the work specified was in premises part of which was occupied as workshops:—
    1904.1904.
  • Page 53
    Proportional Amount of Organic Impurities in Waters.
    Kent.New River.Lambeth.South wark.Grand Junction.West Middlesex.East London.Chelsea.
  • Page 55
    Table XYI.— Vital Statistics relating to Blocks of Dwellings in the City of Westminster, 1904.
    Buildings.Population.Births.Total Deaths.Infectious Deaths.Tubercular, Deaths.Respiratory.Digestive.Circulatory Diseases.Nervous Diseases.Kidney Diseases.Violence.Cancer.Other Deaths.Deaths Under 1.Deaths Ovor 65.
  • Page 56
    Common Lodging-houses.
  • Page 58
    The following shows the state of the registers at the end of 1904:—
    Number.Number of Inspections.
  • Page 59
    Defects found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Notified by Home Office.Remedied.
  • Page 60
    Other Matters.
    Class.Number.
  • Page 62
    C.—List of Outworkers (Sec. 107).
    Class of Homework.1904. Number of Lists Received.Number of Addresses of Outworkers.
    Due 1st February.Due 1st August,Forwarded to Other Authorities.Received from Other Authorities.
  • Page 68
    The City is divided into two parts for purposes of smoke inspection, and the following is a summary of the work done in connection therewith:—
    North District.South District.Total.
  • Page 68
    Legal Proceedings.
    Date.Court and Name of Magistrate.Name and Address of Defendant.Offence.Result.
  • Page 69
    T able XVII.—Grouped Occupations of Mates aged, 10 Years and Upwards, with Causes of Death, in 1901.
    Total Occupied and Unoccupied Retired or Unoccupied Engaged in occupationsPopulation.Total Deaths, 1904.CAUSES OF DEATH.
    Infectious Diseases.Septic.Phthisis.Other Tubercular.Bronchitis.Pneumonia.Other Respiratory.Alcoholism.Cirrhosis of Liver.Other Digestive.Rheumatic Fever.Valvular Disease.Other Circulatory.Insanity.Other Nervous.Cancer.Diabetes.Bright's Disease.Suicide.Accident.Other Causes.Old Age.
    72,811 9,613 03,198
  • Page 70
    Table XVII Contd.—Grouped Occupations of Females aged 10 Years and Upwards, with Causes of Death in 1904.
    Total Occupied and Un occupied Retired or Unoccupied... Engaged in Occupations, UnmarriedPopulation.CAUSES OF DEATH.
    Unmarried.Married or Widows.Total at Census.Total Deaths, 1904.Infectious Diseases.Septic.Phthisis.Other Tubercular.Bronchitis.Pneumonia.Other Respiratory Diseases.Alcoholism.Cirrhosis of Liver.Other Digestive Diseases.Rheumatic Fever.Valvular Diseases.Other Circulatory Disea«es.Insanity.Other Nervous Diseases.Cancer.Diabetes.Bright's Disease.Suicide.Accident.Other Causes.Old Age.
    49,11036,748
    12,53726,933
    36,5739,811
  • Page 71
    Fruit and Vegetables.
    Tons.Cwts.Lbs.Tons.Cwts.Lbs.
  • Page 71
    Total : 58 tons, 3 cwts., 86 lbs.
  • Page 71
    Articles of Food Seized and Destroyed.
  • Page 72
    Sale of Food and Drugs Acts. Samples Purchased under the Sale of Food and Drugs Acts, together with the number found, Adulterated. Also list of Prosecutions, with the result of same;—
    Number.Articles of Food.Number of Samples Purchased.Genuine. (Inferior in brackets.)Adulterated.Prosecutions.Convictions.Warranty or Disclosure.Fines.Costs.
    £s.d.£S.d.
  • Page 74
    In the four quarters the results were:—
    Total Samples.Inferior.Adulterated.
  • Page 74
    From the record (given below) of the number of samples of
    No. of Sample.Result of Analysis.
  • Page 79
    Prosecutions under the Sale of Food and Drugs Acts.
    Ward.Date of Hearing.Court and Magistrate.Name and Address of Defendant.Offence.Result.
    123456
  • Page 80
    Continued from previous page...
    Ward.Date of Hearing.Court and Magistrate.Name and Address of Defendant.Offence.Result.
    123456
  • Page 81
    Continued from previous page...
  • Page 82
    Continued from previous page...
    Ward.Date of Hearing.Court and Magistrate.Name and Address of Defendant.Offence.Result.
    123456
  • Page 83
    Continued from previous page...
  • Page 84
    Continued from previous page...
    Ward.Date of Hearing.Court and Magistrate.Name and Address of Defendant.Offence.Result.
  • Page 85
    Continued from previous page...