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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 1913

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

Published
1914
Author
Allan, Francis J.
Pages
92
Tables
76

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76 tables in this report

  • Page 2
    Details of the number of families and persons occupying one, two, three, and four-roomed tenements are given below:—
    1891.1901.1911.
  • Page 3
    Average Number of Occupants per Room.—The following table shows an improvement in the average number of persons occupying tenements in Westminster of less than four rooms:—
    1891.1901.1911.
  • Page 3
    Proportion per 100,000 of Population.
    County of London.City of Westminster.
    Males.Females.Males.Females.
  • Page 4
    Condition as to Marriage.
    Registration District.Males, all ages.Females, all ages.Between ages of 15 and 45 years.
    Unmarried.Married.Widowed.Unmarried.Married.Widowed.Unmarried.Married.Widowed.
  • Page 6
    Births.
    Births Registered.Births Notified.
    In Westminster.Belong else where.Born out of Westminster.Net.Total.Alive.Stillborn.Notified by
    Doctor.Midwife.
  • Page 6
    The following table shows the distribution of births (including infants born in institutions outside the City) according to wards:—
  • Page 6
    The birth-rate calculated on the number of married women in Westminster, distinguishing the legitimate and illegitimate, shows more exact rates:—
    Westminster.1906.1907.1908.1909.1910.1911.1912.1913.
  • Page 8
    The combined result of the two years' inspections at the North Centre has been summarised by Dr. Forsyth in the following table, and is based on the examination of 664 children under 5 years of age:—
    Age of Child0—11—22—33—44—5
  • Page 9
    Dr. Jewesbury divides those examined according to age, and gives a list of defects found, of which the following are the principal:—
    Age of Child0—11—22—33—44—55 and over.
  • Page 10
    The death-rates, according to the old districts of the City, are:—
    District.Average of Previous 10 Years.1913.
  • Page 11
    Ages at Death.—The differences in the ages of persons who died is shown below:—
    All ages.Under 1.1-2.2-5.5-15.15-25.25-45.45-6565 and upwards.
  • Page 11
    The distribution of deaths under 1 and over 65 years is shown below:—
    1913. Wards.Under 1 Year of Age.Over 65 Years of Age.
    1st Quarter.2nd Quarter.3rd Quarter4th Quarter.The Year.1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year.
  • Page 12
    Legitimate.Illegitimate.Total Rate.
    Births.Deaths.Death rate per 1,000 births.Births.Deaths.Death rate per 1,000 births.
  • Page 12
    A comparison or the births and deaths in the Council's Buildings in Regency Street during the last nine years is given below.
    Year.Population.Births.Rate.Deaths at all ages.Rate.Deaths of Infants under one per 1,000 births.
  • Page 14
    Table I.—Causes of, and Ages at, Death during the year ending 3rd January, 1914.
    Causes of Death.Corrected Deaths in the City at subjoined Ages.Deaths in Wards (at all Ages).
    All ages.Under 1.1 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.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 15
    Continued from previous page...
  • Page 16
    Table II.— Vital Statistics of Whole Districts during 1913 and previous years. City of Westminster.
    12345678910111213
    Year.Population Estimated to Middle of each Year.Number (Uncorrected).Births.Total Deaths Registered in the District.Transferable Deaths †Nett Deaths belonging to the District.
    Of Non. Resi dents Eegistered in the District.Of Residents not Registered in the District.Under 1 Year of Age.At all Ages.
    Nett.Number.1Rate.N umber.*Bate per 1,000 Nett Births.Number.*Rate.
    Number.Rate.
  • Page 17
    Table II—continued.
    I. Institutions within the District receiving Sick and Infirm Persons from outside the District. (Total Number of Deaths in brackets.)II. Institutions outside the District receiving Sick and Infirm Persons from the District.II—continued. Institutions outside the District receiving Sick and Infirm Persons from the District.
  • Page 18
    Table II—continued.
    III. Other Institutions, the Deaths in which have been distributed among the several wards in the City.III—continued. Other Institutions, the Deaths in which have been distributed among the several wards in the City.III—continued. Other Institutions, the Deaths in which have been distributed among the several wards in the City.
  • Page 19
    Table 111.—Deaths of Citizens during the Year ending 3rd January, 1914, showing Locality at Time of Death.
    Wards.Locality at Time of Death.Total Deaths (Nett).
    At Home.Workhouses and Infirmaries.General and Special Hospitals.Fever Hospitals.Lunatic Asylums.Elsewhere.
    Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.Males.Females.Total.
  • Page 20
    Table IV (L.G.B. Table).- - Vital Statistics of Separate Localities, 1903-1913.
    Names of Localities1. The City of Westminster.2. St. George's, comprising Conduit, Grosvenor, Victoria, and Knightsbridge St. George Wards.3.Westminster, comprising St. Margaret, St. John, and the Hamlet of Knightsbridge Wards.4. St. James, comprising Regent, Marlborough, Pall Mall and St. Anne's Wards.5. Strand, comprising Covent Garden, Strand, and Charing Cross Wards.
    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 (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 (uncorrected).Deaths at all ages (corrected).Deaths under 1 year.
  • Page 21
    Table IV, continued.— Vital Statistics of Separate Localities, 1903-1913.—Rates.
    Localities1. City of Westminster.2. St. George's.3. Westminster.4. St. James.5. Strand.
    Year.Births Registered (uncorrected). Rate per 1,000.Deaths at all Ages (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).Births Registered (uncorrected). Rate per 1,000.Deaths at all Ages (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).Births Registered (uncorrected). Rate per 1,000.Deaths at all Ages (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).Births Registered (uncorrected). Rate per 1,000.Deaths at all Aces (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).Births Registered (uncorrected). Rate per 1,000.Deaths at all Ages (corrected). Rate per 1,000.Deaths under 1 Year. Rate per 1,000 Births (uncorrected).
  • Page 22
    Table V.—Infantile Mortality during the year 1913. City of Westminster. Deaths from Stated Causes in Weeks and Months under One Year of Age.
    CAUSE OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 1 Month.1—2 Months.2—3 Months.3—4 Months.4—5 Months.5—6 Months.6—7 Months.7—8 Months.8—9 Months.9—10 Months.10—11 Months.11—12 Months.Total Deaths under One Year.
  • Page 23
    Table V—continued.
    CAUSE OF DEATH.Under 1 Week.1-2 Weeks.2—3 Weeks.3—4 Weeks.Total under 1 Month.1—2 Months.2—3 Months.3—4 Months.4—5 Months.5—8 Months. 6—7 Months.7—8 Months.8—9 Months.9—10 Months.10—11 Months.11 — 12 Months.Total Deaths under One Year.
  • Page 24
    Table V, continued.—Infantile Mortality during the year 1913. St. John and St. Margaret Wards. Deaths from Stated causes in Weeks and Months under One Year of Age.
    CAUSE OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 1 Month.1—2 Months.2—3 Months.3—4 Months.4—5 Months.5—6 Months.6—7 Months.7—8 Months.8—9 Months.9—10 Months.10—11 Months.11—12 Months.Total Deaths under One Year.
  • Page 25
    Table V, continued.—Infantile Mortality during the year 1913. Victoria Ward. Deaths from Stated Causes in Weeks and Months under One Year of Age.
    CAUSE OF DEATH.Under I Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 1 Month.1—2 Months.2—3 Months.3—4 Months.4—5 Months.5—6 Months.6—7 Months.7—8 Months.8—9 Months.9—10 Months.10—11 Months.11—12 Months.Total Deaths under One Year.
  • Page 26
    Table VI.— Vital Statistics relating to Residents in Blocks of Dwellings in the City of Westminster, 1913.
    Buildings.Population.Births.Total Deaths.Infectious Deaths.Tubercular Deaths.Respiratory.Digestive.Circulatory Diseases.Nervous Diseases.Kidney Diseases.Violence.Cancer.Developmental Diseases.Other Deaths.Deaths Under 1.Deaths Over 65.
  • Page 28
    Vaccination Statistics.
    1912. Union.Births.Died Unvaccinated.Successfully Vaccinated.Insusceptible.Vaccination Postponed.Conscientious Objectors.Removed and Vaccination Officer Informed.Not Found. Removed to Address Unknown.
  • Page 28
    Vaccination Returns.
    Primary Vaccinations under 14 years of age, in the Union District ofRe-vaccinations performed by Public Vaccinators in the Union District of
    St. George's.Westminster.Strand.St. George's.Westminster.Strand.
  • Page 30
    City of Westminster. Table YII.—Local Government Board Table C.— Cases of Infectious Disease Notified during the 53 weeks from 29th December, 1912, to 3rd January, 1914.
    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.Kamlet of Knightsbridge.Pall Mall.Regent.Great Marlborough.Charing Cross.Co vent Garden.Strand.St. Anne.Conduit.Grosvenor.Knightsbridge St. George.Victoria.St. Margaret.St. John.Hamlet of Knightsbridge.Pall Mall.Regent.Great Marlborough.Charing Cross.Co vent Garden.Strand.St. Anne.
    0 to 1.1 to 5.5 to 15.15 to 25.25 to 45.45 to 65.65 and upwards.
  • Page 32
    The following table shows the number of new cases in each of the last 5 years :—
    Pulmonary.Other Forms.
    General.Casuals.Total.
  • Page 32
    The notifications of new cases calculated as rates per 1,000 of population were as follows:—
    Pulmonary.Other Forms.
    1912.1913.1913.
  • Page 33
    Public Health (Tuberculosis) Regulations, 1912.
    1913.Number of notifications on Form A.
    Primary notifications.Total notifications, including cases previously notified.
    Age periods.Otol.1 to 5.5 to 10.10 to 15.15 to 20.20 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 and up.Total new case;
  • Page 34
    Tuberculosis. Table showing distribution in Wards, and numbers of persons who have been treated in Institutions.
  • Page 35
    Deaths from Tuberculosis in the Only of Westminster.
    Year.Pulmonary.Abdominal.Meningeal.Other.Total.
    Deaths, iBates.Deaths.Kates.Deaths.Bates.Deaths.Bates.Deaths.Bates.
  • Page 36
    Analysis of cases visited in 1913:—
    Pulmonary.Other Forms.
    North.South.Total.North.South.Total.
  • Page 38
    Pulmonary. Occupations of Persons Notified in 1911-13.
    Outdoor.Indoor.
    Present.Past.Present.Past.
  • Page 39
    Ocmpations of Persons Notified in 1911-13—contimied.
    Outdoor.Indoor.
    Present.Past.Present.Past.
  • Page 40
    Occupations of Persons Notified in 1911-13—continued.
    Outdoor.Indoor.
    Present.Past.Present.Past.
  • Page 41
    Some further information is given below in tabular form:—
    Males.Females.
  • Page 41
    Family history of phthisis in parents, grandparents, uncles, aunts:—
    Pulmonary Tuberculosis.Males.Females.Males.Females.
  • Page 41
    Duration of illness before notification of pulmonary cases :—
    Pulmonary Tubercules.Under 1 year.1 to 2 years.2 to 8 years.3 to 4 years.4 to 5 years.5 to 6 years.6 to 8 years.8 to 10 years.10 to 15 years.15 to 20 years.
  • Page 41
    Duration of illness before notification of "other forms":—
    Pulmonary Tuberculosis.Under 1 year.1 to 2 years.2 to 3 years.3 to 4 years.4 to 5 years.5 to 6 years.6 to 8 years.8 to 10 years.10 to 15 years.15 to 20 years.
  • Page 42
    Nationality.—The majority of the patients were English, but there were also the following:—
    Males.Females.Males.Females.
  • Page 42
    Other Forms of Tuberculosis.—Many of the patients had been ill for some years, and 43, were suffering previous to taking up residence in Westminster. The parts of the body effected were:—
  • Page 43
    Table IX.—Adults.
    Men.Women.Total.
  • Page 46
    Table X.—Institutional Treatment. (a) Insured Persons.
    Public Authorities.Voluntary agencies.
  • Page 46
    Table X (contd.)—(c) Length of Treatment (Insured and Uninsured).*
    Less than 1 month.1 month.2 months.3 months.3—6 months.6—12 months.More than 12 months.Total.
  • Page 47
    Table X (contd.)—(d) Condition at End of Year, After Institutional Treatment.
    Able to work.I11 at home.Doubtful.Moved.Died.Still away.Total.
  • Page 49
    Table XI.—Domiciliary Treatment (Adults).*
    Insured.Uninsured.Total.
  • Page 51
    Diarrhoea.—In Westminster, the total deaths were49, 40 being under2 years of age(30 at this age in1912). Comparison with former years is made below:—
    Westminster.1904.1905.1906.1907.1908.
  • Page 53
    A copy of each notification of fever, diphtheria, &c., received from medical men is sent to the head teacher of the school attended by the patient (if a child), or by any child who is an inmate of the same house as the patient. In this way 487 notifications were sent out during 1913 to school teachers as follows
    School.Small Pox.Scarlet Fever.Diphtheria.Enteric Fever.
  • Page 54
    Continued from previous page...
    School.Small Pox.Scarlet Fever.Diphtheria.Enteric Fever.
  • Page 54
    The number of examinations in previous years were : 1902, 251 ; 1903, 181; 1904, 75; 1905, 132; 1906, 180; 1907, 155; 1908, 175; 1909, 245; 1910, 270; 1911, 240; 1912, 306.
    Disease.Persons.Examinations.Results.
    Positive.Negative.Doubtful.
  • Page 55
    The following table gives a comparative statement of the above work during the past seven years:—
    1907.1908.1909.1910.1911.1912.1913.
  • Page 56
    The number of dead bodies taken to the mortuaries for purposes of inquest and to await burial during the last twelve years are:—
    Total.For Inquest.To await Burial.Total.For Inquest.To await Burial.
  • Page 57
    PART II. C. House Inspection, &c. Below is a list of details of the work done in connection with nsanitary conditions. In many cases some of the work specified was in premises, parts of which were occupied as workshops:—
    1913.1913.
  • Page 58
    Continued from previous page...
    1913.1913.
  • Page 58
    Police court proceedings for failure to comply with statutory notices were taken with the following results:—
    Premises.Offence.Result.
  • Page 65
    The following shows the state of the register of work premises at the end of1913 :—
    Work Premises.Total Number.Number in which Women are Employed.
  • Page 66
    Inspection.
    Premises.Number of
    Inspections.Reinspections.Defects Found.Intimation Notices.Statutory Notices.Prosecutions
  • Page 66
    Defects found.—1913.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.
  • Page 67
    Other Matters.
    Class.Number.
  • Page 69
    City of Westminster. Outworkers. 1913.
    february lists.august lists.
    Trade.Number of Lists.Number of Outworkers.Received from other Authorities.Sent to other Authorities.Addresses in City.Number of Lists.Number of Outworkers.Received from other Authorities.Sent to other Authorities.Addresses in City.
  • Page 70
    Notices were served in respect of 814 defects discovered in 328 houses. They may be summarised thus :—
    1913.1912.1913.1912.
  • Page 71
    Defects have been found in places where food is sold or prepared for sale as follows:—
    1913Restaurants Hotels, Eating Houses and Confectioners.Ice Cream Shops.Dairies.Bakehouses.Fish Shops.Butchers, Poultry and Provisions.Fruit and Vegetables.
  • Page 73
    Infectious Disease in Places where Food is Prepared or Sold, not including Milkshops.
    Scarlet Fever.Diphtheria.Typhoid Fever*
  • Page 75
    The following articles were seized and condemned; appended is a note of the action taken:—
    Name and Address of Defendant.Article.Result.
  • Page 75
    Sale of Food and Drugs Acts. Samples Purchased under the Sale of Food and Drugs A cts, showing result of Analysis and subsequent Proceedings for year 1913.
    Number.Article of Food.Number of Samples Purchased.Genuine. (Inferior in brackets.)Adulterated.Prosecutions.Convictions.Withdrawn or Dismissed.Fines.Costs.
  • Page 76
    Number.Article of Food.Number of Samples Purchased.Genuine. (Inferior in brackets.)Adulterated.Prosecutions.Convictions.Withdrawn or Dismissed.Fines.Costs.
  • Page 78
    1. Milk and Cream not sold as Preserved Cream..
  • Page 83
    Legal Proceedings Under the Food and Drugs Acts during 1913.
    No. of Sample.Date of Hearing.Offence.Result.
  • Page 84
    No. of Sample. Date of Hearing. Offence. Result.
  • Page 85
    No. of Sample.Date of Hearing.Offence.Result.
  • Page 85
    BUTTER AND MARGARINE.
  • Page 86
    No. of Sample.Date ofOffence.Result.