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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 1921

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

Published
1922
Author
Allan, Francis, J.
Pages
76
Tables
76

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76 tables in this report

  • Page 2
    Population as Ascertained in 1901, 1911 and 1921. City of Westminster.
    Year.Males.Females.Total.Decrease.Total.
    Males.Females.
  • Page 2
    St. George's Division.
    Year.Males.Females.Total.Decease.Total.
    Males.Females.
  • Page 2
    Abbey Division.
    Year.Males.Females.Total.Decrease.Total.
    Males.Females.
  • Page 4
    Proportion of males and females. City of Westminster.
    Year.Males.Females.Males.Females.
  • Page 4
    St. George's Division.
    Year.Males.Females.Males.Females.
  • Page 4
    Abbey Division.
    Year.Males.Females.Males.Females.
  • Page 5
    Continued from previous page...
    1920.Males. No. Rate per 1,000.Females. No. Rate per 1,000.Total. No. Rate per 1,000.
  • Page 6
    Continued from previous page...
    Births Registered.Births Notified.
    In Westminster.Belong elsewhere.Born out of Westminster.Nett.Total.Alive.Stillborn.
  • Page 6
    Divided into legitimate and illegitimate, the figures for 1921 are:— Legitimate—
  • Page 6
    The number of still-births notified was 17, but information was received of 26 other confinements in which dead children were born: 16 of these occurred in hospitals or infirmary; 1 was illegitimate; 3 sets of twins.
    Number Born.Number of Deaths under 1 year.Number remaining at end of year.
    Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 7
    For each 1,000 girls born, there were in—
  • Page 7
    There were 368 attendances altogether (293 in 1920) of expectant mothers at the two centres.
    Centre.Sessions.First Attendance.Subsequent Attendances.Total.No. of Individuals.
  • Page 8
    Attendance during Confinement.—The Council's midwife attended necessitous women and emergency cases in the Pimlico area.
  • Page 10
    Particulars relating to these classes are given below:— Mothercraft Classes.
    Pimlico Road.Bcssboro' Street.Rochester Row.Greek Street.Total.
  • Page 11
    Total Infectious disease Deaths of children Still-births See also visits paid by midwives, ante. Visits were paid in connection with—
  • Page 11
    Pimlico.Bessborough Street.Rochester Row.Greek Street.Total.Total.
    Staff.Vol.Staff.Vol.Staff.Vol.Staff.Vol.Staff.Vol.
  • Page 12
    Infant consultations are held at each of the Centres. At the Bessborough Street Centre the increase of work necessitated an additional session being held each week. The following are details of the attendances:— Attendances at Infant Consultations, 1921.
  • Page 12
    The average attendances were—
  • Page 12
    The number of individual children medically inspected were—
  • Page 13
    The number of deaths and the death-rates per 1,000 for a series of years are shown below:—
    Year.Number of Deaths.Death-rate.London Rate.
  • Page 14
    Under 1.1 to 2.2 to 5.5 to 15.15 to 25.25 to 45.45 to 65.65 and up.Total.
  • Page 14
    The deaths were distributed in the wards in the years 1919, 1920 and 1921 as follows:—
    1919. Total.1920.1921.
    M.F.Total.M.F.Total.
  • Page 15
    Continued from previous page...
    Year.Legitimate.Illegitimate.Total Rate, West-minster.Total Rate, London.
    Births.Deaths.Death-rate per 1,000 Births.Births.Deaths.Death-rate per 1,000 Births.
  • Page 15
    In the three divisions into which the City is divided under the Maternity and Child Welfare Scheme, the figures (omitting the homeless) were:—
    Centre.Legitimate.Illegitimate.TotaL
    1919.1920.1921.1919.1920.1921.1919.1920.1921.
  • Page 16
    The causes of death of children under 1 year of age are set forth in Tables appended, and a summary showing the proportion of deaths per 1,000 births from various grouped causes in the last seven years is set out below:—
    1915.1916.1917.1918.1919.1920.1921.
  • Page 17
    Table I.—Causes of, and Ages at, Death during the year 1921.
    Causes or Death.Corrected Deaths in the City at subjoined Ages.Deaths in Wards (at all Aqes).
    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.Homeless.
  • Page 18
    FEMALES.—Table I. (continued).
    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.Homeless.
  • Page 19
    I MALES. Table I.—Causes of, and Ages at, Death during the year 1921.
    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 55.25 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.Homeless.
  • Page 20
    MALES.—Table 1. (continued).
    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.Homeless.
  • Page 21
    Table V.—Infant Mortality, 1921. Nett deaths from stated causes at various ages wider One Year of Age in the City of Westminster.
    CAUSES OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 months.Total Deaths under 1 Year.
  • Page 21
    Nett Births in the year—
    Males.Females.Total.
  • Page 21
    Nett Deaths in the vear of—
    Males.Females.Total.
  • Page 22
    Table V, continued.—Infant Mortality, 1921. Nett deaths from stated causes at various ages under One Year of Age in Pimlico Area ( Victoria, Knightsbridge St. George and Hamlet Wards).
    CAUSES OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 Months.Total Deaths under One Year.
  • Page 22
    Nett Births in the year—
  • Page 22
    Nett Deaths in the year of—
    Males.Females.Total.
  • Page 22
    Table V, continued.—Deaths of infants with no known address, or found in streets, parks, &c.:—
    CAUSES OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 Months.Total Deaths under 1 Year.
  • Page 23
    Table V, continued.—Infant Mortality, 1921. Nett Deaths from stated causes at various ages under One Year of Age in St. John and St. Margaret Wards.
    CAUSES OF DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 Months.Total Deaths under 1 Year.
  • Page 23
    Nett Births in the year—
  • Page 23
    Nett Deaths in the year of—
    Males.Females.Total.
  • Page 24
    Table V, continued.—Infant Mortality, 1921. Nett Deaths from stated causes at various ages under One Year of Age in the North District.
    CAUSE of DEATH.Under 1 Week.1—2 Weeks.2—3 Weeks.3—4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Mont hs and under 9 Mont hs.9 Months and under 12 Months.Total Deaths under 1 Year.
  • Page 24
    Nett Births in the year—
  • Page 24
    Nett Deaths in the year—
    Males.Females.Total.
  • Page 26
    The following summary shows the number of cases which came to the notice of the Department in the last three years.
    1919.1920.1921.1919.19201921.
  • Page 26
    The Public Vaccinators and Vaccination Officers have forwarded the following particulars for the year of vaccinations performed:—
  • Page 28
    City of Westminster.— Cases of Infectious Disease Notified during the year ended 31st December, 1921.
    Notifiable Diseases.Cases Notified in the City or Westminster.Total Cases Notified in each Ward.Cases removed to Hospital.
    At all Ages.At Ages—Years.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.Homeless.
    0 to 1.1 to 5.5 to 15.15 to 25.25 to 45.45 to 65.65 and upwards.
  • Page 31
    Visits were paid by Health Visitors and Nurses as follows:—
    Health Visitors.Nurses.
  • Page 33
    Tuberculosis.—Notifications received during 1921.
    1921.Number of notifications on Form A.
    Primary notifications.Total notifications, on Form A, Including cues previously notified.
    Ago periods.0 to 1.1 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 cases.
  • Page 33
    Continued from previous page...
    Number of notifications on Form B. (School medical Inspection.)Number on Form C. Admissions to.Number on Form D. Discharges from.
    Primary notifications.Total notifications, including cases previously notified.
    Under 6.6 to 10.10 to 16.Total.Poor Law institutions.Sanatoria.Poor Law institutions.Sanatoria.
  • Page 34
    Tuberculosis.—Table shouting distribution in Wards of notified and unnotified rases, 1921.
    1921.All Ages.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.Homeless.
  • Page 34
    Continued from previous page...
    Insured Persons.Military Cases.Ex-Soldiers and Sailors.Police.Hospital Nurses.Asylum Cases.Ill previous to Residence in City.
  • Page 36
    Comparison with the pre-war year 1913 shows that there has been a reduction in the incidence of the disease in both males and females in Westminster in the general population:—
    Males.Females.
  • Page 37
    The total number of cases of Tuberculous disease on the Register at the end of 1921 was 1,543 as compared with 1,648 at the end of the year 1920.
    Pulmonary.Non-pulmonary.Total.
    General.Casuals.
  • Page 39
    Dispensary Statistics.
    1921.1920.1919.
  • Page 39
    Patients were examined at the instance of the following sources:—
    Ins.Unins.
    1921.1920.1921.1920.
  • Page 40
    Diagnosis made at first attendance, subject to revision later.
    1921.1920.
  • Page 40
    The death-rates for 1920 and 1921 calculated on the Census population were per:—
    Males.Females.Total.
  • Page 41
    Westminster—Deaths from Tuberculosis.
    Years.Pulmonary.Non-pulmonary.Total.
    Deaths.Rates.Deaths.Rates.Deaths.Rates.
  • Page 41
    Bacteriological Laboratory. Examinations were made as follows:—
  • Page 41
    Disinfection. The number of articles treated was
    1916.1917.1918.1919.1920.1921.
  • Page 42
    There is, however, a satisfactory decrease in cases of scabies.
    Westminster.Head lice.Body lice.Scabies.Total.
  • Page 43
    The number of dead bodies taken to the mortuaries for purposes of inquest and to await burial during the last 18 years are:—
    Total.For Inquest.To await Burial.Total.For Inquest.To await Burial.
  • Page 44
    C. House Inspection, &c. Below is a list of details of the work done in connection with insanitary conditions. In many cases some of the work specified was in premises, parts of which were occupied as workshops:—
    1921.1921.
  • Page 45
    Continued from previous page...
    1921.1921.
  • Page 47
    Smoke Prevention. The following is a summary of the work done in connection with smoke prevention.
    1921.1920.
  • Page 49
    Housing Conditions. Statistics. Year ended 31st December, 1921. 1.—General.
  • Page 50
    III.—Action under Statutory Powers.
  • Page 51
    D. WORKSHOPS, &c. The following shows the state of the register of work premises at the end of 1921:—
    Work Premises.Total Number.
  • Page 51
    Inspection.
    Premises.Number of
    Inspections.Intimation Notices.Statutory Notices.Prosecutions.
  • Page 52
    Defects found.—1921.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.
  • Page 52
    Other Matters.
    Class.Number.
  • Page 54
    City of Westminster. Outworkers. 1921.
    Trade.FEBRUARY LISTS.AUGUST LISTS.
    Number of Outworkers.Received from other Authorities.Sent to other Authorities.Addresses in Westminster.Number of Outworkers.Received from other Authorities.Sent to other Authorities.Addresses in Westminster.
  • Page 57
    Articles of Food Submitted.
    TonsCwts.Lbs.TonsCwts.Lbs.
  • Page 57
    Articles of Food Seized and Condemned.
  • Page 58
    Sale of Food and Drugs Acts. Samples Purchased under the Sale of Food and Drugs Acts, showing result of Analysis and subsequent Proceedings for year 1921.
    Number.Article of Food.Number of Samples Purchased.Genuine. (Inferior in brackets.)Adulterated.Prosecutions.Convictions.Withdrawn or Dismissed.Fines.Costs.
  • Page 60
    The Public Health (Milk and Cream) Regulations, 1912 and 1917. Samples Analysed during the Year 1921.
    Article.Number of samples examined for preservative.Number containing preservative and Percentage of preservative found in each sample.
  • Page 60
    Preserved Cream.
    Number examined.Without preservative.Preservative under amount stated on label. (0.4 per cent.)Preservative over amount stated on label.Milk fat in preserved cream.
    Above 35 per cent.Below 35 per cent.