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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 1927

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

Published
1928
Author
Shinnie, Andrew J.
Pages
114
Tables
86

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86 tables in this report

  • Page -
    2.—Extracts from Vital Statistics for the Year.
    Births—Males.Females.Total.Birth-rate.
  • Page 3
    Table I.
    Births RegisteredBirths Notified.
    In Westminster.Belong elsewhere.Born out of Westminster.Net.Total.Alive.Stillborn.
  • Page 4
    Table II.
  • Page 4
    Table III.
    Number Born.Number of Deaths under 1 year.Number remaining at end of year.
    Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 6
    Birth-rate, Death-rate and Analysis of Mortality during the year 1927. (Provisional figures. The rates have been calculated on a population estimated to the middle of 1927. The mortality rates refer to the wholo population as regards England and Wales, but only to civilians as regards London and the groups of towns. As the registration of stillbirths did not come into operation until 1st July, 1927, no stillbirths are included.)
    -Birthrate per 1,000 Total Population.Annual Death-rate per 1,000 Population.Rate peii 1,000 Births.Percentage of Total Deaths
    All Causes.Enteric Fever.Smallpox.Measles.Scarlet Fever.Whooping Cough.Diphtheria.Influenza.Violence.Diarrhoea and Enteritis (under two years).Total Deaths under one year.Certified by Registered Medical Practitioners.Inquest Cases.Certified by Coroner after P.M. No Inquest.Uncertified Causes of Death.
  • Page 7
    Causes of Death at different Periods of Life in the City of Westminster.
    Causes of Death.Sex.All Ages.0—1—2—5—15—25-15—55—75—
  • Page 8
    continued from previous page...
    Causes of Dheath.Sex.All ages0-1-2-5-15-25-45-65-75-
  • Page 8
    A statement showing the number of cases of certain infectious diseases in the above-named area during the 52 weeks ended 31st December, 1927:—
    Westminster, City of, Met. B.Number of Cases of Infectious Diseases Notified (Civilians).Smallpox.Scarlet fever.Diphtheria.Enteric fever.Puerperal pyrexia.Puerperal fever.Erysipelas.
  • Page 9
    MALES.
    causes of Death.Corrected Deaths in thb 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.Strnnd.Homeloss.
  • Page 10
    MALES—Table IV. (continued).
  • Page 11
    Table IV (continued)—Causes of, and Ages at, Death, during the year 1927.
  • Page 12
    FEMALES—Table IV (continued).
  • Page 13
    Table V. (From 1913 to 1927.)
    Year.Number of Deaths.Westminster Rate.London Rate.
  • Page 13
    Table VI.
    1927.Under 1 year1 to 2 years2 to 5 years5 to 15 years15 to 25 years25 to 45 years45 to 65 years65 and up. yearsTotal.
  • Page 14
    Table VII.
    1923.1924.1925.1926.1927.
  • Page 15
    Table VIII shows the deaths as they occurred during the four quarters of the last four years :— Table VIII.
    Total.TotalTotalTotal.
  • Page 16
    Table IX.
    Year.Legitimate.Illegitimate.Total Rate, Westminster.Total Rate, London.
    Births.Deaths.Death-rate per 1,000 Births.Births.Deaths.Death-rate per 1,000 Births.
  • Page 16
    Table X shows the causes of death of children who died under one year of age. Figures under the same grouped causes are given from 1921 onwards, showing the proportion per 1,000 births applicable under each heading:— Table X.
    1921.1922.1923.1924.1925.1926.1927.
  • Page 17
    Table XI shows nett deaths from various causes at several age periods during the first year of life in the City of Westminster:— Table XI.—Infant Mortality, 1927.
    CAUSES OF DEATH.Under 1 Week1—2 Weeks.2—3 Weeks.3_4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and tinder 6 Months.6 Months and tinder 9 Months.9 Months and under 12 months.Total Deaths under 1 Year.
  • Page 17
    Table XII. Nett Births in the year-
    Males.Females.Total.
  • Page 18
    Table XIII. Infant Mortality, 1927.—Nett Deaths from stated causes at various ages under One Year of Aye 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 18
    Table XIV. Nett Deaths in the year of—
    Males.Females.Total.
  • Page 19
    Table XV. Infant Mortality, 1927.—Nett Deaths from stated causes at various ayes under One Year of Age in St. John and St. Margaret Wards.
    causes of death.Under 1 Week.1—1 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 Mouths.9 Months and under 12 Months.Total Deaths under 1 Year.
  • Page 19
    Table XVI. Xett Deaths in the year of—
    Males.Females.Total.
  • Page 19
    Table XVII. Infant Mortality, 1927. Nett Deaths from stated causes at various ages under One Year of Age in the North District (Grosvenor Conduit, St. Anne, Pall Mall, Regnt, Gt. Marlborouyh, Strand, Charing Cross and Covent GardenWards).
    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 Mon hs and under 9 Months.9 Mont lis and under 12 Months.Total Deaths under 1 Year.
  • Page 20
    Table XVIII. Nett Deaths in the year—
    Males.Females.Total.
  • Page 20
    Table XIX. Deaths of infants with no known address, or found in streets, parks, &c. :—
    CAUSES OK DF.ATH.Under 1 Week.I—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 Death under 1 Year.
  • Page 20
    Table XX.
    LegitimateMales.Females.Total.
  • Page 20
    Table XXa. The following table shows the allocation of the nett births and infant deaths among the various Wards in the City, together with* the infantile mortality rate for the Ward.
    Wards.Population, 1921 Census.Total Births, 1927.Legitimate.Illegitimate.Total Infant Deaths, 1927.Legitimate.Illegitimate.1927—Infant death rate per 1,000 births.
    Legitimate.Illegitimate.Total.
  • Page 21
    Table XXI.
  • Page 23
    Table XXII.
    19231924192519261927
  • Page 24
    Table XXIII. City of Westminster.—Cases of Infectious Disease Notified during the Year 1927.
    notifiablh disease.At all Ages.Cases Notified.Cases removed to Hospital.Treated at Home.At all Ages.Deaths.
    At Ages—Years.At Ages—Years.
  • Page 25
    Table XXIV. City of Westminster.—Infectious Diseases, Distributed in each Ward.
    Notifiable Diseases.Conduit.Grosvenor.Knightsbridge St. George.Victoria.St. Margaret.St. John.Hamlet of Knightsbridge.Pali Mall.Regent.Great Marlborough.Charing Cross.Covent Garden.Strand.St. Anne.Homeless.
  • Page 29
    The ages dealt with were as follows :—
  • Page 29
    201 primary tests gave positive results ; 71 were negative. Two cases were not tested. The number of negatives is proportionally greater as age advances.
    Positive. Per cent.Negative. Per cent.
  • Page 33
    Table XXV. Influenza.—The deaths certified from this cause during the last five years are as follows :—
    1923.1924.1925.1926.1927.
  • Page 34
    Table XXVI. Deaths from Diarrhcea and Enteritis.
    Under 1 year.Other ages.Total.
  • Page 34
    The deaths from whooping cough during the last five years are thus set out:— Table XXVII.
    Under 1 year.At other ages.Total.
  • Page 35
    The following table is inserted by courtesy of the Medical Officer of Health of Poplar, who collected the data. The comparative vital statistics are interesting.
    Cities and Boroughs.Estimated population to the middle of year.Births. Annual rate per 1,000 persons living.Zymotic Deaths. Annual rate per 1,000 persons living.Death-rate per 1,000 living.Deaths of Infants under one year to 1,000 births.
  • Page 36
    The following table shows the number of births for the last five years, together with the number of cases of puerperal fever and deaths :—
    Year.No. of births.No. of cases.Deaths.
  • Page 38
    Table I. % Tuberculosis, 1927.
    Age-Periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    M.F.M.P.M.F.M.F.
  • Page 39
    The primary notifications for 1927 show a decrease of 43 on those of 1926. Out of the total cases notified in 1927, 31 died, and the following table shows the period between notification and death of these cases:—
    Weeks.Months.
  • Page 39
    Table II.
    19231924192519261927
  • Page 40
    Table III. Tuberculosis.—Notifications received during the period from 2nd January, 1927, to 31si December, 1927.
    1927. Age periods.Number of notifications on Form A.
    Primary notifications.Total notifications, on Form A, including cases previously notified.
    0 to 1.1 to 5.5 to 10.10 to 15.f15 to 20.20 to 25.25 to 35.35 to 45.45 to 55.65 to 35.65 and tip.Total new cases.
  • Page 41
    Table IV. Tuberculosis.—New cases coming to (he knowledge of the Medical Officer of Health otherwise than by Notification under the Regulations. (Forms A and B.)
    1927. Age Periods.0 to 1.1 to 6.6 to 10.10 to 16.16 to 20.20 to 25.26 to 36.36 to 46.45 to 55.65 to 65.66 aod up.Total.
  • Page 42
    Table V. Tuberculosis.—Table showing distribution in Wards of notified and unnotified cases, and numbers of such persons who have been treated in Institutions.
    1927.All Ages.Conduit.Grosvenor.Knights-bridge St. Georgo.Victoria.St. Margaret.St. John.Hamlet of Knights-bridge.Pall Mall.Regent.Great Marlborough.Charing Cross.Covent Garden.Strand.St. Anne.Homeless.Received Institutional Treatment during 1927.
  • Page 43
    Table VI. The figures for a series of years are shown below:—
    Pulmonary.Non-Pulmonary.Total of all forms.
    General Population.c.l.h. and no Address.Total.
    Males.Females.Males.Females.Males.Females.Total.
  • Page 44
    Table VII.
    Pulmonary.Non-Pulmonary.
    Males.Females.Males.Females.
  • Page 45
    Table VIII. Westminster—Leaths from Tuberculosis per 100,000 civilian population.
    Years.Pulmonary.Non -pul monary.Total.
    Deaths.Rates.Deaths.Rates.Deaths.Rates.
  • Page 45
    The following table shows the sources from which new cases have been obtained in the last three years:—
    1925.1926.1927.
  • Page 47
    The following table shows the number of cases recommended for Hospital and Sanatorium treatment in 1927:—
    Hospitals.Sanatoriums.
  • Page 48
    TUBERCULOSIS SCHEME OF THE WESTMINSTER CITY COUNCIL. Return showing! the Work of the Dispensary (or Dispensaries) during the Year 1927.
    Diagnosis.Pulmonary.Non-pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
  • Page 58
    The following table, required by the Ministry of Health, is set forth in detail:—
  • Page 59
    Continued from previous page...
  • Page 60
    Table II.
  • Page 62
    The number of cases in which this action was taken since 1923 is as follows:—
    1923.1924.1925.1926.1927.
  • Page 62
    The corresponding figures since 1923 are as follows:—
    1923.1924.1925.1926.1927.
  • Page 64
    The following table shows the extent to which smoke has been a cause of complaint to the sanitary authority during the past five years, and also a summary of the measures taken in mitigation:— Table III.
    1923.1924.1925.1926.1927.
  • Page 70
    Table IV.
    Work Premises.Total Number
  • Page 70
    The use of 379 workshops was discontinued, and 171 additions were made to the register during the year. Table V.—Inspection.
    Premises.Number of
    Inspection!.Re-Inspections.Defects Found.Intimation Notices.Statutory Notices.Prosecutions.
  • Page 71
    Table VI.—Defects found.
    Particulars.Number of Defects.Number of Prosecutions
  • Page 71
    Table VII.—Other Matters.
    Class.Number.
  • Page 72
    Table VIII.
    Outworkers' Lists, Section 107.Outwork in unwholesome premises, Section 108.Outwork in infected premises, Sections 109 & 110.
    Trade.Lists received from employers.Addresses of Outworkers.Notices served on occupiers as to keeping or sending of lists.Prosecutions.Instances.Notices served.Prosecutions.Instances.Orders made (Section 110).Prosecutions (Sections 109, 110).
    Sending twice in the year.Sending once in the year.Failing to keep or permit inspection of lists.Failing to send lists.
    Outworkers.Outworkers.Received from other Councils.Sent to other Councils.
    Lists.Contractors. .Workmen.Lists.Contractors.Workmen.
  • Page 74
    The following table shows the total number of individuals treated at the station for verminous conditions:— Table IX.
    1927.Head lice.Body lice.Scabies.Total.
  • Page 74
    All the lice and scabies cases were dealt with at the station. Table X.
    1923.1924.1925.1926.1927.
  • Page 75
    The number of dead bodies taken to the mortuaries for purposes of nquest, and to await burial, during the last 25 years were:— Table XI.
    Total.For Inquest.To await Burial.Total.For Inquest.To await Burial.
  • Page 78
    Table I.—Ante-natal Cases.
    City Council's Centres. A.Westminster Health Society.Totals.
    Name of Hospital.No. 1, Pimlico Road.No. 15, Bess borough Street.No. 9. Frith Street.No. 30, Page Street.
  • Page 78
    The attendances by those mothers at the clinics held by Dr. Vernon are detailed below:— Table II.—Ante-natal Clinics.
    Centre.Sessions.First Attendance.Subsequent Attendances.Total.No. of Individuals.
  • Page 79
    Table III.—Mothercraft Classes.
    1927.Pimlico Road.Bessboro' Street.Frith Street.Page Street.Total.
  • Page 79
    Table IV.
    1922.1923.1924.1925.1926.1927.
  • Page 80
    Table V. Attendances by midwife at ante-natal and other clinics:—
    192219231924192519261927
  • Page 80
    Table VI. Number of cases attended—
    St. Margaret and St. John Wards.
  • Page 81
    Table VIII.
    Pimlico Road.Bess-borough Street.Frith Street.Page Street.Total.
  • Page 82
    Table IX. Attendances at Infant Consultations, 1927.
  • Page 82
    The average attendances per session were—
    1927.1926.1925.1924.1923.1922.
  • Page 82
    The number of individual children medically inspected were—
  • Page 84
    Table X.
    Patients.Visits.
  • Page 85
    Ophthalmia neonatorum has been notifiable since 1011. The percentage of mild (non-purulent) and notified (purulent) cases in relation to births from the year 1921 is as follows:— Table XI.
    Cases (notified).Rate per 100 births for both classcs of cases.
  • Page 85
    With regard to the incidence of venereal disease the following table showing the death-rates of infants per 1,000 births, certified to have died from syphilis, is reproduced with the inclusion of the year 1927.
  • Page 86
    Table XII.
    1922.1923.1924.1925.1926.1927.
  • Page 92
    Table I. The Public Health (Milk and Cream) Regulations, 1912 and 1917. Samples analysed during the Year 1927.
    Article.Number of samples examined for preservative.Number containing preservative and percentage of preservative found in each sample.
  • Page 93
    Preserved Cream.
    Number examined.Without preserative.preserative under amount stated on label (0.4 per cent.)Presrrative over amount stated on label.Milk fat in preserved cream.
    Above 35 per cent.Belwo 35 per cent.
  • Page 95
    Table II.
    District.Total.No.Percent.No.Percent.No.Tcrccnt.No.Percent.
  • Page 97
    samples purchased under the Sale of Food and Drugs Acts, showing results of Analysis and subsequent Proceedings for year 1927.
    NumberArticle of Food.Number of samples purchased.Genuine. (Inferior In brackets.)Adulterated.Prosecutions.Convictions.Withdrawn or dismissed.Fines.Coats.
    £s.d.£s.d.
  • Page 100
    Table IV. Articles of Food submitted.
    Tons.cwts.lbs.Tons.ewtsIbe
  • Page 101
    The following table shows details concerning the samples of spirits which proved to be adulterated, and the results where legal action was taken
    No.Article.Result of Analysis. Degrees UP.Notice or No Notice.Action taken and Result.