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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 1929

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

Published
1930
Author
Shinnie, Andrew J.
Pages
150
Tables
95

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95 tables in this report

  • Page 1
    2.—Extracts from Vital Statistics for the Year. Births—
    Males.Females.Total.Birth-rate.
  • Page 5
    The comparative totals are :—
    1927.192s.1929.
    Legitimate.Legitimate.Legitimate.
  • Page 5
    Table I.
    Births RegisteredBirths Notified.
    In Westminster.Belong elsewhere.Born out of Westminster.Net.Total.Alive.Still-born.
  • Page 6
    The legitimate and illegitimate births are distributed as follows:— Table II.
  • Page 6
    Table III.
    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
    corresponding figure for 1928 was 42. Under the Births and Deaths Registration Act, 1926, which into came force on 1st July, 1927, all stillbirths must be registered.
    Still-birtlisInwardOutward
    Registered.Transfers.Transfers.
  • Page 8
    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—45—65—75—
  • Page 9
    Continued from previous page...
    Causes of Death.Sex.All Ages.0–1–2–5–15–25–45–65–75–
  • Page 9
    A statement showing the number of cases of certain infectious diseases in the above-named area during the 52 weeks ended 28th December, 1929:—
    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 10
    MALES Table I.— Causes of , and Ages at, Death during the year 1929.
    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 11
    MALES—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 Knightbridge.Knightbridge St. George.Victoria.St. Margaret.St. John.St. Anne.Great Marlborough.Pall Mall.Regent.Charing Cross.Coveut Garden.Strand.Homeless.
  • Page 12
    FEMALES. Table I.— Causes of, and Ages at, Death during the year 1929.
    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 13
    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 14
    Table V. (From 1915 to 1929.)
    Year.Number of Deaths.Westminster Rate.London Rate.
  • Page 14
    Table VI. This table shows the total deaths distributed among age periods:—
    1929.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 15
    Table VII.
    1925.1926.1927.1928.1929.
    M.F.Total.M.F.Total.M.F.Total.M.F.Total.M.F.Total
  • Page 15
    Table VIII shows the deaths as they occurred during the four quarters of the last four years:— Table VIII.
    Total 1929.Total. 1928.Total. 1927.Total 1926.
  • Page 16
    Table IX shows the births and deaths of infants, legitimate and illegitimate, since 1902 onwards, with the corresponding infantile mortality rates for Westminster and for London:— 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 1922 onwards, showing the proportion per 1,000 births applicable under each headingTable X.
    1922.1923.1924.1925.1926.1927.1928.1929.
  • 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, 1929.
    CAUSES of death.Under 1 Week1–2 Weeks.2–3 Weeks.3 –4 Weeks.Total under 4 Works.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 17
    Table XII. Nett Births in the year:—
    Males.Females.Total.
  • Page 18
    Table XIII. Infant Mortality, 1929.—Netl Deaths from stated causes at various ages under One Year of Age in Pimlico Area (Victoria, Knightbridge St. George and Hamlet Wards)
    CAUSES OF DEATH.Under 1 Week.1–2 Weeks.2–3 Weeks.3–4 Week4Total 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 above area during the year :—
    Males.Females.Total
  • Page 19
    Table XV. Infant Mortality; 1029.—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 19
    Table XVI. Nett deaths in the above area during the year :—
    Males.Females.Total.
  • Page 19
    Table XVII. Infant Mortality, 1929. Nett Deaths from stated causes at various ages under One Year of Age in the. North District (Grosvenor, Conduit, St. Anne, Pall Mall, Urgent, Gt. Marlborough, Strand, Charing Cross and Covent Garden 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 MontHS3 Months and under 6 Months.6 Months and under 9 MontHS.9 Months and under 12 Months.Total Deaths under 1 Year
  • Page 20
    Table XVIII. Xett deaths in the above area during the year :—
    Males.Females.Total.
  • Page 20
    Table XIX. 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 Mont hs and uuder 9 Months.9 Months and under 12 Months.Total Deaths under 1 Year.
  • Page 20
    Table XX. Deaths of children unknown :—
    Males.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, 1920.Legitimate.Illegitimate.Total Infant Deaths, 1929.Legitimate.Illegitimate.1929—Infant death rate per 1,000 births.
    legitimate.Illegitimate.Total.
  • Page 21
    Table XXI.
    Deaths.
  • Page 31
    Table XXII.
    19231926192719281929
  • Page 34
    Table XXIII. City of Westminster.—Cases of Infectious Disease Notified during the Year 1929.
    Notifiable Diseases.At all Ages.Cases Notified.Cases removed to Hospital.Treated at Home.At all Ages.Deaths.
    At Ages—Years.At Ages—Years.
    Under 1.1-2.2-3.3-4.4-5.5-10.10-15.15-20.20-35.35-45.45-65.65 and over.Under 1.1-2.2-3.3-4.4-5.5-10.10-15.15-20.20-35.35-45.45-65.65 and over.
    Smallpox2--------2---2--------------
    Cholera (C). Plague (R)-——-—————————-——————————————
    Diphtheria1483581413482182026-147181231------1_
    Erysipelas541--1-1116630741131----------1-
    Scarlet fever208l2721158625143133-2044-------------
    Typhus fever----------------------------
    Enteric fever7__-____1321-43-------------
    Relapsing fever (R)----------------------------
    Continued fever (C)1--------1----1-------------
    Puerperal fever10--------10---823--------3---
    Cerebro-spinal meningitis2-2----------2-1---------1--
    Poliomyelitis1-----1------1--------------
    Encephalitis lethargica---------------2--------1--1
    Ophthalmia neonatorum1111-----------47-------------
    Pneumonia51———111319818926258111—--11—983030
    Malaria----------------------------
    Dysentery7l11121------7--------------
    Puerperal pyrexia12-----—-1101——111—————————————
    Totals514171016383113850269222581645757962331—11—1393231
  • Page 35
    Table XXIV. City of Westminster.—Infectious Diseases, Distributed in each Ward.
    Notifiable DiseasesCondult.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 36
    New cases attended the different Centres as follows:—
  • Page 37
    The results of testing were as follows:—
    Age.Positive.Negative.No test.Total.
  • Page 39
    Table XXV. Influenza.—The deaths certified from this cause during the last five years are as follows:—
    1925.1926.1927.1928.1929.
  • Page 39
    Table XXVI. Deaths from Diarrhœa and Enteritis.
    Under 1 year.Other ages.Total.
  • Page 39
    The deaths from whooping cough during the last five years are thus set out:— Table XXVII.
    Under 1 year.At other ages.Total.
  • Page 40
    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 41
    The following details in tabular form are required by the Ministry of Health of the cases notified in 1929:—
    Cases.Vision unimpaired.Vision impaired.Total blindness.Deaths.
    Total.Treated.
    At home.In hospital.
  • Page 41
    The following is the summary of bacteriological work performed:—
  • Page 42
    Table I. Tuberculosis, 1929.
    Age-Periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 42
    Table II.
    19251926192719281929
  • Page 43
    Table III. Tuberculosis.—Notifications received during the period from 30th December, 1928, to 28th December, 1929.
    1920. 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 15.15 to 20.20 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 and up.Total new cases.
  • Page 44
    Table IV. Tuberculosis.—New cases coming to the knowledge of the Medical Officer of Health otherwise than by Notification under the Regulations.
    1920. Age 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.
  • Page 45
    Table V. Tuberculosis.—Table showing distribution in Wards of notified and unnotified cases, and numbers of such persons who have been treated in Institutions.
    1929.All Ages.Conduit.Grosvenor.Knightebridge St. George.Victoria.St. Margaret.St. John.Hamlet of Knightsbridge.Pall Mall.Regent.Great Marlborough.Charing Cross. __Covent Garden.Strand.St. Anne.Homeless.Received Institutional Treatment during 1929.
  • Page 46
    Table VI. Tuberculosis Notifications. 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 47
    Table VII.
    Pulmonary.Non-Pulmonary.
    Males.Females.Males.Females.
  • Page 48
    The following table shows Deaths per 100.000 of civilian population since 1917. Table VIII. Westminster—Deaths from Tuberculosis per 100,000 civilian population.
    Years.Pulmonary.Non-pulmonary.Total.
    Deaths.Rates.Deaths.Rates.Deaths.Rates.
  • Page 48
    The following table shows the sources from which new cases have been referred to the Dispensary during the last three years:—
    1927.1928.1929.
  • Page 53
    TUBERCULOSIS SCHEME OF THE WESTMINSTER CITY COUNCIL. Return showing the Work of the Dispensary during the Year 1929.
    Diagnosis.Pulmonary.Non-pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 54
    Continued from previous page...
  • Page 54
    Continued from previous page...
  • Page 55
    TUBERCULOSIS SCHEME OF THE WESTMINSTER CITY COUNCIL. (a) Pulmonary Tuberculosis. Annual Return showing in Summary Form the Condition of all Patients whose Case Records are in the possession of the Dispensary at the end of 1929, Arranged according to the Years in which the Patients First came under Public Medical Treatment for Pulmonary Tuberculosis, and their Classification as shown in Form A.
    Condition at the time of the last record made during the year to which the Return relates.Previous to 1926.1926.1927.1928.1929.
    Class T.B. minus.Class T.B. plus.Class T.B. minus.Class T.B. plus.Class T.B. minus.Class T.B. plus.Class T.B. minus.Class T.B. plus.Class T.B. minus.Class T.B. plus.
    Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).
  • Page 56
    (b) Non-Pulmonary Tuberculosis. Annual Return showing in Summary Form the Condition of all Patients whose Case Records are in the possession of the Dispensary at the end of 1929, Arranged according to the Years in which the Patients First came under Public Medical Treatment and their Classification as shown in Form A.
    Condition at the time of the last record made during the year to which the Return relates.Previous to 1926.1926.1927.1928.1929.
    Bones and joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and joints.Abdominal.Other Organs.Peripheral Glands.Total.
  • Page 63
    Table 1.
    Inspection of premises:—Sanitary work supervised :—
  • Page 64
    The following are the comparative figures since 1925:—
    —1925.1926.1927.1928.1929.
  • Page 64
    Water Supply in Teneinent Houses.—Power to effect this provision is given under Section 48 of the Public Health (London) Act, 1891, and under Section 78 of the London County Council (General Powers) Act, 1907. The number of cases in which this action was taken since 1925 is as follows:—
  • Page 66
    Factories, Workshops and Workplaces. Occupations and Workshops.—In the following tables are shown in detail the number and variety of work premises on the register at the end of 1929, the number of inspections made, and the results of such inspections:— Table II.
    Work Premises.Total Number.
  • Page 66
    Table III.—Inspection.
    Premises. (1)Number of
    Inspections. (2)Written Notices. (3)Occupiers prosecuted. (4)
  • Page 67
    Table IV.—Defects found.
    Particulars. (1)Nurnber of Defects.Number of offences in respect to which Prosecutions were instituted. (5)
    Found. (2)Remedied. (3)Referred to h.m. Inspector. (4)
  • Page 67
    Table V.—Other Matters.
    Class.Number.
  • Page 68
    Table VI
    Outworkers' Lists, Section 107.Outwork in unwholesome premises, Section 108.Outwork in infected premises, Sections 109 & 110.
    TradeLists 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 69
    3. Please supply the following information:—
  • Page 70
    (c) Number of chimneys connected with metallurgical or pottery works ?
  • Page 74
    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 VII.
    -1925.1926.1927.1928.1929.
  • Page 89
    Table VIII. Number of new houses erected during the year
    Tenements.
  • Page 90
    Continued from previous page...
    Tenements.
  • Page 92
    The following table shows the total number of individuals treated at the station for verminous conditions:— Table IX.
    1929.Head lice.Body lice.Scabies.Total.
  • Page 92
    Table X. General disinfection of premises, articles, &c.:—
    1925.1926.1927.1928.1929.
  • Page 93
    The number of dead bodies taken to the mortuaries for purposes of inquest, and to await burial, during the last 26 years is set out as follows:— Table XI.
    YearTotal.For Inquest.To await Burial.Year.Total.For Inquest.To await Burial.
  • Page 97
    Table I.—Ante-natal Cases.
    Name of Hospital.City Council's Centres.Westminster Health Society.Totals.
    No. 1, Pimlico Road.No. 15, Bessborough Street.No. 9, Frith Street.No. 30, Page Street.
  • Page 98
    Table II.—Ante-natal Clinics.
    Centre.Sessions.First Attendance.Subsequent Attendances.Total.No. of Individuals.
  • Page 98
    Table III.—Mothercraft Classes.
    1929.Pimlico Road.Bessboro Street.Frith Street.Page Street.Total.
  • Page 99
    Table IV.
    1924.1925.1926.1927.1928.1929.
  • Page 99
    Table V. Attendances by midwife at ante-natal and other clinics:—
    192419251926192719281929
  • Page 99
    Table VI. Number of cases attended—
    St. Margaret and St. John Wards.
  • Page 101
    Table VIII.
    -Pimlico Road.Bessborough Street.Frith Street.Page Street.Total.
  • Page 102
    Table IX. Attendances at Infant Consultations, 1929.
    Centre.Number of Sessions.First Attendances.Subsequent Attendances.Total.Total.
    Under 1 year.Over 1 year.Under 1 year.Over 1 year.Under 1 year.Over 1 year.
  • Page 102
    The average attendances per session were—
    19211928.1927.1926.
  • Page 102
    The number of individual children medically inspected were—
  • Page 103
    The following table shows the nature of certain conditions for which nursing visits were paid:— Table X.
    Patients.Visits.
  • Page 103
    Ophthalmia neonatorum has been notifiable since 1911. 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 classes of cases.
  • Page 104
    With regard to the incidence of venereal disease the following table shows the death-rates of infants per 1,000 births, certified to have died from syphilis:—
  • Page 104
    Mr. W. H. Turner, the Dental Surgeon, submits the following figures relating to dental cases:—
    Marernity and Child Welfare.
  • Page 105
    Comparative statement of work of Dental Clinic (M. & C.W. section) since 1924:—
    1924.1925.1926.1927.1928.1929.
  • Page 110
    Milk and Dairies Amendment Act, 1922. Under the Milk (Special Designation) Order, 1923, made under this Act the Council issued licences for the sale of:—
  • Page 111
    The analyses of the samples from the vendors which were not genuine is summarised below, together with the results of the corresponding samples taken subsequently from the consignors:— Table I.
    Vendor's Sample.Action taken and Result.Consignor's Sample, number taken.Result of Analysis.Action taken and Result.
  • Page 112
    The results of the samples taken in each of the two districts of the City during 1929 are given in the following table:— Table II.
    District.Total.Good Quality.Fair Quality.Poor Quality.Adulterated.
    No.Per cent.No.Per cent.No.Per cent.No.Per cent.
  • Page 113
    Legal Proceedings for Adulteration.—Of the 53 cases, 14 were considered sufficiently serious to warrant prosecution. Details of the offences and results of proceedings are set out below.
    Milk—Fine.Costs.
  • Page 115
    Table III. Food and Drugs (Adulteration) Act. Samples purchased under the Food and Drugs (Adulteration) Act, showing results of Analysis and subsequent Proceedings for year 1929.
    NumberArticle of Food.Number of samples purchased.Genuine.Adulterated.Prosecutions.Convictions.Withdrawn or dismissed.Fines.Costs.
    £s.d.£s.d.
  • Page 119
    Inspection of Food.—Food exposed for sale has received regular inspection by the food inspectors, who have carried out this work daily including Sundays. The following table shows the nature and amount of food voluntarily surrendered or submitted for destruction:—
    Tons.cwts.qrs.lbs.Tons.cwts.qrs.lbs.
  • Page 120
    Continued from previous page...
    No.Article.Result of Analysis.-Degrees U.P.Action taken and Result.