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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

Islington 1923

[Report of the Medical Officer of Health for Islington, Metropolitan Borough of]

Published
1924
Pages
136
Tables
86

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86 tables in this report

  • Page 2
    Showing the Areas, Densities and Estimated Populations of the Sub-registration Districts at the middle of the year 1923, also the Populations at the Census, 1921.
    Sub-Districts.Area. Acres.Estimated Acres to a person.Estimated Persons to an Acre.Estimated Population Mid-year 1923.Enumerated Population at Census 1921.Increase or Decrease on Census.
  • Page 2
    Showing the Areas, Densities and Estimated Populations of the Wards at the middle of the year, 1923, also the Populations at the Census, 1921.
    WARDS.Area in Acres.Estimated Persons to an Acre or Density of Population.Estimated Population Mid-year 1923.Enumerated Population Census, 1921Increase or Decrease on Census.
  • Page 2
    Showing the Estimated Number of Persons living in Islington at Mid-year, 1923, at Nine Age Periods, distinguishing Males and Females.
    Ages.Males.Females.Persons.
  • Page 3
    The following statement shows the figures for the previous ten years 1913-22.
    Years.Marriages.Marriage Rate.Years.Marriages.Marriage Rate.
  • Page 3
    Showing the Births (distinguishing Males and Females) and Birth-rates of Islington in 1923, and in the four quarters of the year and of the County of London and the Great Towns during the same period; also in the year 1922; together with the mean Borough Birth-rates for the 10 years 1913-1922.
    Quarter.Males.Females.TotalBirth Rates.
    Islington, 1923.Islington, 1913-22.London, 1923.105 Great Towns, 1923.
  • Page 3
    Showing- the Births of Males and Females and the Birth-rates in each quarter and for the year 1923, and in the several Sub Registration Districts.
    Tufnell.Upper Holloway.Tollington.Lower Holloway.
    Males.FemalesTotal.Birth rates.Males.FemalesTotal.Birth rates.Males.FemalesTotal.Birth rates.Males.FemalesTotal.Birth rates.
  • Page 4
    Showing the Births of Males and Females and the Birth-rates in each quarter and for the year 1923, and in the several Sub-Registration Districts.—contd.
    Highbury.Barnsbury.Islington South-East.The Borough.
    Males.FemalesTotal.Birth rates.Males.FemalesTotal.Birth rates.Males.FemalesTotal.Birth rates.Males.FemalesTotal.Birth rates.
  • Page 4
    The Deaths and Death-rates from All Causes in the Sub Registration Districts were as follows:—
    Sub-Districts.Quarters.The Year.
    1234
    Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.
  • Page 5
    Showing the Deaths and Death Rates of Islington in 1923, and in the four quarters of the year, and of the County of London and the Great Towns during the same period, the mean Borough Death Rates {or the 10 years 1913-22, and the deaths and death-rates in the year 1922.
    Quarter.Males.Females.Total.Death Rates.
    Islington, 1923.Islington, 1913-22.London, 1923.105 Great Towns, 1923.
  • Page 5
    Causes of Death (Classified).—The following table shows the deaths arranged in classes of Disease from All Causes daring the ten years 1913-22, and in 1923.
    Classified Causes of Death.Years.Mean 10 Yrs.1923Difference.
    1913191419151916191719181919192019211922
  • Page 6
    The following statement gives the ages at which persons died in the borough, and contrasts them with the returns for the preceding ten years:
    Ages.Number of Deaths, 1923.Mean Deaths (10 years), 1913-22.Increase or Decrease on mean.
  • Page 6
    In the sub-registration districts the infant mortality was as follows:
    Sub District.Infant Deaths.Mortality per 1,000 Births.
  • Page 7
    Deaths at various ages under One Year of Age.
    Years.Under one week.WeeksTotal under four weeks.Months.Total Deaths under one year.Deaths per 1,000 Births.
    1-22-33-44 weeks and under 3 mths.3-66-99-12
  • Page 7
    Showing the Deaths among Infants per 1,000 Births during the Year 1923 and also the mortality rates for the Years 1913-1922.
    Sub-Districts.1913191419151916191719181919192019211922Mean 10 years1923Increase or decrease on mean
  • Page 7
    Showing the Mortality per 1,000 Births among Infants under one year of age, in the ten years 1913-22 and in 1923, from certain specified causes.
    Causes of death.1923. Rate per 1,000 Births.Mean rate 10 years 1913-22 per 1,000 Births.Difference.
  • Page 8
    Nett Deaths from stated Causes at Various Ages under One Year of Age.
    Cause of Death.Weeks.Total under 4 weeksMonths.Total Deaths under 1 year
    Under 1 week1-22-33-44 weeks and under 3 months3-66-99-12
  • Page 11
    POPULATION.
    NORTH. Wards 1, 2, 3.SOUTH. Wards 9, 10, 11, and Part of 6.EAST. Ward 5, and Parts of 4 and 6.WEST. Wards 7, 8, and Part of 4.Total.
  • Page 11
    SUMMARY OF VISITS BY HEALTH VISITORS, YEAR 1923.
    District1234567Totals.
  • Page 12
    SUMMARY OF VISITS BY HEALTH VISITORS—Continued.
    District1234567Totals.
  • Page 13
    The various departments of the four voluntary Centres, with the attendances for 1923, may be summarised thus:—
    North.South.East.West.Total.
  • Page 15
    Showing the Deaths from each of the principal Epidemic Diseases in the several Wards ami Sub Registration Districts during the Year 1923.
    Sub-Registration Districts.Wards.Enteric Fever.Small Pox.MeaslesScarlet Fever.Whooping Cough.Diphtheria.Diarhœa.Totals.
    DeathsDeathsDeathsDeathsDeathsDeathsDeathsDeaths
  • Page 16
    Showing the Deaths and Death-Rates from the Principal Epidemic Diseases during the ten years 1913-22 and for the Year 1923.
    191319141915191619171918
    Deaths.Death Rates.Deaths. ,Death Rates.Deaths.Death Rates.Deaths.Death Hates.Deaths.Death Rates.Deaths.Death Rates.
  • Page 16
    Showing the Deaths and Deaths-Rate from the Principal Epidemic Diseases during the year 1913-22 and for the Year 1923.
    1919192019211922Mean 10 years1923
    Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.Deaths.Death Rates.Deaths,Death Rates.
  • Page 16
    Showing the Deaths from Diarrhœal Diseases together with those c/assed under Enteritis and its Sub headings, arranged in quarterly periods, and in three groups of ages.
    Ages.1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year.
    Diarrhoea.Enteritis, &c.Totals.Dibrrhœa.Enteritis, &c.Totals.DiarrhoeaEnteritis, &c.Totals.Diarrhœa.Enteritis, &c.Totals.Diarrhœa.Enteritis, &e.Totals.
  • Page 17
    Showing the Deaths from Influenza in the Quarters of the Year 1923, together with the averages of the corresponding periods, 1913-22.
    Years.Quarters.Totals.
    First.Second.Third.Fourth.
  • Page 17
    The following statement gives the ages at death of the persons who suffered from Influenza during the preceding ten years as compared with the return for the year 1923:
    Ages.1913191419151916191719181919192019211922Mean 10 yrs1923Difference.
  • Page 18
    The following statement shows the ages at death of the persons attacked during the past ten years, and the return for the year 1923 :
    Ages.1913191419151916191719181919192019211922Mean 10 yrs1923Difference
  • Page 18
    Showing the Deaths from Cancer or Malignant Disease in the several Sub Districts during the Quarters and the Year 1923.
    Quarters.Tufnell.Upper Hollo-way.Tollington.Lower Hollo-way.Highbury.Barns-bury.Islington, South East.The Borough
  • Page 18
    Tuberculosis of the Respiratory System (Phthisis is Pulmonary Tuberculosis) caused 337 deaths, as contrasted with the decennial average of 431, while the death-rate was 100 per 1,000 of the civil population, as against the decennial rate of 1.35 per 1,000. There was a decrease of 94 on the ten years average number of deaths, and of 0 35 on the mean death-rate.
    Tuberculosis (Respiratory System).Proportion of Deaths from Tuberculosis per 100 Deaths from All Causes.Death rates from All Causes per 1,000 inhabitants.
    Years.Deaths.Death rates per 1,000 inhabitants.
  • Page 19
    The following return gives the deaths at each age period:
    Age Periods.Males.Females.Total.
  • Page 19
    Showing the Deaths from Tuberculosis of Respiratory System in the Sub-Districts during the Four Quarters of the Year 1923.
    Quarters.Tufnell.Upper Hollo-wav.Tolling-ton.Lower Hollo-way.Highbury.Burns-bury.Islington, S~>uth East.The Borough.
  • Page 19
    Showing the Deaths from Tuberculosis during 1923.
    Form.Ages.Sex.Districts.Total Deaths.
    0-11-5over 5MF.Tuf.U.H.Toll.L.H.H.B.S.E.
  • Page 21
    In 279 cases inquests were held, as contrasted with an average of 357 in the ten years 1913-22.
    Bodies received into Mortuary.Inquests.
  • Page 21
    The following Table gives a return of the bodies received into the Mortuary and the inquests held by the Coroner during the years 1923 and 1922.
    1923No. of bodies received.Daily Average.No. of Inquests held.1922No. of bodies received.Daily Average.No. of Inquests held.
  • Page 22
    The leturns for the preceding ten years are given in the following statement :
    Year.Cases.Attack-rates per 1,000 civil population.
  • Page 22
    Registration Sub-Districts.—The total number of cases notified in these districts was as follows:
    Total cases notified.
  • Page 24
    Summary of Infectious Sickness and of Deaths arising therefrom, distinguishing the Cases treated at Home and in Hospitals; and showing the percentages of notified Cases removed to Hospitals, together with the Fatality among Cases treated at Home and in Hospitals during the Year 1923.
    Notified Cases Treated.Percentages of Notified Cases Treated.Deaths Occurring.Percentage of Deaths Occurring.
    In HospitalAt HomeTotalIn HospitalAt HomeIn HospitalAt HomeTotalIn HospitalAt HomeTotal
  • Page 24
    Showing the number of Cases and Attack Rates of the several Notifiable Infectious Diseases which occurred during each of the Ten Years 1913-22 and in 1923.
    DISEASES.YEARS.Average number of cases,1913-221923Increase or Decrease
    1913191419151916191719181919192019211922
  • Page 25
    Showing the Cases of the Notifiable Infectious Diseases notified in the Sub Registration Districts and the Wards during the Year 1923.
    Sub- Registration Districts.Wards.Small Pox.Scarlet Fever or Scarlatina.Diphtheria.Membranous Croup.Enteric (Typhoid) Fever.Typhus Fever.Erysipelas.Puerperal Fever.Continued Fever.Relapsing FeverCholera.Total.
  • Page 25
    Only one case was notified during the year, as compared with none in 1922, and 3 cases in 1921.
    19231922
    Cases.Deaths.Cases.Deaths.
  • Page 26
    A return of attacks of the disease during the past ten years is given in the following statement:
    1913191419151916191719181919192019211922Average 10 yrs. 1913-221923Total Deaths, 1913-23.
  • Page 26
    These Regulations came into force on the 7th January, 1919, and during the 5 years the following cases were notified by medical practitioners to the Medical Officer of Health :
    19191920192119221923
  • Page 27
    Showing the Notified Cases of Tuberculosis in the Wards during 1923.
    Registration Sub-Districts.Wards.Pulmonary Phthisis.Other Forms of Tuberculosis.Grand Totalstuberculosis Rate per 1,000 of Population.
    MalesFemalesTotalMalesFemalesTotal
  • Page 27
    THE PERIOD OF LIFE AT WHICH TUBERCULOSIS ATTACKED THE PERSONS. NOTIFIED DURING 1923.
    Tubercular Diseases.Sex.Cases Notified in Whole District.
    At all ages.At Ages—Years.
    Under 11 to 55 to 1515 to 2525 to 4545 to 6565 and upwards
  • Page 28
    Showing the Notified Cases of Tuberculosis in the Quarters during-1923.
    1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year.
    MalesFemalesTotalMalesFemalesTotalMalesFemalesTotalMalesFemalesTotalMalesFemalesTotal
  • Page 28
    Disinfection of Houses and Rooms after Phthisis. The following statement gives the particulars for the year:
    Houses.Rooms.
  • Page 28
    Summary of Notifications during the period from the 3 1st December, 1922, to the 29/// December, 1923, in the Metropolitan Borough of Islington.
    Age-periodsNotifications on From A.
    Number of Primary Notifications.Total Notifications on Form A.
    0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and up.Total Primary Notifications
  • Page 29
    The number of persons in attendance at the Dispensaries in each year is as follows: TUBERCULOSIS.
    191819191920192119221923
    North DispySouth DispyNorth DispySouth DispyN orth DispySouth DispyNorth South Dispy DispyNorth DispySouth DispyNorth DispySouth Dispy
  • Page 29
    A summary is given for the following years:
    Cases.Attendances.Cases.Attendances.
  • Page 30
    Table showing the numberof Tuberculous Persons attending the Borough Tuberculosis Dispensaries and the New Cases during 1923.
    Date.DispensaryJan.Feb.Mar.Apr.May.June.July.Aug.Sept.Oct.Nov.Dec.Year.Total.
  • Page 30
    The number of notifications of the several diseases are given below:
    Disease.No. of Notifications.Average of preceding 10 years.Increase or Decrease.
  • Page 30
    The non-notifiable diseases among children attending the Public Elementary Schools were:
    DiseaseNotifications by Teachers.Average of preceding 10 years.Increase or Decrease.
  • Page 31
    DIPHTHERIA—Pathogenicity Tests. 1923.
    No. Submitted for Examination.Negative Result. (Bacilli).Positive Result. (Bacilli).Non-Virulent.Virulent.
  • Page 31
    Showing- the result of the Bacteriological Examinations made for the Diagnosis of Diphtheria, Enteric Fever and Phthisis, 1913-23.
    Periods.Diphtheria.Enteric Fever.phthisis.
    Positive Results.Negative Results.Total ExaminedPositive Results.Negative Results.Total ExaminedPositive Results.Negative Results.Total ExaminedTotals.
  • Page 32
    under medical authority, 273 were removed to other districts or places unknown, thus leaving 687 unaccounted for. The return of certificates of exemption, therefore, represents 35 6 per cent. of the registered births.
    Years.Vaccination per 100 births, less infants who died unvaccinated.Years.Vaccination per 100 births, less infants who died unvaccinated.
  • Page 32
    Certificates of Exemption.— The following tabular statement shows the increase of these certificates, more especially since 1906:
  • Page 32
    Return furnished by the Vaccination Officers respecting the Vaccination of Children in the. Sub Registration Districts during the previous year 1922.
    Registration Sub-Districts.Number of Births registered in 1922.Successfully Vaccinated.Insusceptible of Vaccination.Had Small Pox.Number of Statutory-Declarations of Conscientious Objection.Died Unvaccinated.Postponement by Medical Certificate.Removed to other Districts.Removed to places Unknown.Number of Children remaining Unvaccinated, or not accounted for (Defaulters).Total Number of Certificates of Successful Primary Vaccination at All Ages received during year 1923.Number of Statutory Declarations of Conscientious Objection received during year 1923.
  • Page 33
    The Cleansing and Spraying of Rooms.—1,525 rooms, as contrasted with 1,474 in 1922, were cleansed and sprayed.
    Rooms Disinfected.Rooms Sprayed.
    1923.1922.1923.1922.
  • Page 33
    Summary of the chief articles of Clothing, Bedding, etc., disinfected during the year 1923, and also in the preceding year 1922.
    1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.The Year 19231922
  • Page 34
    The nature of the articles disinfected for the clothing contractors is shown below :
    1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.Year.
  • Page 34
    Disinfectants Distributed and Used.—The following statement gives the quantity of disinfectants distributed by the Sanitary Authority, or used in disinfecting and cleansing rooms:
    How disposed of.Carbolic Powder.Disinfecting Fluid.Formaldehyde.
    Powder.Solution.
  • Page 35
    Inspections and Visits.—The inspections and visits made by the three Inspectors were as under:
  • Page 35
    The various workshops and workplaces are tabulated as below:
    Workshops and Workplaces.1923.
    Total Workshops on Register.Total Workrooms on Register.Number added during Year.Number removed during Year.
  • Page 36
    Workshops Notified to Home Office, 1923.
    Trade.Number of Workshops.Women.Male Young Persons.Total.
  • Page 36
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
    (1)(2)(3)(4)
  • Page 37
    DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 37
    OUTWORKERS' PREMISES.
    Instances.Notices Served.Remedied.Prosecutions.
  • Page 37
    OTHER MATTERS.
    Number.
  • Page 38
    Synopsis of Inspectors' Work.—The following statement gives a brief synopsis of the district inspectors' work in 1923 :
  • Page 38
    The. applications received for the previous ten years were as follows:
  • Page 39
    Showing the summary of Sanitary Work from District Inspectors' Reports for the. v:ar 1923.
    Districts.Totals
    12345678910n121314
  • Page 40
    Synopsis of Inspectors' Work:—
    Improvements.Districts.Total.
    North.South.
  • Page 41
    The following statement shows the work performed by the Rat Officer since he was appointed : SUMMARY OF WORK FROM RAT OFFICER'S REPORTS DURING THE YEARS 1920-23.
    1923 Jan. to June192219211920
  • Page 44
    Tabulation of meat and organs diseased as found in slaughter-houses during the year 1923 :
    No. of Cases.Description of Animal Affected.Nature of Disease.Extent of Disease.How disposed of.
  • Page 46
    The percentage of adulteration in the four quarters of the year was as follows :
    Examined.Genuine.Adulterated.Per Cent.
  • Page 49
    Milk.—The qualitative results of the Analyses of the Milk samples, which have now-been published for many years, are as follows :
    No. of Samples.Solids not Fat.Fat.Total Solids.
  • Page 49
    The particulars as to the genuineness or otherwise of the samples procured or purchased on Sundays, Week-days, and at Finsbury Park Railway Station are as follows :
    Number taken.Genuine.Adulterated.Percentage Adulterated.
  • Page 50
    Giving the particulars of the Milks taken during each quarter of 1923 on Sundays, Week-days, and at the Railway Stations.
    1923No. of Samples Taken.Genuine.Adulterated.Per cent. Adulterated.
    Quarters.Sundays.Weekdays.Railway Stations.All Milks.Sundays.WeekdaysRailway Stations.All Milks.Sundays.Weekdays.Railway Stations.All Milks.Sundays.Week. days.Railway Stations.All Milks.
  • Page 50
    Showing the samples of milk reported as genuine or adulterated during the past 10 years and in 1923. MILK ADULTERATION.
    Samples Analysed.Genuine.AdulteratedPar cent. Adulterated.
  • Page 50
    Showing the analyses of 6,187 milks examined in Islington duiring the 10 years 1913-1922 and 1923 and distinguishing those purchased on Sundays, on Week-days, and procured at the Railway Stations whilst in transit from the Farmer to the London Milk Purveyor.
    Years.Sunday Milks.Week-day Milks.Railway Milks (Farmers).
    No. of SamplesPer cent. of nonfatty solids.Per cent of fat.No. of SamplesPer cent. of nonfatty solids.Per cent. of fat.No. of SamplesPer cent. of nonfatty solids.Per cent. of fat.
  • Page 51
    The Public Analysts, in the quarterly reports during the year, reported on the genuineness of the articles examined as follows:— Showing the Samples of Foods and Drugs submitted to the Public Analysts during the year 1923.
    Description.1st Qr.2nd Qr.3rd Qr.4 th Qr.Totals.Genuine.Adulterated.
    1st Qr.2nd Qr3rd Qr.4th Qr.Totals.1st Qr.2nd Qr.3rd Qr.4th Qr.Totals.
  • Page 51
    The summary of prosecutions showed that during the year 130 prosecutions were taken, of which number 117 were successful, and 7 were dismissed, while 6 were withdrawn. Summary of Prosecutions during year 1923.
    Total Prosecutions.Successful.Dismissed.Withdrawn.Amount of Penalties Received.
    £.s.d.
  • Page 54
    Showing the Deaths from all Causes in Islington during the Year 1922. Deaths of Non-Residents in Hospitals are excluded. Deaths of Residents in Public Institutions arc distributed.
    Deaths in Insftution within Borough.DISEASES.AGESUnder 5Over 5DISTRICTS.Males.Females.Totals.
    0-1-5-10-15-20-25-35-45-55-65-75-85-Tuf.U.H.Toll.L.H.H.B.S.E.
  • Page 55
    Continued from previous page...
    Deaths in Insftution within Borough.DISEASES.AGESUnder 5Over 5DISTRICTS.Males.FemalesTotals.
    0-1-5-10-15-20-25-35-45-55-65-75-85-Tut.U.H.Toll.L.H.H.B.S.E.
  • Page 56
    Continued.
    Deaths in Insftution within Borough.DISEASES.AGESUnder 5Over 5DISTRICTS.Males.FemalesTotals.
    0—1—5—10—15—20—25—35—45—55—65—75—85—Tuf.U.H.Toll.L.H.H.B.S.E.
  • Page 57
    Metropolitan Borough of Islingion. CAUSES OF, AND AGES AT DEATH DURING THE CALENDAR YEAR, 1923.
    Causes of Death.Nett Deaths at the subjoined Ages of "Residence" whether occurring within or without the District.
    All agesUnder 1 year1 and under 2 years2 and under 5 years5 and under 15 yrs.15 and under 25 yrs.25 and under 45 yrs.45 and under 65 yrs.65 and upwardsTotal Deaths whether of "Resients"or" Non-residents" in institutions in the District
    1234567891011