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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

Holborn 1924

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

Published
1925
Pages
108
Tables
60

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60 tables in this report

  • Page 3
    Vital Statistics, 1924. England and Wales, London and Holborn.
    Annual Rates per 1,000 living.Deaths under 1 year to 1,000 Births.
    Births.Deaths.
  • Page 6
    The following table gives the corrected number of births and the corrected birth-rates for the seventeen years 1908-1924: —
    Year.Total Births.Legitimate Births.Illegitimate Births.
    No.Rate per 1000 of Population.No.Rate per 1000 of population.Proportion per 1000 total Registered Births.No.Rate per 1000 of population.Proportion per 1000 total Registered Births.
  • Page 6
    Of these deaths the following occurred in Public Institutions, etc., within the area of the Borough:—
    Institution.Residents.Non-Residents.
    St. Giles and Bloomsbury.Holbon.St. Giles and Bloomsbury.Holbon.
  • Page 7
    Corrected Deaths and Death-Rates, 1924, compared with 1923.
    Year.Total Deaths at all ages registered in District.Deaths in Public Institutions in DistrictDeaths of nonresidents of Borough registered in District.Deaths of residents registered beyond the District.Nett Deaths at all ages.Death Rate for BoroughDeath. Rate. Ratee is rat:on London.
  • Page 7
    The mortality in the four quarters of the year is shown below: —
    Deaths.Death-rate per 1,000.London Rate.
  • Page 7
    The number of deaths of children under one year of age, and the number of deaths of children under one year of age per 1,000 corrected births, were the following: —
    Year.Deaths under 1 year of age.Deaths under 1 year per 1000 corrected legitimate Births.Deaths under 1 year per 1000 corrected illegitimate Births.Deaths under 1 year per 1000 corrected Births.London.
    Deaths under 1 year per 1000 Births.
  • Page 8
    Death-rate per 1,000 corrected births in 1924 and in ten preceding years during which details respecting births have been supplied.
    1914191519161917191819191920192119221923Av'ge, 1914-231924
  • Page 9
    Sanitary Inspectors' and Health Visitors' Work, Year 1924.
    Mr. BennettMr. ClarkMr. LarardMiss CharlesworthMiss ShinnieTotal
  • Page 10
    Continued from previous page...
    Mr. BennettMr. ClarkMr. LarardMiss CharlesworthMiss ShinnieTotal
  • Page 11
    The total number of notices served for nuisances found in dwelling houses and factories, workshops and workplaces, and premises subject to various By-laws, was 1,563, viz.: —
  • Page 11
    The following Table shows the work done to abate nuisances for which information noticecs were served:-
    Water Supply—Houses.Factories, Workshops and Workplaces.
  • Page 12
    Continued from previous page...
    Houses.Factories, Workshops and Workplaces.
  • Page 12
    The following Table shows the nuisances for which the 87 Statutory Notices
    HousesFactories, Workshops and Workplaces.
  • Page 13
    Rats and Mice (Destruction) Act, 1919.
    WARD.Number of premises inspected.Number rat infested.Action for Rat Repression.RESULT.
    Traps.Poisons.Rat catchers.Dogs.Cats.Proofing.
    Council.Other.
  • Page 15
    It was necessary to serve the following notices tor the abatement ot sanitary nuisances in factories, workshops and workplaces.
    Intimaton Notices.Statutory Notices.
  • Page 15
    No less than 125 different industries are carried on in these workshops, among the principal being the following:-
    No. of Workshops Employing
    Men only.Women only.Both Sexes.Total.
  • Page 19
    The following table refers to the six samples examined as mentioned above :—
    Date sample taken.Nature of Shop where purchased.No. of Organisms per cc. grown at 37° C for 24 hours.Minimal volume containing Bacillus Coli.
  • Page 24
    The following table gives particulars of the milk fat and milk solids found in the nine samples:—
    Milk fat.Milk solids (including fat).
  • Page 25
    For the purposes of the Regulations the terms "milk," "three-quarter cream milk," etc., mean milk containing not less than the following percentages of milk fat and milk solids:—
    Milk fat.Milk solids (including fat).
  • Page 29
    The following unsound food was condemned during the year 1924:—
    Commodity.Quantity.Condition.Result of Action taken.
  • Page 40
    Milk. The following table shows the fat content of the 217 samples of milk :— .
    Percentage of Fat.Number of Samples.
    Shops.Restaurants.Streets.Total
  • Page 41
    The following table shows the average composition of milk samples purchased during each month of 1924:
    Number of Samples examined.Total Solids, per cent, average.Solids Non-fat. Per cent, average.Fat. Per cent, average.
  • Page 42
    The following is a list of articles purchased in 1924:—
    ARTICLE.Purchased.Genuine.Adulterated.Proceedings taken.Convictions.Fines and Costs.
  • Page 43
    Continued from previous page...
    ARTICLE.Purchased.Genuine.Adulterated.Proceedings taken.Convictions.Fines and Costa.
  • Page 45
    ENGLAND AND WALES. Common Infectious Diseases. Deaths at all Ages.
    1914.1915.1916.1917.1918.1919.1920.1821.1922.1923.Yearly average 1914-1923.
  • Page 47
    The following Table, kindly supplied by the Vaccination Officer of the Holborn Union gives information respecting vaccination in the Borough of Holborn:—
    Total Number of BirthsVaccinatedDied before VaccinationCons. ObjectorsInsusceptiblePostponed by Medical CertificateRemoved. No information as to VaccinationTemporarily unaccounted for
  • Page 47
    Return respecting vaccination of children whose births were notified in 1923 and to whose parents leaflets were sent as arranged with a Medical Officer of the Ministry of Health:—
    Leaflets.No. issued.No. of Children Vaccinated.Obtained exemption.Dead Unvaccinated.Postponed to be done later.Removed no trace.Refused Vaccination.
  • Page 48
    Diphtheria Contacts. Bacteriological Examination of Nose, and Throat Swabs.
  • Page 50
    HOLBORN MUNICIPAL INFANT WELFARE CENTRE. Schick Test and Diphtheria Immunisation. Three years, 1922-23-24.
    Total Tested.Result of Test.Immunisation of Positives.
    Negative.Positive.Not read.Found NEGATIVE to Re Schick Test afterFound NEGATIVE to Re Schick Test afterFound POSITIVE to Re Schick Test after 3 ccm T.A.T.Not yet read after Re Schicking.Total Re Schick Tested.Given 3 ccm T.A.T. Not Re-tested.Failed to complete 3 inoculatns.Inoculatns. not begun.Inoculatns. still in progress.
    1 ccm T.A.T.2 ccm T.A.T.3 ccm T.A.T.4 ccm T.A.T.5 ccm T.A.T.6 ccm T.A.T.Given further inoculation but not yet Re-tested.No further inoculation given.
    CACACACACACACACACACACACACACACACACACA
  • Page 51
    HOLBORN MUNICIPAL INFANT WELFARE CENTRE, 1922, 1923, 1924. Ages of Persons Schick-Tested with Result of Test.
    Ages.6 to 12 months1 to 2 years2 to 3 years3 to 4 years4 to 5 years5 to 6 years6 to 7 years7 to 8 years8 to 9 years9 to 10 years10 to 11 years11 to 12 years12 to 13 years13 to 14 3_ears14 to 15 years15 and above years
  • Page 53
    The following table gives information up to the end of 1924 respecting the ten cases of encephalitis lethargica notified in the Borough since the Public Health (Encephalitis Lethargica) Regulations came into force on the 1st January, 1919: —
    Date of Notification.Patient.Age when notified.Subsequent History.
  • Page 54
    The following table gives particulars of these cases with the condition at the end of 1924:—
    Date of Notification.Patient.Ape at date of Votification.Where Treated.Subsequent History.
  • Page 55
    The following Table gives details of the examinations made during the year:—
    DiphtheriaEnteric FeverConsumptionOther Diseases
    Number SubmittedResult of ExaminationNumber SubmittedResult of ExaminationNumber SubmittedResult of ExaminationNumber SubmittedResult of Examination
  • Page 58
    Summary of Notifications during the period from the 30th December, 1923, to the 3rd January, 1925, in the Metropolitan Borough of Holborn.
    Age-periods.Notifications on Form A.Notifications on Form B.Number of Notifications on Form C.
    Number of Primary Notifications.Total Primary Notifications.Number of Primary Notifications.Total Notifications on Fonn B.Poor Law Institutions.Sanatoria.
    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 upwards.Total Notifications on Form A.Under 5.5 to 10.10 to 15.Total Primary Notifications.
  • Page 58
    Supplemental Return. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the period from the 30th December, 1923, to the 3rd January, 1925, otherwise than by notification on Form A or Form B under the Public Health (Tuberculosis) Eegulations, 1912.
    Age-periods.0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwards.Total Cases.
  • Page 62
    Showing the number of Patients who died in their own homes and the number who died away from home in Hospitals or other Institutions.
    0-1-5-10-15-20-25-35-45-55-65-All Age.
    Males.Females.Total.
  • Page 63
    Analysis of 108 New Cases in 1924 and 3 Casos under observation on the 31st December, 1923, pending diagnosis:—
    Cases examined.Found to be suffering from Tuberculosis.Not suffering from TuberculosisCeased attendance before completion of diagnosis.
    Pulmonary.Non-Pulmonary
  • Page 71
    The following is an analysis of the attendance at the Municipal Centre, 10, John Street.
    Tuesday.Wednesday.Thusday.Friday.
    Medical Consultation (alternate weeks) 2—5.30 p.m.Ante-Natal and Post-Natal cases only (alternate weeks) 2—5.30 p.m.Children and Mothers seen at Ante-Natal ConsultationMedical Consultation 2—5.30 p.m.Class 3-5-30 p,m.Dentist. 2—4 p.m.Medical Co. sultation 2—5.30 p.m.
  • Page 74
    Maternal and Infant Consultations. Details as regards the work at the Maternal and Infant Consultations at 10, John Street and the Mary Ward Centres during the year are as follows:—
    Reason for Attendance.Number attending*
    Mothers—John St.Mary Ward.
  • Page 77
    The following Table shows new casesassisted in 1924:—
    Milk.Prepared Milk.
    Free.Part Cost.Free.Part Cost.
  • Page 79
    Deaths of Infants under One Year of Age, 1924. The homes were visited in a large proportion of the infant deaths, and any requisite information obtained, and when required, suitable advice given. The cause and age of death are given In the following Table:—
    Cause of DeathUnder 1 Week1-2 Weeks2-3 Weeks3-4 WeeksTotal under 4 Weeks4 Weeks and under 3 Months3-6 Months6-9 Months9-12 MonthsTotal under 1 Year
    MFMFMFMFMFBoth sexesMFMFMFMFMFBoth sexes
  • Page 80
    Deaths of Children 1 to 5 Years, 1924. Twenty-five children between the ages 1 to 5 years died from the following causes:—
    Cause of Death.Ages.Total. 1—5
    1—22-33-44-5
    M.F.M.F.M.F.M.F.M.F.Both Sexes.
  • Page 81
    Nine Cases Notified in Accordance with the Public Health (Ophthalmia Neonatorum) Regulations, 1914.
    Case Number.Age when Notified.Age at Onset.By whom Notified.Type of Disease on Health Visitor's first visit.Where Treated.Medical Attendance and Nursing.Result.Birth Notified by jREMARKS.
  • Page 82
    Four Cases not Notified in accordance with the Public Health (Ophthalmia Neonatorum) Regulations, 1914.
    Case Number.Age when Information received.Age at Onset.Information.Type of Disease on Health Visitor's first visit.Where treated.Medical Attendance and Nursing.Result.Confinement attended by.Remarks.
  • Page 84
    180 had contacts, the number of contacts was 720, of whom 230 were susceptible, 490 having already suffered from an attack.
  • Page 85
    The number of contacts was 13 of whom 12 were susceptible, 1 having already suffered from an attack; 4 had no contacts.
  • Page 89
    Medical Inspection in Public Elementary Schools in Holborn, 1924.
    Age, Group and number examined.Condition of Clothing.Nutrition.Cleanliness—Head.Cleanliness—Body.Condition of Teeth.Vision.Mental Condition.
    Good.Fair.Bad.Good.Average.Poor.Bad.Clean.Nits present.Pediculi.Clean.Dirty.Pediculi.All sound.Not more than 3 decayed.4 or more decayed.6/6 in both eyes.6/9 in either or both eyes.6/12 or worse in either eye.Average.Poor.Mentally deficient.
  • Page 90
    Defects Found. At Medical Inspections in Public Elementary Schools in Holborn, 1924.
    Entrants.Age 8.Age 12.
    Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 91
    Deaths of Children 5-15 years, 1924.
    Ages.Total.
    567891011121314Both Sexes.
    MFMFMFMFMFMFMFMFMFMFMF
  • Page 96
    APPENDIX. TABLE I. Vital Statistics of Whole District during 1924 and Ten Previous Years.
    YearPopulation estimated to Middle of each Year.Births.Total Deaths Registered in the DistrictTransferable DeathsNet Deaths belonging to the District.
    Under 1 Year of AgeAt all Ages
    Un-corrected N umberNetNumberRateof Non residents registered in the Districtof Residents not registered in the DistrictNumberRate per 1,000 BirthN umberRate
    NumberRate
  • Page 97
    TABLE II. Causes of, and Ages at, Death, 1924.
    Causes of Death.NET DEATHS AT THE SUBJOINED AGES OF "RESIDENTS," whether occurring within or without the District.Total Deaths whether of "Residents" or "Non-Residents" in Institutions in the District.
    All Ages.Under 1 year.1 and under 2 years.2 and under 5 years.5 and under 15 years.15 and under 25 years.25 and under 45 years.45 and under 65 years.65 and under 75 years.75 and upwards.
  • Page 98
    TABLE III. Cases of Infectious Disease notified during the year 1924.
    Notifiable Disease.Number of Cases Notified.Total Cases Notified in each Locality (e.g. Parish or Ward) of the District.Total Cases Removed to Hospitals.
    At all Ages.At Ages—Years.
    Under 11 to 55 to 1515 to 2525 to 4546 to 6565 and wards.St. Giles and Bloomsbury.Holborn.
  • Page 99
    TABLE IV. Infectious Diseases in Holborn for the last Eleven Years.
    NOTIFICATIONSDEATHS
    Decennial Average, 1914-1923Year 1924Decennial Average, 1914-1923Year 1924
    NumberRate per 1,000London RateNumberRate per 1,000London RateNumberRate per 1,000London RateNumberRate per 1,000London Rate
  • Page 101
    TABLE VI. Factories, Workshops, Laundries, Workplaces and Homework 1.—INSPECTION. Including Inspections made by Sanitary Inspectors.
    PREMISES.Number of
    Inspections.Written Notices.Prosecutions.
    Intimations.Statutory.
  • Page 101
    2.—DEFECTS FOUND.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to h.m. Inspector.
  • Page 102
    TABLE VI.—continued. 3.—HOME WORK.
    NATURE OF WORK.Outworkers' Lists, Section 107.Outwork in Unwholesome Premises, Section 108.Outwork in Infected Premises, Sections 109, 110.
    Lists received from Employers.Notices served on occupiers as to keeping or sending lists.Prosecutions.Instances.Notices servedProsecutions.Instances.Orders made (S. 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.
    Lists.Outworkers.Lists.Outworkers.
    Contractors.Workmen.Contractors.Workmen.
  • Page 103
    TABLE VI.—continued. 4.—REGISTERED WORKSHOPS.
    Workshops on the Register (S. 131) at the end of the year.Number.
    (1)(2)
  • Page 103
    5.—OTHER MATTERS.
    Class.Number.
    (1)(2)
  • Page 104
    LEGAL PROCEEDINGS. SALE OF FOOD AND DRUGS ACTS, 1875-1907.
    Date.Name.Address.Offence.Result.
  • Page 104
    PUBLIC HEALTH (LONDON) ACT, 1891.
    Date.Name.Address.Offence.Result.