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London County Council 1921

[Report of the Medical Officer of Health for London County Council]

Published
1922
Pages
97
Tables
46

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46 tables in this report

  • Page 3
    The distribution of deaths by ages during 1921, is shown in the following table together with corresponding figures for other recent years.
    Year.0-1—2—5—10—15—20—25—35—45—55—65 +All ages.
  • Page 4
    Table showing the deaths per 100,000 births among infants under one year of age, from the principal causes of death 1911-1921:—
    Disease.1911.1912.1913.1914.1915.1916.1917.1918.1919.1920.1921
  • Page 5
    The following is an analysis of the corrected notifications in London during 1921 (52 weeks):—
    Form of tuberculosis notified.Sex.Notifications on Form A. (Total of primary notifications received in London boroughs, other than elementary school cases, infra.)
    0—1—5—10—15—20—25—35—45—55—65 +Age not stated.Total.
  • Page 14
    Ihe actual and relative incidence of death at various age-periods certified as due to influenza in the periods of marked epidemic prevalence in 1921-2, and in the three preceding epidemics was as follows:—
    Age.Summer, 1018.Autumn, 1918.Winter, 1919.Winter, 1921-22.
    Deaths.Total, =1,000.Deaths.Total =1,000.Deaths.Total. =1,000.Deaths.Total, =1,000.
  • Page 16
    The following table shows the age distribution of actual cases of cerebrospinal meningitis, poliomyelitis and encephalitis lethargica during 1921.
    Under 3.3-5.5-10.10-20.20-30.30-10.40-50.50-60.Over60.Total.
  • Page 16
    The following table shows the yearly incidence (of cases notified) of cerebrospinal meningitis and poliomyelitis since 1912, and of encephalitis lethargica since 1919, when it was first made notifiable.
    1912.1913.1914.1915.1916.1917.1918.1919.1920.1921.
  • Page 17
    Planning Act with regard to the making of representations and closing orders—the figures for the years 1914, 1915 to 1919, inclusive, and 1920, are included for comparison.
    Metropolitan borough.No. of houses.No. of houses for the working classes.No. of representations.No. of closing orders.No. of houses demolished.
    In borough.Inhabited by working classes.Repaired by local authority.ErectedIn course of erection.
  • Page 17
    The subjoined table shows the number of sanitary officers and health visitors employed by the Sanitary sanitary authorities in London:—
    Sanitary area.Sanitary inspectors.
    Male.Female.Health visitors.
    Whole time.Part time.Whole time.Part time.
  • Page 18
    The following table shows the length of stay of the 2,863 cases (1,816 males, 1,047 females), passed through the observation beds.
    Under 1 week.1-2 weeks.2-3 weeks.3-4 weeks.4-5 weeks.5-6 weeks.6-7 weeks.7-8 weeks.8-9 weeks.9-10 weeks.10-11 weeks.11-12 weeks.More than 12 weeks.Total.
  • Page 19
    The large group made up of 50 per cent, to 60 per cent, of all the cases treated in sanatoriums discharged as " not materially improved," includes those whose condition was unchanged, those who became definitely worse, and those who made some trifling improvement only.
    Classification on admission to the institution.Condition at time of discharge.Duration of residential treatment.Totals.Percentage of class.
    Under 3 months.3-6 months.6-12 months.More than 12 months.
  • Page 19
    The two last-named schools were opened during 1921, the former on 28th May and the latter on 28th November.
    Number on roll.Reasons for discharge.Gain or loss in weight.
    Accommodation31.12.20.31.12.21.Admitted, 1921.Discharged, 1921.Fit E.S.Fit for work.Transferred to hospital or sanatoria.Removed from district.Transferred to special school.Other reasons.No. gained.Average gain in kilos.No. lost or stationary.Average loss in kilos.
  • Page 24
    TABLEI. COUNTY OF LONDON. Vital statistics for the several metropolitan boroughs and the Couuty of London in the year 1921. (Rates per 1,000 of civil population).
    Metropolitan borough, In topographical order).Estimated civil population. 1921.*Births.Deaths.Infant mortality (per 1.000 births).Measles.Scarlet fever.Diphtheria.Whoop-ing-ooughTyphoid fever.Diarrhœa and Enteritis age 0-2 (per 1,000 births).Phthisis.Cancer.Cases of notifiable infectious disease.
    Smallpox.Scarlet fever.Diphtheria.Typhoid fever.BrysipeJas.Puerperal fever (per 1,000 births).Cerebrospnal fever.Pneumonia
  • Page 25
    TABLE II. COUNTY OF LONDON. Statistics of the administrative work carried out during the year 1921.
    Sanitary Authority.Cowsheds.Slaughterhouses.Offensive Trades.Smoke nuisances.Underground rooms.Overcrowding.Houses let in lodgings.Common lodging houses.Cleansing of persons and rooms.Water supply.Milk- shops.Ice cream premises.Other food places.
    No. licensed.No. of inspections.No. licensed.No. of inspections.No. licensed.No. of inspections.Observations.Complaints.Notices.No. illegally occupied.No. closed or otherwise remedied.Instances found.No. remedied.No. on register.No. of inspections.Prosecutions.Houses licensed.Authorised lodgers.Adults.Children.Premises or rooms.Tenement houses extra supply.No. on register.No. of inspections.No. on register.No. of inspections.No. of placcs.No. of inspections.
  • Page 26 27
    TABLE III. Tuberculosis Dispensaries—Analysis of Returns, Jan.—Dec., 1921.
    1 Borough.2 Examined for the first time.3 No. included under (2). Suffering from Pulmonary Tuberculosis.4 No. included under (2). Suffering from Non-Pulmonary Tuberculosis.5 No. included under (2). Found to be Non-Tuberculous.6 No. included under 2 in which Diagnosis was Doubtful.7 Total Attendances at Dispensary, including those in column 2.8 Attendances Included in column 7 at which systematic examinations and records were made.9 Visits to homes made by Dispensary Medical Officers.10 Visits to homes made by Dispensary Nurses.11 Referred to hospitals to which Dispensary is affiliated.12 Specimens of sputum examined.
    Insured.Uninsured.Insured.Uninsured.Insured.Uninsured.Insured.Uninsured.Insured.Uninsured.Insured.Uninsured.Insured.Uninsured.Insured.Uninsured.Insured.Un-, insured.Insured.Uninsured.Insured.Un-ln. sured.
    M.F.M.FChldn.M.F.M.F.Chldn.M.F.M.F.Chldn.m.F.M.F.Chldn.M.F.M.F.Chldn.
  • Page 30
    ENTRANT INFANTS.
    clothing and Footgear.n utrition.Cleanliness (Head).Cleanliness (Body).
    Year.Good.Fair.Poor.Excellent.Nor malSub norm10alClean.NitsVerminous.Clean.DirtyVer minous.
  • Page 31
    In the following table are shown the figures giving the percentages of twelve-year old children (1) with sound teeth, (2) with slight or moderate dental caries and (3) severe dental caries.
    1913.1914.1915.1916.1917.
    123123123123123
  • Page 32
    The following table sets out the figures for visual acuity from 1918-21 and shows that there is an improvement in this respect at each age.
    Eight-year Old.Twelve-year Old.
    Boys.Girls.Boys.Girls.
    Normal.Poor.Bad.Normal.Poor.Bad.Normal.Poor.Bad.Normal.Poor.Bad.
  • Page 37
    CHILDREN ABSENT FROM SCHOOL THREE MONTHS OWING TO ILLNESS REPORTED IN NOVEMBER, 1919, 1920 AND 1921.
    Complaint.ChildrenPercentage of Total.
    1919.1920.1921.1919.19201991.
  • Page 42
    The results of the work tor the several years 1912-1921 under the Cleansing Scheme are shown in the following table:-
    Year.No. of examinations made at Rota visits.No. of verminous conditions noted at Rota visits.Per cent.No. of verminous children referred to stations.No. subsequently cleansed by parents.No. of verminous children cleansed at stations.No. of scabies eases bathed at stations.No. of cleansings for vermin and scabies.
  • Page 49
    The following statement shows the nature of the conditions found among the children certified suitable for admission to physically defective schools at the admission examinations during the year:-
    Morbid condition.Boys.Girls.Total.
  • Page 50
    The After-Care Association for blind, deaf and crippled children has furnished the following information in regard to cases referred to it, but attention is drawn to the fact that in the past the association was not notified of all children who left these schools.
  • Page 51
    PERCENTAGE DISTRIBUTION OF MENTAL AGES OP CHILDREN EXAMINED AND DEEMED TO BE CAPABLE OP DERIVING BENEFIT PROM INSTRUCTION IN A SPECIAL SCHOOL (1918, 1919, 1920, 1921).
    Chronological age.Mental age.Mean mental age.Annual gain.
    3.4.5.6.78.9.10.11.
  • Page 52
    These may be divided thus :—
    Boys.Girls.Total.
  • Page 53
    The acquired cases were due to the following causes:-
    Boys.Girls.Total.
  • Page 53
    TABLE I. Number of Children inspected 1st January, 1921, to 31st December, 1921. (a) ROUTINE MEDICAL INSPECTION, 1921.
    Entrants.Age 8.Age 12.Age 13.Total at routine medical inspection.
    3.4.5.6.Over 6.Total.Elementary.Special schools.
  • Page 53
    TABLE II. Return of Defects found in the Course of Medical Inspection in 1921.
    Defect or disease.Routine examination.Special.
    Number referred for treatment.Number noted for observation.Number referred for treatment.Number noted for observation.
  • Page 54
    Continued from previous page...
    Defect or disease.Routine examination.Special.
    Number referred for treatment.Number noted for observation.Number referred for treatment.Number noted for observation.
  • Page 54
    TABLE III. Numerical Return of all Exceptional Children in the Area in 1921.
    Boys.Girls.Total.
  • Page 55
    Continued from previous page...
    Boys.Girls.Total.
  • Page 55
    TABLE IV. Treatment of Defects of Children during 1921. A.—Treatment of Minor Ailments.
    Disease or defect.Number of children.
    Referred for treatment by school doctor.Treated.
    Under scheme.Otherwise.Total.
  • Page 56
    Continued from previous page...
  • Page 56
    TABLE V. Summary of Treatment of Defects as shown in Table IV.
    Class of defect.Number of children.
    Referred for treatment.Treated.
    Under scheme.Otherwise.Total.
  • Page 56
    TABLE VI. Summary relating to Children Medically Inspected at the Routine Inspections during the year 1921.
  • Page 57
    TABLE VII. Routine Inspections, 1921.
    Clothing and footgear.Nutrition.Cleanliness.Condition of teeth.Acuity of vision.Mental condition.
    Head.Body.
    1.2.3.1.2.3.4.1.2.3.1.2.3.1.2.3.1.2.3.1.2.3.
  • Page 58
    TABLE VIII. Medical Inspection, 1921 (Rota Exams.).
    Entrants.Age 8.Age 12.Age 13.*Total Elementary Schools.Special schools.
    Boys.Girls.Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 59
    TABLE IX. Medical Inspection of Students in Training Colleges, Secondary Schools, and Trade Schools.
    Nutrition.Clothing.Skin and hair.Teeth.Nose and throat defects.Enlarged glands.External eye disease.6/6 in both eyes.Vision.Ear disease.Hearing defective.Speech defects.Lung defects.Nervous system.Digestive system.Spine.Flat foot.Other deformities.Defects of U. G. system.Other defects.
    No. examined.Excellent.Normal.Below normal.Bad (i.e., malnutrition).Good.Fair.Poor.Clean.Dirty.Pediculi present.Sound.Less than 4 decayed.4 or more decayed.6/9 in either eye.6/12 or worse in either eye.No. wearing glasses.Heart and circulation.Anaemia.
  • Page 60
    TABLE X. Medical Inspection in Day Continuation Schools.
    Nutrition.Clothing.Skin and hair.Teeth.Nose and throat defects.Enlarged glands.External eye disease.Vision.Hearing defective.Speech defects.Heart and circulation.Anaemia.Lung defects.Nervous system.Digestive system.Spine.Flat foot.Other deformities.Defects of U.G. system.Other defects.
    No. examined.Excellent.Normal.Below normal.Bad (i.e., malnutrition).Good.Fair.Poor.Clean.Dirty.Pediculi present.Sound.Less than -4 decayed.4 or more decayed.6/6 in both eyes.6/9 in either eye.6/12 or worse in either eye.No. wearing glasses.Ear disease.
  • Page 62
    The following table shows the development of the provision for residential treatment under the Council's scheme (excluding insured persons and ex-service men):-
    Year.New cases admitted during year.Beds occupied at end of year.
    Adults.Children.Total.Adults.Children.Total.
  • Page 62
    The following table shows the provision for residential treatment in London for insured persons and ex-service men.
    Admissions during year.Beds occupied at end of year.
    Insured adults.Ex-service men.Total.Insured adults.Ex-service men.Total.
  • Page 63
    These facilities have been fully advertised. The following table shows the extent to which they have been utilised by London patients during the five years the scheme has been in operation. The number of beds available for in-patients is 245.
    Year.1917.1918.1919.1920.1921.
  • Page 66
    Particulars with regard to common lodging-houses licensed by the Council are as follows:-
    Year.Houses licensed.Lodgers authorised.Prosecutions.Convictions.Penalties and costs.Cases of infectious disease.
  • Page 66
    Particulars of seamen's lodging-houses licensed by the Council are as follows:-
    Year.Houses licensed.Lodgers authorised.Prosecutions.Convictions.Penalties and costs.Cases of infectious disease.
  • Page 66
    The following table gives particulars of licensed slaughterhouses, knackers' yards and registered offensive businesses for 1919-21:-
    Year.Slaughterhouses.Knackers' yards.Offensive businesses.
  • Page 75
    The initial weekly net rents for the new houses have been fixed, with the approval of the Minister of Health, on the following scale:—
    Type of house.Accommodation.Net rent.
    s. d.
  • Page 75
    The initial weekly net rents, excluding rates, for typical houses have been fixed, with the approval of the Minister of Health, a,s follows:—
    Type of house.Accommodation.Net rent.
    s. d.
  • Page 78
    The results of the year's working compared with those of the previous year are as follows:—