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London County Council 1925

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

Published
1926
Pages
224
Tables
118

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118 tables in this report

  • Page 14
    The distribution of the deaths by ages in 1925 is shown in the following table with corresponding figures for the preceding two years, and the annual average for the years 1911-14 and 1919-22:—
    Year.0-1—2—5—1-15—20—25—35—45—55—65 +All ages.
  • Page 14
    In the following table the deaths under one year of age per thousand births, from the principal causes of infant mortality, are shown for 1925 and preceding years.
    Cause of Death.1911 to 1914.1915 to 1918.1919 to 1922.1921.1922.1923.1924.1925.
  • Page 17
    The following figures suggest that the heading arterio-sclerosis has, in many instances, replaced "old age" as the certified cause of death:—
    Certified cause of death.Deaths among persons over 65 years of age.
    1911.1916.1920.
  • Page 17
    The following table compares tne age-incidence of deaths from the principal diseases of the zymotic group in 1851-60, 1881—90 and 1911-20. The figures shown are the percentages (of such deaths) of deaths fron all causes.
    Period.Deaths from zymotic diseases per cent, of deaths from all causes.
    0—15.15—65.65 +All ages.
  • Page 19
    comprised in the zymotic group at ages below five years in the three decennia are as follows:—
    Disease.1851—60.1881—90.1911—20.
    Deaths 0—5.Per cent. of all causes.Deaths 0—5.Per cent, of all causes.Deaths 0—5.Per cent, of all causes.
  • Page 20
    diarrhcea. In the following table the extent to which the temperature in the winter quarters of successive five-yearly periods, from 1871 onwards, fell below normal is shown, and it is clearly apparent that the winters of 1886-90 and 1891-95 were altogether exceptional:—
    Period.Number of winter quarters with average temperature below normal.Aggregate of degrees below normal in the winter quarters referred to in the preceding column.
  • Page 24
    The percentage of such deaths in successive ten-year intervals since 1840 are shown in the following table :—
    Year.Percentage.Year.Percentage.Year.Percentage.
  • Page 25
    report of the Chief Medical Officer of the Ministry of Health for the year 1924, and brought up to date, emphasises the foregoing remarks.
    Year.England and Wales (including London).London.
    Cases.Deaths.Cases.Deaths.
  • Page 30
    Table of age incidence (actual cases).
    Age periods.Under 3.3-5.5-10.10-20.20-30.30-40.40-50.50-60.Over 60.Total.
  • Page 30
    Table of yearly prevalence (notified cases).
    Year.1913.1914.1915.1916.1917.1918.1919.1920.1921.1922.1923.1924.1925.
  • Page 33
    The deaths from influenza in the autumn and winter of 1925-26 were as follows:—
    Week No.Deaths.Week No.Deaths.Week No.Deaths.
    1925.1926.1926.
  • Page 36
    The results obtained, on an assumption of Dr. Brownlee's 33 weeks' periodicity and by the suggested method of balanced incidences, are compared in the following table, in which are shown the errors in forecast of influenza prevalences in the years 1890-1924 inclusive, (I.) on hypothesis of balanced incidence about the 35th week of the year, and (II.) on hypothesis of periodicity of 33 weeks.
    Method of forecast.Forecast too early byForecast correct to within 4 weeks.Forecast too late by
    14 weeks or more.5—13 weeks.5—13 weeks.14 weeks or more.
  • Page 37
    The table on page 37 shows that there are several instances in which the hypothesis fails, but with the reservation which thus attaches to any particular forecast it may be noted that a prevalence of influenza is indicated about the end of 1926.
    Registration year (52 or 53* weeks).Week of influenza prevalence with maximum mortality.Interval from middle of week of maximum mortality.Expected interval to next maximum.Difference be tween actual and expected interval.†Registration year. (52 or 53* weeks).Week of influenza prevalence with maximum mortalityInterval from middle of week of maximum mortality.Expected interval to next maximum.Duterence between actual and expected interval.†
    To commencement of 35th week of year (weeks).To week of next maximum mortality (weeks)To commencement of 35th week of year (weeks).To week of next maximum mortality (weeks).
    Column (3) 2.('olunn (4)-(5).Column (3) x oColumn (4) — (5).
    (1)(2)(3)(4)(5)(6)(1)(2)(3)(4)(5)(6)
  • Page 37
    diagnoses. The following is an analysis of the returns, the corresponding figures for the two preceding years being also shown for the purpose of comparison:—
    Bacteriological diagnosis.1925.1924.1923.
  • Page 55
    The deaths and death-rate from tuberculosis of the respiratory system by sexes in recent years have been as follows:—
    Year.Deaths.Death-rates.
    Males.Females.Total.Males.Females.Total.
  • Page 56
    The following is an analysis of the notifications in London during 1925 (52 weeks).
    Form of tuberculosis notified.Sex.Notifications on Form A. (Total of primary notifications received in London borough, other than elementary school cases, injra.)
    0-1-5-10-15-20-25-35-45-55-65 +Total.
  • Page 56
    The following is an analysis of the notifications in London during 1925 (52 weeks).
    Form of tuberculosis notified.Sex.Notifications on Form B. (Primary notifications of cases discovered through medical inspection in elementary schools.)Notifications on Form C. (Secondary notifications from institutions receiving cases.)
    0-5-10 +Total.Poor Law.Other.
  • Page 56
    These figures include cases not notified before death:—
    Form of tuberculosis notified.Sex.New cases of tuberculosis coming to knowledge otherwise than by notification on forms A and B.
    0-1-5-10-15-20-25-35-45-55-65 +Total.
  • Page 57
    Continued from previous page...
    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.Erected.In course of erection.
    1925.1925.1925.1925.1925.1911-141915-191920-251911-141915-191920-251911-141915-191920-25
  • Page 64
    The first table gives the results of the observation of 158 ex-service and civilian insured cases which were under observation in Brompton and City of London Chest Hospital, Victoria Park, during 1920.
    No. of cases observed.Tuberculous.Not tuberculous.
  • Page 64
    Classification of patients referred to observation hospitals:—
    1921.1922.1923.1924.1925.
  • Page 64
    Adult patients examined at the County Hall, and disposal thereof since 1922:—
    1922.1923.1924.1925.
  • Page 65
    Table shewing development of provision of residential treatment under the Council's Tuberculosis Scheme (1914-1925 inclusive).
    Year.No. of admissions during year. Adults.No. of beils occupied at end of year. Adults.
    Uninsured.Insured.Ex-service men.Total.Children.Un-insur-d.Insured.Ex-servicemen.Total.Children.
  • Page 67
    After history of the Council's Patients who received residential treatment during part of 1914 and during 1915, and of insured persons recommended for sanatorium benefit in 1914.
    Number of cases.Numbers known alter tour years to be
    Alive.Dead.
  • Page 67
    5,869 applications for institutional treatment of adult patients were received during the year 1925, viz.:—
  • Page 68
    Action taken with regard to adult patients examined at the County Hall during 1925 :—
    Observation hospital.Sanatorium.Home for advanced cases.Not accented.Total.
  • Page 68
    The classification of the 1,334 patients discharged after observation in hospitals :
  • Page 68
    In the remaining 229 cases the diagnosis of tuberculosis was not confirmed. Action taken with regard to 1,105 cases in which tuberculosis was diagnosed, compared with the figures for 1924 :—
    Year.
    1925.1924.
  • Page 68
    At the commencement of 1925 the Council had in use the following number of beds:—
    Adults.
    Discharged soldiers.Civilians.Total adults.Children.Total children.
  • Page 69
    The number of cases under treatment on 31st December, 1925, was:—
    Adults.
    Discharged soldiers.Civilians.Total adults.Children.Total children
  • Page 70
    Continued from previous page...
    Year.Syphilis.Gonorrhoea.Soft chancre.Non-venereal.Total.
  • Page 70
    It will be seen that in the case of syphilis the figures for 1925 are the lowest recorded since the scheme first came into operation.
    Year.New cases.Total venereal cases.
    Syphilis.Soft chancre.Gonorrhoea.
    M.F.M.F.M.F.M.F.
  • Page 70
    country. Comparative figures for the nine years the scheme has been in force are shown in the following table :—
    Year.New cases.Total.Attendances.In-patient days.
    Venereal.Non-venereal.
  • Page 71
    Another point worthy of note is the total number of examinations made of pathological specimens. Comparative figures for the nine years are shown in the following table.
    Pathological examinations.
    Year.For treatment centres.For private practitioners.
  • Page 73
    The number of beds available in London for maternity cases is estimated to be as under:—
  • Page 73
    The number of lying-in homes registered in London since 1916 is as under:—
  • Page 74
    During the year 722 cases were examined with the following results:—
    Idiot.Imbecile.Feeble minded.Moral Imbecile.Not Defective.Insufficient Evidence.Total.
  • Page 77
    TABLE I. COUNTY OF LONDON. Vital statistics for the several metropolitan boroughs and the County of London in the year 1925. (Rates per 1,000 of civil population.)
    Metropolitan boroughs. (Arranged in topographical order.)Estimated civil population, 1925.Births.Deaths.Infant mortal- ity (per 1,000 births).MeaslesScarlet fever.Diphtheria.Whoop- ing cough.Typhoid fever.Diarrhoea and Enteritis, age 0-2 per 1,000 births).Phthisis.Pneumonia.Bronchitis.Cancer.Cases of notifiable infectious disease, (a)
    Scarlet fever.Diphtheria.Ty-phoid fever.Erysipelas.Puerperal fever 'per 1,000 births).Cerebrospinal fever.Acute pneumonia.
  • Page 78
    TABLE II. COUNTY OF LONDON. Statistics of the administrative work carried out during the year 1925.
    Cowsheds.Slaughterhouses.Offensive Trades.Smoke nuisances.Underground rooms.Overcrowding.Houses let in lodgings.Common lodging houses.Cleansing of persons and rooms.Water suppljMilk-shops.Ice cream premises.Other food places.
    Sanitary Authority.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, jNo. on register.No. of inspections.No. of places.No. of inspections.
  • Page 79
    Table III. Tuberculosis Dispensaries—Analysis of Returns Jan.-Dec., 1925.
    1 Borough and dispensary.2 Under observation on 1-1-1925 pending diagnosis.3 Examined for first time during 1925, including contacts.4 Number of contacts included in (3).5 Number included under (2) and (3) suffering from6 Number included under (2) and (3) found to be non-tuberculous.7 Under observation on 31st December. 1925. pending diagnosis or ceased attendance bef re comp etion of d agnosis.8 Total attendances.9 Visits to homes by10 Home consul tations.11 Number referred to affiliated hospital.12 No. of specimens of sputum examined
    (a) Pulmonary.(i) Non-pulmonary.
    Adults.Children.Adults.Children.Adults.Children.Adults.Child ren.Adults.Children.Adults.Children.Adults.Children.(a) Tuberculosis officer.(b)Dispen sa0ry nurse.
  • Page 84
    changes, if any, have taken place. A series of tables has, therefore, been prepared giving the results of the inspection of entrants in the years 1913, 1915, 1920 and 1925.
    Good.Boys. Average.Poor.Good.Girls. Average.Poor.
    1.2.3.1.2.3.
  • Page 84
    The tendency of the times is thus well illustrated, inequalities at the one end of the scale are being reduced, while the incidence of distress at the other end is being held in check or even lessened.
    Boys.Girls.
    Clean.Head Nits.Vermin.Clean.Body Dirty.Vermin.Clean.Head Nits.Vermin.Clean.Body Dirty.Vermin
    1.2.3.1.2.3.1.2.3.1.2.3.
  • Page 84
    been reduced progressively to 9.9 per cent. Body vermin in 1913 were found in one in 50 of all entrant children, in 1925 they are found in only one in a thousand.
    Bovs.Girls.
    Sound.Slight caries.Severe caries.Sound.Slight caries. Severe caries.
  • Page 85
    The percentages of those examined referred for treatment amongst entrant infants for certain ailments were as follows:—
    Boys.Girls.
    1913.1915.1920.1925.1913.1915.1920.1925.
  • Page 86
    The table printed below shows in biennial periods the findings of the school doctors in regard to the condition of the teeth of twelve-year old children since 1913; and shows that a great improvement has been effected, especially in reduction of the more serious cases of dental decay in the older children:—
    1913.1915.1917.1919.
    123123123123
  • Page 87
    Children referred for treatment for enlarged tonsils and adenoid growths
    Entrants.8-year old.12-year old.
    No.Per cent.No.Per cent.No.Per cent.
  • Page 87
    The percentage columns show that at each age group larger proportions of the children inspected have been referred for treatment. Many more children inspected are recorded with enlarged tonsils and adenoid growths than are advised to have treatment, the greater proportion are dealt with in an expectant fashion, being kept under observation while the effect of hygienic advice to the parents is ascertained. The number of children found to have tonsils and adenoids and the proportions of these referred for treatment are shown in the following table for the two years:—
    Entrants.8-vear old.12-year old.
    Tonsils and adenoids.Per cent, referred for treatment.Tonsils and adenoids.Per cent, referred for treatment.Tonsils and adenoids.Per cent, referred for treatment.
  • Page 92
    The following table shows the number of actual cases of infectious and contagious illnesses reported by head teachers as occurring among school children during the year under review compared with figures for the preceding four years :—
    Disease.Diphtheria.Scarlet fever.Measles and German measles.Whooping cough.Chicken pox.Mumps.Scabies.Ophthalmia.King-worm.
  • Page 93
    The number of schools which were visited by medical officers during the year, and the number of departmental visits on the occurrence of local outbreaks of scarlet fever and diphtheria are shown in the subjoined table:— Diphtheria and Scarlet Fever in London, 1925.
    Division.Spring term.Summer term.Autumn and winter terms.Total (depts.).Total (schools).No. of children inspected.
  • Page 94
    It will be observed that the percentage of non-clinical or mistaken cases of diphtheria is particularly high, especially in comparison with scarlet fever.
    l. Year.2. Total admissions to 1 M.A.B. hospitals.3. No. of bacteriological and negative* cases.4. No. of cases of mistaken diagnosis.5. Percentage ot cols. 3 and 4 to total admissions.
  • Page 96
    This speeding-up of the return to school of diphtheria carriers since the school nurses were first employed on this work in 1924 is shown in the following table :—
    Period of absence from school.1920.1924.1925.
    Carrier cases.Approx. per cent.Carrier cases.Approx. per cent.Carrier cases.Approx. per cent.
  • Page 96
    Number of cases of diphtheria and scarlet fever reported from the schools:—
    Disease.Average number of cases annually (1906-1919).No. of cases occurring in each year of epidemic period.Average number of cases annually (1923-1925).
    1920.1921.1922.
  • Page 98
    These figures, however, only furnish a rough guide, as in a large number of cases no medical advice is sought, and, furthermore, only the first case in a household was notified. The total incidence of measles at the pre-school ages and in the population generally may be estimated at nearly three times the number of cases occurring among school children. The undermentioned table shows the number of cases of measles reported by head teachers of the schools during the past 20 years. Similar figures in respect of scarlet fever and diphtheria are shown for purposes of comparison:—
    Year.No. of cases reported among elementary school children.Year.No. of cases reported among elementary school children.
    Measles and German measles.Scarlet fever.Diphtheria.Measles and German measles.Scarlet fever.Diphtheria.
  • Page 99
    The school notifications of measles each month from October to March, were as follows :—
    1925.1926.Total.
    Oct. (4 weeks).Nov. (4 weeks).Dec. (3½weeks).Jan. (3 weeks).Feb. (4 weeks).Mar. (4 weeks).
  • Page 99
    The deaths from measles during the 1925-6 epidemic from the beginning of November, 1925, up to the end of March, 1926, are as follows
    November.December.January.
    Week ending—7 th.14th.21st.28th.5th.12th.19th.26th.2nd.9th.16th.23rd.30th.
  • Page 100
    For purposes of comparison, similar data with regard to whooping cough are shown:—
    Quinquennium.Measles.Whooping cough.
    No. of cases among school children.No. of deaths (all persons).No. of cases (school children).No. of deaths (all persons).
  • Page 100
    The resulting rates for the past ten years are given in the following table, the corresponding rates for whooping-cough being also shown for the purpose of comparison (see also the diagram on p. 101).
    Year of birth.Deaths per 1,000 hom, up to 5th year of ace.
    Measles.Whooping cough.
  • Page 103
    which have occurred in Poor Law institutions since the order of the Local Government Board came into force:—
    Year.Measles: place of death.
    M.A.B. hospitals.Poor Law institutions.Elsewhere.Total.M.A.B. and Poor Law.
    Number.Per cent. of total.
  • Page 103
    The corresponding figures for whooping-cough are as follows:—
    Year.Whooping cough: place of death.
    M.A.B. hospitals.Poor Law institution.Elsewhere.Total.M.A.B. and Poor Law.
    N umber of deaths.Per cent. of total.
  • Page 108
    Encephalitis lethargica has been a notifiable disease since the beginning of 1919, but it is evident that only a proportion of the cases have been recognised in the early or acute stage. In London the numbers notified are as follows:—
    Year.Total notified cases.Number of these of school age (3-14).Year.Total notified cases.Number of these of school age (3-14).
  • Page 108
    The following table shows the distribution of actually confirmed cases, and the number of deaths in the different age groups, occurring within the scope of the analysis —i.e., from January to September, 1925.
    Ages.—5.5—15.15—25.25—35.35—45.45—55.Over 55.Total.
  • Page 110
    The following analysis will be of interest as showing the after-effects of the disease in the different age groups:—
    Age groups.15-15.15-25.25-35.35-45.j 45-55.Over 55.Total.
  • Page 112
    The children are only admitted on the application of the Council or Boards of Guardians, and the following table shows the age and sex distribution of cases sent in by the two authorities.
    Age and sex.0—.5—.10-15.Total.
  • Page 112
    The medical officer in charge made a classification of the first 50 cases dealt with at the institution, from which it appears that the frequency of the following recognised post-encephalitic symptoms was as follows, some children being included under more than one group.
  • Page 114
    Re-inspections in 1925.
    Class of ailment and number seen.Treated by doctor.Treated under Council's scheme.Treated at hospitals not in Council's scheme.Not treated, but recovered.Not treated. Improved. For observationNot treated. Still needing treatment.
    Cured.Not cured.Cured.Not cured.Cured.Not cured.
  • Page 115
    I hat very substantial progress is being made is shown by the following figures :—
    Year.No. of children inspected by dentist.No. found by dentist, to require treatment.Percentage found to require treatment,.No. treated at the Council's centres.
  • Page 115
    Number referred for treatment.Number treated.
  • Page 117
    Complaint.Children.Percentage of total.
  • Page 119
    The following are the statistics relating to the work done under the new scheme from 1st April to 31st December, 1925 :—
    Suppurating ears —Patients.Ears.
  • Page 120
    This represents a net result of 45-7 per cent, of ears cured of the completed cases.
    Purely deaf children —Patients.Ears.
  • Page 120
    The following table represents a complete analysis of all the lonisation work done at the ionisation centres from 1st April to 31st December, 1925
    Causes of suppuration.Total cases.Cured.Lapsed.Sent to hospital.Still under treatment.
  • Page 121
    The details of the work done at the after-care clinic, Kentish Town, including the mastoid operations done at the Downs Hospital, are as follows:—
    Patients.Ears.
  • Page 124
    A census is taken each year, in November, of the number of children reported chronically out of school, and the numbers of these for the past four years are set out in the following table in which those absent on account of rheumatism are also shown separately.
    1922.1923.1924.1925.
  • Page 124
    The 614 rheumatic children absent in November, 1925. are classified as follows:—
    Boys.Girls.Total.
  • Page 124
    The deaths in London in 1924 from rheumatism at ages below 25 were:—
    0-55-1515-25
  • Page 126
    The 614 rheumatic children chronically absent from school in London in November, 1925, were distributed as follows:—
    Education District.No. of cases.No. of children of school agePer 1,000
  • Page 134
    Discharges for the year are as follows:—
  • Page 136
    Remedial Exercise Class (G. Dept.), Smallwood Road.—The results obtained in connection with this class continue very satisfactory, and one must again pay tribute to the class teacher (Miss Tayer), to whose efforts these results are entirely due. From the appended table it will be seen that the defects are of the usual types, kyphosis predominating
    Defects.No.Discharged cured.Continuing.Left.
    Improved.No change.
  • Page 137
    Number of hours' play available in organised games:—
    Council's parks and open spaces.Sites under control of Education Committee.Royal parks, Borough Councils' sites, etc.Total number of hours' play each week.
  • Page 139
    The results of the work under the Cleansing Scheme, for the last five years are:—
    Year.Examinations at rota visits.Verminous conditions noted at rota visits.Per cent.Verminous children referred to centres.Subsequently cleansed by parents.Verminous children cleansed at centres.Scabies cases bathed at centres.
  • Page 145
    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 145
    These cases were seen by the Council's consulting aural surgeon, with the following results:—
  • Page 146
    The percentage of cases in which deafness may be attributed to congenital syphilis has fallen since 1919:—
    1919.1920.1921.1922.1923.1924.1925.
  • Page 147
    The medical records of the children in the Council's residential schools for the blind and deaf have been examined with a view to ascertaining the number of cases whose defect was attributable to venereal disease. The total number of records examined was 298 (100 blind, 198 deaf), and the data obtained were as follows:—
    Defeet.Venereal disease a reasonably certain antecedent.Venereal disease a possible antecedent-
    Congenital syphilis.Ophthalmia neonatorum.Congenital syphilis.Ophthalmia neonatorum.
    Boys.Girls.Boys.Girls.Boys.Girls.Boys.Girls.
  • Page 147
    The Association of Directors and Secretaries for Education have been informed in reply to enquiries that the numbers of children (other than imbeciles) who have shown mental deficiency combined with another defect during the past four years are as follows:—
    Boys.Girls.Total.
  • Page 147
    The subjoined table shows the mental and chronological ages of 322 mongols at the time of their examinations.
    Mental age.Chronological age.Total.
    2345678910111213141516
  • Page 148
    The cause of mongolism is as yet unknown, but it has been noted that they are frequently, though not exclusively, the last children of elderly parents; sometimes they come at the end of very large families; the place in family of 315 children is tabulated below.
    Place in family.No. of children in family.
    12345678910111213141516
  • Page 148
    The ages of the parents of 294 such children are shown in the subjoined table:—
    Father's age.18 to 2021 to 2324 to 2627 to 2930 to 3233 to 3536 to 3839 to 4142 to 4445 to 4748 to 50Over 50Total
  • Page 150
    The number of children on the roll of P.D. schools suffering from heart disease or from rheumatism, or chorea, at the end of 1925, was as follows:—
    Numbers.
    Morbid condition.Boys.Girls.Total.
  • Page 151
    The after careers of children formerly attending special (mentally defective) schools are here set out.
    Male.Female.Total.
  • Page 156
    Using these groups Dr. Dobbie found the following distribution :—
    Robust (Nutrition I.)Delicate (Nutrition III.).
    Fine.Pernio.Oily.Dry.Fine.Pernio.Oily.Dry.
  • Page 156
    Vascular tone estimated on a three point scale according to the condition of the skin gave a great preponderance of defective states in the " delicate " section.
    Nutrition I.Nutrition III.
  • Page 164
    Dr. Fairfield has made a preliminary survey of the infirmities which have led to a premature termination of the teacher's career, either by death or disablement, in the year ended 31st December, 1925, among the 19,874 teachers (6,126 men, 13,748 women) in the service of the Council. The following table shows the infirmities which led to death:—
  • Page 164
    During the year there were 73 teachers who broke down prematurely, and the morbid conditions are shown in the following table:—
  • Page 165
    Dr. Fairfield has also made the following analysis of 650 cases of women teachers examined by her after reference to the School Medical Officer on account of absences for periods of one month and over.
  • Page 166
    Medical Inspections, 1925. (a) ROUTINE INSPECTIONS. (6) OTHER INSPECTIONS.
    Age group.Boys.Girls.Total. |Boys.Girls.Total.
  • Page 166
    TABLE II. (a) Defects found at Medical Inspections in 1925. ELEMENTARY AND SPECIAL SCHOOLS.
    Disease or defect.Routine inspections.Special inspections.
    Defects.Defects.
    Requiring treatment.Requiring observation.Requiring treatment.Requiring observation only.
    E.S.SS.E.S.S.S.
  • Page 167
    Continued from previous page...
    Disease or defect.Routine inspections.Special inspections.
    Defects.Defects.
    Requiring treatment.Requiring observation.Requiring treatment.Requiring observation only.
    e.s.s.s .e.s.s.s.
  • Page 167
    (b) Children found at routine medical inspection to require treatment (excluding uncleanliness).
    Age group.Inspected.Found to require treatment.Percentage requiring treatment.
  • Page 167
    TABLE III. Exceptional Children in London in 1925.
    Blind (including partially blind)—Boys.Girls.T otal.
  • Page 168
    Continued from previous page...
    Deaf—continued.Boys.Girls.Total.
  • Page 169
    TABLE IV. Defects treated during 1925. TREATMENT TABLE. Group I.—Minor Ailments (excluding uncleanliness, for which see Group V.).
    Disease or defect.Defects treated or under treatment.
    Under Council's scheme.Otherwise.Total.
  • Page 169
    Group II.—Defective Vision and Squint (excluding eye defects treated as Minor Ailments, Group I.).
    Defect or disease.Defects dealt with.
    Under Council's scheme.Otherwise.Total.
  • Page 169
    Group III.—Treatment of Defects of Throat and Nose. Number of defects.
    Received operative treatment.Received other forms of treatment.Total number treated.
    Under Council's scheme.Private practitioner or hospital.Total.
  • Page 170
    Group IV.—Dental Defects.
  • Page 173
    Particulars of action taken in recent years are as follows:—
    Year.Infants removed from foster mothers.Exemptions.Deaths.Infringements discovered.Cautions.Prosecutions.Convictions.
  • Page 174
    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 174
    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 174
    The following table gives particulars of licensed slaughterhouses, knackers yards and registered offensive businesses:—
    Year.Slaughterhouses.Knackers' yards.Offensive businesses.
  • Page 181
    The quantities of sewage, etc., dealt with during 1925 were as follows:—
    Sewage treated—Million gallons.
  • Page 183
    Repairs, etc., have been carried out during the year to intercepting and main sewers as follows:—
    £
  • Page 202
    Working-class dwellings.—The results of the year's working compared with those of the previous year are as follows:—
    Dwellings—1925-26.1924-25.
    Housing Act, 1925—£s.d.£s.d.
  • Page 202
    The net surplus for the year on dwellings erected under Improvement, etc., Acts, is £14,614 2s. 10d. and is disposed of as follows:—
    Surpluses transferred—-£8.d.
  • Page 204
    The net deficiency under all heads for the year 1925-26 was £69,402 18s., as follows:—
    1925-26.1924-25.
    Schemes undertaken by the Council—£s.d.£s.d.
  • Page 204
    The deficiency for 1925-26 is provided for as follows:—
  • Page 204
    Net Deficiency, 1925-26—How Met. The financial results for the year under the several sections are as follows:—
    £s.d.
  • Page 205
    This is met or disposed of in the following manner—
    (a) Exchequer subsidy and (b) special contributions by metropolitan borough councils.Transfers to or from Rate, etc. Accounts.(a) Carried for- ward or (b) disposed of by internal transfers.
    Special County Account.General County Account.Other Accounts.
    £s.d.£s.d.£s.d.£s.d.£s.d.
  • Page 206
    Capital Expenditure and Debt. The total capital expenditure in respect of housing up to 31st March, 1926, amounts to £20,399,992 5s. 7d., as follows:—
    Non-assisted schemes.Assisted (1919) scheme.Assisted (1923) scheme.Assisted (1924) scheme.
    £s.d.£s.d.£s.d.£8.d.