Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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Mental hospital. | Beds. | ||
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Males. | Females. | Total. |
Males. | Females. | Total. |
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Mental hospital. | Number contracted for. | Charge a head a week provided for in the original contract. | Charge a head a week from 1st January. 1927. | Date of commencement. | Full term of contract. | Date of expiry. | |||||
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City of London | M. | F. | £ | s. | d. | £ | s. | d. | 1st july 1823. | Years. |
Date. | Parish and county patients. | Chargeable to Prison Commissioners. | Patients on private list, etc., and private patients at Horton. | Total. | Increase. | Decrease. |
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Date. | Lunatics under reception orders in County or Borough mental hospitals. | Lunatics in M.A.B. mental hospitals. | Lunatics in workhouses or with relatives and friends. | Total number of lunatics. | Annual increase or decrease of | |||
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Lunatics under reception orders. | Total number of lunatics. | |||||||
1st January— | (i.) | (ii.) | (iii.) | (iv.) | (v.) | (vi.) | ||
Increase | Decrease | Increase | Decrease |
1916-17 | 1917-18 | 1918-19 | 1919-20 | 1920-21 | 1921-22 | 1922-23 | 1923-24 | 1924-25 | 1925-26 | 1926-27 |
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Mental hospital. | Patients discharged "recovered" between 1895 and 1926. | Number of such patients readmitted to any London mental hospital up to 31st March, 1927. | Percentage of readmissions in col. (ii) to discharges "recovered" in col. (i). | Number of patients in col. (i) readmitted to any London mental hospital within twelve months of their discharge up to 31st March, 1927. | Percentage of readmissions in col. (iv) to discharges "recovered " in col. (i) |
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(i.) | (ii.) | (iii) | (iv.) | (v.) |
Hospital. | Admissions—1926. | Total number under treatment, 1926. | ||||||||||
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Direct. | Indirect | Total. | ||||||||||
(i.) | (ii.) | (iii.) | (iv.) | |||||||||
M. | F. | Total. | M. | F. | Total. | M. | F. | Total. | M | F. | Total. |
Hospital. | Recovered. | To care of friends on undertakings under sec. 79 of the Lunacy Act, 1890. | Relieved or not. improved, otherwise than under col. ii. | Total discharges. | Died, 1926. | ||||||||
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(i.) | (ii.) | (iii.) | (v.) | ||||||||||
M. | F. | Total. | M. | F. | Total. | M. | F. | Total. | (iv.) | M. | F. | Total. |
Hospital. | Remaining on registers 31st December, 1926. (i.) | Average daily number on registers, 1926. (ii.) | Percentages of recoveries on total admissions, 1926. (iii.) | ||||||
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M. | F. | Total. | M. | F. | Total. | M. | F. | Total. |
Hospital. | Percentage of total recoveries on direct admissons, 1926. (i.) | Percentage of recoveries yielded by direct admissions on the direct admissions. (ii.) | Percentage of deaths on average daily number on registers, 1926. (iii.) | ||||||
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M. | F. | Total. | M. | F. | Total. | M. | F. | Total. |
Date, 1st January. | Chargeable to the County. | Chargeable to London boards of Guardians and the County. | Date, 1st January. | Chargeable to the County. | Chargeable to London boards of Guardians and the County. |
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Admission of patients with previous military service. | Patients classified as "service" patients during the year. | Discharged or transferred after classification as "service" patients. | No. died. | "Service" patients remaining at 31st March, 1927. | |||
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Under section 91 of Army Act. | Under summary reception orders. | Transferred from other mental hospitals. |
Year ending 31st March. | |||||
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£ | £ | £ | £ |
Source of information. | |||||||
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Miscellaneous sources. | London Association for the (are of the Mentally Defective. | Education authority. | Poor-law authorities. | Charged with offences before a court of criminal jurisdiction (Sec. 8). | Criminal cases. | Industrial schools (Sec. 9). | Total. |
Prisons (Sec. 9). |
Institution. | Religion. | Class of defective received. | Charges. | |||||
---|---|---|---|---|---|---|---|---|
By contract. | Supplemental payments. | |||||||
Maintenance (a week). | Burials. | Outfits. | Maintenance a week) | Burials. | Outfits. |
Institution. | Religion. | Class of defective received. | Charges. | |||||
---|---|---|---|---|---|---|---|---|
By contract. | Supplemental payments | |||||||
Maintenance (a week). | Burials. | Outfits. | Maintenance (a week) | Burials. | Outfits. |
(1) Cases under contribution. | (2) Total sura accrued. | (3) Total sura collected. | (4) Percentage of (3) to (2). | (5) Sura written off. | (6) Sum outstanding. |
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In 14 cases, orders made to pay amounts totalling:— | 4 cases adjourned upon undertaking to pay being given. | In 2 cases, amounts paid at Court before proceedings, totalling :— | 1 case adjourned, contributor unemployed. |
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Nome of institution. | On leave of absence on 1/1/20. | Granted leave of absence during 1926. | No. of licences revoked during 1926. | No. of cases on licence whose orders were discharged during 1926. | No. of cases on licence transferred to guardianship. | Died whilst on leave during 1926. | No. of cases still on licence on 31/12/26. |
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Source of information. | ||
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London Association for the Care of the Mentally Defective | 865 | 95 |
Heading. | Cost per patient weekly. | ||||||||||||||
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Brunswick House. | South Side Home. | Tho Manor. | farmfield. |
Year. | England and Wales (including London). | London. | ||||
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Cases. | Deaths. | Cases. | Deaths. |
Year. | Cases notified. | Calculated deaths (7.42 per cent.) | Actual deaths. | Reduction in deaths due to decreased case-mortality. |
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Age periods. | Under 3. | 3-5. | 5-10. | 10-20. | 20-30. | 30-40. | 40- 50. | 50-60. | Over 60. | Total. |
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Year. | 1914. | 1915. | 1916. | 1917. | 1918. | 1919. | 1920. | 1921. | 1922. | 1923. | 1924. | 1925. | 1926. |
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Age periods. | 0-5 | 5-10 | 10-15 | 15-20 | 20-25 | 25-35 | 35-45 | 45-55 | 55-65 | 65-75 | 75 & over | Totals |
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Notified. | Non-notified. | |||||
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Under 16 years. | Over 16 years. | Total. | Under 16 years. | Over 16 years. | Total. |
Metropolitan boroughs. (Arranged in topographical order.) | Estimated civil population, 1926. | Births. | Deaths. | Infant mortality (per 1,000 births). | Measles | Scarlet fever. | Diphtheria. | Whoop ing cough. | Typhoid fever. | Diarrhœa and Enteritis, age 0-2 (per 1,000 births). | Phthi sis. | 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. |
Sanitary Authority. | Cowsheds. | Slaughterhouses. | Offensive Trades. | Smoke nuisances. | Common lodging houses. | Cleansing of persons and rooms. | Water supply | Milk-shops. | Ice cream premises. | Restaurants and Eating Houses. | ||||||||||||
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No. licensed. | No. of inspections. | No. licensed. | No. of inspections. | No. lioensed. | No. of inspections. | Observations. | Complaints. | Notices. | Houses licensed. | Authorised lodgers. | Persons. | Rooms or premises. | Tenement houses extra supply. | No. on register. | No. of inspections. | No. on register. | No. of inspections. | No. of places. | No. of inspections. | |||
Adults. | Children. | After infectious diseases. | For vermin. |
Borough Council. | 1907. | 1908. | 1924. | 1925. | Borough Council. | 1907. | 1908. | 1924. | 1925. |
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Borough. | No. of houses. | No. of houses inspected. | No. of notices served. | No. of houses repaired or nuisances remedied under P.H. Act. | No. of houses repaired under Section 3 of Housing Act. | Underground rooms. | Overcrowding. | Houses let in lodgings. | No. of houses closed by owner. | No. of houses for the working classes. | Houses unfit for habitation. | |||||||||||||||
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In borough. | Occupied by the working classes. | Complaints or illness. | House to house. | Under P.H. Act. | Under Housing Act. | Representations. | Closing orders. | Demolition orders. | ||||||||||||||||||
No. illegally occupied. | No. closed or otherwise remedied. | Instances found. | No. remedied. | No. on register. | No. of inspections. | Erected during year. | In course of erection. | No. made. | No. of houses. | No. made. | No. determined. | No. made. | No. of houses demolished. | |||||||||||||
Intimation. | Statutory. | |||||||||||||||||||||||||
By owners. | By L.A. | In pursuance of orders. | Voluntarily. |
Year. | Pathological examinations. | |
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For treatment centres. | For private practitioners. |
Borough and Dispensary. | On Dispensary Register, 1-1-26. | Transferred during 1026 from other areas and lost sight of cases returned | Examined for first time during 1926. (a) New eases excluding contacts. (b) Contacts (printed in italics). | Total number (including contacts) under dispensary supervision during 1926. | Removed from Dispensary Register during 1926. | On Dispensary Register on 31-12-26. | Total attendances. | Visits to homes for dispensary purposes by | No. of specimens of sputum examined. | |||||||||||||
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Diagnosis completed. | Under observation. | Pulmonary. | Non-Pulmonary. | Doubtfully Tuberculous. | Non-1 Tuberculous. | Total. | (o) Cured. (») Diagnosis not confirmed or non-T.B. (printec in italics) | («) Transferred to other areas or lost sight of. «>) Died (printed in italics). | Diagnosis completed. | Under Observation. | ||||||||||||
Adults. | Children. | Adults. | Children. | Adults. | Children. | Adults. | Children. | Adults. | Children. | Tuberculosis Officer. | Dispensary Nurse. |
Spring. | Summer. | Autumn. | Winter. | |||||||||
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Starch. | April. | May. | June. | July. | August. | Sept. | Oct. | Nov. | Dec. | Jan. | Feb. |
Spring. | Summer. | Autumn. | Winter. | |||||||||
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March. | April | May. | June. | July. | August. | Sept. | Oct. | Nov. | Dec. | Jan. | Feb. |
Spring. | Summer. | Autumn. | Winter. | |||||||||
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March. | April. | May. | June. | July. | August. | Sept | Oct. | Nov. | Dec. | Jan. | Feb.' |
1913. | 1917. | 1921. | 1925. | 1926. | |||||||||||
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1 | 2 | 3 | 1 | 2 | 3 | 1 | 2 | 3 | 1 | 2 | 3 | 1 | 2 | 3 |
Class of ailment and number of cases reinspected. | Attended by doctor. | Treated under Council's scheme. | Treated at other hospitals. | Not treated, but recovered. | Not treated. Improved. (For observation only). | Not treated. Still needing treatment. | |||
---|---|---|---|---|---|---|---|---|---|
Cured. | Not cured. | Cured. | Not cured. | Cured. | Not. cured. |
Class of ailment and number of cases reinspected. | Attended by doctor. | Treated under Council's scheme. | Treated at other hospitals. | Not. treated, but recovered. | Not treated. Improved. (For observation only). | Not treated. Still needing treatment. | |||
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Cured. | Not cured. | Cured. | Not cured. | Cured. | Not cured. |
Otorrhœa. | Purely deaf children. | |||
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Patients. | Ears. | Patients. | Ears. |
Total cases. | Cured. | Lapsed. | Sent to hospital. | Still under treatment. | |
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Causes of suppuration. |
Causes of suppuration. | Total cases. | Cured. | Lapsed. | Sent to hospital. | Still under treatment. |
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Time in the school. | Number of children. |
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Time in the school. | Number of children. | ||||
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Admitted less than 6 months ago | 32 | ||||
;; | between 6 months and 12 months ago | 50 | (Accommdation increased 30 places 4/26 |
Age. | Temperament. | Distance ofa.b.from middle line. | Pulse rate before race. | Pulse rate after race. | Pulse 2 min. after race. | Distance in lengths. | Time and nature of meal. |
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Age. | Temperament. | Skin. | Distance of A.B. from middle line. | Pulse rate before race. | Pulse rate after race. | Pulse 2 min. after race. | Distance. |
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Disease. | Diphtheria. | Scarlet fever. | Measles and German measles. | Whooping cough. | Chicken pox. | Mumps. | Scabies. | Ophthalmia. | Ringworm. |
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Quinquennium. | 1912—16. | 1917—21. | 1922—26. |
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Quinquennium. | Measles | Whooping cough. | Diphtheria. | Scarlet fever. |
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School medical division and metropolitan boroughs. | Nov., 4 weeks. | Dec., 5 weeks. | Jan., 4 weeks. | Feb., 4 weeks. | March, 4 weeks. | April, 5 weeks. | Total, 26 weeks. | Approximate rate per 1,000 children in average attendance (1924-25). | Rate per 1.000 above or below mean for London. |
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Quinquennium. | No. of cases reported among school children. | No. of deatlis (all persons). |
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Division. | Schools at which scheme in force. | Hours devoted to measles work. | Definite cases excluded and reported to M.O.H. | Suspicious cases excluded. | No. of cases in col. (5) later proved to be measles. | No. of absentees reported to D.S. | Absentees in col. (7) proved definite cases of measles. |
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(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
Whether notified. | Total No. of cases. | Classification of sequelæ. | |||||||||
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Mental. | Conduct. | Parkinson. | Excito-motor. | Paralysis. | Sleep. | Miscellaneous. | Subnormal. | Apparently normal. |
Admissions and discharges. | Councils cases. | Guardians' cases. | Total. | ||||||
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M. | F. | Total. | M. | F. | Total. | M. | F. | T otal. |
Chronological age. | Mean mental age. | Chronological age. | Mean mental age. | ||||
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1918-19-20. | 1921-22-23. | 1924-25-20. | 1918-19-20. | 1921-22-23. | 1924-25-26. |
Placed by the Association. | Placed by other means. | Total. | |||||
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Blind. | Deaf. | Crippled. | Wind. | Deaf. | Crippled. |
Status. | Number examined. | Number fit. | Number rejected. | Number who withdrew after being referred for remediable defects or who were not due for reexamination until after the end of the vear. |
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After-history. | Date of onset. | |
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Early group (within 5 years). | Other groups (from 5 years to 40 years). |
Disease or Defects. | Routine inspections. | Special inspections. | ||||
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Defects. | Defects. | |||||
Requiring treatment. | Requiring observation. | Requiring treatment. | Requiring observation only. | |||
E.S. | S.S. | E.s. | s.s. |
Disease or delect. | Routine inspections. Defects. | Special inspections. Delects. | ||||
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Requiriug treatment. E.S. S.S . | Requiring observation. E.S. S.S. | Requiring treatment. | Requiring observation only |
Age group. | Inspected. | Found to require treatment. | Percentage requiring treatment. |
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BLIND (including partially blind)—- | Boys. | Girls. | Total. |
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Deaf—continued. | Boys. | Girls. | Total. |
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Disease or defect. | Defects treated or under treatment. | ||||
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Under Council's scheme. | Otherwise. | Total. |
Defect or disease. | Defects dealt with. | |||
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Under Council's scheme. | Otherwise. | Total. |
Received operative treatment. | Received other forms of treatment. | Total number treated. | ||
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Under Council's scheme. | Private practitioner or hospital. | Total. |
Group IV.—Dental Defects. 1) Number of children who were— | ||
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(a) Inspected by the Dentist—Age Groups— |