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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

London County Council 1929

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

Published
1930
Pages
247
Tables
159

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159 tables in this report

  • Page 3
    Table I.
    Mental hospital.Beds.
    Males.Females.Total.
  • Page 4
    7. Schemes for provision of additional accommodation, referred to in this and previous reports as approved, are due for completion as follows, namely :—
    Institution.Work.Beds made available for patients.
  • Page 5
    8. The following schemes for provision of additional accommodation are under consideration:—
    Institution.Work.Additional beds to be made
    available.
    M.F.Total.
  • Page 5
    9. On the basis of schemes approved or under consideration as set out in the foregoing paragraphs 6, 7 and 8, the numbers of beds at the mental hospitals which may be expected to be available for use in two or three years' time are approximately as follows:—
    Institution.Male.Female.Total.
  • Page 5
    Continuing on this basis the estimated numbers of patients for whom the Council will be responsible to find accommodation during the next few years would be as set out below:—
    Males.Females.Total.
  • Page 6
    13. I he number of patients resident on 1st January, 1930, were :— Table 2.
    Mental hospital.Males.Females.Total.
  • Page 7
    Table 3.
    Males.Females.Total.
  • Page 8
    Table 4.
    Mental hospital.Number contracted for.Charge a head a week provided for in tde original contract.Charge a head a week on 1st January. 1930.Date of commencement.Full term of contract.Date of expiry.
  • Page 8
    Table 5.
  • Page 9
    Table 0.
  • Page 10
    Table 7.
    1919-201920-211921-221922-231923-211924-251925-2c1920-271927-28| 1928-291929-30
  • Page 11
    Table 8.
    Mental hospital.Patients discharged "recovered" between 1895 and 1929.Number of such patients readmitted to any London mental hospital up to 31st March, 1930.Percentage of readmissions in col. (ii) to discharges " recovered " in col. (i).Number of patients in col. (i) readmitted to any London mental hospital witdin twelve montds of tdeir discharge up to 31st March, 1930.Percentage of readmissions in col. (iv) to discharges " recovered" in col. (i).
  • Page 11
    Table 9.
    Hospital.Admissions—1929.Total number under treatment, 1929.*
    Direct (i)IndirectTotal.
    (ii)(iii)(iv)
    M.F.Total.M.F.Total.M.F.TotalMF.Total.
  • Page 12
    Table 10.
    Hospital.Discharged (excluding transfers to other mental hospitals, but including cases sent for further care in institutions of the m.a.b.)—1929.Died, 1929.
    Recovered.To care of friends on undertakings under sec. 79 uf the Lunacy Act, 1890.Relieved or not improved, otherwise than under col. ii.*Total discharges.
    (i)(ii)(iii)(v)
    M.F.Total.M.1 F.Total.M.F.Total.(iv)M.F.Total.
  • Page 12
    Table 11.
    Hospital.Remaining on registers 31st December, 1929. (i)Average daily number on registers, 31st Dec., 1929. (ii)Percentages of recoveries on total admissions, 1929. (iii)
    M.F.Total.M.FTotal.M.F.Total
  • Page 13
    Table 12.
  • Page 14
    Table 14.
    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.
  • Page 15
    Table 15.
    "Service" patients at the hospital at 31st. March, 1929.Admission of patients who have had military service.Patients classified as "Service" patients during the year."Service" patients discharged or transferred during the year."Service" patients died during the year."Service" patients remaining at 31st. March 1930.
    Under Section 91 of Army Act.Under summary reception orders.Transferred from other mental hospitals.
    Unclassified.Service patients.
  • Page 16
    49. During 1929-30 the following cases were helped by the Association in the manner indicated :—
    Home visits.Placed in cottage homes.Placed in situations.Old cases, i.e., before 1929,helped various icays.
  • Page 16
    The number of cases in which grants were made at each of the London County mental hospitals during the year ended 31st March, 1930, and the amounts were as follows:—
    No. of patients receiving grants.Total amount of grants.
    M.F.Total.M.F.Total.
    £ 8.d.£s.d.£s.d.
  • Page 17
    54.—Alterations and additions to the buildings and fittings, and other structural works which have been carried out at the mental hospitals are set out below. The statement does not include minor works carried out at small cost:—
    Banstead, mental hospital.£s.d.
  • Page 18
    Continued from previous page...
    Bexley mental hospital.£s.d.
  • Page 19
    Continued from previous page...
    Hanwell mental hospital—continued.£s.d.
  • Page 22
    80. The numbers of patients treated at the hospital during the twelve months ended 31st December, 1929, were made up as follows:—
    Out-patients.Numbers treated.Disposed of in out-patient department during 1929.Admitted to wards from out-patient department during 1929.Still attending on 31st December, 1929.
    M.F.T.M.F.T.M.F.T.M.F-T.
  • Page 24
    Income and expenditure. 102. The income and expenditure on maintenance account upon mental hospitals, etc., during the year ended 31st March, 1930, is shown in the following table in comparison with the amounts for the previous ten years:—
    Year ended 31 st March.Income.Expenditure.Tear ended 31st March.IncomeExpenditure.
  • Page 26
    10. The cases of which the Council received information during the year ended 31st December, 1929, were:— Table 1.
    Source of information.
    Miscellaneous sources.London Association for Mental Welfare.Education authority.Poor law authorities.Criminal cases.Total.
    Charged with offences before a court of criminal jurisdiction (Sec. 8).Prisons (Sec. 9).Industrial schools (Sec. 9).
  • Page 28
    20. The variety of occupations followed by defectives under statutory supervision, on 31st December, 1929, is indicated in the following table:— Table 2.
    Occupation.Number of defectives employed.Occupation.Number of defectives employed.
  • Page 30
    Table 3.
    Centre.Address.Sessions a week.Average number on roll.Average daily attendance.
  • Page 31
    35. The following table summarises the defects which required treatment and compares the frequency of such defects with those found in the elementary schools as a whole during the year. Table 4.
    Defects.Children at the centres.Children at elementary schools. Percentage.
    Number.Percentage.
  • Page 32
    42. Payments as follows are made by the Council in respect of cases under guardianship:— Table 5.
    ToAt the rate of
  • Page 33
    Table 6.
    Institution.Males.Females.Institution.Males.Females.
  • Page 33
    44. The class of patient received, and the charges made for maintenance, etc., were as set out in the following Table:— Table 7.
    Institution.Religion.Class of defective received.Charges.
    By contract.Supplemental payments.
    Maintenance (a week).Burials.Outfits.Maintenance (a week)Burials.Outfits
  • Page 34
    Continued from previous page...
    Institution.Religion.Class of defective received.Charges.
    By contract.Supplemental payments.
    Maintenance (a week).Burials.Outfits.Maintenance week)Burials.Outfits.
  • Page 35
    Continued from previous page...
    Institution.Religion.Class of defective received.Charges.
    By contract.Supplemental payments.
    Maintenance (a week).Burials.Outfits.Maintenance (a week)Burials.Outfits.
  • Page 39
    84. Legal proceedmgs had to be taken during the year for the recovery of payment from persons liable to contribute with the following result:— Table 9.
    In 9 cases, orders made to pay amounts totalling:—21 cases adjourned upon undertaking to pay being given.In 8 cases, amounts paid at Court before proceedings, totalling:—In 7 cases summons adjourned, sine die.
  • Page 40
    London cases granted leave of absence from certified institutions. 86. The following statement furnishes some interesting particulars as to London cases to whom leave of absence from certified institutions has been granted with a view to discharge at some later date:— Table 10.
    Name of institution.On leave of absence on 1st Jan., 1929.Granted leave of absence during 1929.No of licences revoked during 1929.No. of cases on 1icence whose orders were discharged during 1929.No. of cases on licence transferred to guardian ship.No. of cases on licence transferred to other institutions.Died whilst on leave during 1929.No. of cases still on licence on 31st Dec., 1929.
  • Page 41
    Table 11.
    Occupation.Number of defectives employed.Occupation.Number ??? defectives employed.
  • Page 41
    Table 12.
    District.New cases.Old cases.Totals.Percentage.
    M.F.M.F.M.F.Net.
  • Page 42
    Table 13.
    MALES.FEMALES.Total.
    Adult.Juvenile.Adult.Juvenile.
    Supervision.Institution.Guardianship.Supervision.Institution.Guardianship.Supervision.Institution.Guardianship.Supervision.Institution.Guardian ship.
  • Page 42
    Table 14.
    Cause of Death.MALE.female.
    Supervision.Institutional Care.Supervision.Institutional Care.Total.
    Feebleminded.Imbecile.Idiot.Feebleminded.Imbecile.Idiot.Feebleminded.Imbecile.Idiot.Feebleminded.Imbecile.Idiot.
  • Page 43
    Continued from previous page...
    Cause of Death.MALE.FEMALE.Total.
    Supervision.Institutional Care.Supervision.Institutional Care.
    Feeble-minded.Imbecile.Idiot.Feebleminded.Imbecile.Idiot.Feebleminded.Imbecile.Idiot.Feebleminded.Imbecile.Idiot
  • Page 43
    Table 15. Sources from which information has been received of cases of alleged mental defect.
    Source of information.Period.
    From 1st Apr., 1914, to 31st Dec.,1929.During 19-9 only.
  • Page 44
    Action taken on above cases.
  • Page 45
    APPENDIX J. Financial statement showing the cost of administration of the Mental Deficiency Act during the year ended 31st March, 1930. (As appearing in the Council's grant claim upon the Board of Control.)
    £s.d.£s.d.£s.d.
  • Page 46
    APPENDIX II. Return of expenditure (and cost per head) during the financial year ended 31st March, 1930, on maintenance of defectives at institutions provided by the Council.
    Heading.Cost per patient weekly.
    Brunswick House.South Side Home.The Manor.Farmfield.
  • Page -
    Continued from previous page...
    Year.0–1–2–5–10–15–20–25–35–45–55–65 +All ages.
  • Page -
    The following table gives an analysis of the principal causes of infantile deaths during recent years :—
    Cause of Death.1911 to 1914.1915 to 1918.1919 to 1922.1923 to 1926.1924.1925.1926.1927.1928.1929.
  • Page -
    As will be noted in the following table showing the notified cases which occurred during the year, the disease was most prevalent in the East end:—
    Metropolitan Borough.Notified cases of Smallpox.Metropolitan Borough.Notified cases of Smallpox.
  • Page -
    No vaccinated child under 11 years of age contracted smallpox. The following table prepared by the Metropolitan Asylums Board, shows the vaccinal condition of 3.031 cases of smallpox admitted from the metropolitan and certain extra-metropolitan areas during 1929, together with the number of deaths:—
    Year of age of patient.Vaccinated in infancy only.Vaccinated and revaccinated.No evidence of vaccination prior to infection.
    Cases.Deaths.Cases.Deaths.Cases.Deaths.
  • Page -
    Deaths in 1929.
    Borough.Age.Sex.Vaccinal Condition.Date of Death.Cause of death.
  • Page -
    The remainder were distributed as follows:—
    No. of cases.Places where notified.
  • Page -
    There were 312 notifications of puerperal fever and 758 of puerperal pyrexia in 1929 (52 weeks) compared with 294 and 768 respectively in 1928. The death-rates from puerperal fever and other accidents of childbirth per thousand births in each metropolitan borough in the period 1920-1927, together with the deaths in childbirth in 1928 and 1929, are shown in the following table:—
    District.Childbirth deaths per 1,000 births. 1920-1927.Number of deaths in Childbirth.
    1928.1929.
    Puerperal fever.Other causes.Total.Puerperal fever.Other 1 causes.Puerperal fever.Other causes.
  • Page -
    A considerable prevalence of typhoid fever occurred during the latter part of September in the south-eastern area of London and the adjoining districts of Beckenham and Penge outside the County area. The distribution of the cases was as follows:—
  • Page -
    Date of onset of illness. Ages of persons falling ill on the date shown.
  • Page -
    The age and sex distribution of the cases in Lewisham is shown in the following table:—
    Sex.0-5-10-20-25-35-45-55-65+Total.
  • Page -
    Table of age incidence (actual cases including the fatal ones not notified).
    Age periods.Under 3.3-5.5-10.10- 20.20-30.30-40.40- 50.50-60.Over 60.Total.
  • Page -
    Notifications received in each registration year since 1916, excluding duplicate notifications and military cases. (See also page 19.)
    Year.1917.1918.1919.1920.1921.1922.1923.1924.1925.1926.1927.1928.1929.
  • Page -
    It will be noticed that the death-rate is higher than in any of the four preceding years:—
    Period.Males.Deaths. Female*.Total.Males.Death-rates. Females.Total.
  • Page -
    The following is an analysis of the notifications in London during 1929 (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 +Total.
  • Page -
    Continued from previous page...
    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 -
    The source of information as to the unnotified cases shown in the above table was as follows:—
    Source of Information.Number of cases.
    Pulmonary.Non-pulmonary
  • Page -
    The result of comparison of the known cases among mental patients and in the general population thus arrived at is shown in the following table, giving the number of cases which are known among mental patients and the number which would be expected if the incidence among them was the same as that in the general population:—
    Sex.Phthisis.Other tuberculosis.
    Actual cases 1925-7.Expected cases (on London rates).Actual cases 1925-27.Expected cases (on London rates).
  • Page -
    Vital statistics for the several metropolitan boroughs and the County of London in the year 1929. (Rates per 1,000 of civil population.)
    Metropolitan boroughs. (Arranged in topographical order.)Estimated civil population. 1929.Births.Deaths.Infant mortality (per 1,000 births;.MeaslesScarlet lever.Diphtheria.Whoop Inn cough.Typhoid fever.Diarrhœa and Enteritis, age 0-2 (per 1,000 births).Phthisis.Pneumonia.Bronchitis.Cancer.Maternal mortality (per 1,000 births).Notified cases of Infectious disease. (a)
    Scarlet fever.Diphtheria.Typhoid fever.Erysipelas.Cerebrospinal fever.Acute pneumonia.
  • Page -
    Number of notifications of infectious disease in the County of London during the 52 weeks ended 28th December, 1929.
    Metropolitan boroughs. (Arranged in topographical order.)Anthrax.Cerebrospinal fever.Continued fever.Diphtheria (including membranous group.)Dysentery.Encephalitis lethargica.Enteric fever.Erysipelas.Malaria.Ophthalmia neonatorum.Pneumonia.Polioencephalitis.Poliomyelitis.Puerperal fever.Puerperal pyrexia.Scarlet fever.Smallpox.
  • Page -
    COUNTY OF LONDON. Statistics of the administrative work carried out during the year 1929.
    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.
    No. licensed.No. of inspections.No. licensed.No. of inspections.No. authorised.No. of inspections.Observations.Intimations.Complaints.Notices.Houses licensed.Authorised lodgers.Persons.Booms 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.
  • Page -
    Countinued from previous page.....
    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 classesHouses unfit for habitation.
    Representations.Closing orders.Demolition orders.
    In borough.Occupied by the working classes.Complaints or illness.Souse to house.Under P.H. Act.Under Housing Act.
    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.Mo. determined.No.of houses demolished.
    Intimation.Statutory.
    By owners.By L.A.No. madeIn pursuance of orders.Voluntarily.
  • Page -
    Sanitary Inspectors, 1929
    District.Population Census (1921).Male.Female.Health visitors.
    Whole time.Part time.Whole time.Part time.Whole time.Part time.
  • Page -
    The results of the routine inspections of the herds are shewn in the following table:—
    No. of Visits.No. ol animals examined.No of cows with T.B. (referred to above).No. of cows with other unhealthy conditions. (Apart from T.B.).
    Cows.Bulls.Young Stock.
  • Page -
    The diminution in the number of new cpses as compared with the previous year may be partly explained by the fact that one large treatment centre ceased to participate in the scheme after 31st March, 1928, but continued to treat patients suffering from these diseases.
    Year.Syphilis.Gonorrhoea.Soft chancre.Non-venereal.Total.
  • Page -
    The distribution of new cases of venereal disease between the sexes is shown in the following table, the figures for the preceding years being given for comparison:—
    Year.New cases.Total venereal cases.
    Syphilis.Soft chancre.Gonorrhoea.
    M.F.M.F.M.F.M.F.
  • Page -
    Comparative figures for the thirteen years during which the scheme has been in force are shown in the following table:—
    Year.New cases.Total.Attendances.In-patient days.
    Venereal.Non-venereal.
  • Page -
    Another point worthy of note is the total number of examinations made of pathological specimens. Comparative figures for the twelve years are shown in the following table:—
    Year.Pathological examinations.
    For treatment centres.For private practitioners.
  • Page -
    The following table shows the result of the enquiry and also (IIbrackets) the corresponding figures ascertained from last year's enquiry into the 1922 cases:—
    * Class.Total.Percentage alive five years alter discharge.Percentage dead.
  • Page -
    The mortality records are as follows. (The figures in brackets refer to last year's enquiry into the 1922 cases):—
    Class.Total.Percentage alive five years after discharge.Percentage dead.
  • Page -
    The mortality rates of the non-pulmonary cases classified according to the location of the disease are as follows:—
    Total.Percentage alive five years after discharge.Percentage dead
  • Page -
    The following table indicates the number of applications from adults for residential treatment during each of the last five years:—
    Applications for first period of treatment.Applications for further treatment.Total applications.
    Ex-Service.Civilian male.Female.Ex-Service.Civilian male.Female.
  • Page -
    During the year 1,144 patients were discharged from "observation beds and their classification was as follows (the corresponding figures for 1928 are also given):—
    Pulmonary.Nvmber.Percentage.Number.Percentage.
  • Page -
    Immediate results of treatmentClassification.
    A.B1.B2.B3.Surgical.Totals.
    1927192819291927192819291927192819291927928929192719281929192719281929
  • Page -
    The condition of the children under 15 years of age (on admission) who were discharged from residential institutions in 1929 is indicated in the following table. The figures in brackets are those for 1928:—
    Immediate results of treatment.Classification.Surgical.Totals.
    A.Bl.B2.B3.
  • Page -
    Tuberculosis Dispensaries—Analysis of Returns, Jan.-Dec., 1929.
    BoroughOn Dispensary Register, 1-1-29.Trans ferred during 1929 from other areas and lost sight of cases returnedExamined for first time during 1929. (a) New cases excluding contacts. (b) Contacts (printed in italics).Total number (includ-ing contacts) under dispensary supervision during 1929.Removed from Dispensary Register during 1929.On Dispensary Register on 31-12-29.Total attendances.Visits to homes for dispensary purposes byNo. of specimens of sputum examined.
    Diagnosis completed.Under observation.Pulmonary.Non-Pulmonary.Doubtfully Tuberculous.Non-Tuberculous.Total.(a) Cured. (b) Diagnosis not con firmed or non-T.B. (printed in italics)(a) Transferred to other areas or lost sight of (b) Died (printed in italics)Diagnosis completed.Under Observation.
    AdultsChildren.Adults.Children.Adults.Children.AdultsChildren.AdultsChildren.Tuberculosis Officer.Dispensary Nurse.
  • Page -
    (ii) Swimming baths.—Samples from 27 swimming baths during the summer months of 1929 were examined bacteriologically, quantitatively by count of colonies, and qualitatively for presence of coliform organisms:—
    Bath.Highest countLowest.Coliform organisms.
    Number of colonies in 1 c.c.
  • Page -
    Delinquent cases.Number.Other cases.Number.
  • Page -
    During the year, 941 cases were medically examined, with the following results:—
    Type.Idiot.Imbecile.Feebleminded.Moral defective.Not defective.
  • Page -
    The period of life at which the cases examined during 1929 were brought to notice were:—
    Age group.Males.Females.
    Under 77-16over 16under 77-16over 16
  • Page -
    In 687 of the cases, the necessary inquiries into the family history had been sufficiently completed during the year to enable the subject to be assigned to a particular clinical type as well as class or grade of defect, the results being as Follows:—
    Grade of defect.
    Clinical type of defect.Idiot.Imbecile.Feebleminded.Moral defective.Total.
  • Page -
    Dr. Shrubsall, who has analysed the family histories of 1,360 cases, medically examined in the years 1928 and 1929, and for whom full family histories were available, finds that in only 129 or approximately 9.5 per cent.,was there a brother or sister who was also mentally defective.
    Grades of defectNumber of siblings also mentally defective.
    none.12345
  • Page -
    The following table summarises the defects which required treatment and compares the frequency of such defects with those found in the elementary schools as a whole during the year:—
    Defects.Children at the centres.Children at elementary
    Number.Percentage.schools. Percentage.
  • Page -
    Mental Age with relation to nature of offence.
    Mental age in years.6789101112Total.
  • Page -
    Disposal of cases.
  • Page -
    During the year 157 persons over school age were seen and certificates furnished in the undermentioned cases:—
    M.F.
  • Page -
    The total number of samples examined in this laboratory during the year amounted to 5,773, and the following table shows their number and description:—
  • Page -
    1st Re-inspections, 1929.
    Treated.Not treated.
    By doctor.Under Council's scheire.At other hospitals.Treatment not nowImproved (observationTreatment still needed.
    Cured.Not cured.Cured.Not cured.Cured. ]Not cured.necessary.only required)
  • Page -
    2nd Re-inspections, 1929.
    Treated.Not treated.
    By doctor.Under Council's scheme.At other hospitals.Treatment not now necessary.Improved' (observation only ! required)Treatment, still needed.
    Cured.Not cured.Cured.Not cured.Cured.. Not cured.
  • Page -
    Cases out of school fob three months, November, 1929. Compared with three previous years.
    Cases.Percentage of total.
    1926.1927.192?.1929.1926. |1927.1928.1929.
  • Page -
    The provision made for the several ailments and the numbers treated during the year were as follows :—
    Ailment.Provision made NumberNumber
  • Page -
    Particulars of All Cases.
    Division.Total examinations made.No. of cases examined.No. of new casec.No. of cases cured.No. of cases lapsed.No. of relapsed cases.Discharged 1st visit.
    Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.
  • Page -
    Deaf Cases.
    Division.Total examinations made.No of cases examined.No. of new cases.No of cases cured.
    Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.
  • Page -
    Countinued from previous page....
    Division.No. of cases improved.No. of cases unrelieved.No. of cases lapsed.No. of relapsed cases.
    Patients.Ears.Patients.Ears.Patients.Ears.Patients.Ears.
  • Page -
    Analysis of Otorbhcea Cases.
    Cause of suppuration.Total ears.Cured.Referred for mastoid operation.Lapsed.Still under treatment.
  • Page -
    The following are the details of the work done at the after-care clinic at Kentish Town in connection with the mastoid operation cases :—
    1929 Cases.Patients.Ears.
  • Page -
    1928 Cases continuing into 1929—
  • Page -
    In addition to mastoid operation cases, certain cases were treated at Kentish Town which were not operated on. The details are as follows :—
  • Page -
    Examination of 544 Children under 6 Years of Age.
    Age groups in years.
    3—3½—4—4½—5—5½—6
    B.G.B.G.B.G.B.G.B.G.B.G.
  • Page -
    The results are shown m the following table. To afford a measure of comparison, the italic figures in each group show the results expected were each group to consist of 100 children.
    12345678910111213141516
    Category and number of children in each category.Unerupted teeth.| Extracted teeth.Filled teeth. -Carious saveable teeth.Unsaveable teeth.Gum diseaseCleanliness.Children with mouths that are
    Pinhole cavities.Larger cavities.Slight.Moderate.Very good.Good.Moderate.Poor.Deformity.Healthy.Unhealthy.
  • Page -
    For purposes of comparison the amount of defect has been estimated to the nearest unit on the assumption that there were 100 children in each group and the results are shown in the following table :—
    Group.Approximate number of years under treatment.Number of children.Total carious teeth.Unsaveable carious teeth.
  • Page -
    Particulars of the examinations and the results of the cleansing schemes during the past five years are given below :—
    Year.Examinations at rota visits.Veririnous conditions noted at rota visits.Per cent.Verminous children referred to centres.Subsequently cleansed by parents.Verminous children cleansed at centres.Scabies and impetigo i!ases bathed at centres.
  • Page -
    A notable increase in the number of children treated for scabies at the children's baths has taken place during the last three years as shown in the following table :—
    Division.Year.
    1924.1925.1926.1927.1928.1929.
  • Page -
    Number of children nominated for residential treatment in 1929—
    Boys.Girls.
  • Page -
    " The number of children seen during the year was as follows :—
    Elizabeth Bullock Centre.Downham Centre.
    New cases.Re- inspections.New cases.Re- inspections.
  • Page -
    " The state of the tonsils in 84 children with developed rheumatic heart disea is shown:—
    Complete tonsillectomy.Incomplete tonsillectomy.
    With normal tonsils.With inflamed tonsils.Before rheumatism.After rheumatism.BeforeAfter
    rheumatismrheumatism.
  • Page -
    "The cardiac conditions of the children are shown :—
    Nil.Congenital.Suspicious.Definite.
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    " The following table shows the lines upon which these children were treated :—
    School and Centres. no restrictions.School and restrictions.Treatment uhile attending school.Treatment and excluded school.Institutional treatment.Convalescence.Physically Defective School.
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    " The progress of the children at their last inspection is tabulated :—
    Centre.Remaining free from symptoms.Recurring symptoms.Retrogressing.
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    On this basis it is interesting to compare the expected proportions of the 66 " damp " cases with those actually found, for in so far as they coincide so far is the unimportance of damp as a factor in causation of rheumatic fever and its sub-acute forms implied.
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    Table A Showing the mean myopia in dioptres of Gentile girls and boys.
    Ages 4-144—7—10-13—16-19—22—Total
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    Table B Showing the mean myopia in dioptres of Jewish boys and girls.
    Ages 4-144—7—10—13—16 —19-22—Total
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    densed milk seem to fare worse. A table showing the actual figures is appended:—
    Type of feeding.N umber seen.Above average.Subnormal.With rickets.With more than 4 carious teeth.
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    The numbers of cod liver oil "meals" were:—
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    The accommodation is shown in brackets:—
    Boys.Girls.Totals.
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    The average increases of heights in centimetres and weights in kilograms are here shown:—
    " A " type." B " type.
    Heights.Weights.Heights.Weights.
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    tde following figures are of interest:—
    Year ended December, 31st.Swimming.Life-saving.
    Boys certificates. 100 yards.Girls certificates. 50 yards.Boys.Girls.
    Advanced.Elementary.Advanced.Elementary.
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    The total number of examinations conducted under the Education Act during the year was 24,026. 5,475 examinations with a view to admission to special schools were made. The following table shows the number of children nominated for examination and the recommendations made:—
    Defect.Number nominated.Suitable for admission toReturned to elementary school.Invalided.Notified under M.D. Acts.
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    The following statement shows the nature of the conditions found among the children certified as suitable for admission to physically defective schools at the admission examinations during the year:—
    Morbid conditions.Boys.Girls.Total.Morbid conditions.Boys.Girls.Total.
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    The following statement shows an analysis of the 455 cases for admission to special (P.D.) schools, in which the children were either returned to elementary schools or invalided:—
    Morbid conditions.Elementary school.Invalided.Morbid conditions.Elementaryschool.Invalided
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    There were also 578 cases returned on improvement to elementary schools or, when over 14 years of age, excluded as no longer certifiable ; the details are as follows:
    Special School Classification.P.D.M.D.Blind.Deaf.Sight Saving.Hard of Hearing.Total.
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    As a result of the visits and re-examinations the following re-classification took place:
    Transferred from Schools forRe-classified as:
    P.D.M.D.Sight saving.Blind.Deaf.Hard of hearing.White Oak, Swan ley.Open- air School.Epileptic Colony.Feeble minded detrimental.
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    elementary schools or were "no longer certifiable" as defective between the ages of fourteen and sixteen years.
    Defect.Cases passed "no longer certi fiable."Cases passed fit to return to elemen tary school.Defect.Cases passed "no longer certifiable."Cases passed fit to return to elementary school.
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    The following table shows the number of cases notified to the local authority by the education authority under section 2 (2) of the Mental Deficiency Acts, 1913-1927, during the year 1929. The figures in brackets are those for the previous year:—
    Boys.Girls.
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    The mental status of the brothers and sisters was as follows:—
    Group of children.Brothers and sisters.
    Superior.Average.M.D.
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    The analysis also gave some indication of the relative frequency of the different types of defect:—
    Type of defect.Grade of defect.
    Idiot.Imbecile.Feebleminded.Moral defect.
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    Return for year to 31st December, 1929, of the after-careers of children formerly attending special schools for the mentally defective, apart from those whose names have been forwarded to the local control authority for action under the Mental Deficiency Acts, 1913-1927:—
    M.F.Total.
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    The results are shown in the following table:—
    Reading capacity.Age group. 6 and 7 years.Age group. 8, 9 and 10 years
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    The acquired cases were classified as:—
    Boys.Girls.Total.Per cent.
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    Reasons for Admission.—The following table shows the delinquencies or other reasons for admission with their numbers shown against each month. The month of June is from the 17th to 30th only.
    June.July.Aug.Sept.Oct.Nov.Dec.Total.
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    Table showing mental ages for the different chronological ages:—
    Mental Ages.Totals examined.
    4567891011121314
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    Relation between reading and arithmetic levels and chronological age:—
    Reading.Arithmetic.
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    Relation between reading and arithmetic levels and mental age:—
    Reading.Arithmetic.
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    Status.Number examined.Number fit.Number rejected.Number who withdrew after being referred for remediable defects or were not due for re-examination until 1930.
    Male.Female.Male.FemaleMale.Female.Male.Female.
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    Causes of death and age at death of teachers :—
    Disease.Age.
    20-3030-4040-5050-5455-Total.
    M.F.M.F.M.F.M.F.M.F.M.F.
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    Causes of retirement of teachers who have left the service on medical grounds:—
    Disease.Age.
    20-3030-4040-5050-5455-Total.
    M.F.M.F.M.F.M.F.M.F.M.F.
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    The numbers of cases of infectious diseases reported by the teachers as occurring among school children during the course of the year, compared with similar figures in the preceding five years, are shown below:—
    Year.Diphtheria.Scarlet fever.Measles and German measles.Whooping cough.Chicken pox.Mumps.Scabies.Ophthalmia.Ring worm.
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    The following table shows the number of school visited and the number of children examined in connection with investigation into the occurence of scarlet fever and diphtheria in the council schools during 1929:-
    Division.Diphtheria.Scarlet fever.
    No. of visits.No. of depts. visited.No. of schools visited.No. of children examined.No. of visits.No. of depts. visited.No. of schools visited.No. of children examined.
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    Ringworm continues to decline as will be noted in the table below.
    Year.Fresh cases.Cured casesCases outstanding at the end of the year.Percentago of cures effected by X-ray treatment.
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    TABLE I. Medical Inspection, 1929. ELEMENTARY AND SPECIAL SCHOOLS, (a) ROUTINE INSPECTIONS. (6) OTHER INSPECTIONS.
    Boys.Girls.Total.Hoys.Girls, jTotal.
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    TABLE II. (a) Defects found at Medical Inspections in 1929.
    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.
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    Disease or defect.Routine inspections.Special inspections.
    Defects.Defects.
    Requiring treatmentRequiring observation.Requiring treatment.Requiring observation only.
    E.S.S.S.E.S.S.S
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    Children found at routine medical inspection to require treatment (b) (excluding uncleanliness and dental disease).
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    TABLE III. Exceptional Children in London in 1929.
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    Deaf—continued. Boys.Girls.Total.
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    TABLE IV. Defects treated during 1929. TREATMENT TABLE. Group I.—Minor Ailments (excluding unclkanliness, for which see Group V.).
    Disease or defect.Defects treated or under treatment.
    Under Council's scheme.Otherwise.Total.
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    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.
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    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.
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    Group IV.—Dental Defects.
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    For readers possessing the School Medical Officer's Report only, the page may be obtained by subtracting from the given page number the number quoted at the foot of the table for each year.
    Subject matter.Page number of Report for the year.
    1922.1923.1924.1925.| 1926.1927.1928.
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    Particulars with regard to common lodging-houses licensed by the Council are as follows:—
    YearHouses licensed.Lodgers authorised.Prosecutions.Convictions.Penalties and costs.Cases of infectious disease.
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    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
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    The following table gives particulars of licensed slaughterhouses, knackers yards and authorised offensive businesses :—
    Year.Slaughterhouses.Knackers' yards.Offensive businesses.
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    The quantities of sewage, etc., dealt with during 1929 were as follows:—
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    Repairs, etc., have been carried out during the year to mtercepting and main sewers as follows :—
    Approximate cost. £