London's Pulse: Medical Officer of Health reports 1848-1972
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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 1934
[Report of the Medical Officer of Health for London County Council]
- Published
- 1935
- Pages
- 669
- Tables
- 439
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Page 5
The changes can roughly be measured by the following table:—
Rates per 1,000. 1910. 1934. Percentage increase+ decrease- -
Page 11
The distribution of deaths by ages in 1934 and recent preceding periods is shown in the following table:—
Period. 0- 1 - 2 _ 5- 10- 15- 20- 25- 35- 45- 55- 65+ All ages. -
Page 12
London.—Contrast of death-rates per 1,000 living at selected age periods in the years 1911-1913 and 1930-1932.
Age period. Males. Females. 1911-1913. 1930-1932. Decrease per cent. 1911-1913. 1930-1932. Decrease per cent. -
Page 12
London.—Death-rates per 1,000 living among children tinder 15 years of age
Age. Period. 1900-1902. 1910-1912. 1920-1922. 1930-1932. -
Page 12
For the purpose of comparison similar figures for England and Wales are shown in the following table, from which it will be seen that the mortality rates for London at the beginning of the century were, at all the ages shown, in excess of those for England and Wales, but that except at the age 1-2 a great deal of the leeway had been made up in 1930-1932:—
Age. London. England and Wales. London, England and Wales = 100. 1900-1902. 1930-1932. Decrease per cent. 1900-1902. 1930-1932. Decrease per cent. 1900-1902. 1930-1932. -
Page 14
The lowest infant mortality recorded in London was that in 1930, and a comparison of the 1934 figure therewith shows that the excess in the latter year is chiefly due to increased mortality from pneumonia and diarrhoea, as will be seen from the following table:—
Cause of death. 1911 to 1914 1915 to 1918. 1919 to 1922. 1923 to 1926 1927 to 1930. 1931 to 1934. 1930. 1931. 1932. 1933. 1934. -
Page 14
The quarterly infant mortality-rate for the years 1930 and 1934 compare as follows:
Year. Quarter. 1st. 2nd. 3rd. 4 th. -
Page 14
The death-rates from various causes shown above are stated in the following table as a proportion of the deaths from all causes in each of six successive four-yearly periods:—
Cause of death. 1911 to 1914. 1915 to 1918. 1919 to 1922. 1923 to 1926. 1927 to 1930. 1931 to 1934. -
Page 15
Group. Deaths per 1,000 births. During first week. During first month. During first year. 1908-10. 1930-32. 1908-10. 1930-32. 1908-10. 1930-32. Decrease per cent. -
Page 16
The following table shows the incidence of the disease in the years 1933 and 1934 in the separate London boroughs:—
Metropolitan Borough. Number of notifications. Metropolitan Borough. Number of notifications. West— 1933 1934 East— 1933 1934 -
Page 17
During the year one death from smallpox occurred, particulars of which are as follows:—
Borough. Age. Sex. Vaccinal condition. Date of death. Certified cause of death. -
Page 17
The following table shows the numbers of persons notified as suffering from smallpox within the administrative county of London since the year 1928, when the mild or western type of the disease first invaded London:—
Year. Number of notifications. Year. Number of notifications. -
Page 19
The following statement shows the numbers of notifications in recent years o the diseases specified, excluding duplicate notifications and military cases:—
Year. 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 -
Page 19
The following table shows the age incidence of actual cases of smallpox and the three kindred diseases, cerebro-spinal fever, poliomyelitis (including polioencephalitis) and encephalitis lethargica.
Age periods. Under 3. 3-5. 5-10. 10-20. 20-30. 30-40. 40-50. 50-60. Over 60. Total. -
Page 20
The following statement shows the age and sex incidence in all cases notified during the year:—
Age. 0. 5. 15. 25. 35. 46. 55. 65. Total. -
Page 21
The causes of illness in the 332 notified cases were stated to be as follows:—
-
Page 21
The death-rates in London and England and Wales in recent years have been as follows:—
Area. 1923. 1924. 1925. 1926. 1927. 1928. 1929. 1930. 1931. 1932. 1933. -
Page 21
The course of the epidemic in 1933-34 in comparison with others of recent years is shown by the deaths in successive four-weekly periods:—
Years. October to December. January to mid-June. Total (30 weeks). -
Page 21
The death-rates in London and England and Wales in recent years are shown in the following table:—
Area. 1923. 1924. 1925. 1926. 1927. 1928. 1929. 1930. 1931. 1932. 1933. -
Page 21
The seasonal incidence, as shown by the notifications (uncorrected lor errors of diagnosis) received in successive four-weekly periods during the year, was as follows:—
l- 5- 9- 13- 17- 21- 25- 29- 33- 37- 41- 45- 49-52 -
Page 21
The notifications (uncorrected for errors in diagnosis), deaths and crude case mortality during 1934 were as follows:—
Year 1934. Age.period. Total. 0- 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 15- -
Page 22
The death-rates in London and England and Wales in recent years are shown in the following table:—
Area. 1923. 1924. 1925. 1926. 1927. 1928. 1929. 1930. 1931. 1932. 1933. -
Page 22
The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four.weekly periods during the year was as follows:—
l- 5- 9- 13- 17- 21- 25- 29- 33- 37- 41- 45- 49-52 -
Page 22
The notifications (uncorrected for errors in diagnosis), deaths and crude case-mortality during 1934 were as follows:—
Year 1934. Age-period. Total. 0- 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 15 + -
Page 22
The death.rates in London and England and Wales in recent years are shown in the following table:—
Area. 1923. 1924. 1925. 1926. 1927. 1928. 1929. 1930. 1931. 1932. 1933. -
Page 23
to 1927 and 1928 to 1934, together with the deaths in childbirth in 1934, are shown in the following table:—
Metropolitan boroughs arranged in topographical order. Childbirth deaths per 1,000 births. Number of deaths in childbirth. 1920-27. 1928-34. 1934. Puerperal fever. Other causes. Total. Puerperal fever. Other causes. Total. Puerperal fever. Other causes. Total. -
Page 24
England and Wales.—Deaths in childbirth due to sepsis and other causes in different areas , 1931.33
Area. Deaths per 1,000 live births. Percentage of live births in institutions, 1932. Sepsis. Other causes. Total. -
Page 24
The Council's general hospitals.—Deaths among maternity cases. 1933 and 1934.
Interval between delivery and death. Cause of death. Sepsis. Other causes. 1933. 1934. 1933. 1934. -
Page 25
England and Wales.—Deaths from septic abortion.
Year. Single women. Married women. Total deaths from sepsis. Deaths from septic abortion. Total deaths from sepsis. Deaths from septic abortion. No. Per cent. No. Per cent. -
Page 26
England and Wales.—Maternal mortality, including and excluding abortion.
Married women. Deaths excluding abortion per 1,000 registered legitimate births. All women. Deaths per 1,000 total births registered. Sepsis. Other. Total. Sepsis. Other. Total. -
Page 26
The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four.weekly periods during the year was as follows
1- 5- 9- 13- 17- 21- 25- 29- 33- 37- 41- 45- 49-62 -
Page 26
The annual death.rates from pulmonary and non.pulmonary tuberculosis in recent years are shown in the subjoined table:—
Period. Pulmonary tuberculosis death.rates. Non.pulmonary tuberculosis death.rates. Males. Females. Total. Males. Females. Total. -
Page 27
In addition to the primary cases shown in the above table, a number of cases came to the knowledge of medical officers of health, otherwise than by notification. These figures include cases not notified until after death:—
Form of tuberculosis notified. Sex. New eases of tuberculosis coming to knowledge otherwise thanby formal notification. 0- 1- 5- 10- 15- 20- 25- 35- 45- 55- 65+ Total -
Page 27
The sources of information as to the unnotified cases shown in the above table were as follows:—
Source of information. Number of cases. Pulmonary. Non.pulmonary. -
Page 28
Continued from previous page...
Metropolitan boroughs in topographical order. Cases on notification register at beginning of 1934. Cases added to register during registration year. Brought to knowledge by Cases removed from register during the registration year. Cases on notification register at end of 1934. Notification. Otherwise. Cured, removed, etc. Deaths. Total. Per 1,000 of population. -
Page 29
Vital statistics for the metropolitan boroughs and the County of London in the year 1934. (Rates per 1,000 of population.)
Metropolitan boroughs arranged in topographical order. Estimated resident population 1934. Births. Deaths. Infant mortality (per 1,000 births). Measles Scarlet fever. Diphtheria. Whooping rough. Typhoid fever. Diarrhœa and enteritis, age 0.2 (per 1,000 births) Pulmonary tuberculosis. Pneumonia. Bronchitis. Cancer. Maternal mortality (per 1,000 births). Notifications of infectious disease. Scarlet fever. Diphtheria. Typhoid fever. Erysipelas. Cerebrospinal fever. Acute pneumonia. -
Page 30
County of London.—Notifiable infectious diseases.—Notifications per 1,000 of population.
Period Annual ratea per 1,000 living. Anthrax Cerebrospinal fever Continued fever Diphtheria Dysentery Encephalitis lethargica Enteric fever Erysipelas Malaria Ophthalmia neonatorum (per 1,000 births) Pneumonia Polioencephalitis Poliomyelitis Puerperal fever (per 1,000 births) Puerperal pyrexia (per 1,000 births) Scarlet fever Smallpox Typhus -
Page 31
County of London.—Principal vital statistics, 1891-1934.
Period Annual rate per 1,000 living Mortality per 1,000 living Annual mortality per 1,000 births Births Marriages Deaths (all causes) Cerebrospinal fever Diphtheria Enteric fever Scarlet fever Smallpox Whooping. cough Measles Influenza Tuberculosis Pneumonia (all forms) Bronchitis Other resp. diseases Heart disease Cancer Diabetes Infants 0—1 Diarrhoea and enteritis 0—2 Puerperal fever Other acc. of ch. birth Pulmonary Non.pulmonary -
Page 32
Infectious Diseases.—Notifications in the County of London during the 52 weeks ended 31st December, 1934.
Metropolitan boroughs in topographical order. Anthrax. Cerebrospinal fever. Continued fever. Diphtheria (including membranous croup). Dysentery. Encephalitis lethargica. Enteric fever. Erysipelas. Malaria. Ophthalmia neonatorum. Pneumonia. Polio encephalitis. Poliomyelitis. Puerporal fever. Puerperal pvrexia. Scarlet fever. Smallpox. Typhus -
Page 35
The result of such sampling during 1934, as compared with work done in 1933, is as follows:—
Quarter. 1933. 1934. Completed examinations. No. tuberculous. Percentage. Completed examinations. No. tuberculous. Percentage. -
Page 37
A summary of the work done by the hospitals for each of the areas in the joint scheme during the year 1934 is shown in the following table:—
London. Middlesex. Essex. Surrey. Kent. Herts. Bucks. East Ham. West Ham. Croydon. Total. " Other places." Grand total. -
Page 37
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. Gonorrhœa. M. F. M. F. M. F. M. F. -
Page 38
Comparative figures for the eighteen years during which the scheme has been in force are shown in the following table:—
Year. New cases. Total attendances (venereal and non.venereal). In.patients days. Venereal. Non.venereal. Total. -
Page 42
Beds occupied at. end of year.
Year. Adults. Children. Total. Year. Adults, Children. Total. -
Page 43
The numbers of applications for residential treatment during each of the last five years were as follows:—
Year. Application for first period of treatment. Application for further treatment. Total applications. Ex. service. Civilian adults. Children. Ex. service. Civilian adults. Children. Male. Female. Male. Female. -
Page 43
Applicants recommended for treatment during 1934 were disposed of as follows:—
Adults. Children. -
Page 43
The extent of residential treatment and observation is shown below:—
Classification. In institutions on 1st January, 1934. Admitted during the year. Discharged during the year. Died in institutions. In institutions on 31st December, 1934. -
Page 44
The distribution of patients in institutions on 31st December, 1934, is shown below, the figures for 1933 being given in brackets:—
Hospital and institution. Ex-service men. Civilian adults. Children under 16 years. Total. -
Page 44
The following table shows the results of observation of doubtfully tuberculous cases discharged from observation hospitals:—
Diagnosis on discharge from observation. For pulmonary tuberculosis. For non-pulmonary tuberculosis. Total. Stay under 4 weeks. Stay over 4 weeks. Stay under 4 weeks. Stay over 4 weeks. Male. Female. Children. Male. Female. Children. Male. Female. Children. Male. Female. Children. Male. Female. Children. -
Page 44
Immediate results of treatment. A dults.
Classification. Quiescent. Not quiescent. Died in institution. Totals. Years. Years. Years. Years. 1932. 1933. 1934. 1932. 1933. 1934. 1932. 1933. 1934. 1932. 1933. 1934. -
Page 45
Children.
Classification. Quiescent. Not quiescent. Died in institution. Totals. Years. Years. Years. Years. 1932. 1933. 1934. 1932. 1933. 1934. 1932. 1933. 1934. 1932. 1933. 1934. -
Page 45
The average numbers of London patients at Papworth and Preston Hall, re. spectively, during the past eight years are shown below :—
1927. 1928. 1929. 1930. 1931. 1932. 1933. 1934. -
Page 46
Classification. Total. Percentage alive five years after discharge. Percentage dead. -
Page 46
The mortality records are as follows, the figures in brackets referring to last year's enquiry into the 1927 cases :—
Classification. Total. Percentage alive five years after discharge. Percentage dead. -
Page 46
The mortality rates of the non-pulmonary cases classified according to the location of the disease are as follows :—
Location of disease. Total. Percentage alive five years after discharge. Percentage dead. -
Page 48 49
Tuberculosis Dispensaries.—Analysis of Returns, January-December, 1934.
Metropolitan Borough. on dispensary rppister. 1—1—34. Transferred during 1934 from other areas and cases returned after discharge. Examined for first time during 1934. (a) New cases excluding contacts. (6) Contacts (printed in italics). Total number (including contacts) under dispensary supervision during 1934. Removed from dispensary register during 1934. On dispensary register 31-12-34. Visits to home for dispensary purposes by No. of specimens of sputum examined No.of X ray examina tions Definitely tubercular. Dlagnosis not confirmed. Pulmonary. Non-nulmonarv. Diagnosi not confirmed Non-tuberculous. Total. (a) Recovered. (b) Non tubercular (printed in italics.) (a) Transferred to other areas or lost sight of (b) Died (printed In italics). Definitely tubercular Diagnosis not completed. Total attend ances. Adults Children. Adults Children. Adults Children. Adults. Children. Adults. Children. Tuberculosis officers Nurses or health visitors -
Page 50
Metropolitan borough Deaths from tuberculosis. Number of examinations per 100 deaths from tuberculosis in borough. Total attendances per case on register Tuberculosis officers' visits per case on register Total consultations per case on register Nurses' visits per case on register Number of definitely tubercular persons on dispensary register per lou deaths from tuber culosis in borough. X-ray examinations Actual Per 1,000 inhabitants New cases. Contacts per 100 new cases and contacts per 100 new cases Adults Children -
Page 52
TABLE I. Males. Class T.B. plus.
Relationship. Previously known case, Age group of new cases. Total. Clinical classification. 0-15. 16-20. 21-25. 26-30. 31-40. Over 40. No. Percentage. -
Page 53
Continued from previous page...
Previously known case. Age group of new cases. Total. Relationship. Clinical classification. 0-15. 16-20. 21-25. 26-30. 31-40. Over 40. No. Percentage. -
Page 55
During the year 1,003 cases were examined with the following results :—
Sex Source of notification. Feeble minded Imbecile Idiot Morally-defective Not defective Total Children Adults Children Adults Children Adults Children Adults Children Adults Children Adults -
Page 56
Description. Registration of the blind. Training of the blind. Total. M. F. M. F -
Page 60
Fifty-six applicants for appointment to the permanent service failed to the medical examination for the following reasons :—-
Males. Females. Total. -
Page 61
As a result of the examinations of the staff, 452 officers were deemed to be permanently unfit to carry out their ordinary duties in the service of the Council on the following grounds :—
Males. Females. Total. -
Page 62
The following table shows the classification and the results of the analyses of oils :—
Satisfactory. Unsatisfactory. -
Page 70
County of London.—Statistics of the administrative work carried out by the Metropolitan Borough Councils during the year 1934.
Sanitary authority. No. licensed. No. of inspections. No. licensed. No. of inspections. No. authorised. No. of inspections. Observations. Intimations. Complaints. Notices. Houses licensed. No. of inspections. 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. -
Page 71
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 Housing Act, 1925/30. Underground rooms. Overcrowding. Houses let in lodgings. No. of houses closed by owner. No. of houses for the working classes. Houses unfit for habitation. In borough. Occupied by the working classes. Representations. Closing orders. Demolition orders. Complaints or illness. House 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. No. determined. No. made. No. of houses demolished. Intimation. Statutory. in pursuance of orders. Voluntarily. By owners. By L.A. -
Page 72
S anitary I nspectors , 1934.
Sanitary authority. Population (Census) 1931 Male. Female. Health visitors. Whole time. Part time. Whole time. Part time. Whole time. Part time. -
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The heights of tables and chairs at present authorised for children aged 5 years and upwards are in 5 ranges as follows:— Table 1.
Size No. Height of top of table from floor. Height of chair seat from floor. Suitable for children aged (approximately). -
Page -
Table 2. Nutrition subnormal—Percentage of children examined.
Age group. 1920. 1925. 1926. 1927. 1928. 1929. 1930. 1931. 1932. 1933. 1934 -
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Table 3
Age group. 1921. 1934. Good. Fair. Bad. Good. Fair. Bad. -
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Details are set out below:— T able 4.
Age group. 1924. 1927. 1930. 1933. 1934. Sound. Serious decay. Sound. Serious decay. Sound. Serious decay. Sound. Serious decay. Sound. Serious decay. -
Page -
Table 5 First Re-inspections, 1934. ( Percentages are given in italic type. )
Defect treated. No. of Cases. Treated. Untreated. By private doctor. Under Council's scheme. At other hospitals. Discharg'd Improved. For observation only. Still needing treatment. Discharg'd Not discharg'd Discharg'd Not discharg'd Discharg'd Not discharg'd -
Page -
Second Re-inspections, 1934.
-
Page -
Table 6.
Ailment Provision made in 1934. Numbers treated 1934. Numbers treated 1933. -
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Table 7.
-
Page -
Table 8.— Ear, nose and throat, excluding partly deaf cases.
Division. Total no. of examinations made. New cases. Cases carried over from 1933. Old cases returned. Cases examined, but no treatment required. Cases cured. Lost sight of. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. -
Page -
T able 9.— Deaf cases.
Division. Total no. of examinations made. New cases. Cases carried over from 1933. Old cases returned. Cases cured. Cases partially relieved. Cases unrelieved. Cases requiring no treatment. Lost sight of. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. -
Page -
T able 10 — Analysts of Otorrhœa cases.
Cause of suppuration. Total ears. Cured. Referred for mastoid operation. Lapsed. Still under treatment. -
Page -
Table 11.
Particulars. 1932 1933 1934 -
Page -
Hospital or home. Boys. Girls. Rheuma. tism and/or chorea with no apparent cardiac involvement Rheumatism or chorea with cardiac disease Rheumatism and/or chorea with no apparent cardiac involvement Rheumatism or chorea with cardiac disease. Total -
Page -
Table 13.— Recommendations on discharge as to future education.
Hospital. P.D. school. Elementary school. Totally unfit. Over school age Removals from L.C.C. area. Total. -
Page -
Table 14.— Rheumatism supervisory centres.
Name of rheumatism supervisory centre. Number of children attending during 1934. Number of new cases. Attendances of old cases. Total attendances. Average number per session. Number of children from the centre who received hospital treatment or convalescence under the rheumatism scheme. -
Page -
Ailment. Cases. Percentage of total. 1930. 1931. 1932. 1933. 1934. 1930. 1931. 1932. 1933. 1934. -
Page -
Table 16.
Year. Diphtheria. Scarlet fever. Measles and German measles. Whooping cough. Chicken -pox. Mumps. Scabies. Ophthalmia. -
Page -
Table 17.
Division. Diphtheria. Scarlet fever. Smallpox. Number of visits. Number of depts. visited. Number of children examined. Number of visits. Number of depts. visited. Number of children examined. Number of visits. Number of children examined. -
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Table 18.
Group. Numbers swabbed Diphtheria bacilli present in Virulent Avirulent Virulent diphtheria carrier rate. -
Page -
Table 19.
Division. Population. No. of visits to Schools. No of depts. visited. No. of children examined. No. of children swabbed. Diphtheria bacilli present in No. virulent Carrier rate per cent. Diphtheria rates (all ages.) Total notifications Case rate. Total deaths. Mortality rate. Case mortality rate. -
Page -
Table 20.
Result. Positive on arrival. (26 operations.) Negative on arrival. (1 operation.) Total. -
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Table 21.
Division. Visits paid. Numbers examined. Numbers excluded. Cases of scarlet fever and deaths, all ages. Cases. Deaths. No. Per, 1,000 No. Per 100,000 -
Page -
Table 22.
Division. Spring term. Summer term. Autumn and winter term. Total. -
Page -
Table 23.
Division. No. of visits to schools. (No. of schools concerned in brackets.) No. of cases of smallpox found as a result of examination by school nurse. No. of children excluded by school nurse with suspicious symptoms. No. of home contacts supervised in school. No. of absentees (home contacts) reported to borough medical officer of health. No. of hours devoted to work. -
Page -
Table 24.
Year. New Cases. Cured cases. Cases outstanding at the end of the year. Percentage of cures effected by X-ray treatment. -
Page -
Table 25.
Year Number of children swabbed. Diphtheria bacilli found. -
Page -
The progress of the work during 1934 is shown in the following table:—
Residential schools and children's homes. Residential special schools. -
Page -
The progress of the work at these two schools during 1934 is shown in the following table:—
Shirley residential school. Mayford approved school. -
Page -
Table 26.
School. Period. Place visited. No. of children. From To -
Page -
Table 27.
Meal. May, 1934 (21 school days). November, 1934 (22 school days). December, 1934 (14 school days). For payment. Free. For payment. Free. For payment. Free. -
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Table 28.
Meal. On payment. Free. -
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Table 29.
Year of birth. Meals commenced in the following years and under observation since: 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 -
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Table 30.— Children discharged from official milk scheme.
Year of birth. Number. State of Nutrition. 1 Excellent. 2 Normal. 3 Slightly sub-normal. 4 Malnourished. -
Page -
Continued from previous page...
Year of birth. Number. State of Nutrition. 1 Excellent. 2 Normal. 3 Slightly sub-normal. 4 Malnourished. -
Page -
Table 31.
Group. State of nutrition. Border-line cases. Total. 1 2 3 4 1/2 2/3 3/4 -
Page -
Table 32.
Sex. A. Definite improvement. B. Slight improvement. C. Stationary or unsatisfactory. Number Per cent. Number Per cent. Number Per cent. -
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Table 33.
Sex. A. Definite improvement. B. Slight improvement. C. Stationary or unsatisfactory. Number Per cent. Number Per cent. Number Per cent. -
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Table 34.
Sex. Height. Weight. Milk children London averages. Milk children. London averages. cms. c.ms. kilos. kilos. -
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Table 35.
Sex. Increase in height. Increase in weight. Milk children. London averages. Milk children. London averages. cms. cms. kilos. kilos. -
Page -
Table 36.
Defect. Number nominated. Suitable for admission to Returned to elementary school. Invalided as for the time unfit for any school. Notified under M.D. Acta. Boys. Girls. Blind school. Partially sighted. Swanley. Boys. Girls. Boys. Girls. Boys. Girls. Boys. Girls. Boys Girls. Boys. Girls. -
Page -
Table 37.
Morbid conditions. Boys. Girls. Total. -
Page -
Table 38.
Morbid conditions. Elementary school. Invalided. -
Page -
Table 39.
Transferred from schools for Re-classified for transfer to— P.D. school. M.D. School. Partially sighted school. Blind school. Deaf school. Partially deaf school. Open- air school. Epileptic colony. -
Page -
Table 40.
Action taken. Special school classification. P.D. M.D. Blind. Partially sighted. Deaf. Partially deaf. Total. -
Page -
Table 41.
Morbid conditions. Cases deemed no longer certifiable. Cases deemed fit to return to elementary schools. -
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Table 42.
Type of defect. Percentage of sexes in those Nominated for examination. Passed for a special school. Invalided. Deemed ineducable. M. F. M. F. M. F. M. F. -
Page -
The following table shows the number of cases notified by the education authority under section 2 (2) of the Mental Deficiency Act, 1913, as amended by the Mental Deficiency Act, 1927, during the year 1934 (the figures in brackets being those for the previous year):—
(a) Feeble-minded— Boys. Girls. -
Page -
Table 43.
Classification. Male. Female. Total. Grand total under headings. -
Page -
Table 44. Ponton-road remand, home—Reasons for admission.
Offences. Boys. Girls. Offences. Boys. Girls. -
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Table 45. Ponton-road remand home—Physical defects.
Defect. Boys. Girls. Defect. Boys. Girls. -
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Table 46. Ponton-road remand home—Cases treated for sickness and casualties.
-
Page -
The following tables show the sources of reference of the cases, and the reasons for reference:—
Source of reference. Reasons for reference. -
Page -
The following tables show the sources of reference of the cases during 1934, and the reasons for reference :—
Source of reference. Reasons for reference. -
Page -
Table 47.
Sex. No. examined. Nutritional state. Condition of clothing and footwear Cleanliness skin and hair. Teeth. Vision. No. wearing glasses. Various other defects found. No. advised to have treatment. Excellent. Normal. Subnormal. Bad. Good. Fair. Bad. Clean. Dirty. Pediculi present. Sound. Less than 4 decayed. More than 4 decayed. Normal. Slightly subnormal. Treatment required. -
Page -
Table 48.
Classification. Age. Total. 7 years. 8 years. 9 years. 10 years 11 years -
Page -
Table 49.
Number of cases. Factors investigated. Average number of individuals in family. Average earnings. Average number of individuals in bedroom. Average number of individuals in 1 bed. Average hours of sleep. Standard of ventilation. Number of cases of damp houses. Where child plays. Average hours out of doors daily. Estimate of feeding. -
Page -
Table 50.— Gain in height and weight of children on "official milk."
Period. Gain in Weight. Height. -
Page -
Table 51.— Gain in height and weight of children at Barlby-road open-air class.
Period. Gain in Weight. Height. -
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Table 52.
Status. Number examined. Number fit. Number rejected. Number who withdrew after being referred for remediable defects or were not due for reexamination until 1935. Male Female Male Female Male Female Male Female -
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Table 53.
Disease Age Total 20-29 30-39 40-49 50-54 55-59 60— M F M F M F M F M F M F M F -
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Table 54.
Disease Age Total 20-29 30-39 40-49 50-54 55-59 60 + M F M F M F M F M F M F M F -
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Table 55.
Years Age. 20—29 30—39 40—49 50—54 55—60— -
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This difference is also shewn in the age-distribution of the deaths :— Table 56.
Years Age. 20—29 30—39 40—49 50—54 55—60— -
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Table 57
Disease. Age. 20-29 30-39 40-49 50-54 55-59 60 + Total. -
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STATISTICAL TABLES. Table I.— Medical Inspection, 1934. (a) Routine Inspections.
Group. Boye. Girls. Total. -
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Table II. ( a ) (1) Defects found at medical inspections of all children except those aged 8 years. Elementary and special schools.
Disease or defect. Routine inspections— Defects. Special inspections— Defects. Requiring treatment. Requiring observation. Requiring treatment. Requiring observation. Elementary schools. Special schools. Elementary schools. Special schools. -
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(a) (2). Defects found at medical inspections of children aged 8 years. Elementary and special schools.
Disease or defect. Routine inspections— Requiring treatment. Requiring observation. Elementary schools. Special schools. Elementary schools. Special schools. -
Page -
(b) Children found at routine medical inspection to require treatment (excluding uncleanliness and dental disease).
Age group. Inspected. Found to require treatment. Percentage requiring treatment. -
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Table III. (a) Exceptional children in London in 1934.
Classification. At certified special schools. At public elementary schools. At other institutions* At no school or institution Total. Day Residential -
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(b) Return of children suffering from more than one defect, 1934.
Defect. Type of School. At other institutions (Gen. hosp., etc.) At no schl. Total Day M.D. Residential M.D. Residential blind Day deaf Residential deaf Epileptic colony Day P.D. Certified hospital 6chls. -
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Table IV. Treatment table. (a) 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. -
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(b) Group II.— Defective vision and squint (excluding eye defects treated as minor ailments, for which see group I).
Disease or defect. Defects dealt with. Under Council's scheme. Otherwise. Total. -
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(c) Group III.— Treatment of defects of the throat and nose. Number of defects.
Defect. Received operative treatment. Total. Received other forms of treatment. Total number treated. Under Council's scheme. Private practitioner or hospital. -
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( d ) Group IV.— Dental defects.
-
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(d) Group IV.— Dental defects—continued.
-
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(e) Group V.— Uncleanliness and verminous conditions.
-
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Table V. Medical inspection.—Number of children examined, 1924—1934.
Year. Routine examinations. Special examinations. Re-inspections. Examinations at special enquiries into outbreaks of infectious disease. Special ear inspection centre attendances. Rheumatism supervisory centre attendances. -
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Table VI. Medical treatment.—Number of cases treated under the Council's scheme and by other agencies, 1924-1934.
Year. Minor ailments.† Vision. Nose and throat. Dental. Under the Council's scheme. Otherwise. Under the Council's scheme. Otherwise. Under the Council's scheme. Otherwise. Under the Council's scheme. Otherwise.* -
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Table VII. Medical inspection of students in higher education institutions , 1934.
Classification. Council secondary schools. Other secondary schools. Council and other junior tech. schools. Training colleges. Total. Boys. Girls. Boys. Girls. Boys. Girls. Male. Female Male. Female -
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Condensed statistics of the sick patients in the general hospitals and public health and public assistance institutions since 1st January, 1931, are as follow:—
Patients. Year ended 31st December, 1931. Year ended 31st December, 1932. Year ended 31st December, 1933. Year ended 31st December, 1934. -
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* Numbers of women confined in general hospitals and institutions.
-
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Births in general hospitals and institutions.
Live. still Total. -
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The number of patients seen at the Council's ante-natal clinics has increased as follows :—
Year. New cases. Total attendances. -
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District Medical Work—Return for twelve months, 1st January—31 s t December, 1934 Number of domiciliary visits.
Nature of appointment. Quarter ended Total for 12 months ended 31st December, 1934. 31st March, 1934. 30th June, 1934. 30th September, 1934. 31st December, 1934. -
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Number of attendances at medical relief stations.
Nature of appointment. Quarter ended. Total for 12 months ended 31st December, 1934. 31st March, 1934. 30th June, 1934. 30th September, 1934. 31st December, 1934. -
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Summary.
Nature of appointment. Number of domiciliary visits. Number of attendances at medical relief stations. Number of persons. -
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Comparison between all general nursing cases and L.C.C. cases (male and female) and diabetes and non-diabetes in six selected districts.
Nature of casea. Sex. Cases. Visits. Average visits per case. -
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Classification of L.C.C. cases, acute or chronic, in six selected districts.
Nursing association. Acute. Chronic. Unclassified. Total. Cases Visits. Average no. of visits. Cases. Visits. Average no. of visits. Cases Visits. Average no. of visits. Cases. No. of visits. Average no.ofvisits. -
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More detailed information as to the conditions dealt with is given in the following table :— Classification according to diseases in six selected districts.
Disease. Cases. Visits. Average no. of visits. -
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Source of reference to district nursing association in six selected districts.
District Nursing Association. Medical supt. of L.C.C. hospital or district medical officer. Persons in receipt of relief. Total. Voluntary hospital. Private or panel doctor. Other sources. -
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Numbers of diabetes cases and visits paid in six selected districts.
District Nursing Association. Number of cases. Number of visits. Average number of visits per patient. -
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List of General Hospitals and Institutions under the Control of the Hospitals and Medical Services Committee
Hospital or Institution and situation. Date of opening. Medical Superintendent, other Medical Staff (excluding consultants) Matron and Steward. Normal accommodation 1.4.1934. Special Units. General statistics. Admissions. Births. Surgical opera tions. Outpatients' attendances. -
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List of General Hospitals and Institutions under the Control of the Hospitals and Medical Services Committee— continued.
Hospital or Institution and situation. Date of opening. Medical Superintendent, other Medical Staff (excluding consultants) Matron and Steward. Normal accommodation 1.4.1934. General statistics. Special Units. Admissions. Births. Surgical operations. Outpatients' attendances. -
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List of General Hospitals and Institutions under the Control of the Hospitals and Medical Services Committee— continued.
Hospital or Institution and situation. Date of opening. Medical Superintendent, other Medical Staff (excluding consultants) Matron and Steward. Normal accommodation 1.4.1934. Special Units. General statistics. Admissions. Births. Surgical operations. Out-patients' attendances. -
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List of General Hospitals and Institutions under the Control of the Hospitals and Medical Services Committee— continued.
Hospital or Institution and situation. Date of opening. Medical Superintendent, other Medical Staff (excluding consultants) Matron and Steward. Normal accommodation 1.4.1934. Special Units. General statistics. Admissions. Births. Surgical operations. Out-patients' attendances. -
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List of General Hospitals and Institutions under the Control of the Hospitals and Medical Services Committee— continued.
Hospital or Institution and situation. Date of opening. Medical Superintendent, other Medical Staff (excluding consultants) Matron and Steward. Normal accommodation 1.4.1934. Special Units. General statistics. Admissions. Births. Surgical operations. Outpatients attendances. -
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List of General Hospitals and Institutions under the Control of the Hospitals and Medical Services Committee— continued.
Hospital or Institution and situation. Date of opening. Medical Superintendent, other Medical Staff (excluding consultants) Matron and Steward. Normal accommodation 1.4.1934. Special Units. General statistics. Admissions. Births. Surgical operations. Outpatients* attendances. -
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L ist of General Hospitals and Institutions under the Control of the Hospitals and Medical Services Committee— continued.
Hospital or Institution and situation. Date of opening. Medical Superintendent, other Medical Staff (excluding consultants) Matron and Steward. Normal accommodation 1.4.1934. Special Units. General statistics. Admissions. Births. Surgical operations. Outpatients' attendances. -
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List of G eneral H ospitals and Institutions under the C ontrol of the Hospitals and Medical Services C ommittee— continued.
Hospital or Institution and situation. Date of opening. Medical Superintendent, other Medical Staff (excluding consultants) Matron and Steward. Normal accommodation 1.4.1934. Special Units. General statistics. Admissions. Births. Surgical operations. Outpatients' attendances. -
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List of General Hospitals and Institutions under the Control of the Hospital and Medical Services Committee— continued.
Hospital or Institution and situation. Date of opening. Medical Superintendent, other Medical Staff (excluding consultants) Matron and Steward. Normal accommodation 1.4.1934. Special Units. General statistics. Admissions. Births. Surgical operations. Outpatients' attendances. -
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GENERAL HOSPITALS. Table I (a)— Admissions, discharges and deaths, 1934* (including infants in maternity wards). Hospitals.
Hospital. Normal accommodation. In hospital on 31st December 1933. Admissions during the year. Births during the year. Discharges during the year. Deaths during the year. In hospital on 31st December 1934. Maternity cots. Other. -
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General Hospitals— continued. Table I (b)— Admissions, discharges and deaths , 1934. Children under 16 Years of age.
Hospital. In hospital on 31st December, 1933. Admissions during the year. Births during the year. Discharges during the year. Deaths during the year. In hospital on 31st December, 1934. -
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General Hospitals— continued. Table I (c)— Institutions—Admissions, discharges and deaths—Sick inmates only 1934. (including infants in maternity cots).
Institution. Normal accommodation. In institution on 31st December 1933. Births during the year. Admissions during the year. Discharges during the year. Deaths during the year. In institution on 31st December 1934. Maternity cots. Other. -
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General Hospitals— continued. Table I ( d )— Discharges and deaths classified according to mode of admission, 1934.
Hospital. Medical superintendent. Relieving officer's order. Lunacy order. Transferred from Births. (a) Staff cases. Other. (b) Total. Direct. (c) From medica practitioner. From voluntary hospital L.C.C. hospital L.C.C residential school L.C.C institution. -
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General Hospitals— continued. Table II (a)— Accommodation, 1934. (Including cots in maternity wards and infants in maternity cots.)
Hospital. Average accommodation. Beds occupied. Average duration of stay in days. Maximum. Minimum. Average. Number. Per cent. -
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General Hospitals— continued. Table II (b)— Institutions.—Accommodation.—Sick inmates , 1934. (Including cots in maternity wards and infants in maternity cots.)
Institution. Average accommodation. Beds occupied. Average duration of stay in days. Maximum. Minimum. Average. -
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General Hospitals— continued. Table III— Tuberculosis wards—Pulmonary tuberculosis cases only, 1934.
Hospital. Accommodation in wards for pulmonary tuberculosis. In hospital on 31st December, 1933. Admissions. Discharges. Deaths. In hospital on 31st December, 1934. -
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G eneral H ospitals— continued. T able IV (a)— Mental wards in hospitals, 1934.
Hospital. Accommodation in mental and observation wards on 31st December, 1933. In hospital on 31st December, 1933. Admissions. Discharges. Deaths. In hospital on 31st December, 1934. Accommodation in mental and observation wards on 31st December, 1934. -
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T able IV (5)— Mental wards in institutions, 1934.
Institution. Accommodation in mental and observation wards on 31st December, 1933. In institution on 31st December, 1933. Admissions. Discharges. Deaths. In institution on 31st December, 1934. Accommodation in mental and observation wards on 31st December, 1934. -
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General Hospitals— continued. Table V— Out-Palients.—Summary of statistics relating to out-patient treatment for the year ended, 31st December, 1934.
Hospital. Out-patients. Ante-natal clinics. Total number of persons seen. Number of these who had previously received inpatient treatment Total number of attendances. Number of women seen. Total number of attendances. -
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General Hospitals— continued. Table VI (a)— Discharges and deaths classified according to principal disease or condition treated, 1934. Hospitals. (The diseases are set out as nearly as practicable in the order in which they appear in the International List of Causes of Death, 4th revision.)
Principal disease or condition treated. Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth. Lewisham. Mile End. New End. Norwood children's. Paddington. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Benedict's. St. Charles'. St. George-in-the-East. St. Giles'. St. James'. St. John's. St. Leonard's. St. Luke's, Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. Brentwood colony. Edmonton colony. Total -
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Table VI (a)— continued.
Principal disease or condition treated. Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth Lewisham. Mile End. New End. Norwood children's. Padding ton. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Benedict's. St. Charles'. St. George-in-the-East. St. Giles'. St. James'. St. John's. St. Leonard's. St. Luke's, Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. Brentwood colony. Edmonton colony. Total. -
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Tablk VI (a)— continued. General Hospitals— continued.
Principal disease or condition treated. Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth. Lewisham. Mile End. New End. Norwood children's. Paddington. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Benedict's. St. Charles'. St. George-in-the-East. St. Giles'. St. James'. St. John's. St. Leonard's. St. Luke's. Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. Brentwood colony. Edmonton colony. Total. -
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Table VI (a) — continued.
Principal disease or condition treated. Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth. Lewisham. Mile End. New End. Norwood children's. Paddington. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Benedict's. St. Charles'. St. George-in-the-East. St. Giles'. St. James'. St. John's. St. Leonard's. St. Luke's,Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. Brentwood colony. Elmonton colony. Total. -
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General Hospitals— continued. Institutions. Table VI (6)— Discharges and deaths classified according to principal disease or condition treated, 1934.
Institution. Acute infectious disease Influenza. Tuberculosis. Malignant disease Rheumatism (6). Venereal disease Child-birth. Mental disease Senile decay and senile dementia Violence. Other diseases classed as:— Other diseases. W) Total. Pulmonary. Non-pulmonary. Puerperal fever. Other. (e). Nervous Respiratory. Circulatory. Digestive. Genitourinary. Skin -
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General Hospitals— continued. Table VII— Tuberculosis—Classification, according to principal site, of in-lreatments of tuberculosis terminated by discharge or death, 1934.
Hospital. Respiratory system. BraiD and spinal cord. Intestines, peritoneum, etc. Genitourinary system. Bones and Joint*. Glands. (a)• General, disseminated. Other. Total. Dis- charges. Deaths. Vertebral column. Hip. Knee. Other. -
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General Hospitals— continued. Table VIII (o)— Malignant neoplasms.—Discharges and. deaths classified according to type of growth, sex and age, 1934.
Type of growth. Sex. Age group. Total. 0- 15- 25- 35- 45- 55- 65- 7, 75- 85 + Discharges Deaths. -
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Table VIII (6)— Malignant neoplasms.—Discharges and deaths classified according to site and sex, 1934.
Site of growth. Males. Females. Total. Site of growth. Males. Fe-males. Total. -
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G eneral H ospitals— continued. T able IX — Operations carried out in the general hospitals during the year ended 31s£ December, 1934.
Operation. (Locality and nature or purpose.) Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth. Lewisham. Mile End. New End. Norwood children's. Paddington. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Charles'. St. George-in-the-East. St. Giles'. St. James*. St. John's. St. Leonard's. St. Luke's, Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pan eras. St. Peter's. St. Stephen's. Total. -
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T able IX — continued.
Operation. (Locality and nature or purpose.) Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth. Lewiaham. Mile End. New End. Norwood children's. Paddington. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Charles'. St. George-in-the-East St. Giles'. St. James'. St. John's. St. Leonard's. St. Luke's, Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. total. -
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Table IX— continued. General Hospitals— continued.
Operation. (Locality and nature or purpose.) Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth. Lewisham. Mile End. New End. Norwood children's. Paddington. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Charles'. St. George-in-the-East. St. Giles'. St. James' St. John's. St. Leonard's. St. Luke's, Chelsea.. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. Total. -
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T able IX— continued.
Operation. (Locality and nature or purpose.) Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth. Lewisham. Mile End. New End. Norwood children's. Paddington. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Charles'. St. George-in-the-East. St. Giles'. St. James'. St. John's. St. Leonard's. St. Luke's, Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. Total. -
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Table IX— continued . General Hospitals— continued.
Operation. (Locality and nature or purpose.) Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth. Lewisham. Mile End. New End. Norwood children's. Paddington. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Charles'. St. George-in-the-East. St. Giles'. St. James' St. John's. St. Leonard's. St. Luke's, Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. Total. -
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Table IX— continued. ______ .--
Operation. (Locality and nature or purpose.) Archway. Bethnal Green. Dulwich. Fulham. Hackney. Hammersmith. Highgate. Lambeth. 1 Lewisham. MOe End. New End. Norwood children's. Paddington. Queen Mary's, Sidcup. St. Alfege's. St. Andrew's. St. Charles'. St. George-in-the-East St. Giles'. St. James'. St. John's. St. Leonard's. St. Luke's, Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas'. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. Total. -
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General Hospitals— continued. Table X— Massage or physio-therapeiitic departments. Work done during the year 1934.
Hospital or Institution. Patients treated. Treatments given. Massage. Electrical. Light. Radiant Heat Other. Total. -
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General Hospitals— continued. Table XI— X-ray work in the general hospitals, 1934.
Hospital. Diagnostic. Therapeutic. Number of patients. Number of films and X-ray negative papers. Number of patients. Number of treatments. In-patients. Out-patients treated by the hospital. Out-patients sent to the hospital for X-ray examination only -
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GENERAL HOSPI TALS— continued. Table XII.— Return of dental work in general hospitals during the year ended 31st December, 1934. (For analysis of out-patients who received dental treatment see table XIII.)
Hospital. Number of patients seen by dentist. Extractions. Number of patients. Anaesthetic administrations (general). Conservative treatment (including scaling) Number of patients. Fractures of jaw dealt with by dentist. Other cases seen by dentist. F = full. Dentures. P = partial. R - repairs. In-patients. Out-patients. Total. In-patients. Out-patients. Total. Patients. Attendances. Patients. Attendances. Patients. Attendances. Inpatients. Outpatients. Total. In-patients. Outpatients. Total. Inpatients. Outpatients. Total. F. P. R. F. P. R. F. P. R. -
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GENERAL HOSPITALS— con tinned. T abi.e XIII— Return of dental work during the year ended 31 St December, 1934— Analysis of classes of out-patient treated referred to in Table XII
Hospital. Number of out-patients seen by dentist. Dentures supplied to out-patients. P = Pull. P a Partial. R — Repairs. Assistance Institutions. JrUDIlC Health ' Institutions. Out-relief. Antenatal. Others. Total. Out-patients. Public Assistance Institutions. Public Health Institutions. Out-relief. Antenatal. Others. Total. Patients Attendances Patients Attendances Patients Attendances. Patients. Attendances. Patients. Attendances. Out- patients. Attendances. -
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Condensed statistics of the patients treated in the special hospitals during the year 1934 are as follows :—
Unit. Remaining on 31st Dec. 1933 (a) Admissions. Live births. Discharges. Deaths. Remaining on 31st Dec. 1934 (a) -
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Condensed statistics of the patients in the infectious diseases hospitals for the ten years from 1925 to 1934 are as follows :—
1925. 1926. 1927. | 1928. 1929. 1930. 1931. 1932. 1933. 1934. -
Page -
(A) Non-serum Series.
Otitis media. Adenitis. Albuminuria. Arthritis. -
Page -
(B) Serum Series. (i) Age distribution. —The following table shows the age distribution of 1,000 consecutive cases treated with scarlet fever antitoxin :—
Age. Cases. Percentage. -
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Age and grouping.
Age groups. " Intravenous " series. " Intraperitoneal " series. Total. Percentage. Total. Percentage -
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Primary suppurative otitis media in scarlet fever.
Series. Age group. 0—5 years. 5—10 years. 10—20 years. Over 20 year*. Cases. Per cent. Cases. Per cent. Cases. Per cent. Cases Per cent. -
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Serum group.
Month. ! Total cases admitted. Cases with Complications. Intercurrent diseases. Rheumatism. Kidney. Ear. Simple rhiniti«. Other complications. Total complications. Diphtheria. Other intercurrent diseases. Total inter-current diseases. Complications. Intercurrent disease. Total. Heart. Arthritis. ! Cervical adenitis. Albuminuria. j Nephritis. Relapse. Otitis media. Mastoid. Rhinitis. Throat. Ear. Measles. Chickenpox. -
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Rhinitis incidence.
Month. Serum group. Non-serum group. Total cases adm. Simple rhinitis. Diphtheritic rhinitis. Percentage for first 7 mnths. Total cases adm. Simple rhinitis. Diphtheritic rhinitis. Percentage for first 7 mnths. No. of cases. Per cent. No. of cases. Per cent. No. of cases. Per cent. No. of cases. Per cent. -
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The following table shows the main complications which occurred in the 826 cases of clinical diphtheria admitted during the year:—
Cases admitted Myocarditis. Palatal paresis. Pharyngeal paresis. Diaphragmatic paresis. Ciliary paresis. Strabismus. Faucial paresis. Percentage of complications to admissions. -
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The 34 positive cases are further analysed to indicate the sites where the organisms were found:—
Site. No. of cases. -
Page -
Percentage incidence of carriers. —It will be seen from the following table that 77 of the nurses examined were found to be streptococcal carriers whereas a comparatively negligible number were revealed to have virulent diphtheria bacilli in nose or throat.
Streptococcal carriers. Total diphtheria carriers. Few colonies. Numerous colonies. Nearly pure cultures. Total. -
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It will be seen that streptococcal carrying was most common in those nurses working in scarlet fever wards; carriers of pure cultures were found exclusively there just as the two diphtheria carriers were found in diphtheria wards.
Type of ward. Numerous colonies of streptococci Nearly pure cultures of streptococci Virulent diphtheria bacilli. -
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The results are recorded in the table below, and show that the highest incidence of carrying falls in the first year of service. This would seem to indicate that, with intimate contact over a period of years, some degree of anti-bacterial immunity develops.
Period of service. Numerous colonies of streptococci. Nearly pure cultures of streptococci. Virulent diphtheria bacilli. -
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cases. Diphtheria carriers were again a minority and only one was revealed.
Few colonies of streptococci. Numerous colonies of streptococci. Nearly pure cultures of streptococci. Total streptococcal carriers. Percentage Dick negative reactors. Diphtheria bacilli carriers. -
Page -
became carriers for the first time, irrespective of the type of ward in which they were stationed.
Number with unhealthy mucosa. Percentage carrying streptococci on joining. Percentage carryin streptococci after two months' service. Percentage who developed tonsillitis. -
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Cases of diphtheria and scarlet fever amongst the staff in the year are tabulated below:—
Diphtheria. Scarlet fever Staff cases. Total days off including sick leave. Average days off. Staff cases. Total days off including sick leave. Average days off. -
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Cross marks the year during which over 50 cases were admitted.
1928. 1929. 1930. 1931. 1932. 1933. 1934. -
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(i) On admission.
Clear. Hazy. Abrasions or ulcerations. Perforated ulcers. Blind. Total. One eye. Both eyes. One eye. Both eyes. -
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(ii) On discharge or death.
Clear. Impaired sight. Blind. Treatment not completed. Total One eye. Both eyes. Scar. One eye. Both eyes. One eye. Both eyes. -
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The diseases from which the patients admitted suffered were as follows :—
0s. Infants. -
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As regards discharged patients who had received artificial hght treatment during their stay in the hospital (not necessarily in 1934), the following table indicates the results obtained in 173 cases of tuberculosis :—
Type of case. Numbers treated. Treatments. Percentages. Local. General. Quiescent. Improved. Not improved. -
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The following statement gives an indication of the work done at the clinics during the year :—
Hospital. No. of patients on register. No. of attendances. Appliances renovated or altered. -
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List of Special Hospitals.
Name of hospital. Where situated. Date of opening. Acreage (approx.) Accommodation (31st December, 1934). Medical superintendent. Matron. Steward. Number of beds in special wards (isolation, separation, discharge etc.). Number of beds in ordinary wards. Total number of beds. -
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Special Hospitals— continued.
Name of hospital. Where situated. Date of opening. Acreage (approx.) Accommodation (3lst December, 1934). Medical superintendent. Matron. Steward. Number of beds in special wards (isolation, separation, discharge etc.) Number of beds in ordinary wards. Total number of beds. -
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Special Hospitals— continued.
Name of hospital. Where situated. Date of opening. Acreage (approx.) Accommodation (31st December, 1934). Medical superintendent. Matron. Steward. Number of beds in special wards (isolation, separation . discharge etc.). Number of beds in ordinary wards. Total number of beds. -
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Special Hospitals— continued.
Name of hospital. Where situated. Date of opening. Acreage (approx.) Accommodation (31st December, 1934). Medical superintendent. Matron. Steward. Number of beds in special wards (isolation, separation, discharge etc.). Number of beds in ordinary wards. Total number of beds. -
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Special Hospitals—continued. Infectious Diseases Statistics. Table I— Admissions, discharges, deaths and, transfers to other hospitals in the same section during 1934. Cerebro-Spinal Fever.
Classification. Brook. Eastern. Grove. North-Eastern. North-western. Park. South-Eastern South-western. Western. Joyce Green. Southern (Lower). Total. Northern. Southern (Upper) Total. Grand Total. -
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Special Hospitals—continued. Table I—continued. Enteric Fevers (including para-typhoid).
Classification Brook. Eastern. Grove. North-Eastern. North-Western. Park. South-Eastern. South-Western Western. Joyce Green. Southern (Lower). Total. Northern Southern (Upper). Total. Grand Total. -
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Table I— continued
C lassification. Puerperal Fever. Puerperal Pyrexia. Poliomyelitis. Encephalitis Lethargica. North-Western Park. South Western Total. North-Western. South-Western. Total. Park. South-Eastern. Western. Total. Park. -
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Special, Hospitals— continued. Table I— continued. Whooping-Cough.
Classification. Brook. Eastern. Grove. North-Eastern. North-Western. Park. South-Eastern. South-Western. Western. Joyce Green. Southern (Lower). Total. Northern Southern (Upper). Total. Grand Total. -
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Table I—continued. Other Diseases.
Classification. Brook. Eastern. Grove. North-Eastem North-Western. Park. South-Eastern South-Western. Western. Joyce Green. Southern (Lower). Total Northern. Southern (Upper). Total. Grand Total -
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Special Hospitals— continued. Table II—Direct discharges and deaths, quarterly, during 1934.
Disease. In hospital 1st January, 1934 Admissions. Discharges and Deaths. Case mortality percentage. In hospital 31st Dec ember, 1934. January-March. April—June. July-September. October-December. Total. Cages. Deaths. Cases. Deaths. Cases. Deaths. Cases. Deaths. Cases. Deaths. -
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Special Hospitals— continued. Table III (a)— Acute Hospitals*—Mistaken diagnosis.—Discharges and deaths during 1934 in which the disease finally diagnosed differed from that stated on the admission certificate.
Disease or condition on admission finally diagnosed. Disease certified on admission. Cerebrospinal fever. Chicken pox. Continued fever. Diphtheria. Dysentery. Encephalitis lethargica. Enteric. Typhoid. Paratyphoid. Erysipelas. Measles. Mumps. Poliomyelitis and polioencephalitis. Puerperal fever. Puerperal pyrexia. Rubella. Scarlet fever. Typhus. Whooping-cough. Zymotic enteritis. Other. Total. Cases. Deaths. -
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Special Hospitals— continued. Table III (b)—Acute Hospitals*—Errors in diagnosis, 1934.
Errors in diagnosis. Diphtheria (including bacteriological) and membraneous croup. Enteric fevers. Measles. Rubella. Scarlet fever. Whooping cough. -
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Table IV— Smallpox hospitals.—Admissions, discharges and deaths during 1934 including cases erroneously certified.
Classification. Joyce Green or Long Reach. South Wharf. Total. -
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Table v— Smallpox hospitals.—Summary of discharges and deaths during 1934 grouped according to borough of residence of patient.
Borough of residence. Number of cases. Borough of residence. Number of cases. Small-pox. Other. Total. Small-pox. Other. Total. -
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Special Hospitals— continued. Table VI (a)—Smallpox hospitals.—Condition as to vaccination of patients suffering from smallpox who were discharged or who died during 1934.
Type of case. Cases. Deaths. -
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Table VI (b) Smallpox hospitals.—Classification of condition as to vaccination according to age of patients suffering from smallpox who were discharged or who died during 1934.
Age group. Evidence of vaccination. Other cases, i.e., not vaccinated. Total. Present. Not noted. Doubtful. Stated to have been re-vaccinated with no evidence. Cases Deaths. Cases. Deaths. Cases. Deaths. Cases. Deaths. Cases. Deaths. Cases. Deaths. -
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Table VII —Smallpox as a factor of fatality.—Deaths during 1934.
Date of death. Age. Sex. Cause of death. Primary factor. Secondary factor. -
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Special Hospitals— continued. Table VIII— Smallpox hospitals.—Mistaken diagnosis.—Summary of discharges and deaths during 1934 in which the diagnosis of smallpox on the notification certificate was found to be incorrect.
Disease diagnosed in hospital. Joyce Green and Long Reach South Wharf. Total. -
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Table IX— Post-encephalitis lethargica.—Admissions, discharges and deaths during 1934
Northern hospital (part of). Males. Females. Total. -
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Special Hospitals— continued . TUBERCULOSIS INSTITUTIONS. Table X— Tuberculosis Institutions—General table showing the total admissions, discharges and deaths during 1934.
Institution. In hospital (midnight) 31st December, 1933†. Admissions. Discharges. Deaths. In hospital (midnight) 31st December, 1934. Direct. By transfer. Men. Women. Children. Total. Men. Women. Children. Total. Men. Women. Children. Total. Men. Women. Children. Total. Men. Women. Children. Total. Men. Women. Children. Total -
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Special Hospitals— continued. Table XL— Pulmonary tuberculosis, duration of treatment terminated by (a) direct discharge and (b) death—durinq 1934.
Institution. Duration of stay. (a) Direct discharges. (b) Deaths. Under 4 weeks. 4 and under 13 weeks. 13 and under 26 weeks. 26 and under 52 weeks. Over 12 months. Total. Average duration of stay in days. Under 4 weeks. 4 and under 13 weeks. 13 and under 26 weeks. 26 and under 52 weeks. Over 12 months. Total. Average duration of stay in days. -
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T able XII— Pulmonary tuberculosis.—Discharges during 1934.— Immediate results of treatment.
Classification. Class A T.B. minus. Class B T.B. plus Group 1. Class B T.B. plus Group 2. Class B T.B. plus Group 3. Not classed. Total -
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Special Hospitals— continued. Table XII— continued.
Classification. Class a T.B. minus. Class B T.B. plus Group 1. Class B T.B. plus Group 2. Class b t.b. plus Group 3. Not classed. Total. -
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Special Hospitals— continued. Table XIII— Pulmonary tuberculosis.—Patients discharged during 1934. Capacity for work on discharge.
Classification. Class A T.B. minus. Class B T.B. plus Group 1. Class B T.B. plus Group 2. Class B T.B. plus Group 3. Not classed Total. -
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Special Hospitals— continued. Table XIV— Hon-pulmonary tuberculosis.—Age and sex of patients and localisation of disease. Summary of discharges and deaths for all institutions during 1934.
Localisation. 0-5 5-10 10-15 15-20 20-30 30-40 40-50 Over 50 Total. Grand total. M F M F M F M F M F M F M F M F M F -
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Special Hospitals— continued. Table XV— Non-pulmonary tuberculosis—Surgical operations under anaesthetics during 1934.
Condition, or reason for operation. Name of operation. Queen Mary's Princess Mary's High Wood St. Luke's Grove Park Heather-wood Total. -
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Special Hospitals— continued. Table XV— continued.
Condition, or reason for operation. Name of operation. ' Queen Mary's Prin-cess Mary's High St. Wood Luke's Grove Park Heather-wood Total -
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Special Hospitals— continued. Table XVI— Non-pulmonary tuberculosis patients—Deaths during 1934.
Localisation. Complication. Queen Mary's hospital. High Wood hospital. Grove Park hospital. St. Luke's hospital, Lowestoft. Total. -
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SPECIAL HOSPITALS FOR CHILDREN. Table XVII— Summary of admissions, discharges and deaths during 1934.
Hospital. In hospital 31st December, 1933. Admissions. Discharges. Deaths. In hospital 31st December, 1934. Direct. By transfer to other L C.C. children's hospitals. -
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Special Hospitals— continued. Table XVIII— Queen Mary's Hospital for Children. — Non-tuberculous orthopasdic cases.— Discharges and deaths during 1934.-— Principal disease or condition treated.
Disease. Discharged. Transferred to other L.C.C. children's hospitals. Died. Total. -
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Special Hospitals— continued. Table XIX-— Queen Mary's Hospital for Children.—Non-tuberculous cases other than orthopcedic. Discharges and deaths during 1934.— Principal disease or condition treated.
Disease. Discharged. Transferred to other L.C.C. children's hospitals. Died. Total. -
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Special Hospitals— continued. Table XX— Surgical operations under anaesthetics during 1934. (Non-tuberculous patients.) (a) Queen Mary's Hospital for Children
Condition or disease. Nature of operation. No. -
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Special Hospitals— continued. Table XX— continued.
Condition or disease. Nature of operation. No. -
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Special Hospital— continued. Table XX—(6) Princess Mary's Hospital for Children. Non-tuberculous patients.
Condition. Nature of operation. Total. -
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Special Hospitals— continued. Table XXI.— Queen Mary's Hospital for Children. Causes of death during 1934. (a) Non-tuberculous cases other than orthopœdic.
Disease. Complication. Number. -
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(6) Non-tuberculous orthopœdic cases.
Disease. Complication. Number. -
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Table XXII— The Downs Hospital for Children.—Diseases of the ear.—Discharges and deaths during 1934.
Disease. Discharged. Transferred to other L.C.C. children's hospitals. Died. Total. -
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S pecial H ospitals— continued. T able XXIII— General diseases of children.—Discharges, transfers and deaths during 1934. (a) The Downs Hospital for Children.
Disease. Discharged. Transferred to other L.c.c. children's hospitals. Died. Total. -
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Special Hospitals— continued. Table XXIII—(6) Princess Mary's Hospital for Children.
Disease. Discharged. Transferred to other L.C.C. children's hospitals. Died. Total. -
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Special Hospitals— continued. Table XXIV— The Downs Hospital for Children—Surgical operations under anesthetics during 1934.
Condition. Nature of operation. No. -
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Table XXV— Causes of death during 1934.— Non-tuberculous diseases, (a) The Downs Hospital for Children.
Principal disease. Complication. Number -
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Special Hospitals— continued. Table XXV—(6) High Wood Hospital for Children.
Disease. Complications. Number -
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Table XXVI— St. Anne's home—Treatment of debility—Discharges and deaths during 1934.
-
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Table XXVII— Goldie Leigh Hospital.—Discharges and deaths during 1934.— Principal disease or condition treated.
Disease or condition. Discharged. Transferred to other L.C.C. children's hospitals. Died. Total. -
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Special Hospitals— continued. Table XXVIII— White Oak Hospital.—Diseases of the eye.—Discharges, transfers and deaths during 1934.
Disease. Discharged. Transferred to other L.c.c. children's hospitals. Died. Total. -
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Table XXIX— High Wood Hospital for Children.—Non-tuberculous cases.—Discharge.* and deaths during 1934.
Condition or disease. Discharged. Transferred to other L.C.C. children's hospitals. Died. Total. -
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The following is a summary of the number 01 examinations carried out during recent years in the hospital, group and central histological laboratories. Detailed statistics will be found in the tables on pages 162 to 174.
Year. Hospital laboratories. Group laboratories. Central histological laboratory (including post-mortem examinations). External laboratories. Total. General hospitals. Special hospitals. Five group laboratories (General hospitals) (including post-mortem examinations). Two group laboratories (Special hospitals) (including post-mortem examinations). -
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PATHOLOGICAL SERVICES. Table I.— Group Laboratory at Archway hospital. Record of examinations, etc., completed during the year ended 31st December, 1934.
Hospital or Institution, etc. Pathological. Bacteriological. Biochemical. Post-mortem examinations by pathologist. Attendance at post-mortem examinations. Histological. Miscellaneous. Total Blood. Urine. Fæces. C.S.F. Fluids, exudates, etc. Identification of micro-organisms. Gonococci. T.B. Agglutination per organisms. Wassermann reation. Kahn test. Other complement fixation tests. Vaccines. Animal inoculation. Blood sugar and urea. Other blood. Urine. Fæces. Test meals. C.S.F. Full count. Hb.,R.B.C. or W.B.C. diff. Other hæm. tests. General. Lange, etc. General. General. -
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PATHOLOGICAL SERVICES-continued. Table II.-Group Laboratory at Lambeth hospital. Record of examinations, etc., completed during the year ended 31st December, 1934
Hospital or Institution, etc. Pathological. Bacteriological. Biochemical. Post-mortem examinations by pathologist. Attendance at post-mortem examinations. Histological. Miscellaneous. Total. Blood. Urine. Fæces. C.S.F. Fluids, exudates, etc. Identification of micro-organisms. Gonocooci. T.B. Agglutination, per organisms. Wassermann reaction. Kahn test. Other complement fixation tests. Vaccines. Animal inoculation. Blood sugar and urea. Other blood. Urine. Fæces. Test meals. C.S.F. Full count. Hb.,R.B.C. or W.B.C. diff. Other hæm. tests. General. General. General. Lange, etc. -
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PATHOLOGICAL SERVICES— continued. T able III.— Group Laboratory at Lewisham hospital. Record of examinations, etc., completed during the year ended 31st December, 1934.
Hospital or Institution, etc. Pathological. Bacteriological. Biochemical. Post-mortem examinations by pathologist. Attendance at post-mortem examinations. Histological. Miscellaneous. T otal. Blood. Urine. Fæces. C.S.F. Fluids, exudates, etc. Identification of micro-organisms. Gonococci. T.B. Agglutination per organisms. Wassermann reaction. Kahn test. Other complement fixation tests. Vaccines. Animal inoculation. Blood sugar and urea. Other blood. Urine. Fæces. Test meals. C.S.F. Full count. Hb.,R.B.C. or W.B.C. diff. Other haem. tests. General. Lange, etc. General. General. -
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Table IV.— Group Laboratory at Mile End Hospital. Record of examinations, etc., completed during the year ended 31 st December , 1934.
Hospital or Institution, etc. Pathological. Bacteriological. Biochemical. Post-mortem examinations by pathologist. Attendance at post-mortem examinations. Histological. Miscellaneous. Total. Blood. Urine. Faeces. C.S.F. Fluids, exudates, etc. Identification of micro-organisms. Gonococci. T.B. Agglutination, per organisms. Wassermann reaction. Kahn test. Other complement fixation tests. Vaccines. Animal inoculation. Blood sugar and urea. Other blood. Urine. Fæces. Test meals. C.S.F. Full count. Hb.,R.B.C. or W.B.C. diff. Other haem. tests. General. General. General. Lange, etc. -
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Table V.— Group Laboratory at St. Mary Abbots Hospital. Record of examinations, etc., completed during the year ended 31st December, 1934.
Hospital. Pathological. Bacteriological. Biochemical. Post-mortem examinations by pathologist. Attendance at post-mortem examinations. Histological. Miscellaneous. Total, Blood. Jrine. Faeces. C.S.F. Fluids, exudates, etc. Identification of micro-organisms. Gonococci. T.B. Agglutination, per organisms. Wassermann reaction. Kahn test. Other complement fixation tests. Vaccines. Animal inoculation. Blood sugar and urea. Other blood. Urine. Faeces. Test meals. C.S.F. Full count. Hb.,R.B.C. or W.B.C. diff. Other haem. tests. General. I General. ] General. Lange, etc. -
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Table VI.— Central Histologica Laboratory. Statement showing the number of specimens dealt with, the work done in connection with postmortem examinations and the number of specimens mounted for hospitals and museum during 1934.
Hospital or group laboratory. Histological (i.e., report and stained section) Specimens mounted for Postmortem examinations carried out by histologists. Histologist present at postmortem examinations on anæsthetic deaths. Routine Special. Hospital. Museum. -
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T able VII.—SOUTHERN GROUP LABORATORY. Record of examinations, etc., completed during the year ended 31st December, 1934.
Hospitals, etc. Bacteriological. Pathological. Biochemical. Photographs, negatives and prints. Total. Diphtheria Group. Typhoid Group. Agglutinations. Identification of organisms. Gonococci. T.B. Wassermann. Other complement fixation tests. Special vaccines. Animal inoculation. Blood. Urine. Fæces. C.S.F. Blood sugar and urea. Other blood. Urine. Fæces. Histological. Miscellaneous. Milk samples. Virulence. Microscopic. Fæces. Urine. Full count. Diff. count. Culture. General. General. General. Lange, etc. No, of blocks. -
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Table VIII.— Products prepared at and issued from the Southern Group Laboratory, Park Hospital, 1930—1934.
Year. Media. Solutions for intravenous injections.* Stains and solutions. Stock vaccines. Grouping sera for blood transfusions. Tuberculin for Mantoux test. Measles serum. Adult. Convalescent. Litres. Number of containers. Litres. Number of containers. Litres. Number of c.c.s. Number of capillary tubes. Number of 1 c.c. Number of 10 c.c. ampoules. Number of 5 c.c. ampoules. Number of 10 c.c. ampoules. -
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NORTHERN GROUP LABORATORY. T able IX— Record of examinations, etc., completed during the year ended 31st December, 1934.
Hospital. Bacteriological. Pathological. Biochemical. Diphtheria Group. Typhoid Group. Agglutinations. Ident. of organisms. Gonococci. T.B. Wassermann. Other Comp. fix. Special vaccines. Animal inocul. Blood. Urine—General. Fæces—General. C.S.F. Blood sugar and urea. Other blood. Urine. Fæces. Histological— No. blocks. Milk samples. Total. Virulence. Microscropic Fæces. Urine. Full cnt. Diff. cnt. Culture. General. Lange.etc. -
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BELMONT LABORATORIES. Table X— Quantities of Antitoxin, Serum Tubes, Swab Tubes, etc., supplied, 1909 to 1934.
Year Total number of diphtheria antitoxin units supplied. Anti-streptococcus serum. Number of serum tubes (Lœffler). Number of swab tubes. Schicktest toxin and control. No. of sets. Dick-test toxin and control. No. of sets. Diphtheria prophylactic (Formol toxoid). No, of ampoules. Scarlet fever prophylactic. No. of ampoules. Mixed diphtheria and scarlet fever anti-toxin No.of 5 c.c. ampoules. Schultz-Charlton test solution. Number of ampoules. Horse serum. Desensitising doses of 1 c.c. Normal horse serum c.c. Horse blood c.c. Number of ampoules of 10 c c. Number of ampoules of 5 c.c. -
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T able XI (a)—Record of examinations completed in hospital laboratories and post-mortem examinations performed by medical staff at the general hospitals during the year ended 31st December , 1934.
Hospitals, etc. Pathological. Identification of micro-organisms (except gonococci and T.B.) Gonococci. Bacteriological. Other complement fixation tests. Vaccines. Animal inoculation. Blood sugar and urea. Other blood. Biochemical. C.S.F. Post-mortem examinations. Histological. Miscellaneous. Total. Full count. Blood. Other Hæm.tests. Urine Fæces C.S.F. Fluids, exudates, etc. T.B. Agglutination, per organisms. Wassermann reaction. Kahn test. Urine. Fæces. Test meals. Hb., R.B.C. or W.B.C. diff. General. General. General. Lange, etc. -
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Table XI (b)— Record of examinations completed in the laboratories at the special hospitals during the year ended 31st December, 1934.
Hospital. Blood counts. Fæces. General. Urine. General. Identification of microorganisms, except diphtheria and T.B. Diphtheria. t.b. Postmortem exams. Miscellaneous. Total. -
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Accident section.
Grade. Permanent. Temporary. Total. -
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General section.
Ambulance station. Superintendent. Senior ambulance clerk (man). Ambulance clerks (men). Permanent. Drivers and attendants. Washers and helpers, etc. Total. Permanent. Temporary. -
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The following table shows the weekly mileage run by the vehicles of the general ambulance section:—
-
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Table I— Number of calls dealt with by each accident station since 1 st April , 1930.
Station. 1930-31. Number of calls. 1931-32. 1932. 1933. 1934. -
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LONDON AMBULANCE SERVICE— continued. Table II— Hourly record of calls.
Hours. 1930-31. 1931-32. 1932. 1933. 1934. -
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Table III— Calls on each day of the week.
Day. 1930-31 1931-32. 1932. 1933 1934. -
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Table IV— Monthly summary of calls received.
Month. 1930-31. 1931-32. Month. 1932. 1933. 1934. -
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LONDON AMBULANCE SERVICE— continued. Table V— Summary of calls dealt with in the City of London and each Metropolitan Borough.
Metropolitan borough. 1930-31. 1931-32. 1932. 1933. 1934. -
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Table VI— Analysis of cases dealt with in above tables.
Nature of ease. 1930-31. 1931-32. 1932. 1933. 1934. -
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LONDON AMBULANCE SERVICE.— continued. Table VII— Return of number of cases (including removals) taken by the service to hospitals, etc.
Class of hospital. 1930-31. 1931-32. 1932. 1933. 1934. -
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Table VIII— Return of cases taken to hospitals and within 24 hours removed by the service to other institutions or to patients' homes.
Whence removed. 1930-31. 1931 -32. 1932. 1933. 1934. Patients' homes. Other institutions. Patients' homes. Other institutions. Patients' homes. Other institutions. Patients' homes. Other institutions. Patients' homes. Other institutions. -
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LONDON AMBULANCE SERVICE— continued. Table IX— Average lime in minutes taken to reach case and hospital.
Station. 1930-31. 1931-32. 1932. 1933. 1934. Case. Hospital. Case. Hospital. Case. Hospital. Case. Hospital. Case. Hospital. -
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Table x— Mileage run by ambulances of accident section.
Month. 1930-31. 1931-32. Month. 1932. 1933. 1934. -
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*Table XT— Number of miles run by General Ambulance Section and number of persons conveyed for the years 1930-1934.
Year. Miles run. Persons conveyed. Conveyance of Total. Patients. Relatives and friends of patients, staff, etc. Total. Patients. Goods, staff, etc. -
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Table XII— Particulars of persons conveyed for the years 1933 and 1934.
1933. 1934. -
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LONDON AMBULANCE SERVICE— continued. Table XIII— Mileage run from each General Ambulance Station for the years 1933 and 1934.
Service. Eastern. North-Western. Western. South-Western. South-Eastern. Brook. 1933 1934 1933 1934 1933 1934 1933 1934 1933 1934 1933 1934 -
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TABLE A TABLE A Year: 1st April, 1934 to 31st March 1935. BED ACCOMMODATION AND OCCUPATION DURING THE YEAR . This table gives information in connection with relative capacity and activity which it is important to bear in mind when comparing costs at the several hospitals.
Classification and name of hospital. Beds. (Excluding cots in maternity wards.) in-patients. (Excluding infants in maternity wards.) classification and name op hospital. Beds. (Excluding cots in maternity wards.) in-patients. (Excluding infants in maternity wards.) Average daily accommodation. Average daily number occupied. Percentage of beds occupied. Admissions. Discharges and deaths. Average daily accommodation. Average daily number occupied. Percentage of beds occupied. Admissions. Discharges and deaths. Number. Number. Average days in hospital. Number. Number. Average days in hospital. -
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TABLE B GENERAL HOSPITALS—Group G. I (Twenty-seven hospitals)—For the ANALYSIS OF COST PER WEEK (IN PENCE ) of maintenance during the year 1st April, 1934, to 31st March, 1935. The cost per per available bed or "Bed" under B. To facilitate comparison Figures in brackets are sub-divisions of the inclusive heads.
Archway. Bethnal Green. Dulwich. Fulham. Hackney. †Hammersmith. Highgate. Lambeth. Lewisham. Mile End. New End. -
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TABLE B —continued treatment of acute medical and surgical patients, including children. of IN-PATIENTS, under the several heads of expenditure, week is shown per occupied bed or "Patient" under P, and by reading across, the former costs are printed in heavy type.
Name of hospital Paddington. St. Alfege's. St. Andrew's. St. Charles'. St.George-in-East. St.Giles'. St. James'. St. Leonard's. St.Luke's, Chelsea. St. Mary Abbots. St. Mary, Islington. St. Nicholas. St. Olave's. St. Pancras. St. Peter's. St. Stephen's. Mean of Group. Average of Group. -
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TABLE D GENERAL HOSPITALS—Group G. Ill—For convalescent patients. Group G. IV—For sane epileptic patients. Group G. V—For certain children's diseases. ANALYSIS OF COST PER WEEK (IN PENCE) of maintenance of IN.PATIENTS, under the several heads of expenditure, during the year 1st April, 1934, to 31st March, 1935. The cost per week is shown per occupied bed or "Patient" under P, and per available bed or "Bed" under B. To facilitate comparison by reading across, the former costs are printed in heavy type. Figures in brackets are sub.divisions of the inclusive heads.
GROUP G. III GROUP G. IV GROUP G. V -
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TABLE F SPECIAL HOSPITALS—GROUP S. II—Infectious: Smallpox. SPECIAL HOSPITALS—GROUP S. Ill—Infectious: Other diseases. ANALYSIS OF COST PER WEEK (IN PENCE) of maintenance of IN-PATIENTS under the several heads of expenditure, during the year 1st April, 1934, to 31st March, 1935. The cost per week is shown per occupied bed or "Patient" under P, and per available bed or "Bed" under B. To facilitate comparison by reading across, the former costs are printed in heavy type. Figures in brackets are sub-divisions of the inclusive heads.
Group S. H Group S. III Name of hospital Long Reach and South Wharf. Sheffield Street. -
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TABLE G SPECIAL HOSPITALS—GROUP S. IV—Tuberculosis. ANALYSIS OF COST PER WEEK (IN PENCE) of maintenance of IN-PATIENTS, under the several heads of expenditure, during the year 1st April, 1934, to 31st March, 1935. The cost per week is shown per occupied bed or "Patient" under P, and per available bed or "Bed" under B. To facilitate comparison by reading across, the former costs are printed in heavy type. Figures in brackets are sub-divisions of the inclusive heads.
Name of hospital Colindale. Grove Park. King George V Sanatorium. Pinewood Sanatorium. St. George's Home. St. Luke's, Lowestoft. †Mean of group. †Average of group. -
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TABLE H SPECIAL HOSPITALS—Group S. V—Hospitals for children. Group S. VI—Hospitals for convalescent children. ANALYSIS OF COST PER WEEK (IN PENCE) of maintenance of IN-PATIENTS under the several heads of expenditure, during the year 1st April, 1934, to 31st March, 1935. The cost per week is shown per occupied bed or "Patient" under P, and per available bed or "Bed" under B. To facilitate comparison by reading across, the former costs are printed in heavy type. Figures in brackets are sub-divisions of the inclusive heads.
GROUPS. V groups. vi Name of hospital Downs. Goldie Leigh. Heatherwood. High Wood. Norwood. Princess Mary's. Queen Mary's, Carshalton. White Oak. ||Mean of group. ||Average of group. Millfleld. St. Anne's Home. ||Mean of group. ||Avcrage of group -
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TABLE I LONDON AMBULANCE SERVICE.
Analysis op costs. Year 1st April, 1934, to 31st March, 1935. General Section. Accident Section. 1,766,885 miles. 144,848 journeys. 210,959 patients. 222,518 miles. 44,532 journeys. 43,423 patients. Cost per mile Cost per journey Cost per patient Cost per mile Cost per journey Cost per patient d. d. d. d. d. d. -
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TABLE J HOSPITAL LAUNDRIES—Particulars of work and running costs. The costs include only laundry staff labour, uniforms and other emoluments, fuel, gas, electricity, water, washing materials, laundry fabrics and plant repairs. Period—Twelve months to 31st March, 1935
Name of hospital. Mean of number of patients for whom washing was done. Mean of number of staff for whom washing was done. Average number of articles sent to be washed weekly. Number of articles washed per week. Per occupied bed per week. Total number of articles washed during the year. Cost per 1,000 articles washed. Consumption per 1,000 articles washed. Mean of number of paid laundry staff. Output per head of paid laundry staff per week. Mean of number of inmates employed in laundry. Patients' washing. Per patient. Staff washing. Per member of resident staff. X Average total number of articles washed. Cost of average total number of articles washed. Salaries and , emoluments (laundry staff only). Washing materials laundry fabrics. Fuel, gas, electricity, water and plant repairs. Total. Soap and soap in soap powder. Soda and soda in soap powder. Resident. Nonresident. GENERAL HOSPITALS No. No. No. No. No. No. No. s. d. No. £ s. d. s. d. £ s. d. £ s. d. lbs. lbs. No. No. No. -
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TABLE J— continued. Period—Twelve months to 31st March, 1935
Name of hospital. Mean of number of patients for whom washing was done. Mean of number of staff for whom washing was done. Average number of articles sent to be washed weekly. Number of articles washed per week. Per occupied bed per week. Total number of articles washed during the year. Cost per 1,000 articles washed. Consumption per 1,000 articles washed. Mean of number of paid laundry staff. Output per head of paid laundry staff per week. Mean of number of inmates employed in laundry. Patients' washing. Per patient. Staff washing. Per member of resident staff. ‡ Average total number of articles washed. Cost of average total number of articles washed. Salaries and emoluments (laundry staff only). Washing materials and laundry fabrics. Fuel, gas, electricity, water, and plant repairs. Total. Soap and soap in soap powder. Soda and soda in soap powder. Resident. Nonresident. SPECIAL HOSPITALS No. No. No. No. No. No. No. s. d. No. £ s. d. s. d. £ s. d. £ s. d. lbs. lbs. No. No. No. -
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Year ending 31st March. Total number of articles washed in laundries during the year. Average cost per 1,000 articles washed. Average consumption per 1,000 articles washed. Average daily number of paid laundry staff. Average output per head of paid laundry staff per week. Salaries and emoluments (laundry staff only). Washing materials and laundry fabrics. Fuel, gas, electricity, water and plant repairs. Total. Soap and soap in soap powder. Soda and soda in soap powder. No. £ s. d. s. d. £ s. d. £ s. d. lbs. lbs. No. No. -
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Table I.
Number of cases. T.B. present. Percentage. -
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Table 1.
Case no. Initials, age and sex. Day of disease admitted. Distribution of membrane. A.D.S. administered (units and route). Toxæmic stage. Cardiovascular manifestations (Day of onset). Paralytic manifestations (Day of onset). Drinker operating. Result. Day of disease. Duration in days. -
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T able I.
Age. Number of patients. Deaths. Death rate per cent. -
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T able II.
Average duration of illness. Average number of days illness prior to treatment. Average total dosage of serum. Bacteriological findings. Group I. Group II. Meningococcus present, but not isolated. -
Page -
The above findings are summarised in the following table:—
Evidence of activity. Group "A." (27 cases.) Group " B." (16 cases.) Group " C." (33 cases.) -
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Mixtures for titration of complement.
Row. Complement dilution vol. 0.9 pep cent. saline vol. Normal serum vol. Antigen vol. Red blood cells. -
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Table I. Showing for different titres the doses of complement present in one volume of the dilution used in each tube for the titration.
Doses of comp. per vol of guinea-pig serum Titre. Tubes with one volume of diluted guinea-pig serum. (Numbers indicate tubes and also dilution factors.) 10 20 30 40 50 60 70 80 90 100 -
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T able II. Titration of complement.
Row of tubes. Mixtures used in each tube. Reading of complete laking. Doses of compt. corresponding. Excess over front row. -
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Analysis of 7 cases in which general peritonitis occurred:—
Para. Delivery. Vag-inal exam. Cervical swab. Additional diagnosis. Operation. -
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Analysis of cases of septicaemia (10). (First 2 cases included under" other diseases.")
Para. Delivery. Vag-inal exam. Cervical swab. Blood culture. Clinical features. Result. -
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The complications in 165 cases of puerperal sepsis are set out below:—
Delivery. Perineal and vaginal sepsin. Pelvic abscess. Pelvic cellulitis. Pelvic peritonitis. Septicemia. General peritonitis. Septic endo and perimetritis. Thrombosis. Pyelitis. Cystitis. Bacilluria. Severe jinipmia. Femoral. Pelvic. -
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Analysis of deaths in 165 cases of puerperal sepsis. (14 deaths = 8.5 per cent.)
No. of case. Age. Para. Previous history. Delivery. Vaginal examination. Diagnosis on admission. Complications. Course of disease. Bacteriology. Post-mortem findings. -
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Continued from previous page...
No. of case. Age. Para. Previous history. Delivery. Vaginal examination. Diagnosis on admission. Complications. Course of disease. Bacteriology. Post-mortem findings. -
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The following is an analysis of cases sent to the centre during 1934 :— Carcinoma—
-
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The ages of cases of carcinoma of the cervix were :—
-
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Radium treatment.—Description of apparatus. 1. Radium containers.
— Substance. Content in milligrammes. Shape Dimensions. Material. Thickness of wall. -
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The results of treatment are shown in the following table.
Year. No. treated. Alive at end of year. Died of cancer by end of year. Lost sight of by end of year. Died of other cause by end of year. Survival rate at the end of year. 1st 2nd 3rd 4 th 5 th 6th 1st 2 nd 3rd 4 th 5 th 6th 1st 2nd 3rd 4th 5 th 6th 1st 2nd 3rd 4th 5th 6th 1st 2nd 3rd 4th 5th 6th -
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T able 1.
Disease. Male. Female. Improved. Not improved. Died. Improved. Not improved. Died. -
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T able I — continued.
Disease. Male. Female. Improved. Not improved. Died. Improved. Not. improved. Died. -
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Table II. Total survival rate.
Disease. Year. No. treated Alive at end of Remarks. 1st year. 2nd year. 3rd year. 4th year. -
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Table II— continued.
Disease. Year. No. treatec Alive at end of Remarks. 1st year. 2nd year. 3rd | year. 4th year. -
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Table 11— continued.
Disease. Year. No. treated Alive at end of Remarks. 1st year. 2nd year. 3rd year. 4th year. -
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Table 11— continued.
Disease. Year. No. treated Alive at end of Remarks. 1st year. 2nd year. 3rd year. 4th year. -
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Table II— continued.
Disease. Year. No. treated Alive at end of Remarks. 1st year. 2nd year. 3rd year. 4th year. -
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Table II— continued.
Disease. Year. No. treatec Alive at end of Remarks. 1, j year. 2nd year 3rd year 4th year. -
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Table II— continued.
Disease. Year. No. treated Alive at end of Remarks. 1st year. 2nd year. 3rd year. 4th year. -
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Table II— continued.
Disease. Year. No. treated Alive at end of Remarks. 1st year. 2nd year. 3rd year. 4th year. -
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Table II— continued.
Disease. Year. No. treatec Alive at end of Remarks. 1st year. 2nd year. 3rd year. 4th year. -
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The improvement in the mortality rate is shown in the following table :—
- 1933. 1934. Deaths. Rate per 1,000. Deaths. Rate per 1,000. -
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Deaths from sepsis.
Nature of labour or pregnancy. Labour conducted entirely in L.C.C. hospitals. Labour conducted partially outside. -
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Caesarean section was performed on 136 patients with 9 deaths. The indications for which the operation was undertaken were as follows
Indications. No. of operations. Deaths of mothers. -
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Table I— General Hospitals and Institutions—Maternity Departments , 1934.
Hospital or institution. No. of maternity beds. Births. Ante-natal clinic. Post -natal clinic. Live. Still. Total. No. of new cases. Attendances. No. of new cases. Attendances. -
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Table II— Maternal deaths —( A ) Confined in General Hospitals and Institutions. ( a ) Death due to pregnancy or confinement.
Hospital, etc. No. of births (including stillbirths) Ante-natal care. L.C.C. clinic. Deaths. Ante-natal care, other sources, nil or not stated. Deaths. Total deaths. -
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Table II— Maternal deaths—continued. ( a ) Death due to pregnancy or confinement.
Hospital, etc. No. of births including stillbirths ) Ante-natal care, L.C.C. clinic. Deaths. Ante-natal care, other sources, nil or not stated. Deaths Total deaths. -
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Summary of above table.
Cause of death. Ante-natal care, L.C.C. hospital. Ante-natal care, other sources, nil or not stated. Total. -
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Table II ( b )— (A) ( b ) Death associated with pregnancy or confinement
Hospital. Ante-natal care at L.C.C. clinic. No. Ante-natal care other sources, nil or not stated. No. Total. -
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Table II (6)—(^4) (6) Death associated with pregnancy or confinement. —contd.
Hospital. Ante-natal care at L.C.C. clinic. No. Ante-natal care other sources, nil or not stated. No. Total. -
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Summary of above table.
Cause of death. Ante-natal care at L.C.C. clinic. Ante-natal care other sources. nil or not stated Total. -
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Table [I ( c )—( B ) Delivered before admission.
Hospital. Cause of death. No. -
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Summary of above table.
Cause of death. No. -
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Table III— Cases confined in general hospitals and institutions ami discluirged or died during 1934 ( including deaths undelivered ) —Attendances at L.C.C. ante-natal clinic.
Attendances. Number. Per cent, of total. -
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T able IV.— Method of delivery after 28th week.—All hospitals.
Mode of termination of pregnancy. Complication of labour or reason for interference. Total. Eclampsia. Pyelitis pyelonephritis. Other toxaemias. Disproportion and contracted pelvis. Other obstructed deliveries, † Malpresenta-tion. Placenta praevia. Other A. P. hemorrhage. Uterine inertia and shock. Post-maturity. Other conditions of pregnancy. * Concurrent disease. Discharges. Deaths. Cases. 1. Natural (i.e., unaided)— -
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Table V.— General Hospitals and Institutions—Staled previous pregnancies in maternity cases (discharges and deaths) in relation to legitimacy.—Year ended 31 st December, 1934.
Legitimacy. Labour in hospital. Previous pregnancies. Total. 0 1 2 3 4 5 6 7 8 9 10+ -
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Table VI.— General Hospitals and Institutions.—Stated termination of maternity cases (discharges and deaths) in relation to age of mother.—Year ended 31 st December, 1934.
Termination. Labour in hospital. Age of mother. Total women delivered. Gravida. Total births. 15- 20- 25- 35- 45 + No. Deaths. -
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Table VII.— Still-births and neo-nalal deaths in relation to type of labour. (The rates are calculated upon the number of confinements, not on the number of births.)
Type of labour or aid. Infant. Total confinements. Percentage of infants. Deaths among Born dead. Dying with in 10 days. Living after 10 days. Born dead. Dying within 10 days. Living after 10 days. Number. Per cent. -
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Table VIII ( a ).— General Hospitals and Institutions.—Summary of completed treatments for abortion,* etc., prior to admission or in hospital—discharges and deaths. Year ended 31 st December, 1934.
Name of hospital or institution. Abortions, moles. Ectopic gestation. Sepsis. Sepsis. Discharges Deaths. Cases. Total Discharges. Total Deaths. Total Cases. Discharges. Deaths. Cases. Total Discharges. Total Deaths. Total Cases. -
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Table VIII (6).— Abortions, etc.—Deaths and case-mortality rates, 1934.
Puerperal sepsis. Other conditions. Total number. Cases. Case rate per 1.000. Deaths. Death rate per 1,000. Case mortality per cent. Deaths. Death rate per 1,000. -
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The subjoined table gives an analysis of the results of the treatment of fractures in patients who were treated at St. James' hospital, Balham, in the years 1931, 1932 and 1933, and who presented themselves for examination as to the end result. The number examined and analysed is rather more than a third of the total cases treated in the relevant period.
Site. Age groups. Total number of cases under review. Temporarily incapacitated. Permanently incapaci tated. Remarks. A1. *A2. A3. Recovery of full normal activities. Recovery of limited activities. Number Number. Average incapacity in weeks. Number. Average incapacity in weeks. (1) (2) (3) (4) (5) (6) (7) (8) (9) -
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Site. Age groups. Total number of cases under review. Temporarily incapacitated. Permanently incapacitated. Remarks. A1. *A2. A3. Recovery of full normal activities. Recovery of limited activities. Number. Number. Average incapacity in weeks. Number. Average incapacity in weeks. (1) (2) (3) (4) (5) (6) (7) (8) (9) -
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The heights ot tables and chairs at present authorised tor children aged 5 years and upwards are in 5 ranges as follows :— T able 1.
Size No. Height of top of table from floor. Height of chair seat from floor. Suitable for children aged (approximately). -
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Table 2. N utrition subnormal—Percentage of children examined.
Age group. 1920. 1925. 1926. 1927. 1928. 1929. 1930. 1931. 1932. 1933. 1934 -
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Table 3
Age group. 1921. 1934. Good. Fair. Bad. Good. Fair. Bad. -
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Table 4.
Age group. 1924. 1927. 1930. 1933. 1934. Sound. Serious decay. Sound. Serious decay. Sound. Serious decay. Sound. Serious decay. Sound. Serious decay. -
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Table 5 First Re-inspections, 1934. (Percentages are given in italic type.)
Defect treated. No. of cases. Treated. Untreated. By private doctor. Under Council's scheme. At other hospitals. Discharg'd Improved. For observation only. Still needing treatment. Discharg'd Not discharg'd Discharg'd Not dis charg'd Discharg'd Not discharg'd -
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Second Re-inspections, 1934.
-
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T able 6.
Ailment. Provision made in 1934. Numbers treated 1934. Numbers treated 1933. -
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Table 7.
Year. No. of cases. No. of fillings. No. of extractions. -
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Table 8.— Ear, nose and throat, excluding partly deaf cases.
Division. Total no. of examinations made. New cases. Cases carried over from 1933. Old cases returned. Cases examined, but no treatment required. Cases cured. Lost sight of. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. -
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Table 9 . — Deaf cases.
Division. Total no. of examinations made. New cases. Cases carried over from 1933. Old cases returned. Cases cured. Cases partially relieved. Cases unrelieved. Cases requiring no treatment. Lost sight of. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. Patients. Ears. -
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Table 10— Analysis of Otorrhœa cases.
Cause of suppuration. Total ears. Cured. Referred for mastoid operation. Lapsed. Still under treatment. -
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Table 11.
Particulars. 1932 1933 1934 -
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Table 12.— Admissions to special hospitals and convalescent homes during 1934.
Hospital or home. Boys. Girls. Rheumatism and /or chorea with no apparent cardiac involvement Rheumatism or chorea with cardiac disease Rheumatism and/or chorea with no apparent cardiac involvement Rheumatism or chorea with cardiac disease. Total -
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Table 13.-— Recominendations on discharge as to future education.
Hospital. p.d. school. Elementary school. Totally unfit. Over school age Removals from l.C.C. area. Total. -
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Table 14.— Rheumatism supervisory centres.
Name of rheumatism supervisory centre. Number of children attending during 1934. Number of new cases. Attendances of old cases. Total attendances. Average number per session. Number of children from the centre who received hospital treatment or convalescence under the rheumatism scheme. -
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Table 15.— Census of chronic invalids, November, 1934, and the four preceding years.
Ailment. Cases. Percentage of total. 1930. 1931. 1932. 1933. 1931. 1930. 1931. 1932. 1933. 1934. -
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Table 16.
Year. Diphtheria. Scarlet fever. Measles and German measles. Whooping cough. Chicken-pox. Mumps. Scabies. Ophthalmia. -
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Table 17.
Division. Diphtheria. Scarlet fever. Smallpox. Number of visits. Number of depts. visited. Number of children examined. Number of visits. Number of depts. visited. Number of children examined. Number of visits. Number of children examined. -
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Table 18.
Group. Numbers swabbed Diphtheria bacilli present in Virulent Avirulent Virulent diphtheria carrier rate. -
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Table 19.
Division. Population. No. of visits to Schools. No of depts. visited. No. of children examined. No. of children swabbed. Diphtheria bacilli present in No. virulent Carrier rate per cent. Diphtheria rates (all ages.) Total notifications Case rate. Total deaths. Mortality rate. Case mortality rate. -
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Table 20.
Result. Positive on arrival. (26 operations.) Negative on arrival. (1 operation.) Total. -
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The distribution among the five divisions was as follows:— Table 21.
Division. Visits paid. Numbers examined. Numbers excluded. Cases of scarlet fever and deaths, all ages. Cases Deaths. No. Per, 1,000 No. Per 100,000 -
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Table 22.
Division. Spring term. Summer term. Autumn and winter term. Total. -
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Table 23.
Division. No. of visits to schools. (No. of schools concerned in brackets.) No. of cases of smallpox found as a result of examination by school nurse. No. of children excluded by school nurse with suspicious symptoms. No. of home contacts supervised in school. No. of absentees (home contacts) reported to borough medical officer of health. No. of hours devoted to work. -
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The following table shows the number of cases of ringworm of the scalp among Ringworm, the children in the Council's schools dealt with during 1934 compared with the figures for preceding years:— Table 24.
Year. New cases. Cured cases. Cases outstanding at the end of the year. Percentage of cures effected by X-ray treatment. -
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Table 25.
Year Number of children swabbed. Diphtheria bacilli found. -
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The progress of the work during 1934 is shown in the following table
Residential schools and children's homes. Residential special schools. -
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The progress of the work at these two schools during 1934 is shown in the following table:—
Shirley residential school. Mayford approved school. -
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The defects from which the 130 are suffering are made up as follows—
-
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Table 26.
School Period. Place visited. No. of children. From To -
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Table 27.
Meal. May, 1934 (21 school days). November, 1934 (22 school days). December, 1934 (14 school days). For payment. Free. For payment. Free. For payment. Free. -
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Table 28.
Meal. On payment. Free. -
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The length of time the children had been on milk and the ages (years of birth) of the children are given in the following tables :— Table 29.
Year of birth. Meals commenced in the following years and under observation since : 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 -
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Table 30.— Children discharged from official milk scheme.
Year of birth. Number. 1 Excellent. State of Nutrition. 4 Malnourished. 2 Normal. 3 Slightly sub-normal. -
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Continued from previous page...
Year of birth. Number. State of Nutrition. 1 Excellent. 2 Normal. 3 Slightly sub-normal. 4 Malnourished. -
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The subjoined table shows the comparative state of nutrition of 6,284 boys and girls in the current and discharged groups, the percentages being given in italics:— Table 31.
Group. State of nutrition. Border-line cases. Total. 1 2 3 4 1/2 2/3 3/4 -
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Table 32.
Sex. A. Definite improvement. B. Slight improvement. C. Stationary or unsatisfactory. Number Per cent. Number Per cent. Number Per cent. -
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The following are the corresponding figures for children to whom milk is no longer given:— Table 33.
Sex. A. Definite improvement. B. Slight improvement. C. Stationary or unsatisfactory. Number Per cent. Number Per cent. Number Per cent. -
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The heights and weights of the children placed on milk were ascertained by a random sampling of the records of 100 boys and 100 girls born in 1925 (aged 9), and in the following tables are compared with the average heights and weights of London children at the same age:— Table 34.
Sex. Height. Weight. Milk children London averages. Milk children. London averages. -
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The increase in physical measurements over a period of one year is shown in the following table:— Table 35.
Sex- Increase in height. Increase in weight. Milk children. London averages. Milk children. London averages. -
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Table 36.
Defect. Number nominated. Suitable for admission to Returned to elementary school. Invalided as for the time unfit for any school. Notified under M.D. Acts. Boys. Girls. Blind school. Partially sighted. Swanley. Boys. Girls. Boys. Girls. Boys. Girls. Boys. Girls. Boys. Girls. Boys. Girls. -
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Table 37.
Morbid conditions. Boys. Girls. Total. -
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Table 38.
Morbid conditions. Elementary school. Invalided. -
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Table 39.
Transferred from schools for Re-classified for transfer to— P.D. school. M.D. school. Partially sighted school. Blind school. Deaf school. Partially deaf school. Open- air school. Epileptic colony. -
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Table 40.
Action taken. Special school classification. p.d. m.d. Blind. Partially sighted. Deaf. Partially deaf. Total. -
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Table 41.
Morbid conditions. Cases deemed no longer certifiable. Cases deemed fit to return to elementary schools. -
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Table 42.
Type of defect. Percentage of sexes in those Nominated for examination. Passed for a special school. Invalided. Deemed ineducable. M. F. M. F. M. F. M. F. -
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The following table shows the number of cases notified by the education authority under section 2 (2) of the Mental Deficiency Act, 1913, as amended by the Mental Deficiency Act, 1927, during the year 1934 (the figures in brackets being those for the previous year):—
(a) Feeble-minded— Boys. Girls. -
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Table 43.
Classification. Male. Female. Total. Grand total under headings. -
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Table 44. Ponton-road remand home—Reasons for admission.
Offences. Boys. Girls. Offences. Boys. Girls. -
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Table 45. Ponton-road remand home—Physical defects.
Defect. Boys. Girls. Defect. Boys. Girls. -
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Table 46. Ponton-road remand home—Cases treated for sickness and casualties.
-
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The following tables show the sources of reference of the cases, and the reasons for reference:—
Source of reference. Reasons for reference. -
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The results of treatment were as follows:—
Cases cloted. -
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The following tables show the sources of reference of the cases during 1934, and the reasons for reference:—
Source of reference. Reasons for reference. -
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An analysis of the results of treatment shows:—
-
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The age distribution was: from 4 to 7 years, 19; 7 to 10 years, 26; 10 to 14 years, 32; and over 14 years, 5.
Source of reference. Reasons for reference. -
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Results obtained,.
-
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The age distribution of the 104 new cases was : from 5 to 8 years, 46 ; 9 to 11 years, 34 ; 12 to 14 years, 21 ; over 14 years, 3. The following is an analysis of the cases dealt with :—
Source of reference. Reasons for reference. -
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Results obtained.
Cases closed— -
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Day continuation schools. {Estimated number of students eligible —4,000.)
-
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3 selected evening institutes (estimated number of students eligible —900).
-
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Table 48.
Classification. Age. Total. 7 years. 8 years. 9 years. 10 years 11 years -
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Table 49.
Number of cases. Factors investigated. Average number of individuals in family. Average earnings. Average number of individuals in bedroom. Average number of individuals in 1 bed. Average hours of sleep. Standard of ventilation. Number of cases of damp houses. Whore child plays. Average hours out of doors daily. Estimate of feeding. -
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Table 50.-— Gain in height and weight of children on "official milk."
Period. Gain in Weight. Height. -
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Table 51.— Gain in height and weight of children at Barlby-road open-air class.
Period. Gain in Weight. Height. -
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Table 52.
Status. Number examined. Number fit. Number rejected. Number who withdrew after being referred for remediable defects or were not due for reexamination until 1936. Male Female Male Female Male Female Male Female -
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Table 53.
Disease Age Total 20-29 30-39 40-49 50-54 55-59 60- M F M F M F M F M F M F M F -
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The causes of retirement of teachers who have left the service on medical Breakdowns grounds are set out below:- Table 54.
Disease Age Total 20-29 30-39 40-49 50-54 55-59 60 + M F M F M F M F M F M F M F -
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Table 55.
Years Age. 20-29 30-39 40-49 50-54 55-60- -
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Table 56.
Years Age. 20-29 30-39 40-49 50-54 55-60- -
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Table 57
Disease. Age. 20-29 30-39 40-49 50-54 55-59 60 + Total. -
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STATISTICAL TABLES. Table I.- Medical Inspection, 1934. ( a ) Routine Inspections.
Group. Boys. Girls. Total. -
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T able II. (a) (1) Defects found at medical inspections of all children except those aged 8 years. Elementary and special schools.
Disease or defect. Routine inspections-Defects. Special inspections-Defects. Requiring treatment. Requiring observation. Requiring treatment. Requiring observation. Elementary schools. Special schools. Elementary schools. Special schools. -
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(a) (2). Defects found at medical inspections of children aged 8 years. Elementary and special schools.
Disease or defect. Routine inspections- Requiring treatment. Requiring observation. Elementary schools. Special schools. Elementary schools. Special schools. -
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(b) Children found at routine medical inspection to require treatment (excluding uncleanliness and dental disease).
Age group. Inspected. Found to require treatment. Percentage requiring treatment. -
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Table III. (a) Exceptional children in London in 1934.
Classification. At certified special schools. At public elementary schools. At other institutions* At no school or institution Total. -
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(6) Return of children suffering from more than one defect, 1934.
Defect. Type of School. At other institutions (Gen. hosp., etc.) At no schl. Total Day M.D. Residential M.D. Residential blind Day deaf Residential deaf Epileptic colony Day P.D. Certified hospital schls. -
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Table IV. Treatment table. (a) 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. -
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(6) Group II.- Defective vision and squint (excluding eye defects treated as minor ailments, for which see group I).
Disease or defect. Defects dealt with. Under Council's scheme. Otherwise. Total. -
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(c) Group III.- Treatment of defects of the throat and nose. Number of defects.
-
Page -
(d) Group IV.- Dental defects.
-
Page -
(d) Group IV.- Dental defects-continued.
-
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(e) Group V.- Uncleanliness and verminous conditions.
-
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Table V. Medical inspection.-Number of children examined, 1924-1934.
Year. Routine examinations Special examinations. Re-inspections. Examination at special enquiries into outbreaks of infectious disease. Special ear inspection centre attendances. Rheumatism supervisory centre attendances. -
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Table VI. Medical treatment.-Number of cases treated under the Council's scheme and by other agencies, 1924-1934.
Year. Minor ailments. † Vision. Nose and throat. Dental. Under the Council's scheme. Otherwise. Under the Council's scheme. Otherwise. Under the Council's scheme. Otherwise. Under the Council's scheme. Otherwise.* -
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Table VII. Medical inspection of students in higher education institutions, 1934.
Classification. Council secondary schools. Other secondary schools. Council and other junior tech. schools. Training colleges. Total. Boys. Girls. Boys. Girls. Boys. Girls. Male. Female Male. Female