London's Pulse: Medical Officer of Health reports 1848-1972

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London County Council 1950

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

Published
1951
Pages
176
Tables
159

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159 tables in this report

  • Page 6
    There were 3,705 illegitimate births (7.0 per cent. of the total live births). Percentages in recent years are :—
    LondonEngland and Wales
  • Page 7
    In addition, the International List of Causes of Death, which was revised in 1938, was applied in 1940, in accordance with international agreement. The chief movements resulting from these alterations are estimated to be :—
    CauseApproximate change as a percentage of those formerly assigned to this cause*
  • Page 10
    If, as an indication of mortality from degenerative disease, we combine heart disease, other circulatory diseases, cerebral vascular lesions, nephritis and (for reasons indicated above) bronchitis, the following trend becomes apparent:—
  • Page 11
    County of London Cancer Mortality Rates per 1,000 living (total population)
    Age and Sex19461947194819491950
  • Page 11
    County of London—Changes in Mortality Rates from Cancer between 1931-33 and 1948-50 (all ages)
    SiteMalesFemales
    Mean death-rate 1948-50 per 1,000Change between 1931-33 and 1948-50Mean death- rate 1948-50 per 1,000Change between 1931-33 and 1948-50
  • Page 12
    At ages under 55 where treatment is more effective, the number of deaths in 1950 was 39—which compares with recent figures of :
  • Page 12
    The leading causes of death in London in 1950 were as follows
    DeathsPer 1,000 population
  • Page 14
    Deaths in various periods of the first year of life are shown in detail in Table 6 (page 142). Deaths under four weeks numbered 902 or 16-9 per 1,000 live births, a new low record. Comparative rates for London and England and Wales in recent years are:—
    LondonEngland and Wales
  • Page 15
    The distribution of causes of death in the first four weeks of life in 1950 was as ollows:—
    CauseNo. of deathsPer cent. Total
  • Page 15
    A summary of maternal mortality statistics is given below. Detailed figures for the metropolitan boroughs are shown in Table 2 and comparative figures for England and Wales in recent years are shown in Table 8 (page 143).
    YearLive and still-birthsDeaths in pregnancy or childbirth excluding abortionPost-abortion deathsNotifications of Puerperal pyrexia
    No.RateNo.RateNo.Rate
  • Page 16
    The analysis of maternal deaths has therefore been made on the basis of numbers, not rates, and is as follows :—
    Cause of deathPostabortionOther pregnancy and childbirthTotal
  • Page 17
    In London the death-rates from dysentery since the beginning of the century have been as follows :—
    Mean annual death-rale per 1,000
  • Page 19
    There were 256 deaths (0.076 per 1,000) from influenza during the year. recent years the deaths have been :—
    YearInfluenza deathsYearInfluenza deaths
  • Page 20
    An important feature is the reduction in the case mortality in measles. The figures are :—
    YearsEstimated cases*DeathsCrude case mortality per cent.
  • Page 20
    Ophthalmia Neonatorum
    Number of casesDomiciliary confinementsInstitutional confinementsTotal
  • Page 21
    The condition at the end of the year of the 145 cases notified was :—
  • Page 21
    The variations in age distribution are interesting. Prior to 1947 the percentage of cases under 5 had been falling since 1930, and the proportion of adult cases had been rising, as will be seen from the following figures :— Cases of Poliomyelitis and Polio-encephalitis
    YearTotal No.Under 5 years of ageYearTotal No.Under 5 years of age
    No.%No.%
  • Page 21
    The 1950 age distribution was :— Poliomyelitis notifications (corrected), 1950
    AgeNo.%
  • Page 22
    The following table shows the distribution of heart disease deaths under 45 years, according to age, in recent years:—
    Year0-45-1415-44TotalRate per 1,000 living 0-44
  • Page 24
    The death-rates per 1,000 living in 1950 in London and for the whole country were:—
    PulmonaryNon-pulmonary
  • Page 24
    Since the beginning of 1949 food poisoning has been a notifiable disease. Reports in 1949 were probably incomplete, but in 1950 863 cases were reported, an attack rate of 0.25 per 1,000. The sex and age distribution was:—
    AgeMalesFemales
  • Page 27
    Tuberculous Milk The following are details of the sampling for biological examination of milk coming into London in churns by road and rail and the results of the examinations:—
    Source of sampleDesignationSamplesPercentage positive of completed samples
    TotalPositiveIncompleteNegative19501949
  • Page 28
    Blind and partially-sighted persons The following figures show the number of persons examined under the National Assistance Act, 1948, for certification of blindness and the results. The figures do not include children of school age, details of whom are to be found in the table on page 150.
    ClassificationCertified blindNot blindGrand total
    MaleFemaleTotalMaleFemaleTotal
  • Page 28
    The causes of blindness in the 23 children under five years of age who were certified during the year were :—
  • Page 28
    Blind persons examined as to suitability for training and the results were :—
    MaleFemaleTotal
  • Page 29
    Registration of nursing homes At the end of the year 54 nursing homes on the register were functioning compared with 58 registered homes open at the end of 1949. One new registration took place and 5 homes were closed during the year. In the 54 homes there were 982 beds distributed as follows :—
    Number of beds in homeType of patient accommodatedTotal
    Number of homesMaternity onlyMaternity or othersOthers
  • Page 31
    The classification was:—
  • Page 42
    The July programme comprised the following projects :—
    Ref. No.DivisionScheme
  • Page 42
    The November programme consisted of the following projects in addition to those carried forward from July :—
    Ref. No.DivisionScheme
  • Page 43
    Continued from previous page...
    Ref. No.DivisionScheme
  • Page 46
    Attendances at Maternity and Child Welfare Clinics
    Health DivisionsAnte-natal and Post-natalInfantsAnte-natal and Post-natalInfantsAnte-natal and Post-natalInfants
  • Page 46
    Attendances
    19491950
    FirstTotalFirstTotal
  • Page 47
    Child Welfare Centres in London, 1950
    Health DivisionNumber per 1,000 child population per year*Number of attendances per child per year
    SessionsAttendancesChildren
    Under 11-4Under 11-4Under 11-4
  • Page 50
    Details as to concurrent conditions are given below :—
    PrimiparaeMultiparaeTotal
  • Page 50
    Dates as given by the mothers are never regarded as being very reliable. According to these :—
    PrimiparaeMultiparaeTotal
  • Page 51
    Most of them were 2 lb. or less and not really viable.
    SurvivedDied
    HospitalHomeHospitalHome
  • Page 58
    DOMICILIARY MIDWIFERY SERVICE The birth-rate continued to fall during the year and so, consequently, did the number of confinements attended by the Council's midwives, as shown in the following table :—
    YearMaternityMidwiferyTotal
    nursing casescases
  • Page 59
    There was also a decrease during the year in the number of confinements undertaken on behalf of the Council by district nursing associations and hospital district midwives
    YearMaternityM idwiferyTotal
    nursing casescases
  • Page 60
    Midwives' sessions for booking patients and for ante-natal examinations at maternity and child welfare centres continued to be developed as necessary. A midwives, however, still book and examine their patients at home.
    Confinements attended byMaternalStill-Neo-natal
    DeathsBirthsDeaths
  • Page 60
    The time between the call being made and the arrival of the service was:—
  • Page 60
    The action taken by emergency obstetric service was as follows :—
  • Page 61
    The number of notifications of intention to practise compared with previous years was:—
    194819491950
  • Page 62
    The number of medical aid notices issued by midwives during the year, under section 14 (1) of the Midwives Act, 1918, was :—
  • Page 62
    Some of the notices were for assistance for more than one condition. A classification of the conditions for which aid was summoned appears in the appendix (Table 16) and the following is a summary :—
    (1)(2)
  • Page 62
    Fees paid under the Midwives Acts to medical practitioners called in by mid-wives in emergency were as follow :—
    194819491950
  • Page 63
    doctors during the year 1950 for maternity medical services. The figures quoted do not represent the total number of cases attended during the year as there is no time limit for the submission of claims for fees on maternity medical services and some claims were therefore received too late for inclusion in these figures.
    Service providedQuarterClaims from General Practitioner ObstetriciansClaims from General Medical PractitionersTotals
    194919501949195019491950
  • Page 64
    An analysis of the completed treatments is given in Table 15 (page 147) but the principal details of the work done during 1950 were :—
    Mid-year populationTreatmentsNo. of treatments completed per 1,000 populationTotal number of visitsTotal visits per 1,000 population
    CommencedCompleted
  • Page 64
    The main conditions treated were :—
    NumberPer cent. of total
  • Page 65
    Patients were referred to the nursing associations as follows :—
    Per cent.
    Numberof total
  • Page 65
    The reasons given for cessation of treatment were :—
    NumberPer cent.
  • Page 65
    The following table shows the progressive growth of the service :—
    1947194819491950
  • Page 66
    The demand on the service increased steadily and the extent to which it could be met is shown in the following figures for the year :—
    MaternityOther
  • Page 67
    1 he visiting medical officer usually undertakes the immunisation of the chi in the Council's residential establishments in London and the following details the position at 31st December, 1950.
  • Page 68
    The following table gives particulars of the number of persons who were vaccinated either at infant welfare centres or by general practitioners during the year. The comparative figures for 1949 are shown in brackets.
    Age at date of vaccinationUnder 1 year1 to 4 years5 to 14 years15 or overTotal
  • Page 72
    Accident Section
    No. of callsNo. of cases (patients conveyed)Mileage
  • Page 73
    The nature of the calls answered with comparative figures for 1949 were:—
    19491950Increase or decrease
  • Page 73
    General Section Persons conveyed and mileage
    PatientsOthersTotalMileage
  • Page 73
    Comparative statistics for 1949 and 1950 were:—
    19491950
    Patients carriedMileagePatients carriedMileage
  • Page 74
    The following are particulars of sessions, attendances, etc., for the year:—
    *Clinic SessionsNew CasesAttendancesStaff (In terms of whole-time units)
  • Page 75
    The following is a statement of admissions to recuperative holiday homes in 1950. The comparable figures for the year 1949 are also given.
    Unaccompanied childrenExpectant and nursing mothers and accompanied young childrenOther adults
    Under 5 yrs.School childrenMothersChildren
  • Page 91
    County of London cases of tuberculosis on notification registers (a)
    YearTotal populationPulmonaryNon-Pulmonary
    Cases on RegisterRate per 1,000Cases on RegisterRate per 1,000
  • Page 91
    The contribution of tuberculosis to mortality County of London tuberculosis deaths and deaths from other respiratory diseases (excluding cancer) as a percentage of deaths from all causes in the specified age group.
    PeriodAge group
    0-1415-4445 +
    TuberculosisOther respiratoryTuberculosisOther respiratoryTuberculosisOther respiratory
  • Page 92
    County of London—Age and Sex—Specific death and notification rates per 1,000 living, in selected years
    YearMalesFemalesPersons all ages
    0-11-45-1415-4445 +All males0-11-45-1415-4445 +All females
  • Page 93
    Tuberculosis (all forms)—Notifications and deaths in Metropolitan Boroughs, 1913-1950—Rates per 1,000 living.
    Borough1913192119311950
    PopulationNotificationsDeathsNotificationsDeathsNotificationsDeathsNotificationsDeathsPopulation
    Division 1No.RateNo.RateNo.RateNo.RateNo.RateNo.RateNo.RateNo.Rate
  • Page 94
    The following table shows the number of persons dealt with by the mental welfare officers during the year, together with the action taken:—
    19501949
    MaleFemaleTotal
  • Page 94
    The following table shows the ultimate disposal of the patients admitted to observation wards:—
    MaleFemaleTotal
  • Page 95
    Source of Information
    Source of information19491950Totals from 1stApril, 1914, to 31st Dec., 1950
  • Page 96
    Position as at 31st December, 1950, with regard to the cases referred to in the last column of the preceding table:—
  • Page 96
    Summary of cases dealt with during 1950:—
  • Page 98
    of the occupation centres for mentally deficient persons under guardianship, supervision or on licence from institutions
    AddressNo. on roll (Dec. 1950)Average daily attendance (Dec. 1950)AddressNo. on roll (Dec. 1950)Average daily attendance (Dec. 1950)
  • Page 100
    Routine (detailed) Inspections
    1947194819491950
    No.%No.%No.%No.%
  • Page 100
    Other Inspections
  • Page 101
    subjected to routine inspections earlier in the year is common, the element of duplication is constant and comparisons from year to year are valid. The percentages show a rising trend:—:
    1947194819491950
  • Page 101
    The percentages of children seen at routine inspections, who were referred for treatment (other than for infestation or teeth) compared with the preceding years were:—
    Age Group and sex1947194819491950
  • Page 101
    Defects found on medical inspection to require treatment or observation
    1947194819491950
  • Page 102
    The classification of general condition as found at routine medical inspections was:—
    A—GoodB—FairC—Poor
    %%%
  • Page 102
    The percentages of children referred for treatment or observation on account of nutrition were :—
    1947194819491950
    %%%%
  • Page 102
    Percentages of children found to have vermin in the hair at routine inspections during 1950, with corresponding figures for 1947, 1948 and 1949, follow :—
    1947194819491950
  • Page 102
    Routine personal hygiene inspections by nurses
    Total number of inspectionsNumber found to be verminousPercentage found to be verminous
    1947194819491950
  • Page 103
    Routine Medical Inspections—percentages with defective teeth
    1947194819491950
  • Page 103
    Routine Medical Inspection—Visual acuity—Percentage with normal vision 6/6 (With glasses if worn)
    1947194819491950
    °/ /o°/ /o°/ /o°/ /o
  • Page 104
    A further table shows the percentages of cases of visual defect referred for treatment.
    1947 %1948 %1949 %Already wearing spectacles1950 Percentage Not wearing spectaclesTotal
  • Page 105
    During the year 106,350 re-inspections were made. The number of defects for which children were re-inspected were :—•
    Medical re-inspections
    No. of medical defectsNo. of dental defectsTotal defects
  • Page 105
    Treatment was obtained or commenced as follows:—
    1947194819491950
  • Page 105
    At the end of 1950 there were 94 school treatment centres; 60 of them were directly run by the Council and 34 by voluntary school treatment centre committees. Some provide only one type of clinic, others several. The defects treated and the number of clinics available for the treatment of each defect are shown in the following table:—
    No. of Clinics
    DefectL.C.C.VoluntaryTotal
  • Page 106
    Summary of work of Child Care organisers attached to Guy's Hospital in the year 1950
    Children's Dept.Ear, nose and throatEyesOrthopaedicSkin
    GeneralOrthoptic
  • Page 107
    supervisory centres. The reasons for the decline in the amount of dental work in 1950 are set forth in the report of the Chief Dental Surgeon (page 119), while the rheumatism scheme is treated in some detail on page 121.
    Type of centre194819491950
  • Page 107
    Group A.—542 children who attended the clinic for periods of 2 months and over:—
    Per cent.
  • Page 108
    Group B.—306 children who attended for periods of under 2 months:—
    Per cent.
  • Page 109
    The number of examinations in each category was as follows :—
  • Page 110
    Tables 18 to 28 in the appendix show the results of the above examinations. Day Special Schools
    DefectNo. of schoolsRoll
  • Page 110
    Residential Special Schools
    No. of schoolsAccommodation ResidentialDefectDayRoll
  • Page 110
    In addition to the handicapped children in the Council's own residential special schools there were at the end of the year 863 of the Council's children in non-Council residential special schools catering for the following defects :—
  • Page 110
    The Council provided education for children in the following seven hospitals, the first four of which are recognised as hospital special schools. Tuition was given to groups in the remainder under section 56 of the Education Act, 1944 :—
    Average roll
  • Page 111
    The number of visits to schools made during 1950 by school nursing sisters in connection with outbreaks of the principal infectious diseases was :—
    DiphtheriaScarlet FeverMeaslesWhooping Measles CoughChicken-poxMumpsPoliomyelitisOther diseasesTotal
  • Page 114
    Recommendations to the Juvenile Courts made on 213 consecutive cases from 1st March, 1950.
  • Page 118
    The following statement gives details of the disposal of cases which had been closed by the end of the year:—
    Battersea Child. Guidance UnitEarls Court Child Guidance UnitTotal
  • Page 119
    School Dental Service Staff
    Full-timePart-TimeTotal Full-timeEstablishment Full-time
    NumberEquivalent to Full-time
  • Page 120
    Continued from previous page...
    1947194819491950
  • Page 120
    Ratio of permanent teeth restored to permanent teeth extracted
  • Page 120
    These statistics are additional to those in the proceeding table.
    1947194819491950
  • Page 122
    lhe three experimental dental hygiemsts engaged on the work treated considerable numbers of patients throughout the year and assisted the dental surgeons under whose supervision they operated.
    Dental Hygienists—Attendances and Treatments,1950
  • Page 123
    Continued from previous page...
  • Page 124
    The following statement shows the number of staff employed in the Public Health Department in December, 1950 (part-time staff being expressed as whole-time equivalents).
    Type of staffLocationStaff employed at other establishments (a)Total 1950Total 1949
    Head office staffDivisional staff
  • Page 125
    Details of the year s capital expenditure were as follow
    £
  • Page 125
    This was divided as follows:—
    d.
  • Page 126
    contributions recovered from recipients of the services were:—
    ServiceCostAmount recovered in charges
    ££
  • Page 137
    STATISTICS Table 1—Papulation of the County of London, 1921-1950
    YearMid-year estimate of populationAverage age
    Total0-46-1415-2425-4445-6465 +
  • Page 138
    Table 2—Vital statistics for the metropolitan boroughs and the County of London in the year 1950 (6)
    Metropolitan boroughs arranged in divisional orderEstimated home population 1950Lire birthsDeath.RatesNotifications of infectious disease
    DeathsInfant mortality (per 1,000 live births)Heart diseaseOther circulatoryCerebral vascular lesionsPeptic ulcerPulmonary tuberculosisPneumoniaOther respiratory diseasesCancerViolenceScarlet feverDiphtheriaPoliomyelitisMeningococcal infectionAcute pneumoniaMeaslesWhooping coughTuberculosis
    ParalyticNon ParalyticPulmonaryNonPulmonary
  • Page 139
    Table 3—County of London—Principal vital statistics, 1891.1950
    PeriodAnnuo t rate per 1,000 livingAnnual mortality per 1,000 living (b)Annual mortality per 1,000
    Live BirthsTotal births (c)
    Live birthsMarriagesDeaths (all causes)Meningococcal infectionDiphtheriaEnteric feverScarlet leverSmallpoxWhooping coughMeaslesInfluenzaTuberculosisInfants 0—1Diarrhoea and enteritis 0—2Puerperal feverOther child.birth.
    PulmonaryNon.pulmonaryPneumonia (all forms)BronchitisOther resp. diseasesHeart diseaseCancerDiabetes
  • Page 140
    Table 4—County of London—Civilian deaths in 1950 by cause
    CauseSex0—1 —5—15—25—45—65—75+Total
    19501949
  • Page 141
    Table 4—County of London—Civilian deaths in 1950 by cause—continued
    CauseSex0—1—5—15—25—45—65—75+Total
    19501949
  • Page 141
    Table 5—Live births and Still-births—-County of London
    YearLive birthsStill-births
    No.Rate per 1,000 total populationNo.Rate per 1,000 live and still-births
  • Page 142
    Table 6—County of London—Infant mortality, 1950
    Cause of deathAge at deathTotalRates per 1,000 live birtha
    Under 1 day1 to 7 days1 to 4 wks.4 wks. to 1 yr.No.MaleFe-maleTotalMaleFemale
  • Page 142
    Table 7—Infant mortality in London by cause 1915-1950 (Rates per 1,000 live births)
    Cause of death1915 to 19181919 to 19221923 to 19201927 to 19301931 to 19341935 to 19381939 to 19421943 to 194619461947194819491950
  • Page -
    Table 9—County of London—Notifiable infectious diseases—Annual number of notifications and numbers per 1,000 of population 1931.1950
    YearAnthraxMeningococcal infectionContinued feverDiphtheriaDysenteryAcute Encephalitis (?)Enteric feverErysipelasMalariaMeaslesOphthalmia neonatorumPneumoniaPoliomyelitisPuerperal pyrexiaSoabiesScarlet feverSmallpoxTyphusWhooping cough
    CagesRateCasesBateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRate
  • Page 143
    Table 8—Maternal mortality (excluding abortion) — London and England & Wales 1941.50
    (Rates per 1,000 total births)
    1941194219431944194519461947194819491950
  • Page 143
    Table 10—Primary notifications (a) of and deaths from tuberculosis in the County of London
    YearPulmonary tuberculosisNon.pulmonary tuberculosis
    Formal Primary notificationsDeathsFormal primary notificationsDeaths
    No.Annual rate per 1.000 livingNo.Annual rate per 1,000 livingNo.Annual rate per 1,000 livingNo.Annual rate per 1,000 living
  • Page 144
    Table 11(a)—Tuberculosis—Primary notifications in London during the year 1950
    Form of tuberculosis notifiedSexNumber of formal primary notifications of new cases of tuberculosisTotal all ages
    0-1-5-10-15-20-25-35-45-55-05 +
  • Page 144
    Table 11(6)—New cases of tuberculosis in London recorded by means other than notification, 1950
    Form of tuberculosisSexNew cases of tuberculosis coming to knowledge otherwise than by formal notificationTotal
    0-1-5-10-15-20-25-35-45-55-65 +
  • Page 144
    The sources of information as to the unnotified cases shown above were as follows:—
    Source of informationNumber of cases
    PulmonaryNon-pulmonary
  • Page 144
    Table ll(c)—Numbers on the registers, for the whole county, 1942-1950
    194219431944194519401947194819491950
  • Page 145
    Table 12(a)—Primary notifications of tuberculosis in the County of London by age and sex. Rates per 1,000 living (i) Pulmonary
    SexAge19461947194819491950
    No.RateNo.RateNo.RateNo.RateNo.Rate
  • Page 145
    (ii) Non-Pulmonary
  • Page 145
    Table 12(6)—Deaths from tuberculosis in the County of London by age and sex (i) Pulmonary
  • Page 146
    Table 12(6)—Deaths from tuberculosis in the County of London by age and sex— continued
    SexAge(ii) Non.Pulmonary
    19461947194819491950
    No.RateNo.RateNo.RateNo.RateNo.Rate
  • Page 146
    Table 13—Primary notifications of non.pulmonary tuberculosis in the County of London. Distribution according to site Rates per 1,000 living are shown in parenthesis against the number of cases
    Age groupYearSite of tuberculosis lesion
    Bones and JointsAbdomenPeripheral glandsMeningesOther sites (o)Total
  • Page 146
    Table 14—Cases of infectious illness reported from schools in 1950 and preceding years
    YearChicken.poxDiphtheriaGerman measlesImpetigoMeaslesMumpsOphthalmia and conjunctivitisPoliomyelitisRingwormScabiesScarlet feverWhooping cough
  • Page 147
    Table 15—District Nursing Associations—Completed Treatments by Diagnosis— Year Ended 31st December, 1950
    DiseaseTotal CasesMalesTotal MalesFemalesTotal Females
    0-3940-5960 +0-3940-5960 +
    No.Per cent.No.Per cent.No.Per cent.No.Per cent.No.Per cent.No.Per cent.No.Per cent.No.Per cent.No.Per cent.
  • Page 148
    Table 16—Analysis of conditions for which Medical Aid was summoned by midwives During pregnancy
  • Page 148
    During and immediately following labour
    MalpresentationsDelayed labour
  • Page 148
    During puerperium
  • Page 149
    Table 16—continued Condition of the child
  • Page 149
    Table 17—School leavers contra-indications for employment
    Contra-indicationsBoysGirls
    No.Per cent. of inspected pupils (13,605) (a)No.Per cent. of inspected pupils (13,859) (a)
  • Page 150
    Ascertainment of handicapped children Table 18—Vision cases
  • Page 150
    Table 19—Hearing cases
    A.Children not in special schools:—BoysGirlsTotal
  • Page 150
    Table 20—Epilepsy cases
    A. Children not in special schools.BoysGirlsTotal
  • Page 151
    Table 21—Educationally subnormal
    A. Children not in special schools:—BoysGirlsTotal
  • Page 151
    B. (i) Children in attendance at special E.S.N. schools:—
    BoysGirlsTotal
  • Page 151
    B. (ii) Children in attendance at special E.S.N. classes in ordinary schools:—
    Boys GirlsTotal
  • Page 152
    Table 23—Physically handicapped children
    A. Children not in special schools:—BoysGirlsTotal
  • Page 152
    (i) Number of these children recommended for physically handicapped schools:—
    Morbid conditionDayResidentialGrand Total
    BoysGirlsTotalBoysGirlsTotal
  • Page 152
    (ii) Number of these children recommended for ordinary school:—
    Morbid conditionBoysGirlsTotal
  • Page 153
    B. Children already in attendance at special (P.H.) schools:—
    BoysGirlsTotal
  • Page 153
    (i) Number of these children found to be no longer in need of special educational treatment:—
    Morbid conditionDay P.H. SchoolsResidential P.H. SchoolsTotal
    BoysGirlsTotalBoysGirls
  • Page 153
    (ii) Other recommendations:—
    Morbid conditionDay P.H. SchoolsResidential P.H. Schools
    Continue dayTransfer to res.Continue res.Transfer to dayGrand Total
    B.G.T.B.G.T.B.G.T.B.G.T.
  • Page 154
    Table 24—Dual defects The following children were found on examination to suffer from more than one handicap:—
    BoysGirlsTotal
  • Page 154
    Table 25—Speech defects
    BoysGirlsTotal
  • Page 154
    Table 26—Maladjusted children
    BoysGirlsTotal
  • Page 154
    Table 27—Diabetic children Number of children found to be diabetic and suitable for residential treatment:—
    BoysGirlsTotal
  • Page 155
    Table 28—Reclassification The following table shows the number of children reclassified (i.e. found upon examination to be in need of different special educational treatment):—
    Boys GirlsTotal
  • Page 155
    Table 29—Nominations for in-patient treatment under the Rheumatism Scheme, 1948-1950
    194819491950
  • Page 155
    Supervision
    194819491950
  • Page 156
    Table 30 —Condition on discharge in 1950 of London children treated in Queen Mary's Hospital, Carshalton
    SexFit for ordinary school or ordinary employmentFit for P.H. school or light employmentUnfit for school or workDiedTotal
    No.PercentageNo.PercentageNo.PercentageNo.Percentage
  • Page 156
    Table 31—Percentage number of children with cardiac involvement admitted to the special rheumatism units, 1936-1950
    193619371938193919401941194219431944194519461947194819491950
  • Page 156
    Table 33—Treatment of venereal disease at London clinics
    YearNew CasesTotal venereal casesTotal non-venereal casesTotal attendances
    SyphilisS. ChancreGonorrhoea
    MF.M.F.M.F.M.F.M.F.M.F.
  • Page 157
    Table 32—Admissions of London children to Queen Mary's Hospital, Carshalton, in 1950
    SexArticular rheumatismChoreaArticular rheumatism and chorea
    No. admittedPercentage withNo cardiac involvementNo. admittedPercentage withNo cardiac involvementNo. admittedPercentage withNo cardiac involvement
    CarditisPericarditis onlyValvular damageCarditisPericarditis onlyValvular damageCarditisPericarditis onlyValvular damage
    MitralMitral and aorticand pericarditisMitralMitral and aorticand pericarditisMitralMitral and aorticand pericarditis
  • Page 158
    Table 34 Statistics of the administrative work carried out by the Metropolitan Borough Councils since 1950
    BoroughNo. of houses in boroughPublic Health ActHousing Acts, 1936
    No. of houses inspected on account of complaints or illn.'ssNo. of statutory notices servedNo. of houses repairedNo. of houses inspectedSection 25Section 9 and 10Number of houses demolishedClosing OrdersOvercrowdingNo. of dwellings for working classes erected during the yearUnderground roomsHouses let in lodgings
    No. of houses representedNo. of houses demolishedNo. of houses repairedNo. of families overcrowdedNo. of families alternative accom. obtainedNo. occupied but unfitNo. closed or modified occupation approvedNo. in borough.... No. of inspectionsNo. of prosecutionsNo. of complaints remedied
    Section 11VoluntarilyNo. madeNo. determined
    By ownersL.A.
  • Page 159
    Table 34 (continued)
    BoroughCowshedsSlaughterhousesOffensive tradesSmoke nuisancesCommon lodging housesCleansing of persons and roomsWater supplyDairiesIce-cream premisesRestaurants and eating houses
    No. licensedNo. of inspectionsNo. licensedNo. of inspectionsNo. authorisedNo. of inspectionsObservationsIntimationsComplaintsNoticesHouses licensedNo. of inspectionsPersonsRooms or premisesTenement houses extra supplyNo. on registerNo. of inspectionsNo. on registerNo. of inspectionsNo. of placesNo. of inspections
    AdultsChildrenAfter infectious diseasesFor vermin