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 1952
[Report of the Medical Officer of Health for London County Council]
- Published
- 1953
- Pages
- 200
- Tables
- 145
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Page 4
Percentage of total population aged over 65
1901 1911 1921 1931 1951 -
Page 5
London A.C. Net decrease (—) in numbers of children in school between January, 1952, and January, 1953, as percentage of numbers in January, 1952
Age last birthday January, 1952 Net decrease Age last birthday January, 1953 -
Page 5
Persons at various ages per 1,000 total population. 1 per cent. sample, 1951 Census
Age Group England and Wales London A.C. Excess (+) or defect (—) London A.C. over England and Wales -
Page 7
There were 3,577 illegitimate live births (6.9 per cent. of the total live births). Illegitimacy The percentages in recent years are :
Year London A.C. England and Wales -
Page 8
Mortality (per 1,000) from cardiovascular—renal disease and bronchitis
-
Page 8
Causes of Death, which was revised in 1938, was applied in 1940, in accordance with international agreement. The general movements resulting from these alterations are estimated to be :
-
Page 9
Administrative County of London: Cancer Mortality Rates per 1,000 living (total population)
Age and Sex 1947 1948 1949 1950 1951 1952 -
Page 12
Comparative rates for London and England and Wales in recent years are :
Year London England and Wales Year London England and Wales -
Page 14
The distribution of causes of death in the first four weeks of life in 1952 was as follows :
Cause No. of deaths Per cent, total -
Page 14
A summary of maternal mortality statistics is given below. Comparative figures for England and Wales in recent years are shown in Table 8 (page 178).
Year Live births and stillbirths Deaths in pregnancy or child-birth excluding abortion Post-abortion deaths Notification of puerperal pyrexia -
Page 15
individual years. The following analysis has, therefore, been made on the basis of numbers and not rates.
Cause of death Post-abortion Other pregnancy and child birth Total -
Page 16
The leading causes of death in London in 1952 were as follows :
Deaths Rate per 1,000 population -
Page 19
. The sex and age distribution was :
Age Males Females -
Page 19
There were 162 deaths (0-05 per 1,000) from influenza during the year. During recent years the deaths have been :
Year Influenza deaths Year Influenza deaths -
Page 19
The ratio of notifications to deaths at various ages was as follows :
Age Deaths Notifications Deaths as percentage of notifications -
Page 20
Ophthalmia neonatorum
Number of cases Domiciliary confinements Institutional confinements Total Notified during the year 47 138 185. -
Page 20
The condition at the end of the year of the 202 cases notified was :
-
Page 20
The age incidence in 1952 was as follows:
-
Page 20
There was a slight increase in the proportion of notifications falling in the 0-4 years age group, but this is seen in better perspective in the following figures:—
-
Page 21
Deaths from heart disease under 45 years
Year 0-4 5-14 15-44 Total Rate per 1,000 living 0.44 -
Page 21
The death-rates per 1,000 living in 1952 in London and for the whole country were:
-
Page 24
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 sample Designation Samples Percentage positive of completed samples Total Positive Incomplete Negative 1952 1951 -
Page 35
Administration For the purpose of administration the County is divided into nine divisions consisting of groups of from 2 to 5 of the Metropolitan Boroughs as follows:
Metropolitan Boroughs arranged in divisional order Estimated home population mid 1951 Metropolitan Boroughs arranged in divisional order Estimated home population mid 1951 -
Page 50
Acquisitions and leases All possible opportunities have been taken to acquire properties and sites, when suitable, or to secure long term leasehold tenancies. The following acquisitions and leasehold tenancies were completed during the year :
Property Interest obtained Service -
Page 51
visitors to expand these activities (see page 101). The following tabic gives comparative statistics:
Ante-natal Post-natal -
Page 51
Year Post-natal—contd. Special breast feeding Educational Attendances First Total At post-natal clinics At combined ante- and post-natal clinics At post-natal clinics At combined ante- and post-natal clinics Sessions per month Total attendances Sessions per month Total attendances -
Page 52
The 2-5 year age group. It has been found that about one-fifth or the infants who attena in response to the invitations to the toddlers' clinics are referred to family doctors o hospitals for treatment for ailments which the parents might not otherwise hav recognised.
Year Clinics at end of year (including toddlers) Sessions per month Attendances Percentage of infants attending a centre at least once in the first year of life Under 1 year Over 1 year Special toddlers First Total First Total -
Page 54
No cause to which abnormality could be attributed was found in 342 cases and in the remaining 62 cases abnormalities of pregnancy were as follows :
-
Page 55
The accommodation provided at the above day nurseries at 31st December, 1952, was :
Age group L.C.C. Voluntary Total -
Page 56
Nurseries and Child-Minders Regulation Act, 1948 The number of private day nurseries statutorily registered under the Nurseries and Child-Minders Regulation Act, 1948, and the number of places provided were :
At 31st December -
Page 62
Domiciliary confinements attended by L.C.C., hospital and nursing association midwives, 1945-1952
Year Maternity nursing cases Midwifery cases Grand total L.C.C. Hospital Association Total L.C.C. Hospital Association Total -
Page 63
Patients attended by Maternal deaths Still-births Neo-natal deaths -
Page 63
The conditions necessitating the use of the service were :
-
Page 64
The action taken by the emergency obstetric service was :
Removed Remained -
Page 65
Administration of gas and air analgesia, including percentage of confinements attended
Confinements attended by 1948 1949 1950 1951 1952 -
Page 65
The number of women given pethidine by midwives
Administered by As midwives As maternity nurses 1951 1952 1951 1952 -
Page 66
Notifications of intention to practise were received as follows :
1948 1949 1950 1951 1952 -
Page 66
An analysis of the notifications for 1952 shows :
Midwifes Maternity nurses -
Page 67
The number of medical aid notices issued by midwives during 1952 was ;
-
Page 67
Number of claims received from medical practitioners and amount offees paid under the Medical Practitioners (Fees Regulations) since 1948
1948 1949 1950 1951 1952 -
Page 68
The following table shows the number of such staff in the service of the Council as on 5th July, 1948, and on 31st December, 1952.
1948 1952 -
Page 70
Health visiting—Visits paid
1949 1950 1951 1952 -
Page 71
Nursery students undergoing training in day and residential nurseries for admission to examination Training of the National Nursery Examination Board during 1952
Day nurseries -
Page 75
The total number of visits paid during the year was 1,610,428 compared with 1,452,410 in 1951, giving an average of 14 visits daily for each nurse (13 for 1951). The average case load of a nurse at any one time was 22 patients (21 in 1951). Treatments completed totalled 58,213 and there were 9,680 patients still in nursing care at the end of the year. The completed treatments were diagnosed as :
Number Percentage of total -
Page 75
These patients were referred to the nursing organisations as follows:
Number Percentage of total -
Page 79
The growth of the service is shown by the following table :
1949 1950 1951 1952 -
Page 79
The demand on the service and the extent to which it was met in 1952 is shown by the following figures:
Maternity Tuberculosis Other Total -
Page 80
The following table indicates the amount of work done in the last four years:
Prophylaxis 1949 1950 1951 1952 -
Page 82
amount of work done follow. Figures for 1951 are shown in brackets.
Age at date of vaccination Under 1 year 1 to 4 years 5 to 14 years 15 or over Total Vaccinations 23,106 3,300 1,025 2,002 29,433 (19,700) (8,614) (2,712) (4,444) (35,470) Re-vaccinations 61 252 804 7,230 8,347 (35) (254) (1,330) (15,641) (17,260) -
Page 89
Work performed by the directly provided service
Tear Accident Section General Section Total Patients Non-patient carrying journeys Total journeys (calls) Mileage Patients Journeys Mileage Patients Journeys Mileage -
Page 89
Work performed by the agency and supplementary services
Tear City of London Police Home Service Ambulance Hospital Car Service West Ham C.B.C. Total Patients Mileage Patients Mileage Patients Mileage Patients Mileage Patients Mileage -
Page 89
Work performed by both sections of the directly provided service and by the agency and supplementary services
Tear Total Emergency Work Total General Section Work Grand Total Patients Mileage Patients Mileage Patients Mileage -
Page 90
Analysis of Accident section work (a) Number of patients of various types:
1951 1952 -
Page 95
Summary of investigations made into tuberculosis 'incidents' at Council establishments in 1952
Establishment Notified case Children Adults Tuberculin tested Positive result X-rayed Abnormal cases X-rayed Abnormal cases -
Page 96
Pulmonary tuberculosis mass X-ray units, 1952
Regional Hospital Board unit Metropolitan boroughs visited during 1952 Total number X-rayed during year (a) Diagnostic classification Active Inactive Males Females Total Males Females Total Rate per 1,000 Males Females Total -
Page 97
The following are particulars of sessions, attendances, etc.:
Year *Clinic sessions New cases Attendances Staff (in terms of whole-time units) -
Page 98
Syphilis Gonorrhoea Male Female Male Female -
Page 99
The number of recuperative holidays since 1948 is shown in the following table, from which the marked drop in the number of holidays provided for children under five years of age in 1952 emerges significantly as a hopeful pointer to the improvement in the health of the children in this age group, and to the general reluctance of medical practitioners to send young children, especially those under two years of age, on recuperative holidays apart from their mothers.
Year Unaccompanied children Expectant and nursing mothers and accompanied young children Other adults Total Under 5 years School children Mothers Children -
Page 105
work of supervising mental defectives living in the community and are allocated between four district offices as follows:
District Address Area covered. The metropolitan boroughs of *Total number of staff authorised -
Page 109
The following table shows the number of persons dealt with by the Council's mental Statistics welfare officers during 1952 and the action taken :
1952 1951 Male Female Total -
Page 109
The following table shows the ultimate disposal of the patients admitted to observation wards (including 167 patients in wards on 1st January, 1952):
1952 1951 Male Female Total -
Page 112
The following table shows the sources from which cases have been brought to notice under the Mental Deficiency Acts and the action taken thereon :
Totals from Sources of information 1949 1950 1951 1952 1.4.14 to 31.12.52 -
Page 113
The position at 31st December, 1952, with regard to the cases referred to in the last column of the preceding table is shown in the following table, together with the position
1949 1950 1951 1952 -
Page 113
The following is a summary of the cases dealt with during 1952, with the comparable figures for the three preceding years:
1949 1950 1951 1952 -
Page 114
There are now 17 occupation centres provided for mentally deficient persons in London as follows:
Centre Accommodation Centre Accommodation -
Page 116
Routine ( detailed ) inspections
1949 1950 1951 1952 -
Page 116
Other inspections
-
Page 116
Pupils referred for treatment
Age Group and Sex 1949 1950 1951 1952 -
Page 117
The following table shows the percentages of the principal defects found in children of all age groups inspected at routine inspections and referred for treatment or observation, with comparable figures for previous years:
1949 1950 1951 1952 -
Page 117
Improvement in personal hygiene is shown by the percentage of verminous children found at nurses' rota visits:
Total No. of inspections Rota visits No. found to be verminous Percentage found to be verminous -
Page 118
Visual acuity 6/6 ( with glasses, if worn )
1949 % 1950 % 1951 % 1952 % -
Page 118
A further table shows the percentage of children referred for treatment of defective vision:
Total 1949 % 1950 % 1951 % already wearing spectacles 1952 Percentage not wearing spectacles total -
Page 119
All these terms are subjective, and it is to be expected that it will be a matter of years before the statistics of assessments on the new scale settle down sufficiently to enable significant conclusions to be drawn from year to year comparisons:
Excellent Normal Sub-normal and bad -
Page 119
However, within any one year, comparisons between groups of pupils may be accepted as valid, and the following figures for the different age groups in 1952 are of interest:
Good Fair Poor -
Page 119
The percentages of children referred for treatment or observation on account of nutrition were:
Referred for 1949 1950 1951 1952 -
Page 121
The following table shows the number of clinics available in school treatment centres for the treatment of each defect:
Type of clinic L.C.C. Voluntary Committee Total -
Page 122
service and the children's care organisation. The wide scope of this type of work is well exemplified by the report of the work of the organisers attached to Guy's Hospital, of which the following is a summary:
Department New cases Attendances -
Page 122
The following table summarises the numbers of clinics for school pupils held in hospitals in association with the Council's treatment scheme:
-
Page 125
Rheumatism scheme The number of admissions to the acute unit at Queen Mary's Hospital for Children, Carshalton, seem to have become more stabilised during the past few years, and the drop that has been noticeable since 1948 is now less marked; in fact in comparison with 1951 there was a slight rise in 1952:
1949 1950 1951 1952 -
Page 125
Percentage of children with cardiac involvement admitted to the special rheumatism unit
-
Page 126
The following table gives details of the rheumatism supervisory scheme:
1950 1951 1952 -
Page 128
Child guidance unit statistics
Brixton Battersea Earls Court Woodberry Down (opened Oct., 1952) Total -
Page 129
The number of examinations in each category was as follows:
-
Page 131
School dental service staff
Full-time Part-time Total Full-time Establishment Full-time Number Equivalent to Full-time -
Page 133
Attendances and treatments
1949 1950 1951 1952 -
Page 133
Ratio of permanent teeth restored to permanent teeth extracted
-
Page 133
The decline in the dental service in residential establishments appeared to be arrested in 1952 but the problems in this particular field remain pressing. Every effort was made to obtain dental aid for the children but the rise in the percentage found to require treatment is ominous. The following table indicates the sessional attendance and treatments given, but an unknown volume of treatment was given in addition by local dental practitioners:
1949 1950 1951 1952 -
Page 134
Dental hygienists—Attendances and treatments
1950 1951 1952 -
Page 134
The following table summarises the work done by the part-time orthodontist
1950 1951 1952 -
Page 135
Maternity and child welfare dental service The slight increase in maternity and child welfare treatment during 1952 is shown by the following table :
1949 1950 1951 1952 -
Page 138
FINANCE the total capital expenditure on the health services of the Council in the year ended 31st March, 1952, was £287,098, details of which are as follows:
£ -
Page 138
After allowing for Government grant the services administered by the public health department cost the London ratepayer a rate of 91/2in the £, divided as follows:
d. -
Page 139
The gross cost of the various services in 1951-52— including central administrative charges and contributions to the Superannuation Fund but excluding debt charges—and the contributions recovered from recipients of the services were :
Service Cost Amount recovered in charges £ £ -
Page 140
An indication of the volume of visitors to the department is given in the following table :
1949 1950 1951 1952ø -
Page 151
The table below shows the weekly values of the main morbidity indices from the beginning of November until the end of the first week in December, together with the weekly averages for these weeks in the preceding three years. In addition to the figures there shown the district nursing associations completed 5,026 cases of all types of home nursing in November as against an average figure of 4,040 for the same month in 1950 and 1951.
Weekended 8 No. 15 Nov. 22 Nov. 29 Nov. 6 Dec. Av. of wks. 45-49, in 1949, 1950, 1951, Week number 45 46 47 48 49 -
Page 153
The morbidity indices already given for the period up to 6th December, are continued in the table below for the remainder of December :
-
Page 158
T able A Deaths in the six weeks ended 27 th December, 1952 Classified by age groups
Week 0-4 weeks 4 weeks to to 1 year 1-4 years 5-14 years 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65-74 years 75 and over (years) All ages -
Page 158
Classified by certain causes
Week Pul. T.B. Cancer of lung Heart disease High blood pressure Other diseases of circulatory system Influenza Pneumonia Bronchitis Other resp. Ill-defined causes All other causes All causes -
Page 160
Registered deaths by age
Week ended All ages Under 1 1-4 5-19 20-39 40-59 60 and over -
Page 160
Registered deaths by certain causes
Week ended All causes Phthisis Bronchitis Pneumonia Heart disease Whooping-cough -
Page 161
Registered deaths by age
Week ended All ages Under 1 1-4 5-19 20-39 40-59 60 and over -
Page 161
Registered deaths by certain causes
Week ended All causes Phthisis Bronchitis Pneumonia Heart disease Whooping-cough -
Page 161
Deaths per million inhabitants in London
Week ended 20th December, 1873 7th February, 1880 13th December, 1952 -
Page 162
T able B District nursing associations Respiratory cases begun day by day 16.11.52—31.12.52
Date Age All* ages Under 1 1-14 15-44 45-64 65+ -
Page 163
Deaths in the eight towns in South-Eastern Region outside Greater London, 1952
Week ended 22nd Nov. 29th Nov. 6th Dec. 13th Dec. 20th Dec. 27th Dec. -
Page 164
T able 1A — A.P.T. antigen Poliomyelitis in the month of:
Immunised in the month of No. at risk 1949 1950 Total Jan. Feb. Mar. April May June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Observed Expected -
Page 165
T able IB — Combined diphtheria and whooping-cough antigen Poliomyelitis in the month of:
Immunised in the month of No. at risk 1949 1950 Total Jan. Feb. Mar. April May June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Observed Expected -
Page 166
Table 1C.— All other antigens Poliomyelitis in the month of:
Immunised in the month of No. at risk 1949 1950 Total Jan. Feb. Mar. April May June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Observed Expected -
Page 168
Table 2 Not inoculated, or inoculated three or more months before onset of poliomyelitis
-
Page 169
Table 3 Poliomyelitis cases by different types of antigens by months of the year with the expected number of cases calculated from the not inoculated group.
Month A.P.T. Combined All other antigens Observed Expected Observed Expected Observed Expected -
Page 170
Table 4 Poliomyelitis cases by different types of antigen with expected number calculated from the not inoculated group according to the month of inoculation.
Same month In the following month In the second month following inoculation In the third month following inoculation Total of the four preceding columns * Obs. Exptd. Obs. Exptd. Obs. Exptd. Obs. Exptd. Obs. Exptd. -
Page 170
month following injection, i.e., within six weeks of injection. The proportion of observed to expected cases is summarised below :
Period In the same month In the following month In the same month and the month following together In the same month and all the three months following inoculation -
Page 171
Table 5 Site of paralysis related to period since last inoculation by antigens.
Period Same Site Included site* Different site No record of paralysis Total No. % No. % No. % No. % No. % -
Page 172
APPENDIX C STATISTICS Table 1— Population of the Administrative County of London, 1921-52
Year Mid-year estimate of population Average age Total 0-4 5-14 15-24 25-44 45-64 65+ -
Page 173
Table 2—Vital statistics folr the Metropolitan Boroughs and the Administrative County of London in the year 1952 (b)
Metropolitan boroughs arranged in divisional order Estimated home population mid 1952 Live births Death.rate* Notifications of infectious disease Deaths Infant mortality (per r,ooo live births) Heart disease Other circulatory Cerebral vascular lesions Peptic ulcer Pulmonary tuberculosis Pneu monia Other respiratory diseases Cancer Violence Scarlet fever Diphtheria Poliomyelitis Meningococcal infection Acute pneumonia Measles Whooping cough Tuberculosis Paralytic Non Paralytic Pulmonary Non pul- monary -
Page 174
T able 3— Administrative County of London—Principal vital statistics, 1891-1952
Period Annual rate per 1,000 living Annual mortality per 1,000 living (b) Live births Total births (c) Live births Marriages Deaths (all causes) Meningococcal infection 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 amd enteritis 0—2 Puerperal fever Other child-birth Pulmonary Non-pul- monary -
Page 175
Table 4— Administrative County of London—Civilian deaths in 1952 by cause
Cause Sex 0- 1- 5- 15- 25- 45- 65- 75+ Total 1952 1951 -
Page 176
Table 4 ( contd.)—Administrative County of London—Civilian deaths in 1952 by cause
Case Sex 0— 1 — 5— 15— 25— 45— 65— 75+ Total 1952 1951 -
Page 176
T able 5 — Administrative County of London, Live births and Still-births, 1931-52
Year Live births Still-births No. Rate per 1,000 total population No. Rate per 1,000 live and still-births -
Page 177
Table 6— Administrative County of London—Infant mortality, 1952
Cause of death Age at death Total Rates per 1,000 live births Under 1 day 1 to 7 days 7 to 4 wks. 4 wks. to 1 yr. No. Male Female Total Male Female -
Page 177
Table 7— Administrative County of London—Infant mortality by cause, 1915.1952 ( Rates per 1,000 live births )
Cause of death 1915 to 1918 1919 to 1922 1923 to 1926 1927 to 1930 1931 to 1934 1935 to 1938 1939 to 1942 1943 to 1946 1947 1948 1949 1950 1951 1952 -
Page 178
Table 8— Administrative County of London and England and Wales—Maternal mortality ( excluding abortion ) —1943.52 (Rates per 1,000 total births)
1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 -
Page 178
Table 9— Administrative County of London—Primary notifications of, and deaths from, tuberculosis— 1921-52 ( a )
Year Pulmonary tuberculosis Non.pulmonary tuberculosis Formal Primary notifications Deaths Formal primary notifications Deaths -
Page 179
Table 10(a)— Administrative County of London—Primary notification of tuberculosis, 1952
Form of tuberculosis notified Sex Number of formal primary notifications of new cases of tuberculosis Total all ages 0- 7- 5- 70- 75- 20- 25- 35- 45- 55- 65+ -
Page 179
Table 10 ( b )— Numbers on the registers, 1942.52
1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 * 1952 -
Page 180
T able 11 ( a ) — Administrative County of London—Primary notification of tuberculosis, 1946.52, by age and sex Rates per 1,000 living (i) P ulmonary
Sex Age 1946 1947 1948 1949 1950 1951 1952 No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate No. Rate -
Page 180
(ii) N on- P ulmonary
-
Page 180
T able 11( b )— Deaths from tuberculosis by age and sex (i) P ulmonary
-
Page 180
(ii) N on- P ulmonary
-
Page 181
T able 12 — Administrative County of London—Primary notification of non.pulmonary tuberculosis 1946.51, distribution according to site Rates per 1,000 living are shown in parentheses against the number of cases
Age group Year Site o f tuberculosis lesion Bones and Joints Abdomen Peripheral glands Meninges Other sites (a) Total -
Page 181
T able 13— Administrative County of London—Cases of infectious illness reported from schools in 1952 and preceding years
Year Chicken-pox Diphtheria German measles Impetigo Measles Mumps Ophthalmia and conjunctivitis Poliomyelitis Ringworm Scabies Scarlet fever Whooping-cough -
Page 182
T able 16— School leavers contra-indications for employment ( a )
Contra.indications Boys Girls No. Perccnt. of inspected pupils (11,779) No. Percent. of inspected pupils (11,480) -
Page 183
Table 14— Administrative County of London—Notifiable infectious diseases—Annual number of notifications and numbers per 1,000 of population —1933.1952
Year Anthrax Meningococcal infection Continued fever Diphtheria Dysentery Acute Encephalitis Enteric fever Erysipelas Malaria Measles Ophthalmia neonatorum Pneumonia Poliomyelitis Puerperal pyrexia Scabies Scarlet fever Smallpox Typhus Whooping. cough Food poisoning Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate -
Page 184
Table 15— Administrative County of London—Notification of certain Infectious Diseases Distribution by age and date of notification —53 weeks commencing week ended 5th January, 1952
Four weekly periods 1952 Meningococcal infection Dysentery Measles Pneumonia Poliomyelitis Scarlet fever Whooping-cough Paralytic Non-paralytic or not stated Ages Ages Ages Ages Ages Ages Ages Ages 0—4 5—14 15+ Total 0—4 5—14 15+ Total 0—4 5—14 15+ Total 0—4 5—14 15+ Total 0—4 5—14 15+ Total 0—4 5—14 15+ Total 0—4 5—14 15+ Total 0—4 5—14 15+ Total -
Page 185
Table 17.— Recommendations made in respect of children referred to determine the need for special educational treatment (see page 129) (a) Children not attending special schools
Type of case Blind Partially-sighted Deaf Partially-deaf Special School for the Delicate, boarding Maladjusted, boarding Physically handicapped, day Physically handicapped, boarding Ordinary school Ordinary school with special treatment Decision postponed (pending treatment, etc.) Unsuitable for school (e.g. ineducable) Individual tuition at home or in hospital Educationally subnormal, day Educationally subnormal, boarding Epileptic, boarding Delicate, day B G B G B G B G B G B G B G B G B G B G B G B G B G B G B G B G B G -
Page 186
Table 17— (b) Physically handicapped children
Morbid condition Day P.H. school Boarding P.H. school Total P.H. school Ordinary school Boys Girls Total Boys Girls Total Boys Girls Total -
Page 186
Table 17— (c) Children in special schools
Recommendation Blind Partially-sighted Deaf Children attending special schools for the Delicate, day Physically handicapped Maladjusted, boarding Partially-deaf Educationally subnormal Epileptic, boarding -
Page 187
Speech defects
Recommended for speech therapy because of -
Page 187
Dual Defects
Boys Girls Total -
Page 188
Table 18— Admissions of London children to Queen Mary's Hospital, Carshalton, in 1952.
Sex Articular rheumatism Chorea Articular rheumatism and chorea No. admitted Percentage with No. admitted Percentage with No. admitted Percentage with Carditis Pericarditis only Valvular damage No cardiac involvement Carditis Pericarditis only Valvular damage No cardiac involvement Carditis Pericarditis only Valvular damage No cardiac involvement Mitral Mitral and aortic and pericarditis Mitral Mitral and aortic and pericarditis Mitral Mitral and aortic and pericarditis -
Page 188
Table 19— Condition on discharge in 1952 of London children treated in Queen Mary's Hospital, Carshalton
Sex Fit for ordinary school or ordinary employment Fit for P.H. school or light employment Unfit for school or work Total No. Percentage No. Percentage No. Percentage -
Page 189
Table 20— Treatment of venereal disease at London clinics
Year New cases Total venereal cases Total non-venereal cases Total attendances Syphilis S. Chancre Gonorrhoea M. F. M. F. M. F. M. F. M. F. M. F. -
Page 190
T able 21- Statistics of the administrative work carried out by the Metropolitan Borough Councils in 1952
Borough No. of houses in borough Public Health Act Housing Acts, 1936 No. of houses inspected on account of complaints or illness No. of statutory notices served No. of prosecutions No. of houses repaired No. of houses inspected Section 25 Section 9 and 10 Number of houses demolished Closing Orders Overcrowding No. of dwellings erected for working classes during the year Underground rooms Houses let in lodgings No. of houses represented No. of houses demolished No. of houses repaired Section 11 Voluntarily No. made No. determined No. of families overcrowded No. of families alternative accommodation obtained No. occupied but unfit No. closed or modified occupation approved No. of closing orders determined No. in Borough No. of inspections No. of prosecutions No. of complaints remedied By owner By L.A. -
Page 191
Table 21 ( continued )
Borough Cowsheds Slaughterhouses Offensive trades Smoke nuisances Common lodging houses Cleansing of persons and rooms Water supply Dairies and milk shops Ice-cream premises Restaurants and eating houses No. licensed No. of inspections No. licensed No. of inspections No. authorised No. of inspections Observations Intimations Complaints Notices Houses licensed 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 disease For vermin -
Page 193
The following statement shows the number of staff employed in the Public Health Department in December, 1952 (part-time staff being expressed as whole-time equivalents).
Type of staff Location Staff employed at other establishments (a) Total Head office staff Divisional staff