London's Pulse: Medical Officer of Health reports 1848-1972
View report tables
Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1957
[Report of the Medical Officer of Health for London County Council]
- Published
- 1958
- Pages
- 227
- Tables
- 159
This page requires JavaScript
-
Page 3
LONDON ADMINISTRATIVE COUNTY VITAL STATISTICS, 1957 Figures in brackets are for 1956
-
Page 3
Deaths of infants:—
Legitimate Illegitimate Total -
Page 3
Maternal mortality:—
Postabortion Other pregnancy and childbirth Total -
Page 4
VITAL STATISTICS* Population Table (i)—Population (a), 1901-57
Year Mid-year (b) estimate of population by the Registrar General, by age groups Average age (years) Total 0–4 5–14 15–24 25–44 45–64 <55+ -
Page 5
Fertility Table (ii)—Live births and still-births—1948–57
Year Live births Still-births No. Rate per 1,000 population* No. Rate per 1,000 total births (live and still) -
Page 7
Table (iii)—Illegitimate live births in London (A.C.) and percentages for London and England and Wales, 1938–57
Year(s) Illegitimate live births Illegitimate live births as a percentage of total live births London A.C. England and Wales -
Page 9
The leading causes of death in London in 1957 were as follows :
Deaths Rate per 1,000 population -
Page 9
Table (iv)—Cancer mortality rates per 1,000 living, 1948-57
Age and Sex 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 -
Page 10
Infant mortality Table (v)—Infant mortality—1957
Cause of death Age at death Total Rates per 1,000 live births Under 7 day 1 to 7 days 1 to 4 wks. 4 wks. to 1 yr. No. Male Female Total Male Female -
Page 11
Table (vi)—Infant mortality by cause—1946-57 (Rates per 1,000 live births)
Cause of death 1946 to 1950 1951 to 1955 1956 1957 -
Page 11
A comparison with England and Wales for both neo-natal (deaths in the first four weeks) and infant mortality (deaths in the first year) is as follows:
Rates per 1,000 live births Year(s) Neo-natal mortality Infant mortality London England and Wales London England and Wales -
Page 12
Table (vii)—Maternal mortality, 1948-57
Year Live births and still-births Deaths in pregnancy or child-birth excluding abortion Post-abortion deaths No. No. Rate per 1,000 total births No. Rate per 1,000 female population aged 15-44 years* -
Page 17
Table (viii)—Influenza deaths, 1943-57
Year Influenza deaths Year Influenza deaths -
Page 17
Table (ix)—Number of cases of ophthalmia neonatorum in babies of mothers resident in the County, 1957
Domiciliary confinements Institutional confinements Total -
Page 18
Table (x)—Poliomyelitis notifications by age, 1947-57
Year 0-4 years 5-14 years 15 years and over Total No. % No. 0/ /o No. % No. % -
Page 19
Table V.l—Vital statistics—Metropolitan Boroughs and the Administrative County of London, 1957 (a)
Metropolitan Boroughs Estimated home population mid if) 57 Live birth rate Death rate (all causes) Infant Mortality (per t,ooo live births) Death-rates Notifications of infectious disease Cancer Vascular lesions of C.N.S. Heart disease Other circulatory Pneumonia Other respiratory (including bronchitis) Violence Dysentery Food poisoning Measles Pneumonia Poliomyelitis Scarlet fever whoop- ing cough Tuberculosis Crude Adjusted Crude Adjusted Paralytic Nonparalytic Pulmonary Non-pulmonary -
Page 20
Table V.2—Principal vital statistics—Administrative County of London, 1906-1957
Year(s) Annual rate per 1,000 living Annual mortality per 1,000 living (a) Annual mortality Infant (per 1,000 live births) Maternal (per 1,000 total births (b)) Live births Deaths (all causes) Crude rate Adjusted rate Crude rate Adjusted rate Tuberculosis Cancer Vascular lesions of C.N.S. Heart disease Other circulatory disease Influenza Pneumonia (all forms) Bronchitis Other resp. diseases Violence Infants 0—1 Diarrhoea and enteritis 0—2 Puerperal sepsis Other child-birth Pulmonary Non-pultnonary Suicide Road accidents Other violence -
Page 21
Table V.3—Deaths by cause—Administrative County oj London, 1957
Cause Sex 0— 1 — 5— 15— 25— 45— 65— 75+ Total 1957 1956 -
Page 22
Table V.3 (contd.)—Deaths by cause—Administrative County oj London, 1957
Cause Sex 0— 1- 5— 15- 25— 45— 65— 75+ Total 1957 1956 -
Page 22
Table V.4—Weather during 1957 (as recorded at Kew Observatory)
Month Temperature Difference from Rain/all Difference from Sunshine Difference from Mean (a) Average (b) Total Average (b) Total Average (c) °F °F ins. ins. hrs. hrs. -
Page 23
Table V.5—Notifiable infectious diseases—Annual number of notifications and numbers per 1,000 of population—Administrative County of London, 1937-1957
Year Anthrax Diphtheria Dysentery Acute encephalitis Enteric fever Erysipelas Malaria Measles Meningococcal infection 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 24
Table V. 6—Notification of certain infectious diseases—distribution by age and date of notification—Administrative County of London, 52 weeks commencing week ended 5th fanuary, 1957
Four-weekly periods 1957 Dysentery Measles Meningococcal infection 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 27
Table T2—Pulmonary tiiberculosis—Notification and death rates per 1,000 living by age and sex, 1948-1957
Year Age 0-4 5-14 15-44 45 and over All ages M F M F M F M F M F -
Page 27
Death rates
-
Page 27
Table T3—Non-pulmonary tuberculosis—Notification and death rates per 1,000 living by age and sex, Administrative County of London, 1948-1957
Year Age 0-4 5-14 15-44 45 and over All ages M F M F M F M F M F -
Page 27
Death rates
-
Page 28
Table T4—Tuberculosis—Statutory notifications by age groups, 1957
Form of tuberculosis notified Sex Number of notifications of new cases of tuberculosis by age Total all ages 0- 1- 5- 10- 15- 20- 25- 35- 45- 55- 65+ -
Page 28
Table T5—Tuberculosis—Deaths in Administrative County of London, 1957
Form of tuberculosis Sex Age at death Total all ages 0- 1- 5- 15- 25- 45 — 65— 75+ -
Page 29
Table T6—Statutory notification of non-pulmonary tuberculosis—Distribution according to site and age, Administrative County of London, 1957
Site of tuberculous lesion Numbers of notifications of new cases of non-pulmonary tuberculosis by age Total all ages 0-4 5-14 15-24 25 + -
Page 29
Table T7—Patients on the registers*—1948-1957
-
Page 30
Table T8-Summary of investigations into tuberculosis ' incidents ' at Council establishments in 1957
Establishment Notified case Children Adults Tuberculin tested Positive reactors X-rayed Abnormal X-rayed Abnormal -
Page 31
Table T9—Summary of services provided for tuberculous patients—Administrative County of London 1952-57
-
Page 32
Table T10—Principal tuberculosis statistics—Metropolitan Boroughs and the Administrative County of London, 1957
Metropolitan Boroughs Estimated home population mid 1957 New notifications New notifications per 1,000 population Deaths from tuberculosis Tuberculosis deaths per 1,000 population Pulmonary tuberculosis deaths per 1,000 population aged 15 and over Number of tuberculosis cases on clinic registers at 31.12.57 Cases on register per 1,000 population Pulmonary Tuberculosis of Meninges and C.N.S. Other non-pulmonary tuberculosis Total Pulmonary Non-pulmonary tuberculosis Total deaths Total Percentage of pulmonary cases positive during 1957 -
Page 33
Table Til—Tuberculosis—Annual chest X-ray examination of mental defectives at senior occupation centres—Administrative County of London—1957
Division Occupation centre E.B.—elder boys E.G.—elder girls Average roll at time of examination Date of examination No. X-rayed No. of cases of T.B. discovered Under 15 Over 15 -
Page 33
Table T12—B.C.G. vaccination under L.C.C. schemes in 1956/57
1. Day schools— 1956/57 -
Page 34
Table T13—B.C.G. vaccination of school children in Administrative County of London, 1956/57 (third year)—Divisional figures
Division No. of 13-year-old school children Total No. of consents Alleged contacts of known cases No. of children tested and read by B.C.G. units Children not dealt with because of refusal of consent or absence Positive reactors (among (4) ) No. of negative reactors vaccinated by B.C.G. units Consents included in (2) No. Per cent. of(l) No. Per cent. (1) (2) (3) (4) (5) (6) (7) (8) (9) -
Page 35
Milk sampling
Designation Samples examined T.B. Bacillus isolated T.B. Bacillus NOT isolated Test not completed* Percentage positive of completed tests 1956 1957 1956 1957 1956 1957 1956 1957 1956 1957 -
Page 36
Sanitary inspection The public health inspectors dealt with the following matters in Council establishments :
1956 1957 -
Page 36
Table (i) Number oj new registrations during the year with percentage recommended to obtain treatment
Age Principal cause of defective vision Total Cataract Glaucoma Retrolental fibroplasia Other conditions -
Page 36
Table (ii) Number of treatments recommended in respect of newly registered persons
No. of patients examined Treatments recommended Optical Hospital Supervision None Medical Surgical Early Later V general condition permits -
Page 37
Table (iii) Re-examination of persons recommended to obtain treatment
Principal cause of defective vision Total Cataract Glaucoma Retrolental fibroplasia Other conditions -
Page 37
Registration of nursing homes
1956 1957 -
Page 37
The registered homes provided the following accommodation :
Number of beds in home Number of homes Patients accommodated Maternityf Others* Total -
Page 46
Table (i) Health service capital building programme, 1958-59
Premises Work proposed -
Page 46
Table (ii) Works completed
Div. Premises Service Work involved -
Page 47
Table (iii) Works in hand
Div. Premises Service Work involved -
Page 47
Table (iv) Works approved but not commenced
Div. Premises Service Work involved -
Page 48
Table (v) Additional and improved maternity and child welfare and school treatment accommodation
Div. Premises Service Details -
Page 49
Table (vi) Replacement occupation centres for the mentally defective
-
Page 49
Table (vii) Day nurseries closed
Div. Nursery Date of closure -
Page 49
Table (viii) Acquisitions and leases
Div. Property Interest obtained Service -
Page 50
Statistics for ante- and post-natal and educational sessions are given in the following tables :
Year Ante-natal Post-natal Clinics at end of year (including ante-natal, post-natal, and combined) Sessions per month Attendances Percentage of pregnant women attending at an ante-natal clinic No. of women attending during year First Total -
Page 51
Child welfare
Year Clinics at end of year (including special clinics for 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 Toddlers First Total First Total -
Page 51
Comparative figures for the issue of national welfare foods are given in the following table :
Welfare food Average weekly issues 1956 1957 -
Page 52
Day accommodation for children
At 31st December 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 -
Page 52
extent or the scheme may be seen from the following figures :
Year ended 31 July, 1956 31 July, 1957 -
Page 53
The opinions on the children referred by the Children's Officer in 1957 and two previous years were as follows :
1. Considered unfit for adoption or boarding out 1955 1956 1957 2 4 3 -
Page 54
Table (i) Mothers seen for the first time in 1957
Age of mother No. Per cent. -
Page 54
Table (ii) Referring Agency
No. Per cent. -
Page 54
Table (iii) Nationality—Normal residence
London (Admin. County) Elsewhere Total -
Page 54
Table (iv) Care of babies three months after birth (Babies born between 1.10.56 and 30.9.57)
No. Per cent. -
Page 56
Table (i)
1956 1957 -
Page 56
Table (ii) Total number of domiciliary confinements attended by London County Council, Hospital and Nursing Association midwives—1955-1957
Number of confinements Number of confinements Grand Total Doctor not booked Doctor booked Tear L.C.C. District Nursing Association Hospital L.C.C. District Nursing Association Hospital Doctor present Doctor not present Doctor present Doctor not present Doctor present Doctor not present Doctor present Doctor not present Doctor present Doctor not present Doctor present Doctor not present -
Page 56
Midwives Act, 1951 Notifications of intention to practise were received as follows :
1953 1954 1955 1956 1957 -
Page 57
Fees paid under the Midwives Act to medical practitioners called in by midwives in emergency were as follows :
1953 1954 1955 1956 1957 -
Page 58
The time of booking of these 9,597 mothers who had their babies at home was investigated:
Trimester No. of cases Percentage -
Page 60
In addition to clinic and other duties these health visitors made 810,358 home visits, details of which are given in the following table :
Home visits 1953 1954 1955 1956 1957 -
Page 61
Table (i)—Staff
1955 1956 1957 -
Page 61
Table (ii)—Types of case nursed and visits paid
Type of case Number of patients nursed Percentage of total Average number of visits to each patient Total visits -
Page 61
Table (iii)—Visits for general treatment and for injections
Visit for At patients' homes Elsewhere (e.g., Nurses' Homes) Percentage of total visits -
Page 61
Table (iv)—Long term cases (i.e., those visited more than 24 times during the year)
Number Percentage of total patients nursed -
Page 62
Table (v)—Age distribution of patients
Age Number of patients Percentage of total -
Page 62
Table (vi)—Nursing treatments completed, cases on books and average case load per nurse
1955 1956 1957 -
Page 63
HOME HELP SERVICE Statistics of the service given follow:
1955 1956 1957 -
Page 69
Table (i) Diphtheria Immunisation Primary Course
Year (1) (2) (3) (4) (5) Under 1 1-4 Under 5 5-14 Age group 1-4 Percentage immunised at 5 years of age -
Page 71
Table (ii) Whooping cough primary inoculations (including combined antigens)
Year Number inoculated Percentage immunised of live births -
Page 78
Table (i)—Work performed by the directly provided service and by the agency and supplementary services
1947 1949 1950 1951 1952 1953 1954 1955 1956 1957 -
Page 79
Table (ii)—Emergency calls—Analysis
Hours Street accidents Home accidents Maternity removals * Other calls Total calls -
Page 80
Table (iii)—Street accidents—by age and sex
Males Females Total -
Page 80
Table (iv)—General Section
1949 1950 1951 1952 1953 1954 1955 1956 1957 -
Page 81
Foot clinics Particulars of new cases and attendances
Year New cases Attendances Staff at the end of the year (in terms of whole units) -
Page 81
Admissions to recuperative holiday homes
Years Unaccompanied children Accompanied children Expectant and nursing mothers Other adults Total Under 5 years School children -
Page 82
Venereal disease Treatment of venereal disease at London out-patient clinics
Year New cases Total attendances Syphilis S. Chancre Gonorrhoea Total venereal cases Total non-venereal cases M. F. M. F. M. F. M. F. M. F. M. F. -
Page 106
The number of persons referred to the mental welfare officers during the year, classified according to the number of times they were referred, together with the number of separate investigations is shown in the following table :
Persons referred in the year 1956 1957 -
Page 106
As may be seen from the comparative figures set out below of the sources of referral of cases, the slight reduction in numbers between 1956 and 1957 is largely attributable to a decline in the numbers referred from hospital wards.
Source 1956 1957 No. % No. % -
Page 107
The following table shows the extent to which the mental welfare officers used the various forms of initial action open to them :
Initial 1956 1957 No. % No. % -
Page 107
It will be seen that in 1957 there were increased numbers both absolute and relative where no action was possible or necessary, in informal admissions to mental hospitals and in referrals to a psychiatrist ; on the other hand there were fewer removals to observation wards or referrals to Justices of the Peace. If' no action ' cases are excluded the percentage of the balance can be classified as follows :
1956 1957 -
Page 107
Cases referred to psychiatrists—Details of the disposal of the cases referred to psychiatrists by the mental welfare officers are shown in the following table :
-
Page 108
Cases admitted to observation wards—The ultimate disposal of patients admitted to observation wards is shown in the following table :
1956 1957 -
Page 108
There are differences in the proportion of various disposals from the five major observation wards (A to E) and from a group of small units based at mental hospitals (F). These are as follows :
A % B % C % D % E % F % -
Page 109
Cases referred to Justices of the Peace—The outcome of cases referred to Justices of the Peace is set out below :
1956 1957 -
Page 110
The table below shows the major types of initial action taken by the mental welfare officer for age groups of under 65 and 65 and over.
Age group Total Under 65 65 and over No. % No. % No. % -
Page 110
Closure of investigations—The final disposal of all cases investigated is shown in detail in the following table.
No. % -
Page 111
It will be noted that just over half the cases referred to mental welfare officers were admitted to mental hospitals and of these just under two-thirds entered as voluntary or non-statutory patients. There were, however, considerable variations in these two proportions dependent upon the nature of the original source of referral as may be seen from the succeeding table.
Source of referral Total Psychiatrist G.P. General Ward Casualty Dept. Nonmedical -
Page 111
The following table shows the final disposal of cases investigated by age group :
Under 65 65 and over Total No. % No. % No. % -
Page 112
The following table shows the sources from which cases were brought to notice under the Mental Deficiency Acts and the action taken thereon :
1956 1957 -
Page 112
The position as at 31st December, 1957, together with comparable figures for 1956 :
1956 1957 -
Page 112
The following is a summary of the cases dealt with during the year together with comparable figures for 1956.
1956 1957 -
Page 113
Continued from previous page...
-
Page 113
The accommodation available at the Council's occupation and training centres for the mentally defective at the end of December, 1957, was as follows :
Centres for children Accommodation Centres for elder girls Accommodation -
Page 113
Articles made in the occupation centres realised the following amounts :
£ £ -
Page 114
Medical inspections Details of the medical inspections carried out in 1957, with comparable figures for the two previous years, are as follows :
1955 1956 1957 -
Page 115
Pupils referred for treatment (Referrals for infestation and teeth are not included)
Age group and sex 1955 1956 1957 Percentages -
Page 115
The principal defects noted, and referred for treatment or observation, expressed as percentages, were as follows :
1955 1956 1957 Percentages -
Page 116
Routine medical inspections, 1957 Pupils known to have had tonsillectomy
Age groups Numbers inspected Pupils who had tonsillectomy Percentage Boys Girls Total Boys Girls Total Boys Girls Total -
Page 116
The table below shows the classifications under the two separate scales for 1953/55 and 1956/57 respectively, together with the percentages referred for treatment or observation of nutrition defects :
Classification Referred for Observation Total A—Good B—Fair C—Poor Treatment Percentages -
Page 116
The classification of general condition recorded at these ' nutrition ' re-inspections, with comparable figures for previous years, was as follows :
Good Fair Poor -
Page 117
Vision Vision is tested at the periodic general medical inspections, and also at age 13, as part of the comprehensive health survey. The results of the tests at; general medical inspections during 1957 are as follows :
Visual acuity (with glasses, if worn) Percentage referred for treatment 6/6 % 6/9 % 6/12 or worse % % wearing glasses Total Already wearing glasses Not wearing glasses -
Page 118
Total Number of inspections Number found to be verminous* Percentage found to be verminous 1954 1955 1956 1957 -
Page 119
Choice of employment Pupils advised, at their 'school leavers' general medical inspection, against particular forms of employment formed 13.9 per cent. of all leavers examined. The following table gives the main contra-indications disclosed:
Contra-indications Boys Girls -
Page 119
School Treatment Centres At the end of the year there were 113 school treatment centres, 93 run directly by the Council and 20 by voluntary committees. The following table shows the number of clinics available in school treatment centres for the treatment of each defect (these numbers do not include sessions held in hospital premises) :
Type of clinic -
Page 119
Treatment Statistics The numbers of sessions, new cases and total attendances at school children's clinics during 1957 were as follows (including sessions held in hospital premises) :
Type of clinic Sessions New cases Attendances -
Page 120
The numbers of cases of infectious diseases reported during 1957 and the preceding years are given below :
1955 1956 1957 -
Page 121
At the end of 1957 special educational treatment was being provided for nearly 11,000 pupils and the following table shows the main categories of handicap and numbers of pupils receiving full-time special educational treatment :
Day special schools Boarding special schools Hospitals Non-Council boarding schools, hostels, foster-homes -
Page 121
During the year the numbers of new formal ascertainments were as follows :
Day Boarding -
Page 121
Section 57 (3)—Incapable of receiving education :
-
Page 122
Numbers of audiometer tests carried out during 1957 were as follows :
-
Page 122
The work done during 1957 at the four child guidance units maintained by the Council is summarised in the following table:
Batter sea Brixton Earls Court Woodberry Down Total -
Page 125
Table (i)—1957 Surrey of pupils in London schools for the physically handicapped
International Condition Number International Condition Number Code Code -
Page 126
Statistics of special educational provision During recent years the annual number of 'ascertainments' of pupils as physically handicapped has been as follows:
Boys Girls Total -
Page 128
Table (ii)—Comparison of 1928, 1951 and 1957 Surveys of pupils in schools for P.H. in London
Condition Numbers recorded Percentage distributions Rates per 1,000 of total school rolls 1928 1951 1957 1928 1951 1957 1928 1951 1957 -
Page 130
Table (iii)—Poliomyelitis, 1920-1929
Year Notifications Admissions to M.A.B. Fever Hospitals Discharges and deaths— Queen Mary's Hospital, Carshalton Admissions of post poliomyelitis cases to L.C.C. special schools for P.H. pupils -
Page 134
Table (iv)—Number of cerebral palsied children domiciled in London by sex and age
Age in years Boys Girls Total Rate per 1,000 live births No. Per cent. No. Per cent. No. Per cent. -
Page 134
Table (v)—Type of cerebral palsy and degree of physical handicap (children aged 0-16 years)
Type of cerebral palsy Degree of physical handicap Total Slight Moderate Serious No. Per cent. -
Page 135
Table (vi)—Other handicaps additional to cerebral palsy
Age Impaired hearing Impaired sight E.S.N. Epileptic Speech defect Ineducable Other Total other Handicaps Number of children With multiple other handicaps With single other handicaps With no other handicaps Total -
Page 137
Table (vii)—Type of school, etc., attended by cerebral palsied pupils
School— Number of children -
Page 138
Table (viii)—Physiotherapy arrangements at day schools for physically handicapped
Division School Hospital authority -
Page 144
Table (ii)
1955 1956 1957 -
Page 144
Table (iii) Ratio of permanent teeth restored to permanent teeth extracted in school children
-
Page 145
Table (iv)
1955 1956 1957 -
Page 145
Table (v) Attendances and treatments of maternity and child welfare patients
1955 1956 1957 -
Page 147
Numbers of staff medically examined for various purposes, with the result of the examination, follow :
1956 1957 1956 1957 -
Page 147
Bacteriological examination of specimens from staff employed as food-handlers were arranged as follows :
1956 1957 -
Page 149
the total capital expenditure on the health services of the Council in the year ended Capital 31st March, 1957, was £50,165, details of which are as follows :
Ambulance service: £ -
Page 149
The gross cost of the various services in 1956-57—including central administrative and debt charges—and the contributions recovered from recipients of the services were:
Service Cost Amount recovered in charges £ £, -
Page 149
The net cost of the services after allowing for Government grant, expressed in terms of rate in the £ was 7-67d., divided as follows :
d. -
Page 160
Of the remaining 78 sessions, 53 took place in association with infant welfare sessions and 25 at other times each week according to local need. The distribution figures for the last three years were :
Year ended National Dried Milk Cod Liver Oil Orange Juice Vitamin A and D (Tins) (Bottles) (Bottles) Tablets -
Page 164
Divisional services during 1957 (Corresponding figures for 1956 are shown in brackets)
Day nurseries -
Page 171
The years chosen, somewhat arbitrarily, are 1657, 1757, 1857 and 1957 and in the table below are set out the number of burials recorded or deaths registered in these years, the population estimates for these years (or the nearest available), and the death rates calculated solely on these figures.
Year Deaths (burials or registrations) Estimated population Estimated death rate -
Page 176
ANNEX A
Year Number of Deaths Source Annual Bills of Mortality Remarks -
Page 177
Continued from previous page...
Year Number of Deaths Source Remarks -
Page 178
Continued from previous page...
Year Number of Deaths Source Remarks -
Page 179
Continued from previous page...
-
Page 180
Continued from previous page...
Year Number of Deaths Source Remarks -
Page 181
Continued from previous page...
Year Number of Deaths Source Remarks -
Page 187
Causes of Death—London 1857
-
Page 188
By age
-
Page 188
Causes of Death—Administrative County of London, 1957 (Deaths of infants under one year shown separately towards the end).
-
Page 189
Rheumatic fever (rheumatic fever and pericarditis) 15
-
Page 190
By age
-
Page 195
Table (i)—Basic data—1st January, 1955 to 31 st December, 1956.
Nursery Block or floor Capacity Total days of residence in the two years (daily strength for 731 days) (a) Number of children at 1.1.55 Admissions during 1955-56 Total children at risk during the two years (Cols. 3 and 4) Turnover (admissions÷no. of children present on 1.1.55) (1) (2) (3) (4) (5) (6) -
Page 196
Table (ii)—Sickness—1st January, 1955 to 31st December, 1956
Nursery Block or floor Total sickness Infective sickness Non-infective sickness Child days Children Spells Child days Children Spells Child days Children Spells (a) (b) (c) (a) (b) (c) (a) (b) (c) (1) (2) (3) (4) (5) (6) (7) (8) (9) -
Page 197
Table (iii)—Sickness related to size, number of children, spells of sickness and duration of sickness—1st January, 1955 to 31 st December, 1956
Nursery Block or floor Total sickness Infective sickness Non-infective sickness Days of sickness per 100 days exposed to risk Children sick per 100 children Spells per 100 children Average number of days sickness per child sick Days of sickness per 100 days exposed to risk Children sick per 100 children Spells per 100 children Average number of days sickness per child sick Days of sickness per 100 days exposed to risk Children sick per 100 children Spells per 100 children Average number of days sickness per child sick (1) (2) (3) (4) (5) (6) (7) () (9) (10) (11) (12) -
Page 198
Table (iv)—Causes of infective sickness in Downs and St. Margaret's Nurseries—1st fanuary, 1955 to 31st December, 1956
Specific infectious disease Downs Nursery St. Margaret's Nursery Child days sickness Children Spells Days sickness per spell Child days sickness Children Spells Days sickness per spell Number Per cent. Number Per cent. Number Per cent. Number Per cent. Number Per cent. Number Per cent. (1) (2) (3) (4) (5) (6) (7) (1) (2) (3) (4) (5) (6) (7) -
Page 199
Table (v)—Spread of specific infective sickness
Disease with minimum and maximum serial interval for secondary cases St. Margaret's (1.1.55—31.12.56) Downs (1.1.55—28.5.56) Downs* (29.5.56—31.12.56) Outbreaks Outbreaks producing secondary cases Outbreaks which spread from one floor to the other Outbreaks Outbreaks producing secondary cases Outbreaks which spread from one block to the other Outbreaks Outbreaks producing secondary cases -
Page 200
Table (vi)—Spread of specific infection—Index of spread (both nurseries combined), 1st January, 1955, to 31st December, 1956
Disease Total number of primary cases (a) Total number of secondary cases produced (b) Index of spread (Col. 2) (Col. 1) (1) (2) (3) -
Page 201
APPENDIX C Statistics of the administrative work carried out by the Metropolitan Borough Councils in 1957.
Borough DWELLINGS CLEARANCE AREAS DWELLING HOUSES AIR POLLUTION CLEA NSING A ND DISINFECTION LICENSED OR REGISTERED PREMISES Restaurants, eating houses and canteens PUBLIC HEALTH INSPECTORS Erected by the Borough Council Erected by other persons Total number in the Borough Inspections Repaired as a result of informal action Defects remedied after Housing Act 1957 Complaints Observations Intimation notices served Nuisance notices served Smoke control orders made A dults cleansed Children cleansed Premises disinfected Premises disinfested Establishment Employed at end of year Assistants employed at end of year Unfit Houses Other Houses On complaint On notification of illness House-to-house Other reasons Demolished Closed by undertaking Rooms closed Undertakings accepted Closing Orders made Water supply provided to tenement houses Licensed slaughterhouses Other offensive trades Dairies and milk shops Ice cream premises Common Lodging Houses Public Health (London) Act 1936 Housing Act, 1957 At home At a cleansing station Demolished Persons displaced Demolished Persons displaced Underground rooms Other rooms Uuderground rooms Other rooms By owners By local authority By owners By local authority Made fit for occupation by number of families accommodated Overcrowding abated Number Persons displaced Number Persons displaced Number Persons displaced Number Persons displaced Number Persons displaced Male Female Total Male Female Total -
Page 202
Senior Officers of the Divisions
Division, Divisional Medical i Officer Divisional Administrative Officer Divisional Nursing Officer -
Page 203
The following statement shows the number of staff employed in the Public Health Department at the end of the year (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