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 1958

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

Published
1959
Pages
202
Tables
162

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162 tables in this report

  • Page 4
    VITAL STATISTICS* Population Table (i)—Population (a), 1949-58
    YearMid-year estimate of population by the Registrar General, by age groupsAverage age (years)
    Total0-45-1415-2425-4445-6465+
  • Page 4
    Fertility Table (ii)—Live births and still-births—1949-58
    YearLive birthsStill-births
    No.Rate per 1,000 population*No.Rate per 1,000 total births (live and still)
  • Page 6
    Table (iii)—Illegitimate live births in London (AC.) and percentages for London and England and Wales, 1949-58
    YearIllegitimate life birthsIllegitimate live births as a percentage of total live births
    London A.C.England and Wales
  • Page 6
    Table (iv)—Unmarried mothers seen by Moral Welfare organisations in London, 1958 (Figures in brackets are for 1957)
    BritishEireEuropeanWest IndianOtherTotal
  • Page 7
    The leading causes of death in London in 1958 were as follows :
  • Page 8
    Table (v)—Cancer mortality rates per 1,000 living, 1949-58
    Age and Sex7949195019511952195319541955195619571958
  • Page 8
    Table (vi)—Mean annual number of deaths and death rates by age and sex, 1949-51 and 1956-58
    Age group1949-511956-58Percentage change in rate
    No. of deathsRate per 1,000 populationNo. of deathsRate per 1,000 population
  • Page 9
    Table (vii)—Mean annual number of deaths and death rates (all ages) by site of cancer, 1949-51 and 1956-58
    Site1949-511956-58Percentage change in rate
    No. deathsRate per 1,000 populationNo. of deathsRate per 1,000 population
  • Page 10
    Table (viii)—Deaths and death rates from cancer of the lung by age and sex, 1949-1958 (rates per 1,000 population)
    YearAge
    25-4445-6465+
    No.RateNo.RateNo.Rate
  • Page 14
    Table (x)—Infant mortality—1958
    Cause of deathAge at deathTotalRates per 1,000 live births
    Under 1 day1 to 7 days1 to 4 wks.4 wks. to 1 yr.No.MaleFemaleTotalMaleFemale
  • Page 15
    The trend since 1949 is shown below : Table (xi)—Infant mortality by cause—1949-58 (Rates per 1,000 live births)
    Cause of death1949195019511952195319541955195619571958
  • Page 15
    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
  • Page 15
    Comparative rates for perinatal mortality (still-births and deaths in the first week of life) per 1,000 total births are given below for London and England and Wales.
    YearLondonEngland and WalesYearLondonEngland and Wales
  • Page 16
    Table (xii)—Maternal mortality, 1949-58
    YearLive births and still-birthsDeaths in pregnancy or child-birth excluding abortionPostabortion deathsTotal Maternal deaths
    No.Rate per 1,000 total births
  • Page 19
    Influenza deaths in the last 10 years are shown in the following table : Table (xiii)—Influenza deaths, 1949-58
  • Page 20
    Table (xiv)—Poliomyelitis notifications by age, 1949-58
    0-4 years5-14 years15 years and overTotal
    YearNo.0/ /oNo.o/ /oNo.0/0No.0/ /o
  • Page 21
    Table V.l—Vital statistics—Metropolitan Boroughs and the Administrative County of London, 1958 (a)
    Metropolitan BoroughsEstimated home population mid 1958Live birth rateDeath rate (all causes)Infant Mortality (per 1,000 live births)Death ratesNotifications of infectious disease ____
    CancerVascular lesions of C.X.S.Heart diseaseOther circulatoryPneumoniaOther respiratory (including bronchitis)ViolenceDysenteryFood poisoningMeaslesPneu-moniaPoliomyelitisScarlet feverWhooping coughTuberculosis
    CrudeAdjustedCrudeAdjusted
    ParalyticNonparalyticPulmonaryNon-pulmonary
  • Page 22
    TABLE V.2 Principal vital statistics- Administrative County Of London,1949-1958
    YearAnnual rate per 1,000 livingAnnual mortality per 1,000 living (a)Annual mortality
    Infant (per 1,000 live births)Maternal (per 1,000 total births)
    Live birthsDeaths (all causes)
    Crude rateAdjusted rateCrude rateAdjusted rateTuberculosisCancerVascular lesions of C.N.S.Heart diseaseOther circulatory diseaseInfluenzaPneumonia (all forms)BronchitisOther resp. diseasesViolenceInfants 0—1Diarrhoea and enteritis 0—2
    j PulmonaryNon-pulmonarySuicideRoad accidentsOther violence
  • Page 23
    Table V.3—Deaths by cause—Administrative County of London, 1958
    CauseSex0—7 —5—15—25—45—65—754—Total
    19581957
  • Page 24
    Table V.3 (contd.)—Deaths by cause—Administrative County of London, 1958
    CauseSexo—1—5—15—25—45—65—75+Total
    19581957
  • Page 24
    Table V.4—Weather during 1958 [as recorded at Kew Observatory)
    TemperatureRainfallSunshine
    Difference fromDifference fromDifference from
    MonthMean (a)Average (b)TotalAverage (b)TotalAverage (c)
  • Page 25
    Table V.5—Notifiable infectious diseases—Annual number of notifications and numbers per 1,000 of population—Administrative County of London, 1938-1958
    YearAnthraxDiphtheriaDysenteryAcute encephalitisEnteric feverErysipelasMalariaMeaslesMeningococcal infectionOphthalmia neonatorumPneumoniaPoliomyelitisPuerperal pyrexiaScabiesScarlet feverSmillpoxTyphusWhooping coughFood poisoning
    CasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCase>RateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCasesRateCase1:Rate
  • Page 26
    Table V.6—Notification of certain infectious diseases—distribution by age and date of notification—Administrative County of London, 52 weeks commencing 29th December, 1957
    Four-weekly periods 1958DysenteryMeaslesMeningococcal injectionPneumoniaPoliomyelitisScarlet feverWhooping cough
    ParalyticNon-paralytic or not stated
    AgesAgesAgesAgesAgesAgesAgesAges
    0—45—1415+Total0—45—1415+Total0—45—7475+Total0—45—1475+Total0—45—7475+Total0—45—1415+Total0—45—1415+Total0—45—1415+Total
  • Page 27
    Table T1—Tuberculosis—Statutory notifications and deaths—Administrative County oj London, 1949-58 (a)
    YearPulmonary tuberculosisNon-pulmonary tuberculosis
    Statutory notificationsDeathsStatutory 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 29
    Table T2—Pulmonary tuberculosis—Notification and death rates per 1,000 living by age and sex, 1949.1958
    Year
    0-45-1415-4445 and overAll aoes
    MFMFMFMFMF
  • Page 29
    Table T3—Non.pulmonary tuberculosis—Notification and death rates per 1,000 living by age and sex, Administrative County of London, 1949.1958
    YearAge
    0-45-1415-4445 and overAllages
    MFMFMFMFMF
  • Page 32
    TABLE T3 Tuberculosis—Statutory notifications by age groups, 1958
    Form of tuberculosis notifiedSexNumber of notifications of new cases of tuberculosis by ageTotal all ages
    0—1-5-10-15-20-25-35-45-55-65-r
  • Page 32
    Table T5—Tuberculosis—Deaths in Administrative County of London, 1958
    Form of tuberculosisSexAge at deathTotal all ages
    0-1-5—15-25-45-65 —75 +
  • Page 32
    Table T6—Statutory notification of non-pulmonary tuberculosis—Distribution according to site and age, Administrative County of London, 1958
    Site of tuberculous lesionNumbers of notifications of new cases of non-pulmonary tuberculosis by ageTotal all ages
    0-45-1415-2425+
  • Page 33
    Table T7—Patients on the registers*—1949-1958
    Cases on the register at the end of the year Pulmonary—1949195019511952195319541955195619571958
  • Page 33
    Table T8—Summary of investigations into tuberculosis ' incidents ' at Council establishments in 1958
    EstablishmentNotified caseChildrenAdults
    Tuberculin testedPositive reactorsX-rayedAbnormalX-rayedAbnormal
  • Page 34
    Table T9—Summary oj services provided for tuberculous patients—Administrative County of London 1953-58
    Clinic registers Total on registers at the end of the year195319541955195619571958
  • Page 35
    Table T10—Principal tuberculosis statistics—Metropolitan Boroughs and the Administrative County of London, 1958
    Metropolitan BoroughsEstimated home population mid 1958New notificationsNew notifications per 1,000 populationDeaths from tuberculosisTuberculosis deaths per 1,000 populationPulmonary tuberculosis deaths per 1,000 population aged is and overNumber of tuberculosis cases on clinic registers at 31.t2.s8Cases on register per 1,000 population
    PulmonaryTuberculoid 0/ Meninges and C.N.S.Other run-pulmonary tuberculosisTotalPulmonaryNon-pulmonary tuberculosisTola! deaths
    TotalPercentage °f pulmonary cases positive during 1958
  • Page 36
    Table til—Tuberculosis—Annual chest X.ray examination of mental defectives at senior occupation centres—Administrative County of London—1958
    DivisionOccupation centre E.B.—elder boys E.G.—elder girlsAverage roll at time of examinationDate of examinationNo. X-rayedNo. of cases of T.B. discovered
    Under 15Over 15
  • Page 36
    Table T12—B.C.G. vaccination under L.C.C. schemes in 1957/58
  • Page 37
    Table T13—B.C.G. vaccination of school children in Administrative County of London, 1957/58 (fourth year)—Divisional figures
    DivisionNo. of 13-year-old school childrenTotal No. of consentsAlleged contacts of known casesNo. of children tested and read by B.C.G. unitsChildren not dealt with because of refusal of consent or absencePositive reactors (among (4) )No. of negative reactors vaccinated by B.C.G. units
    Consents included in (2)No.Per cent. of(1)No.Per cent.
  • Page 38
    (a) Tuberculous persons—
    19571958
  • Page 38
    (b) Persons with very severe medical conditions—
  • Page 38
    Slum clearance—
  • Page 38
    Improvement grants—
  • Page 38
    Dangerous structures—
  • Page 39
    Milk Sampling
    DesignationSamples examinedT.B. Bacillus isolatedT.B. Bacillus NOT isolatedTest not completed*Percentage positive of completed tests
    1957195819571958195719581957195819571958
  • Page 39
    Milk purchased for use in Council establishments :
    19571958
  • Page 39
    Sanitary inspection The public health inspectors dealt with the following matters in Council establishments :
    19571958
  • Page 40
    Table (i) Number of new registrations during the year with percentage recommended to obtain treatment
    AgePrincipal cause of defective visionTotal
    CataractGlaucomaRetrolental fibroplasiaOilier conditions
  • Page 40
    Table (ii) Number of treatments recommended in respect of newly registered persons
    No. of patients examinedTreatments recommendedOpticalHospital supervision
    NoneMedicalSurgical
    EarlyLaterif general condition permits
  • Page 40
    Table (iii) Re-examination of persons recommended to obtain treatment
    Principal cause of defective visionTotal
    CataractGlaucomaRetrolental fibroplasiaOther conditions
  • Page 41
    Registration of nursing homes
    19571958
  • Page 41
    The 37 homes registered at 31.12.58 provided the following accommodation:
    Number of beds in homeNumber of homesPatients accommodated
    MaternitytOthers*Total
  • Page 51
    Table (i)—Health Service building works completed 1949-1958
    Year of completionHealth DivisionSchemeWorks completed
  • Page 52
    Table (i) continued—Health Service building works completed 1949-1958.
    Year of completionHealth DivisionSchemeWorks completed
  • Page 53
    Table (i) continued—Health Service building works completed 1949-1958.
    Year of completionHealth DivisionSchemeWorks completed
  • Page 54
    Summary
    ServiceType of scheme
    New buildingCompletion of existing buildingConversion of existing buildingExtension of existing buildingAdaptation on acquisitionReinstatement of major war damageMajor improvements
  • Page 54
    Table (ii) (a) Works in hand*
    Div.PremisesServiceWork involved
  • Page 55
    Table (iii) Health Service Capital Building Programme, 1959-60 (i) Schemes costing over £10,000
    PremisesWork proposed
  • Page 56
    Table (iv) Analysis of the tenure of maternity and child welfare centre and day nursery premises, 1948-1958
    TenureWelfare centresDay nurseries
    5.7.4831.12.585.7.4831.12.58
  • Page 56
    Table (v) Purpose designed health service accommodation incorporated in blocks of flats
    YearServiceHealth Div.SchemeAuthority responsible for housing development
  • Page 57
    Table (vi) Acquisitions and leases completed in 1958
    Div.PropertyInterest obtainedService
  • Page 58
    Table (vii) Maternity and child welfare and school treatment centres planning standards
    RoomStandard floor area s.f.Minimum fittings, furniture and equipment to be accommodatedSpecial requirements
    (1)(2)(3)(4)
  • Page 59
    Table (vii)— continued Maternity and child welfare and school treatment centres planning standards
    RoomStandard floor area s.f.Minimum fittings, furniture and equipment to be accommodatedSpecial requirements
    (1)(2)(3)(4)
  • Page 60
    Table (viii) Day nurseries closed during 1958
    Div.NurseryDate of cosure
  • Page 63
    Maternity and child welfare Particulars of sessions and attendances are given in the following table: Table (i)—Clinics for mothers and young children
    19491955195619571958
  • Page 63
    National welfare foods Average weekly issues
    195619571958
  • Page 64
    Day accommodation for children Table (ii)—Day nurseries and child minders
    At 31st december
    19491955195619571958
  • Page 65
    The opinions on the children referred by the Children's Officer in 1958 and two previous years were as follows :
    195619571958
  • Page 65
    Financial assistance to the five large moral welfare associations of the major religious denominations was continued.
    195619571958
  • Page 65
    The following statistical tables relate only to cases dealt with by the five Moral Welfare Associations (London Diocesan Council, Southwark Diocesan Association, Westminster Catholic Social Welfare Committee (Crusade of Rescue), Southwark Catholic Rescue, Jewish Board of Guardians). Table (i)—Mothers seen for the first time in 1958
    Age of motherNo.%
  • Page 66
    Table (ii)—Referring Agency
    No.%
  • Page 66
    Table (iii)—Nationality—Normal residence
    London (Admin. County)ElsewhereTotal
  • Page 66
    Table (iv)—Care of babies three months after birth (Babies born between 1.10.57 and 30.9.58)
    No.%
  • Page 67
    DOMICILIARY MIDWIFERY SERVICE The duty to provide an adequate domiciliary midwifery service is discharged through the Council's own midwives and those employed by district nursing associations and hospitals. Table (i) Staff
    195619571958
  • Page 67
    Table (ii)—Domiciliary confinements attended
    YearNumber of confinementsNumber of confinementsGrand Total
    Doctor not bookedDoctor booked
    L.C.C.District Nursing AssociationHospitalL.C..C.District Nursing AssociationHospital
    Doctor presentDoctor not presentDoctor presentDoctor not presentDoctor presentDoctor not presentDoctor presentDoctor not presentDoctor presentDoctor not presentDoctor presentDoctor not present
  • Page 67
    Table (iii)
    195619571958
  • Page 67
    Midwives Act, 1951 Notifications received of intention to practise:
    195619571958
  • Page 67
    Fees to medical practitioners called in by midwives in emergency:
    195619571958
  • Page 68
    HEALTH VISITING
    Home visits19491955195619571958
  • Page 69
    HOME NURSING SERVICE Details of the work done by the 26 voluntary grant-aided district nursing associations who acted as agents for the Council are given below: Table (i)—Staff
    194919541955195619571958
  • Page 69
    Table (ii)—Types of case nursed and visits paid
    Type of caseNumber of patients nursedPercentage of totalAverage number of visits to each patientTotal visits
  • Page 69
    Table (iii)—Visits for general treatment and for injections
    Visits forAt patients' homesElsewhere (e.g.,Nurses' Homes)Percentage of total visits
  • Page 69
    Table (iv)—Long term cases [i.e., those visited more than 24 times during the year)
    NumberPercentage of total patients nursed
  • Page 69
    Table (v)—Age distribution of patients
    AgeNumber of patientsPercentage of total
  • Page 70
    Table (vi)—Nursing treatments completed, cases on books and average case load per nurse
  • Page 70
    HOME HELP SERVICE Statistics of the service given follow:
    194919541955195619571958
  • Page 71
    IMMUNISATION AND VACCINATION The number of children immunised against diphtheria and tetanus and vaccinated against whooping cough during the last five years is set out in Table (i) below with, where appropriate, corresponding figures for 1949. Table (i)
    194919541955195619571958
  • Page 71
    The number of children receiving multiple antigens is shown in the following table. Table (ii)
    195619571958
  • Page 71
    Table (iii)
    194919541955195619571958
  • Page 72
    The number of persons who have received protection against poliomyelitis is as follows: Table (iv)
    Persons who have received two injectionsPersons who have had a third injection
    Bom inIn 1958Since the commencement of the scheme
  • Page 81
    The following table shows a percentage analysis of costs (1957/58) relating to the directly provided service :
    Percentage of total£
    Operative staff59.6571,969
  • Page 81
    The following is a summary of the actual costs incurred during the financial year 1957/58 relating to the directly provided, agency and supplementary services :
    MilesPatientsTotal costCost per mileCost per patient
    £s. d.s. d.
  • Page 83
    Table (i)—Work performed by the directly provided service and by the agency and supplementary services
  • Page 84
    Table (ii)—Analysis by hours of the day, of numbers of patients conveyed and of journeys' without patients—1958.
    HoursStreet accidentsHome accidentsMaternity removals*OtherTotal
  • Page 85
    Table (iii)—General Section
  • Page 89
    PREVENTION OF ILLNESS : CARE AND AFTER-CARE
    YearNew casesAttendancesStaff at the end of the year (in terms of whole units)
  • Page 89
    Recuperative holidays Admissions to recuperative holiday homes
  • Page 90
    Venereal disease Treatment of venereal disease at London out-patient clinics
    year
    new cases
    syphiliss.ChanreConorrhoeaTotal vencreal casesTotal non-vencreal casesTotal attendances
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 93
    Table (i)—Summary of speakers
  • Page 93
    Table (ii)—Audience groups
  • Page 93
    Table (iii) Subjects of talks and attendances
    Subject Family healthNo. of talksAttendances
  • Page 95
    Table (i) Persons referred in the year
  • Page 95
    Table (ii) Referring agency The total includes 397 persons normally resident outside the County but some two-thirds of these were in hospital in London at the time of referral.
  • Page 95
    Table (iii) Initial action * These numbers exclude cases referred for a psychiatrist's advice by the mental welfare officer after seeing the patient and before taking action.
  • Page 96
    (b) 'Action' cases only
    1957 %1958 %
  • Page 96
    (c) By age group (1957 percentages in brackets)
    Age groupTotal
    Under 6565 and over
    No.%No.%No.%
  • Page 96
    Table (iv) Closure (a) All cases
    No.1957 %No.1958 %
  • Page 97
    Table (iv)—continued.
    19571958
    No.%No.%
  • Page 97
    (b) Observation ward cases
    19571958
    No.%No.%
  • Page 97
    These are as follows:
    A %B %C %D %E %F %
  • Page 98
    (c) Cases referred to Justices of the Peace other than at an observation ward
    195 71958
    No.%No.%
  • Page 99
    The following table shows the sources from which cases were brought to notice under Statistics the Mental Deficiency Acts and the action taken thereon, references unless otherwise specified are to the Mental Deficiency Act, 1913:
    19571958
  • Page 99
    The position as at 31st December, 1958, is shown below, together with comparable figures for 1957.
    Under guardianship—19571958
  • Page 99
    The following is a summary of the cases dealt with during the year together with comparable figures for 1957.
    19571958
  • Page 100
    Continued from previous page...
    19571958
  • Page 100
    The accommodation available at the Council's occupation and training centres for the mentally defective at the end of December, 1958, was as follows:
    Centres for childrenAccommodationCentres for elder girlsAccommodation
  • Page 102
    During 1958 a total of 363,018 medical inspections were carried out, and 172,271 of these inspections, equivalent to 39.4 per cent. of the children on the rolls, were general medical inspections:
    Age groups inspected (by year of birth)Age (year of examination less year of birth)Number of pupils inspected
  • Page 102
    In the following comparative table, the 1958 figures have been grouped on the basis that 'nursery'= years of birth 1954 or later; 'entrants'= 1953 and 1952; '7-year-old'= 1951 and 1950; '11-year-old'= 1947 and 1946; 'leavers'= 1943 or earlier. Part of the differences from previous years, particularly as regards the 'other ages' group, must be attributed to this arbitrary grouping. In addition medical inspections carried out in special schools are now included in the appropriate age group.
    195619571958
  • Page 103
    Continued from privious page
  • Page 103
    Pupils found to require treatment at general medical inspections (excluding dental and infestation)
    Age groups inspected (by year ofbirth)Age (year of examination less year of birth)For defective vision (excluding squint)For other conditionsTotal individual pupils
  • Page 103
    Pupils referred for treatment (Referrals for infestation and teeth are not included)
    Age group and sex1956 %1957 %1958 %
  • Page 104
    The principal defects noted, and referred for treatment or observation, expressed as percentages, with comparable figures for previous years, were as follows:
    1956 %1957 %1958 %
  • Page 104
    Physical condition of pupils The physical condition of pupils inspected at periodic general medical inspections was recorded as satisfactory for over 98 per cent. of the children. The percentages recorded as unsatisfactory in each age group were as follows:
    Age group inspected (by year of birth)Age (year of examination) less year of birth)Physical condition unsatisfactory %
  • Page 104
    The table below shows the overall classification of physical condition 1956-58, together with the percentages referred for treatment or observation of nutrition defects :
    1956%1957%1958%
  • Page 104
    The classification of general condition recorded at these 'nutrition' re-inspections, with comparable figures for previous years, was as follows:
    1956 %1957 %1958 %
  • Page 105
    Visual acuity standards, expressed as percentages of children inspected, are contained in the table below:
    Visual acuity (with glasses, if worn)Percentage wearing glasses
    6/6 %6/9 %6/12 or worse %
  • Page 105
    Table (i)—Hygiene inspections
    19541955195619571958
  • Page 106
    Table (ii)—Cleansing Scheme
    19541955195619571958
  • Page 110
    Scabies, impetigo and ringworm
    195619571958
  • Page 110
    The following table gives the main contra-indications disclosed:
    Contra-indicationsBoysGirls
  • Page 111
    Contra-indicationsBoysGirls
  • Page 111
    Treatment statistics, including sessions which are held in hospital premise:
    Type o f clinicSessionsNew casesAttendances
  • Page 111
    The numbers of cases of infectious diseases reported during 1958 and the preceding years are given below:
    195619571958
  • Page 112
    Table (iii)
    Day special schoolsBoarding special schoolsHospitalsNon-Council boarding schools, hostels, foster-homesTotal
  • Page 112
    During the year the numbers of new formal ascertainments were as follows:
    DayBoarding
  • Page 112
    ol. Details of the numbers reported under this section are given below:
    195619571958
  • Page 113
    The numbers of tests conducted were as follows :
    'Sweep' tests55,889
  • Page 114
    Table (iv)
    BatterseaBrixtonEarls CourtWood-berry DownPeckhamTotal
  • Page 116
    Table (i)
    YearEstablishment approved temporarily (full-time positions)Dental OfficersEquivalent in Full-time staffSessions a weekTotal
    Total Number employedFulltimePart-timeSchool serviceMCW serviceSchool ServiceMCW Service
    FulltimePart-timeFulltimePart-timeSchool serviceMCW service
  • Page 117
    Table (ii)
    195619571958
  • Page 117
    Table (iii)—Ratio of permanent teeth restored to permanent teeth extracted in school children
  • Page 118
    Table (iv)
    1955195619571958
  • Page 118
    Table (v)—Attendances and treatments of maternity and child welfare patients
    19491955195619571958
  • Page 119
    equivalents). (The principal officers of the department are shown in Appendix D on page 182.)
    Types of staffLocation
    Head officeDivisionsOther establishments (a)Total (1949 figures in brackets)
  • Page 120
    Numbers of staff medically examined for various purposes, with the result of the examination, follow:
    1957195819571958
  • Page 120
    During the year 403 food handlers were referred for investigation because they had been in contact with or had suffered from certain infectious diseases. Bacteriological examination was arranged where appropriate.
    19571958
  • Page 120
    The six cases excluded from duty were found to have the following microorganisms:
    ConditionOrganism isolated
  • Page 122
    The total capital expenditure on the health services of the Council in the year ended 31st March, 1958, was £18,498, details of which are as follows:
  • Page 122
    The gross cost of the various services in1957-58—including central administrative and debt charges—and the contributions recovered from recipients of the services were:
    ServiceCostAmount recovered in charges
  • Page 125
    Divisional statistics for 1958 (corresponding figures for 1957 are shown in brackets)
  • Page 129
    Statistics of Services during 1958 (corresponding figures for 1957 are shown in brackets)
    No. of centresAverage No. of sessions per monthNo. of patients attendingTotal attendances in the year
  • Page 129
    Day nurseries
    No.Approved placesNo. on registers at end of the yearAverage daily attendances
  • Page 130
    Child minders
    Registered at end of the yearNo. of children minded
  • Page 130
    Prophylaxis
    PrimaryRe-vaccinations
  • Page 130
    School health service
    Type of sessionNo. of sessions a yearNo. of new casesNo. of attendances
  • Page 130
    School medical inspections (i) No. of children examined:
  • Page 135
    The distribution tigures were:
    National dried milk (tins)Cod liver oil (bottles)Orange juice (bottles)Vitamin A and D (tablets)
  • Page 137
    The following table shows the number of children afforded protection in 1958 compared with the number in 1957:
    Diphtheria primaryDiphtheria boosterWhooping coughTetanusPolioB.C.G.
  • Page 138
    Figures comparing attendances for minor ailments in 1957 and 1958 are shown in the following table:
    Minor AilmentsEar InfectionsEye infections
  • Page 140
    Divisional services during 1958 (Corresponding figures for 1957 are shown in brackets)
  • Page 140
    B.C.G. inoculation of school children carried out in autumn
  • Page 140
    Number of courses of two injections completed.
  • Page 147
    The increasing co-operation between doctors and midwives can perhaps be best illustrated by a comparison of the number of midwives' patients for whom a doctor was booked in 1949 with the figures for 1958.
    19491958
    Not booked for M.M.S.Booked for M.M.SNot booked for M.M.SBooked for M.M.S
  • Page 157
    The following gives a comparison or the vehicle strength at the end or 1948 and that at the end of 1958 and shows the types of vehicle in service:
    19481958
  • Page 181
    APPENDIX C Statistics of the administrative work carried out by the Metropolitan Borough Councils in 1958.
    BoroughDWELLINGSCLEARANCE AREASDWELLING HOUSESWater supply provided to tenement housesAIR POLLUTIONCLEANSING AND DISINFECTIONLICENSED OR REGISTERED PREMISESRestaurants, eating houses and canteensPUBLIC HEALTH INSPECTORS
    Erected by Borough CouncilErected by other personsTotal number in the BoroughInspectionsRepaired as a result of informal actionDefects remedied after service of formal noticeDemolishedClosed by undertakingClosing Orders determinedRooms closedUndertakings acceptedComplaintsObservationsIntimation notices servedNuisance notices servedSmoke control orders confirmedA dults cleansedChildren cleansedPremises disinfectedPremises disinfestedEstablishmentEmployed at end of yearAssistants employed at end of year
    Unfit HousesOther HousesOn complaintOn notification of illnessHouse-to-houseOther reasonsLicensed slaughterhousesOther offensive tradesDairies and milk shopsIce cream premisesCommon Lodging Houses
    Underground roomsOther roomsUnderground roomsOther roomsAt homeAt cleansing station
    Public Health (London) Act 1936Housing Act, 1957MaleFemaleTotalMaleFemaleTotal
    DemolishedPersons displacedDemolishedPersons displaced
    NumberPersons displacedNumberPersons displaced
    NumberPersons displacedNumberPersons displacedNumberPersons displacedNumberPersons displaced
    By ownersBy local authorityBy ownersBy local authorityMade fit for occupation by number of families accommodatedOvercrowding abated