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 1960
[Report of the Medical Officer of Health for London County Council]
- Published
- 1961
- Pages
- 168
- Tables
- 154
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Page 4
Population Table (i)— Home population (a), 1951.60 (Figures in thousands)
Year Mid.year estimate of population by the Registrar General, by age groups Average age (years) Total 0.4 5.14 15.24 25.44 45.64 65+ -
Page 4
Fertility Table (ii)— Live births and stillbirths—1951.60
Live births Stillbirths Year No. Rate per 1,000 population No. Rate per 1,000 total births (live and still) -
Page 6
Illegitimacy— Table (iii)— Illegitimate live births in London (A.C.) and percentages for London and England and Wales, 1951.60
Year Illegitimate live births Illegitimate 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 associations in London, 1st October, 1959.30th September, 1960. (Figures in brackets are for 1959)
British (U.K.) Eire European West Indian Other Total -
Page 7
Leading causes of death —The leading causes of death in London in 1960 were as follows
Deaths Rate per 1,000 population -
Page 7
Table (v)— Cancer mortality rates per 1,000 living, 1951 . 60
Age and Sex 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 -
Page 8
Table (vi)— Deaths and death rates from cancer of the lung by age and sex, 1951.60 (Rates per 1,000 population)
Year Age 25.44 45.64 65+ No. Rate No. Rate No. Rate -
Page 9
Table (vii)— Pneumonia—Average annual number of deaths and death rates per 1,000 population by age and sex 1951.60
Age (years) O.4 5.44 45.64 65 and over No. Rate No. Rate No. Rate No. Rate -
Page 9
Table (viii)— Bronchitis—Average annual number of deaths and death rates per 1,000 population by age and sex, 1951.60
Age (years) 0.4 5.44 45.64 65 and over No. Rate No. Rate No. Rate No. Rate -
Page 11
Table (ix)— Ratio of male female death rates from bronchitis, 1922.59, by age Age—years
Year 45.54 55.64 65.74 75 and over 45 and over -
Page 12
Table (x)— Bronchitis. Standardised mortality ratio, social class, percentage born in London, and atmospheric pollution.
Boroughs S.M.R. 1950.53 (England and Wales = 100) Percentage of social classes IVand V 1951 Percentage born in London 1951 Atmospheric pollution 1944.54 Solid deposit SO4 Male Female (a) (b) -
Page 16
Infant mortality Table (xi)— Infant mortality —1960
Cause of death Age at death Total Rates per 1,000 live births Under I day 1 to 7 days 1 to 4 wks. 4 wks. to 1 yr. No. Male Female Total Male Female -
Page 17
Table (xii)— Infant mortality by cause —1951.60 (Rates per 1,000 live births)
Cause of death 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 -
Page 17
Mortality —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)
Neo.natal mortality Infant mortality London England and Wales London England and Wales Year -
Page 17
Table (xiii)— Prematurity and mortality by birth weight, 1960.
Weight Number Proportion per 100 live premature infants Died within 24 hours Survived 28 days Number Per 100 live premature infants Number Per 100 live premature infants -
Page 18
Perinatal mortality —Comparative rates for perinatal mortality (stillbirths and deaths in the first week of life) per 1 ,000 total births are given below for London and England and Wales.
Year London England and Wales Year London England and Wales -
Page 18
Table (xiv)— Causes of stillbirth, last quarter of 1960.
Code No. Cause Male Female Number Per cent. Number Per cent. -
Page 19
Table (xv)— Maternal mortality, 1951.60
Year Live births and stillbirths Deaths in pregnancy or childbirth excluding abortion Postabortion deaths Total maternal deaths No. Rate per 1,000 total births -
Page 19
Winter averages (a) of air pollution
Winter ' Smoke' (b) ' Sulphur dioxide' (c) Ratio smoke ISO -
Page 21
Table (xvi)— Poliomyelitis notifications by age, 1949 . 60
Year 0—4 years 5.14 years 15 years and over Total No. % No. % No. % No. -
Page 21
Table (xvii)— Final diagnosis of poliomyelitis notifications, 1960
Final diagnosis Notified as paralytic Notified as non.paralytic Total (all ages) 0.4 years 5.14 years 15+ years Total 0.4 years 5.14 years 15 + years Total -
Page 22
Table (xviii)— Vaccinal state of confirmed cases of poliomyelitis, 1960
Age Vaccinated* Not vaccinated Not known Total No. % No. % No. % No. % -
Page 23
Tabl E V — Vital statistics—Metropolitan Boroughs ana tne Administrative county o f London, 1963(a)
-
Page 24
Table V.2— Principal vital statistics—Administrative County of London, 1951.60
Year Annual rate per 1,000 living Annual mortality— Annual mortality per 1,000 living Infant (per 1,000 live births) Maternal (per 1,000 total births) 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 Pulmonary Non.pulmonary Suicide Road accidents Other violence -
Page 25
Cause Sex 0- 1- 5— 15- 25- 45- 65- 75+ Total 1960 1959 -
Page 26
Table V.3 (contd.)—Deaths by cause—Administrative County of London, 1960
Cause Sex 0. 1. 5. 15. 25. 45. 65. 75+ Total 1960 1959 -
Page 26
Table V .4 — Weather during 1960 (as recorded at Kew Observatory)
Temperature Difference from Rainfall Difference from Sunshine Difference from -
Page 27
T able V.5— Notifiable infectious diseases—Annual number of notifications and numbers per 1,000 of population—Administrative County of London, 1951.1960
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 Rale Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Paralytic Non.par. Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate -
Page 28
Table V.6— Notification of certain infectious diseases—distribution by age and date of notification—Administrative County of London, 52 weeks commencing 4 th January, 1960
Four. weekly periods 1960 Dysentery Measles Meningococcal infection Pneumonia Poliomyelitis Scarlet fever Whooping cough Paralytic Non.paralytic 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 75 + Total 0—4 5—14 15+ Total 0—4 5—14 15+ Total O.4 5—14 15+ Total 0—4 5—74 75+ Total -
Page 29
Table T.l— Tuberculosis—Statutory notifications and deaths, Administrative County of London, 1951.1960 (a)
Year Pulmonary tuberculosis Non.pulmonary tuberculosis Statutory notifications Deaths Statutory notifications Deaths No. Annual rate per 1,000 living No. Annual rate per 1,000 living No. Annual rate per 1,000 living No. Annual rate per 1,000 living -
Page 31
T able T .2 — Pulmonary tuberculosis—Notification and death rates per 1,000 living by age and sex, Administrative County of London, 1951 . 1960
Age 0.4 5.14 15.44 45 and over All ages Year M F M F M F M F M F -
Page 31
T able T.3— Non.pulmonary tuberculosis—Notification and death rates per 1,000 living by age and sex, Administrative County of London, 1951.1960
Year Age 0.4 5.14 15.44 45 and over All ages M F M F M F M F M F -
Page 32
Table T.4— Tuberculosis—Statutory notifications by age groups, Administrative County of London, 1960
Form of tuberculosis notified Sex Number of notifications of new cases of tuberculosis by age Total all ages 0- 1- 5- lO- 15- 20- 25- 35- 45- 55- 65- 75+ -
Page 32
Table T.5— Tuberculosis—Deaths in Administrative County of London, 1960
Form of tuberculosis Sex Age at death Total all ages 0— 1— 5— 15— 25— 45— 65— 75+ -
Page 32
Table T.6— Statutory notification of non.pulmonary tuberculosis—Distribution according to site and age, Administrative County of London, 1960
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 33
Table T.7— Tuberculosis—Statutory notifications by occupations, London Administrative County, 1960
Registrar General's short classification of employment Population Census 1951 Notifications (a) Males Females Males Females No. Rate per 1,000 population (b) No. Rate per 1,000 population (b) -
Page 34
T able T.8— Patients on the registers* —1951.1960
At 31st Dec. 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 -
Page 34
T able T.9— Summary of investigations into tuberculosis ' incidents * at Council establishments in 1960
Establishment Notified case Children Adults Tuberculin tested Positive reactors X-rayed Abnormal X-rayed Abnormal -
Page 35
Table T.10— Summary of services provided for tuberculous patients, Administrative County of London 1956.1960
1956 1957 1958 1959 1960 -
Page 36
Table T .ll — Principal tuberculosis statistics—Metropolitan Boroughs and the Administrative County of London, 1960
Metropolitan Boroughs Estimated home population mid 1960 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 31.12.60 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 1960 -
Page 38
Table T.13— B.C.G. vaccination of school children in Administrative County of London, 1959/60 (sixth 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 0among (4)) No. of negative reactors vaccinated by B.C.G. units Consents included in (2) No. Per cent. of( 1) No. Per cent. -
Page 39
GENERAL PUBLIC HEALTH Housing
1957 1958 1959 1960 -
Page 40
The following table shows the results of tests during the year:
Designation Samples examined T.B. bacillus isolated T.B. bacillus NOT isolated Passed phosphatase test Tests not completed* -
Page 41
Table (i) Number of new registrations during the year with percentage recommended to obtain treatment
Age Principal cause of defective vision Cataract Glaucoma Retrolental fibroplasia Other conditions Total -
Page 41
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 41
Table (iii) Re.examination of persons recommended to obtain treatment
Principal cause of defective vision Cataract Glaucoma Retrolental fibroplasia Other conditions Total -
Page 42
Registration of nursing homes
1956 1957 1958 1959 1960 -
Page 42
The 33 homes registered at 31 December, 1960 provided the following accommodation;
Number of beds in homes Number of homes Number of beds provided Maternity* Others† Total -
Page 51
Open air swimming baths in London Parks (Summer 1960) Summary of bacteriological examinations
Standards Agar count 1 ml. 37°C. 48 hrs. Presumptive coliform pollution without faecal Faecal coliform pollution 0-10 11-100 Over 100 -
Page 55
Table (i)— Health Service building programme 1961-62
Health Division Premises Works proposed -
Page 56
Table (ii)— Works completed in 1960
Health Division Premises Work involved -
Page 56
Table (iii)— Works in hand
Health Division Premises Work involved -
Page 57
Continued from previous page...
Health Division Premises Work involved -
Page 57
Table (iv)— Works approved but not yet commenced at end of 1960
Health Division Premises Work involved -
Page 57
Table (v)— Acquisitions and leases completed
Health Division Property Interest obtained -
Page 58
T able (i)— Clinics for mothers and young children
1956 1957 1958 1959 1960 -
Page 58
Family planning —Advice on family planning is provided for married women for whom further pregnancy would be detrimental to health.
1958 1959 1960 -
Page 58
National welfare foods Average weekly issues
1956 1957 1958 1959 1960 -
Page 59
Day accommodation for children Table (ii)— Day nurseries and child minders
At 31 December 1956 1957 1958 1959 I960 -
Page 63
Table (i)— Mothers seen for the first time during the 12 months ended 30.9.60, by age
No. % -
Page 63
T able (ii)—Nationality by normal residence
London (Administrative County) Elsewhere Total -
Page 64
Table (iii)— Care of babies three months after birth
(a) Living with mother No. % -
Page 65
Table (i )—Staff District midwives employed by
1956 1957 1958 1959 1960 -
Page 65
Table (ii)— Domiciliary confinements attended
1956 1957 1958 1959 1960 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 No. % No. % -
Page 65
Table (iii)
1956 1957 1958 1959 1960 -
Page 66
Table (iv)
Weight Number Proportion per 100 live premature infants Deaths in 24 hours Survivors at 28 days Number Per 100 live premature infants Number Per 100 live premature infants -
Page 66
Table (v)— Inhalation analgesia administered
1956 1957 1958 1959 1960 -
Page 67
HEALTH VISITING
Home visits 1956 1957 1958 1959 1960 -
Page 68
Table (i)— Staff (numbers employed at 31 December)*
1956 1957 1958 1959 1960 -
Page 68
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 68
Table (iii)— Types of treatment and location
Visits for At patient's home Elsewhere (e.g.. Nurses' Homes) Percentage of total visits -
Page 68
Table (iv)— Long-term cases (i.e., those visited more than 24 times during year)
Number Percentage of total patients nursed -
Page 69
Table (v)— Age distribution of patients
Age No. of patients Percentage of total -
Page 69
Table (vi)— Nursing treatments and case load
1956 1957 1958 1959 1960 -
Page 70
Statistics of the service provided during the last five years are shown in the following table.
1956 1957 1958 1959 1960 -
Page 71
Table (1)
1956 1957 1958 1959 1960 -
Page 71
Table (ii)
1956 1957 1958 1959 I960 -
Page 72
Smallpox— Table (iii)
1956 1957 1958 1959 1960 -
Page 72
Table (iv)
Number of persons who have received Two injections A third injection (cumulative total) In 1960 Since the commencement of the scheme -
Page 74
Table (i)— Work performed by the directly provided service and by the agency and supplementary services, including both general and accident section work
1956 1957 1958 1959 I960 -
Page 76
Table (ii)— General section
1956 1957 1958 1959 1960 -
Page 76
Table (iii)— Accident section
Year Number of calls received Ambulance not required Average time to incident (in minutes) Average time from incident to hospital (in minutes) -
Page 76
Table (iv)— Accident section—Source of calls
1956 1957 1958 1959 1960 -
Page 81
New cases and attendances
Year New cases Attendances Staff at the end of the year (in terms of whole units) -
Page 82
Analysis in age groups of treatment given at clinics
Group 1958 1959 1960 -
Page 82
Recuperative holidays Admissions to recuperative holiday homes
1956 1957 1958 1959 1960 -
Page 83
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 83
1956 1957 1958 1959 1960 -
Page 83
Tracing of contacts of patients—
1956 1957 1958 1959 1960 -
Page 84
Health education talks Table (i)— Speakers
Divisions 1 2 3 4 5 6 7 8 9 Total -
Page 84
Table (ii)— Audience groups
Divisions 1 2 3 4 5 6 7 8 9 Total -
Page 85
Table (iii)— Subjects of talks and attendances
Divisions 1 2 3 4 5 6 7 8 9 Total Talks Attendances Talks Attendances Talks Attendances Talks Attendances Talks Attendances Talks Attendances Talks Attendances Talks Attendances Talks Attendances Talks Attendances -
Page 90
Table (i) Persons referred in the year
1959 1960 -
Page 90
Table (ii) Referring agency
1959 1960 No. % No. %. -
Page 91
Table (iii) Initial action*
1959 1960 No. % No. % -
Page 91
Table (iv) Closure
1959 1960 No. % No. % -
Page 91
Persons referred during the year —The following table shows the sources from which persons were referred under the Mental Deficiency Acts (up to 31 October, 1960) and under the Mental Health Act, 1959 as subnormal or severely subnormal.
Source of information 1959 1960 -
Page 92
Community care —At 31 December 4,389 subnormal or severely subnormal persons were receiving community care from the mental health service. The types of service provided are shown in the table below; many persons were receiving more than one type of service.
Under 16 years 16 years and over Total -
Page 92
Hospital admissions
1959 1960 -
Page 92
Short-term residential care
1959 1960 -
Page 93
Periodic general medical inspections
Age groups 1958 1959 1960 No. % No. % No. % -
Page 94
Non-routine medical inspections
1958 1959 1960 -
Page 94
Analysis of non-routine medical inspections
Nature of inspection Number inspected -
Page 94
Pupils found to require treatment at periodic general medical inspections (excluding dental and infestation)
Age groups inspected For defective vision (excluding squint) For other conditions Total individual pupils -
Page 95
Percentage of children noted for treatment
Age and sex All defects Vision defect Defects other than vision 1958 1959 1960 1959 1960 1959 1960 -
Page 96
The following table shows the percentage of children of all ages noted for treatment or observation of the defects listed for the years 1958 to 1960. These percentages remain fairly stable over the period. The slight but steady yearly decrease in the incidence of enlarged cervical glands continues. The slight upward trends in defective speech and defective hearing noted last year now appear to have levelled off.
1958 1959 1960 -
Page 96
Defects found at special medical inspections —1960
Head teacher School health visitor Referred by. Divisional officer (Education) Care committee Parent -
Page 97
Attendance of parents and care committee representatives
Age Group Number of pupils inspected Parent present Care committee representatives present at inspection % % -
Page 97
As indicated in my report for 1959, the newly introduced basis of tabulation by years of birth permits the comparison of samples of children of the same age group and is analogous to a 'follow-up ' survey. The first three years' figures are: Percentage unsatisfactory physical condition
Year of birth Year of examination 1958 1959 1960 -
Page 98
The percentages for the several types of school for the corresponding days were:
1959 1960 -
Page 99
Of the children medically inspected 0.6 per cent. were noted for treatment of squint, the same as in 1957, 1958 and 1959. The percentage ranged from 1.4 in the entrant group to 0.1 in the leaver group.
Age Group Boys Not wearing spectacles Wearing spectacles 6/6 6/9 6/12 or worse Referred for treatment 6/6 6/9 6/12 or worse Referred for treatment -
Page 100
Cleansing scheme
1956 1957 1958 1959 1960 -
Page 101
The number of cases of infestation with vermin treated at bathing centres showed a reduction of 51 per cent. compared with 1959 and the number of treatments a reduction of 63 per cent. There can be little doubt that these reductions are directly attributable to the introduction of Lorexane.
1956 1957 1958 1959 1960 -
Page 101
The percentage of school leavers advised against particular forms of employment was 12.9 per cent. of those inspected compared with 13.8 per cent. in 1959. For boys the figure fell from 15.5 per cent. in 1959 to 14.6 per cent. and for girls from 11.9 per cent. to 11.1 per cent. As in recent years, normally acute vision and eye strain headed the list of contraindications followed by colour vision (boys only) and heavy manual work:
Contra.indications Boys Girls -
Page 102
The numbers of cases of infectious diseases reported during 1960 and the preceding years are given below:
1956 1957 1958 1959 1960 -
Page 102
Prophylaxis —The new system of recording medical inspection findings by years of birth permits an analysis of the percentage of school pupils, according to age, who have received prophylaxis, based on the findings at periodic general medical inspections. These figures may be compared with the separate estimates, prepared for the Ministry of Health, given on pages 71 and 7 :
Age group Number of pupils inspected % vaccinated against smallpox % immunised against diphtheria % immunised against whooping cough % vaccinated against poliomyelitis -
Page 104
Treatment statistics —The number of sessions, new cases and total attendances at school children's clinics during 1960 (including sessions held in hospital premises) were as follows:
Type of clinic Sessions New cases Attendances -
Page 104
Special educational provision —At the end of 1960 special educational treatment was being provided for over 12,000 pupils. The following table shows the main categories of handicap and numbers of pupils receiving full.time special education:
Day special schools Boarding special schools Non.council boarding schools, hostels, foster.homes hospitals, etc. Total -
Page 105
The following table therefore gives (a) details of children dealt with under section 57 up to 31 October, 1960 with comparable figures for the previous two years and (b) details of children dealt with under this section as amended from 1 November, 1960:
1958 1959 1960 -
Page 107
T able (i)— Primary medical reasons for admission to day schools for the delicate
Reasons for admission Boys Girls Total Numbers with dual defect Numbers with triple defect No. Per cent. No. Per cent. No. Per cent. -
Page 108
Table (ii)— Reasons pupils taken off rolls of day schools for the delicate
Number Percentage -
Page 108
Table (iii)— Ages on admission to day schools for the delicate by reasons for admission
Reasons for admission Ages on admission (years) 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- all ages -
Page 109
Table (iv)— Reasons for leaving day schools for the delicate by reasons for admission
Reasons for admission Special education completed Special education continuing elsewhere Number Percentage Number Percentage -
Page 109
Table (v)— Period of stay in day schools for the delicate by reasons for admission
Reasons for admission Duration of stay (years) 0- 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- Total -
Page 111
Child guidance units —Details of the work done during 1960 at the five child guidance clinics maintained by the Council follow:
Battersea Brixton Earl's Court Peckham Woodberry Down Total -
Page 116
T able (i)
1956 1957 1958 1959 1960 -
Page 116
T able (ii)
1956 1957 1958 1959 1960 -
Page 117
Table (iii)— Average number of permanent teeth restored for each permanent tooth extracted
-
Page 117
T able (iv)
1956 1957 1958 1959 1960 -
Page 117
T able (v)— Attendances and treatments of maternity and child welfare patients
1956 1957 1958 1959 1960 -
Page 118
The following statement shows the number of staff employed in the Public Health department at the end of the year (part-time staff are expressed as whole-time equivalents). The principal officers of the department at that date are shown in Appendix D.
Types of staff Location Central office Divisional offices and establishments (a) Other establishments (b) Total -
Page 119
Medical examinations —Numbers of staff medically examined for various purposes, with the result of the examination, follow:
1957 1958 1959 1960 -
Page 119
Food handlers —During the year 624 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.
1957 1958 1959 1960 -
Page 119
The 23 cases referred to their doctor had been found to have the following microorganisms:
-
Page 120
Capital —The total capital expenditure on the health services of the Council in the year ended 31 March, 1960, was £40,095, details of which are as follows:
-
Page 120
Maintenance —The gross cost of the various services in 1959.60—including central administrative and debt charges—and the contributions recovered from recipients of the services were:
Service Cost Amount recovered in contributions £ £ -
Page 125
The cases occurred between 27 June and 17 December and can be summarised as follows:
Ante-natal care Status Moved into district late Booked late Booked for home confinement but developed complications Booked for hospital but defaulted -
Page 127
Mobile immunisation clinic —The bringing into use of a mobile immunisation clinic on 28 September, 1959 was mentioned in my previous annual report. The results of the work of this clinic were analysed for the first nine months of its use with the following results:
Places visited Times No. of visits* No. of injections A verage per visit 1 2 3 Total -
Page 138
Statistical summary 1960—health divisions
Health division 1 2 3 4 5 6 7 8 9 Total Health division 1 2 3 4 5 6 7 8 9 Total -
Page 140
Table (i)— Hospital and domiciliary births in London
1938 1960 -
Page 140
table (ii)— Hospital district midwifery
Hospital No. of midwives Place of ante-natal care (Hospital or Councils A.N. clinic) No. of deliveries in 1960 -
Page 140
Table (iii)— Notifications of intention to practise
-
Page 141
Table (iv)— Medical aid
1956 1960 -
Page 142
Table (v)— Inhalation analgesia administered
-
Page 143
Table (vi)— Hospitals operating an E.O.U.
-
Page 144
Table (vii)— Domiciliary premature live births, 1960
Weight Number Per 100 live premature infants Deaths in 24 hours Survivors at 28 days Number Per 100 live premature infants Number Per 100 live premature infants -
Page 145
Table (viii)— Stillbirths in London in domiciliary midwifery service
1956 1957 1958 1959 1960 -
Page 145
An analysis of domiciliary cases Table (ix)— Stage of pregnancy at which women first attended
1956 % 1960 % -
Page 145
Table (x)a— Age at confinement
Age L.C.C. D.N.A. Hospital Total No. % No. % No. % No. % -
Page 146
T able (x )b — Age and parity
Age Parity 0 1 2 3 4 5 6 7 8 9 10 and over Not stated -
Page 147
Table (x)c— Offer of hospital confinement by parity
Parity Total confinements Hospital offered Per cent. -
Page 149
T able (xi)— Maternity cases removed to hospital by E .B .S.
1958 1959 1960 -
Page 149
T able (xii)— E .B .S.—Maternity cases removed to hospital, April-September, 1960
Month Total cases Emergencies Unable to book Divisions Total 1 2 3 4 5 6 7 8 9 -
Page 159
APPENDIX C Statistics of the administrative work carried out by the Metropolitan Borough Councils in 1960.
Borough DWELLINGS CLEARANCE AREAS DWELLING HOUSES AIR POLLUTION CLEANSING AND DISINFECTION LICENSED OR REGISTERED PREMISES PUBLIC HEALTH INSPECTORS Erected by Borough Council Erected by other persons Total number in the Borough Unfit houses Other houses Inspections Repaired as a result of informal action Defects remedied after service of formal notice Houses closed in pursuance of owner's undertaking Demolition Orders made Persons displaced Closing Orders made in lieu of Demolition Orders Persons displaced Closing Orders determined Closing Orders revoked and Demolition Orders made Houses demolished as a result of formal or informal procedure Persons displaced Rooms closed Undertakings accepted Water supply provided to tenement houses Complaints Observations Intimation notices served Nuisance notices served Prosecutions Smoke Control Orders confirmed Adults cleansed Children cleansed Premises disinfected Premises disinfested Licensed slaughterhouses Other offensive trades Dairies and milk shops Ice cream premises Common and Seamen's Lodging Houses Establishment Employed at end of year Assistants employed at end of year Demolished Persons displaced Demolished Persons displaced Initial visits on complaint With a view to action under Part 11 of the Housing Act, 1957. Other reasons Re-inspections Public Health (London) Act, 1936 Housing Act, 1957 Underground rooms Other rooms Underground rooms Other rooms At home At cleansing station Male Female Total Male Female Total 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