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City of London 1921

[Report of the Medical Officer of Health for London, City of ]

Published
1922
Pages
102
Tables
87

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87 tables in this report

  • Page 8
    The following table shows the progressive decline which has taken place since 1861 in the number of inhabitants who reside within the City boundaries, and the progressive increase in the number of workers who are daily employed in the City :—
    Year.Imperial Census. Night Population.City Census. Day Population.
  • Page 10
    VACCINATION STATISTICS IN THE CITY OF LONDON.
    Year.Number of Births notified to Vaccination OfficerSuccessfully Vaccinated.Insusceptible.Had Small-pox.Died before Vaccination.Vaccination postponed.Cases pending or removed at the end of the year.Conscientious objections.
    per cent.per cent.per cent.per cent.per cent.per cent.per cent.
  • Page 10
    CITY OF LONDON COMPARED WITH THE METROPOLIS FOR THE YEAR 1921 AND THE PREVIOUS FIVE YEARS.
    City of London.Birth RateDeath Rate.Deaths of Children under 1 year to 1,000 Births.Violent Deaths, per cent, of Deaths RegisteredDeaths from principal Zymotic Disease per 1,000 of the Population.
    Estimated Night Population (Imperial Census).Estimated Day Population (Corporation Census).City.Metropolis.City.Metropolis.City.Metropolis.City.Metropolis.City.Metropolis.
  • Page 11
    VITAL STATISTICS OF WHOLE DISTRICT DURING 1921 AND PREVIOUS YEARS. Name of District: CITY OF LONDON.
    Year.Population estimated to Middle of each Year.Births.Total Deaths Registered in the District.Transferable Deaths ‡Nett Deaths belonging to the District.
    Uncorrected number.Nett.Number. *Rate.of Nonresidents registered in the District. †of Residents not registered in the District. †Under 1 Year of Age.At all Ages.
    Number. †Rate.Number. *Rate per 1,000 nett Births.Number. *Rate.
    1234567891011213
  • Page 12
    CAUSES OF, AND AGES AT, DEATH DURING THE YEAR 1921.
    Cause of Death.Nett Deaths at the subjoined ages of "Residents" whether occurring within or without the district (a)Total Deaths whether of "Residents" or "Non-Residents "in Institutions in the District (6).
    All ages.Under 1 year.1 and under 2 years.2 and under 5 years.5 and under 15 years.15 and under 25 years.25 and under 45 years45 and under 65 years.65 and up wards
    12.3.4.5.6.7.8.9.10.11.
  • Page 13
    PERCENTAGE OF REGISTERED DEATHS FROM VIOLENCE
    Year.City of London.Metropolis.
    Per cent.Per cent.
  • Page 13
    DEATH RATES, PER 1,000 PER ANNUM.
    Year.City of London.96 Great Towns of England and Wales.Metropolis.
  • Page 14
    (This Table is prepared in accordance with the requirements of the Ministry of Health.) CITY OF LONDON. INFANTILE MORTALITY DURING THE YEAR 1921. Nett Deaths from stated Causes at Various Ages under One Year of Age.
    causes of death.Under 1 Week.1-2 Weeks.2-3 Weeks.3-4 Weeks.Total under 4 Weeks.4 Weeks and under 3 Months.3 Months and under 6 Months.6 Months and under 9 Months.9 Months and under 12 Months.Total Deaths under 1 Year.
  • Page 17
    NOTIFICATION OF INFECTIOUS DISEASES.—In the following tables will be found particulars of certificates relating to cases of infectious disease forwarded under Sections 55 and 56 of the Public Health (London) Act, 1891, and information as to the removal of patients to hospitals, infirmaries, &c. :—
    NAME OF DISEASE.Number of Certificates received.Treated at Home.Removed to the Metropolitan Asylums Board Hospitals.Removed to the London Fever Hospital.Treated at other Hospitals and Infirmaries.Duplicate Certificates received.Diagnosis subsequently found to be incorrect.Net number of Cases.
  • Page 17
    The following is a'return of infectious diseases notified in the City of London, exclusive of Tuberculosis, Measles, Rubella, Malaria, Pneumonia and Chicken-pox, with the percentages of such cases removed to hospitals for treatment or nursed at home during 1921 compared with the figures for the previous five years :—
    Year.Number of cases reported.Per cent. of cases reported.
    Removal to Hospital.Treated at home.
  • Page 18
    (The following table is prepared in accordance with the requirements of the Ministry of Health.) CITY OF LONDON.
    NUMBER OF CASES NOTIFIED.Total Cases removed to Hospital.
    At all Ages.At Ages—Years.
    Under 1.1 and under 5 years.5 and under 15 years.15 and under 25 years.25 and under 45 years.45 and under 65 years.65 years and upwards.
  • Page 20
    NEW PATIENTS.—The number of persons, including contacts, who were examined for the first time at or in connection with the Dispensary was 275, divided thus :—
    Diagnosed as Suffering from Tuberculosis.Diagnosed as Not Suffering from Tuberculosis.Undiagnosed.Total Number Examined.
    Still under Observation.Not still under Observation.Insured.Uninsured.
  • Page 21
    Persons diagnosed as suffering from Tuberculosis may be thus classified :—
    Residents.Non-Residents.Totals.
    Working in City.Not working in City.
  • Page 21
    PERSONS TREATED, &c.—The number of persons diagnosed to be suffering from Tuberculosis, who were treated or supervised, at or in connection with the Dispensarv, was 213, divided thus :—
    Insured.Not insuredTotals.
  • Page 21
    TOTAL ATTENDANCES.—The number of attendances of patients at the Dispensary, including first attendances, was 2,404, divided thus :—
    Insured.Not insured.Totals.
  • Page 21
    PERSONS UNDER TREATMENT, &c., AT END OF YEAR.—The number of persons who were under treatment, supervision or observation at or in connection with the Dispensary on December 31st, 1920, was 180, divided thus :—
    Insured.Not insured.Totals.
  • Page 21
    PATIENTS REFERRED TO THE HOSPITAL.—The number of persons who were referred to various departments of St. Bartholomew's Hospital for diagnosis or treatment was 42, divided thus :—
    Insured.Not insured.Totals.
  • Page 24
    TUBERCULOSIS. PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the period from the 1st January to the 31st December, 1921, in the City of London.
    AGE-PERIODSNotifications on Form A.Notifications on Form b.†Number of Notifications on Form C.
    Number of Primary Notifications.*Total Notifications on Form ANumber of Primary Notifications.*Total Notifications on Form B.Poor Law InstitutionsSanatoria.
    0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwardsTotal Primary NotificationsUnder 55 to 1010 to 15Total Primary Notifications
  • Page 25
    The total number of attendances of all persons at the Clinic was 18,216, which total is made up as follows:.
    Syphilis.Soft Chancre.Gonorrhœa.Non.Venereal conditions.Total Attendances.
    Male.Female.Male.Female.Male.Female.Male.Female.Male.Female
  • Page 25
    As regards the places of residence of patients coming under treatment, it is reported that patients resided in the following counties:.
  • Page 26
    RETURN RELATING TO ALL PERSONS WHO WERE TREATED AT THE TREATMENT CENTRE AT 20, GOLDEN LANE, E.C. 1, DURING THE YEAR ENDED THE 31st DECEMBER, 1921.
    Syphilis.Soft Chancre.Gonorrhœa.Conditions other than Venereal.Total.
    MalesFemalesMalesFemalesMalesFemalesMalesFemalesMalesFemales
  • Page 27
    Statement showing the services rendered at the Treatment Centre during the year, classified according to the areas in which the. patients resided.
    Name of County or County Borough (or Country in the case of persons residing elsewhere than in England and Wales) to be inserted in these headings.London.Essex.Herts.Surrey.Kent.Total.
  • Page 28
    Table showing Occupations followed by 1,469 Males known to be suffering from Venereal Diseases.
    Occupations.Number.Occupations.Number.
  • Page 29
    Table showing Occupations followed by 442 Females known to be suffering from Venereal Diseases.
    Occupations.Number.Occupations.Number.
  • Page 30
    SUMMARY OF MONTHLY OBSERVATIONS AND REPORTS DURING THE YEAR 1921.
    Month of the Year 1921.Place.3456789101112
    Rainfall in millimetres.Metric tons of deposit per square kilometre during month.
    Insoluble matter.Soluble matter.Total solids.Included in soluble matter.
    Tar.Carbonaceous other than tar.Ash.Loss on ignition.Ash.Sulphate as (SO3).Chlorine (Cl)Ammonia (NH3).
  • Page 34
    CREMATIONS IN THE UNITED KINGDOM. 37 Years—1885.1921.
    YEAR.Woking*Manchester.Glasgow.Liverpool.Hull.Darlington.Leicester.Golder's GreenBirmingham.Leeds.City of London.Sheffield.Bradford.W. NorwoodNo. of Cremations each year.
  • Page 38
    IMPORTED MEAT FOR THE YEAR 1921.—According to the Board of Trade Returns, the total weights of the various descriptions of frozen and chilled meat imported into the United Kingdom during the past three years, contrasted with 1913 and the values of the 1921 arrivals, were as follows, viz.:—
    From.1913.1919.1920.1921.
    Tons.Tons.Tons.Tons.
  • Page 38
    The following table, compiled from statistics furnished by the Market Superintendent, shows the weights of the various descriptions of foodstuffs handled on Smithfield Market in 1920 and 1921:—
    Source of supply.Beef and Veal.Mutton and Lamb.Ratio of Beef, Veal, Mutton and Lamb to the total of these descriptions.Pork and Bacon.Poultry, Game and other Provisions.Totals.
    Tons.Tons.Tons.Tons.Tons.
    192019211920192119201921192019211920192119201921
  • Page 39
    Analysis of the total quantity of meat imported shows that the inspectors have to deal with meat arriving from many sources, viz.:—
    Mutton. Tons.Lamb. Tons.Beef, frozen. Tons.Beef, chilled. Tons.Offal, TonsTotal. Tons.
  • Page 39
    EXAMINATION OF SOUTH AMERICAN TONGUES.
    Owners.No. of Tongues Examined.Percentage Examined.No. of Tongues Seized.Percentage.
  • Page 39
    TONGUES EXAMINED AT DOCKS AND RELEASED.
  • Page 40
    FOOD PRODUCTS CONDEMNED AT COLD STORES.
    Article.No.How Packed.Origin.Cause for Destruction.TonsCwts.Qrslbs.
  • Page 41
    TUBERCULOUS MEAT SEIZED AT THE CENTRAL MARKETS DURING 1921.
    CarcasesBEEF. Qrs.Pieces.Carcases.PORK. Qrs.Pieces.Carcases.VEAL. Qrs.Pieces.
  • Page 41
    The Leadenhall Market and City Shops have been carefully inspected during the year, and the following table shows the amount and variety of unsound food dealt with:—
  • Page 41
    The following table shows the number of animals slaughtered at Aldgate as compared with 1920:—
    1921.1920.
  • Page 42
    NUMBER OF CARCASES AND QUARTERS SEIZED AND DESTROYED AT ALDGATE.
    Cause of Destruction.BEEF.MUTTON.VEAL.
    Carcases.Quarters.Carcases.Quarters.Carcases.Quarters.
  • Page 42
    RECORD OF ORGANS SEIZED AT ALDGATE FOR THE YEAR 1921.
    Cause for Destruction.OXEN.SHEEP
    Heads.Tongues.Lungs.Hearts.Livers.Stomachs.Spleen.MesenteriesIntestinesKidneys.Heads.Tongues.Lungs.Hearts.Livers.Stomachs.Spleen.Mesenteries.Intestines.Kidneys
  • Page 42
    UNSOUND MEAT.*—The meat, &c., seized during the year by your Inspectors as unfit for food is classified as under:—
    1921.Diseased.Unsound.Unwholesome.Tinned Meat.Tinned Milk.
    First Quartertons.cwts.qrs.lbs.tons.cwts.qrs.lbs.tons.cwts. qrs.lbs.tons.cwtsqrs.lbs.tons.cwts.qrs.lbs.
  • Page 42
    SUMMARY OF UNSOUND FOOD DESTROYED.
    Tons.Cwts.Qrs.lbs
  • Page 43
    *Table showing the average deliveries at the Central Meat Market, and other details for successive quinquennial periods during the past 48 years:—
    Quinquennium.Annual Average General Supply.Seizures by Inspectors.% of Unsound Meat.
    Tons.cwts.qrs.Tons.qrs.cwts.
  • Page 43
    *The sources of origin of the Central Markets Supplies during the past five years are here expressed in terms per cent. of the total annual deliveries.
    British.American.
    Country Killed.Town Killed† Foreign Killed.Home KilledAmerican Killed ‡Australian and New Zealand.
    Per cent.Per cent.Per cent.Per cent.Per cent.Per cent.
  • Page 43
    Some idea of the amount of the work of your Inspectors of Slaughterhouses and Meat may be obtained from the following figures supplied by the Superintendent of the Market:—
    1917.1918.1919.1920.1921.
    Tons.Tons.Tons.Tons.Tons.
  • Page 43
    Table showing Weight of Meat delivered, and Meat delivered to Contractors as unsound, during each Month of the Years 1920 and 1921.
    Month.Meat delivered at the Market, 1920.Unsound Meat delivered to Contractors, 1920.Meat delivered at the Market, 1921.Unsound Meat delivered to Contractors, 1921.
    Tonscwts.qrs.Tonscwts.qrs.Tonscwts.qrs.Tonscwts.qrs.
  • Page 44
    Table showing Weight of Fish, Delivered, Fish seized as Unsound, and Percentage of Fish Condemned to that Delivered, at or near Billingsgate Market, and on board boats lying off that place, during each month of the year 1921.
    Month.Weight of Fish Delivered.Total.Weight of Fish Condemned.Ratio of Fish Condemned to that Delivered.
    By Land.By Water.
    Tons.Tons.TonsTons.cwts.qrs.Per Cent.
  • Page 44
    Monthly Deliveries of Fish at London Central Markets, Smithfield, 1921.
    Tons.cwts.qrs.
  • Page 44
    Weight of Fish Delivered, Fish seized as Unsound, and percentage of Fish Condemned to that Delivered, at or near Billingsgate Market during 1921 and the five years 1916—1920.
    Year.Weight of Fish Delivered.Total.Weight of Fish Condemned.Ratio of Fish Condemned to that Delivered.
    By Land.By Water.
    Tons.Tons.Tons.Tons.cwts.qrs.
  • Page 48
    SUMMARY OF FOOD DISCHARGED AT CITY WHARVES
    ArticleWhere fromDescription of PackagesTotal Number of PackagesGeneral Range of Weight of Packages
  • Page 49
    Continued from previous page...
    ArticleWhere fromDescription of PackagesTotal Number of PackagesGeneral Range of Weight of Packages
  • Page 50
    As a result of the daily Inspect on of City Wharves 194 loads of unsound bod were removed from these places during the year by the Cleansing Department The material so disposed of comprised:—
    Tonscwtsqrs
  • Page 50
    Samples of each consignment were submitted to chemical analysis with the following results:
    No 1 per centNo 2 per cent
  • Page 52 53
    SALE OF FOOD AND DRUGS ACTS AND THE PUBLIC HEALTH (MILK AND CREAM) REGULATIONS Articles examined during each Quarter of the year 1921
    Articles submitted for AnalysisNo of Samples takenQuarter ending 31st MarchQuarter ending 30th JuneQuarter ending 30th SeptemberQuarter ending 31st DecemberTotal for 1921
    No GenuineNo Adulteratedpercentage of AdulterationNo of Samples takenNo GenuineNo AdulteratedPercentage of AdulterationNo of SamplesNo GenuineNo Adulters tedPercentage of AdulterationNo of Samples takenNo GenuineNo AdulteratedPercentage of adulterationNo of Samples takenNo GenuineNo AdulteratedPercentage of Adulteration
  • Page 54
    SALE OF FOOD AND DRUGS ACTS 1875 TO 1907 RESULTS OF PROSECUTIONS 1921
    SampleNature and Extent of A dulterationResult
  • Page 54
    SUMMARY
    £sd£sd
  • Page 55
    ADMINISTRATIVE ACTION REGARDING SAMPLES NOT REPORTED TO BE GENUINE
    Name of ArticleIdentification No given to the sample in the Quarterly ReportResult of AnalysisIf any legal proceedings were instituted under the Sale of Food & Drugs Acts state result showing fines and costs separatelyIf any legal proceedings were instituted under Acts other than the Sale of Food & Drugs Acts state result showing fines and costs separatelyIf no legal proceedings were instituted state briefly the course adopted in regard to each sampleInformation if any as to previous convictionsRemarks on any point of special interest
  • Page 56
    Continued from previous page...
    Name of ArticleIdentification No given to the sample in the Quarterly ReportResult of AnalysisIf any legal proceedings were instituted under the Sale of Food & Drugs Acts state result showing fines and costs separatelyIf any legal proceedings were instituted under Acts other than the Sale of Food & Drugs Acts state result showing fines and costs separatelyIf no legal proceedings were instituted state briefly the course adopted in regard to each sampleInformation if any as to previous convictionsRemarks on any point of special interest
  • Page 57
    The following is a summary of the results:—
    Number of samples examined for the presence of a PreservativeNumber in which a Preservative was found to be present
  • Page 58
    Since 1904 continuous observation has been kept on the condition of milk arriving at the several railway termini in the City and the following summary sets out the percentage number of samples of milk which have been found to be infected with the tubercle bacillus during each year:—
    19047.7 per cent.191310.4 per cent.
  • Page 60
    TABLE OF BIRTHS AND DEATHS OCCURRING AT THE ARTIZANS' DWELLINGS STONEY LANE HOUNSDITCH DURING THE YEAR 1921
    Name of BlockBirthsMortality from all Causfs at subjoined ages
    MaleFemaleAt all agesUnder 1 year1 and under 55 and under 1515 and under 2525 and under 6565 and upwards
  • Page 60
    BIRTH RATE ARTIZANS' DWELLINGS
  • Page 60
    RECORD OF ATTENDANCES AT THE BATHS ARTIZAN'S DWELLINGS
    MonthSexTotal
    MalesFemales
    ChildrenAdultsChildrenAdults
  • Page 61
    The following table gives the details of this work:—
    Number of Certificates issuedNumber of articles disinfectedFees received by the Corporation
  • Page 61
    NUMBER OF ARTICLES DISINFECTED BODIES RECEIVED AT THE MORTUARY AND INQUESTS HELD AT THE CORONER'S COURT IN THE CITY DURING 1921 COMPARED WITH THE PREVIOUS FIVE YEARS
    YearArticles disinfectedBodies received at the MortuaryInquests held on bodiesInquests held on Fires
  • Page 62
    WEST DISTRICT— Inspector F J Robbins
    MonthPremises InspectedOrders issuedNotices servedImprovements effected
  • Page 63
    MIDDLE DISTRICT— Inspector E J Simmons
    MonthPremises InspectedOrders issuedNotices servedImprovements effected
  • Page 63
    EAST DISTRICT— Inspector W H Ralph
    MonthPremises inspectedOrders issuedNotices servedImprovements effected
  • Page 63
    THE FOREGOING ARE SUMMARISED AS UNDER :—
    DistrictNumber of inspections madeOrders issuedNotices servedImprovements effected
  • Page 64
    Particulars relating to the registered Lodging-houses in the City now on the Register are given in the accompanying table:— REGISTERED LODGING - HOUSES
    DistrictNumber of Houses on RegisterNumber of LodgersNumber of TenementsAverage Number of Persons per TenementCleansing Notices Served
  • Page 64
    In addition to the foregoing, there are eleven blocks of Dwellings let out in tenements, but not placed on the Register for the reason that each holding is " self-contained," it having been decided in a Court of Law that in these circumstances they are not subject to the Bye-laws for houses let in lodgings, or occupied by members of more than one family:—
    Name and situation of Artisans' Block Dwellings.No. of Tenements.No. of Inhabitants.
    One Room.Two Rooms.Three Rooms.Four Rooms.Five Rooms or more.
  • Page 66
    The number of Factories Workshops and Workplaces at present Registered is as follows:—
    Registered PlacesWorkrooms &c in Registered Place
  • Page 66
    The following is a Summary of Inspections of separate workrooms &c during the year:—
    Workshop InspectorsWomen InspectorsTotals
  • Page 67
    The following is a Summary of Inspections of separate workrooms since 1914:-
    Workshop InspectorsWomen InspectorsTotals
  • Page 68
    SUMMARY OF WORK DONE UNDER THE FACTORY AND WORKSHOP ACT, 1901, AND THE PUBLIC HEALTH (LONDON) ACT, 1891, &c., FOR THE YEAR 1921.
    Men Inspectors.Women Inspectors.Totals.
    Special Inspector Gathercole.East District Inspector RnhincnnWest District Inspector Fowler.West District MissEast District Miss V ilkinson.
  • Page 69
    Continued from previous page...
    Men Inspectors.Women InspectorsTotals.
    Special Inspector Gathercole.East District Inspector Robinson.West District Inspector Fowler.West District MissEast District M iss Wilkinson.
  • Page 70
    The following figures show the number of Outworkers notified since 1902:—
    YearNumber of Lists receivedOutworkers Employed in CitvOutworkers Employed outside CityTotal number of Outworkers
  • Page 79
    1.—INSPECTION OF FACTORIES, WORKSHOPS AND WORKPLACES. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.
  • Page 79
    2.—DEFECTS FOUND IN FACTORIES, WORKSHOPS AND WORKPLACES.
  • Page 80 81
    3.-HOME WORK.
    NATURE OF WORK.*OUTWORK' LIST, SECTION 107.OUTWORK IN UNWHOLESOME PREMISES, SECTION 108.OUTWORK' IN INFECTED PREMISES, SECTIONS 109, 110.
    Lists received from Employers.Notices served on occupiers as to keeping or sending Lists.Prosecutions.Instances.Notices served.Prosecutions.Instances.Orders made (S: 110).Prosecutions (Sections 109, 110).
    Sending twice in the year.Sending once in the yeanFailing to keep or permit inspection of lists.Failing to send lists.
    Lists.†Outworkers,†Lists.Outworkers.
    Contractors.Workmen.Contractors.Workmen.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 80 81
    4—REGISTERED WORKSHOPS.
  • Page 80 81
    5.—OTHER MATTERS.
  • Page 88
    APPENDIX A.-STREET LISTS OF MORTALITY.
    STREET OR PLACE.No. of HouseSex.Age.Date of Death.Cause of Death.Remarks
  • Page 89
    STREET LISTS OF MORTALITY— continued.
    STREET OR PLACE.No. of HouseSex.Age.Date of Death.Cause of Death.Remarks.
  • Page 90
    STREET LISTS OF MORTALITY—continued.
    STREET OR PLACE.No. of HouseSex.Age.Date of Death.Cause of Death.Remarks.
  • Page 91
    STREET LISTS.—Compiled from Notifications received.
    Street or Place.No. of House.Sex.Age.Disease.Date of Notification.
  • Page 92
    STREET LISTS.—Compiled from Notifications received.—continued.
    Street or Place.No. of House.Sex.Age.Disease.Date of Notification.
  • Page 93
    APPENDIX C.—REGISTER OF HOUSES LET IN LODGINGS OR OCCUPIED BY MEMBERS OF MORE THAN ONE FAMILY.
    WEST DISTRICT.
    Situation of Premises.Name and Address of Landlord.Tenements.Lodgers
  • Page 94
    WEST DISTRICT—continued.
    Situation of Premises.Name and Address of Landlord.Tenements.Lodgers.
  • Page 95
    EAST DISTRICT—continued.
    Situation of Premises.Name and Address of Landlord.Tenements.Lodgers.