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City of London 1929

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

Published
1930
Pages
96
Tables
83

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83 tables in this report

  • Page -
    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.City Census.
    Night Population.Day Population.
  • Page 8
    PERCENTAGE OF REGISTERED DEATHS FROM VIOLENCE.
    Year.City of London. Per cent.Metropolis. Per cent.
  • Page 8
    DEATH RATES, PER 1,000 PER ANNUM.
    Year.City of London.107 Great Towns of England and Wales.Metropolis.
  • Page 9
    causes of, and ages at, death during the year 1929.
    Causes of Death.Nett Deaths at the sijbjoinf.d ages of "Residents" whether occurring within or without the district.Total Deaths whether of "Residents" or "Non-Residents " in Institutions in the District.
    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 years.45 and under 65 years.65 and under 75 years.75 and up-wards.
    1.2.3.4.5.6.7.8.9.10.1112.
    All Causes.1505....12314583433607
  • Page 10
    Name of District: CITY OF LONDON.
    Year.Poputation 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 int the District.Under 1 year of Age.At all Ages.
    Number.Rate.Number.Rate per 1,000 nett Births.Number.Rate.
    12345678910111213
  • Page 10
    VACCINATION STATISTICS IN THE CITY OF LONDON.
    Year.Number of Births notified to Vaccina-tion Officer.Successfully Vaccinated.Insus-ceptible.Had Small-pox.Died before Vaccination.Vaccination postponed.Cases pending or removed at the end of the year.Consci-entious objec-tions.
  • Page 12
    STATISTICS OF NOTIFICATIONS AND REMOVALS TO HOSPITAL.
    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 12
    In no case was it necessary to apply for an order for compulsory removal to hospital.
    Year.Number of cases reported.Per cent. of cases reported.
    Removed to Hospital.Treated at home.
  • Page 13
    NUMBER of CASES NOTIFIED.
    DISEASES.At Ages—Years.No. of Cases Re-moved toHos- pital. •
    At all ages.Under 1 year.1 year and under 2 years.2 years and under 3 years.3 years and under 4 years.4 years and under 5 years.5 years and under 10 years.10 years and under 15 years.15 years and under 20 years.20 years and under 35 years.35 years and under 45 years.45 years and under 65 years.65 years and over.
  • Page 15
    Patients Referred to the Hospital. —The following is the summary of patients referred to the various departments of St. Bartholomew's Hospital for help in diagnosis or treatment:—
    Referred to X-Ray DepartmentResident.Non-Resident.Total.
  • Page 16
    Examination of Sputum. —The following is a summary:—
    City Residents.Non-Residents.Total.
  • Page 17
    The following table sets out the number of cases both of Pulmonary and Non-Pulmonary Tuberculosis, which were brought to my notice during the year 1929, and also the total number of deaths from Tuberculosis among City residents during the same period:—
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
  • Page 18
    RETURN SHOWING THE WORK OF THE DISPENSARY DURING THE YEAR 1929. CITY RESIDENTS.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
  • Page 18
    NON-RESIDENTS.
    Diagnosis.Pulmonary.Non-Pulmonary.Total.
    Adults.Children.Adults.Children.Adults.Children.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 19
    A.—PULMONARY TUBERCULOSIS.
    Condition at the time of the last record made during the year to which the Return relates.Previous to 1926.1926.1927.1928.1929.
    Class T.B. minus. 1Class T.B. plus.Class T.B. minus.Class T.B. plus.Class T.B. minus.Class T.B. plus.Class T.B. minus.Class T.B. plus.j Class T.B. minus.Class T.B. plus.
    Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus)Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).
  • Page 19
    B.—NON-PULMONARY TUBERCULOSIS.
    Condition at the time of the last record made during the year to which the Return relates.Previous to 1926.1926.1927.1928.1929.
    Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.
  • Page 20
    Summary of Notifications during the period from the 1st January to the 28th December, 1929, in the City of London;
    AGE-PERIODSNumber of Primary Notifications.*Total Notifications on Form ANumber of Primary Notifications.*Total Notifications on Form B.Poor Law Institutions.sanatoria.
    0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwardsTotal Primary Notifications.Under 55 to 1010 to 15Total Primary Notifications.
  • Page 21
    New cases of Tuberculosis which have come to the knowledge of the Medical Officer of Health or Chief (Administrative) Tuberculosis Officer during the period from 1st January, 1929, to 28th December, 1929, otherwise than by notification on Form A or Form B.
    Age Periods.0 to 11 to 5 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwards.Total Cases.
  • Page 21
    The source or sources from which information as to the above-mentioned case was obtained is stated below:—
    Source of Information.No. of Cases.
    Pulmonary.Non-pulmonary.
  • Page 21
    Number of cases of Tuberculosis remaining on the Register of Notifications on 31st December, 1929:—
    PULMONARY.NON-PULMONARY.
    Males.Females.Total.Males.Females.Total.Total Cases.
  • Page 22
    The following tabulation indicates the number of patients coming under treatment for the first time from the Counties stated, and also the examinations which were made for the detection of Spirochetes, of Gonococci and for the W'assermann or Sigma test in respect of these patients:—
    For Syphilis.No. of patients treated. For Gonorrhoea. For Non-Venereal Conditions.For Spirochetes.Examinations. For Wassermann or For Gonococci. Sigma Test. For Non-Venereal Reactions. Conditions.
  • Page 23
    RETURN RELATING TO ALL PERSONS WHO WERE TREATED AT THE TREATMENT CENTRE AT ST. BARTHOLOMEW'S HOSPITAL TREATMENT CENTRE, 20, GOLDEN LANE, E.C.1, DURING THE YEAR ENDED THE 31st DECEMBER, 1929
    Syphilis.Soft Chancre.Gonorrhoea.Conditions other than Venereal.Total
    MalesFemalesMalesFemalesMalesFemalesMalesFemalesMalesFemales
  • Page 24
    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 else-where than in England and Wales) to be inserted in these headings.London.Essex.Kent.Sussex.Herts.Surrey.Total.
  • Page 28
    SUMMARY OF MONTHLY OBSERVATIONS AND REPORTS DURING THE YEAR 1929.
    Month of the Year 1929.Place.3456789101112
    Rainfall mm.Metric tons per square kilometre.
    Insoluble matter.Soluble matter.Total solids.Included in soluble matter.
    Tar.Carbonaceous other than tar.Ash.Loss on ignition.Ash.Sulphates (S0a).Chlorine (CI).Ammonia (NH3).
  • Page 29
    CREMATIONS IN THE UNITED KINGDOM. 45 Y EARS —1885-1929.
    YEAR.Woking.*ManchesterGlasgow.Liverpool.Hull.Darlington.Leicester.Golder's Green.Birmingham.Leeds.City of London.Sheffield.Bradford.W. Norwood.Hendon Park.Pontypridd.Bristol.Ipswich.Edinburgh. (Opened 3/10/29).No. of Cremations each year.
  • Page 30
    The following is a copy of Sir Frederick Andrewes' report:— MILK SAMPLES FROM CITY TAKEN SEPTEMBER, 1929.
    No. of Sample.DIRT.Date of inoculation of guinea pig.Date of Death.P.M. findings.Result qua tubercle.
  • Page 31
    Continude from previous page...
    No. ofSampleDate of inoculation ot DIRT. guinea pig.Date of Death.P.M. findings.Result qua tubercle.
  • Page 32
    The following summary for the purposes of comparison is inserted, and indicates the results obtained in the series of examination of milks on arrival in the City since 1904:—
    Year.Percentage showing Tuberculous Infection.Year.Percentage showing Tuberculous Infection.
  • Page 34
    The highest amount of fat contained in any sample was 5.6 per cent. The average percentage of fat was 3.4.
    Percentage of Fat.No. of Samples.Percentage of Fat.No. of Samples.
  • Page 36 37
    ADMINISTRATIVE ACTION REGARDING ADULTERATION OR OTHER IRREGULARITY.
    Serial No.Article.Whether Formal or Informal.Nature ot Adulteration or Irregularity.Observations.Results of Proceedings or other Action taken.
  • Page 38 39
    ADMINISTRATIVE ACTION REGARDING ADULTERATION OR OTHER IRREGULARITY— continued.
    Serial No.Article.Whether Formal or Informal.Nature of Adulteration or Irregularity.Observations.Results of Proceedings or other Action taken.
  • Page 40
    Formal and Informal Samples Submitted for Analysis.
    Article.Number Examined.Number Adulterated, etc.Percentage of Adulteration.
    Formal.Informal.Total.Formal.Informal.Total.Formal.Informal.Total.
  • Page 41
    Formal and Informal Samples Submitted for Analysis.
    Article.Number Examined.Number Adulterated, etc.Percentage of Adulteration.
    Formal.Informal.Total.Formal.Informal.Total.Formal.Informal.Total.
  • Page 42
    Formal and I nformal S amples S ubmitted for A nalysis.
    Article.Number Examined.Number Adulterated, etc.Percentage of Adulteration.
    Formal.Informal.TotalFormal.Informal.Total.Formal.Informal.Total.
  • Page 42
    FOOD AND DRUGS (ADULTERATION) ACT, 1928, PUBLIC HEALTH (PRESERVATIVES, ETC., IN FOOD) REGULATIONS, PUBLIC HEALTH (CONDENSED MILK) REGULATIONS, 1923 AND 1927, PUBLIC HEALTH (DRIED MILK) REGULATIONS, 1923 AND 1927, AND ARTIFICIAL CREAM ACT, 1929. RESULTS OF PROSECUTIONS.
    Sample.Nature and extent of Adulteration.Result.
  • Page 43
    IMPORTS OF FRESH MEAT AND BACON FOR TWELVE MONTHS, 1929.
    Beef. Cwts.Mutton. Cwts.Pork. Cwts.Bacon. Cwts.
  • Page 43
    LIVE STOCK FOR THE TWELVE MONTHS, 1929.
    Cattle. No.Sheep. No.Pigs. No.
  • Page 44
    *SUPPLIES FOR THE YEAR 1929—465,851 TONS.
    Source of Supply.Beef and Veal.Mutton and Lamb.Pork and Bacon.Poultry and Game.Rabbits.Butter and Cheese.Eggs.Sundries.Totals.Ratio per cent.
  • Page 46
    AMOUNTS OF HOME-KILLED MEAT SEIZED AT SMITHFIELD ON ACCOUNT OF DISEASE, AND THE NATURE OF THE DISEASE.
    CAUSE OF SEIZURE.Carcases of Beef.Quarters of Beef.Carcases of Mutton.Quarters of Mutton.Carcases of Pork.Quarters of Pork.Carcases of Veal.Quarters of Veal.Heads.Tongues.Lungs.Livers.Mesenteries.Plucks.
  • Page 49
    UNSOUND MEAT, Etc., REMOVED FROM COLD STORES.
    Article.No.How Packed.Origin.Cause tor Destruction.Tons.Cwts.Qrs.lbs.
  • Page 50
    SHOWING THE AMOUNT OF VARIOUS FOOD PRODUCTS SURRENDERED TO OR SEIZED BY MEAT INSPECTORS IN THE CITY OF LONDON FOR DISEASED CONDITIONS, 1929.
    Countries.Beef in lbs.Mutton in lbs.Pork in lbs.Veal in lbs.Offal in lbs.Bacon in lbs.
  • Page 51
    SHOWING THE AMOUNT OF VARIOUS FOOD PRODUCTS SURRENDERED TO OR SEIZED BY MEAT INSPECTORS IN THE CITY OF LONDON FOR UNSOUNDNESS, 1929.
    Countries.Beef in lbs.Mutton in lbs.Pork in lbs.Veal in lbs.Venison in lbs.Offal in lbs.GameBacon in lbs.Cheese in lbs.TinnedFish in lbs.
    Furred.Feathered.Milk.Meat.
  • Page 51
    SUMMARY OF UNSOUND FOOD DESTROYED.
    Tons.cwts.qrs.lbs.
  • Page 51
    *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. Per cent.Town Killed. Per cent.†Foreign Killed. Per cent.Home Killed. Per cent.American Killed.‡ Per cent.Australian and New Zealand. Per cent.
  • Page 51
    The following figures supplied by the Superintendent of the Market are of interest :—
    1925.1926.1927.1928.1929.
    Tons.Tons.Tons.Tons.Tons.
  • Page 52
    Table showing Weight of Meat delivered, and Meat delivered to Contractors as unsound, during each Month of the Years 1928 and 1929.
    Month.Meat delivered at the Market, 1928.Unsound Meat delivered to Contractors, 1928.Meat delivered at the Market, 1929.Unsound Meat delivered to Contractors, 1929.
    Tons.cwts.qrs.Tons.cwts.qrs.Tons.c.wts.qrs.Tons.cwts.qrs.
  • Page 52
    CENTRAL MARKETS, SMITHFIELD. *Table showing the average deliveries at the Central Meat Market, and other details for successive quinquennial periods during the past 56 years :—
    Quinquennium.Annual Average General Supply.Seizures by Inspectors% of Unsound Meat.
  • Page 53
    MONTHLY FISH RETURNS. * 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 1929.
    Month.Weight of Fish Delivered.Total.Weight of Fish Condemned.Ratio of Fish Condemned to that Delivered.
    By Land.By Water.
    Tons.cwts.qrs.Tons.cwts.qrs.Tons.cwts.qrs.Tons.cwtsqrs.
  • Page 53
    Weight of Fish Delivered, Fish seized as Unsound, and percentage of Fish Condemned to that Delivered, at or near Billingsgate Market during 1929 and the five years 1924—1928.
    Year.Weight of Fish Delivered.Total.Weight of Fish Condemned.Ratio of Fish Condemned to that Delivered.
    By Land.By Water.
  • Page 59
    TABLE OF BIRTHS AND DEATHS OCCURRING AT THE ARTIZANS' DWELLINGS, STONEY LANE, HOUNDSDITCH, BEARSTED HOUSE, HUTCHISON STREET, AND DUTTON HOUSE, NEW STREET, DURING THE YEAR 1929.
    Name of Block.Births.Mortality from all Causes at subjoined ages.
    Males.Females.At all ages.Under 1 year.1 and under 55 and under 1515 and under 2525 and under 6565 and upwards.
  • Page 59
    RECORD OF ATTENDANCES AT THE BATHS, ARTIZANS DWELLINGS.
    Month.Sex.Total.
    Males.Females.
    Children.Adults.Children.Adults.
  • Page 59
    SANITARY INSPECTIONS. The following is a statement of the work of the Sanitary Inspectors in their several Districts during each month of the year :— WEST DISTRICT—Inspector F. J. Robbins.
    Month.Premises Inspected.Orders issued.Notices served.Improvements effected.
  • Page 60
    MIDDLE DISTRICT—Inspector G. H. Fowler.
    Month.Premises Inspected.Orders issued.Notices served.Improvements effected.
  • Page 60
    EAST DISTRICT—Inspector W. H. Ralph.
    Month.Premises Inspected.Orders issued.Notices served.Improvements effected.
  • Page 60
    THE FOREGOING ARE SUMMARISED AS UNDER :—
    District.Number of Inspections made.Orders issued.Notices served.Improvements effected.
  • Page 65
    The number of Factories, Workshops and Workplaces at present Registered is as follows:—
    Registered Places.Workrooms, &c., in Registered Places.
  • Page 65
    The following is a Summary of Inspections of separate workrooms, &c., during the year:—
    Workshop Inspectors.Woman Inspector.Totals.
  • Page 65
    The following is a Summary of Inspections of separate workrooms, since 1919:— FACTORIES.
    Workshop Inspectors.Woman Inspector.Totals.
  • Page 66
    Continued from previous page...
    Workshop Inspectors.Woman Inspector.Totals.
  • Page 66
    The following figures show the number of Outworkers notified since 1902 :—
    Year.Number of Lists received.Outworkers Employed in City.Outworkers Employed outside CityTotal number of Outworkers.
  • Page 67
    SUMMARY OF WORK DONE UNDER THE FACTORY AND WORKSHOP ACT, 1901, AND THE PUBLIC HEALTH (LONDON) ACT, 1891, &c.
    INSPECTIONS.East District.Middle District.West District.Totals.
  • Page 67
    SUMMARY OF WORK DONE UNDER THE FACTORY AND WORKSHOP ACT, 1901, AND THE PUBLIC HEALTH (LONDON) ACT, 1891, &c.
    DEFECTS FOUND.FACTORIES, WORKSHOPS, WORKPLACES.KITCHENS OF RESTAURANTS, &c.KITCHENS OF LICENSED PREMISES.
    East District.Middle District.West District.East District.Middle District.West District.East District.Middle District.West District.Totals.
  • Page 68
    Continued from previous page...
    DEFECTS REMEDIED.FACTORIES, WORKSHOPS, WORKPLACES.KITCHENS OF RESTAURANTS, &C.KITCHENS OF LICENSED PREMISES.
    East District.Middle District.West District.East District.Middle District.West District.East District.Middle District.West District.Totals.
  • Page 68
    SUMMARY OF WORK DONE UNDER THE FACTORY AND WORKSHOP ACT, 1901, AND THE PUBLIC HEALTH (LONDON) ACT, 1891, &c.
    ACTION TAKEN.East DistrictMiddle District.West District.Totals.
  • Page 68
    OUTWORK AND THE INSPECTION OF OUTWORKERS' PREMISES, &c.
  • Page 70
    Including Inspections made by Sanitary Inspectors.
    Premises.Number of
    (1)Inspections. (2)Written Notices. (3)Occupiers Prosecuted. (4)
  • Page 70
    2.— Defects Found in Factories, Workshops and Workplaces.
    Particulars.Number of Defects.Number of offences in respect to which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspectors.
    (1)(2)(3)(4)(5)
  • Page 71
    3.— Home Work.
    NATURE OF WORK.*OUTWORKERS' LISTS, 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 yearSending once in the year.Failing to keep or permit inspection of lists.Failing to send lists.
    (1)Lists†Outworkers.†Lists.Outworkers.
    Contractors.Workmen.Contractors.Workmen.
    (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 72
    4.— Registered Workshops.
    Workshops on the Register (S. 131) at the end of the year.Number.
    (1)(2)
  • Page 72
    5.— Other Matters.
    Class. (1)Number. (2)
  • Page 73
    CITY MORTUARY.
  • Page 73
    The following tabulation shows the work carried out at the Mortuary and Coroner's Court during the past five years :—
    Year.Articles disinfected.Bodies received at the Mortuary.Inquests held on bodies.Inquests held on Fires.
  • Page 73
    The following table gives the details of the work of disinfection carried out at the Disinfecting Station during the year in connection with the export trade :—
    Number of Certificates issued.Number of articles disinfected.Fees received by the Corporation.
  • Page 76
    RATS AND MICE (DESTRUCTION) ACT, 1919. Summary Showing Investigations and Inspections Made and Details of Work Carried Out under the Above Act, for the Year ended December 31st, 1929.
    Months.No. of Buildings Inspected.Average No. of Firms in building.No. of premises Rat Infested.Total No. of Firms interested.Steps taken to destroy Rats.Rat ProofingDrainage and Sewerage Work carried out during the year.Special Observations.
    Rat-Catcher Employed.Poison Used.Wire Traps.Breakbacks.Varnish Traps.Other Traps.Cats or Dogs kept.Rat-holes stopped, &c.By City Engineer's Department.By M.O.H. Department.Complaints or Applications for Advice.
  • Page 80
    APPENDIX A.—STREET LISTS OF MORTALITY.
    STREET OR PLACE.No. of House.Sex.Age.Date of Death.Cause of Death.Remarks.
  • Page 81
    STREET LISTS OF MORTALITY–continued.
    STREET OR PLACE.No of House.Sex.Age.Date of Death.Cause of Death.Remarks
  • Page 82
    STREET LISTS OF MORTALITY— continued.
    STREET OR PLACE.No. of HouseSex.Age.Date of Death.Cause of Death.Remarks.
  • Page 83
    STREET LISTS OF MORTALITY— continued.
    STREET OR PLACE.No. of HouseSex.Age.Date of Death.Cause of Death.Remarks.
  • Page 84
    STREET LISTS OF MORTALITY— continued.
    STREET OR PLACE.No. of HouseSex.Age.Date of Death.Cause of Death.Remarks.
  • Page 85
    STREET LISTS.—COMPILED FROM NOTIFICATIONS RECEIVED.
    Street or Place.No. of House.Sex.Age.Disease.Date of Notification.
  • Page 86
    list of cases of infectious disease other than tuberculosis, 1929. street lists.—compiled from notifications received —continued.
    Street or Place.No. of House.Sex.Age.Disease.Date of Notification.
  • Page 87
    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 Owner or Tenant.Tenements.Lodgers.
  • Page 88
    EAST DISTRICT.
    Situation of Premises.Name and Address of Owner or Tenant.TenemnetsLodgers.