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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

City of London 1938

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

Published
1939
Pages
170
Tables
92

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92 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 9
    PERCENTAGE OF REGISTERED DEATHS FROM VIOLENCE.
    Year.City of London, Per cent.Metropolis, Per cent.
  • Page 10
    CAUSES OF, AND AGES AT, DEATH DURING THE YEAR 1938.
    Causes of Death.Nett Deaths at the subjoined 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.Jnder year.1 and under 2 years.2 and under 5 years.6 and under 16 years.15 and under 25 years.25 and under 35 years.35 and under 45 years.45 and under 55 years.65 and under 65 years.65 and under 75 years.75 and upwards.
  • Page 11
    Name of District: CITY OF LONDON.
    Births.Total Deaths Registered in the District.Transferable Deaths.Nett Deaths belonging to the District.
    Year.Population estimated to Middle of each Year.Uncorrected number.Nett.
    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.
    Number.Rate per 1,000 nett Births.Number.Rate.
  • Page 11
    VACCINATION STATISTICS IN THE CITY OF LONDON.
    Year.Number of Births notified to Vaccination Officer.Successfully Vaccinated.Insusceptible.Had Small-pox.Died before Vaccination.Vaccination postponed.Cases pending or removed at the end of the year.Conscientious objections.
  • Page 15
    STATISTICS OF NOTIFICATIONS AND REMOVALS TO HOSPITAL.
    NAME OF DISEASE.Number of Notifications received.Treated at HomeRemoved to the L.C.C. Special Hospitals.Removed to the London Fever Hospital.Treated at other Hospitals and Institutions.Duplicate Certificates received.Diagnosis subsequently found to be incorrect.Net nutnbrr of Cases.
  • Page 15
    In no case was it necessary to apply for an order for compulsory removal to hospital.
    Year.Number of actual cases.Per cent. of actual cases reported.
    Removed to Hospital.Treated at home.
  • Page 16
    cases of, infectious disease (exclusive of tuberculosis) notified during the year 1938.
    NUMBER OF ACTUAL CASES NOTIFIED.
    DISEASES.At Ages—Years.No. of Cases Removed 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 6 years.5 years and under 10 yeas.10 years and under 15 years.10 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 18
    During the year 40 specimens were dealt with, and it will be seeij, that positive results were obtained in 14 per cent. of these cases.
    Specimens.Disease Suspected.Result.
    Positive.Negative.
  • Page 19
    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 Wassermann or Serum test in respect of these patients:-
    For Syphilis.No. of patients treated.For Non-Venereal Conditions.
    For Soft Chancre.For Gonorrhœa.
  • Page 19
    The following summary shows the work carried out during each year that the Centre has been in operation.
    Year.New Patients.Total.Total Attendances."606."Bismuth.Mercury.In-Pts.Path.Ex
    Men.Women.
  • Page 20
    RETURN RELATING TO ALL PERSONS WHO WERE TREATED AT THE TREATMENT CENTRE AT ST. BARTHOLOMEW'S HOSPITAL DURING THE YEAR ENDED THE 31st DECEMBER, 1938.
    Syphilis.Soft Chancrc.Gonorrhoea.Conditions other than Venereal.Totals.
    M.F.M.F.M.F-MF.M.F.Totals.
  • Page 21
    Return relating to all persons who were treated at the Treatment Centre at St. Bartholomew's Hospital during'the year ended the 31st December, 1938.—continued.
    Under 1 year.1 and under 6 years.6 and under 16 years.1ft years and over.Totals.
    M.FM.FM.FM.FM.F.
  • Page 21
    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.Herts.Essex.Surrey.Kent.Bucks.Total.
  • Page 22
    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:—
    Resident.Non- Resident.Total.
  • Page 22
    Examination of Sputum.-The following is a summary:—
    City Residents.Non-Residents.Total.
  • Page 22
    Residential Treatment.—The number of patients for whom residential treatment was arranged was 28.
    Admitted to L.C.C. Institutions.Other Institutions.St. Columhas Hospital. Corpa. Expense.St. Joseph's Hospice. Corpa. Expense.Brompton Corpn. Expense.Total.
  • Page 26
    PULMONARY SUPPLEMENTARY ANNUAL RETURN SHOWING IN SUMMARY FORM (A) THE CONDITION AT THE END OF 1938 OF ALL PATIENTS THE TABLE IS ARRANGED ACCORDING TO THE YEARS IN WHICH THE PATIENTS WERE FIRST ENTERED ON THE
    Condition at the time of the last record made during the year to which the Return relates.Previous to 1928.1828.1928.1930.1931.
    Class T.B. minus.Class T.B. plus.Class T.B. minus.Class T.B. plus.Class T.B. minus.Class T.B. plus.1 Class T.B. minus.Class T.B. plus.Class T.B. minus. 1Class 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 26
    NON-PULMONARY SUPPLEMENTARY ANNUAL RETURN SHOWING IN SUMMARY FORM (A) THE CONDITION AT THE END OF 1938 OF ALL PATIENTS
    Condition at the time of the last record made during the year to which the Return relates.Previous to 1028.1928.1929.1930.1931.
    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. 1Abdominal.Other Organs.Peripheral Glands.Total.
  • Page 27
    TUBERCULOSIS. REMAINING ON THE DISPENSARY REGISTER ; AND (B) THE REASONS FOR THE REMOVAL OF ALL CASES WRITTEN OFF THE REGISTER. DISPENSARY REGISTER AS DEFINITE CASES OF PULMONARY TUBERCULOSIS, AND THEIR CLASSIFICATION AT THAT TIME..
    Class T.B.minus.Class 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.Class T.B. minus.Class T.B. plus.Class T.B. minus,Class T.B. plus.Class T.B. minus.Class T.B. plus.
    Group I. 1Group 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).Group 1.Group 2.Group 3.Total (Class T.B. plus).Group 1.Group 2.Group 3.Total (Class T.B. plus).
  • Page 27
    TUBERCULOSIS. REMAINING ON THE DISPENSARY REGISTER; AND (B) THE REASONS FOR THE REMOVAL OF ALL CASES WRITTEN OFF THE REGISTER.
    1933.1933.1934.1935.1936.1937.1938.
    Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints. 1Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joints.Abdominal.Other Organs.Peripheral Glands.Total.Bones and Joint.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 29
    public health (tuberculosis) regulations, 1930. part 1. Summary of Notifications during the period from the 1st January, 1938, to the 31st December, 1938.
    Age PeriodsFormal Notifications.
    Number of Primary Notifications of new cases of Tuberculosis.Total Notifications.
    0-1-5-10-15-20-25-35-45-55-65-Total (all ages).
  • Page 29
    The source or sources from which information as to the above-mentioned cases was obtained should be stated below:—
    Source of Information.No. of Cases.
    Pulmonary.Non-Pulmonary.
  • Page 29
    PART Ml. notification register.
    Pulmonary.Non-Pulmonary.Total Cases.
    Males.Females.Total.Males.FemalesTotal.
  • Page 30
    CREMATIONS IN THE UNITED
    YEAR.Woking.Manchester.Glasgow.Liverpool.Hull.Darlington.Leicester.Colders Green.Birmingham. (Perry Bar).Leeds.City of London.Sheffield.Bradford.W. Norwood.Hendon Park.Pontypridd.Bristol.Ipswich.Edinburgh.Brighton.
  • Page 31
    KINGDOM. 54 YEARS—1885-1938.
    GuernseyNottingham.Reading.Southampton.BirkenheadNewcastle-on-Tyne.Plymouth.Stockport.Blackpool.Dundee.Kent County. (Charing).S. London. (Streatham).Harrogate.Norwich.Croydon.Birmingham. (Lodge Hill).Islington.St. Mary-lebone.Cheltenham.Aberdeen.BournemouthWandsworth.Leeds (Cott-ingley Hall)Enfield.Paisley.Rochdale.Cambridge.No. of Cremations each year.
  • Page 32
    According to the Board of Trade returns, the imports of fresh meat and bacon for the twelve months, 1938, were:—
    BEEF AND VEAL. Cwts.MUTTON AND LAMB. Cwts.PORK. Cwts.BACON. Cwts.
    1938.1937.1938.1937.1938.1937.1938.1937.
  • Page 33
    LONDON CENTRAL MARKET8. Analysis and Comparison of Supplies In Tons.
    Description and Country of Origin.Twelve Month.Difference.
    Beef and Veal:1938.1937.
  • Page 34
    Continued from previous page...
    Description and Country of Origin.Twelve Months.Difference.
    19S8.1937.
  • Page 35
    The following table shows the amount of British diseased meat discovered in the Markets:—
    Disease.GREAT BRITAIN.—1938.
    Beef.Mutton.Pork.Veal.Goat.MesenterleePlucks.Heads.
    Carcases.Quarters.Carcases.Quarters.Carcases.Quarters.Carcases.Quarters.Carcases.Tongues.Lungs.
  • Page 35
    IRELAND. The consignments of food, in tons, received from this country compared with those of 1937 were as follows:—
    Beef and Veal.Mutton and Lamb.Pork and Bacon.Poultry and Game.Rabbits.Eggs.Butter and CheeseSundries.
  • Page 36
    ARGENTINE.
    Beef and Veal.Mutton and Lamb.Pork and Bacon.Poultry and Game.Eggs.Butter.Sundries.
  • Page 36
    The amounts of diseased meat surrendered from this year's consignments are shown in the following table, and the amount of unsound food surrendered on pages 39 and 40.
    Beet Quarters.Lamb and Mutton Carcases.Lamb and Mutton Pieces.Pork Carcases.
    1938.1937.1938.1937.1938.1937.1938.1937.
  • Page 36
    AUSTRALIA.
    Beef and Veal.Mutton and Lamb.Pork.Poultry and Game.Rabbits.Eggs.Butter.Sundries.
  • Page 36
    NEW ZEALAND. The total amount of food, in tons, for 1938 which was deposited in the markets, compared with those of 1937, is shown as follows :—
    Beef and Veal.Mutton and Lamb.Pork.Poultry and Game.Rabbits.Eggs.Butter and Cheese.Sundries.
  • Page 36
    The amount of unsound food discovered in these consignments is given in tables on pages 39 and 40, and the diseased meat figures in the following table :—
    Beef Quarters.Mutton Carcases.Mutton Pieces.Pork Carcases.
    1938.1937.1938.1937.1938.1937.1938.1937.
  • Page 37
    BRAZIL.
    Beef Quarters.Mutton Carcases.Mutton Pieces.
    1038.1937.1938.1937.1938.1937.
  • Page 37
    SOUTH AFRICA AND SOUTHERN RHODESIA.
    Beef and Veal.Mutton and Lamb.Pork and Bacon.Eggs.Butter.
  • Page 37
    The following tables show the amounts of diseased meat from the respective countries:—
    SOUTH AFRICA.SOUTHERN RHODESIA.
    Hindquarters Beef.Hindquarters Beef.
    1938.1937.1938.1937.
  • Page 37
    URUGUAY.
    Beef and Veal.Mutton and Lamb.Pork.Poultry and Game.Eggs.
  • Page 37
    The amount of unsound food is shown in tables on pages 39 and 40, and the diseased is shown in the following table:—
    Beef Quarters.Mutton and Lamb Carcases.
    1938.1937.1938.1997.
  • Page 37
    » CHILE.
    Mutton and Lamb Carcases.Mutton and Lamb Pieces.
    1938.1937.1938.1837.
  • Page 37
    OTHER COUNTRIES.
    Bacon Sides.
  • Page 38
    CASEOUS LYMPHADENITIS.
    Country.1938.1937.1936.1938.1937.1936.
  • Page 38
    LEADENHALL MARKET AND CITY SHOPS.
  • Page 38
    UNSOUND MEAT, ETC., REMOVED FROM THE COLD STORES.
    Article.No.How Packed.Origin.Cause of Destruction.Tons.Cwts.Qrs.Lbs.
  • Page 39
    Unsound Meat, Etc., Removed from the Cold Stores.—continued.
    Article.No.How Packed.Origin*Cause of Destruction.Tons.Cwts.Qrs.Lbs.
  • Page 39
    SHOWING THE AMOUNT OF VARIOUS FOOD PRODUCTS SURRENDERED TO OR SEIZED BY MEAT INSPECTORS IN THE CITY OF LONDON FOR UNSOUND CONDITIONS, 1938.
    Country.Beef in lbs.Mutton & Lamb in lbs.Pork in lbs.Veal in lbs.Venison in lbs.Goat in lbs.Bacon in lbs.Offal in lbs.Furred Game.Feathered Game.Tinned Milk.Tinned Meat.Fish in lbs.Cheese in lbs.
  • Page 40
    SHOWING THE AMOUNT OF VARIOUS FOOD PRODUCTS SURRENDERED TO OR SEIZED BY MEAT INSPECTORS IN THE CITY OF LONDON FOR DISEASED CONDITIONS, 1938.
    Country.Beef in lbs.Mutton and Lamb in lbs.Pork in lbs.Veal in lbs.Bacon in lbs.Offal in lbs.Furred Game in lbs.Poultry and Feathered Game in lbs.
  • Page 40
    PROSECUTIONS UNDER SEC. 180 (2), PUBLIC HEALTH (LONDON) ACT, 1936
    Serial No.Date.Business.Where heard.Before whom.Offence.Result.
  • Page 40
    Table showing Weight of Meat delivered to the market and to the contractors during each month for the years 1937 and 1938 :—
    Month.Meat delivered at the Market, 1937.Unsound Meat delivered to Contractors, 1937.Meat delivered at the Market, 1938.Unsound Meat delivered to Contractors, 1933.
    Tons.cwts.qrs.Tons.cwts.qrs.Tons.cwts.qrs.Tons.cwts.qrs.
  • Page 41
    SUMMARY OF UNSOUND FOOD DESTROYED.
    Tons.Cwts.Qrs.Lbs.
  • Page 41
    Annual Average General Supply.Seizure by Inspectors.% of Unsound Meat.
    Quinquennium.Tonscwts.qrs.Tons.cwts.qrs.
  • Page 41
    The following figures supplied by the Superintendent of the Market are of interest :—
    British.Australian and New Zealand.South African and South Rhodesian.U.S.A.Argentine, etc.Continental.
    Year.Country Killed.Town Killed.Canadian.
  • Page 42
    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 1938.
    Month.Weight of Fish Delivered.Total.Weight of Fish Condemned.Ratio of Fish Condemned to that Delivered.
    By Land.By Water.
  • Page 42
    Weight of Fish Delivered, Fish Seized as Unsound, and percentage of Fish Condemned to that Delivered, at or near Billingsgate Market during 1938 and the five years 1933—1937.
    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.cwt.qrs;
  • Page 44
    SUMMARY OF FOOD DISCHARGED AT CITY WHARVES.
    Article.Description of Packages.Where from.General Range of Weight of Packages.Quantity.
  • Page 45
    Continued from previous page...
    Article.Description of Packages.Where from.General Range of Weight of Packages.Quantity.
  • Page 46
    Continued from previous page...
    Article.Description of Packages.Where fromGeneral Range of Weight of Packages.Quantity.
  • Page 50
    The following table shows the percentage fat-content in each of the 194 samples, the average fat-content being 3.7 per cent.:-
    Percentage of Fat.No. of Samples.Percentage of Fat.No. of Samples.
  • Page 52
    ADMINISTRATIVE ACTION REGARDING
    Serial No.Article.Whether Formal ' or Informal.Nature of Adulteration or Irregularity.
  • Page 54
    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 55
    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 58
    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 1938.
    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 58
    record of attendances at the baths, artizans' dwellings.
    Month.Sex.Total.
    Males.Females.
    Children.Adults.Children.Adults.
  • Page 59
    WEST DISTRICT.—Inspector W. G. C. Neale.
    Month.Premises Inspected.Orders issued.Notices served.Improvements effected.
  • Page 59
    MIDDLE DISTRICT—Inspector G. H. Fowler.
    Month.Premises Inspected.Orders issued.Notices served.Improvements effected.
  • Page 59
    EAST DISTRICT—Inspector G. E. Harrington.
    Month.Premises Inspected.Orders issued.Notices served.Improvements effected.
  • Page 59
    THE FOREGOING ARE SUMMARISED AS UNDER
    District.Number of Inspections made.Orders issued.Notices served.Improvements effected.
  • Page 60
    Particulars relating to the registered Lodging-houses in the City now on the Register are given in the ccompanying table:—
    District.Number of Houses on Register.Number of Lodgers.Number of Tenements.Average Number of persons per Tenement.Cleansing Notices Served.
  • Page 61
    The following table is included in this Report in accordance with the request contained in the letter from the Ministry of Health, dated 25th October, 1938, and relating to contents of annual reports of Medical Officers of Health:—
  • Page 67
    The following is a Summary of Inspections of separate workrooms since 1929:—
    FACTORIES (With Power).Factories Inspectors.Woman Inspector.Totals.
  • Page 68
    SUMMARY OF WORK DONE UNDER THE FACTORIES' ACT, 1937, AND THE PUBLIC HEALTH (LONDON) ACT, 1936, &.C.
    INSPECTIONS.East District.Middle District.West District.Totals.
  • Page 69
    FACTORIES, WORKPLACES.KITCHENS OF RESTAURANTS, &c.KITCHENS OF LICENSED PREMISES.
    DEFECTS REMEDIED.East District.Middle District.West District.East District.Middle District.West District.East District.Middle District.West District.Totals.
  • Page 69
    OUTWORK, AND THE INSPECTION OF OUTWORKERS' PREMISES, &c.
  • Page 70
    WOMAN INSPECTOR.
  • Page 70
    The following figures show the number of Outworkers notified since 1902:—
    Year.N umber of Lists received.Outworkers Employed in City.Outworkers Employed outside City.Total number of Outworkers.
  • Page 70
    (Note.—First Notice issued to all employers at the end of 1904.)
  • Page 71
    FACTORIES ACT, 1937. FACTORIES, WORKPLACES AND HOMEWORK. 1.—Inspection of Factories and Workplaces. Including Inspections made by Sanitary Inspectors.
    Premises.Number of
    (1)Inspections. (2)Written Notices. (3)Occupiers Prosecuted. (4)
  • Page 71
    2.—Defects Found in Factories and Workplaces.
  • Page 72
    3.—Home Work.
  • Page 73
    4.—Registered Factories.
    Factories on the Register (S. 8) at the end of the year, (1)Number. (2)
  • Page 73
    5.—Other Matters.
    Class.N umber.
    (1)(2)
  • Page 74
    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.Post-Mortem Examinations.Inquests held on Fires.
  • Page 76
    RATS AND MICE (DESTRUCTION) ACT, 1919. Details of Work Carried Out under the above Act for the Year.
    Month.Initial Inspections.Number of Buildings found to be Infested.Number of cases of Black Rat Infestation.Number of cases of Brown Rat Infestation.Methods Employed to Destroy Rats.Drainage and Sewerage carried out during the year.
    Rat Catcher Employed.Poison Used.Traps.By City Engineer's Department.By M.O.H. Department.
  • Page 80
    APPENDIX A.—STREET LISTS OF MORTALITY.
    STREET OR PLACE.No. of HouseSex.Age.Date of Death.Cause of Death.Remarks.
  • Page 81
    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.—COMPILED FROM NOTIFICATIONS RECEIVED.
    Street or Place.No. of House.Sex.Age.Disease.Date of Notification.
  • Page 85
    STREET LISTS.—COMPILED FROM NOTIFICATIONS RECEIVE D—continued.
    Street or Place.No. of House.Sex.Age.Disease.Date of Notification.
  • Page 86
    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 86
    MIDDLE DISTRICT. Nil. EAST DISTRICT.
    Situation of Premises.Name and Address of Owner or Tenant. . Tenements.Lodgers.