[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]

Page 8

The following is a statement showing the total receipts at each of the conveniences for the year ended March, 1927, and the amount of increase or decrease as compared with the previous year.

	1927			1926			Decrease			Increase
	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.

Page 11

The total inspections made by each inspector, and the number of nuisances of various kinds detected and remedied, are set out in the following table:—

	Districts.
	No. 1	No. 2	No. 3	No. 4	No. 5	No. 6	Borough

Page 12

amount of information with regard to registration, inspection, etc. Underground rooms and underground sleeping rooms, though controlled, the former under the Public Health (London) Act, 1891, and the latter under special regulations made by the Council in 1910, are not registered.

	Number of places				Number . of inspections 1926	Number °fnotices 1926	Number of prosecutions. 1926
	On register at end of 192f	Added in 1926	[ Removed in 1926	On register at end of 1926	Number . of inspections 1926	Number °fnotices 1926	Number of prosecutions. 1926

Page 14

1.— INSPECTION.

Premises	Number of
Premises	Inspection.	Written Notice.	Prosecutions
(1)	(2)	(3)	(4)

Page 14

2.-DEFECTS FOUND.

Particulars		Numb r of Defects			Number of Prosecutions
Particulars		Found	Remedied	Referred to H.M Inspector	Number of Prosecutions
(1)		(2)	(3)	(4)	(5)

Page 15

3.—HOME WORK.

OUTWORKERS' LISTS, SECTION 107.										OUTWORK IN UNWHOLESOME PREMISES, SECTION 108.			OUTWORK IN INFECTED PREMISES, SECTIONS 109,110
NATURE OF WORK.	Lists received from Employes						Notices served on Occ piers as to keeping or sending lists.	Pro ecmions.		Instances.	Notices served.	Prosecutions.	Instances.	Orders made (S 110)	Prosecutions (Sections 109, 110)
	Sending twice in the year.			Sending once in the year.				Failing to keep or permit inspection of lists.	Failing to send lists.
	Lists.	Outworkers.		Lists.	Outworkers.
	Lists.	Contractors.	Workmen.	Lists.	Contractors.	Workmen.
(1)	(2)	(3)	(4)	15)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	115)	(16)

Page 16

4.—REGISTERED WORKSHOPS.

Workshops on the Register (s. 131) at the end of the year	Number
(1)	(2)

Page 16

5.—OTHER MATTERS.

Class		Number
(1)		(2)

Page 17

Situation, etc., of Licensed Common Lodging Houses.

Address.	Registered Owner.	Registered number of Occupants.

Page 18

The quarterly returns as to milk samples are tabulated below:—

Quarter of the Year.	No. of Samples Taken.	No. of Samples Adulterated.	Percentage Adulterated.	No. of Prosecutions Instituted.	Fines and Costs.

Page 22

The following Tables and Report from the Public Analyst, Mr. J. F. F. Rowland, give full information with regard to samples submitted to and examined by him:—

Articles submitted for Analysis.	State whether the sample was submitted to the Analyst by an Officer acting under direction of a Local Authority, under Section 13 of Act, and, if so, the name of such Authority.	Result of Analysis ; showing whether the sample was Genuine or Adulterated, and, if Adulterated, what were the nature and extent of the Adulteration.	The sum paid in respect of the Analysis.	Observations.

Page 23

Continued from previous page...

Articles submitted for Analysis.	State whether the sample was submitted to the Analyst by an Officer acting under direction of a Local Authority, under Section 13 of Act, and, if so, the name ot such Authority.	Result of Analysis; showing whether the sample was Genuine or Adulterated, and, if Adulterated, what were the nature and extent of the Adulteration.	The sum paid in respect of tbe Analysis.	Observations.

Page 24

Continued from previous page...

Articles submitted for Analysis.	State whether the sample was submitted to the Analyst by an Officer acting under direction of a Local Authority, under Section 13 of Act, and. if so, the name of such Authority.	Result of Analysis; showing whether the sample was Genuine or Adulterated, and, if Adulterated, what were the nature and extent of the Adulteration.	The sum paid in respect of the Analysis	Observations.

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Continued from previous page...

Articles submitted lor Analysis.	State whether the amp e was submitted to the Analyst by an Officer acting under direction of a Local Authority, under Section 13 of Act, and, if so, the name of such Authority.	Result of Analysis; showing whether the sample was Genuine or Adulterated, and, if Adulterated, what were the nature and extent of the Adulteration.	The sum paid in respect of the Analysis.	Observations.

Page 26

The number of samples taken under the Sale of Food and Drugs Acts and submitted to analysis, was 1,103; an increase as compared with the samples for 1925. the number for that year being 1,040. A complete list is as follows :

No.	Article.	Genuine.	Adulterated.	Unfit for Consumption.	Total.

Page 29

The following short table shows the death rates in the several registration sub.districts in 1926, and compares them with those of the preceding 5 years :—

	1921	1922	1923	1924	1925	1928

Page 29

A further table giving the vital statistics of separate localities for 1926 and the ten preceding years will be found amongst the Ministry of Health Tables on page 64.

Sub-District.	Population estimated to middle of 1926.	Births.			Deaths.
Sub-District.	Population estimated to middle of 1926.	Males.	Females.	Total.	Males.	Females.	Total.

Page 29

The following table shows the number of deaths that took place amongst infants under 1 year and adults of 65 years and upwards in each of the four quarters of 1926. 1926.

	January. March	April. June	July. September	October. December	Total

Page 30

Christ Church, which always contributes most largely to the infantile as to most of the other mortality rates, being the most thickly populated area and that in which there is most poverty, most overcrowding and most neglect of ordinary precautions, is again at the head of the list with 53 deaths amongst infants. In 1925 the figure was 56.

Sub-District.	Under 1 week.	1 and under 2 weeks.	2 and under 3 weeks.	3 and under 4 weeks.	4 weeks and under 3 months.	3 and under 6 months.	6 and under 9 months.	9 and under 12 months.	Totals.

Page 31

TABLE I. Infant Mortality. Nett Deaths from Stated Causes at various ages under 1 Year of age, and in Sub-Districts.

No.	CAUSE OF DEATH	Under 1 Week	1 and under 2 Weeks	2 and under 3 Weeks	3 and under 4 Weeks	Total under 1 Month	1 and under 3 Months	3 and under 6 Months	6 and under 9 Months	9 and under 12 Months	Total Deaths under 1 Year	All Souls	St. Mary	Christ Church	St. John	Total

Page 33

TABLE VIII. Deaths from Phthisis and other Tuberculous Diseases.

Year	No. of Deaths	Population	Kale per 1,000 of Population

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Cancer : Ages at Death.

Ages	Under 10	10 and under 20	20 and under 30	30and under 40	40and under50	50and under60	60and under	70 and upward?	Totals-

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Cancer.—Situation of the Disease.

Parts of the body affected.	Males,	Females.	Totals.

Page 35

The cost and rate per 1,000 for each of the past 10 years are shown in the following table :—

Year	Amounts paid to Medical Practitioners			Cost per 1,000 of Population
	£	s.	d.	£	s.	d.

Page 37

following table contains information as to result in each case :—

Name.	Age.	Sex.	Date Notified.	Subsequent progress, i.e., whether recovery complete or partial.

Page 39

during 1926. During the year in certain of the schools, one or more classrooms were closed on account of measles.

SCHOOLS	Scarlet Fever	Diphtheria	Whooping Cough	Chicken-pox	Measles	All other Diseases

Page 39

1st October of that year. The following table gives information with regard to the 7 cases notified.

Page 41

PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the period from the 3rd January, 1926, to the 1st January, 1927. METROPOLITAN BOROUGH OF ST. MARYLEBONE.

	Notifications on Form A.													Notifications on Form B					Notifications on Form C.
	Number of Primary Notifications.												Total Notifications on Form A.	No, of Primary Notifications.				Total Notifications on Form 13.	Poor Law Institu tions.	Sanatoria
Age Periods.	0 to 1	1 to 5	5 to 10	10 to 15	15 to 20	20 to 25	25 to 35	35 to 45	45 to 65	55 to 65	65 and upwards.	Total Primary Notifications	Total Notifications on Form A.	Under 5	5 to 10	10 to 15	Total Primary Notifications.	Total Notifications on Form 13.	Poor Law Institu tions.	Sanatoria

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METROPOLITAN BOROUGH OF ST. MARYLEBONE.

Age Periods	0 to 1	1 to 5	5 to 10	10 to 15	15 to 20	20 to 25	•25 to 35	35 to 45	45 to 55	55 to 65	65 and upwards	Total Cases

Page 46

(a) Pulmonary Tuberculosis. Annual Return showing in summary form the condition of all Patients whose case records are in the possession of the Dispensary at the end of 1926, arranged according to the years in which the patients first came under Public Medical Treatment for pulmonary tuberculosis, and their classification as shown on Form A.

Condition at the time of the last record made during the year to which the Return relates.				1926.
				Class T. B. minus.	Class T. B. plus.
				Class T. B. minus.	Group 1.	Group 2.	Group 3.	Total (Class T.B. plus).

Page 47

Annual Return showing in summary form the condition of all Patients whose case records are in the possession of the Dispensary at the end of 1926, arranged according to the years in which the Patients first came under Public Medical Treatment, and their classification as shown on Form A.

Condition at the time o£ ttie last record made during the year to which the Return relates.				1926.
				Bones and Joints.	Abdominal.	Other Organs.	Peripheral Glands.	Total.

Page 48

I.—PARTICULARS OF WORK CARRIED OUT IN CONNECTION WITH THE DISPENSARY.

Name of Dispensary.	Name of Dispensary Medical Officer.	Date of Approval of Appointment by Local Government Board.	Days and Hours w hen the Dispensary is open.		Number of Persons including Contacts who were examined for the first time during the period from the 1st January, 1926, to the 31st December, 1926, at or in connection with the Dispensary and were:—					Number of Persons diagnosed to be suffering from Tuberculosis who were treated or supervised at or in connection with the Dispensary during the period from 1st January, 19 26 to 31st December, 1926.		Number of Persons who were under treatment, supervision, or observation at or in connection with the Dispensary on the 31st December, 1926.		Number ot Persons referred for diagnosis or treatment tothe Hospital with which the Dispensary is affiliated during the period 1st January, 1926, to 31st December, 1926.
					Diagnosed as suffering from Tuberculosis.	Diagnosed as not suffering from Tuberculosis.	Undiagnosed and remaining under observation.	Total Number Examined.
					Diagnosed as suffering from Tuberculosis.	Diagnosed as not suffering from Tuberculosis.	Undiagnosed and remaining under observation.	Insured	Uninsured'	Insured	Uninsured	Insured	Uninsured	Insured	Uninsured

Page 50

Deaths from Phthisis. Five years— 1922-1926.

Year	Estimated Population	All Ages	Sub-Districts
Year	Estimated Population	All Ages	All Souls	St. Mary	Christ Church	St. John

Page 50

The following table prepared at the request of the Ministry of Health contains information with regard to age and sex distribution that may be found interesting.

Age Periods	NEW CASES				DEATHS
	S Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary
	M.	F.	M.	F.	M.	F.	M.	F.

Page 51

CASES OF TUBERCULOSIS NOTIFIED DURING THE 52 WEEKS ENDING 1 ST JANUARY, 1927.

Localization of Disease.	Cases notified in whole District.								Total cases notified in each Locality.					Number of cases removed to Hospital from each Locality.
	At all Ages.	At ages—year?.							All Souls	St. Mary	Christ Church	St. John	Totals	All Souls	St. Mary	Christ Church	St. John	Total		Cases Isolated at Home
	At all Ages.	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and upwards	All Souls	St. Mary	Christ Church	St. John	Totals	All Souls	St. Mary	Christ Church	St. John	Total		Cases Isolated at Home

Page 52

The number and nature of the articles disinfected are shown hereunder:—

	Compulsorily Notifiable Diseases.	P this .	Measles.	Vermin.	Other causes.	Total.

Page 52

In 1925 the number of articles disinfected was 9,233. The number of journeys made by the disinfecting vans during the year ended December, 1926, was 7:-

Page 52

The number of rooms disinfected and the reasons for carrying out disinfection are stated below:— R easons for D isinfection.

	Compulsorily Notifiable Diseases.	Phthisis.	Measles.	Vermin.	Other causes.	Total.

Page 53

The following table shows the number of Adults and School Children using the Baths provided under the above-mentioned Act each month during the year 1926 and annually since 1910:—

1926	ADULTS			CHILDREN
1926	Males	Females	Total	Males	Females	Total

Page 53

Cleansing Station Attendances , 1910 1926.

Year.	ADULTS			CHILDREN
Year.	Males	Females	Total	Males	Females	Total

Page 54

The work, as formerly, was carried out by Dr. Fouierton, at University College.

	1926.
	Positive.	Negative.	Total.

Page 56

statement showing work at infant consultations and ante-natal clinic centres during the 52 weeks ending 31 st december, 1926.

CENTRE.	No. 24 Hill Road.	No 14 Salisbury Street.	Queen Charlotte's Hospl.	Cosway Street.	No. 30 Mary-lebone Lane.	No. 8 Ogle Mews.	The Middlesex Ilospl-	The Westn. Genl. Dispy.	The Church Army Dispy.

Page 57

Report of Mortuary Keeper. Number of bodies deposited from 1st January to 31st December, 1926.

1926.	Males.	Females.	Total.	For burial only.	For inquests.	Total.	No. of P.M.'s held.	No. of courts held.	No. of Infectious cases.

Page 63

VITAL STATISTICS OF THE BOROUGH OF ST. MARYLEBONE. DURING 1926 AND PREVIOUS YEARS.

Year. 1	Population estimated to Middle of each Year. 2		Births.		Total Deaths Registered in the District.		Transferable Deaths.		Ne[t Deaths belonging to , the District.
			Nett.		Total Deaths Registered in the District.		of Nonresidents registered in the District. 8	of Residents not registered in the District. 9	Under 1 year or Age.		At all Ages.
		Uncorrected No. 3	No. 4	Rate. 5	No. 6	Rate. 7	of Nonresidents registered in the District. 8	of Residents not registered in the District. 9	No. 10	Rate per 1,000 Nett Births. 11	No. 12	Rate 13

Page 64

TABLE I (a). Vital Statistics of Separate Localities in 1926 and the Ten Previous Years.

Names of Localities Year	The Whole Boroogh				All Souls				St. Mary				Christ Church*				St. John*
Names of Localities Year	Population estimated to middle of each year	Births registered	Deaths at all Ages	Deaths under 1 year	Population estimated to middle of each year	Births registered	Deaths at all Ages	Deaths under 1 year	Population estimated to middle of each year	Births registered	Deaths at all Ages	Deaths under 1 year	P opulation estimated to middle of each year	Births registered	Deaths at all Ages	Deaths under 1 year	Populaton estimated to middle of each year	Births registered	Deaths at all Ages	Deaths under 1 year

Page 65

TABLE II. N otifiable D iseases D uring the Y ear 1926.

Disease.	Cases Notified.									Deaths Certified.
Disease.	At all Ages.	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and upwards.	Total No. of Cases Admitted to Hospital.	Total deaths	Under 1	1 to 2	2 to 5	5 to 15	15 to 25	25 to 45	45 to 65	65 and upwards

Page 66

TABLE II. (A). C ases of I nfectious D isease N otified during the 52 weeks ending 1 st J anuary, 1927.

Notifiable Disease.	Cases noti6ed in whole District.								Total cases notified in each locality.					Number of cases removed to Hospital from each locality.					Cases isolated at home.
	At all ages.	At Ages—years.							All Souls.	St. Mary.	Christ Church	s, John.	Totals.	All Souls.	St. Mary.	Christ Church	St. John.	Totals.
	At all ages.	Under 1	1 to 5	5 to 15	15 to 25	25 to 45	45 to 66	65 and upwards	All Souls.	St. Mary.	Christ Church	s, John.	Totals.	All Souls.	St. Mary.	Christ Church	St. John.	Totals.

Page 67

TABLE III.—Causes of, and Ages at Death during the year ending 1st January, 1927.

No.	CAUSES OF DEATH.	Net deaths at ttie subjoined ages ot " Residents " whether occurring within or without the district.									Total Deaths whether of Residents or Non-Residents in Institutions in the District.	All Souls	St Mary.	Christ Church.	St. John	Total.
No.	CAUSES OF DEATH.	All Ages.	Under 1	1 and under 2.	2 and unaer 5.	5 and under 15,	15 and under 25.	25 ana under 45.	45 and under65	05 and upwards.		All Souls	St Mary.	Christ Church.	St. John	Total.

Page 68

Return made to the Board or Guardians and Ministry of Health on the. 9th February, 1927, by Mr. George H. Bassett, Vaccination Officer of the St. Marylebone Parish, respecting the Vaccination of Children whose Births were registered in St. Marylebone, from 1st January to 31st December, 1925, inclusive.

Registration Sub-Districts comprised in the Vaccination Officer's District	Number of Births returned in the "Birth List Sheets" as registered from 1st January to 31st Dec., 1925	Number of these Births duly entered by 31st January, 1927, in Columns I, II, IV and V of the "Vaccination Register" (Birth List Sheets), viz.:					Number of these Births which od 31st January, 1927, remained unentered in the "Vaccination Register ' on account (as shown by Report Book) of			Number of these Births remaining on 31st January, 1927, neither duly entered in the "Vaccination Register" (columns 3, 4. 5, 6 and 7 of this Return) nor tempcrarily accounted for in the "Report Book" (columns 8, 9 and 10 of this Return)	Number of Certificates of Successful Primary Vaccination at ALL AGES received during the calendar year 1926	Number of Statutory Declarations of Conscientious Objection actually received by the Vaccination Officer irrespective of the dates of birth of the children to which they relate during the calendar year 1926
			Col. II.		Col. IV.	Col. V Dead, Unvaccinated	Postponement by Medical Certifi. cate	Removal to Districts,the Vaccination Officer of which has been duly apprised	Removal to Places unknown or which cannot be reached; and Cases not having been found
		Col. I. Successfully Vaccinated	Insus cep-tible of Vaccination	Had Small-Pox	Number in respect of whom Certificates of Conscientious Objection ha\e been received	Col. V Dead, Unvaccinated	Postponement by Medical Certifi. cate

London's Pulse: Medical Officer of Health reports 1848-1972

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Marylebone 1926

49 tables in this report

The following is a statement showing the total receipts at each of the conveniences for the year ended March, 1927, and the amount of increase or decrease as compared with the previous year.

The total inspections made by each inspector, and the number of nuisances of various kinds detected and remedied, are set out in the following table:—

amount of information with regard to registration, inspection, etc. Underground rooms and underground sleeping rooms, though controlled, the former under the Public Health (London) Act, 1891, and the latter under special regulations made by the Council in 1910, are not registered.

1.— INSPECTION.

2.-DEFECTS FOUND.

3.—HOME WORK.

4.—REGISTERED WORKSHOPS.

5.—OTHER MATTERS.

Situation, etc., of Licensed Common Lodging Houses.

The quarterly returns as to milk samples are tabulated below:—

The following Tables and Report from the Public Analyst, Mr. J. F. F. Rowland, give full information with regard to samples submitted to and examined by him:—

Continued from previous page...

Continued from previous page...

Continued from previous page...

The number of samples taken under the Sale of Food and Drugs Acts and submitted to analysis, was 1,103; an increase as compared with the samples for 1925. the number for that year being 1,040. A complete list is as follows :

The following short table shows the death rates in the several registration sub.districts in 1926, and compares them with those of the preceding 5 years :—

A further table giving the vital statistics of separate localities for 1926 and the ten preceding years will be found amongst the Ministry of Health Tables on page 64.

The following table shows the number of deaths that took place amongst infants under 1 year and adults of 65 years and upwards in each of the four quarters of 1926. 1926.

TABLE I. Infant Mortality. Nett Deaths from Stated Causes at various ages under 1 Year of age, and in Sub-Districts.

TABLE VIII. Deaths from Phthisis and other Tuberculous Diseases.

Cancer : Ages at Death.

Cancer.—Situation of the Disease.

The cost and rate per 1,000 for each of the past 10 years are shown in the following table :—

following table contains information as to result in each case :—

during 1926. During the year in certain of the schools, one or more classrooms were closed on account of measles.

1st October of that year. The following table gives information with regard to the 7 cases notified.

PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the period from the 3rd January, 1926, to the 1st January, 1927. METROPOLITAN BOROUGH OF ST. MARYLEBONE.

METROPOLITAN BOROUGH OF ST. MARYLEBONE.

Annual Return showing in summary form the condition of all Patients whose case records are in the possession of the Dispensary at the end of 1926, arranged according to the years in which the Patients first came under Public Medical Treatment, and their classification as shown on Form A.

I.—PARTICULARS OF WORK CARRIED OUT IN CONNECTION WITH THE DISPENSARY.

Deaths from Phthisis. Five years— 1922-1926.

The following table prepared at the request of the Ministry of Health contains information with regard to age and sex distribution that may be found interesting.

CASES OF TUBERCULOSIS NOTIFIED DURING THE 52 WEEKS ENDING 1 ST JANUARY, 1927.

The number and nature of the articles disinfected are shown hereunder:—

In 1925 the number of articles disinfected was 9,233. The number of journeys made by the disinfecting vans during the year ended December, 1926, was 7:-

The number of rooms disinfected and the reasons for carrying out disinfection are stated below:— R easons for D isinfection.

The following table shows the number of Adults and School Children using the Baths provided under the above-mentioned Act each month during the year 1926 and annually since 1910:—

Cleansing Station Attendances , 1910 1926.

The work, as formerly, was carried out by Dr. Fouierton, at University College.

statement showing work at infant consultations and ante-natal clinic centres during the 52 weeks ending 31 st december, 1926.

Report of Mortuary Keeper. Number of bodies deposited from 1st January to 31st December, 1926.

VITAL STATISTICS OF THE BOROUGH OF ST. MARYLEBONE. DURING 1926 AND PREVIOUS YEARS.

TABLE I (a). Vital Statistics of Separate Localities in 1926 and the Ten Previous Years.

TABLE II. N otifiable D iseases D uring the Y ear 1926.

TABLE II. (A). C ases of I nfectious D isease N otified during the 52 weeks ending 1 st J anuary, 1927.

TABLE III.—Causes of, and Ages at Death during the year ending 1st January, 1927.