[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, 1928, and the amount of increase or decrease as compared with the previous year.

	1927			1928			Increase			Decrease
	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.

Page 11

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

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

Page 12

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 premises				Number of inspections 1927	Number of notices 1927	Number of prosecutions, 1927
	On register at end of 1926	Added in 1927	Removed in 1927	On register at end of 1927	Number of inspections 1927	Number of notices 1927	Number of prosecutions, 1927

Page 14

1.—INSPECTION.

Premises (1)		Number of
Premises (1)	Inspections (2)	Written Notices (3)	Prosecutions (4)

Page 14

2,—DEFECTS FOUND.

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

Page 15

3.—HOME 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 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.
(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)

Page 16

4 .— REGISTERED WORKSHOPS.

Page 17

S ituation, etc., of L icensed C ommon L odging H ouses.

Address.	Registered Owner.	Kegistered 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

ANNUAL REPORT OF THE PUBLIC ANALYST, 1927. The number of samples taken under the Sale of Food and Drugs Acts and submitted to analysis, was 1,070; a decrease as compared with the samples for 1926, the number for that year being 1,103. Of these 1,070 samples nearly 1 out of every 100 was an adulterated sample, the exact percentage being 0.934. A complete list is as follows :

ANALYSES
		Number Examined				Number Adulterated, etc.
No.	Article	Formal	Informal	Private	Total	Formal	Informal	Private	Total

Page 23

Continued from previous page...

ANALYSES
		Number Examined				Number Adulterated, etc.
No.	Article	Formal	Informal	Private	Total	Formal	Informal	Private	Total

Page 23

Adulterated Samples, etc.

Serial Number	Article	Whether Formal, Informal, or Private	Nature of Adulteration or Irregularity	Observations

Page 26

The following short table shows the death rates in the several registration sub-districts in 1927, and compares them with those of the preceding 5 years:—

	1922	1923	1924	1925	1926	1927

Page 26

District births and deaths for the year ended 31st December, 1927, are given in the following table. A further table giving the vital statistics of separate localities for 1927 and the ten preceding years will be found amongst the Ministry of Health Tables on page 62.

Sub-District.	Population estimated to middle of 1927.	Births.			Deaths.
Sub-District.	Population estimated to middle of 1927.	Males.	Females.	Total.	Males.	Females.	Total.

Page 26

1927.

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

Page 28

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 31

TABLE VIII. Deaths from Phthisis and other Tuberculous Diseases.

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

Page 31

Cancer:Ages at Death.

Ages	Under 10	10 and under 20	20 and under 30	30 and under 40	40 and under 50	50 and under 60	60 and under 70	70 and upwards	Totals

Page 32

Cancer.—Situation of the Disease.

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

Page 33

Isolation of Cases. —As the following table shows, the number of cases removed was as high as usual. In no case was compulsion necessary in order to ensure removal to hospital:—

Page 33

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

Page 35

For the reason that the disease frequently runs a slow and long course and the sequels are often of a serious and distressing nature, arrangements were made for following up and keeping the patients under observation. The 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 36

Infectious Diseases in Schools. The accompanying table shows the number of cases of measles, whooping cough, chicken-pox and the notifiable infectious diseases reported from Schools during 1927. 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 36

Ophthalmia Neonatorum. The following table gives information with regard to 12 cases of this disease —inflammation of the eyes in newly-born children—notified during the year:-

Notified	Cases Treated		Vision Unimpaired	Vision Impaired	Total Blindness	Deaths
Notified	At Home	At Hospital	Vision Unimpaired	Vision Impaired	Total Blindness	Deaths

Page 38

PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the period from the 2nd January, 1927, to the 31st December, 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 B.	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 55	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 B.	Poor Law Institu tions.	Sanatoria.

Page 39

PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. supplemental return of N ew cases of tuberculosis coming to the knowledge of the M edical O fficer of H ealth or C hief ( A dministrative) T uberculosis O fficer during the period from the 2nd january, 1927, to the 31st december, 1927 otherwise than by notification on form A or form b under the public health (T uberculosis) R egulations, 1912. 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 40

Particulars with regard to patients dealt with during the year are shown in a table at page 41, while the following short table summarises the information as to visits paid by members of the staff:—

Page 42

(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 1927, 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.					1927-
				Class T.B. minus.	Class T.B. plus.				Class T.B. Minus.	Class T.B. Plus.
				Class T.B. minus.	Group 1.	Group 2.	Group 8.	Total (Class T.B. plus).	Class T.B. Minus.	Group 1.	Group 2.	Group 3.	Total (Class T.B. plus).

Page 43

(b) Non-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 1927, 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 of the last record made during the year to which the Return relates.				1926.					1927.
				Bones and Joints.	Abdominal.	Other Organs.	Peripheral Glauds.	Total.	Bones and Joints.	Abdominal.	Other Organs.	Peripheral Glands	Total.

Page 44

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 when the Dispensary is open.	Number of Persons including Contacts who were examined for the first time during the period from the 1st January, 1927, to the 31st December, 1927, at or in connection with the Dispensary and were:—					Number of Persons diagnosed to be suffering from Tubercu-losis who were treated or supervised at or in connection with the Dispensary during the period from 1st January, 192 7 to 31st December, 1927.		Number of Persons who were under treatment, supervision, or observation at or in connection with the Dispensary on the 31st December, 1927.		Number of Persons referred for diagnosis or treatment tothe Hospital with which the Dispensary is affiliated during the period 1st January, 1927. to 31st December, 1927.
				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 45

II.—Sundry particulars in connection with the scheme of treatment.

Page 46

Deaths from Phthisis. Five years—1923-1927.

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

Page 46

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				ALL DEATHS
	Pulmonary		Non-Pulmonary		Pulmonary		Non-Pulmonary
	M.	F.	M.	F.	M.	F.	M.	F.

Page 47

CASES OF TUBERCULOSIS NOTIFIED DURING THE 52 WEEKS ENDING 31 st DECEMBER, 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—years.							All Souls	St. Mary	Christ Church	St. John	Totals	All Souls	St. Mary	Christ Church	St. John	Totals	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	Totals	Cases Isolated at Home

Page 48

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

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

Page 48

The number of rooms disinfected and the reasons for carrying out disinfection are stated below:— Reasons for Disinfection.

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

Page 49

CLEANSING OF PERSONS ACT, 1897. 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 1927, and annually since 1910:—

1927	ADULTS			CHILDREN
1927	Males	Females	Total	Males	Females	Total

Page 49

Cleansing Station Attendances , 1910-1927.

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

Page 50

BACTERIOLOGICAL EXAMINATIONS. The following table shows the number of specimens examined for purposes of diagnosis, and indicates also the diseases in relation to which the examinations were made. The work, as formerly, was carried out by Dr. Foulerton, at University College.

	1927.
	Positive.	Negative.	Total.

Page 53

STATEMENT SHOWING WORK AT INFANT CONSULTATIONS AND ANTE-NATAL CLINIC CENTRES DURING THE 52 WEEKS ENDING 31ST DECEMBER, 1927.

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 Hospl-	The Westn. Genl. Dispy.	The Church Army Dispy.

Page 56

Report of Mortuary Keeper. Number of bodies deposited from 1st January to 31st December, 1927.

1927.	Males.	Females.	Total.	For burial only.	For inquests.	Total.	No. of P.M.'s held.	No. of courts held.	No. of Infectious cases.

Page 61

MINISTRY OF HEALTH AND OTHER TABLES. TABLE I. VITAL STATISTICS OF THE BOROUGH OF ST. MARYLEBONE. DURING 1927 AND PREVIOUS YEARS.

Year.	Population estimated to Middle of each Year.	Birhs			Total Deaths Registered in the District.		Transferable Deaths.		Nett Deaths belonging to the District.
		Uncor receted No.	Nett		Total Deaths Registered in the District.		of Non. residents registered in the District.	of Residents not registerec in the District.	Under 1 year of Age.		At all Ages.
		Uncor receted No.	No.	Rate.	No.	Rate.	of Non. residents registered in the District.	of Residents not registerec in the District.	No.	Rate per 1,000 Nett Births.	No.	Rate
1	2	3	4	5	6	7	8	9	10	11	12	13

Page 62

TABLE I (a). Vital Statistics of Separate Localities in 1927 and the Ten Previous Years.

Names of Localities	The Whole Borough				All Souls				St. Mary				Christ Church				St. John
Year	Population estimated to middle of each year	Births registered	Deaths at all Ages	Deaths under 1 year	Population estimatec 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	Populaton estimated to middle of each year	Births registered	Deaths at all Ages	Deaths under 1 year
	a.	b.	c.	d.	a.	b.	c.	d.	a.	b.	C.	d.	a.	b.	c.	d.	a.	b.	C.	d.

Page 63

TABLE II. Notifiable Diseases During the Year 1927.

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	6 to 15	15 to 25	25 to 45	45 to 65	65 and wards

Page 64

TABLE II. (A). Cases of Infectious Disease Notified duri n g the 52 weeks ending 31st December, 1927.

Notifiable Disease.	Cases notified in whole District.								Total cases notified in each locality.					Number of cases removed to Hospital from each locality.					Cases isolatec at home.
	At all ages.	At Ages—years.							All Souls.	St. Mary.	Christ Church	St. 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 65	65 and up-wards	All Souls.	St. Mary.	Christ Church	St. John.	Totals.	All Souls,	St. Mary.	Christ Church.	St. John.	Totals.

Page 65

TABLE III.—Causes of, and Ages at Death during the year ending 31st December, 1927.

No.	CAUSES OF DEATH.	Net 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 Souls.	St. Mary.	Christ Church,	St. John.	Total.
No.	CAUSES OF DEATH.	All Ages.	Under 1	1 and under 2	2 and under 5.	5 and under15	15 and under 25.	25 and under 45.	45 and under65	05 and under 75.	75 and upwards		All Souls.	St. Mary.	Christ Church,	St. John.	Total.

Page 66

vaccination returns. Return for 1926. Return made to the Board o f Guardians and Ministry of Health on the 9 th February, 1928, 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, 1926, 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., 1926	Number of these Births duly entered by 31st January, 1928, in Columns I, II, IV and V of the "Vaccination Register" (Birth List Sheets), viz.:					Number of these Births which on 31st January, 1926, remained unentered in the "Vaccination Register" on account (as shown by Report Book) of			Number of these Births remaining on 31st January, 1928, neither duly entered in the "Vaccination Register" (columns 3, 4. 5. 6 and 7 of this Return) nor temporarily accounted for in the "Report Book" (columns 8, 9 and 10 of this Return)	Number of Statutory Declarations of Conscientious Objection actually received by the Vaccination Officer irrespective of the dates of birth ol the children to which they relate during the calendar year 1927
		Col. I. Successfully Vaccinated	Col. II.		Col. IV, Number in respect of whom Certificates of Conscientious Objection have been received	Col. V. Dead, Unvac-cinated	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	Insusceptible of Vaccination	Had Small-Pox		Col. V. Dead, Unvac-cinated	Postponement by Medical Certifi. cate
1	2	3	4	5	6	7	8	9	10	11	13

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

View report tables

Marylebone 1927

47 tables in this report

The following is a statement showing the total receipts at each of the conveniences for the year ended March, 1928, and the amount of increase or decrease as compared with the previous year.

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

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.

S ituation, etc., of L icensed C ommon L odging H ouses.

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

Continued from previous page...

Adulterated Samples, etc.

The following short table shows the death rates in the several registration sub-districts in 1927, and compares them with those of the preceding 5 years:—

District births and deaths for the year ended 31st December, 1927, are given in the following table. A further table giving the vital statistics of separate localities for 1927 and the ten preceding years will be found amongst the Ministry of Health Tables on page 62.

1927.

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.

Isolation of Cases. —As the following table shows, the number of cases removed was as high as usual. In no case was compulsion necessary in order to ensure removal to hospital:—

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

For the reason that the disease frequently runs a slow and long course and the sequels are often of a serious and distressing nature, arrangements were made for following up and keeping the patients under observation. The following table contains information as to result in each case:—

Infectious Diseases in Schools. The accompanying table shows the number of cases of measles, whooping cough, chicken-pox and the notifiable infectious diseases reported from Schools during 1927. During the year in certain of the schools, one or more classrooms were closed on account of measles.

Ophthalmia Neonatorum. The following table gives information with regard to 12 cases of this disease —inflammation of the eyes in newly-born children—notified during the year:-

PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the period from the 2nd January, 1927, to the 31st December, 1927. METROPOLITAN BOROUGH OF ST. MARYLEBONE.

Particulars with regard to patients dealt with during the year are shown in a table at page 41, while the following short table summarises the information as to visits paid by members of the staff:—

I.-Particulars of work carried out in connection with the dispensary.

II.—Sundry particulars in connection with the scheme of treatment.

Deaths from Phthisis. Five years—1923-1927.

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 31 st DECEMBER, 1927.

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

The number of rooms disinfected and the reasons for carrying out disinfection are stated below:— Reasons for Disinfection.

CLEANSING OF PERSONS ACT, 1897. 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 1927, and annually since 1910:—

Cleansing Station Attendances , 1910-1927.

BACTERIOLOGICAL EXAMINATIONS. The following table shows the number of specimens examined for purposes of diagnosis, and indicates also the diseases in relation to which the examinations were made. The work, as formerly, was carried out by Dr. Foulerton, at University College.

STATEMENT SHOWING WORK AT INFANT CONSULTATIONS AND ANTE-NATAL CLINIC CENTRES DURING THE 52 WEEKS ENDING 31ST DECEMBER, 1927.

Report of Mortuary Keeper. Number of bodies deposited from 1st January to 31st December, 1927.

MINISTRY OF HEALTH AND OTHER TABLES. TABLE I. VITAL STATISTICS OF THE BOROUGH OF ST. MARYLEBONE. DURING 1927 AND PREVIOUS YEARS.

TABLE I (a). Vital Statistics of Separate Localities in 1927 and the Ten Previous Years.

TABLE II. Notifiable Diseases During the Year 1927.

TABLE II. (A). Cases of Infectious Disease Notified duri n g the 52 weeks ending 31st December, 1927.

TABLE III.—Causes of, and Ages at Death during the year ending 31st December, 1927.