[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, 1929, and the amount of increase or decrease as compared with the previous year.

	1929			1928			Increase			Decrease
	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.

Page 11

Continued from previous page...

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

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Particulars with regard to each of the cases are given below and it should be noted that in each instance, though there were contraventions of provisions contained in other acts and by-laws, the Public Health (London) Act, 1891, is the only enactment mentioned in the list.

Premises.		Offence. (Proceedings taken under the Public Health (London) Act 1891, etc.)	Result.

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The following list sets out in a convenient way the majority of the premises and occupations of the class referred to in the heading to this part of the report, and contains a certain 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 premises				Number of inspections 1928	N umber of notices 1928	Number of prosecutions, 1928
	On register at end of 1927	Added in 1928	Removed in 1928	On register at end of 1928	Number of inspections 1928	N umber of notices 1928	Number of prosecutions, 1928

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1 —INSPECTION.

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

Page 15

2.—DEFECTS FOUND.

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

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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 Employers.						Notices served on Occupiers as to keeping or sending lists	Prosecutions.		Instances.	Notices served.	Prosecutions.	Instance.	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.
	Outworkers.			Outworkers.
	Lists.	Contractors.	Workmen.	Lists.	Contractors.	Workmen.
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)

Page 17

5.—REGISTERED WORKSHOPS.

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

Page 17

5.—OTHER MATTERS.

Class (1)		Number (2)

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Situation, etc., of Licensed Common Lodging Houses.

Address.		Registered Owner.	Registered number of Occupants.

Page 19

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.	Costs.
					£	s.	d.

Page 20

Unsound and Diseased Food Condemned and Destroyed During the Year 1928.

Meat-

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Continued from previous page...

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A complete list is as follows:

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

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Continued from previous page...

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

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Adulterated Samples, etc.

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

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The main sources of the notifications are set out below. The figures, it maybe noted, refer to notifications and not to births.

	No.	Per cent.

Page 25

. * This figure is exclusive of birth occurring in the Borough to persons usually non-resident therein, but includes 107 births which occurred outside the district, and which have been transferred as belonging to St. Marylebone:-

Page 26

The following short table shows the death rates in the several registration sub-districts in 1928. and compares them with those of the preceding: 5 years:-

	1923	1924	1925	1928	1927	1928

Page 26

A further table giving the vital statistics of seprate localities for 1928, and the ten preceding years will be found amongst the Ministry of Health Tables on page 65.

Sub-District.	Population estimated to middle of 1928.	Males.	Births. Females.	Total.	Males.	Deaths. Females.	Total.

Page 26

The following tame snows the number 91 deaths mat took place amongst infants under 1 year and adults of 65 years and upwards in each of the four quarters of 1928.

1928.
	January-March	April-June	July- Seplember	October-December	Total

Page 27

In 1927 the figure was 37.

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.

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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

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Cancer.—Situation of the Disease.

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

Page 32

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:-

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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 34

THE FOLLOWING TABLE AND SUMMARY GIVES DETAILS OF THE WORK OF THE CLINIC DURING THE YEAR 1928.

	Children under 5.	Children over 5.	Adults	Total.

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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.

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SMALLPOX.

Consecutive No.	Age.	Sex.	Date of				Vaccinal Condition at time of Infection.
			Notification.	Onset.	Bash.	Removal to Hospital.	Successful Primary.	Successful re-vaccination.	Un-vaccinated.	Doubtful.

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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 1928. 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

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O phthalmia N eonatorum. The following table gives information with regard to 7 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

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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 16	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

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Particulars with regard to patients dealt with during the year are shown in a table at page 45, while the following short table summarises the information as to visits paid by members of the staff:—

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(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 1928, 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.					1928.
				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.	Group 1.	Group 2.	Group 3.	Total (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 8.	Total (Class T.B. plus).

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(b) N on- P ulmonary T uberculosis. 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 1928, 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.					1928.
				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.

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S tatement of W ork carried out in connection with the D ispensary T reatment of T uberculosis during the period 1 st J anuary, 1928, to the 31 st D ecember, 1928, and S undry P articulars in connection with the S cheme of T reatment. 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, 1928, to the 31st December, 1928, 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 froml january, 192 8 to 31st December, 1928.		Number of Persons who were under treatment, supervision, or observation at or in connection with the Dispensary on the 31st December, 1928.		Number of Persons referred for diagnosis or treatment tothe Hospital with which the Dispensary is affiliated during the period 1st January, 1928, to 31st December, 1928.
				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

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II.—SUNDRY PARTICULARS IN CONNECTION WITH THE SCHEME OF TREATMENT.

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D eaths from P hthisis. Five years—1924-1928.

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

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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

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CASES OF TUBERCULOSIS NOTIFIED DURING THE 52 WEEKS ENDING 29 th DECEMBER, 1928.

	Cases notified in whole District.								Total cases notified in each Locality.					Number of cases removed toHospital from each Locality.
	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
Localization of Disease.	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

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

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

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The number of journeys made by the disinfecting vans during the year ended December, 1928, was:—

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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.

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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 1928, and annually since 1919:—

1928	ADULTS			CHILDREN
1928	Males	Females	Total	Males	Females	Total

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Cleansing Station Attendances , 1919-1928.

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

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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.

	1928.
	Positive.	Negative.	Total.

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STATEMENT SHOWING WORK AT INFANT CONSULTATIONS AND ANTE-NATAL CLINIC CENTRES DURING THIi 52 WEEKS ENDING 31ST DECEMBER, 1928.

CENTRE.	No. 24 Hill Koad.	No 14 Salisbury Street.	Queen Charlotte's Hospl.	Cosway Street.	No. 30 Mary-lebone Lane	The Middlesex Hospl.	The Westn. Genl. Dispy.

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Number of bodies deposited from 1st January to 31st December, 1928.

1928.	Males.	Females.	Total.	For burial only.	For inquests.	Total.	No. of P.Ms held.	No. of courts held.	No. of Infectious cases.

Page 64

VITAL STATISTICS OF THE BOROUGH OF ST. MARYLEBONE. DURING 1928 AND PREVIOUS YEARS.

Year.	Population estimated to Middle of each Year.	Births.			Total Deaths Registered in the District.		Transferable Deaths.		Nett Deaths belonging to the District.
		Uncor-. rected No.	Nett.		Total Deaths Registered in the District.		of Non. residents registeret in the District.	of Resi. dents not registered in the District.	Under 1 year of Age.		At all Ages.
		Uncor-. rected No.	No.	Rate.	No.	Rate.	of Non. residents registeret in the District.	of Resi. dents not registered in the District.	No.	Rate per 1,000 Nett Births.	No.	Rate

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TABLE I (a). V ital S tatistics of S eparate L ocalities in 1928 and the T en P revious Y ears.

Names of Localities		The Whole Borough				All Sodls				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 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	Population estimated to middle of each year	Births registered	Deaths atall Ages	Deaths under 1 year

Page 66

TABLE II. N otifiable D iseases D uring the Y ear 1928.

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

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TABLE II. (a). C ases of I nfectious D isease N otified during the 52 weeks ending 29 th D ecember , 1928.

	Cases notified in whole District.								Total cases notified in each locality.					Number of cases removed to Hospital from each locality.					Cases isolated at home.
Notifiable Disease.	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.

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TABLE III.— Causes of, and Ages at Death during the year ending 29th December, 1928.

		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 under 15	15 and under 25.	25 and under 45	45 and under 65.	65 and under 75.	75 and upwards		All Souls.	St Mary,	Christ Church,	St. John.	Total.

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R eturn made to the Board or Guardians and Ministry of Health on the 9th February, 1929, 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, 1927, inclusive.

Registration	Number of Births returned in the "Birth List Sheets" as registered from 1st January to 31st Dec., 1927	Number of these Births duly entered by 31st January, 1929, in Columns I, II, IV and V of the "Vaccination Register" (Birth List Sheets), viz.:					Number of these Births which on 31st January, 1929, remained unentered in the "Vaccination Register' on account (as shown by Report Book) of			Number of these Births remaining on 31st January, 1929, 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 o( Certificates of Successful Primary Vaccination of children under 14 years received during the calendar year 1928	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 1928
Sub-Districts comprised in the Vaccination Officer's District		Col. I. Successfully Vaccinated	Col. II.		Col. IV.		Postponement by Medical Certifi. cate	Removal to Districts,the Vaccination Oflicer 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	Number in respect of whom Certificates of Conscientious Objection have been received	Col. V. Dead, Unvac-cinated	Postponement by Medical Certifi. cate

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Marylebone 1928

54 tables in this report

The following is a statement showing the total receipts at each of the conveniences for the year ended March, 1929, and the amount of increase or decrease as compared with the previous year.

Continued from previous page...

Particulars with regard to each of the cases are given below and it should be noted that in each instance, though there were contraventions of provisions contained in other acts and by-laws, the Public Health (London) Act, 1891, is the only enactment mentioned in the list.

1 —INSPECTION.

2.—DEFECTS FOUND.

3.—HOME WORK .

5.—REGISTERED WORKSHOPS.

5.—OTHER MATTERS.

Situation, etc., of Licensed Common Lodging Houses.

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

Unsound and Diseased Food Condemned and Destroyed During the Year 1928.

Continued from previous page...

A complete list is as follows:

Continued from previous page...

Adulterated Samples, etc.

The main sources of the notifications are set out below. The figures, it maybe noted, refer to notifications and not to births.

. * This figure is exclusive of birth occurring in the Borough to persons usually non-resident therein, but includes 107 births which occurred outside the district, and which have been transferred as belonging to St. Marylebone:-

The following short table shows the death rates in the several registration sub-districts in 1928. and compares them with those of the preceding: 5 years:-

A further table giving the vital statistics of seprate localities for 1928, and the ten preceding years will be found amongst the Ministry of Health Tables on page 65.

The following tame snows the number 91 deaths mat took place amongst infants under 1 year and adults of 65 years and upwards in each of the four quarters of 1928.

In 1927 the figure was 37.

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

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:-

THE FOLLOWING TABLE AND SUMMARY GIVES DETAILS OF THE WORK OF THE CLINIC DURING THE YEAR 1928.

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:-

SMALLPOX.

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 1928. During the year in certain of the schools, one or more classrooms were closed on account of measles.

O phthalmia N eonatorum. The following table gives information with regard to 7 cases of this disease —inflammation of the eyes in newly-born children—notified during the year:-

METROPOLITAN BOROUGH OF ST. MARYLEBONE.

Particulars with regard to patients dealt with during the year are shown in a table at page 45, while the following short table summarises the information as to visits paid by members of the staff:—

II.—SUNDRY PARTICULARS IN CONNECTION WITH THE SCHEME OF TREATMENT.

D eaths from P hthisis. Five years—1924-1928.

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 29 th DECEMBER, 1928.

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

The number of journeys made by the disinfecting vans during the year ended December, 1928, was:—

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

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 1928, and annually since 1919:—

Cleansing Station Attendances , 1919-1928.

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.

STATEMENT SHOWING WORK AT INFANT CONSULTATIONS AND ANTE-NATAL CLINIC CENTRES DURING THIi 52 WEEKS ENDING 31ST DECEMBER, 1928.

Number of bodies deposited from 1st January to 31st December, 1928.

VITAL STATISTICS OF THE BOROUGH OF ST. MARYLEBONE. DURING 1928 AND PREVIOUS YEARS.

TABLE I (a). V ital S tatistics of S eparate L ocalities in 1928 and the T en P revious Y ears.

TABLE II. N otifiable D iseases D uring the Y ear 1928.

TABLE II. (a). C ases of I nfectious D isease N otified during the 52 weeks ending 29 th D ecember , 1928.

TABLE III.— Causes of, and Ages at Death during the year ending 29th December, 1928.