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

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TABLE 1. Number of Insured Persons Resident in the Borough of St. Marylebone, recorded AS unemployed AT employment exchanges on the dates indicated.

		Males (aged 16—64).	Females (aged 16—64).	Total (aged 16—64).

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TABLE 2.

Basis	Year.	The Borough.	All Souls.	St. Mary.	Christ Church.	St. John.

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Table 3 contains a comparison of the rates in the several registration sub-districts and the Borough as a whole for 1939, with those of each of the five previous years TABLE 3.

Sub-District	1934	1935	1936	1937	1938	1939

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TABLE 4.

Sub-District.	Population estimated to middle of 1939.	Births.
Sub-District.	Population estimated to middle of 1939.	Males.	Females.	Total.

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TABLE 5.

Sub-District	1934	1935	1936	1937	1933	1939

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District deaths for the year ended 31st December, 1939, are given in Table 6. Vital statistics of separate localities for 1939, and the ten preceding years, will be found in Table 11 on page 14. TABLE 6.

Sub-District.	Estimated average population, 1939.	Deaths.
Sub-District.	Estimated average population, 1939.	Males.	Females.	Total.

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TABLE 8. Cancer : Ages at Death.

Ages.	Under 1.	2 and under 5.	5 and under 15.	15 and under 25.	25 and under 35.	35 and under 45.	45 and under 55.	55 and under 65.	65 and under 75.	75 and upwards.	Total

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TABLE 9. Cancer : Situation of the Disease.

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

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TABLE 10. Vital Statistics for 1939 and Ten 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
		Uncorrected	Nett		Total Deaths Registered in the District		of Nonresidents registered in the District	of Residents not registered in the District	Under 1 year of Age		At all Ages
			No.	Rate	No.	Rate			Under 1 year of Age		At all Ages
			No.	Rate	No.	Rate			No.	Rate per 1,000 Nett Births	No.	Rate
1	2	3	4	5	6	7	8	9	10	11	12	13

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TABLE 11. Vital Statistics of Separate Localities fob 1939 and Ten Previous Years.

Names or 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 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.

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TABLE 12. —Causes of, and Ages at Death during the year 1939.

No.	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 Souls.	St. Mary.	Christ Church.	St. John.	Total.
		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 upwards.

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TABLE 13. Home Nursing Service.

	No. of cases nursed.	No. of visits paid.

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TABLE 14. Statement Showing Work of the Infant Consultations and Other Clinics.

Centre.	Health Centre No. 1.	Health Centre No. 2.	Health Centre No. 3.	Queen Charlotte's Hospital.	The Middlesex Hospital.

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TABLE 15.

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Details of the various nuisances detected and remedied, to the total number of 2,202, are set out in Table 16. TABLE 16.

Nature of Nuisance.	Districts.						The Borough.
Nature of Nuisance.	No. 1.	No. 2.	No. 3.	No. 4.	No. 5.	No. 6.	The Borough.

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TABLE 17. Unsound Food Condemned and Destroyed.

Meat—		Tinned Goods—

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TABLE 18. Statement of Food and Drugs Analysed.

No.	Article.	Number examined.				Number adulterated or otherwise giving rise to irregularity.
No.	Article.	Formal.	Informal.	Private.	Total.	Formal.	Informal.	Private.	Total.

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Continued from previous page...

No.	Article.	Number examined.				Number adulterated or otherwise giving rise to irregularity.
No.	Article.	Formal.	Informal.	Private.	Total.	Formal.	Informal.	Private.	Total.

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TABLE 19. Adulterated Samples, etc.

Serial Number.	Article.	Whether Formal, Informal or Private.	Nature of adulteration or irregularity.	Observations.

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During the year 110 samples were examined; none was found to be adulterated. As will be seen from the following figures the composition of the milks examined remains remarkably constant and varies but little from year to year:—

Year.	Sp. Gr.	Total Solids.	Fat.	Solids not Fat.

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TABLE 20. List of Notifiable Diseases.

Smallpox	Acute Encephalitis Lethargica

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Table 21 shows the number of cases of infectious disease notified during the oast six years:— TABLE 21. Infectious Disease Notifications.

		1934	1935	1936	1937	1938	1939

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TABLE 22. Cases of Infectious Disease Notified during 1939.

Notifiable Disease.	Cases notified in whole District.													Total cases notified in each locality.					Number of cases removed to hospital from each locality.					Cases isolated at home.	Total deaths.
	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	—1	1—	2—	3—	4—	5—	10—	15—	20—	35—	45—	65—	All Souls.	St. Mary.	Christ Church	St. John.	Totals.	All Souls.	St. Mary.	Christ Church	St. John.	Totals.

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TABLE 23. Work of the Diphtheria Immunisation Clinics.

	Pre-school children.	School children.	Adults.	Totals.

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Table 24, prepared by the Vaccination Officer, contains the vaccination return relating to the year 1938. The following statement gives some information with regard to the work done and the results obtained during 1939:-

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TABLE 24. Vaccination Return—1938. Return made to the Borough Council and Ministry of Health on the 12th February, 1940, by Dr. H. A. Bulman, Vaccination Officer of the Borough of St. Marylebone, respecting the Vaccination of Children whose Births were registered in St. Marylebone from 1st January, 1938, to 31st December, 1938, 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 December 1938.	Number of these Births duly entered by 31st January, 1940, in Columns I, II, IV and V of the "Vaccination Register" (Birth List Sheets), viz.:					Number of these Births which on 31st January, 1940, remained unentered in the "Vaccination Register" on account (as shown by Report Book) of			Number of these Births remaining on 31st January, 1940, 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).	Total number of Certificates and copies of Certificates of Successful Primary Vaccination of children under 14 received during the calendar year 1939.	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 1939.
		Col. I. Successfully Vaccinated.	Col. II.		Col. IV. Number in respect of whom Statutory Declarations of Conscientious Objection have been received.	Col. V. Died un-vacci-nated.	Postponement by Medical Certificate.	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. Died un-vacci-nated.	Postponement by Medical Certificate.
1	2	3	4	5	6	7	8	9	10	11	12	13

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TABLE 25. Tuberculosis: New Cases and Deaths.

Age Periods	*NEW CASES.				†DEATHS.
	Pulmonary.		Non-Pulmonary.		Pulmonary.		Non-Pulmonary.
	M.	F.	M.	F.	M.	F.	M.	F.

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TABLE 26. Tuberculosis Notifications—Localisation of Disease.

Localisation of disease.	Cases notified 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	St. John.	Totals.	All Souls.	St. Mary.	Christ Church	St. John.	Totals.
	At all Ages.	Under 1.	1 to 5.	5 to 15.	X5 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.

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Particulars with regard to patients dealt with during the year are shown in Table 25, while the following short table summarises the information as to visits, etc., paid by the Tuberculosis Officer and other members of the dispensary staff:—

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BACTERIOLOGICAL EXAMINATIONS. Table 27 shows the number of specimens examined for the purposes of diagnosis, and indicates also the organisms in relation to which the examinations were made. TABLE 27.

Examination.	Positive.	Negative.	Suspicious.	Total.

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

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Marylebone 1939

30 tables in this report

TABLE 1. Number of Insured Persons Resident in the Borough of St. Marylebone, recorded AS unemployed AT employment exchanges on the dates indicated.

TABLE 2.

Table 3 contains a comparison of the rates in the several registration sub-districts and the Borough as a whole for 1939, with those of each of the five previous years TABLE 3.

TABLE 4.

TABLE 5.

District deaths for the year ended 31st December, 1939, are given in Table 6. Vital statistics of separate localities for 1939, and the ten preceding years, will be found in Table 11 on page 14. TABLE 6.

TABLE 8. Cancer : Ages at Death.

TABLE 9. Cancer : Situation of the Disease.

TABLE 10. Vital Statistics for 1939 and Ten Previous Years.

TABLE 11. Vital Statistics of Separate Localities fob 1939 and Ten Previous Years.

TABLE 12. —Causes of, and Ages at Death during the year 1939.

TABLE 13. Home Nursing Service.

TABLE 14. Statement Showing Work of the Infant Consultations and Other Clinics.

TABLE 15.

Details of the various nuisances detected and remedied, to the total number of 2,202, are set out in Table 16. TABLE 16.

TABLE 17. Unsound Food Condemned and Destroyed.

TABLE 18. Statement of Food and Drugs Analysed.

Continued from previous page...

TABLE 19. Adulterated Samples, etc.

During the year 110 samples were examined; none was found to be adulterated. As will be seen from the following figures the composition of the milks examined remains remarkably constant and varies but little from year to year:—

TABLE 20. List of Notifiable Diseases.

Table 21 shows the number of cases of infectious disease notified during the oast six years:— TABLE 21. Infectious Disease Notifications.

TABLE 22. Cases of Infectious Disease Notified during 1939.

TABLE 23. Work of the Diphtheria Immunisation Clinics.

Table 24, prepared by the Vaccination Officer, contains the vaccination return relating to the year 1938. The following statement gives some information with regard to the work done and the results obtained during 1939:-

TABLE 25. Tuberculosis: New Cases and Deaths.

TABLE 26. Tuberculosis Notifications—Localisation of Disease.

Particulars with regard to patients dealt with during the year are shown in Table 25, while the following short table summarises the information as to visits, etc., paid by the Tuberculosis Officer and other members of the dispensary staff:—

BACTERIOLOGICAL EXAMINATIONS. Table 27 shows the number of specimens examined for the purposes of diagnosis, and indicates also the organisms in relation to which the examinations were made. TABLE 27.