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64891 2
Public Health Department,
Town Hall,
St. Marylebone, W.l.
To the Mayor, Aldermen and Councillors of the Metropolitan Borough of St. Marylebone.
In view of paper shortage the report on the health of the Borough during 1941 is brief but contains all necessary
statistical and other information on essential matters. Health conditions continued to be satisfactory throughout
the year. Both the birth-rate (9.34) and death-rate (19.49) showed an increase over the figures for 1940 (8.52 and
18.07 respectively), while the infantile mortality rate reached the low record of 41.77 as against 67.07 for the previous
year. Erratic population movements of recent years, however, render difficult a reliable interpretation of the
variations in the rates. The Registrar-General gave 49,260 as his estimate of the civilian population for 1941, the
figure for 1940 being 62,240. Infectious disease incidence remained practically constant and, as in the previous two
years, compared favourably with that of the immediate pre-war period. An increase in scabies and bug infestations,
as a result of greater personal contact brought about by war conditions, necessitated an extension of cleansing and
disinfection facilities to cope with these important public health problems. A full maternity and child welfare service
was provided and worked to capacity .through the greater part of the year.
My thanks are due to the Chairman (Councillor Dr. C. A. Fuller) and members of the Public Health Committee for
the consideration and encouragement they gave me throughout 1941, and to the staff for their continued loyalty and
support. Called upon to undertake additional responsibilities arising out of the war, they have responded with
commendable resourcefulness and efficiency.
H. A. BULMAN,
Medical Officer of Health.
contents.
page
Members of the Public Health Committee 3
Section A— Statistics and Social Conditions:—
General Statistics . 3
Extracts from Vital Statistics 3
Population 3
Births 3, 4
Marriages 4
Deaths . 4,5
Infantile Mortality 5
Maternal Mortality 5
Mortuary 5
Crematorium 5
Section B—General Provision or Health
Services:—
Staff 5
Laboratory Facilities 5
Home Nursing 6
Health Centres 6
Maternity and Child Welfare:—
Work of Infant Consultations 6
Health Visitors and Home Visits 6
Milk and Food, etc. 6,7
Day Nurseries 7
Home Helps 7
Child Life Protection 7
Dental Treatment 7
Maternity Cases . 7
Section C—Sanitary Circumstances:—
Water 7
Drainage . 7
Public Conveniences 7
Public Cleansing 7
Sanitary Inspection 8
Shops 8
Bed Bugs 8
Verminous Persons 8
Rats and Mice 8,9
Mosquitoes 9
Pigeons 9
Dog Nuisance 9
Noise 9
Poisons 9
Factories 9
Civil Defence 9
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Section d—Housing:—
Statistics 9 10
Tenement Houses 10
Common Lodging Houses 10
War Damaged Dwellings 10
Public Air Raid Shelters 10
Section e—Food:—
Milk Supply 10
Meat and Other Foods :—
Unsound Food 10
Slaughterhouse 10
Offensive Business 10
Food Premises 10
Ice Cream Premises 10
Butter and Margarine Premises 10
Bakehouses 10
Fried Fish Vendors and Fish Curers 10
Restaurants, Tea Rooms, etc. 11
Bacteriological Examinations 11
Food and Drugs Act, 1938 11
Food Decontamination 11
Section f—Infectious and Other Diseases:—
Notifications . 11, 12
Immunisation:—
Diphtheria 11
TyphoidFever 11
Influenza 11
Vaccination 11
Typhus Fever 11
Anthrax 11
Scabies 11
Ophthalmia Neonatorum 13
Dysentery 13
Tuberculosis:—
New Cases and Mortality . 13
Notifications 13
Dispensary 13
Dental Treatment 13
Institutional Treatment 13
Care Committee 13
Disinfection 14
Bacteriological Examinations 14