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2
Public Health Department,
Town Hall,
St. Marylebone, W.l.
To the Mayor, Aldermen and Councillors of the Metropolitan Borough of St. Marylebone.
Statistics for 1943 indicate that health standards are being maintained at a satisfactory level in the fifth year of the
war. The civilian population was estimated by the Registrar-General to be 55,700 as against 52,470 for 1942. The
birth-rate (12.50) showed an increase over the figure for the previous year (11.26). The death-rate rose from 15.76
in 1942 to 17.02 in 1943. The infantile mortality rate at 47.41 was below the figure (49.07) for 1942, though somewhat
higher than the low record of 41.77 for 1941. Public health work in the Borough has, to a large extent, returned
to its peace-time volume and practically all services available to the inhabitants have operated fully during the year.
Attention is directed specially to the following subjects of current interest which are dealt with briefly in the report
at the suggestion of the Minister of Health : War-time day nurseries (p. 6), head lice (p. 7), rats and mice (p. 7),
diphtheria immunisation (p. 10), scabies (p. 11), venereal disease propaganda (p. 11), tuberculosis, including
the new allowances scheme (pp. 11-12).
The Civil Defence Casualty Services, which operate under the direction of the Public Health Department, have not,
fortunately, had the calls upon them which were such a severe trial earlier in the war, and full advantage has been
taken of the respite to intensify and broaden their training and state of preparedness for action. The personnel have
also given valuable assistance in a number of directions outside their normal functions.
My thanks are due to the Chairman and Members of the Public Health and Maternity and Child Welfare Committee
for their encouragement and continued understanding of the difficulties of the Department brought about by war-time
circumstances. The staff, both permanent and temporary, have worked well and the smoothness with which the
health services have functioned throughout the year is due largely to their assistance and loyal support.
H. A. BULMAN,
Medical Officer of Health.
CONTENTS.
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Members of the Public Health Committee 3
Section A—Statistics and Social Conditions :—
General Statistics 3
Extracts from Vital Statistics 3
Births 3
Marriages 3
Maternal Mortality 3
Deaths 4
Infantile Mortality 4
Mortuary 4
Crematorium 5
Section B—General Provision of Health
Services :—
Staff 5
Laboratory Facilities 5
Home Nursing 5
Maternity and Child Welfare :—
Welfare Centres 5
Work of the Clinics 5
Home Visits 5
Milk, Vitamins ete. 6
Day Nurseries 6
Home Helps 6
Child Life Protection 6
Illegitimate Children 6
Dental Treatment 6
Maternity Cases 6
Convalescent Homes 6
Section C—Sanitary Circumstances :—
Water 6
Drainage 6
Combined Drainage 6
Public Conveniences 6
Public Cleansing and Salvage 6
Shops 6
Bed Bugs 7
Verminous Persons 7
Head Lice 7
Rats and Mice 7
Dog Nuisance 7
Mosquitoes 7
Pigeons 7
Noise 7
Poisons 7
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Factories 7
Civil Defence 7
Sanitary Inspection 8
Section d—Housing :—
Survey 8
War-damaged Dwellings 8
Provision of Further Housing Accommodation 8
Housing of the Working Classes 8
Inspection of Dwelling Houses 8
Common Lodging Houses 8
Public Air-Raid Shelters 8
Section e—Food :—
Milk Supply 9
Meat and Other Foods :—
Unsound Food 9
Slaughterhouse 9
Food Premises 9
Ice Cream Premises 9
Butter and Margarine Premises 9
Bakehouses 9
Fried Fish Vendors and Fish Curers 9
Restaurants, Canteens, etc. 9
Horseflesh 9
Bacteriological Examinations 9
Food and Drugs Act, 1938 9-10
Section f—Infectious and Other Diseases :—
Notifications 10
Diphtheria Immunisation 10
Vaccination 11
Scabies 11
Impetigo 11
Influenza
Venereal Diseases
Insulin 11
Tuberculosis :—
New Cases and Mortality 11
Notifications 11-12
Dispensary 12
Institutional Treatment 12
Maintenance Allowances 12
Government Rehabilitation Scheme 12
Care Committee 12
Disinfection 12
Bacteriological Examinations 12