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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Barking 1925

[Report of the Medical Officer of Health for Barking]

Published
1926
Pages
250
Tables
85

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85 tables in this report

  • Page 9
    Particulars of the parks, pleasure grounds, etc., are afforded by the following table:—
    Designation of Open Space.Acreage.
  • Page 11
    The chief occupations of the residents in the district at the time of the 1921 census are shown by the following table, which is a summary of the census return:—
    Occupations.Male.Female.Total.
  • Page 12
    The amount of out-relief granted during the past five years is indicated in the following table (kindly supplied by the Clerk to the Romford Guardians), which gives for the calendar years stated the amounts spent in outdoor relief, the numbers chargeable in the middle week of each year, and the numbers chargeable in Romford Institution:—
    Calendar year ending.Amount spent in Barking in the year.Xumbers chargeable in the middle week of the year.Numbers chargeable in Romford Institution in the middle week of the year.
  • Page 13
    2. Extracts from Vital Statistics for the Year.
    BirthsMales.Females.Total.Birth Rate.
  • Page 13
    Number of deaths of infants under one year of age:—
    Males.Females.Total.Death Rate.Total Infantile Death Rate.
  • Page 14
    3. BIRTH RATE, DEATH RATE, AND ANALYSIS OR MORTALITY DURING THE YEAR.
    Birth Rate per 1,000 Total Population.Annum. Death Rate per 1,000 Population.Rate pf.r 1,000 Births.Percentage of Total Deaths.
    All Causes.Enteric Fever.Small PoxMeasles.Scarlet Fever.Whooping Cough.Diphtheria.Influenza.Violence.Diarrhoea and Enteritis (under Two years).Total Deaths under One year.Causes of Deaths Certified by Registered : Medical PractitionersInquest Cases.Uncertified Causes of Death.
  • Page 15
    VITAL STATISTICS Of WHOI.E DISTRICT FROM 1920 to 1925.
    Year.Population estimated to Middle of each Year.Births.Total Deaths Rcgistered in the District.Transferable DeathsNett Deaths belonging to the District.
    Nett.
    Number.Rate.Of Nonresidents registered in the District.Of residents registered out of the District.Under One year of age.At all Ages.
    Number.Rate.
    Number.Rate per 1,000 Nett Births.NumberRate.
    123456789101112
  • Page 17
    (c) CLINIC AND TREATMENT CENTRES.
    Name and Situation.Nature of Accommodation.By Whom Provided.
  • Page 18
    The necessary laboratory work of the district is carried out by arrangement with the Essex County Council at the Counties' Laboratory, situated in Queen Victoria Street, London, E.C.4, particulars of the number of specimens submitted for examination .being supplied by the following table: –
    SpecimenNumber examined
  • Page 20
    Age Mortality.—The deaths in various nge groups, accord ing to the figures obtained locally, were as follows:—
    Age Group.No. of Deaths.Death Rate per 1,000 Population.
  • Page 21
    Causing Most deaths or important from a Public Health aspect were as follows: –
    DiseaseNo. of Deaths.Percent age ol total net deaths registered.
  • Page 21
    Deaths from Zymotic Diseases__These diseases caused 6.7 Per cent of tfi& total deaths, such deaths being caused in the M'owng proportions:—
  • Page 22
    INQUESTS.—Coroner's inquests were held on 31 deaths. The ages at death and causes assigned were as follows:—
    Causes of Death.Under one year.1-2 years.2—5 years.5 15 years.15-25 years.25 45 years45-65 years.Over 65 years.Total.
  • Page 23
    CAUSES OF AND AGES OF DEATH DURING YEAR, 1925. (Nett Deaths.)
    Causes of Death.Deaths at the subjoined ages of Residents '" whether occurring in or beyond the district.
    I Under one year1 and under 55 and under 1515 and under 2525 and under 4545 an d under <5505 and upwardsTotal
  • Page 24
    Net deaths from stated causes at various ages under one year :—
    Causes of Death. (All causes certified.)Under 1 week.1—2 weeks.2—3 weeks.3—4 weeks.Total under 4 weeks.4 weeks and under 3 months.3 months and under 6 months.U months and under 9 months.9 months and under 12 months.Total under one year.
  • Page 27
    With the following exceptions, the district is served by the water-carriage system:—
    Ward.Type of Closet.
    Privy.Pail.Cesspool Drained
  • Page 34
    NOTICES SERVED.
  • Page 38
    Premises where Food is Prepared for Sale.— Excluding bake houses, the number of such places is :—
  • Page 39
    From April 1st to the end of the year 110 notices to daughter were received, and 102 beasts, 519 sheep and 74 pigs emamined. The following parts were found diseased :—
    Description.Weight.Disease.
    lbs.
  • Page 41
    The following is a list of unsound food destroyed during the year:—
    Commodity.Quantity.Condition.Result of Action Taken.
  • Page 42
    As an indication of the present housing shortage I have extracted the following information from the list of applications for houses as on December 1st, 1925. 208 applications appear from families living in one room divided as follows:—
    No. in Family.Instances.
  • Page 43
    250 applications from families living in 2 rooms were received as foilows :—
    No. in Family.Instances.
  • Page 44
    1. Inspections (including inspections made by Sanitary Inspectors).
    Premises.Number of
    Inspections.Written Intimations.Notices. Statutory.Prosecutions.
  • Page 45
    2. DEFECTS FOUND.
    Particulars.Number of Defects.Number of Prosecutions.
    FoundRemediedReferred to H.M. Ins.
  • Page 46
    HOME WORK.
    Nature of Work.Outworkers' Lists (Section 107).Outwork in Unwholesome Premises (Section 108).Outwork in Infected Premises (Sees. 109. 110).
    List received from Employers.Notices served on occupiers as to keeping or sending lists.Prosecutions.Instances.Notices served.Prosecutions.Instances.Orders made (Sec. 110).Prosecutions (Secs. 109. 110).
    Sending twice in the year.Sending once in the year.Failing to keep or permit inspection of lists.Failing to send list.
    Lists.Outworkers.Lists.Outworkers.
    Contractors.Workmen.Contractors.Workmen.
  • Page 47
    REGISTERED WORKSHOPS.
    Workshops on the Register (Sec. 131) at the end of the year.Number.
    (1)(2)
  • Page 47
    OTHER MATTERS.
    Class.N umber.
    (1)(2)
  • Page 47
    OUT-WORKERS. The following list shows the nature of the homework carried out in this district by 24 out-workers :—
  • Page 48
    TABLE 1.
    Males.Females.TotalTotal cases rem'd to Hos.Deaths
  • Page 49
    The following table i;ives particulars of the various infectious diseases notified during the preceding 5 years, together with the notification rate per 1,000 population, and the average for the quinquennium ending the 31st December, 1925.
    Disease.1921.1922.1923.1924.1925.Average for five years.
    No. Notified.Rate.No. Notified.Rate.No. Notified.Rate.No. Notified.Rate.No. Notified.Rate.No. Notified.Rate.
  • Page 51
    TABLE II.
    Notifiable Disease.No. of cases notified at age groups.Cases classified according to Wards.
    Under one year.1 to 2 years.2 to 3 years.3 to 4 years.4 to 5 years.5 to 10 years.10 to 15 years.15 to 20 years.20 to 35 years.35 to 45 years.45 to 05 years.Over 65 years.Abbey.Gascoigne.Central.Ripple.Long bridgeWestbiiry.
  • Page 52
    TABLE III. Monthly summary of notifications of infectious disease : ,
    Month.Scarlet Fever.Diphtheria.Puerperal Fever.Pneumonia.Erysipelas.Ophthalmia Neonatorum.Enteric Fever.Anterio PoliomyelitisCerebro Spinal Meningitis.Encephalitis Lethargica.Totals.
  • Page 53
    Twenty-nine cases treated in hospital developed complications as follows:—
  • Page 53
    Of all cases notmed, five were found to be mistaken diagnoses as follows :—
  • Page 53
    Of cases treated in hospital, the age incidence was as follows:—
  • Page 54
    Of diphtheria patients treated in hospital, the age incidence was as follows
  • Page 55
    ISOLATION HOSPITAL. The following is the table of admissions, etc., in rcspect of infections diseases during 1925 :—
    Disease.In Hospital January, 1st, 1924.Admitted during the year.Died.chargedIn Hospital Dec. 31st. 1924
  • Page 58
    Particulars of new cases of tuberculosis notified and of deaths from the disease during 1925 is afforded by the following table :—
    New Cases.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.N'on-Pulmonary
    Male.FemaleMale.Female.Male.Female-Male.Female
  • Page 59
    As regards the occupations of notified cases during the year, the following table is of interest:—
  • Page 59
    The following figures indicate for the four quarters of the year the percentage attendances of cases per 10 ,000 population at the Tuberculosis Dispensary and of those admitted to sanatoria undo the County Council :—
    Attendances at Dispensary.Admission to Sanatoria.
    No.Kate per 10,000 population.No.Rate per 10,000 population.
  • Page 60
    The following are particulars of cases notified under Forms C and D during the year :—
    Form C.Form D.
    Pulmonary.Non-PulmonaryPulmonary.Non-Pulmonary.
    Male.Female.Male.Female.Male.Female.Male.Female
  • Page 61
    The incidence of tuberculosis amongst cases attending the Tuberculosis Dispensary is shown from the following table:—
    InsuredNot InsuredEx-Service Men
  • Page 62
    The following tables give in tabulated form details of the above classification of patients at the Barking Dispensary:— (a) Number of persons on Dispensary Register on 31st December, 1925.
    Pulmonary.Non-PulmonaryTotals.
    Adults.Children.Adults.Children.AdultsChildren
  • Page 63
    Summary showing the condition of all patients whose records are in the pos session of Barking Dispensary at the end of December, 1925.
    Exhibition at the time the last record made during the year to which the Return relates.Pulmonary.Non-Pulmonary
    Class T. B. PlusOther Organs.
    Class T. B. Minus.Group 1.Group 2.Group 3.Total (class T. B. plus).Bones and Joints.Abdominal.Peripherialil GlandsTotal
  • Page 67
    Of the total live births which occurred during the year all except 33, or 3.9 per cent., were notified, particulars of from whom notifications were received being supplied by the following table:—
    By whom notified.Live Births.Still Births
  • Page 68
    The following return required by the Ministry of Health for the year ended 31st December, 1925 is included as under, the comparative freedom from the more usual complications of childbirth and necessity for the intervention of outside aid being partly explainable from the preceding context.
  • Page 68
    (4) Number of cases in which medical assistance was sought by the midwife with reason for requiring assistance:—
  • Page 69
    (10) Number of infants not entirely breastfed while in the Institution, with reasons why they were not breastfed.— Four.
  • Page 71
    Special visits of investigation in all still-births were paid, and the following details elicited as far as accurately could be established:—
  • Page 72
    Particulars of these cases are afforded from the following table:—
    Age . Group.Cases.Vision Unimpaired.Vision Impaired.Total Blindness.Deaths.
    Treated.
    Notified.At Home.At Hospital
  • Page 73
    The following table affords particulars of cases referred from the ante-natal clinic for hospital and othe treatment:-
    Cause.No. of Cases.
  • Page 74
    To some extent the relatively fewer visits paid to older children was due to diminished staff, a circumstance which it is hoped will be rectified when the full number of health visitors is again restored.
    Kennedy and Empress Halls.Clinic premises.Abbey Hall and Alexandra Centre.
  • Page 75
    LIVING IN
    1 room.2 rooms.3 rooms.4 or more rooms.
  • Page 76
    Particulars of the work of the Health Visitors and Centres will be found from the following table:—
  • Page 76
    The following table is of interest respecting infant feeding:—
    Ureast Fed.Mixed.Artificial.
  • Page 78
    Continued from previous page...
    Deaths Under Four Weeks.
    Under seven days.Under fourteen days.Under twenty-one days.Under twenty-eight days.Total.
  • Page 80
    CONVALESCENT TREATMENT. Seven mothers with young babies, and two children received convalescent treatment during the year, particulars of length of stay, patients' contributions, net cost to Council, etc., being afforded by the following table:
    Cass No.Description of Patient.Situation of Convalescent Home.Charge made by Home, (per week)Length of Patient's stay.Patient's contribution.Council's net responsibility.
    Rly. FaresHome.Total.
    £s.d.£s.d.
  • Page 82
    During the year 105 visits were paid in connection with the incidence of the above diseases as under:—
    Disease.No. of Visits.
  • Page 83
    Particulars of amounts used are provided by the following table:—
    Cost Price, (lbs.)Reduced Price, (lbs.)Free, (lbs.)Total, (lbs.)
  • Page 83
    Fresh milk is supplied free and at reduced price to necessitous mothers and children, particulars of which are supplied by the following table:—
    No. of pints supplied at reduced price.No. of pints supplied free.Total.Total cost of milk supplied.Council's liability in respect of fresh milk supplied.
    £9.d.£.sd.
  • Page -
    The number of children examined as entrants, intermediates and leavers, besides those examined otherwise than during routine inspection, together with the percentage of defectives found, is furnished by the subjoined table :—
    Entrants.IntermediatesLeavers.Specials.Other Routine Examinations.Total.
  • Page -
    The following table shows the number of children examined at routine and special inspections during 1925, classified according to the schools attended, the number of inspections held in each school and the number of parents or guardians present :—
    School.No. of inspections.Numbers inspected.No. of parents present.
    Boys.Girls.
  • Page -
    Every school in the area covered by each school nurse is fully inspected during each term, the results of these examinations being as follows :-r-
    School.Dept.Nits only.Nits and Vermin (head).Body and clothing verminous.
  • Page -
    (d) Heights and Weights.—The following table gives the average heights and weights of children examined at the three undermentioned age periods in four of the schools, compared with the results at similar age periods in 1924.
    Age Period.Average Height in inches.Average Weight in pounds.
  • Page -
    A summary of work of the two school nurses during the year is as follows :—
  • Page -
    CLINICS.—Numbers attending in 1925 were as follows:—
    Clinic.No, of children seen.Total No. of attendances.
  • Page -
    Minor Ailments Clinic.
  • Page -
    Skin Diseases. —Most skin diseases fall within the group of Minor. Ailment, the following being under treatment during the year:—
    Ringworm.Scabies.Impetigo.Other Skin Diseases.Minor injuries.
    HefldBody.
  • Page -
    Particulars of work done in connection with Orthopædic Clinic.
    No of Visits tby . Orthopædic SurgeonNo. of visits by MasseuseATTENDANCES
    Primary ExaminationRe-ExaminatlionFor TreatmentTotal
    School i ChildrenUnder School AgeSchool ChildrenUnder School AgeSchool ChildrenUnder School Age
  • Page -
    TREATMENTS
    MassageElectricityRemedial ExercisesOther
    No. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo of Treatments
  • Page -
    Children on the Physically Detective Register may be classi fied under the following groups -
    Atrophic and paralyse.Spastic.Tuberculosis (Surgical)Injuries.Congenital defects.Severe heart affections.Others (including marked postural defects.
  • Page -
    Details of inspections carried out are supplied from the following table :—
    Entrants.Intermediates. (12 years old.)Leavers. (10 years old.)
    Boys.Girls.Boys.Girls.Boys.Girls.
  • Page -
    Re-Inspections.
    Number re-inspected.Number found to have been treated.
  • Page -
    Particulars of the work done on behalf of expectant and nursing mothers and children of pre-school age are furnished by the subjoined table :—
  • Page -
    ABLE 1.—RETURN OF MEDICAL INSPECTIONS. A.—Routine Medical Inspections.
  • Page -
    B.—Other Inspections.
  • Page -
    TABLE II.—A. RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31ST DECEMBER, 1925.
    Defect or Disease.Routine Inspections.Special Inspection .
    No. of Defects.No. of Defects.
    Requiring Treatment.Requiring to be kept under observation, but not requiring Treatment.Requiring Treatment.Requiring to be kept under observation, but not requiring Treatment.
  • Page -
    TABLE II.— Continued.
    Defect or Disease.Routine Inspections.Special Inspection.
    No. of Defects.No. of Defects.
    Requiring TreatmentRequiring to be kept under observation, but not requiring TreatmentRequiring Treatment.Requiring to be kept under observation, but not requiring Treatment.
  • Page -
    B.—Number of Individual Children FOUND AT Routine MEDICAL INSPECTION TO REQUIRE TREATMENT (EXCLUDING UNCLEAN LINESS AND DENTAL DISEASES).
    Group.Number of Children.Percentage of Children found to require treatment.
    Inspected.Found to require treatment
  • Page -
    TABLE III-RETURN OF ALL EXCEPTIONAL CHILDREN IN THE AREA.
    Boys.Girls.Total.
  • Page -
    TABLE III.— continued.
    Boys.Girls.Total
  • Page -
    TABLE IV.—TREATMENT TABLE. (Group I.—Minor Ailments (excluding Uncleanliness, for which see Group V).
    Disease or Defect.Number of Defects treated, or under treatment during the year.
    Under the Authority's Scheme.Otherwise.Total.
  • Page -
    Group II.—Defective Vision and Squint (excluding Minor Eve Defects Treated as Minor Ailments—Group I.—.)
    Defect or Disease.Under Authority s Scheme.Xumber of defects dealt with.
    Submitted to refraction by private practitioner or at hospital apart from the Authority's Scheme.OtherwiseTotal.
    (1)(2)(3)(4)(5)
  • Page -
    NUMBER OF DEFECTS.
    Under the Authority's Scheme in. Clinic or Hospital.By Private Practitioner or Hospital, apart from the Authority's Scheme.Total.Received other forms of treatment.Total number treated
    (1)(2)(3)(4)(5)
  • Page -
    Group IV__Dental Defects.