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Barking 1934

[Report of the Medical Officer of Health for Barking]

Published
1935
Pages
138
Tables
102

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102 tables in this report

  • Page 10
    2. Extracts from Vital Statistics for the Year.
    Live Births :—Total.Males.Females.Birth Rate.
  • Page 10
    Death Rate 8.2. Percentage of total deaths occurring in public in institutions, 51.7.
    Deaths from puerperal causes :—Deaths.Rate per 1,000 total (live and still) births.
  • Page 10
    Number of deaths of infants under one year of age :—
    Males.Females.Total.Death Rate.Total Infantile Death Rate.
  • Page 13
    (b) Age Mortality. —The deaths in various age groups, according to the figures obtained locally, were as follows :—
    Age Group.No. of Deaths.
  • Page 13
    (c) Causes of death in 1934.—The table on the next page shows the principal causes of death at various ages. Those diseases, etc., causing most deaths or important from a Public Health aspect were as follows :—
    Disease.No. of Deaths.Percentage of total net deaths registered.
  • Page 13
    (d) Deaths from Zymotic Diseases. —These diseases caused 7.8 per cent. of the total deaths, such deaths being caused in the following proportions :—
  • Page 14
    (e) Inquests. —Coroner's inquests were held on 46 deaths. (f) Causes of and ages of death during the year 1934. (Net Deaths).
    Causes of Death.Deaths at the subjoined ages of " Residents " whether occurring in or beyond the district.Registrar-General's Figures.
    Under one year.1 and under 55 and under 1515 and under 2525 and under 4545 and under 6565 and upwardsTotal
  • Page 15
    (g) Infant Mortality during the year 1934. The following table gives the actual causes of death of children dying under one year of age. Causes of deaths under 1 year of age, year 1934:—
    0-1 month.1-3 months.3-6 months.6-9 months.9-12 months.Total under 1 year.
  • Page 16
    (h) Neo-Natal Mortality during the year 1934. Causes of Neo-Natal deaths :—
    Under 1 week.1—2 weeks.2—3 weeks.3—4 weeks.Total.
  • Page 17
    The following table shows the comparative figures of infant mortality and neo-natal mortality for the past eight years Infantile and Neo-Natal Mortality and Rates for the years 1927-1934 :—
    Year.Infantile MortalityInfantile Mortality RateNeo-natal MortalityNeo-natal Mortality Rate
  • Page 18
    Copy of comparative statement of local unemployed by industries, as at December, 1933 and December, 1934 :—
    Men.Dec., 1933Dec., 1934Women.Dec., 1933Dee., 1934
  • Page 21
    1. GENERAL HEALTH SERVICES. (a) Laboratory Facilities. —The necessary laboratory work of the district is carried out by arrangement with the Essex County Council at the Counties' Public Health Laboratories, situated in Queen Victoria Street, London, E.C.4. Particulars of the number of specimens submitted for examination are supplied by the following table:—
    Specimen.Number examined.
  • Page 23
    CLINIC AND TREATMENT CENTRES
    Name and SituationWhen HeldNature of AccommodationBy Whom Provided
  • Page 25
    TABLE 1. HOSPITAL SERVICES, public or voluntary, within or without the District, which are used by the inhabitants of the Borough of Barking.
    Name of Hospital.Situation.Purpose.Total number of beds available.Management.
    MenWomenChildren
  • Page 27
    TABLE II. HOSPITAL SERVICES, showing the number of beds for each purpose, and other facilities available.
    Name of Hospital.AccidentChest (non-tub.) & HeartChildrenChronic SickDentalDermatologicalEar, Nose & ThroatGeneral MedicalGeneral SurgicalGenito-urinary |GynaecologicalInfectious DiseasesIsolation & ObservationMaternityMentalNeurologicalOphthalmicOrthopaedicRadiumSepticSmall-poxTuberculosisVenereal DiseasesOther facilities availableArrangements for pathological work
  • Page 27
    + In the case oj Hospitals under the control of the Borough of Barking :—
    Upney (Maternity)Barking (Isolation)
    HosbitalHospitaL
  • Page 29
    The following table shows the work carried out at these clinics during the year :—
    Central Clinic.Alexandra Clinic.Shaftesbury Clinic.
    No. of Sessions.First Attendances.Re-Attendances.Total Attendances.No. of Sessions.First Attendances.Re-Attendances.Total Attendances.No. of Sessions.First Attendances.Re-Attendances.Total Attendances.
  • Page 30
    (c) Midwifery.- —The number of midwives who are engaged in practice in the Borough is as follows :—
  • Page 32
    The following table gives you similar information for the last eleven years :— Maternal Mortality—Statistics.
    Year.Barking.England and Wales Rate per 1,000 births.
    Deaths fromRate per 1,000 births.
    Puerperal Sepsis.Other Puerperal Causes.
  • Page 33
    The following table shows the number of mothers and children who have been treated :—
    No. treated.
  • Page 35
    The following table shows the work which has been carried out at your Minor Ailments Clinics :—
    Central Clinic.Shaftesbury Clinic.
  • Page 36
    (t) Infant Welfare Clinics. —The following table shows the work carried out at your various Infant Welfare Clinics during the year :—
    Central.Great-fields.Alexandra.Shaftesbury.Totals.
  • Page 37
    (u) Home Visiting. —The home visits carried out by your Health Visitors are shown in detail in the following table :—
  • Page 37
    (v) Provision of Fresh Milk. —Particulars of the amounts of wet milk supplied free and at reduced rates to necessitous mothers and children are given in 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.
    £s.d.£s.d.
  • Page 38
    (w) Provision of Dried Milk, etc. —Particulars of the amounts of dried milks, etc., supplied free and at reduced rates are as follows :—
    Cost Price, (pkts.)Reduced, (pkts.)Free, (pkts.)Total, (pkts.)
  • Page 41
    The following tables, which are prepared on lines similar to those previously used, show the work which has been carried out at the Orthopaedic Clinic amongst children under school age.
  • Page 42
    The cases dealt with for the first time during 1934 were referred for the following conditions, some children having more than one defect:—
  • Page 42
    During the year, five children under school age were admitted to hospital and the following operations were carried out in these cases :—
  • Page 43
    PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPAEDIC CLINIC DURING 1934.
    No. of visits by Orthopaedic SurgeonNo. of visits by MasseuseATTENDANCES.
    Primary ExaminationRe-examinationFor TreatmentTotal
    School ChildrenUnder School AgeSchool ChildrenUnder School AgeSchool ChildrenUnder School AgeSchool ChildrenUnder School Age
  • Page 43
    TREATMENTS.
    MassageElectricityRemedial ExercisesUltra-Violet TherapyRadiant HeatDressings and Splintage
    No. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of Treatments
  • Page 46
    DENTAL CLINIC. Maternity and Under-Age Cases.
  • Page 50
    8. SANITARY INSPECTION OF THE AREA, (a) Work of Sanitary Inspectors. (1) Inspection of Dwelling-Houses.
  • Page 50
    (2) Premises Controlled by Byelaws and Regulations.
    Inspections.Contraventions.Notices served.
  • Page 50
    (3) Factories, Workshops and Workplaces.
    Inspec tions.Defects.Notices.
  • Page 51
    Continued from previous page...
    (4) Miscellaneous.Inspections.Defects.Notices.
  • Page 51
    (b) Summary of Sanitary Work Carried Out.
  • Page 51
    (2) Closet Accommodation.
  • Page 53
    (c) Notices Served.
  • Page 53
    (1) Inspections (including inspections made by Sanitary Inspectors).
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
    Intimations.Statutory.
  • Page 54
    (2) Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    FoundRemediedReferred to H. M. Ins.
  • Page 55
    (4) Registered Workshops.
    Workshops on the Register (sec. 131) at the end of the year. (1)Number. (2)
  • Page 55
    (5) Other Matters.
    Class, (1)Number. (2)
  • Page 55
    (6) Outworkers. The following list shows the nature of the homework carried out in this district by 53 outworkers :—
  • Page 56
    (5) Offensive Trades. —The number of premises used for this purpose remains the same :—
  • Page 58
    The following table shows the comparative ultra-violet light readings for the years 1933 and 1934:—
    Month.Daily average for Barking
    19331934
    Units.Units.
  • Page 63
    HOUSES BUILT IN DISTRICT. 1926—1934.
    Year.Total.As part of Municipal Housing Scheme.Others (including private enterprise and subsidy houses).
  • Page 67
    The following table sets out the results of the bacteriological examination of various samples, from which it will be seen that, out of a total of 32, three were found to be unsatisfactory :—
    Type of Sample.Satisfactory.Unsatisfactory.Totals.
  • Page 69
    The following table gives particulars of notifications received, and the animals slaughtered, during the seven years ended December 31st, 1934.
    Year1928192919301931193219331934
  • Page 69
    Diseased meat was destroyed as under :—
    Description.Disease.Weight.
  • Page 70
    The following samples were examined during the year :—
  • Page 75
    TABLE II.
    Notifiable DiseaseNo. of cases notified at age groupsCases classified according to Wards
    Under one year1 to 2 years2 to 3 years3 to 4 years4 to 5 years5 to 10 years10 to 15 years15 to 20 yearsj 20 to 35 years35 to 45 years45 to 65 yearsOver 65 yearsTotalsAbbeyCambellEastburyGascoigneLongbridgeManorParkParsloes
  • Page 77
    TABLE III. Monthly summary of notifications of Scarlet Fever and Diphtheria received during 1934:—
    Scarlet F ever.Diphtheria.Total.
  • Page 78
    (a) Admissions. —The following is the table of admissions, etc., in respect of infectious diseases during 1934:—
    Disease.In Hospital January, 1st, 1934.Admitted during the year.Died.Discharged.In Hospital Dec. 31st, 1934.
  • Page 79
    The following table shows what has been done under this scheme:—
  • Page 79
    The following table shows the occupations of the 74 people who died from cancer during the year 1934:—
    male.Female.
  • Page 80
    The following table shows the ages of the persons who died from cancer and the organs affected:—
    Organ.Under 1 year.1-5 years.5-15 years.15-25 years.25—45 years.45-65 years.Over 65 years.Total.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 81
    The following table shows that the number of cases of Ophthalmia Neonatorum during 1934 was 20, compared with 14 in 1933. Seventeen cases were treated at home, and in no case was the vision impaired.
    Age Group.Cases.Vision unimpaired.Vision impaired.Total Blindness.Deaths.
    Notified.Treated.
    At Home.At Hospital.
  • Page 81
    Particulars of new cases of Tuberculosis and of all deaths from the disease in the area during 1934 are given in this Report in the following form :—
    New Cases.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
    Male.Female.Male.Female.Male.Female.Male.Female.
  • Page 82
    The following are particulars of cases notified on Forms I and II during the year:—
    Form I.Form II.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
    Male.Female.Male.Female.Male.Female.Male.Female.
  • Page 91
    The following summary shows the growth in the school population during the past few years:—
  • Page 91
    The following table shows the number of children examined at school at routine and special inspections during 1934, 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 Inspection Sessions.Numbers Inspected.No. of Parents present (Routine and Special Exams.)
    Routines and Specials.Re-Exams.
  • Page 92
    The percentage of the children examined in the ordinary elementary schools who were accompanied by their parents or guardians is shown by the following table:—
    Year.Percentage of Children Examined who were Accompanied by Parents.Year.Percentage of Children Examined who were Accompanied by Parents.
  • Page 92
    The following table is similar to Table II (B) of the Returns to the Board of Education (given on pages 125 to 138 of this report), except that it shows the percentage of children found to require treatment:—
    Group.Number of Children.Percentage of children found to require Treatment.
    Inspected.Found to require Treatment.
  • Page 93
    (b) Uncleanliness. —The following table shows the results of cleanliness inspections compared with similar figures for 1933
    19331934
  • Page 96
    The following table shows the position with regard to notification of Tuberculosis amongst children of school age during 1934:—
  • Page 97
    Number of home visits in connection with:—
    19301931193219331934
  • Page 99
    A summary of the work of the Clinics is included in the following tables:— (a) Minor Ailments Clinics.
    Central Clinic.Shaftesbury Clinic.
  • Page 100
    (b) All Clinics.
    Clinic.No. of first attendances of school children.Total No. of attendances of school children.
    Minor Ailments:—1933193419331934
  • Page 103
    (8) INFECTIOUS DISEASES. The following table shows briefly the number of children notified and reported suffering from some of the commoner infectious diseases :—
    19301931193219331934
  • Page 107
    The table also shows what arrangements there are for the drying of children's clothes and boots.
    School.No. of children who remain at school for mid-day meal.Whether facilities exist for heating of children's meals.Whether facilities exist for the drying of children's clothes and boots.
  • Page 110
    The following table shows the work which has been undertaken by the National Society for the Prevention of Cruelty to Children during the last three years :—
    193219331934
  • Page 111
    The following table shows the number of children who have attended at the Faircross Special School—in the Open-Air, Physically Defective and Mentally Defective Sections—and, in addition, in other parts of the report will be found figures as to how many children have been admitted to the Brookfield Orthopaedic Hospital and elsewhere for orthopaedic conditions :—
    Open-Air SectionPhysically Defective SectionMentally Defective Section
  • Page 111
    Hereunder are particulars of the number of children maintained by the Authority in special schools outside the district as at December 31st, 1934 :—
  • Page 112
    The following table gives information in respect of medical inspection at the Faircross Special School during the year 1934 :—
  • Page 115
    CLINIC AND TREATMENT CENTRES
    Name and SituationWhen HeldNature of AccommodationBy Whom Provided
  • Page 118
    The cases dealt with for the first time during 1934 were referred for the following conditions, some children having more than one defect:—
  • Page 119
    PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPAEDIC CLINIC DURING 1934.
    No. of visits by Orthopaedic SurgeonNo. of visits by MasseuseATTENDANCES.
    Primary ExaminationRe-examinationFor TreatmentTotal
    School ChildrenUnder School AgeSchool ChildrenUnder School AgeSchool ChildrenUnder School AgeSchool ChildrenUnder School Age
  • Page 119
    TREATMENTS.
    MassageElectricityRemedial ExercisesUltra-Violet TherapyRadiant HeatDressings and Splintage
    No. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of TreatmentsNo. of ChildrenNo. of Treatments
  • Page 121
    (c) Paralysis—
  • Page 121
    During the year, eleven children were admitted to hospital and the following operations were carried out in these cases:—
  • Page 125
    TABLE I.— RETURN OF MEDICAL INSPECTIONS.
  • Page 126
    TABLE II. (A)—RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31 ST DECEMBER, 1934.
    Defect or Disease.Routine Inspections.Special Inspections.
    No. of Defects.No. of Defects.
    Requiring TreatmentRequiring to be kept under observation, but not requiring TreatmentRequiring TreatmentRequiring to je kept under observation, but not requiring Treatment
  • Page 127
    TABLE II. (A).— continued.
    Defect or Disease.Routine Inspections.Special Inspections
    No. of Defects.No. of Defects.
    Requiring TreatmentRequiring to be kept under observation, but not requiring TreatmentRequiring TreatmentRequiring to be kept under observation but not requiring Treatment
  • Page 128
    TABLE II.— continued. (B)—NUMBER OF INDIVIDUAL CHILDREN FOUND AT ROUTINE MEDICAL INSPECTION TO REQUIRE TREATMENT (EXCLUDING UNCLEANLINESS AND DENTAL DISEASES).
    Group. (1)Number of Children.
    Inspected. (2)Found to require Treatment. (3)
  • Page 129
    TABLE III. RETURN OF ALL EXCEPTIONAL CHILDREN IN THE AREA. Children Suffering from Multiple Defects.
    No. of Cases.Combination of Defects.School Attended.
  • Page 129
    Blind Children.
    At Certified Schools for the BlindAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 129
    Partially Blind Children.
    At Certified Schools for the BlindAt Certified Schools for the Partially BlindAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 130
    TABLE III.— continued. Deaf Children.
    At Certified Schools for the DeafAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 130
    Partially Deaf Children.
    At Certified Schools for the DeafAt Certified Schools for the Partially Deaf "At Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 130
    Mentally Defective Children. Feeble-Minded Children.
    At Certified Schools for Mentally Defective ChildrenAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 130
    Epileptic Children. Children Suffering from Severe Epilepsy.
    At Certified Special SchoolsAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 131
    I.—Children Suffering from Pulmonary Tuberculosis. (Including pleura and intra-thoracic glands.)
    At Certified Special SchoolsAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 131
    II.—Children Suffering from Non-Pulmonary Tuberculosis. (This category includes tuberculosis of all sites other than those shown in (I) above.)
    At Certified Special SchoolsAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 131
    B.—Delicate Children.
    At Certified Special SchoolsAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 132
    TABLE III.— continued. C.—Crippled Children.
    At Certified Special SchoolsAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 132
    D.—Children with Heart Disease.
    At Certified Special SchoolsAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 133
    Analysis of the above Total.
    DiagnosisBoys.Girls.
  • Page 134
    GROUP I.—Minor Ailments (excluding Uncleanliness, for which see Group VI).
    Number of Defects treated, or under treatment during the year.
    Disease or Defect.Under the Authority's SchemeOtherwiseTotals
  • Page 136
    Number of Defects.
    Defect (1)Received Operative TreatmentReceived other forms of Treatment (5)Total number treated (6)
    Under the Authority's Scheme, in Clinic or Hospital (2)By Private Practitioner or Hospital, apart from the Authority's Scheme (3)Totals (4)
  • Page 136
    GROUP IV.—Orthopaedic and Postural Defects.
    Under the Authority's SchemeOtherwiseTotal number treated
    Residential treatment with educationResidential treatment without educationNon-Residential treatment at an orthopedic clinicResidential treatment with educationResidential treatment without educationNon-Residential treatment at an orthopaedic clinic
  • Page 137
    TABLE IV.— continued. GROUP V.—Dental Defects.
    (1) Number of Children who were :—
    (i) Inspected by the Dentist:
  • Page 138
    TABLE IV.— continued.