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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 1938
[Report of the Medical Officer of Health for Barking]
- Published
- 1939
- Pages
- 262
- Tables
- 133
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Page 13
1. General Statistics.
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Page 13
Number of Inhabited Houses, March, 1939, according to Rate Books:—
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Page 14
2. Extracts from Vital Statistics for the Year.
Live Births:— Total. Males. Females. Birth Rate. -
Page 14
Extracts from Vital Statistics for the Year.
Still-births:- Rate per 1,000 total births:- -
Page 14
Rate per 1,000 total
Deaths from puerperal causes :— Deaths, (live and still) births. -
Page 14
Number of deaths of infants under one year of age:—
Males. Females. Total. Death Rate. Total Infantile Death Rate. -
Page 15
3. BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1938. (England & Wales, London, 126 Great Towns, and 148 Smaller Towns and BARKING.)
Rate per 1,000 Total Population. Annual Death Rate per 1,000 Population. Rate per 1,000 Live Births. Live Births. Still-births. All Causes. Enteric Fever. Small-pox. Measles. Scarlet Fever. Whooping Cough. Diphtheria. Influenza. Diarrhoea and Enteritis (under two years). Total Deaths under one year. -
Page 17
4. VITAL STATISTICS OF WHOLE DISTRICT FROM 1927 TO 1938.
Year. 1 Population estimated to Middle of each Year. 2 Births. Nett. Total Deaths Registered in the District. Transferable Deaths. Net Deaths belonging to the District. Of Nonresidents registered in the District. 7 Of Residents registered out of the District. 8 Under One year of age. At all Ages. Number. 3 Rate. 4 Number. 5 Rate. 6 Number. 9 Rate per 1,000 Live Births. 10 Number. 11 Rate. 12 -
Page 20
(b) Age Mortality.—The deaths in various age groups, according to the figures obtained locally, were as follows:—
Age group. No. of deaths. -
Page 21
or important from a public health aspect were as follows:—
Disease. No. of Deaths. Percentage of total net deaths registered. -
Page 21
(d) Deaths from Zymotic Diseases.—These diseases caused 4.19 per cent, of the total deaths, such deaths being caused in the following numbers:—
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Page 23
(f) Causes of and ages of death during the year 1938. (Net Deaths).
Causes of Death. Deaths at the subjoined ages of " Residents " whether occurring in or beyond the Under one year. 1 and under 5 5 and under 15 district. Registrar-General's Figures. 15 and under 25 25 and under 45 45 and under 65 65 and Total upwards -
Page 25
Causes of death under 1 year of age, year 1938 :—
0-1 mth. 1-3 mths. 3-6 mths. 6-9 mths. 9-12 mths. Total under 1 year -
Page 25
Net Births in the Year:-
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Page 26
Causes of Neo-Natal deaths, year 1938 :—
Under 1 wk. 1-2 wks. 2-3 wks. 3-4 wks. Total. -
Page 27
The following table shows the comparative figures of infant mortality and neo-natal mortality for the past ten years :—
Year Infantile Mortality Infantile Mortality Rate Neo-Natal Mortality Neo-Natal Mortality Rate -
Page 28
Continued from previous page...
Year Infantile Mortality Infantile Mortality Rate Neo-Natal Mortality Neo-Natal Mortality Rate -
Page 30
Copy of comparative statement of local unemployed by industries, as at December, 1937 and December, 1938:-
Dec. 1937. Dec. 1938. Men. Women. Men. Women. -
Page 41
CLINIC AND TREATMENT CENTRES.
Name and Situation. When Held. Nature of Accommodation. By Whom Provided -
Page 43
CLINIC AND TREATMENT CENTRES.
Name and Situation. When Held. Nature of Accommodation. By Whom Provided -
Page 46
The following tables show the attendances at these clinics during the year :—
Central Clinic. Woodward Clinic. Humphrey Clinic. Porters Avenue Clinic. -
Page 53
The following table gives you similar information for the last fifteen years:— Maternal Mortality—Statistics.
Year. Barking. England and Wales. Deaths from Rate per 1,000 births. Rate per 1,000 births. Puerperal Sepsis. Other Puerperal Causes. -
Page 58
No. of cases seen by medical officers:—
Central Clinic Woodward Clinic Porters Ave. Clinic -
Page 60
(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. Woodward. Porters Avenue. Totals. -
Page 61
(u) Home Visiting .—The home visits carried out by your Health Visitors are shown in detail in the following table:—
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Page 62
(v) Provision of Fresh and Dried 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. -
Page 62
Particulars of the amounts of dried milks, etc., supplied free and at reduced rates are as follows:—
Name of Food. Cost Price (pkts.) Half Price (pkts.) Free (pkts.) Total (pkts.) -
Page 84
Thereafter the condition of the river on the day of inspection was as follows :—
Source of Sample. Impurity Figure. Remarks. -
Page 85
The standard impurity figures for river waters used as a guide in the County of Essex are as follows:—
Standard Impurity Figure. -
Page 95
(2) Premises Controlled by Byelaws and Regulations.
Inspections. Contraventions. Notices served. -
Page 95
(3) Factories, Workshops and Workplaces.
Inspections. Defects. Notices. -
Page 97
(2) Closet Accommodation.
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Page 98
Continued from previous page...
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Page 99
(i) Inspections (including inspections made by Sanitary Inspectors).
Premises. Number of Inspections. Written Notices. Prosecutions. Intimations. Statutory. -
Page 99
(2) Defects found.
Particulars. Number of Defects. Number of Prosecutions. Found Remedied Referred to H.M. Inspector. -
Page 116
HOUSES BUILT IN THE DISTRICT. 1926—1938.
Year. Total. As part of Municipal Housing Scheme. Others (including private enterprise and subsidy houses) -
Page 118
Changes in overcrowding in houses owned by Local Authorities:—
London County Council. Barking Corporation. -
Page 119
CLEARANCE AREAS.
Area. Date of Representation Acreage Dwelling Houses Shops Total Premises Total Persons Date of Inquiry Date of Confirmation Premises Excluded Final Date for Vacation Date of Demolition Subsequent Use of Site -
Page 121
clearance areas— continued.
Area. Date of Representation Acreage Dwelling Houses Shops Total Premises Total Persons Date of Inquiry Date of Confirmation Premises Excluded Final Date for Vacation Date of Demolition Subsequent Use of Site -
Page 125
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 66, three were found to be unsatisfactory :—
Type of Sample. Satisfactory. Unsatisfactory. Totals. -
Page 126
The following table shows the number of licences granted during the year for the sale of graded milks under the Milk (Special Designations) Order, 1936:—
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Page 127
The following table gives particulars of notifications received, and the animals slaughtered, during the eleven years ended December 31st, 1938.
Year. 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 -
Page 127
The following additional table gives information as to carcases inspected and condemned during the year 1938 :
Cattle excluding Cows Cows Calves Sheep and Lambs Pigs -
Page 130
The following samples were examined during the year:—
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Page 130
For your information I give particulars of samples taken by the Essex County Council in this district since 1931:-
Tear. Number of Samples. No. of samples per 1,000 population. -
Page 134
TABLE I.
Disease. Males. Females Total. Total cases removed to Hospital. Deaths. -
Page 135
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 65 years Over 65 years Totals Abbey Cambell Eastbury Gascoigne Longbridge Manor Park Parsloes -
Page 137
TABLE III. Monthly summary of notifications of Scarlet Fever and Diphtheria received during 1938:—
Scarlet Fever Diphtheria Total. -
Page 137
(a) Measles , etc. —The most important of these are measles, whooping cough and summer diarrhoea. Deaths registered were as follows:—
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Page 139
(a) Admissions. —The following is the table of admissions, etc., in respect of infectious diseases during 1938:-
Disease. In Hospital January 1st, 1938. Admitted during the year. Died. Discharged. In Hospital Dec. 31st, 1938. -
Page 140
The following table shows what has been done under the immunisation scheme during the year:—
Diphtheria Scarlet Fever Whooping Cough School Children Toddlers School Children Toddlers School Children Toddlers -
Page 141
The following table shows the occupations of the 75 people who died from cancer during the year 1938:—
Male.* Female. -
Page 142
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 143
The following table shows that the number of cases of Ophthalmia Neonatorum during 1938 was 5. Three 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 143
Particulars of new cases of Tuberculosis and of all deaths from the disease in the area during 1938 are given in this Report in the following form:—
New Cases Notified. Deaths. Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. M. F. M. F. M. F. M. F. -
Page 144
The following are particulars of cases notified on Forms I and II during the year:—
Pulmonary. Non-Pulmonary. -
Page 160
The following table shows the number of medical examinations conducted at ordinary elementary schools at routine and special inspections during 1938 classified according to the schools, 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 161
The following table is similar to Table I (C) of the Returns to the Board of Education (given on page 220 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 162
The following table shows the results of cleanliness inspections for the past two years :—
1937 1938 -
Page 163
The following is the number of cases of skin diseases referred for treatment during the year :—
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Page 164
The figures for 1938 are as follows :—
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Page 166
The following table shows the position with regard to the notification of tuberculosis amongst schoolchildren during 1938, and also the number removed from the " register " during this period :—
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Page 166
A summary of the following-up work by your School Nurses is given herewith :—
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Page 167
All Clinics.
Clinic. No. of first attendances of elementary and Faircross school children. Total No. of attendances of elementary and Faircross school children. 1937 1938 1937 1938 -
Page 169
Minor Ailments Clinics.
Central Clinic. Woodward Clinic. Porters Avenue Clinic. 1937 1938 1937 1938 1937 1938 -
Page 173
The following table shows briefly the number of children notified and reported suffering from some of the commoner infectious diseases during the past five years:—
1934 1935 1936 1937 1938 -
Page 179
6. Swimming.
Area. No. of Eligible Scholars. No. who Received Instruction. Percentage. -
Page 180
Number of Attendances and Certificates Gained.
Year. Attendances. Certificates. Public Baths Park Pool. Total. 100 yds. 50 yds. 30 yds. -
Page 181
There are now running eight classes for women and two for men at the following school halls in Barking:—
School. Type of Class. Day. -
Page 183
Continued from previous page...
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 185
Continued from previous page...
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 189
Issues of Cod Liver Oil and Malt and similar preparations during 1938 .
Cost price (packets) Free (packets) Total (packets) -
Page 190
The following table shows the work which has been undertaken in Barking by the National Society for the Prevention of Cruelty to Children during the last five years:—
1934 1935 1936 1937 1938 -
Page 191
Continued from previous page...
Open-Air Section Physically Defective Section Mentally Defective Section -
Page 197
During 1938 the following recommendations by your medical officers were forwarded to the Juvenile Employment Officer:—
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Page 199
CLINIC AND TREATMENT CENTRES.
Name and Situation. When Held. Nature of Accommodation. By Whom Provided. -
Page 201
CLINIC AND TREATMENT CENTRES.
Name and Situation. When Held. Nature of Accommodation. By Whom Provided. -
Page 208
TABLE I.
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Page 209
TABLE II. MYOPIA. TABLE SHOWING WORK CARRIED OUT DURING 1938 IN CONNECTION WITH ALL SCHOOL-CHILDREN SUFFERING FROM MYOPIA.
Individual cases No. of attendances Spectacles No. of attendances of cases reviewed in:— Recommendations to Head Teachers for:— Notprescribed on first visit Ordered for first time Changed No change Months Ordinary Routine "Easy Treatment" "Special Treatment" 3 4 6 9 12 -
Page 209
TABLE III. External Diseases of the Eye treated at the Clinics
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Page 209
TABLE IV.
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Page 210
TABLE V. TREATMENT OF ELEMENTARY SCHOOL CHILDREN AT THE ORTHOPTIC (SQUINT TRAINING) CLINIC.
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Page 210
(2) Treatments:— Cases cured—average length of treatment 11 months. Cases still under treatment:—
After treatment for Over 12 mths. 9-12 mths. 6-9 mths. 3-6 mths. Under 3 mths. -
Page 211
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 of school age:—
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Page 212
The cases dealt with for the first time during 1938 were referred for the following conditions:—
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Page 213
(b) Deformities—Muscular.
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Page 214
During the year, eleven children were admitted to Hospital, ten for operations and one for observation, as follows:—
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Page 215
PARTICULARS OF THE WORK DONE IN CONNECTION WITH THE ORTHOPÆDIC CLINIC DURING 1938.
No. of sessions held by Orthopaedic Surgeon No. of sessions held by Masseuses ATTENDANCES. Primary Examination Re-examination For Treatment Totals School Children Toddlers and Expectant & Nursing Mothers School Children Toddlers and Expectant & Nursing Mothers School Children Toddlers and Expectant & Nursing Mothers School Children Toddlers and Expectant & Nursing Mothers -
Page 215
TREATMENTS.
Massage Electricity Remedial Exercises Ultra-Violet Therapy Radiant Heat Dressings and Splintage Totals. No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments No. of Children No. of Treatments -
Page 219
TABLE I. RETURN OF MEDICAL INSPECTIONS.
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Page 220
C.—Children found to require Treatment. Number of individual children found at Routine Medical Inspection to require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases).
Group For defective vision (excluding squint) - For all other conditions recorded in Table II A Totals. -
Page 221
TABLE II. (A)—RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31ST DECEMBER, 1938.
Defect or Disease Routine Inspections Special Inspections 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 223
TABLE II. (A)— continued.
Defect or Disease Routine Inspections Special Inspections 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 225
table ii. (b) classification of the nutrition of children inspected during the year in the routine age groups.
Age-groups Number of Children Inspected A (Excellent) B (Normal) C (Slightly subnormal) D (Bad) No. % No. % No. % No. % -
Page 226
TABLE III. RETURN OF ALL EXCEPTIONAL CHILDREN IN THE AREA. Blind Children.
At Certified Schools for the Blind At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 226
Partially Sighted Children.
At Certified Schools for the Blind At Certified Schools for the Partially Sighted At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 226
Deaf Children.
At Certified Schools for the Deaf At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 227
TABLE III.— continued. Partially Deaf Children.
At Certified Schools for the Deaf At Certified Schools for the Partially Deaf At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 227
Mentally Defective Children. Feeble-Minded Children.
At Certified Schools for Mentally Defective Children At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 227
Epileptic Children. Children Suffering from Severe Epilepsy.
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 228
TABLE III.— continued. Physically Defective Children. A.—Tuberculous Children. I.—Children Suffering from Pulmonary Tuberculosis. (Including pleura and intra-thoracic glands.)
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Totals -
Page 228
II.—Children Suffering from Non-Pulmonary Tuberculosis. (This category includes tuberculosis of all sites other than those shown in I above.)
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Totals -
Page 228
B—Delicate Children.
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 229
TABLE III.— continued. C.—Crippled Children.
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 229
D.—Children with Heart Disease.
At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Total -
Page 229
Children Suffering from Multiple Defects.
Combination of Defect At Certified Special Schools At Public Elementary Schools At other Institutions At no School or Institution Totals -
Page 230
Analysis of the above Total.
Diagnosis Boys Girls -
Page 231
TABLE IV. RETURN OF DEFECTS TREATED DURING THE YEAR ENDED 31st DECEMBER, 1938. Group I.— Minor Ailments (excluding Uncleanliness, for which see Table VI).
Defect or Disease Number of Defects treated, or under treatment during the year Under the Authority's Scheme Otherwise Totals -
Page 232
TABLE IV.— continued. Group II. —Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments— Group I).
Number of Defects dealt with Under the Authority's Scheme Otherwise Totals -
Page 232
Number of children for whom spectacles were prescribed:—
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Page 232
Number of children who obtained spectacles:—
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Page 233
TABLE IV.— continued. Group III.—Treatment of Defects of Nose and Throat. Number of Defects.
Defect Received Operative Treatment Received other forms of Treatment Total number treated Under the Authority's Scheme, in Clinic or Hospital By Private Practitioner or Hospital, apart from the Authority's Scheme Totals -
Page 233
Group IV.—Orthopaedic and Postural Defects.
Under the Authority's Scheme . Otherwise Total number treated Residential treatment with education Residential treatment without education Non-Residential treatment at an orthopaedic clinic Residential treatment with education Residential treatment without education Non-Residential treatment at an orthopaedic clinic -
Page 235
TABLE V. DENTAL INSPECTION AND TREATMENT.
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Page 236
TABLE V.— continued.
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Page 236
TABLE VI. UNCLEANLINESS AND VERMINOUS CONDITIONS.
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Page 237
TABLE I. RETURN OF MEDICAL INSPECTIONS. (Secondary Schools only.)
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Page 238
C. —Children to require Treatment. Number of individual children found at Routine Medical Inspection to Require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases.)
Group. For defective vision (excluding squint) For all other conditions recorded in Table IIA Totals. -
Page 239
TABLE II. (A)—RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31st DECEMBER, 1938. (Secondary Schools only.)
Defect or Disease Routine Inspections Special Inspections 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 241
TABLE II. (A)— continued. (Secondary Schools only.)
Defect or Disease Routine Inspections Special Inspections 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 243
TABLE II. (B)—CLASSIFICATION OF THE NUTRITION OF CHILDREN INSPECTED DURING THE YEAR IN THE ROUTINE AGE GROUPS. (Secondary Schools only.)
Age-groups Number of Children Inspected A (Excellent) B (Normal) C (Slightly) subnormal) D (Bad) No. % No. % No. % No. % Entrants 363 50 13.77 299 82.37 14 3.86 — — Second Age-group 202 40 19.80 155 76.73 7 3.47 — — Third Age-group 100 38 38.00 61 61.00 1 1.00 — — Other Routine Inspections — — — — — — — — — Totals 665 128 19.25 515 77.44 22 3.31 — — -
Page 245
TABLE IV. RETURN OF DEFECTS TREATED DURING THE YEAR ENDED 31st DECEMBER, 1938. (Secondary Schools only.) Group I. —Minor Ailments (excluding Uncleanliness, for which see Table VI).
Defect or Disease Number of Defects treated, or under treatment during the year Under the Authority's Scheme Otherwise Totals -
Page 246
TABLE IV.— continued. (Secondary Schools only.) Group II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments— Group I).
Number of Defects dealt with Under the Authority's Scheme ' Otherwise Totals -
Page 246
Number of children for whom spectacles were prescribed:—
-
Page 246
Number of children who obtained spectacles:—
-
Page 247
TABLE IV.— continued. (Secondary Schools only.) Group III.—Treatment of Defects of Nose and Throat. Number of Defects.
Defect Received Operative Treatment Received other forms of Treatment Total number treated Under the Authority's Scheme, in Clinic or Hospital By Private Practitioner or Hospital, apart from the Authority's Scheme Totals -
Page 247
Group IV.—Orthopaedic and Postural Defects.
Under the Authority's Scheme Otherwise Total number treated Residential treatment with education Residential treatment without education Non-Residential treatment at an orthopaedic clinic Residential treatment with education Residential treatment without education Non-Residential treatment at an orthopaedic clinic -
Page 249
TABLE V. DENTAL INSPECTION AND TREATMENT. (Secondary Schools only.)
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Page 250
TABLE V.— continued.
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Page 250
TABLE VI. UNCLEANLINESS AND VERMINOUS CONDITIONS. (Secondary Schools only.)
-
Page 251
MEDICAL INSPECTION. (Secondary Schools only.) The following table shows the number of medical examinations conducted at school at routine and special inspections during 1938 classified according to the schools, 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 252
The following table is similar to Table I (C) of the Returns to the Board of Education (given on page 238 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 254
A summary of the work of the Clinics is included in the following table:— All Clinics.
Clinic. No. of first attendances of school children. Total No. of attendances of school children.