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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

Beckenham 1938

[Report of the Medical Officer of Health for Beckenham]

Published
1939
Pages
92
Tables
65

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65 tables in this report

  • Page 7
    BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY DURING 1938. Provisional Figures.
    Rate per 1,000 total populationAnnual Death Rate per 1,000 population.Rate per 1,000 live births.
    All causesEnteric Fever.Smallpox.Measles.Scarlet Fever.Whooping Cough.Diphtheria.Influenza.Diarrhoea (under 2 years).Total deaths under 1 year.
    Live BirthsStill Births
  • Page 10
    The Infantile Mortality Rate for the year was 34.792 per 1,000 births.
    DiseaseWeeksTotal under 1 mth.MonthsTotal under 1 year
    0 to 11 to 22 to 33 to 41 to 34 to 67 to 910 to 12
  • Page 11
    The Infantile Mortality Rates for the different Wards in the Borough is as follows :—
    AreaBirthsInfant DeathsI.M.R.Neo-NatalOne week to one year
  • Page 12
    1938 METEOROLOGY
    MonthMean Reading of Barometer at 9 a.m.Self-registering thermometerRainfall total, per mouth (inches)
    Max. in AirMin. in Air
  • Page 13
    LOCAL CLINIC SERVICES. The time-table printed is that in force for 1939.
  • Page 14
    VENEREAL DISEASES. There is no treatment Centre in the area for these diseases. The following is a list of the nearest available Clinics and Hospitals :—
  • Page 18
    The consultations from this source numbered twenty-one, and they were distributed as shown in the table that follows:—
  • Page 19
    The work done by the Health Visitors is summarised below:—
    Home Visits, NewUnder One1 to 5Special IllnessExpect. MothersBoarded OutNo reply to callTotal Welfare VisitsT.B. Visits
  • Page 20
    INFANT WELFARE ATTENDANCES
    Town Hall C'treAlexandra C'treElmers End Ct'reWick-ham C'treConey Hall C'treCh'ch-fields C'treTotal 1938Total 1937
  • Page 20
    The following figures show the main reasons for medical examinations :—
    Total seen by Doctor.Feeding and Digestion.Referred to Special Clinics.Special Cases.General Progress.
  • Page 21
    The following figures show the attendances of children in age groups :—
    Year bornTotal who AttendedAttendances madeAverage number of Attendances per Child
  • Page 22
    Cases in attendance—
    Dental.Tonsils and Adenoids.Eye Clinic.U.V. Ray Clinic.Orthopaedic Clinic.Aural Clinic.
  • Page 22
    The following is the summary of treatment:-
    MothersChildren
  • Page 23
    The figures give the number of mothers admitted during 1938, with comparative figures.
    YearTotal cases admittedBeckenham casesPenge casesOut-district cases
  • Page 25
    ANNUAL STATISTICS FOR 1938 Relating to the Beckenham and Penge Joint Maternity Home
    Information RequiredParticulars
  • Page 26
    Continued from previous page...
    Information RequiredParticulars
  • Page 27
    INFECTIOUS DISEASE The following table gives the number of cases which were notified during the year, the number removed to Hospital for treatment, and the number of deaths.
    DiseasesNotifiedRemoved to HospitalTotal Deaths
    Bk.W.W.TotalTotal
  • Page 27
    The age incidence of the cases was :—
    0—45—1415 +
  • Page 27
    The seasonal incidence was
    Jan.-Mar.Apr.-June.July-Sept.Oct.-Dec.
  • Page 28
    The following table shows the position in the Infants' Department of the Elementary Schools at 31st December, 1938, with comparative figures for recent years.
    SchoolYear of BirthPercentage Protected
    1931193219331934Total19381937193619351934
  • Page 28
    The percentage of Immunity for all Infants' Departments combined in the last five years, has been :—
    19341935193619371938
  • Page 29
    DIPHTHERIA IMMUNISATION Number of hildren in Elementary Schools completely Protected at 31/12/1938.
    School.born1934193319321931193019291928192719261925192419231922
    B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.B.G.
  • Page 30
    DIPHTHERIA IMMUNISATION. TABLE NO. 1 1938. Treatment Given to New Cases in 1938.
    BornShick TestDoses after TestDoses Sans Test1st RetestFurther Doses2nd Retest
    Neg.Pos.FailedHad 3FailedHad 3FailedNot Due.Neg.Pos.FailedHadNeg.Pos.Not Due.
  • Page 31
    DIPHTHERIA IMMUNISATION Table Shewing Position at 31/12/1938 of All Cases Commenced Treatment before 31/12/1937. TABLE III.
    Shick TestDoses after TestDoses Sans TestRetestDoses2nd RetestDosesRetest
    BornNeg.+failedhad 3failedhad 3failedNeg.+n.d.failed4thfailedNeg.+n.d.failed5thfailedNeg.
    IIIIIIIVVVIVIIVIIIIXXXIXIIXIIIXIVXVXVIXVIIXVIIIXIXXX
  • Page 32
    The age incidence of the cases was :—
    0—45—1415 +
  • Page 33
    The distribution of the disease in the different Wards was as follow:—
  • Page 34
    CASES OF PUERPERAL PYREXIA, 1938
    No.Date of ConfinementOnsetNotifiedWhereCauseTreatment and Result
  • Page 35
    TUBERCULOSIS—TABLE OF PRIMARY NOTIFICATIONS AND DEATHS, 1938
    Notifications.Totals.Ages.Wards.
    0 to 44 to 55 to 1515 to 2525 to 3535 to 4545 to 5555 to 6565 and overCopers CopeEden ParkLangley ParkShort-landsManor HouseKent HouseLawrie ParkWickhamTotal
  • Page 36
    New cases attending for the first time :—
    AdultsChildren
    MaleFemaleMaleFemale
  • Page 37
    BACTERIOLOGICAL WORK The number and results of the examinations made at the Public Health Department Laboratory during 1 938 was :—
    Disease suspectedTotal 1938ResultsComparative Total for 1937
    PositiveNegative
  • Page 38
    Various special examinations can be made at the County Laboratory, Maidstone, free of charge, and the following were carried out in 1938 :—
  • Page 39
    SANITARY INSPECTION OF THE DISTRICT, 1938 Nature of Nuisances or Defects Remedied.
    No. of defects remedied.
  • Page 40
    No. of defects remedied.
  • Page 41
    PREMISES CONTROLLED BY BYELAWS, ETC. The following Table supplies particulars of the premises and the occupations in the district which are controlled by Byelaws or Regulations:—
    Character of PremisesNo.Statutory or other provisionsAction taken and result
  • Page 42
    Continued from previous page...
    Character of PremisesNo.Statutory or other provisionsAction taken and result
  • Page 43
    THE SHOPS ACTS. During the year 1,131 visits were made under the above Acts.
  • Page 49
    The following table shows the results that were obtained during the year:—
    No. of Bacteria per Cubic CentimeterPercentages of sample in which Bacillus Coli present in 1/100th of a c.c. or less
    Percentage of Samples with
    Less than 30,00030,000 to 100,000100,000 to 200,000200,000 to 500,000Over 500,000
  • Page 50
    ANIMALS DRESSED IN 1938
    Cows.Oxen.Calves.Sheep.Pigs.Goats.Total.
  • Page 51
    SUMMARY OF CONDEMNED MEAT
    Animal.Condition.No. affected.Weight.
  • Page 51
    Carcases Inspected and Condemned.
    Cattle excluding CowsCowsCalvesSheep and LambsPigs
  • Page 52
    SUMMARY OF CONDEMNED MEAT
    Animal.Condition.Part condemned.No. affected.Weight in lbs.
  • Page 53
    Continued from previous page...
  • Page 55
    TABLE SHOWING CAUSES OF DEATHS AT DIFFERENT AGE PERIODS DURING THE YEAR, 1938
    Causes of DeathRegistrar General.All ages0 to 11 to 22 to 55 to 1515 to 2525 to 3535 to 4545 to 5555 to 6565 to 7575 to 8585 and overCopers CopeShortlandsLangley ParkEden ParkManor HouseKent HouseLawrie ParkWest WickhamTotal
    MaleFemaleTotal
  • Page 60
    The home visits to cases of infectious disease, absentees from school, cases who fail clinic appointments, etc., are made by the School Nurses, in addition to attendance at the Minor Ailment, Inspection and Special Clinics ; the following figures give some indication of the amount of work done by them during the year:—
    Home Visits:Total 1938Total 1937
  • Page 63
    Provision of Milk at School.—Numbers Receiving Daily Issues at ½ d. per Day.
    Infants.Juniors.Seniors.Total.
    School.On RollMilkOn RollMilkOn RollMilkOn RollMilk
  • Page 65
    TREATMENT OF MINOR AILMENTS. Five Clinics were in operation throughout the year. The attendances total 6,376, compared with 4,882 in 1937.
    Days HeldFor Children from
  • Page 65
    The attendances during the year are shown below, with comparative figures for 1937:—
    Sessions heldAttendancesAverage per Session
    193819371938193719381937
  • Page 66
    T he work done during the year is summarised belo w :—
    I.W.C.S.M.S.County
  • Page 68
    For purpose of comparison, a table showing the distribution of carious teeth at Falmouth and Beckenham is appended :—
    Permanent teeth lost, unsaveable or saveable.Children.
    Falmouth.Beckenham.
  • Page 69
    The comparable figures of as follows:—Attendances and treatment were
    19371938
  • Page 71
    REPORT ON WORK OF AURAL CLINIC IN 1938 By G. H. Howells, F.R.C.S.
    Sessions held.Total attendances.New Cases.Re-examinations.
    Infants.School.Infants.School.
  • Page 71
    Summary of work done:—
    School Children.Infants.
  • Page 71
    The condition of those cases cured during the year was:—
    School Children.Infants.
  • Page 72
    The following summary shows the work of this Clinic during 1938, and the comparative figures are given for the preceding years :
    Half-day SessionsTotal attendances.Surgeons Examinations.
    New cases.Re-examinations.
    Year.held.School.Infants.School.Infants.School.Infants.
  • Page 72
    213 children attended as new cases and the diagnoses are tabulated below, In twenty-one cases the diagnosis appears under more than one heading :—
    ClassificationNo. of Cases
    No.Condition.
  • Page 74
    No change has been made in the existing methods of notification. The following table shows details of the cases excluded from School during the year
    Condition for which excludedNames of Schools
    AlexandraBalgowanBromley RoadChurchfieldsMarian VianHawes DownWickham Com.OthersTotals, 1938Totals, 1937
  • Page 78
    C.—Children Found to Require Treatment Number of individual children found at Routine Medical Inspection to require treatment (excluding Defects of Nutrition, Un-cleanliness and Dental Diseases).
    Group.For defective vision (excluding squint).For all other conditions recorded in Table IIA.Total.
    (1)(2)(3)(4)
  • Page 79
    TABLE II. A. —Return of Defects found by Medical Inspection in the Year ended 31st December, 1938. Excluding Defects of Nutrition, Uncleanliness and Dental Disease.
    DEFECT OR DISEASERoutine InspectionsSpecial Inspections
    No. of Defects.No. of Defects.
    Requiring TreatmentRequiring to be kept under observation, but not requiring Treatment.Requiring TreatmentRequiring to be kept under observation, but not requiring Treatment.
    (1)(2)(3)(4)(5)
  • Page 80
    B.— Classification of the Nutrition of Children Inspected during the year in the Routine Age Groups.
    Age GroupsNo. of children inspected'A' Excellent'B' Normal'C' Slightly subnormal'D' Bad
    No.%No.%No.%No.%
  • Page 80
    TABLE III. Return of all Exceptional Children in the Area, 1938
  • Page 81
    Continued from previous page...
  • Page 81
    TABLE IV. Treatment Tables.—Group I. Minor Ailments.
    Disease or DefectNumber of Defects treated, or under treatment, during 1938
    Under the local Authority's Scheme
  • Page 82
    TABLE IV. Group II. Defective Vision and Squint.
    No. of Defects dealt with.
    Under the Authority's SchemeOtherwise.Total
  • Page 82
    Group III.—Treatment of Defects of Nose and Throat.
    Received Operative Treatment Number of Defects.Received other forms of treatmentTotal
    Tonsils onlyAdenoids onlyTonsils and AdenoidsOther defects
  • Page 82
    Group IV.—Orthopaedic and Postural Defects. Under the Authority 's Scheme.
    Residential treatment with educationResidential treatment without educationNon-residential treatment at an Orthopaedic ClinicTotal