[Report of the Medical Officer of Health for Croydon]

Page 8

2. Extracts from Vital Statistics for the Year.

Births-	Males.	Females.	Total.	Birth Rate.

Page 9

3.-NOTIFIABLE DISEASES DURING THE YEAR.

disease.	Total cases notified, †	Cases admitted to Hospital.	Total deaths at all ages.	Age Groups of Deaths.
				Under 1.	1 and under 2	2 and under ³	3 and under ⁴	4 and under 5	5 and under 10	10 and under 15	15 and under 20	20 and under 35	35 and under 45	45 and under 65	65 and over.

Page 10

OPHTHALMIA NEONATORUM.

cases.
Notified.	Treated.		Vision unimpaired.	Vision impaired	Total blindness.	Deaths.	Left District, etc.
Notified.	At home.	In hospital

Page 11

(C) CLINICS AND TREATMENT CENTRES.

Name and Situation.		Nature of Accommodation By whom provided.

Page 12

CLINICS AND TREATMENT CENTRES ( Continued).

Name and Situation.		Nature of Accommodation By whom provided.

Page 18

TABLE I. Vital Statistics of whole District during 1921 and previous years.

Year.	Population estimated to Middle of each Year.	Uncorrected Number.	Births.		Total Deaths Reg. in the District.		Transferable Deaths		Nett deaths belonging to the District.
			Births.		Total Deaths Reg. in the District.		of Non-residents registered in the District.	of Residents not registered in the District	Under 1 Year of Age.		At all Ages.
			Nett.		Number.	Rate.*			Under 1 Year of Age.		Number.	Rate *
			Nett.						Number.	Rate per 1,000 Nett Births.
			Number.	Rate*					Number.	Rate per 1,000 Nett Births.
1	2	3	4	5	6	7	8	9	10	11	12	13

Page 19

TABLE II. Cases of Infectious Disease notified during the Year 1921.

Notifiable Disease.	Casks notified in whole District.								Uurecorded ages.	Total Cases notified in each Locality.									Total Cases Removed to Hospitals or Sanatoria.
	At all Ages.	At Ages-Years.								West.	North.	Central.	East.	South.	South Norwood.	Upper Norwood.	Thornton Heath.	Institution cases which could not be distributed.
	At all Ages.	Under 1.	1 to 5.	5 to 15.	15 to 25.	25 to 45.	45 to 65	65 & upwd.		West.	North.	Central.	East.	South.	South Norwood.	Upper Norwood.	Thornton Heath.	Institution cases which could not be distributed.

Page 20

TABLE III Causes of, and ages at, Death during Year ending December 31st, 1921, excluding Deaths of Strangers at the Workhouse, Workhouse Infirmary, Borough Hospital, General Hospital, Purley Cottage Hospital, Norwood Cottage Hospital, 99, Central Hill (Servants' Reformatory), etc., and adding Deaths of Croydon Residents known to have occurred outside the District.

No.	CAUSE	LOCALITIES.								Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed and not distributed	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.
No.	CAUSE	J West.	North.	Central.	East.	South.	South Norwood.	Upper Norwood.	Thornton Heath.	Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed and not distributed	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.

Page 21

Continued from previous page...

Page 22

TABLE III- continued.

No.	CAUSE	LOCALITIES.								Institution & Street Deaths which could not be distribnted.	Total Institution Deaths distributed and not distributed.	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1.2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.
No.	CAUSE	West.	North.	Central.	East.	South.	South Norwood.	Upper Norwood.	Thornton Heath.	Institution & Street Deaths which could not be distribnted.	Total Institution Deaths distributed and not distributed.	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1.2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.

Page 23

Continued from previous page...

Page 24

TABLE III- continued.

No.	CAUSE.	LOCALITIES.								Institution & Street Deaths which could not, be distributed.	Total Institution Deaths distributed and not distributed.	Inquest Cases	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.
No.	CAUSE.	West.	North.	Central.	East.	South.	South Norwood.	Upper Norwood.	Thornton Heath.		Total Institution Deaths distributed and not distributed.	Inquest Cases	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.

Page 25

Continued from previous page...

Page 26

TABLE III- continued.

No.	CAUSE.	LOCALITIES.								Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed and not distributed.	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.
No.	CAUSE.	West.	North.	Central.	East.	South.	South Norwood.	Upper Norwood.	Thornton Heath.	Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed and not distributed.	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.

Page 27

Continued from previous page...

Page 28

TABLE III- continued.

No.	CAUSE.	LOCALITIES.								Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed and not distributed.	Inquest Cases.	Total all Ages.	Males all Ages.	F°males all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25 45.	45-65.	65 and upwards.
No.	CAUSE.	West	North	Central.	East	South.	South Norwood.	Upper Norwood.	Thornton Heath.	Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed and not distributed.	Inquest Cases.	Total all Ages.	Males all Ages.	F°males all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25 45.	45-65.	65 and upwards.

Page 29

Continued from previous page...

Page 30

TABLE III- continued.

No.	CAUSE.	LOCALITIES.								Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.
No.	CAUSE.	West.	North.	Central.	East.	South.	South Norwood.	Upper Norwood.	Thornton Heath.	Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.

Page 31

Continued from previous page...

Page 32

TABLE III -continued

No.	CAUSE	LOCALITIES.								Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed and not distributed.	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.
No.	CAUSE	West.	North.	Central.	East.	South.	South Norwood.	Upper Norwood.	Thornton Heath.	Institution & Street Deaths which could not be distributed.	Total Institution Deaths distributed and not distributed.	Inquest Cases.	Total all Ages.	Males all Ages.	Females all Ages.	0-1.	1-2.	2-5.	5-15.	15-25.	25-45.	45-65.	65 and upwards.

Page 33

TABLE III A. DEATHS FROM INFLUENZA AND CERTAIN OTHER CONDITIONS 1921.

Week Ending	Influenza.		Pneumonia.		Broncho-Pneumonia.		Phthisis.		Other Reip. Diseases.		Cerebrospinal Fever.		Measles.		Whooping Couirh.
Week Ending	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

Page 34

TABLE III a.- Continutd.

Week Ending.	Influenza.		Pneumonia.		Broncho-Pneumonia.		Phthisis.		Other Resp. Diseases.		Cerebrospinal Fever.		Measles.		Whooping Cough.
Week Ending.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

Page 36

TABLE IV. County Borough of Croydon- Whole Borough. INFANT MORTALITY. 1921. Nett Deaths from stated causes at various Ages under One Year of Age.

CAUSES OF DEATH.	Under 1 Week.	1-2 Weeks.	2-3 Weeks.	3-4 Weeks.	Total under 1 Month.	1-3 Months.	3-6 Months.	6-9 Months.	9-12 Months	Total Deaths under 1 Year.

Page 37

TABLE IV.- Continued. County Borough of Croydon-West Ward. INFANT MORTALITY. 1921. Nett Deaths from stated causes at various Ages under One Year of Age.

CAUSES OF DEATH.	Under 1 Week	1-2 Weeks.	2-3 Weeks.	3-4 Weeke.	Total under 1 Month.	1-3 Monthe.	3-6 Monthe.	6-9 Monthe.	9-12 Monthe.	Total Deaths Under 1 Year.

Page 38

TABLE IV. - Continued. County Borough of Croydon - North Hard. INFANT MORTALITY. 1921. Nett Deaths from stated causes at various Ages under One Year of Age

CAUSES OF DEATH.	Under 1 Week.	1-2 Weeks.	2-3 Weeks.	3-4 Weeks.	Total under 1 Month.	1-3 Months.	3-6 Months.	6-9 Months.	9-12 Months.	Total Deaths under 1 Year.

Page 39

TABLE IV.- Continued County Borough of Croydon-CentraI Ward. INFANT MORTALITY 1923. Nett Deaths from stated causes at various Ages under One Year of Age.

CAUSES OF DEATH.	Under 1 Week.	1-3 Weeks. ,	2-3 Weeks.	3-4 Weeks.	Total under 1 Month.	1-3 Months.	3-6 Months.	6-9 Months.	9-12 Month*.	Total Deaths Under One Year-

Page 40

TABLE IV.- Continued. County Borough o1 Croydon-East Ward. INFANT MORTALITY. Nett Deaths from stated Causes at various ages under One Year of Age.

CAUSES OF DEATH.	Under 1 Week	1-2 Weeks.	2-3 Weeks.	3-4 Weeks.	Total under 1 Month.	1-3 Months.	3-6 Months.	6-9 Months.	9-12 Months.	Total Deaths under x Year.

Page 41

TABLE IV.- Continued. County Borough of Croydon-South Ward. INFANT MORTALITY. 1921. Nett Deaths from stated Causes at various Ages under One Year of Age.

CAUSES OF DEATH.	Under 1 Week.	1-2 Weeks.	2-3 Weeks.	3-4 Weeks.	Total under 1 Month.	1-3 Months.	3-6 Monthe.	6-9 Months.	9-12 Monthe.	Total Deaths Under 1 Year.

Page 42

TABLE IV.- Continued. County Borough of Croydon-South Norwood. INFANT MORTALITY. 1921. Nett Deaths from stated Causes at various Ages under One Year of Age.

CAUSFS OF DEATH.	Under 1 Week.	1-2 Weeks.	2-3 Weeks.	3-4 Weeks.	Total under 1 Month.	1-3 Months.	3-6 Months.	6-9 Months.	9-12 Months.	Total Deaths Under 1 Year.

Page 43

TABLE IV.- Continued. Count&gt; Borough of Croydon-Upper Norwood. INFANT MORTALITY. 1921. Nett Deaths from stated Causes at varous Ages under One Year of Age.

CAUSES OF DEATH.	Under 1 Week	1-2 Weeks.	2-3 Weeks.	3-4 Weeks.	Total under 1 Month.	1-3 Months.	3-6 Months.	6-9 Months.	9-12 Months.	Total Deaths Under 1 Year.

Page 44

TABLE IV.- Continued. County Borough of Croydon-Thornton Heath. INFANT MORTALITY. 1921. Nett Deaths from statod Causes at various Ages under One Year of Age.

CAUSES OF DEATH.	Under 1 Week	1-2 Weeks.	2-3 Weeks.	3-4 Weeks.	Total under 1 Month.	1-3 Months.	3-6 Months.	6-9 Months.	9-12 Months.	Total Deaths Under 1 Year.

Page 46

TABLE V. Table showing the number of cases notified and deaths from the principal zymotic diseases for the Year 1921 and ten preceding Years.

Disease.		1921.		1920.		1919.		1918.		1917.		1916.		1915.		1914.		1918.		1912.		1911.
Disease.		Cases.	Deaths	Cases.	Deaths.	Cases.	Deaths.	Cases.	Deaths.	Cases.	Deaths.	Cases.	Deaths.	Cases.	Deaths.	Cases.	Deaths.	Cases..	Deaths.	Cases.	Deaths.	Cases.	Deaths.

Page 47

TABLE VI . -Vital Statistics of separate Wards in 1921 and previous years.

YEAR	Population estimated to middle of each year.	Births registered.	Deaths at all ages.	Deaths under 1 Year]	Population estimate 1 to middle of each year.	Births Registered,	Deaths at all ages.	Deaths under 1 Year.	Populationestimated to middle of each year.	Births Registered	Deaths at all ages.	Deaths under 1 Year.	Population estimated to middle of each year.	Births Registered,	Deaths at all ages,	Deaths under 1 Year.	Population estimated to middle of each year.	Births Registered.	Deaths at all ages.	Deaths under 1 Year.!	Population estimated to middle of each year.	\| Births Registered.	Deaths at all ages.	Deaths under 1 Year.	Population estimated to middle of each year.	Births Registered.	Deaths at all ages.	Deaths under 1 Year,	Population estimated to middle of each year.	Births Registered.	Deaths at a¹! ages.	Deaths under 1 Year.	Population estimated to middle of each year.	Births Registered.	\| Deaths at all ages.	Deaths under 1 Year

Page 48

TABLE VII. METEOROLOGICAL RECORD-YEAR 1921. Rain Gauge 5-in. in diameter, 1-ft. above ground, 146-ft. above sea level Temperature taken in the shade of a Stevenson's Screen, 4-ft. from the ground. The Ground Thermometer is suspended in an iron tube, the bulb being 4-ft. below the ground level.

Months 19.21.	Temperature of Air during Month.				Mean Temperature of Air.	Difference from average 50 years at Greenwich.	Mean Temperature of Ground at 4 ft.	Mean Temperature of the Dew Point.	Mean Tensional Difference between Ground and Dew Point at 9 p.m. and 3 p.m.	Rainfall-
	Highest.	Lowest.	Mean of							No. of Days on which Rain fell.	Amount collected in Inches.	Difference from average 90 years at Greenwich
	Highest.	Lowest.	AU Highest.	All Lowest. ^!						No. of Days on which Rain fell.	Amount collected in Inches.	Difference from average 90 years at Greenwich

Page 49

TABLE VIIA. Prevailing direetion of the Wind at Croydon in 1921. Number of Days each Month.

1921.	N.E	E.	S.E.	S.	S.W.	W.	N.W.	N.

Page 50

The figures for the various Wards were:-

	Births	Deaths under 1 rear.	Death-rate per 1000 Births (all causes).	Death-rate per 1000 births from ' diarrhœal' diseases.

Page 50

The following table shows the fluctuations since 1892 in the infantile mortality from "all causes,"from" diarrhœal diseases," and from "causes other than diarrhœal."

Years.	Total Infantile Mortality from all causes.	Infantile Molality from ''diarrhœal" diseases	Infantile Mortality from other than " diarrhœal" diseases.

Page 52

MILK SUPPLIED TO MOTHERS AND INFANTS.

Supplied to Families.	No. of Quarts.	Received from Families.			Corporation Liability.			TOTALS,

Page 52

more than twice the size of the existing one. The following table gives the returns of the cases dealt with.

Women admitted.	Confinements.			Births.				Women Discharged.
Women admitted.	Total.	Normal.	Com plicated.	Total.	Alive.	Stillborn.	Nonviable.	Women Discharged.

Page 53

Fur Mother-Before Birth.

Page 54

After Birth.

Page 55

Statistical Returns of Maternity and Child Welfare Centres.

INFANT CENTRES	Municipal Centre (228, London Road).	Central Croydon (Sylverdale Road).	South (Bartlett Street).	East Croydon (Lr. Addisc'be Rd.)	Woodside (St. Luke's Hall, Spring Lane).	South Norwood (Selhurst Road).	Upper Norwood (St. Margaret's, Naseby Road).	Thornton Heath (Mersham Road).	Thornton Heath j (St. Alban's Hall. 1 Whitehorse Lane).	West Croydon (Johnson Road).	TOTAL.

Page 56

This is equal to a rate of .9 per 1,000 of the population. Of the cases dying in 1921, the following table shows the years in which the primary notifications were received: -

Year.	Cases Notified.

Page 61

Summary of Notifications during the period from the 2nd January, 1921, to the 31st December, 1921, in the County Borough of Croydon.

	Notifications on Form A,													Notification on Form B.				No. of Notifications on Form C.
	Number of Primary Notifications.												Total Notifications on Form A-	No. of Primary Notifications.				No. of Notifications on Form C.
	Number of Primary Notifications.													No. of Primary Notifications.				Poor Law Institutions.	Sanatoria
Age periods.	0 to 1	1 to 5	5 to 10	10 to 15	15 to 20	20 to 25	25 to 35	35 to 45	45 to 55	55 to 65	65 and upwards	Total Primary Notifications.		Under 5	• 5 to 10	10 to 15	Total Primary Notifications.	Poor Law Institutions.	Sanatoria

Page 62

Table showing origin of Cases seen at the Dispensary for the first time in 1921.

Cause of person attending Dispensary.	Insured.			Uninsured-*				Grand Total.
Cause of person attending Dispensary.	Men.	Women.	Total.	Men.	Women	Cbild'n	Total.	Grand Total.

Page 62

Table showing the way in which new cases were dealt with in 1921.

	Insured.			Uninsured.				Orand Total.
	Men.	Women.	Total.	Men.	Women	Cbild'n	Total.	Orand Total.

Page 63

Table showing details of Medical Examinations made by the Assistant Medical Officer for Tuberculosis, 1921.

Period. 1921.	Total Medical Examinations made.						Grand Total.	New Cases Examined.
	At the Dispensary.			Patients Houses.				New Cases Examined.
	Insured.	Non-Insured.	Total.	Insured.	Non-Insured.	Total.		Insured.	Non-Insured.	Total.

Page 64

SANATORIUM AND HOSPITAL TREATMENT: SUMMARY OF CASES TREATED AT SANATORIA, 1921.

		M.	W.	C.	T1.

Page 64

SUMMARY OF CASES TREATED AT THE BOROUGH HOSPITAL, 1921.

		M	W	C.	T1.

Page 64

Condition on 31st December, 1921, of Cases treated at and discharged from Institutions during the year 1921.

	Full Work.	Ligrht Work.	Work, part-time.	Condition unaltered- not at work.	Deteriorated.	Again in Sanatorium	Now in Hospital.	Died eince discharge.	Removed to other districte.	Total No. of casee.

Page 65

The following table gives particulars of the admissions, discharges and deaths during the year, viz.:-

District.	Remaining at end of year 1920.	Admitted during year 1921.	Discharged during year 1921.	Died during year 1921.	Remaining at end of year 1921.

Page 66

The following table is a clinical classification (Turban Gerhardt), and shows the results of treatment of the patients discharged:-

Clinical classification and results of treatment of 142 cases discharged during 1921.							Not included in average length of stay.		Total discharges and deaths under each group.
Group.	No. of Cases.	Arrested.	Much improved	Improved	Stationary or worse.	Average length of stay.	Discharged for various reasons.	Deaths,	Total discharges and deaths under each group.

Page 69

VENEREAL DISEASES. Annual Summary Tear 1921.

		London.	Middlesex.	Essex.	Surrey.	Kent.	Herts.	Bucks.	East Ha	m. West Ham-	Croydon.	All Districts.

Page 69

PATHOLOGICAL EXAMINATIONS.

Nature of Test.	London.	Middlesex.	Essex.	Surrey.	Kent.	Herts.	Bucks	East Ham.	West Ham.	Croydon	All Districts

Page 70

VENEREAL DISEASES. Return relating to persons who were treated at the Croydon Genera' Hospital, 1921 and 1920.

	1921.		1920.
	M.	F.	M.	F.

Page 73

1921.

CASES DEALT WITH.				Nature of Order (whether for Institutional treatment or for Guardianship) and remarks.
Date of Order.	Name.	Sex.	Age.

Page 78

The receipts and expenditure (exclusive of sinking fund and interest) for the past seven years were:-

	Receipts.			Expenditure.
	£	s.	d.	£	s.	d.

Page 78

The following table gives the situation of the ten registered houses and the accommodation provided therein:-

Premies.	No. of Room?.	Accommodation.

Page 81

There are 10 registered slaughterhouses in the Borough, in addition to the Municipal slaughterhouses at Pitlake, which consist of 12 slaughter houses with lairs.

	In 1914	In Jan 1921.	In Dec 1921.

Page 81

The following tables give a summary of the work done during the year:- Summary of Inspections during 1921.

Date 1921.	Slaughterhouses-	Butchers.	Fishmongers-	Markets-	Cowkeepers-	Dairies.	Other Premises-	Total

Page 82

The two following tables shew the number of animals slaughtered at the Public Slaughter Houses, Pitlake, during the year 192 1, and a summary of the totals for the last ten years 1921.

Slaughterhouses	Cattle.	Sheep.	Pigs.	Calves.	Total.

Page 82

Summary for ten years, 1912 to 1921.

Year.	Cattle.	Sheep.	Pigs.	Calves.	Total.

Page 83

Summary of Meat and other articles of food destroyed as unfit for food with total weight:- 1921.

ARTICLES.	Weight in lbs.			Remarks.
ARTICLES.	Diseased.	Unsound.	Total.	Remarks.

Page 83

Summary of whole carcases condemned, with the reasons for such condemnation:- 1921.

Class of Animal.	Tuberculosis.	Peritonitis.	Pneumonia.	Pleurisy.	Metritis.	Enteritis.	Jaundice.	Actinomycosis.	Emaciated, various causes.	Immature.	Injuries.	Decomposition.	Total carcases.

Page 84

Summitry of Carcases in which Tuberculosis was found in the course of inspection and how such carcases were disposed of :- 1921.

Animals affected.	Carcase and all internal organs destroyed.	Part of carcase and all organs destroyed.	All or part of organs destroyed.	Total.

Page 85

The following table shows the number of primary samples of town and country milks submitted for examination with the number and percentage of samples in which tuberculosis was found:-

Year.	Town Milk.	No. Positive.	Per, centage.	Country Milk.	No. Positive.	Percentage.

Page 86

PROSECUTIONS, 1921.

Date of Purchase	Defendant.	Charge.	Result.	Penalty.			Costs.
1921				£	s	d.	£	s.	d

Page 87

Food and Drugs Acts. Total Number of Samples taken during the year 1921.

Sample of	Total Samples.	Genuine.	Not Genuine.	Prosecutions.	Convictions.	Cautions

Page 88

Food and Drugs Acts. Particulars of Samples taken during the sixteen years 1906 1921 inclusive:-

Year.	Number of Samples taken.	Number Genuine.	•Number Adulterated.	Percentage of Adulterated.	Presentions.	Total amount of Fines and Costs imposed.
						£	s.	d.

Page 89

Report for the Year ended 31st December, 1921. 1. Milk; and Cream not sold as Preserved Cream.

	(a)	(b)
	Number of samples examined for the presence of a preservative.	Number in which a preservative was reported to be present.

Page 91

Premises, etc., Disinfected.

Rooms.	Hospital Wards.	School Departments.	School Class rooms.	Vehicles.	Pond for Mosquitoes.

Page 91

Cleansing of Persons at Disinfecting Station during the Year 1921

	Adults.	School Children.	Children under School age.

Page 92

The following table shows the highest and lowest number of beds occupied on any one night during each month of the year 1921.

Month.	Beds Occupied.		Month.	Beds Occupied.
Month.	Highest.	Lowest.	Month.	Highest.	Lowest.

Page -

CROYDON BOROUGH HOSPITAL. Detailed Analysis of Expenditure under all Heads for the Year ending March 31st, 1922, and 10 preceding Years.

Page 93

The following table gives the total number admitted from the Borough and other Districts during the year 1921.

Districts.	Remaining at end of 1920.	Admitted during 1921.	Discharged during 1921.	Died during 1921.	Remaining at end of 1921.

Page 93

The following table shows the comparative admissions during 1921 and previous years.

	Cases admitted during 1910.	Cases admitted during 1911.	Cases admitted during 1912.	Cases admitted during 1913.	Cases admitted during 1914.	Cases \| admitted \| during 1915.	Cases admitted during 1916.	Cases admitted during 1917.	Cases admitted during 1918.	Cases admitted during 1919.	Cases admitted during 1920.	Cases admitted during 1921.

Page 94

The following table gives the number of patients admitted for each disease, an analysis of the admissions, and the number discharged or who have died in the year 1921:-

Disease	Remaining at end of 1920.	Admitted during 1921.	Discharged during 1921.	Died during 1921.	Remainingat end of 1921.

Page 95

The following table gives the case mortality for all cases and for each of the principal diseases treated at the Hospital:-

	1913	1914	1915	1916.	1917	1918.	1919.	1920.	1921

Page 96

Examinations for Diphtheria.

For Doctors.			For M.O.H.			For Wards (including Nose and Throat Swabs).	Grand Total.
-	+	Total	-	+	T otal	For Wards (including Nose and Throat Swabs).	Grand Total.

Page 97

TUBERCULOSIS. Results of Examinations for Tuberculosis.

1921.	Examinations for Borough			Examinations for Hospital.			Total.
	All Examinations.			All Examinations.			All Examinations.
	+	-	Total	+	-	Total	+	-	Total

Page 98

ENTERIC (TYPHOID) FEVER. Results of Examinations for Diseases simulating Enteric Fever.

1921.	Examinations for Borough.			Examinations for Hospital.			Total.
	Agglutinative Reactions.			Agglutinative Reactions.			Agglutinative Reactions for all Purposes.
	+	-	Total	+	-	Total	+	-	Total

Page 101

The following table shows the total number of children examined at routine inspections during 1921 classified according tc the schools attended, the number of inspections held in each department, and the number of parents or guardians present:-

School	No. of Inspections held.	No. of Children Inspected		No. of. Parents or Guardians present.
School	No. of Inspections held.	BOYS	GIRLS	No. of. Parents or Guardians present.

Page 102

Page 103

The following table gives the averages of the children examined at three age periods in ten of the schools in Croydon:-

Age	Average Height in Inches.		Average Weight in Pounds.
Age	Boys.	Girls.	Boys.	Girls.

Page 105

The following tables shows the numbers of children in each age group suffering from dental caries and the percentage in each group having sound teeth:-

BOYS.
Age Group.	1-4 Decayed Teeth.	Over 4 Decayed Teeth.	Number with sound Teeth.	Percent'ge with sound Teeth.

Page 105

GIRLS.

Page 107

Notices of infectious diseases were despatched to the respective schools bv the Public Health Department in 4,554 cases as described hereunder:-

Illness.	1st Quarter.	2nd. Quarter.	3rd Quarter	4th Quarter.	Total.

Page 108

School Closure. In accordance with Article 45 (b) of the Code the following schools were closed:-

School.	Department.	Disease.	Closure.
School.	Department.	Disease.	From	To

Page 109

The work of the district school nurses is summarised in the following table:-

Visits to Houses where the following Diseases have occurred.	School Cases.
	1st Visits	Subsequent Visits.

Page 112

Dental Inspection of Schools (Children 5-9 years of age)

School.	Children Examined.			Teeth all sound.		Teeth Defective.		Percent'ge with Sound Teeth.
School.	Boys.	Girls	Total.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.

Page -

Dental Re-inspection of Schools.

Children with teeth all sound at previous inspection.				Children who were treated at the Dental Clinic for cariee discovered at previous inspection.				Children found to have defective teeth at primary inspection, but who have not been treated at the Dental Clinio.
At re-inspection.				At re-inspection.				At re-inspection.
All sound.		Requiring treatment.		Requiring no further treatment		Requiring further treatment		Children treated privately.		Children treated privately and now requiring further treatment.		Children treated privately and not requiring further treatment.		Children who have reoeived no dental treatment
Boys.	Girls.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.

Page 113

The work of the Dental Clinic 1921.

	No. of Permanent Teeth.				No. of Temporary Teeth.				Total Number of Fillings.		No. of administrations of general Anaesthetic included in (1) and (2).		No. of other Operations.				Total number of children who failed to keep appointment at Dental Clinic.
	Extracted (1).		Filled.		Extracted (2).		Filled.		Total Number of Fillings.				Permanent Teeth.		Temporary Teeth.
	Hoys.	Girls.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.	Boys.	Girls.

Page 124

TABLE I.-Number of Children Inspected 1st January , 1921 to 31st December , 1921. A. -Routine Medical Inspections.

Entrants.							Leavers.						Grand Total.
Age	3	4	5	6	Other Ages.	Total.	Intermediate Group.	12	13	14	Other Ages.	Total	Grand Total.

Page 124

B. -Special Inspections.

Page 125

TABLE II. - Return of Defects found in the Course of Medical Inspection in 1921.

defect or disease.	Routine Inspections		"Specials."
defect or disease.	Number referred for treatment.	Number requiring to be kept under observation but not referred for treatment.	Number referred for treatment.	Number reuiring to be kept under observation but not referred for treatment.

Page 126

TABLE III.- Numerical Return of all Exceptional Children in the Area in 1921.

			Boys.	Girls.	Total.

Page 127

Appendix A. Table III.- Continued.

			Boys.	Girls.	Total

Page 128

TABLE IV.-Treatment of Defects of Children During 1921. A.-Treatment of Minor Ailments.

Disease or Defect.	NUMBER OF CHILDREN
	Referred for Treatment.	Treated.
	Referred for Treatment.	Under Local Education Authority's Scheme.	Otherwise.	Total.

Page 128

B.-Treatment of Visual Defect.

Referred for Refraction.	NUMBER OF CHILDREN.
	Submitted to Refraction.				For whom glasses were prescribed.	For whom glasses were provided.	Recommended for treatment other than by glasses-	Received other forms of treatment.	For whom no treatment was considered necessary.
	Under Local Education Authority's Scheme Clinic or Hospital.	By Private Practitioner or Hospital.	Otherwise.	TOTAL.	For whom glasses were prescribed.	For whom glasses were provided.	Recommended for treatment other than by glasses-	Received other forms of treatment.	For whom no treatment was considered necessary.

Page 128

C.-Treatment of Defects of Nose and Throat.

Referred for treatment.	NUMBER OF CHILDREN			Received other forms of treatment.
	Received Operative Treatment.
	Under Local Education Authority's Scheme Clinic or Hospital.	By Private Practitioner or Hospital.	TOTAL.

Page 129

Appendix A. TABLE IV. D.-Treatment of Dental Defects. (1) Number of children dealt with.

	age groups.										"Specials"	Total.
	5	6	7	8	9	10	ii	12	13	14	"Specials"	Total.

Page 129

(2). Particulars of time given and of operations undertaken.

No. of half-days devoted to inspection.	No. of half-days devoted to treatment.	Total No. of Attendances made by the children at the Clinics.	No. of Permanent Teeth.		No. of Temporary Teeth.		Total No. of Fillings.	No. of administrations of general anaesthetics included in (4) and (6).	No. of other operations.
No. of half-days devoted to inspection.	No. of half-days devoted to treatment.		Extracted.	Filled.	Extracted.	Filled.	Total No. of Fillings.		Permanent Teeth.	Temporary Teeth.

Page 130

E.-Treatment of Uncleanliness.

Page 131

Appendix A. TABLE V.-Summary of Treatment of Defects as shown in Table IV. (A, B, C and D).

Disease or Defect.	NUMBER OF CHILDREN
	Referred for Treatment.	Treated.
	Referred for Treatment.	Under Local Education Authority's Scheme.	Otherwise.	total.

Page 132

TABLE VI -Summary Relating to Children Medically Inspected at the Routine Inspections during the Year 1921.

Page 133

SECONDARY SCHOOLS. TABLE 1.-Number of Children Inspected 1st January, 1921 to 31st December, 1921 A. -Routine Medical Inspection.

Age	3	4	5	6	7-11	12	13	14	Other Ages.	Total	Grand Total.

Page 133

B. -Special Inspections.

	Special Cases.	Re-examinations, i.e., number of children re-examined.

Page 134

TABLE II.-Return of Defects Found in the Course of Medical Inspection in 1921.

disease or defect.	Routine Inspections.		"Specials.”
disease or defect.	Number referred for Treatment.	Number requiring to be kept under observation but not referred for Treatment.	Number referred for Treatment.	Number requiring to be kept under observation but not referred for Treatment.

Page 135

TABLE IV.-Treatment of Defects of Children in 1921. A.-Treatment of Minor Ailments.

Disease or Defect.	NUMBER OF CHILDREN.
	Referred for Treatment.	Treated.
	Referred for Treatment.	Under Local Education Authority's Scheme.	Otherwise	Total

Page 135

B.- Treatment of Visual Defect.

Referred for Refraction.	NUMBER OF CHILDREN.
	Submitted to Refraction.				For whom glasses were provided.	For whom glasses were prescribed.	Recommended for treatment other than by glasses.	Received other forms of treatment.	For whom no treatment was considered necessary
	Under Local Education Authority's Scheme,Clinic or Hospital.	By Private Practitioner or Hospital.	Otherwise.	TOTAL.	For whom glasses were provided.	For whom glasses were prescribed.	Recommended for treatment other than by glasses.	Received other forms of treatment.	For whom no treatment was considered necessary

Page 135

C.- Treatment of Defects of Nose and Throat.

Referred for treatment.	NUMBER OF CHILDREN.
	Received Operative Treatment.			Received other forms of treatment.
	Under Local Education Authority's Scheme, Clinic or Hospital.	By Private Practitioner or Hospital.	TOTAL.	Received other forms of treatment.

Page 136

TABLE V.-Summary of Treatment of Defects as Shown in Table IV (A, B and C).

Disease or Defect.	NUMBER OF CHILDREN.
	Referred for Treatment.	Treated.
	Referred for Treatment.	Under Local Education Authority's Scheme.	Otherwise.	Total.

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

Croydon 1921

113 tables in this report

2. Extracts from Vital Statistics for the Year.

3.-NOTIFIABLE DISEASES DURING THE YEAR.

OPHTHALMIA NEONATORUM.

(C) CLINICS AND TREATMENT CENTRES.

CLINICS AND TREATMENT CENTRES ( Continued).

TABLE I. Vital Statistics of whole District during 1921 and previous years.

TABLE II. Cases of Infectious Disease notified during the Year 1921.

Continued from previous page...

TABLE III- continued.

Continued from previous page...

TABLE III- continued.

Continued from previous page...

TABLE III- continued.

Continued from previous page...

TABLE III- continued.

Continued from previous page...

TABLE III- continued.

Continued from previous page...

TABLE III -continued

TABLE III A. DEATHS FROM INFLUENZA AND CERTAIN OTHER CONDITIONS 1921.

TABLE III a.- Continutd.

TABLE IV. County Borough of Croydon- Whole Borough. INFANT MORTALITY. 1921. Nett Deaths from stated causes at various Ages under One Year of Age.

TABLE IV.- Continued. County Borough of Croydon-West Ward. INFANT MORTALITY. 1921. Nett Deaths from stated causes at various Ages under One Year of Age.

TABLE IV. - Continued. County Borough of Croydon - North Hard. INFANT MORTALITY. 1921. Nett Deaths from stated causes at various Ages under One Year of Age

TABLE IV.- Continued County Borough of Croydon-CentraI Ward. INFANT MORTALITY 1923. Nett Deaths from stated causes at various Ages under One Year of Age.

TABLE IV.- Continued. County Borough o1 Croydon-East Ward. INFANT MORTALITY. Nett Deaths from stated Causes at various ages under One Year of Age.

TABLE IV.- Continued. County Borough of Croydon-South Ward. INFANT MORTALITY. 1921. Nett Deaths from stated Causes at various Ages under One Year of Age.

TABLE IV.- Continued. County Borough of Croydon-South Norwood. INFANT MORTALITY. 1921. Nett Deaths from stated Causes at various Ages under One Year of Age.

TABLE IV.- Continued. Count&amp;gt; Borough of Croydon-Upper Norwood. INFANT MORTALITY. 1921. Nett Deaths from stated Causes at varous Ages under One Year of Age.

TABLE IV.- Continued. County Borough of Croydon-Thornton Heath. INFANT MORTALITY. 1921. Nett Deaths from statod Causes at various Ages under One Year of Age.

TABLE V. Table showing the number of cases notified and deaths from the principal zymotic diseases for the Year 1921 and ten preceding Years.

TABLE VI . -Vital Statistics of separate Wards in 1921 and previous years.

TABLE VII. METEOROLOGICAL RECORD-YEAR 1921. Rain Gauge 5-in. in diameter, 1-ft. above ground, 146-ft. above sea level Temperature taken in the shade of a Stevenson's Screen, 4-ft. from the ground. The Ground Thermometer is suspended in an iron tube, the bulb being 4-ft. below the ground level.

TABLE VIIA. Prevailing direetion of the Wind at Croydon in 1921. Number of Days each Month.

The figures for the various Wards were:-

The following table shows the fluctuations since 1892 in the infantile mortality from "all causes,"from" diarrhœal diseases," and from "causes other than diarrhœal."

MILK SUPPLIED TO MOTHERS AND INFANTS.

more than twice the size of the existing one. The following table gives the returns of the cases dealt with.

Fur Mother-Before Birth.

After Birth.

Statistical Returns of Maternity and Child Welfare Centres.

This is equal to a rate of .9 per 1,000 of the population. Of the cases dying in 1921, the following table shows the years in which the primary notifications were received: -

Summary of Notifications during the period from the 2nd January, 1921, to the 31st December, 1921, in the County Borough of Croydon.

Table showing origin of Cases seen at the Dispensary for the first time in 1921.

Table showing the way in which new cases were dealt with in 1921.

Table showing details of Medical Examinations made by the Assistant Medical Officer for Tuberculosis, 1921.

SANATORIUM AND HOSPITAL TREATMENT: SUMMARY OF CASES TREATED AT SANATORIA, 1921.

SUMMARY OF CASES TREATED AT THE BOROUGH HOSPITAL, 1921.

Condition on 31st December, 1921, of Cases treated at and discharged from Institutions during the year 1921.

The following table gives particulars of the admissions, discharges and deaths during the year, viz.:-

The following table is a clinical classification (Turban Gerhardt), and shows the results of treatment of the patients discharged:-

VENEREAL DISEASES. Annual Summary Tear 1921.

PATHOLOGICAL EXAMINATIONS.

VENEREAL DISEASES. Return relating to persons who were treated at the Croydon Genera' Hospital, 1921 and 1920.

1921.

The receipts and expenditure (exclusive of sinking fund and interest) for the past seven years were:-

The following table gives the situation of the ten registered houses and the accommodation provided therein:-

There are 10 registered slaughterhouses in the Borough, in addition to the Municipal slaughterhouses at Pitlake, which consist of 12 slaughter houses with lairs.

The following tables give a summary of the work done during the year:- Summary of Inspections during 1921.

The two following tables shew the number of animals slaughtered at the Public Slaughter Houses, Pitlake, during the year 192 1, and a summary of the totals for the last ten years 1921.

Summary for ten years, 1912 to 1921.

Summary of Meat and other articles of food destroyed as unfit for food with total weight:- 1921.

Summary of whole carcases condemned, with the reasons for such condemnation:- 1921.

Summitry of Carcases in which Tuberculosis was found in the course of inspection and how such carcases were disposed of :- 1921.

The following table shows the number of primary samples of town and country milks submitted for examination with the number and percentage of samples in which tuberculosis was found:-

PROSECUTIONS, 1921.

Food and Drugs Acts. Total Number of Samples taken during the year 1921.

Food and Drugs Acts. Particulars of Samples taken during the sixteen years 1906 1921 inclusive:-

Report for the Year ended 31st December, 1921. 1. Milk; and Cream not sold as Preserved Cream.

Premises, etc., Disinfected.

Cleansing of Persons at Disinfecting Station during the Year 1921

The following table shows the highest and lowest number of beds occupied on any one night during each month of the year 1921.

TABLE IV.- Continued. Count> Borough of Croydon-Upper Norwood. INFANT MORTALITY. 1921. Nett Deaths from stated Causes at varous Ages under One Year of Age.