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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
Croydon 1930
[Report of the Medical Officer of Health for Croydon]
- Published
- 1931
- Pages
- 296
- Tables
- 204
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Page 25
Table shewing the classification of the accommodation for the sick and the number of beds occupied on the 31st December, 1930 : ALL CASES.
Classification of Wards. Num of Wards, BEDS MEN WOMEN CHILDREN under 16 years of age) Total (1) (2) Pro-vid«d. (3) Occupied (4) Pro-vided (5) Occupied (6) Provided (7) Occu-pied (8) Provided (9) Occupied (10) -
Page 26
Statistics relating to the Period from 1st April to 31st December, 1930. IN-PATIENTS.
Croydon. Surrey. Kent. -
Page 27
Classification of ln-Patients who were Discharged from or who Died in the Institution during the Period 1 st April to 31 st December, 1930.
Disease Groups. Croydon. Surrey. Kent. Chldn Men under and 16. W'm'n Chldn Men under and 16. W'm'n Chldn Men under and 16. W'm'n -
Page 28
Table shewing the Classification of the Accommodation for the Sick and the number of beds occupied on the 31st December, 1930—
Classification. Beds. Men. Women. Total. Provided. Occupied. Provided Occupied. Provided Occupied. -
Page 28
Statistics relating to the Period from 1st April to 31st December, 1930. IN-PATIENTS.
Croydon. Surrey. Kent. -
Page 28
Classification of In-Patients who were Discharged from or who Died in the Institution during the Period 1st April to 31st December, 1930.
Croydon. Surrey. Kent. -
Page 29
Table shewing the Extent of Residential Treatment provided during the year in Poor Law Institutions for persons chargeable to the Council (or to the Constituent Authorities of the joint Committee)—
Admitted. Discharged. Died. Crovdon Surrey Kent Croydon Surrey Kent Croydon Surrey Kent -
Page 30
Table I. METEOROLOGICAL RECORD—YEAR 1930 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 level of the ground. METEOROL OGY. I am indebted to Mr. H. W. Corden for the information contained in the tables below.
Months 1930. 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 Tenfional Difference between Ground and Dew Point at 9 a.m. and 3 p.m. Rainfall. Highest. Lowest. Meat) of No. of Days on which Rain fell. Amount collected in Inches. Difference from average 50 years at Greenwich All Highest. All Lowest. -
Page 31
Table II. Prevailing direction of the Wind at Croydon in 1930 Number of Days each Month.
1930. n.e. e. s.e. s. S.W. w. n.w. N. -
Page 34
Table III.
Year. Birth Rate. Death Rate Nat. Increase 1000 population. Natural Increase -
Page 35
Table IV.
wards. Estimated Population (1930). Births. Deaths. Birth Rate. Death Rate. Deaths under 1 year per 1,000 Births. Death Rate from Six Zymotic Diseases (excluding Diarrhoea) Death Rate from Diarrhoea. Death Rate from Bronchitis and Pneumonia. Death Rate from Pulmonary Tuberculosis, Death Rate from Non-Pulmonary Tuberculosis. Death Rate from Heart and Circulation Diseases. Death Rate from Nervous Diseases. Death Rate from Cancer. Estimated persons per acre (1930). -
Page 36
Table V.
Year. Population estimated to Middle of each Year. Births. Total Deaths Reg. in the District. Transferable Deaths Nett deaths belonging to the District. of Non.residents registered in the District. of Residents not registered in the District. Under 1 Year of Age. At all Ages. Uncorrected Number. Nett. Number. Rate. Number. Rate per 1,000 Nett Births. Number. Rate. Number. Rate. -
Page 37
Table VI.
ward. Estin ated popu'ation 1930. Person® per acre. Births. Birth Rate. Infant Mortality. Deaths. Death Rate Natural in. crease of population. -
Page 38
TABLE VII. DEATHS REGISTERED DURING THE CALENDAR YEAR 1930. CLASSIFIED BY AGE AND CAUSE.
CAUSES OF DEATH Nett Deaths at the subjoined ages of "Residents," whether occurring within or without the District. Total Deaths whether of " Residents " or " non- Residents " in Institutions in the District All ages. Under 1 year. 1 and under 2 years. 2 and under 5 years. 5 and under i 15 years. 15 and under 25 years. 25 and under 35 years. 35 and under 45 years. 45 and under 55 years. 55 and under 65 years. 65 years and upwards. 1 2 3 4 5 6 7 8 9 10 11 12 13 -
Page 40
Table VIII. CLASSIFICATION OF DEATHS ACCORDING TO DISEASE OVER A PERIOD OF 11 YEARS.
Cause of Death. 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 19 30 Total Deaths Total Deaths Total Deaths. Total Deaths. Total Deaths. Total Deaths. Total Deaths Total Deaths. Total Deaths. Total Deaths Total Deaths Death Rate. -
Page 41
Taking diseases of bodily systems and group diseases to which death was definitely assigned we find:—
Deaths. Death-rate per 1,000 of papulation. -
Page 49
T able IX. Housing 1930.
Number of houses erected during the year:— -
Page 50
Table X. FACTORIES, WORKSHOPS, AND WORKPLACES. 1. Inspection.
Premises. Inspections. Number ot Written Notices. Prosecutions -
Page 51
Table XI. 2. Defects Found in Factories, Workshops, and Workplaces.
Particulars. No of Defects. Referred to H.M. Inspector. Prosecutions. Found. Remedied. -
Page 52
T able XII. NATURE OF EMPLOYMENT OF WORKERS ON THE REGISTER, 31st DECEMBER, 1930.
Nature of Work. Number employed. Outwork in infected premises. Outwork in unsatisfactory premises. Remarks. -
Page 53
The number of men accommodated during the year was 36,160. The number of men lodgers exceeded 99 per night throughout the year. The receipts and expenditure for the last eight years are as follows:—
Receipts. Expenditure. £ s d. £ s. d. -
Page 54
T able XIII. The following table gives the situation erf and the accommodation in the common lodging houses: —
Premises No. of Rooms. Accommodation -
Page 55
Table XIV. The following table gives the situation of these premises
Road. No of Houses Let in Lodgings. -
Page 58
The following articles were disinfected at the Disinfecting Station during the year:—
No. of Articles. -
Page 59
The following is a summary of the visits paid during 1930 under the Eats and Mice (Destruction) Act, 1919. Table XV.
Premises. No. of Visits made. No. of Poison and other baits laid. No. of Rats Killed. -
Page 61
The following table shows the premises in the Borough at which foodstuffs are known to be sold, manufactured or stored:—
-
Page 62
Pitlake.
Public Slaughterhouses- Cattle. Sheep. Pigs. Calves. Total. -
Page 62
The following meat and offal from the Public Slaughterhouses was surrendered and destroyed during the vear 1930:—
Description. Cause. -
Page 63
Table XVII. The number of animals slaughtered in the private slaughterhouses during the year was:—
Cattle. Sheep. Pigs. Calves. Total. -
Page 63
The following meat and offal from private slaughterhouses was surrendered and destroyed during 1930 : —
Description. Cause. -
Page 63
Table XVIII. Total number of animals slaughtered for human consumption in the Borough during 1930:—
Cattle. Sheep. Pigs. Calves. Total. -
Page 65
Table XXI. The following articles of food were surrendered and destroyed during 1930:—
-
Page 66
Continued from pervious page...
-
Page 66
Table XXII. General Summary of Meat and other articles destroyed during the year 1930.
ARTICLES. Weight in lbs. Remarks. Diseased. Unsound. Total. -
Page 70
Table XXIII.
CERTIFIED MILK. Present. Absent. Over 30,000 per c.c. Under 30,000 per c.c. Present In 1/10 c.c. Not present in 1/10 c.c. Present. Absent. Present. Absent. Exceeding a trace. Not exceeding a trace. -
Page 70
T able XXIV.
GRADE A (TUBERCULIN TESTED) AND GRADE a MILKS. Present. Absent. Over 200,000 per c.c. Under 200.000 per c.c. Present in 1/100 c.c. Not present in 1/100 c.o. Present. Absent. Present. Absent. Exceeding & trace. Not exceeding a trace. -
Page 71
Table XXV.
PASTEURISED MILK, (licences granted under the Milk (Special Designations) Order, 1923). Present. Absent. Over 100,000 per c.c. Under 100.000 per c.c. Present. Absent. Present. Absent. Present. Absent. Exceeding a trace. Not exceeding a trace. -
Page 73
Table XXVI.
ORDINARY MILK. Present. Absent. Over 200,000 per o.o. Under 200,000 per o.o. Present in 100 o.o. Absent from 100 o.o. Present. Absent. Present. Absent. Exceeding a trace. Not exceeding a trace. -
Page 75
Table XXVII.
Areas. No. obtained. No. Tuberculous. -
Page 76
Table XXVIII.
Samples of Total Samples. Genuine. Not Genuine. Prosecutions. Convio tions. Cautions. -
Page 77
continued from privious page...
Samples of Total Samples. Genuine. Not Genuine. Prosecutions. Convictions. Total. -
Page 78
The following is a detailed statement of the adulterated samples and action taken : —
No. Sample. Adulteration or Deficiency. Remarks. -
Page 79
Continued from previous page...
-
Page 80
Death-rates per 1,000 of the population for the past 10 years are as follows:—
-
Page 80
Table XXIX.
Ward. Male. Female. Total. Death-rate Population Census 1921 Male. Femal. -
Page 81
Table XXX. Based on 1921 Census figures. Deaths from Cancer occurred at the following ages:—
Age period. Male. Female. Total. No. of population at this age period. Incidence per 1,000 persons living. -
Page 81
Table XXXI. Sites of Fatal Cancer.
Site. Male. Female. Total. Percentage of Total. -
Page 86
Table XXXII. CASES OF NOTIFIED INFECTIOUS DISEASE, 1930.
Notifiable Disease. Cases notified in the whole District. Total cases notified in each Ward. Total cases removed to Borough Hospital. Total Deaths in the Borough. 1929. At all Ages. At ages—years. Upper Norwood. Norbur y West Thornton. Bensham Manor. Thornton Heath. South Norwood. Woodside. East. Addiscombe. Whitehorse Manor. Broad Green. Central. Waddon. South. Addington. Under 1 year. 1—5 5—15 16—25 26—45 46—65 66 and up. M F -
Page 87
T able XXXIII.
Notified Disease. Incidence Rate per 1,000 population. Housing Conditions. Case occurring in Institutions in the Borough. Total cases notified/. 1-3 rooms. 4-5 rooms. Over 5 rooms. 1930 1929 -
Page 88
Table XXXIV. SCARLET FEYER.
YEAR Cases notified in Croydon. Attack Rate Per 100,000 of Population. No. of Deaths. Percentage of Death to Cases notified. All Cases Admitted to Hospital with a Diagnosis of Scarlet Fever. No. Admitted. No. of Deaths. Percentage of Deaths to Oases Treated1 -
Page 89
Table XXXV. Diphtheria.
YEAR. Cases notified in Croydon. Attack Rate Per 100,000 o! Population. No. of Deaths. Percentage o! Deaths to Cases notified. All Cases Admitted to Hospital with a diagnosis of Diphtheria. No. \dmitted. No. of Deaths. Percentage of Deaths to Cases Treated* 1 2 3 4 5 6 7 -
Page 91
Table XXXVI.
Complaint for whjch Admitted. Patients remaining in Hospital on Jan. 1st, 1930. Patients admitted and discharged in 1930. Patients lemaining in Hospital on Jan. 1st, 1931. Analysis of all Cases admitted in 1930 whether discharged or not during the year. Average No. of beds occupied during 1930. Total. Recovered j Died. Total. Recovered Died. Total. Recovered Died. Total. Recovered Died. Case Mortality. Average No. of days in Hospital. -
Page 92
The following complications and sequelae occurred amongst the 509 scarlet fever patients (excluding the serum-treated cases, 170):—
-
Page 93
Table XXXVII.
Age. Males. Females. Totals. Deaths. -
Page 93
Table XXXVIII.
Month. Cases 1929. admitted. 1930. Cases notified. -
Page 94
Table XXXIX.
Age. Male. Female. Date of Disease when admitted. Day of Relapse. -
Page 95
The following table contrasts the complications in the two types:—
Nature of Complications. Serum treated (170 cases). Non-serum treated (509 cases). -
Page 96
(e) Day of Disease when scarlet fever serum given and number of cases and complications—
Day of Disease. No. of Cases. Complications. -
Page 97
Table shewing the age groups and sex of Scarlet Fever Serum cases:—
Age. Males. Females. Totals. -
Page 98
Table XL. Ages and Sexes of Diphtheria Cases Admitted.
Age. Males. Females. Totals. Deaths. Death-rate 100 cases. -
Page 98
Table XLI. Admissions of Diphtheria cases to Borough Hospital in 1930: —
Month. Cases notified. Cases 1930. admitted. 1929. -
Page 99
Particulars of Fatal Cases Table XLII.
Name. Day of Disease. Condition on Admission. Subsequent progress. Date of Death. Days after Admission. -
Page 103
Table XLIII Other Diseases.
Disease. 0—1 1—2 2—5 5—15 15—25 25—35 35—45 45 & up. Totals Deaths M F M F M F M F M F M F M F M F -
Page 104
I. At the Laboratory, Croydon General Hospital.
For private practitioners For Borough Hospital For Tab. Dispensary For School Medical Other Instns. of Corporation Other Institutions Total Pos. Neg. Pos. Neg. Pos. Neg. Pos. Neg. Pos. Neg. Pos. Neg. Pos. Neg. -
Page 105
Examinations Done Under National Health Insurance Act. Table XLVI .
Nature of Examination. Nature of Examination. -
Page 105
Bacteriological Examination of Milk. T able XLVII.
-
Page 105
T able XLVIII. II. At the Laboratory, Borough Fever Hospital.
Positive. Negative. Total. -
Page 106
VACCINATION ACTS. I am indebted to Mr. Thomas Miller, the Vaccination Officer, for the particulars in the returns in subjoined Table.
Registration Sub-Districts in V.O. District. Births Registered. Vaccinated. Insusceptible Statutory Declarations Died Unvaccinated. P.P.O. Transferred toother V.Os Not traced Removals. In Default. Overage when Registered. -
Page 106
Return showing the Numbers of Persons vaccinated and re-vaccinated at the cost of the Rates by the Medical Officer of the Poor Law Institutions and the Public Vaccinators during the year ended 30th September, 1930:—
Name of Poor Law Institution or Vaccination District. Numbers of successful Primary Vaccinations of persons. No. successful revaccinations, i.e., successful vaccinations of persons who had been suscessfully vaccinated at some previous time. Under 1 year of age. 1 year and upwards. Total. -
Page 111
Table XLIX. Summary of Notifications during the period from the 29th December, 1929, to the 27th December, 1930, in the area of the County Borough of Croydon:—
Age period* Notifications on Form A. Number of Notifications on Form C. No. of Primary Notifications of new cases of tuberculosis. Total Notifications on Form A. 0 to 1 1 to 5 5 to 10 10 to 15 15 to 20 20 to 25 25 to 35 36 to 45 45 to 65 55 to 65 65 and upwards Total (all ages) Poor Law Institutions Sanatoria. -
Page 111
T able L. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the period from the 29th December, 1929, to the 27th December, 1930, otherwise than by notification on Form A or Form B under the Public Health (Tuberculosis) Regulations, 1912:—
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 Cases -
Page 111
The source or sources from which information as to the above-mentioned cases was obtained are shown below:—
Source of Information. No. of Cases. Pulmonary. Non-Pulmonary. -
Page 112
Table LI.
Not Notified Under 1 week 1-2 weeks 2-4 weeks 1-2 months 2-3 months 3-6 months 6-12 months -
Page 113
Table LII. The following were the Wards from which new patients came:—
Ward. Density of Population persons per acre. 1921 census Pulmonary Non-Pulmonary Total Incidence Rate per 1000 Death Rate per 1000 -
Page 114
T ABLE LIII. TUBERCULOSIS.
Age periods. 1921 Census Population at age period. Pulmonary, Non-Pulmonary. New Cases, All Cases. New Cases. All Cases. Number. Incidence Rate. Deaths. Death Rate (based on 1921 census). Number. Incidence Rate. Deaths. Death Rate (based on 1921 census). M F M F M F M F M F At F M F M F M F -
Page 117
Table LIV.
pulmonary NON-PULMONARY Total Cases Males Females Total Males Females Total -
Page 118
The results of examinations made in 1930 are as follows:—
For Dispensary. For General Practitioners. Totals. -
Page 119
HOUSING STATISTICS OF PATIENTS. Table LV.
Patients occupying a separate bedroom. Patients occupying a separate bed but not a separate bedroom. Patients not occupying a separate bed. Totals. -
Page 123
Table LVII. Return showing the immediate results of treatment of patients and of observation of doubtful cases discharged from Residential Institutions during the year 1930.
Classification admission to the Institution. Condition at time of discharge. Duration of Residential Treatment in the Institution Under 3 months. 3—6 months. 6—12 months. More than 12 months. Total M. F. Ch. M. F. Ch. M. F. Ch. M. F. Ch. -
Page 124
T able LVIII. ( a ) pulmonary tuberculosis. Annual Return showing in summary form the condition of all Patients whose case records are in the possession of the Dispensary at the end of 1930, arranged according to the years in which the patients first came under Public Medical Treatment for pulmonary tuberculosis, and their classification as shown on Form A.
Condition at the time of last recor made during the year to which the return Previous to 1926 1926 1927 1928 1929 1930 Class T.B. Minus Class T.B. Class T.B. Minus Class T.B. Class T.B. Minus Class T.B. Class T.B. Minus Class T.B. Class T.B. Minus Class T.B. Class T.B. Minus Class T.B. Total(Class T.B Plus) Group 1 Group 2 Group 3 Total(Class T.B Plus) Group 1 Group 2 Group 3 Total(Class T.B Plus) Group 1 Group 2 Group 3 Total(Class T.B Plus) Group 1 Group 2 Group 3 Total(Class T.B Plus) Group 1 Group 2 Group 3 Total(Class T.B Plus) Group 1 Group 2 Group 3 -
Page 125
Table LIX. (b) NON-PULMONARY TUBERCULOSIS. Annual Return showing in summary form the condition of all Patients whose case records are in the possession of the Dispensary at the end of 1930, arranged according to the years in which the Patients first came under Public Medical Treatment, and their classification as shown on Form A.
Condition at the time of the last record made during the year to which the Return relates. Previous to 1926. 1926. 1927. 1928. 1929. 1930. Bones and Joints. Abdominal. Other Organs. Peripheral Glands. Total. Bones and Joints Abdominal. Other Organs. Peripheral Glands. Total. Bones and J Joints. Abdominal. Other Organs. Peripheral Glands. Total. Bones and Joints. Abdominal. Other Organs. Peripheral Glands. Total. Bones and Joints Abdominal. Other Organs. Peripheral Glands. Total. Bones and Joints. Abdominal. Other Organs. Peripheral Glands. Total. -
Page 126
(A) Average number of beds available for patients during the year 1930.
Observation. Pulmonary Tuberculosis, Non-Pulmonary Tuberculosis. Total. "Sanatorium" Beds. "Hos pital" Beds. Disease of Bones and Joints. Other Conditions, -
Page 126
Table LXI. (B) Return showing the extent of residential treatment during the year 1930
In Institutions on Jan. 1, Admitted during the year. Discharged during the year. Died in the Institutions. In Insti tutions on Dec, 31. -
Page 127
Table LXII.
In Institutions on Jan. 1. Admitted during the year. Discharged during the year. Died in the Institutions. In Institutions on Dec. 31. -
Page 128
Table LXIII. Cases of Pulmonary Tuberculosis Treated in Sanatoria, 1930.
In at beginning of 1930 Admitted during 1930 Discharged during 1930 Died during 1930 In at end of 1930 M F M F M F M F M F -
Page 131
Table LXIV.
-
Page 132
TABLE LXV.
Year. 0—5 5—15 15—25 25—45 46—65 Over 65 Total -
Page 133
Non-Pulmonary Tuberculosis. Table LXVI. The diagnosis in the new cases were as follows:—
Male. Female. -
Page 133
Deaths from Non-Pulmonary Tuberculosis. During 1930, 21 deaths were certified to be due to Non-pul-monary Tuberculosis, compared with 29 in 1929; 39 in 1928; 38 in 1927; 39 in 1926; 33 in 1925; and 33 in 1924. The deaths were due to:—
Males Females Total -
Page 134
Cases of Non-Puimonaty Tuberculosis Treated in Institutions, 1930. T able LXVII
In on 1st Jan., 1930 Admitted during 1930 Discharged during t930 Died during 1930 In on 31st Dec.,1930 M F M F M F M F M F -
Page 135
PULMONARY TUBERCULOSIS. Shewing the Condition at the end of 1930 of cases discharged from Sanatoria during the years indicated.
1936. 1927. 1928. 1929. 1930. Totals. T.B.- T.B. + T.B.- T.B. + T.B.- T.B. + T.B.- T.B. + T.B.- T.B. + T.B.- T.B. + -
Page 136
CHEAM SANATORIUM. Table LXVIII.
Local Authority. In-patients on Jan, 1st, 1930. Admitted during year 1930. Discharged during year 1930. including deaths In on Jan. 1st 1931. Died during year 1930 M F M F M F M F M F -
Page 136
Immediate Results of Treatment.
Group Total number of cases discharged 1930. Quiescent Improved No Material Improvement. Died in institution Average duration of stay in days Discharged before conpletion of treatment M F M F M F M F M F M F -
Page 138
Table LXIX. Attendances at the Croydon Clinic.
1924. 1925. 1926. 1927. 1928. 1929. 1930. -
Page 138
Attendances of Croydon Patients at various London Hospitals under the General Scheme.
1914 1925. 1926. 1927. 1918. 1929. 1930. -
Page 139
Pathological Examinations at London Hospitals for Croydon Patients.
1924. 1925. 1926. 1927. 1928. 1929. 1930. -
Page 139
Attendances of Patients at Venereal Diseases Clinic at the Croydon General Hospital.
Authority 1927 1928 1929 1930 In-Patients (days) Out-Patients Inpatients (days) Out-Patients Inpatients (days) Outpatients Inpatients (days) Out-Patients -
Page 140
Table LXX. Croydon Cases attending London Hospitals.
Hospital Cases seen for the first time. Conditions other than Venereal Total No. of Attendances Aggregate No of In-Patitemt Days No. of doses of N.A. B. compounds Syphilis Gonorrhoea Soft Chancre To Inpatients To Out-Patients -
Page 140
Table LXXI. Bacteriological Examinations carried out at London Hospitals for Croydon Patients.
Hospital Detection of Spirochates Detection of Gonococci Wassermann Re-action Other Exams. 2870 For Clinic For Priv. Prac. For Clinic For Prac. For Clinic For Prac. For Clinic For Prac. Total -
Page 141
Table LXXII. Return relating to all persons who were treated at the Treat ment Centre at Croydon General Hospital during the year ended the 31st December, 1930.
Number of cases which- Syphilis, soft Chancre. Gonorrhœa. Conditions other than Venereal Total M. F. M. F. M F. M. F. M. F. -
Page 142
Table LXXIII. Statement showing the services rendered at the Treatment Centre during the year, classified according to the areas in which the patients resided.
Name of County or County Borough (or Country in the case of persons residing else where than in England and Wales) to be inserted in these headings. Croydon Surrey Kent London Sussex West Cardiff Total. -
Page 144
6. —Maternity Homes and Hospitals. I.
Separate maternity institutions provided by the Council Institutions (with maternity wards) transferred to the Council under Part I of the Local Government Act, 1929 Institutions provided by Voluntary Associations -
Page 144
7.—Homes and Hospitals for Sick or Ailing Children under 5 years of age. I.
Separate institutions provided by the Council for these cases Institutions (with accommodation for these cases) transferred to the Council under Part I of the Local Government Act. 1929 Institutions provided by Voluntary Associations -
Page 146
II.—Infectious Diseases—
Disease. Number of cases notified during the year. Number of cases visited by Officers of the Council. Number of cases for whom nursing was provided by the Council. Number of cases removed to hospitals. -
Page 147
MUNICIPAL CENTRES AND CLINICS.
Address Whether Sessions are held weekly, fortnightly, etc. Day and time of Meeting * Present arrangements for medical supervision -
Page 148
Table LXXV.
1929. 1930. -
Page 149
Table LXXVI.
Prima gravidæ. Multigravidæ. Nonpregnant. Total. -
Page 150
T able LXXVII.
YEAR. BIRTHS. Puerperal Fever and Sepsis. Haemorrhage P.P.H Caesarian Section. Shock. Exhaustion. Ruptured Uterus. Eclampsia. Contracted Pelvis. Placenta Praevia. Pulmonary Embolism. Heart Disease. Syncope. Acute Nephritis. Asthma and Pulmonary Disease. Influenza. Other Causes. TOTAL. Maternal Mortalty. Infant Mortalty. -
Page 151
Table LXXVIII.
Puerperal Fever. Puerperal Pyrexia. -
Page 152
The following table gives information concerning the accommodation utilized for confinements.
Number. Percentage. -
Page 155
Table LXXIX. STILL BERTH'S, 1930.
-
Page 157
The following table gives the notifications in Croydon during the past ten years.
1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 -
Page 157
Results of Treatment.
Cases treated. Vision Unimpaired. Vision Impaired. Died. Removed. Notified. At home. In hospital. -
Page 158
Number of deaths within the first month of life:—
Year. No. of Deaths. No. of Births. Rate. -
Page 158
The following table gives the causes of death during the first two months of life.
-
Page 159
T able LXXX. D eaths under one year, arranged in days, weeks and months.
CAUSES OF DEATH. 1st day. 2nd day. 3rd day. 4th day. 5th day. 6th day. 7th day. lst-2nd wk. 2nd-3rd wk. 3rd-4th wk. Under 1 month. 1-2 mths. 2-3 mths. 3-4 mths. 4-5 mths. 5-6 mths. 6-7 mths. 7-8 mths. 8-9 mths. 9-10 mths. 10-11 mths. 11-12 mths. total. -
Page 161
T able LXXXI.
Percentage Deaths per Total Infantile Deaths. Deaths per 1,000 Births. 1900. 1929. 1930. 1929. -
Page 162
Table XXXVII
1930 1929 1928 Births Deaths Mortality per 1000 Births General Birth Rate General Death Rate Mortality per 1000 Births General Birth Rate General Death Rate Mortality per 1000 Births General Birth Rate General Death Rate -
Page 163
T able LXXXIII.
1924 1925 1926 1927 1928 1929 1930 Average over years. -
Page 164
T able LXXXIV.
-
Page 165
Continued from previous page...
-
Page 168
Attendances at Infant Centres — 1930.
Municipal. Boston Road Sylverdale Road South Croydon. Shirley. Woodside Lr. Addiscombe Road. SouthNorwood Naseby Road. Moffatt Road. St. Alban's. St. Paul's St. Oswald's. Union Road. Norbury. Waddon. Total 1930. Total 1929. Total 1928. Total 1927 -
Page 169
Table LXXXVI.
Deaths Attended M. & C. W. centre Attended at Birth by Full Time Baby Births during the same period Deaths in Institutions Yes No Doctor Midwife Doctor & Midwife Not Known, etc. Yes No Not Known Mayday Road Sick Nursery Regd. Maternity Homes St. Mary's Hostel Other Institutions or Elsewhere -
Page 171
Table LXXXVII.
Babies Under One Year. Infants Over One Year. No. found healthy on 1st visit. Percentage No. found ailing on 1st visit Digestive Troubles. Rickets. Respiratory Troubles Other Causes. Babies on Breast Feeding only. Percentage. Babies Bottle fed only. Babies partly breast and partly bottle fed. No. found healthy on 1st visit. Percentage. No. found ailing on 1st visit. Digestive Troubles. Rickets. Respiratory Troubles Other Causes. No. still on Breast at 1st visit. No. Weaned and on solid food. Percentage. No. not Weaned and on bottle entirely No. on solid food and the Breast. No. on solid food and the bottle. Total first attendances tabulated. -
Page 172
Clinic Sessions Attended by Health Visitors. Table LXXXVIII.
Nature of Clinic. Health Visitor—District Number. I. II. III. IV V. VI. VII. VIII. IX X. XI. XII. XIII. XIV XV. XVI. XVII XVIII XIX. XX. XXI. XXII Total. -
Page 173
Table LXXX1X. The Work of the Health Visitors.— Home Visiting.
I. c.w. II. R.A. III. D.H. iv. U.g. V. a.w.w. vi. j.t. vii. m.s. viii. V.C. ix. A.P. X. a.c. XI. v.b. xii. h.s. xiii. a.w. xiv. J.C. xv. e.h. xvi. c.g. xvii. w.L. XVIII. m.j. xix. a.h. xx. b.w. xxi. a.m. xxii. k.t. TOTALS. -
Page 174
Table XC. Dried Milk in Pounds.
Mothers and Infants Welfare Association. (17 sessions per week). Municipal Centre. (2 sessions per week). Free. Half-price. Full price. Free Half-price Full price. -
Page 175
Assisted Milk Scheme.
Supplied to Families. No. of Pints. Corporation Liability. -
Page 177
The following Table summarises the work done, and indicates the type of case referred.
-
Page 178
Table XCI.
Expectant Nursing Young Children Total. 1930 1929 -
Page 179
Table XCII.
Month of pregnancy at which first examined: 2 3 4 5 6 7 8 -
Page 179
The above table illustrates the difficulty of commencing treatment sufficiently early to ensure full benefit being received before birth of the child. Nursing Mothers.
Age of baby when mother was first seen: Under 1 month. 1-3 months. 4-6 months. 6-9 months. Over 9 months. -
Page 179
The Pre-School Child. Causes of death in children from 1 to 5 years of age.
1929. 1930. -
Page 180
Table XCIII.
Year. Population. Births. Deaths under 1 year. % of total Deaths Deaths 1—5 years. % of Total Deaths. Deaths over 5 years. % of Total Deaths. Total Deaths -
Page 182
FOSTER CHILDREN.
No. as at April 1st, 1930 Notice of Reception of Children Notice of Removal to— Children Adopted Died Children reaching age of 7 No. as at December 31st, 1930 Parent Adoption Society Another area with Foster Parent Another Foster Mother Public Institution -
Page 182
FOSTER MOTHERS.
No. as at April 1st, 1930 Applications for Registration Removals Registration cancelled for other reasons No. as at Decenber 31st, 1930 With Child Without Child -
Page 184
Table XCIV.
Number of known Mentally Defective Persons in the Borough— I. Statutory Cases- 1929. 1930. -
Page 189
The Christmas Party was held as usual, tea being provided together with presents off the Christmas tree for 40 children, unfortunately the inclement weather reduced the numbers present.
Details. Full Time. Part Time. -
Page 191
Table XCV. Summary of Cases Attending the Orthopœdic Clinic.
Jan. 1st, 1930. New Cases, 1930. Cases Discharged, 1930. Cases on books, Dec. 31st, 1930. M.C.W. S.M.S. T'uberc. M.C.W. S.M.S. Tuberc. M.C.W. S.M.S. Tuberc. M.C.W. S.M.S. Tuber -
Page 192
Table XCVI. Cases seen by the Orthopœdic Surgeon.
Defect. School. M.C.W. Tuberculosis. Total. Cases. Visits paid. Cases. Visits paid. Cases. Visits paid. Cases. Visits paid. -
Page 193
Table XCVII. Cases Referred from Orthopaedic Clinic for Remedial Treatment at Croydon General Hospital.
Defects School Cases M.C.W. Cases Tuberculosis Cases Total Cases No. of Treatments X-Rays Cases No. of Treatments X-Rays Cases No. of Treat merits X-Rays Cases No. of Treatments X-Rays -
Page 193
Table XCVIII. Cases Sent to Residential Institutions.
Nameof Institution School Cases M.C.W. Cases Tuberculosis Cases Total No. in on Jan. 1st, 1930. Admitted Discharged No. in on Jan. 1st, 1930. Admitted Discharged No. in on Jan. 1st, 1930. Admitted Discharged No. in on Jan. 1st, 1930. Admitted Discharged -
Page 194
The following Table shows the conditions for which patients were admitted to Hospitals and the results of treatment. Table XCIX.
Condition. In on Jan. 1st, 1930. Admitted. Discharged In on Jan. 1st, 1931. Cured. Much Improved. Improved. Died. -
Page 195
Table C.
Department. No. of Cases. Aggregate duration of treatment in weeks. Average per case. Aggregate No. of Sessions Attended. Average per Case. No. of Patients discharged. No. continuing treatment end of 1930. -
Page 196
Table CI.
Condition. School Cases. M. & C.W. Cases. Total. Much Improved Improved. Slight Impr. i.S.Q. Much Improved. Improved. Slight Impr. I.S.Q. -
Page 197
TUBERCULOSIS CASES, 1930.
Much Improved Improvement Slight Improvement I.S.Q. Still attending at end of l930 Total -
Page 200
SCHOOL CLINICS
Name. Purpose. Where held. Times. -
Page 206
Table I. Sanitary Accommodation in the Schools.
Name of School. Number on Roll 31.12.30 No. of Pedestal W.C's. flushed by separate cisterns. No. of Pedestal W.C's. flushed by automatic flush. No. of urinals with sparge pipes. -
Page 207
The English regulations relating to public elementary schools prescribe the number of closets to be provided for girls and boys respectively as follows:—
No. of Children 30 50 70 100 150 200 300 400 -
Page 208
SCHOOL POPULATION AND AVERAGE ATTENDANCE. Table II.
No. of Schools. No. on Rolls. Average Attendance. Percentage Attendance. -
Page 211
Table III.
Name of School. Entrants 5 to 6 years of age. Intermediates. 8 to 9 years of age. Leavers. Other Ages. Number Examined Parents present. Number Examined Parents present. Number Examined Parents present. Number Examined Parents present. M. F. M. F. M. F. M. F. M F. M. F. M. F. M. F. -
Page 215
Table IV. HEIGHTS AND WEIGHTS.
BOYS. GIRLS. Year of Birth. Number Examined Average Height in inches. Average Weight in lbs. Average maximum Height in inches. Ave age maximum Weight in lbs. Average minimum Height in inches. Average minimum Weight in lbs. Number Examined. Average Height in inches. Average Weight in lbs. Average maximum Height in inches. Average maximum Weight in lbs. Average minimum Height in inches. Average minimum Weight in lbs. -
Page 217
T able V.
Entrants. Intermediates Leavers. Other Ages. Percentage. Boys. Girl*. Boys. Girls. Boys. Girls. Boys Girls. -
Page 218
Table VI. TUBERCULOSIS. Children Referred to the Tuberculosis Officer.
Boys. Girls. Total. Percentage of all Children examined. -
Page 219
Notifications of and Deaths from Tuberculosis in Children of School Age.
No. of Primary Notifications. No. of Deaths. Pulmonary. Non-Pulmonary. Pulmonary. Non-Pulmonary. M F M F M F M F -
Page 221
Table VII. NOSE AND THROAT.
Entrants. Intermediates Leavers. Other Ages. Totals. Boys. Girls. Boys. Girls. Boys. Girls Boys. Girls. Boys & Girls -
Page 221
Table VIII. Percentages From Above Table.
Entrants. Intermediates. Leavers. Other Ages -
Page 223
Table IX. DEFORMITIES.
Entrants. Intermediates. Leavers. Totals. Percentages. Boys. Girls. Boys. Girls. Boys. Girls. Boys. Girls. Boys. Girls. -
Page 223
THE EYE: External Eye Diseases: Percentages. Table X.
Entrants. Intermediates Leavers. Percentage defects all groups Boys. Girls. Boys, Girls. Boys. Girls -
Page 224
Table XI.
Extent of Defect. Intermediates. Leavers. Total. Boys. Girls. Boys. Girls. Boys. Girls. No. % No. % No. % No. % % % -
Page 224
Table XII. TEETH.
Entrants. Intermediates Leavers. Boys Girls Boys. Girls. Boys. Girls. No. % No. % No. % No. % No. % No. % -
Page 225
Table XIII. SUMMARY OF THE FINDINGS AT ROUTINE EXAMINATIONS. (Percentages.)
Condition. Entrants. Intermediates. Leavers. Other Ages All Groups Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls -
Page 227
Percentage of Children Examined at Routine Medical Inspection Showing Visual Defect.
School. Inter mediate. Leavers. Total Boys and Girls School. Intermediates. Leavers. Total Boys and Girls Boys Girls Boys Girls Boys Girls Boys Girls -
Page 228
Showing number of children in each school, examined in two of the Routine Medical Inspection Groups, who were referred for treatment or observation on account of defective vision.
Intermediate. Leavers. Treatment. Observation Treatment. Observation. M. F. M. F. M. F. M. F. -
Page 229
Table XIV. Return of Defects Found in the Course of Medical Inspection 1930.
Defects. Boys. Girls. No. requiring Treatment. No. referred for Observation. Percentage of total Examined. No. requiring Treatment. No. referred for Observation. Percentage of total Examined. -
Page 230
Table XV. CHILDREN EXAMINED AT ROUTINE INSPECTIONS AND FOUND TO REQUIRE TREATMENT (EXCLUDING UNCLEANLINESS AND DENTAL DEFECTS).
Group. No. of Children Inspected No. referred for treatment. Percentage referred for treatment Corresponding percentage for 1929 -
Page 230
Table XVI. CHIEF CAUSES OF EXCLUSIONS FROM SCHOOL.
Condition. Exclusions during 1930. Percentage of total exclusions. Exclusions during 1929. Percentage of total exclusions. -
Page 231
Table XVII. CAUSES OF DEATH IN CHILDREN OF SCHOOL AGE.
1930. 1929. -
Page 232
Table XIX.
Name of School. School population. Notifiable Diseases. Conditions notified by Teachers and School Attendance Officers. Percentage Incidence of infectious Diseases in Schools. Scarlet Fever Diphtheria. Ac. Primary Pneumonia. Measles. Whooping Cough. Chicken Pox Mumps. Scabies. Impetigo. Sore Throats. Ringworm (body). Ringworm (scabies). Indefinite Sickness. -
Page 237
Home Visits.
-
Page 237
Table XXV. Summary of Attendances.
1930. 1929. Increase or Decrease. -
Page 238
Table XXVI.
1930. 1929. Complaint. Cases. Attendances. Average No of Attendances per case. Cases Attendances. Average No. of Attendances per case -
Page 240
TREATMENT OF VISUAL DEFECTS. Table XXVIII.
Number of defects dealt with. Spectacles prescribed. Spectacles obtained. Under the Authority's Scheme. Submitted to refraction by private practitioner or Hospital apart from the Authority's scheme Otherwise. Total. Under the Authority's Scheme. Otherwise. Under the Authority's Scheme. Otherwise -
Page 241
Spinal and Other Remedial Clinic.
1930. 1929. Attendances. Sessions. Av. aff. Attendances. Sessions. -
Page 241
St. Giles' School.
-
Page 241
CONDITIONS FOR WHICH REFERRED.
M. F. Total. -
Page 242
A.— Schools Classified as Good.
Nutrition. Nose and Throat defects. Signs of Rickets Condition of the Teeth. Percentage sound Entrants Intermed. Leavers. Entrants. Intermed. Leavers. Entrants. Intermed. Leavers. Infants. Boys. Girls. -
Page 245
Summary of all Examinations.
Age. Sex. 1930. 1929. No. Examined. No-. Referred for Treatment. % Teeth Sound. No. Examined. No. Referred for Treatment. % Teeth Sound -
Page 246
The analysis referred to above, shows the condition of the teeth of (a) all children examined, (b) children who had previously completed treatment, and (c) those whose parents had previously refused or neglected to complete treatment.
Healthy. Less than 4 teeth decayed. More than 4 teeth decayed -
Page 248
Full details of sessions and treatment are set out in the Board of Education Table at the end of the Report, while a summary given below is for purpose of comparison with previous years.
1926. 1927. 1928 1929. 1930. -
Page 253
Table XXIX. Duration of Otorrhœa.
Less than 3 months 3-6 months 6 months— 1 year —2 years 2—5 years More than 5 years Unknown -
Page 254
Table XXX. Causes of Otorrhœa (as obtained in history given by parents).
-
Page 255
Table XXXI.
Classification. Total. Other Treatment required. Not ionized. Ionized with or without other treatment. Results in Cases Ionized. Discharged Dry. Dry at end of 6 months. Dry at end of Year. Dry at end of 2 Years. Still under Treament. Lost sight of, or stopping attendance. Returned with Relapse. Eventually referred for other treatment. -
Page 256
Table XXXIII.
Treatment Recommended. Number advised. Number obtaining Treatment Number awaiting Treatment Number refusing. -
Page 259
Table XXXVI.
Ages 5-6 6-7 7-3 8-9 9-10 10-11 11-12 12-13 13-14 14-15 15-16 -
Page 260
Table XXXVII.—Grouping of 245 cases.
-
Page 261
Table XXXVIII.—Total 245 Cases.
-
Page 261
Table XXXIX. 245 Cases classified by ages at onset of initial symptoms, shown in relation to age-grouping of the same cases at the time of examination.
Age Groups 2-3 3-4 4-5 5-6 6-7 7-8 8-9 9-10 10-11 11-12 12-13 13-14 14-15 15-16 -
Page 262
Table XL.
-
Page 262
Table XLI.
-
Page 262
Table XLII. Heart conditions contrasted, irrespective of type of case or time of performance of operation of tonsillectomy.
Tonsillectomy cases. Whole series. -
Page 277
TABLE I.—Return of Medical Inspections. A.—Routine Medical Inspections.
Number of Code Inspections— Year 1929. -
Page 278
TABLE II A. — Return of Defects found by Medical Inspection in the Y e ar ended 31st December, 1930.
defect or disease. (1) RoutineInspections Number of defects. Special Inspections. No. of defects. Requiring treatment. (2) Requiring to be kept under observation but not requiring treatment (3) Requiring treatment. (4) Requiring to be kept under observation but not requiring treatment. (5) -
Page 279
b .— number of Individual Children Found at Routine Medical Inspection to Require Treatment (Excluding Uncleanliness and Dental Disease).
Group. (1) Number of Children. Percentage of Children found to require treatment. (4) Year 1929. (5) Inspected. (2) Found to require treatment. (3) -
Page 280
TABLE III. Return of all Exceptional Children in the Area.
Boys. Girls. Total. Year 1929. Boys. Girls. Total. -
Page 281
Table III.— Continued.
Boys. Girls. Total. Year 1929. Boys. Girls. Total. -
Page 282
TABLE IV.—Return of Defects Treated During the Year Ended 31st December, 1930. Group I . —Minor Ailments (excluding uncleanliness, for which see Group V)
Disease or Defect. (1) NUMBER OF DEFECTS TREATED OR UNDER TREATMENT DURING THE YEAR. Year 1929. (5) Under the Authority's Scheme. (2) Otherwise. (3) Total. (4) -
Page 282
Group II . - Defective Vision and Squint (excluding minor eye defects treated as minor ailments.—Group I.)
Disease or Defect (1) NUMBER OF DEFECTS DEALT WITH. Under the Authority's Scheme. (2) Submitted to refraction by private practitioner or at hospitals apart from the Authority's scheme. (3) Otherwise. (4) TOTAL. (5) Year 1929. (6) -
Page 284
TABLE I.—R eturn of M edical I nspections. A.—R outine M edical I nspections.
Year 1929. -
Page 285
TABLE II.—A.—Return of Defects Found by Medical Inspection in the Year Ended 31st December, 1930.
DEFECT OR DISEASe. (1) Routine Inspections. Number of defects. Special Inspections. Number of defects. Requiring treatment. (2) Requiring to be kept under observation but not requiring treatment. (3) Requiring treatment. (4) Requiring to be kept under observation but not re-quiring treatment. (5) -
Page 286
B.—Number of Individual Children Foun d at Routine Medical Inspection to Require Treatment (Excluding Uncleanliness and Dental Disease.)
Group. (1) Number of Children. Percentage of children found to require treatment. (4) Inspected. (2) Found to require treatment. (3) -
Page 286
T ABLE III .— Return of Defects treated during the year ended 31st December, 1930. Group I.—Minor A ilments (excluding uncleanliness, for which see Group V)
Disease or Defect. (1) NUMBER OF DEFECTS TREATED, OR UNDER TREATMENT LURING THE YEAR Under the Authority's scheme. (2) Otherwise. (3) Total. (4) -
Page 287
Group II.—Defective Vision and Squint (excluding minor eye defects treated as minor ailments.—G r oup I.)
Defect or Diseases (1) NUMBER OF DEFECTSDEALT WITH. Under Authority's Scheme. (2) Submitted to refraction by private practitioners or at hospital apart from the Authority's scheme. (3) Otherwise. (4) Total (5) Year 1929 -
Page 287
Group III .— Treatment of Defects of Nose and Throat.
NUMBER OF DEFECTS. Received operative treatment. Received other forms of treatment. (4) Total number treated. (5) Year 1929 Under the Authority's scheme in clinic or hospital. (1) By private Practitioner or hospital apart from the Authority's schema. (2) TOTAL. (3)