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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 1939
[Report of the Medical Officer of Health for Croydon]
- Published
- 1940
- Pages
- 132
- Tables
- 112
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Page 3
REGISTRAR GENERAL'S TABLE OF DEATHS ACCORDING TO CAUSE AGE AND SEX
Sox All Ages 00 1- 2- 5- 15- 25- 35- 45- 55- 65- 75- -
Page 4
Registrar General's Table of Deaths according to Cause, Age and Sex (Cont)
Sex All Aces 0- 1-. 2- 5- 15- 25- 35- 45- 55- 65- 75- -
Page 5
Classification of Deaths according to disease over a poriod of six years.
Cause of Death 1934 Total Deaths 1935 Total Deaths 1936 Total Deaths 1937 Total Deaths 1938 Total Deaths 1939 Total Deaths Death Rate -
Page 7
TABLE 1.
WARDS. Estimated Population 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. Natural increase or decrease of population. -
Page 8
BACTERIOLOGICAL EXAMINATIONS. I am indebted to the Borough Pathologist, Dr. H.w. Soughgate, At the Laboratory, Croydon Gerneral Hospital.
For private practitioners Mayday Hospital For Borough Hospital For Tab. Dispensary For School Medical. Other Instnss of Corporation Other Instns. Total Pos Neg Pos. Neg. Pos Neg. Pos. Neg. Pos • Neg. Pos. Neg. Pos Neg Pos. Neg -
Page 10
Attendances at the Croydon Clinic during past 10 years.
1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 -
Page 10
Bacteriological Examinations carried out at London Hospitals for Croydon Patients.
Hospital Detection of Spirochetes Detection of Gonococci Wassermann Other Pe-action Exams Total For clinic For Prac. For Clinic For Prac. For Clinic For Prac. For Clinic For Prac. -
Page 11
Croydon Cases attending London Hospitals.
Hospital Cases seen for the first time Conditions other than venereal. Total No.of Attendances. Aggregate No of Inpatient Days. Syphilis Goncrr-hoea -
Page 12
Return relating to all persons who were treated at the Treatment Centre at Croydon during the Year ended the 31st December, 1939.
Syphilis Soft Chancre Gonorrhoea Non-venereal or undiagnosed conditions. Totals M F M F M F M F M F Totals -
Page 13
Continued from previous page...
Syphilis Soft Chancre Gonorrhoea Non-venereal or undiagnosed conditions. Totals M F M F M F M F M F Totals -
Page 14
Continued from previous page...
Syphilis Soft Chancre Gonorrhoea Non-venereal or undiagnosed conditions. Totals M F M F M F M F M F Totals -
Page 15
Statement showing the services rendered at the Treatment Centre during the year, classified according to the areas in which the patients resided.
Nome of County or County Borough (or Country in the case of persons residing elsewhere than in England and/ales) to be inserted in these headings. Croydon Surrey Kent London Total -
Page 17
DIAGNOSTIC
1938 1939 -
Page 18
Continued From Previous Pages.....
1938 1939 -
Page 18
THERAPY DEPARTMENT. X-Pay.
Condition for which treatment was given. No. of patients. No. of applications. Re- - Cured. lieved. Died. Transferred to other hosps. Still under treatment. -
Page 19
Classification of In-patients who were discharged From or who died in the Institution during the year ended 31st December, 1939.
Di Children 16 years_Discharged under of age Died Men and Women. Discharged Died -
Page 20
Specimens examined in the Pathological laboratory during the Year.
Positive. Negative. -
Page 21
Continued from previous page...
Medical Surgical Diagnoses. Relieved Unrelieved Died Cured Relieved unrelieved Died. Total Cured Alimentary. -
Page 22
Continued from previous page...
Medical Surgical Bones. Joints and Muscles Relieved Unrelieved Died Cured Relieved Unrelieved Died Total Cured -
Page 23
Continued from previous page...
Medical. Surgical Cured Relieved Unrelieved Died Cured Relieved Unrelieved Died Total Circulatory (Heart) -
Page 24
Continued from previous page...
Medical Surgical Diagnoses. Cured Relieved Unrelieved Died Cured Relieved Unrelieved Died Total Glands. -
Page 25
Continued from previous page...
Medical Surgical Diagnoses. Cured Relieved Unrelieved Died Cured Relieved Unrelieved Died Total Gynaecological (Continued) -
Page 26
Continued from previous page...
Diagnoses Medical Surgical Cured Rel- i3ved Unrelieved Died Cured Relieved Unrelieved Died Total -
Page 27
Continued from previous page...
Medical Surgical Diagnoses Cured Relieved Unrelieved Died Cured Relieved Unrelieved Die d Total -
Page 31
TABLE A.
Patients remaining in hospital 1.1.1940. Patients admitted arid discharged in 1939. Patients admitted in 1939 and remaining in Hospital l.l.40. Analyses of cases whether admitted or discharged'in the year. Total Recovered Died . Total Rocovered Died Total ' Recovered Died Total Recovered Died Case mortality Average No. days in. -
Page 32
Scarlet Fever. The total number of Scarlet Fever cases admitted during the year was 270 a decrease of 354 on 1938. 230 cases were admitted from the Borough and 40 from Penge. 6 cases sent in as Scarlet Fever were not suffering from the disease, leaving a total of 264 true cases.
Serum Cases Non-Serum cages. Total -
Page 35
Out of Borough Cases.
Disease Males Females Totals Deaths -
Page 35
Croydon Boro Hospital Laboratory. Diphtheria.
-
Page 35
Faeces. Enteric and Dysentery Groups.
-
Page 35
Widals, Dreyers, Agglutination Tests.
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Page 35
Sputum examined for Tuberculosis Bacilli.
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Page 35
Swabs examined for Haemolytie Streptococci
-
Page 36
AGE CROUK; OF CASES ADMITTED
0-1 1-2 2-5 5-15 15 - 30 30 and Totals Deaths. M F M F M F M F M F over M F -
Page 38
ANTE NATAL SUPERVISION.
1938 1939 -
Page 41
A Numerical Summary of eases admitted for troatment, delivered in Hospital, or admitted after delivery. Some cases appear in more than one category in the Summary.
Mayday Hospital Booked. Mayday Hospital Emergency. St. Mary's Maternity Hospital Booked. Total. -
Page 42
Continued from previous page...
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Page 42
Infants
-
Page 46
Continued from previous page...
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Page 50
Notifications were received from:-
Live Births. Still Births Total -
Page 50
Accommodation for Confinement. The following Table gives information concerning the accommodation utilized for confinements.
Number. Percentage. -
Page 51
The following table gives the notification's in Croydon during the past eleven, years:-
1929 1930 1931 1932 1933 1934 1950 1936 1937 1938 1939 -
Page 51
Results of Treatment
Cases treated Vision Unimpaired vision Impaired Died Removed Remaining under Treatment.etc. -
Page 52
Deaths under one Year, arranged in days, weeks and months.
CAUSES OF DEATH 1st day. 2nd day. 3rd day. 1th dev. 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. LO-11 mths. 11-12 mths. TOTAL. -
Page 53
The following table gives the causes of death during the first month of life:-
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Page 54
The Rules of the Central Midwives Board lay down that the Local Supervising Authority must be informed within 56 hours, by a midwife if she has summoned medical help during pregnancy, in a confinement or within, ten days afterwards. The following table gives details of the reasons for sending for medical aid:
FOR COMPLICATIONS DURING PREGNANCY -
Page 56
NURSING HOMES ( REGISTRATION ) ACT, 1927.
Maternity Homes. Other Nursing Homes Combined Maternity and other NursingHomes Total. -
Page 58
ATTENDANCES AT INFANT CETTRES - 1939
Muncipal Boston Rd. St .Andrews Sth. Croydon. Shirley Woodside. Lr. Addiscombe Rd. Sth. Norwood . Weston St. st. Alban's. St. Paul's St. Oswald's. Vest Croydon. Norbury. Waddon. St. Jude's. Selhurst Adding ton Monks Orchard Total 1938 Total 1939 -
Page 59
The Work of the Health Visitors - Maternity and Child Welfare Only.
C.W R.A A.W W M.S A.P A.W J.C E.H A.K K.T V.C C Wa. D.S A.O L.W I.E M.W L.O W.W B.D E.C L.B E.W G.B D.B Others Total -
Page 60
Milk (Mothers and Children) Order .
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Page 60
ASSISTED FLUID MILK SCHEME. The amount of milk granted was 228,500 pints. In 1938 it was 261,000 pints.
Supplied to Families. No. of Pints Corporation Liability. -
Page 60
DRIED MILK ( COUPON) SCHEME . The amount of dried milk granted free or at half-price was 14,553 packets. In 1938 it was 14,108 packets.
Mo. of Packets. Corporation Liability. -
Page 62
Age groups of c ases admitted.
0-4 5-8 9-12 Over 12 Total -
Page 62
Condition on discharge.
0-4 5-8 9-12 Over 12 Total M. F. M. F. M. F. M. F. M. F. -
Page 63
The Tables below give figures for 1939:- FOSTER CHILDREN
No.as at Dec, 31st 1938 Notice of Reception of Children during the year. Notice of removal to- Children Adopted Died Children reaching age of 9 No. as at Dec. 31st 1939. , Parent Another area with Foster Parent another Foster other public Institution -
Page 63
The number of foster-children showed a decrease of 105 during the year. FOSTER MOTHERS
Ho. as at December 31st, 1938 Applications for Authorisation during the year Removals during the year Authorisation cancelled for other reasons. No. as at December 31st,1939. With Child Without Child -
Page 71
FACTORIES.
Inspections Premises. Inspections Number of Written Notices. Prosecutions. -
Page 71
Defects Found. No. of Defects Referred to H.M. Inspector Prosecutions. Particulars. Found Remedied -
Page 72
Nature of employment of workers on the Register, 31st December 1938.
Nature of work. No. employed Outwork in infected premi ses Outwork in unsatisfactory premises Remarks. -
Page 73
The recoipts and expenditure for the last ten years arc as follows:-
Receipts Expenditure. -
Page 74
The following table gives the situation of these promises -
Road. No. of houses. let in lodgings. -
Page 77
The following is a summary of the visits paid during 1939 under the ate and Mice (Destruction) Act, 1919.
Premises No. of visits made No. of poison and other baits laid. No. of Killed. -
Page 78
The following table shows tho premises in the Borough at wjrich foodstuffs are known to be sold, manufactured or stored;-
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Page 78
Tho following animals were slaughtered at the Public Slaughterhouses during 1939:- Pitlake.
-
Page 79
The following meat and offal from tho Public Slaughterhouses was surrendered and destroyed during the year 1939.
Description Cause. -
Page 80
Summary of whole carcases destroyed with the reasons for such destruction.
-
Page 80
Carcases inspected and condemned.
-
Page 81
General Food Inspection. The following table gives a summary of the inspections made during the year (not including visits made to slaughterhouses or dairies, cowsheds and milkshops):-
-
Page 81
The following articles of food were surrendered and destroyed during 1939:-
-
Page 81
General Summary of Meat and other articles destroyed during the
Articles year 1939. Weight in lbs. Total Remarks. Diseased Unsound -
Page 83
The following tables summarise tho result of the bacteriological examinations of Tuberculin Tested, Accredited and Pasteurised samples during the year:-
TUBERCULIN TESTED (Licences granted under the Milk (Special Designations)Order 1936 Pre sent Absent Present in 1/100 m.l. Absent Present Absent Present- Absent Exceeding trace Not exceeding a trace Satisfied test -
Page 83
ACCREDITED MILK (Licences granted under the Milk (Special Designations Order 1936) Present Absent Present in 1/100 m.l Absent Present Absent Present Absent Exceeding a trace Not exceeding a trace Satisfied Not satisfied -
Page 84
The following tables summarise the results of the bacteriological examinations of Pasteurised Milk Samples during the £ear:- PASTEURISED MILK (Licences granted under, the milk (Special Designations) Order
Present Absent Over 100,000 per m.l. Under 100,00C per m.l. Present Absent Present Absent Present Absent -
Page 84
The above 162 Pasteurised Milk samples contained bacteria per m.l. as follows:-
-
Page 85
The following table summarises the results of the bacteriological examination of ordinary milk samples, taken under the Milk and Dairies (Consolidation) Act, 1915, from 1st January to 31st December, 1939.
ORDINARY MILK Present Absent Over 100,000 per m.l. Under 100,000 per m.l. Present Absent Present Absent Exceeding a trace Not exceeding a trace Satisfied Not satisfied -
Page 86
SPTflARY OF SABLES. During 1939 samples were obtained and submitted to the Public Analyst as fallows:-
Samples of Total Samples Genuine Not Genuine Prosecutions convictions Cautions -
Page 87
Total Samples. Genuine Not Genuine Prosecutions Convictions Cautions -
Page 91
CASES OF NOTIFIED INFECTIOUS DISEASE, 1939
Notifiable disease. Cases notified in the whole District. Total cases notified in each Ward. Total cases remo ved to Borough Hospital diagnosis confirmed Total Deaths in the Borough 1939 At all Ages at ages - years Upper Norwood Norbury West Thorn ton Bensham Manor Thornton Neath South Nor-wood Woodside . East Addiscombe Whitehorse Manor Broad Green Central Waddon South Addington Under 1 year 1 - 5 6 - 15 16 - 25 26 - 45 46 - 65 66 and up M F -
Page 92
Continued from previous page...
Notified Disease. Incidence Rate per 1,000 population Housing Conditions. Case occurring in Institutions in the Borough. Total cases notified. 1-3 rooms 4-5rooms Over 5 rooms. 1939 1938 -
Page 93
formal notifications .
Age periods Ho. 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 55 to 45 45 to 55 55 to 65 65 and up Total (all ages) -
Page 94
SUPPLEMENTAL RETURN. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the period from the 1st January, 1939, to the 31st December, 1939, otherwise than by formal notification.
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 94
NOTIFICATION REGISTER. Number of cases of Tuberculosis remaining on the Notification register on the 31st December, 1930:-
PULMONARY NON-PULMONARY Total Cases Males Females Total Males Females Total -
Page 94
AGES AT DEATH FROM PULMONARY TUBERCULOSIS.
Year 0-5 5-15 15-25 25-45 45-65 Over 65 Total -
Page 95
The diagnoses of the new cases entered in the Notification Register during 1939 were as follows:-
Male. Female. -
Page 95
During 1939, 12 deaths were certified to be due to Non-Pulmonary Tuberculosis, compared with 18 in 1938. The deaths were due to:-
Males. Females. Total. -
Page 97
INSTITUTIONAL TREATMENT Pulmonary Cases Treated in Institutions, 1939
In at beginning of 1939 Admitted during 1939 Discharged during 1939 Died during 1939 In at end of 1939 Adults Adults Adults Adults Adults M F C M F C M F C M F C M F C -
Page 98
Non-Pulmonary Cases Treated in Institutions, 1939
In on 1st Jan.1939 Admitted during 1939 Discharged Died During 1939 In on 31st Dec. 1939 Adults Adults Mults Adults Adults M F C M F C M F C M F C M F C -
Page 101
Housing Statistics of Patients.
Patients Occupying a Separate bedroom. Patients occupying a Separate bed but not a separate bedroom Patients not occupying a separate bed. Totals. -
Page 102
PULMONARY TUBERCULOSIS The Condition at the end of 1939 of cases discharged from Sanatoria during the yearn indicated.
1935 1936 1937 1938 1939 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 105
The Sanatorium is situated in North Cheam and has accommodation for 93 adults patients of both sexes. The beds are allocated as follows: Ken, 53 Women, 40.
In-patients on Jan. 1st 1939 Admitted during year 1939 Discharged during year 1939 including deaths In on Jan.1st, 1940 Died during year 1939 M F M F M F M F M F -
Page 105
Immediate Results of Treatment
Group Total number of cases discharged 1939 Quiescent Improved No Material Improvement Died in Institution Average duration of stay in days Discharged before completion of treatment M F M F M F M F M F M F -
Page 106
TABLE I Following results obtained by Schick Testing two to three months after two injections of A.P.T.
AgeGroup Originally Schick Positive Cases not given Primary Schick Total cases treated Number treated Number still Schick Positive SchickConversion rate per cent Number treated Number Schick Positive Schick Negative rate per cent Number treat ed Number still Schick positive Schick Negative rate per cent -
Page 106
TABLE II Reactions obtained after A.P.T.
Age Group. TotalCases Total Reactions Reactions Per cent. -
Page 108
TABLE IV SUMMARY OF WORK OF CLINIC SINCE ITS START.
Year Total attended for treatment. New cases attended No. of sessions held Av. attend. per session No. given prim ary Schick %Pos. on Primary Schick No. given posterior Schick No. Neg. on post. Schick %Neg. on Post. Schick. No. completed treatment. -
Page 108
TABLE V. SUMMARY OF ATTENDANCES AND TREATMENT 1939.
Under Treatment 1.1.39. Received T.A.M. Received T.A.F. Received A.P.T. Defaulted Given Primary Schick test. No. Positive % Posi tive. No. not given Primary Schick. Total new cases 1939. -
Page 108
TABLE VI ORIGIN AND SOURCE OF CASES ATTENDING.
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Page 109
The large numbers of uncompleted cases is due to the evacuation of the schools and homes.
Name of Institution. No. not completed, 1938. No. primary Schick. No. Positive % Positive No. given A.P.T. No. retested. No. Negative. % Negative. Uncompleted Removed from District. -
Page 110
vaccination acts I am indebted to Mr. Huggins, the Vaccination Officer, for the particulars in the returns in subjoined Tables.
Registration Sub-Districts in V.O. District. Births Registered. Vaccinated. Insusceptible. Statutory Declarations Died Un-vaccinated. P.P.O. Trans ferred to other VOS Not traced Removals. In Default. Overage when Reg istered. -
Page 110
Return showing the Numbers of Persons vaccinated and re-vaccinated at the cost of the Rates by the Medical Officer of the Public assistance Institutions and the Public Vaccinators during the year ended 30th September,1939.
Name of Public Assistance Institution or Vaccination District. Numbers of successful Primary Vaccinations of persons. No. successful re-vaccinations, i.e., successful vaccinations of persons who had been successfully vaccinated at some previous time. Under 1 year of age 1 year and unwards. Total. -
Page 111
Summary of Cases Attending the Orthopaedic Clinic
Jan. 1st 1939 New Cases, 1939 Cases Discharged 1939 Cases oh books Dec.31st, 1939 M.C.W. S.M.S. Tuberc. M.C.W. S.M.S. Tuberc. M.C.W. S.M.S. Tuberc. M.C.W. S.M.S. Tuberc. -
Page 111
Cases Seen by the Orthopaedic Surgeon
Defects School Visits M.C.W. Visits Tuberculosis Visits Total Visits Cases paid Cases paid Cases paid Cases paid -
Page 112
Cases referred from Orthopaedic Clinic for Remedial Treatment and X-Ray at Croydon General Hospital
Defects School Cases M.C.W. Cases Tuberculosis Cases Total Cases No. of Treat ments XRays Cases No. of Treatments XRays Cases No. of Treatments XRays Cases No. of Treat ments XRays -
Page 112
Cases Sent to Residential Institutions
Name of Institution School Cases M.C.W. Cases Tuberculosis CEses Total No. in on Jan 1st 39 Admitted Discharged No. in on Jan 1st 39 Admitted Discharged No. in on Jan 1st 39 Admitted Discharged NO. in on Jan lst 39 Admitted Disscharged No. in on Jan 1st 40 -
Page 113
Conditions for which Patients were admitted to Hospitals and the results of treatments.
Condition In on Jan 1st 1939 Discharged In on Jan 1st 1940 Admitted Cared. Much Improved Improved I.S.Q. Died -
Page 114
Table I. Deaths from Cancer occurred at the following ages:-
Age period Male Female Total -
Page 114
Table II. Sites of fatal Cancer.
Site Male Female Total Percentage of Total -
Page 116
M. - Males. WELFARE OF THE BLIND - REGISTRATION. As at 31/3/4-0.
Age Period Age Period Age Period Age Period Age Period Age Period Age Period Age Period Age Period (i) Total of all are Groups 0-1 1-5 5-16 16-21 21-40 40-50 50-65 65-70 70 & over (ii) Age unknown. M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T -
Page 116
Ages at which Blindness Occurred.
Age Period Age Period Age Period Age Period Age Period Age Period Age Period Age Period Age Period Age Period Age Period unknown 0-1 1-5 5-10 10-20 20-30 30-40 40-50 50-60 60-70 70 and over -
Page 117
Occupations of Employed Blind Persons.
Agents,Collectors etc. Basket Workers Bedding(in cluding divans and Ottomans & Upholstering Boot Repairers Braille Copyists and Proof readers Brushmakers Carpenters and Woodworkers Chairseaters Clerks and Typists Coal bag makers Dealers,Tea agents Newsagents,Shopkeepers. Firewood workers. Gardeners Hawkers, News vendors etc. Home Teachers Knitters Massage ' Mat makers Ministers of Religion. Musicians & Music teachers Netting makers. Porters,packers cleaners. Poultry Farmers. School teachers Ships Fender (Fender) makers Telephone Operators Tuners Weavers Miscellaneous. TOTAL Mattress Makers Machinists i Upholsterers Hand Machine Labourers -
Page -
GROUP IV - Orthopaedic and Postural Defects.
Under the Authority's Scheme Total number treated Residential treatment with education Residential treatment without education (ii) Non-Residential treatment at an orthopaedic clinic. (iii ) -
Page -
TABLE V - DENTAL INSPECTION AND TREATMENT
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Page -
TABLE VI - UNCLEANLINESS AND VERMINOUS CONDITIONS
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Page -
TABLE I. RETURN OF MEDICAL INSPECTIONS. A.- Routine Medical Inspections.
Year 1940 Year 1939