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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 1955
[Report of the Medical Officer of Health for Croydon]
- Published
- 1956
- Pages
- 156
- Tables
- 128
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Page 10
Notification of Births Notifications were received in respect of confinements conducted by: -
Live Births StiLL Births Total -
Page 10
Accommodation for Confinement The following table gives information concerning the accommodation utilised for confinements:-
Number Percentage -
Page 11
MATERNAL AND INFANT MORTALITY FOR THE YEARS 1935-1955
Year Bi rths (Live and Still) Ma tern at Deaths Maternal Mortali ty Ra te Infant Mortality Rate -
Page 13
DEATHS 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 8th-l4th day 15th-21st day 22nd-28th day Under 1 mnth. 1-2 mnths. 2—3 mnths. 3-4 rnnths. 4-5 mnths. 5-6 mnths. 6-7 mnths. 7-8 mnths. 8-9 mnths. 9-10 mnths. 10-11 mnths. 11-12 mnths. TOTAL -
Page 14
WARD STATISTICS
WARDS Est imated Population Births Deaths Bi rth Rate Death Rate Deaths under 1 year per 1,000 Births Death Rate from Six Zymotic Diseases (excluding Diarrhoea) Death Rate from Diarrhoea (under two years) Death Rate from Bronchit is and Pneumonia Death Rate from Pulmonary Tuberculosis Death Rate from Non-Pulmonary Tuberculosis Death Rate from Heart and Circulation Diseases Death Rate from Cancer Natural Increase or Decrease of Population -
Page 15
REGISTRAR GENERAL'S TABLE OF DEATHS ACCORDING TO CAUSE, AGE AND SEX
Sex 0- 1- 5- 15- 25- 45- 65- 75- Total -
Page 16
Death-rate per 1,000 of the population for the last 11 years are as follows:-
-
Page 17
Deaths from Cancer occurred at the following Ages:-
Age period Male Female Total -
Page 17
Sites of Fatal Cancer
Site Male Female Total Percentage of Total -
Page 18
COMMUNICABLE DISEASES NOTIFIED DURING YEAR 1955
Notifiable Disease Cases notified Total cases notified in wards 1955 At all ages At ages - years Upper Norwood Norbury West Thornton Bensham Manor Thornton Heath South Norwood Wood side East Add i scombe Whitehorse Manor Broad Green Central Waddon South Add i ngton Shirley M F Under 1 1-4 5-14 15 - 24 25 - 44 45 - 64 65 and over -
Page 19
MONTHLY INCIDENCE OF COMMUNICABLE DISEASES 1955
Jan. Feb. March April May June July August Sept. Oct. Nov. Dec. Total -
Page 20
The following figures give the food poisoning notifications, as corrected, for 1955:-
1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Total -
Page 24
THE PREVENTION AND CONTROL OP TUBERCULOSIS The following table shows the great improvement in mortality from tuberculosis over the last forty years.
Tuberculosis (All Forms) Tuberculosis (All Forms) 0-15 years All ages 0- 15 years All ages Year Number of Deaths Death rate per thousand of popu-lation Number of Deaths Death rate per thousand of population Year Number of Deaths Death rate per thousand of popu-lation Number of Deaths Death rate per thousand of popu-lation -
Page 26
TABLE I. Formal Notification
Age Periods Number of Primary Notificat ions of new cases of Tuberculosis 0- 1- 2- 5- 10- 15- 20- 25- 35- 45- 55- 65- 75- Total (all age) -
Page 27
TABLE II. Supplemental Return. New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the period from 1st January, 1955 to 31st, December, 1955, otherwise than by formal notification:-
Source of Information Number of cases in age Groups 0- 1- 2- 5- 10- 15- 20- 25- 35- 45- 55- 65- 75- TOTAL -
Page 28
Notification Register Number of cases of Tuberculosis remaining on the Notification Register on 31st December, 1955:-
RESPIRATORY NON-RESPIRATORY Total Cases Males Females Total Males Females Total -
Page 28
CLASSIFICATION OF NEW PATIENTS Respiratory Tuberculosis During 1955, 137 of the new patients examined at the Clinic were found to be in the undermentioned stages of the disease on the first examination:-
-
Page 29
Ages at Death from Respiratory Tuberculosis
Year 0-5 5- 15 15-25 25-45 45-65 over 65 TOTAL -
Page 30
The deaths were due to: -
Males Females Total -
Page 32
Number of cases written off the Chest Clinic Register during the year as:
-
Page 32
The following particulars give a summary of the work done in connection with the Clinic:
-
Page 32
MASS RADIOGRAPHY I am also indebted to the Medical Director of the Surrey Area of the South-West Metropolitan Regional Hospital Board Mass Radiography Service for the following particulars of persons examined and of abnormalities found:-
No. of Persons examined Active Pu tmonary Tuber-cu/osis Inactive Pulmonary Tuber-culosis Non-Tuberculous Conditions -
Page 35
VENEREAL DISEASES I am indebted to Mr. J.R. Crumbie, F. R. C. S. in charge of the Centre, for the following return relating to all persons attend ing at the Treatment Centre at Special Clinic, Croydon General Hospital, Croydon, during the year ended 31st December, 1955.
Totals Males Females -
Page 36
Continued from previous page...
Total s Males Females -
Page 37
Continued from previous page...
By the Physician at the Centre Sent to a Pathological Centre -
Page 37
MINOR AREAS MAY BE GROUPED AS "ALL OTHERS")
County, County Borough (England and Wales) and Others Syphi1is Gonorrhoea Other Conditions -
Page 37
The following figures show the work carried out during the year under review:-
-
Page 38
(l) Number of live premature babies notified during 1955 who were born -
-
Page 40
ATTENDANCES AT INFANT CENTRES - 1955
Bensham Manor, Monday, A.M. Bensham Manor, Monday P.M. Boston Road, Thursday, P.M. Brighton Road, Wednesday, P.M. East Croydon, Tuesday, A.M. East Croydon, Friday, P.M. Fai rchiIdes, Friday, P.M. Monks Hill, Tuesday, P.M. Munic ipal, Monday, P.M. Munic ipal, Thursday, P.M. New Addington, Wednesday, A.M. New Addington, Wednesday, P.M. Norbury, Wednesday, A.M. Norbury, Wednesday, P.M. St. Albans, Wednesday, P.M. St. Albans, Friday, P.M. St. Andrews, Monday, P.M. St. Georges, Monday, P.M. St. Judes Hal 1, Tuesday, A.M. St. Judes Hall, Tuesday, P.M. St. Oswalds, Thursday, A.M. St. Oswalds, Thursday, P.M. Selhurst, Wednesday, P.M. Shirley, Thursday, P.M. South Croydon, Thursday, P.M. South Norwood, Tuesday, P.M. South Norwood, Friday, P.M. Spring Park, Monday, P.M. Upper Norwood, Wednesday, P.M. Waddon, Wednesday, P.M. West Croydon, Friday, P.M. woodside, Friday, A.M. • woodside, Friday, P.M. Total, 1955 Total 1954 -
Page 41
Summary of work carried out during the year under review: -
-
Page 42
Continued from previous page...
Total visits -
Page 43
DAY NURSERIES Attendances at Day Nurseries, 1955
Whitehorse Road Mor land Road * -
Page 43
The following figures relate to the work carried out at the above clinic during the year
Compla int No. of Cases Total M F -
Page 47
Treatment The following summary shows particulars of the work accomplished:-
Expect ant Mothers Nursing Mothers Total Young Children -
Page 47
Treatment The following summary shows particulars of the work accomplished:-
Expectant and Nursing Mothers Young Children -
Page 48
The Centres at which patients were examined, or from whii they were referred, are given in the following list:-
Mothers Young Children Mothers Young Chiildren. -
Page 50
The work of the municipal midwives was as follows:-
Midwife Mileage Deliveries Midwifery Maternity Gas and Air AnteNatat Visits PostNata1 Visits Book ings Office Bookings Normal Abnormal Norma 1 Abnormal Midwives Pup i Is Midwives Pupi 1 s -
Page 51
The following table gives the details of the reasons for Mid-wives summoning medical aid:-
-
Page 54
THE WORK OF THE HEALTH VISITORS - MATERNITY AND CHILD WELFARE VISITS ONLY, 1955
Visits Re Bi rd Blackmore Blest E.M.Col1ins Devaney Early Eldridge Elliott Emms Gregg Griggs Hall (deceased) Hawk ins E. La ing Llewellyn Lucey M ayo McGuiness Com. 1.2.55 Left 30.4.55 Morton Partridge Pickering Poupard Singleton Com. 2.5.55 Stevens Com. 10.10.55 The i son Thompson Toneri left 30.4.55 Tripet Vince Webb Com. 25.11.55 weller welson Wybrew Total 1955 Total 1954 -
Page 55
The ensuing comparative tables give some further details:-
Year Children Completed Treatment Failed to attend for completion of Course Reinforcing Injections -
Page 55
Origin and Source of Children attending
Year School Pre-school Total Per cent Total Per cent -
Page 56
VACCINATION AGAINST SMALL-POX A total of 2,072 persons were vaccinated against Small-pox.
Under 1 year of age 1 2-4 5- 14 15 or over Total -
Page 56
DIPHTHERIA IMMUNISATION IN RELATION TO CHILD POPULATION Number of children at 31st December, 1955, who had completed a course of Immunisation at any time before that date (i.e. at any time since 1st January, 1941)
-
Page 58
Classifications of Journeys, Patients and Mileage
Patients Journeys Mileage -
Page 64
Under the Lunacy and Mental Treatment Acts. Patients dealt with under the Lunacy and Mental Treatment Acts during 1955, are as follows: -
-
Page 64
Under the Mental Deficiency Act. Number of known Mentally Defective Patients in the Borough:-
1954 1955 -
Page 72
FACTORIES Inspection
Premises Number of Inspection Wri t ten Not ices Prosecut iors -
Page 72
Defects
Parti culars Number of Defects Referred to H.M. Inspector Prosccut ions Found Remedied -
Page 73
Nature of Employment of Outworkers on the Register, 31st December, 1955
Nature of Work Number Employed Outwork in Infected Premises Outtwork in Unsatisfactory Premises Remarks -
Page 76
were taken. All of these samples conformed with the requirements of the Regulations made under the Act: -
Article No. of Samples -
Page 77
The following table shows the distribution of trades among the 3,327 premises in the Borough at which food is known to be sold, manufactured or stored:-
-
Page 78
Continued from previous page...
-
Page 78
Condemned Foodstuffs. Summary of meat and other articles of food found to be unfi??? and condemned by the Inspectors during 1955:-
Article Weight in lbs. -
Page 79
The following tables summarise the meat inspection service at the abattoir:- Animals Slaughtered.
Cattle excluding Cows Cows Calves Sheep and Lambs Goats Pigs Total -
Page 79
CARCASES INSPECTED AND CONDEMNED
Cattle exc hiding Cows Cows Calves Sheep and Lambs Pigs Goats -
Page 81
The following table summarises the results of the bacteriological examinations of Tuberculin Tested, Pasteurised and Sterilised milk samples during the year:-
Tubercu/in- Tested Mi IK Methylene Blue Test No. Samples Taken Not Satisfied Satisfied -
Page 81
Continued from previous page...
Tuber cut in - Tes ted Pasteurised Mi IK Methylene Blue Test Phosphatase Test No. Samples Taken Not Satisfied Satisfied Not Satisfied Satisfied -
Page 81
Sterilised Milk
No. Samples Taken Methylene Blue Test Phosphatase Test Not Satisfied Satisfied Not Satisfied Satisfied -
Page 81
Sterilised Milk
No. Samples Taken Turbidity Test Not Satisfied Satisfied -
Page 82
BACTERIOLOGICAL EXAMINATIONS OF ICE CREAM 159 samples were taken, the results being as under:-
Grade No. of Samples -
Page 83
Summary of Samples During 1955 samples were obtained and submitted to the Public Analyst as follows:-
Samples of Total Samples Genuine Not Genuine Prosecutions Convictions -
Page 84
Continued from previous page...
Samples of Total Samples Genuine Not Genuine Prosecutions Convictions -
Page 85
Result of Analysis of Milk Samples Solids not Fat (Legal standard is 8.5%)
8.5 8.6 8.7 8.8 8.9 9.0 -
Page 85
Milk Fat (Legal standard is 3%)
3.1 3.2 3. 3 3.4 3.5 3.6 3.7 3.8 3.9 4.0 4. 1 4.3 -
Page 85
South Devon and Channel Islands Milks Solids not Fat (Legal standard is 8.5%)
9. 1 9.2 9.3 9. 4 -
Page 85
Milk Fat (Legal standard is 4%)
4.0 4.2 4.4 4. 5 4.6 4.7 4.8 4.9 5.2 -
Page 85
The samples of milk for analysis were obtained as follows:-
-
Page 86
DETAILS OF NON-GENUINE SAMPLES TAKEN
Article Nature of Adulteration or Deficiercy Remarks -
Page 87
The amount of water consumed during the year was-
Gallons -
Page 89
Refuse Collection and Disposal In 1955 the following tonnages were dealt with:-
-
Page 90
MISCELLANEOUS Nursing Homes - Public Health Act, 1936.
Number of Homes Number of Beds provided for:- Maternity Others Total -
Page 90
The Registered Minders receive children for the day. They are not encouraged to take children under 2 years.
Number registered, at 31.12.55 Number of children provided fo??? -
Page 91
Aircraft and Passenger Arrivals, Croydon Airport.
Aircraft Passengers -
Page 96
Families in Receiving Homes assisted from October - December 1955
-
Page 96
Visits paid:-
Family Departments Agents and Contacts -
Page 96
Families without permanent housing at close of year:-25 Visits paid:-
Family Departments Agents and Contacts -
Page 96
Potential homeless families:-2 Visits paid:-
Family Departments Agents and Contacts -
Page 102
STAFF OF THE SCHOOL HEALTH SERVICE
-
Page 103
RETURN OF ATTENDANCE IN MAINTAINED PRIMARY, MODERN, CENTRAL, TECHNICAL AND GRAMMAR SCHOOLS 1955
School Average No. on Registers Average Attendance Average Attendance per cent. Average 1954 Attendance per cent. -
Page 104
Continued from previous page...
School Average No. on Register Average Attendance Average Attendance per cent. Average 1954 Attendance per cent -
Page 105
Continued from previous page...
School Average No. on Register Average Attendance Average Attendance per cent. Average 1954 Attendance per cent. -
Page 107
HEIGHTS AND WEIGHTS, 1955
Age Number Examined 1955 Average Height in inches Average Height in lbs. 1955 1954 1953 1952 1939 1955 1954 1953 1952 1939 -
Page 112
PARENTS PRESENT 1955
ENTRANTS INTERMEDIATE LEAVERS OTHER AGES AND 8 TO 9 YEARS TOTALS Number Examined Parents Present Number Examined Parents Present Number Examined Parents Present Number Examined Parents Present Number Examined M F M F M F M F M F M F M F M F M F -
Page 113
Continued from previous page...
-
Page 113
PERCENTAGE OF PARENTS PRESENT AT MEDICAL INSPECTIONS
-
Page 114
RETURN OF DEFECTS FOUND IN THE COURSE OF ROUTINE MEDICAL INSPECTION, 1955
Defects Boys Girls No. requiring Treatment No. referred for Observation Percentage of total Examined No. requiring Treatment No. referred for Cbservation Percentage of total Examined -
Page 115
VISION
Extent of Defect Intermediate Leavers 8 to 9 years and Other Ages Total Boys Girls Boys Girls Boys Girls Boys Girls No. % No. % No. %I No. % No. % No. % No. % No. % -
Page 115
Cost of Special Schools
£ -
Page 116
SUMMARY OF FINDINGS AT ROUTINE MEDICAL INSPECTIONS 1955 (Percentages of Children examined)
Defect or Disease Entrants Intermediates Leavers Other Ages and 8 to 9 yrs All Groups Boys Girls Boys Girls Boys Girls Boys Girls Boys -
Page 117
The deaths were due to:-
-
Page 118
CONDITIONS NOTIFIED BY TEACHERS AND SCHOOL ENQUIRY OFFICERS AND CONFIRMED BY HEALTH VISITORS
NAME OF SCHOOL School Population Measles German Measles Whooping Cough Chicken Pox Mumps Scabies Impetigo Ringworm Diphtheria Scarlet Fever Dysentery Poliomyeltis Jaundice Conjunctivitis Sore Throat Indefinite Sickness Enteric Group Erysipelas Vermin Meningococcal Infection Totals Body Scalp -
Page 119
continued from previous page...
-
Page 120
CHIEF CAUSES OF EXCLUSIONS FROM SCHOOL
Condition Exclusions during 1955 Percentage of total exclusions Exclusions during 1954 Percentage of total exclusions -
Page 120
School Visits
-
Page 120
Home Visits
-
Page 121
TREATMENT The Work of the School Clinics SUMMARY OF ATTENDANCES
1955 1954 Increase or Decrease -
Page 121
The Minor Ailments Clinics At the Lodge Road Clinic 680 defects involved 3,427 attendances, while at the subsidiary Clinics held at Ashburton School 350 defects, 1,600 attendances; at Duppas School 164 defects, 2,235 attendances; at Rockmount School 192 defects, 1,562 attendances; and at Wolsey School 150 defects, 591 attendances.
Complaint 1955 1954 Cases Attendances Average No. of Attendances per case Cases Attendances Average No. of Attendances per case -
Page 124
The results obtained from school inspections were as following
-
Page 124
The following Table demonstrates the variations in the acce??? tance rate during recent years:- RESULTS OF SCHOOL INSPECTIONS
1955 1954 19 53 1949 1937 -
Page 125
Items of Treatment The ensuing Table gives particulars of the principal items of treatment compared with those obtained last year:-
1955 1954 -
Page 126
Continued from previous page...
1955 1954 -
Page 126
Miscellaneous Operations
These include 1955 1954 -
Page 127
The following is a summary of treatment performed:-
-
Page 127
A summary of the treatment performed for the above children is given below:-
1955 1954 -
Page 128
DENTAL DEFECTS (1) Inspected by Dental Officers:
Year 1955 Year 1955 -
Page 129
Continued from previous page...
-
Page 130
SPINAL AND OTHER REMEDIAL CLINICS
1955 * 1954 Attendances Classes Av. att. Attendances Classes Av. att. -
Page 134
CLINIC FOR EDUCATIONALLY SUB-NORMAL CHILDREN 160 children were examined during 1955. The classifications arrived at, together with recommendations made, are as follows:-
-
Page 136
HANDICAPPED PUPILS REQUIRING EDUCATION AT SPECIAL SCHOOLS OR BOARDING IN BOARDING SCHOOLS, 1955
Blind Partiatly Sigh ted Deaf Partially Deaf De licate Physically Handicapped Educationally Sub-normal Maladjusted Epileptic -
Page 137
The following numbers of children were examined by the medical officers during 1955 as to their fitness to following the part-time employment indicated:-
1955 1954 1953 2952 1951 -
Page 137
CHILD GUIDANCE CLINIC Return of Cases referred by the School Medical Officer and the Education Department, from 1st January to 31st December, 1955
Boys Girls -
Page 138
SPEECH DEFECTS CLINIC
-
Page 141
A. -Periodic Medical Inspections Number of Inspections in the prescribed Groups:
-
Page 141
B. -Other Inspections
-
Page 141
C. -Pupils found to require Treatment (Excluding Dental Disease and Infestation with Vermin).
Group (1) For defect ive vision ( excluding squint) (2) For any of the other conditions recorded in Table (3) Total Individua l Pupi1s (4) -
Page 142
Table II A. RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION
Defect Code No. DEFECT OR DISEASE (n PERIODIC INSPECTIONS SPECIAL INSPEi No. of defects No. of defet Requi ring trea tmen t (2) Requiring to be kept under obs ervat ion, but not requi r ing trea tmen t (3) Requiring treatment (4) Requiring to be kept under obs ervat ion, but not requi r ing trea tmen t (5) -
Page 143
B. CLASSIFICATION OP THE GENERAL CONDITION OP PUPILS INSPECTED DURING THE YEAR IN THE AGE GROUPS
Age Groups Number of Pup i Is Inspected A ( Good ) B (Fair) C (Poor) No. X of col. 2 No. X of col. 2 No. X of col. 2 -
Page 143
Table III INFESTATION WITH VERMIN
-
Page 144
Table IV GROUP 1. - DISEASES OF THE SKIN (excluding unci eanl i ness, font see Tabl e III)
Number of casses treatment or under treatment during the year By the Authority Otherwise -
Page 144
GROUP 2. - EYE DISEASES, DEFECTIVE VISION AND SQUINT
Number of cases deal with By the Authority Otherwise -
Page 144
GROUP 3. - DISEASES AND DEFECTS OF EAR, NOSE AND THROAT
Number of cases treated By the Authority Otherwise -
Page 145
GROUP 5. - CHILD GUIDANCE TREATMENT
Number of cases treated In the Authority's Chi id Guidance Clinics Elsewhere -
Page 145
GROUP 6.- SPEECH THERAPY
Number of cases treated By the Authori ty Otherwise -
Page 145
GROUP 7. - OTHER TREATMENT GIVEN
Number of cases treated By the Author i ty Otherwise -
Page 146
Table V DENTAL INSPECTION AND TREATMENT 1
-
Page 147
Table I RETURN OF MEDICAL INSPECTIONS A. -Routine Medical Inspections.
Year 1955 Year 1954 -
Page 147
B. -Other Inspections.
-
Page 147
The following defects were found by Medical Inspection:-
Treatment Observation