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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

Edmonton 1938

[Report of the Medical Officer of Health for Edmonton]

Published
1939
Pages
76
Tables
85

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85 tables in this report

  • Page 5
    Both (1) and (2) are given on purely economic grounds.
  • Page 6
    Still-births.
    M.F.Total. Grand Total.
  • Page 7
    The following causes of death are supplied by the Registrar-General and refer to deaths which were registered during the calendar year:—
    Causes of Death.MFTotal
  • Page 8
    The following tables give the deaths of those registered during the 5 weeks ended 31st December, 1938, sub-divided as to age groups:¡ª MALES.
    Causes of DeathALL AGESUnder 1 year1 & under 2 years2 & under 5 years5 & under 15 years15 & under 25 years25 & under 35 years35 & under 45 years45 & under 55 years55 & under 65 vears65 & under 75 vears75 and over
  • Page 9
    FEMALES.
    Causes of DeathALL AGESUnder 1 year1 & under 2 years2 & under 5 years5 & under 15 years15 & under 25 years25 & under 35 years35 & under 45 years45 & under 55 years55 & under 65 years65 & under 75 years75 and over
  • Page 10
    INFANTILE MORTALITY. The deaths of infants under one year of age were as follows:—
    MFTotal
  • Page 10
    The death-rate of all infants per 1 ,000 live births was 44 7. A detailed sub-division of the causes, etc., of these infant deaths is as follows: — MALES.
    Causes of DeathUnder 1 weekSecond weekThird weekFourth weekTotal under month1—3 months3—6 months 6—9 months9—12 monthsTotal under 1 year
  • Page 10
    FEMALES.
    Causes of DeathUnder 1 weekSecond weekThird weekFourth weekTotal under 1 month1—3 months3—6 months6—9 months9—12 monthsTotal under 1 year
  • Page 11
    COMPARATIVE STATISTICS. The Registrar-General has forwarded provisional figures relating to the Country as a whole, and to London, enabling the following comparisons to be made:—
    Birth-rate per 1,000 populationDeath-rate per 1,000 births.
    LiveStillFrom diarrhœa,etc., under 2 yearsTotal deaths under 1 year
  • Page 11
    Annual Death Rate per 1,000 of Population.
    All CausesEnteric FeverSmallpoxMeaslesScarlet FeverWhooping CoughDiphtheriaInfluenzaViolence
  • Page 11
    The deaths include those taking place outside the Borough, the information being given us quarterly by the Registrar-General.
    WardBirthsDeathsInfant Deaths
    MFMFMF
  • Page 14
    The following tabular statement gives the number and the nature of the inspections made during the year:—
  • Page 15
    Inspections of Places where Food is Prepared
  • Page 15
    Defects Remedied.
  • Page 18
    1.—Inspections for the purpose of provisions as to health.
    PremisesNumber of
    InspectionsWritten NoticesOccupiers Prosecuted
  • Page 18
    2.— Defects found.
    ParticularsNumber of DefectsNo. of defects in respect of which Prosecutions were instituted
    FoundRemediedReferred to H.M. Inspector
  • Page 19
    FACTORIES AND WORKSHOPS, ETC. Defects Remedied.
  • Page 20
    Individual Unfit Houses. During the year Demolition Orders have been made in respect of four houses, and nine have been demolished. The Council re-housed eight families.
  • Page 21
    B.—Proceedings under Public Health Acts:—
  • Page 22
    Various licences w ere granted as under:—
    Primary.Supplementary.
  • Page 22
    Meat and Other Foods. The following is a list of the visits paid by the Inspectors during the year:—
  • Page 24
    List of samples taken during 1938:—
    Taken.Adulterated.
  • Page 26
    The following table gives the age incidence, etc., of those suffering from notifiable diseases, excluding tuberculosis, which is dealt with separately.
    DiseaseTotal No. of CasesNo. Removed to HospitalDeathsUnder 1 year of age1-2 years2-3 years3-4 years4-5 years5-10 years10-15 years15-20 years20-35 years35-45 years45-65 years65 and over
  • Page 27
    The following table indicates the wards from which the various cases wefe notified:—
    DiseaseBury Street WardChurch Street WardAngel Road WardSilver Street WardNorth Middlesex County HospitalOther InstitutionsTotal
  • Page 27
    CANCER. The incidence of Cancer relative to the various organs of the body is given as under:—
    Males.Females.
  • Page 28
    The following table gives details as to age and sex of new cases of tuberculosis, also deaths from the disease; this latter figure including the deaths of non-notified cases:—
    Age Periods.NewCasesDeaths
    RespiratoryNon-respiratoryRespiratoryNon-respiratory
    MFMFMFMF
  • Page 28
    The total number of names thus added to the Register during the year, excluding, of course, non-notified deaths, was:-
    Males.Females.
  • Page 28
    he non-respiratory forms of tuberculosis notified were :—
    Males.Females
  • Page 29
    Public Health (Tuberculosis) Regulations, 1930. The number of cases of tuberculosis on the Register at the end of 1938 was
    Males.Females.Total
  • Page 33
    Births. The number of births notified during 1 936, 1937 and 1938 were as follows:—
    1936.1937.1938.
  • Page 33
    These figures include births which have taken place in the North Middlesex County Hospital, both of Edmonton and non-Edmonton residents; excluding these latter the notified births of Edmonton residents are:—
    1936.1937.1938.
  • Page 33
    Number of live Edmonton babies born in outlvine r Institutions :—
    1936.1937.1938
  • Page 34
    The following tables will give details as to the visits paid by the Health Visitors during the years 1936, 1937 and 1938:—
    1936.1937.1938.
  • Page 34
    Ante-Natal Clinic. This Clinic was held four times weekly, and the following are the figures for the last three years, showing the details of the work:—
    1936.1937.1938.
  • Page 34
    Post-Natal Clinic. This Clinic was started on October 8th, 1937, and is proving a very valuable service.
    1937.1938.
  • Page 35
    The figures relating to attendances are
    Brookfield House.St. Stephen's.St. Alphege.St. John's.Weir Hall.
  • Page 35
    Total attendances at all Clinics:—
    1936.1937.19308.
  • Page 35
    The this Clinic serves a useful purpose is shown by the following figures which deal with the work:-
    1937.1938
  • Page 36
    Dental Clinic. This is held once weekly at the school dental clinic at Pymmes Park. Details of the work carried out there are:—
    1936.1937.1938.
    Mothers. Children.Mothers. Children.Mothers. Children.
  • Page 36
    Details regarding the Supply oe Milk.
    1936.19:57.1938.
  • Page 37
    Convalescent Cases. This is a very valuable service to the mothers and children who are able to take advantage of it.
    1936.1937.1938.
  • Page 38
    MUNICIPAL MIDWIFERY SERVICE.
    The following details give information as to the actual bookingsduring
  • Page 38
    The attendances of children for the three years were as follows:—
    1936.1937.1938.
  • Page 44
    The number of children fully examined in the routine of each group during 1938 was 4,054, and these were analysed as follows:—
  • Page 48
    "The volume of work at the School Clinic is steadily increasing; the number of individual children treated during each of the last five years is shown in the following table:—
  • Page 48
    "The need for more satisfactory quarters is more urgent than ever, and I hope that it will not be long before a fully-equipped department will be available at a proper Health Centre. The work done at the Clinic is of prime importance, for it is of great preventive value and is undoubtedly responsible for the disappearance of certain deformities, such as knock-knee, which were formerlv common. Such work deserves to be carried out in good surroundings.
    Girls.Boys.
  • Page 49
    The number of notified cases and the mortality of children of school age during 19.'?8, taken from the records of the Public Health Department, is as follows:—
    Notified.Deaths.
    M. F.M. F.
  • Page 51
    " The Open-Air School opened on April 25th, 1938, and, to the week ending 27th January, 1939, 185 children had entered the School and 45 children had, in the period under review, been discharged:—
  • Page 52
    Duties performed by the School Nurse include:—
  • Page 53
    SCHOOL CAMPS, 1938.
    SchoolPlace VisitedDateNo. of ChildrenCost per HeadNo. of TeachersCost per Head
  • Page 53
    N.B.— Last year the Committee made a uniform grant of 15s. per pupil towards the cost, and accepted full liability for the travelling and maintenance expenses of the Teachers-in-Charge. O11 the same calculation the total cost of the above journeys would be 1 is., Teachers, and £342 15s. Total ^427 6s.
  • Page 56
    An Assistant School Medical Officer examines children who apply for permits under the By-laws. The Director has kindly furnished me with details of the work carried out by the Committee during the year under the Children and Young Persons Act, 1933.
  • Page 57
    GENERAL INFORMATION.
  • Page 58
    During the course of the year children have been supplied with Emulsion, Cod Liver Oil and Parrish's Food, and the following statistics are given :—
    Pymmes Park Clinic.Croyland Road Clinic.
  • Page 59
    Table I. MEDICAL INSPECTIONS OF CHILDREN ATTENDING PUBLIC ELEMENTARY SCHOOLS.
  • Page 59
    C.—Children found to require Treatment. Number of individual children found at Routine Medical Inspection to require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases.)
    Group. (1)For defective vision (excluding squint). (2)For all other conditions recorded in Table IIa. (3)Total. (4)
  • Page 60
    Table II . A.—RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31st DECEMBER, 1938.
    Defect or Disease (1)Routine InspectionsSpecial Inspections
    No. of DefectsNo. of Defects
    Requiring TreatmentRequiring 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 61
    B.—CLASSIFICATION OF THE NUTRITION OF CHILDREN INSPECTED DURING THE YEAR IN THE ROUTINE AGE GROUPS.
    Age-Groups.Number of Children Inspected.A (Excellent)B (Normal)C (Slightly subnormal)D (Bad)
    No.%No.%No.%No.%
  • Page 61
    Table III. BLIND CHILDREN.
    At Certified Schools for the Blind.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 61
    PARTIALLY SIGHTED CHILDREN.
    At Certified Schools for the Blind.At Certified Schools for the Partially Sighted.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 61
    DEAF CHILDREN.
    At Certified Schools for the Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 62
    PARTIALLY DEAF CHILDREN.
    At Certified Schools for the Deaf and Partially Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total
  • Page 62
    MENTALLY DEFECTIVE CHILDREN. Feeble-Minded Children.
    At Certified Schools for Mentally Defective Children.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 62
    EPILEPTIC CHILDREN. Children Suffering from Severe Epilepsy.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 62
    PHYSICALLY DEFECTIVE CHILDREN. A.—T uberculous Children. I.—Children Suffering from Pulmonary Tuberculosis. (Including pleura and intra-thoracic glands.)
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 62
    II.—Children Suffering from Non-Pulmonary Tuberculosis.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 63
    B.-Delicate Children.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 63
    C.—Crippled Children.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 63
    D.—Children with Heart Disease.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 63
    Children Suffering from Multiple Defects.
    Combination of Defect.At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 63
    Table IV. RETURN OF DEFECTS TREATED DURING THE YEAR ENDED 31 st DECEMBER, 1938. TREATMENT TABLES. Group I.—Minor Ailments( excluding Uncleanliness, for which see Table VI).
    Disease or Defect. (1)Number of Defects treated, or under treatment during the year.
    Under the Authority's Scheme. (2)Otherwise. (3)Total. (4)
  • Page 64
    Croup II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group 1).
    Number of Defects dealt with
    Under the Authority's Scheme.Otherwise.Total.
  • Page 64
    Group III.—Treatment of Defects of Nose and Throat. Number of Defects.
    Received Operative Treatment.Received Other Forms of Treatment.Total Number Treated.
    Under the Authority's Scheme in Clinic or Hospital.By Private Practitioner or Hospital, apart from the Authority's Scheme.Total.
    (i)(ii)(iii)(iv)(i)(ii)(iii)(iv)(i)(ii)(iii)(iv)
  • Page 64
    Group IV.—Orthopaedic and Postural Defects.
    Under the Authority's Scheme. (1)Otherwise. (2)Total number treated.
    Residential treatment with education. (i)Residential treatment without education. (ii)Nonresidential treatment at an orthopaedic clinic. (iii)Residential treatment with education. (i)Residential treatment without education. (ii)Nonresidential treatment at an orthopaedic clinic. (iii)
  • Page 65
    Table V. DENTAL INSPECTION AND TREATMENT. (1) Number of children inspected by the Dentist— (a) Routine age-groups—
    Age.45678 910111213141516Total.
  • Page 65
    Table VI. UNCLEANLINESS AND VERMINOUS CONDITIONS.
  • Page 66
    STATEMENT OF THE NUMBER OF CHILDREN NOTIFIED DURING THE YEAR ENDED 31 st DECEMBER, 1938, BY THE LOCAL EDUCATION AUTHORITY TO THE LOCAL MENTAL DEFICIENCY AUTHORITY. TOATL NUMBER OF CHILDREN NOTIFIED—3. Analysis of the above Total.
    Diagnosis.Boys.Girls.
  • Page 67
    Table I. SECONDARY SCHOOLS. Number of Pupils Inspected—1st January to 31st December 1938. A. Routine Medical Inspections. (i.) Cases in which a full examination has been made (see para. 4, Circular 1153. Board of Education).
    Age910111213141516171819Total
  • Page 67
    CLASSIFICATION OF THE NUTRITION OF PUPILS INSPECTED DURING THE YEAR, IN AGES.
    AgesNumber of Pupils InspectedA Excellent No.B Normal No.C Slightly Sub-normal No.D Bad No.
  • Page 68
    RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31st DECEMBER, 1938.
    Defect or DiseaseRoutine InspectionsSpecial Inspections
    No. of DefectsNo. of Defects
    ABAB
  • Page 69
    Table IV —( continued). Group II. — Defective Vision and Squint (excluding minor eye defects treated as minor ailments—Group I.)
    Defect or Disease.Number of Defects dealt with.
    Under the Authority's Scheme.Otherwise.Total.
  • Page 70
    Table I. JUNIOR TECHNICAL SCHOOLS. Number of Pupils Inspected—Ist January to 31st December, 1938. A. Routine Medical Inspection. (i.) Cases in which a full examination has been made (see para. 4, Circular, 1153, Board of Education).
    Age910111213141516171819Total
  • Page 70
    CLASSIFICATION OF THE NUTRITION OF PUPILS INSPECTED DURING THE YEAR, IN AGES.
    AgesNumber of Pupils InspectedA Excellent No.B Normal No.C Slightly Sub-normal No.D Bad No.
  • Page 71
    RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31st DECEMBER, 1938.
    Defect or DiseaseRoutine InspectionsSpecial Inspections
    No. of DefectsNo. of Defects
    ABAB
  • Page 72
    Group II.—Defective Vision and Squint (excluding minor eye defects treated as minor ailments—Group I).
    Defect or Disease.Number of Defects dealt with.
    Under the Authority s Scheme.Otherwise.Total.