[Report of the Medical Officer of Health for Edmonton]

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GENERAL STATISTICS.

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Under the Milk in Schools Scheme an average of 11,863 children (96.6% of the children in Junior and Infants' Departments and 77.2% in Secondary Schools), had milk daily.

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VITAL STATISTICS.

Live Births.	M.	F.	Total.	Grand Total.

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Continued from previous page...

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The following causes of death are supplied by the Registrar General and refer to deaths which were registered during the calendar year:—

Cause of Death.	M.	F.	Total

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MALES.

Causes of Death	ALL AGES	— to 1	1 to 2	2 to 5	5 to 15	15 to 25	25 to 35	35 to 45	45 to 55	55 to 65	65 to 75	75 and over

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FEMALES.

Causes of death	ALL AGES	— to 1	1 to 2	2 to 5	5 to 15	15 to 25	25 to 35	35 to 45	45 to 55	55 to 65	65 to 75	75 and over

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INFANTILE MORTALITY. The deaths of infants under one year of age were as follows:—

	M.	F.	Total

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A detailed sub-division of the causes, etc., of these DEATHS is as follows:— MALES.

Causes of Death	One week	Second Week	Third Week	Fourth Week	Total under 1 month	1—3 months	3—6 months	6—9 months	9—12 months	Total under 1 year

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FEMALES.

Causes of Death	One week	Second week	Third week	Fourth week	Total under 1 month	1—3 months	3—6 months	6—9 months	9—12 months	Total under 1 year

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COMPARATIVE STATISTICS. The Registrar-General has forwarded provisional figures relating to the country as a whole and to London, enabling comparisons to be made as follows:—

	Birth-rate per 1,000 population		Death-rate per 1,000 births.
	Birth-rate per 1,000 population		From diarrhoea, etc., under 2 years	Total deaths under 1 year
	Live	Still	From diarrhoea, etc., under 2 years	Total deaths under 1 year

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Annual Death Rate per 1,000 of Population.

	All Causes	Whooping Cough	Diphtheria	Influenza

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The deaths include those taken place outside the Borough, the information being given quarterly by the Registrar-General.

Ward	Births		Deaths		Infant Deaths
Ward	M.	F.	M.	F.	M.	F.

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The following examinations were carried out in the Council's Bacteriological Laboratory up to the 30th September, 1948:—

Nature of Examination.	Positive.	Negative.	Total.

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The following specimens submitted from the Edmonton area were examined by the Medical Research Council Laboratories, during the year, as follows:—

Nature of Examination.	Positive.	Negative.	Total.

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Continued from previous page...

Nature of Examination.	Positive.	Negative.	Total.

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Ambulance Facilities. The Council possesses four ambulances, and the following figures give some idea of the work carried out from 1-1 48 - 4-7-48

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Disinfection and Disinfestation. The following table gives some idea of the work carried out:—

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Inspections. The following tabular statement gives the number and nature of the inspections made during the year:—

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Continued from previous page...

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FACTORIES ACTS, 1937 AND 1948. The following work has been carried out under the above Act :— 1.—Inspections for the Purpose of Provisions as to Health.

Premises	Number in Register	Inspections	Written Notices	Occupiers Prosecuted

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2.—Defects Found.

Particulars	Number of defects			No. of defects in respect of which prosecutions were instituted
Particulars	Found	Remedied	Referred to H.M. Inspector

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3.—OUTWORK—Sections 110 and 111

Nature of Work	Section no			Section hi
Nature of Work	No. of Outworkers in August list	No. of cases of default in sending lists to the Council	No. of prosecutions for failure to supply lists	No. of instances of work in unwholesome premises	Notices served	Prosecutions

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FACTORIES.

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INSPECTION AND SUPERVISION OF FOOD. Milk Supply. Various licences were granted as under :—

	Primary.	Supplementary.

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Unsound Food. The following is a list of the food surrendered for examination and retained as unfit for human consumption :—

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Continued from previous page...

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The number of deaths from Pneumonia includes all forms of this disease.

Disease	Total No. of Cases	No. Removed to Hospital	Deaths	to 1	1 to 2	2 to 3	3 to 4	4 to 5	5 to 10	10 to 15	15 to 20	20 to 35	35 to 45	45 to 65	65 and over

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The following table indicates the Wards from which the various cases were notified :—

Disease	Bury Street Ward	Church Street Ward	Angel Road Ward	Silver Street Ward	N. Middx. Hosp.	Other Instns.	Total

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CANCER. The incidence of Cancer relative to the various organs of the body is given as under:—

	Males.	Females.

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TUBERCULOSIS. The table below gives details of the ages and sex of new cases of Tuberculosis, also deaths from the disease; this latter figure includes the deaths of non-notified cases.

Age Periods	New Cases				Deaths
	Respiratory		Non-respiratory		Respiratory		Non-respiratory
	M.	F.	M.	F.	M.	F.	M.	F.

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The total number of names added to the Register for the first time during the year, excluding of course, non-notified deaths was :—

	Males.	Females.

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The cases dying of Tuberculosis and not previously notified were :—

	Males.	Females.

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The non-respiratory forms of tuberculosis notified were :—

	Males.	Females.

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Public Health (Tuberculosis) Regulations, 1930. The number of cases of tuberculosis on the Register at the end of 1948. was :—

	Males.	Females.	Total.

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The corresponding figures at the end of 1947 were :—

	Males.	Females.	Total.

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Corresponding figures for previous years were :—

	Males.	Females.	Totals.

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MUNICIPAL FOOT CLINIC Summary of Attendances and Treatment, 1948 During the year 1948, 266 patients made 2016 attendances, an average of 7.57 attendances per patient.

	New Cases	Subsequent Attendances	Total Attendances	Old Age Pensioners Attendances
	New Cases	Subsequent Attendances	Total Attendances	Primary	Secondary

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Defects Treated—

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Births.

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These figures include births which have taken place in the North Middlesex Hospital, both of Edmonton and non-Edmonton residents; excluding these latter the notified births of Edmonton residents are :—

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The following table includes births of Edmonton residents and those born and registered in other districts:—

	Male.	Female.	Total.

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No. of babies notified during 1948 who weighed 5½ lbs. or less:—

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The following table gives details as to the visits paid by the Health Visitors:— To children under 1 year of age :—

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Child Welfare Clinics. The figures relating to attendances are :—

	Brookfield House.	Methodist Hall.	St. Edmunds.	Weir Hall.	St. Johns.

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Attendances—

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(a) It is interesting to compare the figures over the last five years (1944—June 1948) in order to assess the steady progress and growth in popularity of this service. In this comparison I shall not include the later half of 1948 (vide supra para. 2) but shall confine myself to the years 1944— 1947 as full years, and then the first six months of 1947—48.

	1944		1945		1946		1947
	Mothers	Children	M.	C.	M.	C.	M.	C.

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The following tables will show a continued increase in new cases, and cases actually treated, of 63 and 170 respectively, over the six month period January—June 30th, 1947, during the first six months of 1948. The remaining items speak for themselves and, I think, require no further comment.

	Jan - June 1947		Jan - June 1948
	Mothers	Children	Mothers	Children

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1947

	July		Aug.		Sept.		Oct.		Nov.		Dec.
	M.	C.	M.	C	M.	C.	M.	C.	M.	C.	M.	C.

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MIDWIFERY SERVICE. Analysis of work.

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In addition to the actual 581 confinements attended, a total of 14,806 visits were paid by midwives as under:—

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Day Nurseries. Attendances for the whole year were:—

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Adoption of Children (Regulation) Act, 1939. The Health Visitors were responsible for the carrying out of this work, viz.:—

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2. MEDICAL INSPECTION. During the year 1948, 5,021 children attending Primary and Secondary Schools were given a full routine medical inspection and the analysis of the age groups was as follows:-

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3. FINDINGS OF MEDICAL INSPECTIONS. (a) Classification of the Nutrition of Children inspected during the year:—

Number	A	B	C
Inspected	(Good)	(Fair)	(Poor)

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(c) Minor Ailments and Diseases of the Skin. The total attendances at the two Minor Ailments Clinics during the year were 32,004, as follows:—

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Table I. MEDICAL INSPECTION OF PUPILS ATTENDING MAINTAINED PRIMARY AND SECONDARY SCHOOLS. A.— Periodic Medical Inspections

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C.—Pupils Found to Require Treatment. NUMBER OF INDIVIDUAL PUPILS FOUND AT PERIODIC MEDICAL INSPECTION TO REQUIRE TREATMENT (excluding Dental Diseases and Infestation with Vermin).

Group	For defective vision (excluding squint)	For any of the other conditions recorded in Table IIA	Total of individual pupils

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Table II. A RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31st DECEMBER, 1948.

Detect Code No.	Defect or Disease (1)	PERIODIC INSPECTIONS		SPECIAL INSPECTIONS
		No. of Defects		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)

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B. CLASSIFICATION OF THE GENERAL CONDITION OF PUPILS INSPECTED DURING THE YEAR IN THE AGE GROUPS

Age Groups	Number of Pupils Inspected	A (Good)		B (Fair)		C (Poor)
Age Groups	Number of Pupils Inspected	No.	% of col. 2	No.	% of col. 2	No.	% of col. 2
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

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Table III—Treatment Tables GROUP 1.—MINOR AILMENTS (EXCLUDING UNCLEANLINESS, FOR WHICH SEE TABLE V). Number of Defects treated, or under treatment during the year

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GROUP II.—DEFECTIVE VISION AND SQUINT (EXCLUDING EYE DISEASE TREATED AS MINOR AILMENTS—GROUP I)

	No. of defects dealt with

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GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT

	Total number treated

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GROUP IV.—ORTHOPEDIC AND POSTURAL DEFECTS

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GROUP V.—CHILD GUIDANCE TREATMENT AND SPEECH THERAPY

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Table IV. DENTAL INSPECTION AND TREATMENT.*

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Table V. INFESTATION WITH VERMIN Notes — A statement as to the arrangements made by the Local Education Authority for the examination and cleansing of infested pupils should appear in the body of the School Medical Officer s Report.

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

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Edmonton 1948

68 tables in this report

GENERAL STATISTICS.

Under the Milk in Schools Scheme an average of 11,863 children (96.6% of the children in Junior and Infants' Departments and 77.2% in Secondary Schools), had milk daily.

VITAL STATISTICS.

Continued from previous page...

The following causes of death are supplied by the Registrar General and refer to deaths which were registered during the calendar year:—

MALES.

FEMALES.

INFANTILE MORTALITY. The deaths of infants under one year of age were as follows:—

A detailed sub-division of the causes, etc., of these DEATHS is as follows:— MALES.

FEMALES.

COMPARATIVE STATISTICS. The Registrar-General has forwarded provisional figures relating to the country as a whole and to London, enabling comparisons to be made as follows:—

Annual Death Rate per 1,000 of Population.

The deaths include those taken place outside the Borough, the information being given quarterly by the Registrar-General.

The following examinations were carried out in the Council's Bacteriological Laboratory up to the 30th September, 1948:—

The following specimens submitted from the Edmonton area were examined by the Medical Research Council Laboratories, during the year, as follows:—

Continued from previous page...

Ambulance Facilities. The Council possesses four ambulances, and the following figures give some idea of the work carried out from 1-1 48 - 4-7-48

Disinfection and Disinfestation. The following table gives some idea of the work carried out:—

Inspections. The following tabular statement gives the number and nature of the inspections made during the year:—

Continued from previous page...

FACTORIES ACTS, 1937 AND 1948. The following work has been carried out under the above Act :— 1.—Inspections for the Purpose of Provisions as to Health.

2.—Defects Found.

3.—OUTWORK—Sections 110 and 111

FACTORIES.

INSPECTION AND SUPERVISION OF FOOD. Milk Supply. Various licences were granted as under :—

Unsound Food. The following is a list of the food surrendered for examination and retained as unfit for human consumption :—

Continued from previous page...

The number of deaths from Pneumonia includes all forms of this disease.

The following table indicates the Wards from which the various cases were notified :—

CANCER. The incidence of Cancer relative to the various organs of the body is given as under:—

TUBERCULOSIS. The table below gives details of the ages and sex of new cases of Tuberculosis, also deaths from the disease; this latter figure includes the deaths of non-notified cases.

The total number of names added to the Register for the first time during the year, excluding of course, non-notified deaths was :—

The cases dying of Tuberculosis and not previously notified were :—

The non-respiratory forms of tuberculosis notified were :—

Public Health (Tuberculosis) Regulations, 1930. The number of cases of tuberculosis on the Register at the end of 1948. was :—

The corresponding figures at the end of 1947 were :—

Corresponding figures for previous years were :—

MUNICIPAL FOOT CLINIC Summary of Attendances and Treatment, 1948 During the year 1948, 266 patients made 2016 attendances, an average of 7.57 attendances per patient.

Defects Treated—

Births.

These figures include births which have taken place in the North Middlesex Hospital, both of Edmonton and non-Edmonton residents; excluding these latter the notified births of Edmonton residents are :—

The following table includes births of Edmonton residents and those born and registered in other districts:—

No. of babies notified during 1948 who weighed 5½ lbs. or less:—

The following table gives details as to the visits paid by the Health Visitors:— To children under 1 year of age :—

Child Welfare Clinics. The figures relating to attendances are :—

Attendances—

The following tables will show a continued increase in new cases, and cases actually treated, of 63 and 170 respectively, over the six month period January—June 30th, 1947, during the first six months of 1948. The remaining items speak for themselves and, I think, require no further comment.

1947

MIDWIFERY SERVICE. Analysis of work.

In addition to the actual 581 confinements attended, a total of 14,806 visits were paid by midwives as under:—

Day Nurseries. Attendances for the whole year were:—

Adoption of Children (Regulation) Act, 1939. The Health Visitors were responsible for the carrying out of this work, viz.:—

2. MEDICAL INSPECTION. During the year 1948, 5,021 children attending Primary and Secondary Schools were given a full routine medical inspection and the analysis of the age groups was as follows:-

3. FINDINGS OF MEDICAL INSPECTIONS. (a) Classification of the Nutrition of Children inspected during the year:—

(c) Minor Ailments and Diseases of the Skin. The total attendances at the two Minor Ailments Clinics during the year were 32,004, as follows:—

Table I. MEDICAL INSPECTION OF PUPILS ATTENDING MAINTAINED PRIMARY AND SECONDARY SCHOOLS. A.— Periodic Medical Inspections

C.—Pupils Found to Require Treatment. NUMBER OF INDIVIDUAL PUPILS FOUND AT PERIODIC MEDICAL INSPECTION TO REQUIRE TREATMENT (excluding Dental Diseases and Infestation with Vermin).

Table II. A RETURN OF DEFECTS FOUND BY MEDICAL INSPECTION IN THE YEAR ENDED 31st DECEMBER, 1948.

B. CLASSIFICATION OF THE GENERAL CONDITION OF PUPILS INSPECTED DURING THE YEAR IN THE AGE GROUPS

Table III—Treatment Tables GROUP 1.—MINOR AILMENTS (EXCLUDING UNCLEANLINESS, FOR WHICH SEE TABLE V). Number of Defects treated, or under treatment during the year

GROUP II.—DEFECTIVE VISION AND SQUINT (EXCLUDING EYE DISEASE TREATED AS MINOR AILMENTS—GROUP I)

GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT

GROUP IV.—ORTHOPEDIC AND POSTURAL DEFECTS

GROUP V.—CHILD GUIDANCE TREATMENT AND SPEECH THERAPY

Table IV. DENTAL INSPECTION AND TREATMENT.*

Table V. INFESTATION WITH VERMIN Notes — A statement as to the arrangements made by the Local Education Authority for the examination and cleansing of infested pupils should appear in the body of the School Medical Officer s Report.

Details Required for the Ministry of Education Return and School Medical Officer's Report for 1948 Employment of Children and Young Persons.