[Report of the Medical Officer of Health for Enfield]

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Vital Statistics of Wards.

Ward.	Area in Acres.	Persons per Acre.	Population.	Birthrate.	Standardized Deathrate	Infantile Mortality.	Zymotic Death-rate.	Tubercu losis Deathrate.

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Enfield is divided into six wards as follows:—

Ward.	Inhabited Houses.	Uninhabited Houses.	Total.	Population.

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VITAL STATISTICS. The number of births registered in the District was:—

Boys.	Girls.	Total.

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The births, including those registered outside the District, were distributed among the various wards as follows:—

Ward.	1st Qtr.		2nd Qtr.		3rd Qtr.		4th Qtr.		Total each sex.		Total each Ward	Birthrate.
Ward.	M	F	M	F	M	F	M	F	M	F	Total each Ward	Birthrate.

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The births of hoys and girls, including those registered outside the District, also birth-rates for the last three years, were:—

Year.	Boys.	Girls.	Total.	Birth-rate per 1,000 pop.	Illegitimate Birth-rate per 1,000 pop.

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We have, however, to suppose that the age and sex constitution of the population of Enfield is identical with that of England and Wales as enumerated at the census of 1911, for which purpose the recorded death-rate must be multiplied by a "factor for correction" supplied by the Registrar-General, viz.: 1.0348, and this gives the standardized death-rate of 10.27.

	Birth rate.	Recorded Death-rate.	Standardized Death-rate.	Infantile Death-rate.

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The corresponding figures for Enfield for the three previous years are:—

	1916.	1917.	1918.

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The deaths occurred in the several wards as follows:—

Ward.	I St Qtr.	2nd Qtr.	3rd Qtr.	4th Qtr.	Total.	Death-rate per 1,000 as recorded.	Infantile Death-rate.

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Thirty-three inquests were held in Enfield during the year, and the verdicts given were as follows:—

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The following table assigns the number of infantile deaths to each ward, and also gives the infantile death-rate per thousand population and per thousand births:—

Ward.	Number of Deaths.	Death-rate per 1,000 population.	Death-rate per 1,000 births.

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Visits.

	Town and Chase	Bush Hill Park.	Hadley.	Ordnance	Ponders End.	Totals.

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Feeding, &c.

Feeding.	Town and Chase.	%	Bush Hill Park.	%	Hadley.	%	Ordnance.	%	Ponders End.	%	Totals.	%

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Attendances at Centres.

Centre.	New Attendances.	Re-attendances.	No. on Register 1.1.19.	No. on Register 31.12.19.	No. Or Meetings.	Average attendance per Meeting.

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Ante-Natal Clinics.

Centre.	New Attendances.	Re-attendances.	No. on Register.	Average attendance per Meeting.

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TABLE I. Vital Statistics of Whole District during 1919 and previous years.

Births.			Total Deaths Registered in the District.		Transferable Deaths.		Nett Deaths belonging to the District.
Uncorrected Number.	Nett.						Nett Deaths belonging to the District.
	Nett.						Under 1 Year of Age.		At all Ages.
	Number.	Rate.	Number.	Rate.	of Nonresidents Registered in the District.	of Residents not Registered in the District.	Number.	Rate per 1,000 nett Births.	Number.	Rate.

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TABLE II. Cases of Infectious Diseases notified during the year 1919.

Notifiable Disease.	Number of Cases Notified.								Total Cases Notitied in Each Ward.						Total Cases Removed to Hospital.
	At Ages—Years.								Total Cases Notitied in Each Ward.
	At all Ages.	Under 1.	1 and under 5.	5 and under 15.	15 and under 25.	25 and under 45.	45 and under 65.	65 and upwards	Town.	Chase.	ord nance	Green st. and ponders End.	Bush Hill Park.	Hadley and Cock-fasters.

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TABLE III. Causes of, and Ages at Death during Year 1919.

Causes of Death.		Nett Deaths at the subjoined ages of "Residents," whether occurring wiihin or without the District.									Total Deaths, whether of "Residents" or "Non-residents" in Institutions in the District
Causes of Death.		All Ages	Under 1 year	1 and under 2	2 and under 5	5 and under 15	I5and under 25	25 and under 45	45 and under 65	65 and upwards

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TABLE IV. Infant Mortality. Nett Deaths from stated causes at various Ages under One Year of Age.

causes of death.		Under 1 week	I to 2 weeks.	2 to 3 weeks.	3 to 4 weeks.	Total under 4 weeks.	4 weeks and under 3 months.	3 months and under 6 months.	6 months and under 9 months.	9 months and under 12 months.	Total Deaths under One Year.

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ZYMOTIC DISEASES. The following table shows the deaths Registered in the district from the seven chief zymotic diseases during the past five years:—

Disease.	1915	1916	1917	1918	1919

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ENFIELD ZYMOTIC DEATH-RATE. The zymotic death-rate, after deducting 4 deaths of persons from outside the district who died in the Isolation Hospital (which is situate in Enfield), is 0.22 per thousand.

Disease.	1918.		1919.
Disease.	Deaths.	Death-rate.	Deaths.	Death-rate.

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Two hundred and seventy-six cases of Scarlet Fever occurred during the year in 176 houses, as follows:—

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Diphtheria. Fifty-six cases of this disease occurred during the year in 49 houses, as follows:—

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Tuberculosis. The following table shows the number of notifications of Pulmonary and other forms of Tuberculosis received during the year:—

Ward.	Pulmonary.			Other.
Ward.	Fresh Cases.	Old Cases re-notified.	Dupli-cates.	Fresh Cases.	Old Cases re-notified.	Dupli-catels.

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Sex (1st Notifcations).

Form.		Males.	Females.

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Deaths. The number of deaths from this disease during the year is shown in the following table, viz.:—

Ward.	Pulmonary.	Other.	Death-rate per 1,000 Population.

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Measles and German Measles. The following numbers of notifications of this disease were received from the different wards:—

Ward.	Measles.	German Measles.

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The following are the particulars required by Article 5 of these Regulations to be included in my Report:—

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The following number of houses have also been inspected during the year:—

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Number of houses inspected:—

	Inspections.

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Continued from previous page...

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NOTICES ISSUED.

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The following are the works carried out as the result of the notices or letters:—

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DISINFECTION.

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We have, however, done our best to continue with the following results:—

Kind of Refuse.	Amount Collected.				Amount Realised.
	Tons.	cwts.	qrs.	lbs.	Amount Realised.
	Tons.	cwts.	qrs.	lbs.	£	s.	d.

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INSPECTIONS.

Premises	Number of
Premises	Inspections.	Written Notices.	Prosecutions.

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Defects Found.

Particulars.	Number of Defects.			Number of Prosecutions.
Particulars.	Found.	Remedied	Referred to H.M. Inspector.	Number of Prosecutions.

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H omework.

Nature of Work.	Lists received from Employers.				Notices
	Sending once in the year.		Sending twice in the year.		Occupiers as to keeping or sending Lists.
	Lists.	Workmen.	Lists.	Workmen.	Occupiers as to keeping or sending Lists.

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UNSOUND MEAT AND FOODS. In this connection frequent visits were paid to the slaughterhouses, shops and markets, the number of inspections for this purpose being:—

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Enfield 1919

39 tables in this report

Vital Statistics of Wards.

Enfield is divided into six wards as follows:—

VITAL STATISTICS. The number of births registered in the District was:—

The births, including those registered outside the District, were distributed among the various wards as follows:—

The births of hoys and girls, including those registered outside the District, also birth-rates for the last three years, were:—

The corresponding figures for Enfield for the three previous years are:—

The deaths occurred in the several wards as follows:—

Thirty-three inquests were held in Enfield during the year, and the verdicts given were as follows:—

The following table assigns the number of infantile deaths to each ward, and also gives the infantile death-rate per thousand population and per thousand births:—

Visits.

Feeding, &amp;c.

Attendances at Centres.

Ante-Natal Clinics.

TABLE I. Vital Statistics of Whole District during 1919 and previous years.

TABLE II. Cases of Infectious Diseases notified during the year 1919.

TABLE III. Causes of, and Ages at Death during Year 1919.

TABLE IV. Infant Mortality. Nett Deaths from stated causes at various Ages under One Year of Age.

ZYMOTIC DISEASES. The following table shows the deaths Registered in the district from the seven chief zymotic diseases during the past five years:—

ENFIELD ZYMOTIC DEATH-RATE. The zymotic death-rate, after deducting 4 deaths of persons from outside the district who died in the Isolation Hospital (which is situate in Enfield), is 0.22 per thousand.

Two hundred and seventy-six cases of Scarlet Fever occurred during the year in 176 houses, as follows:—

Diphtheria. Fifty-six cases of this disease occurred during the year in 49 houses, as follows:—

Tuberculosis. The following table shows the number of notifications of Pulmonary and other forms of Tuberculosis received during the year:—

Sex (1st Notifcations).

Deaths. The number of deaths from this disease during the year is shown in the following table, viz.:—

Measles and German Measles. The following numbers of notifications of this disease were received from the different wards:—

The following are the particulars required by Article 5 of these Regulations to be included in my Report:—

The following number of houses have also been inspected during the year:—

Number of houses inspected:—

Continued from previous page...

NOTICES ISSUED.

The following are the works carried out as the result of the notices or letters:—

DISINFECTION.

We have, however, done our best to continue with the following results:—

INSPECTIONS.

Defects Found.

H omework.

UNSOUND MEAT AND FOODS. In this connection frequent visits were paid to the slaughterhouses, shops and markets, the number of inspections for this purpose being:—

The number of carcases examined during the visits to slaughterhouses is as follows:—

Feeding, &c.