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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

Enfield 1937

[Report of the Medical Officer of Health for Enfield]

Published
1938
Pages
146
Tables
91

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91 tables in this report

  • Page 5
    The following table shows how the population of the District has increased during the last ten years.
    Year.Population.
  • Page 6
    The following table indicates the increase in the number of inhabited houses, the rateable value and the sum represented by a penny rate during the last ten years.
    YearNo. of inhabited houses.Rateable value.Sum represented by a penny rate.
    ££
  • Page 6
    EXTRACTS FROM VITAL STATISTICS FOR THE YEAR.
  • Page 7
    Continued from previous page...
    Still Births:-Total.Male.Female.
  • Page 7
    Number of women dying in, or in consequence of, childbirth:—
    Deaths.Rate per 1,000 Total Births.
  • Page 7
    The following table gives the birth-rate, recorded death-rate and infantile deaths for Enfield as compared with those for England and Wales, London, 125 County Boroughs and Great Towns (including London) and 148 Smaller Towns
    Birth-rate.Recorded Death-rate.Infantile Death-rate.
    LiveStill
  • Page 8
    The more important causes of deaths registered during the year and the previous four years were:—
    Cause of Death.19371936193519341933
  • Page 10
    TABLE 1. Causes of Death during Year 1937.
    Causes of Death.Males.Females.Total.
  • Page 11
    TABLE II. Infant Mortality Net Deaths from stated causes at various Ages under One Year of Age.
    Causes of Death.Under 1 week.1 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.
  • Page 13
    The corrected birth-rates for both sexes, live and still-births, which takes into consideration those born outside the District and those in the District not rightly recorded to the District, and also the corrected birth-rates for the last 5 years, are:—
    Year.Boys.Girls.Total.Birth-rate per 1,000 Population.Illegitimate Birth-rate per 1,000 Population.
  • Page 16
    The following work was carried out in the Council's laboratory during the year.
    Specimen.No.Positive.Negative.Percentage of Positives.
  • Page 17
    TUBERCULOSIS (COUNTY OF MIDDLESEX) SCHEME. The following statement shows the total number of beds belonging to, or reserved for the sole use of, the County Council during 1937.
    Institution.Accommodation.Type of case.
    Adults.Children.
    M.F.
  • Page 23
    In the following table is set out the attendances for the past 5 years, and against these the number of hours of sunshine from the 1st May to the 30th September.
    YearNumber of BathersHours of Sunshine
    PoolBaths
  • Page 23
    The following table shows the extent to which the Slipper Baths both at the Pool and Enfield Lock Baths have been used during the past 5 years.
    Financial YearNumber of Attendances
    PoolBaths
  • Page 26
    HOUSING.
  • Page 26
    1. Inspection of Dwelling Houses :—
  • Page 27
    Continued from previous page...
  • Page 28
    As a result thereof it was found that the overcrowding in Enfield was as follows:—
    HousesOvercrowded to the extent ofTotal
    ½11½22½33½44½55½
    Units
  • Page 32
    The number of slaughter-houses in the District at the date Specified is as follows:—
    1914January. 1937December. 1937
  • Page 33
    URBAN DISTRICT OF ENFIELD. List of samples purchased during the year ended 31st December. 1937:
    ArticleTakenAdulterated
  • Page 34
    The following table shows the number of cases of Scarlet Fever, Diphtheria, Pulmonary Tuberculosis and Pneumonia notified during each of the past 5 years:—
    Disease19371936193519341933
  • Page 35
    TABLE III. —Cases of Infectious Diseases notified during the year 1937.
    Notifiable Disease.Number of Cases Notified.Total cases removed to Hospital.Deaths.
    At Ages—Years.At Ages—Years.
    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.Under 1 year.1 and under 2.2 and under 5.5 and under 15.15 and under 25.25 and under 45.45 and under 65.65 and upwards.Totals.
  • Page 38
    ZYMOTIC DISEASES. The following table shows the deaths registered in the District from the seven chief zymotic diseases during the past five years :—•
    Disease.19331934193519361937
  • Page 39
    Continued from previous page...
    Disease.19361937
    Deaths.Death-rateDeaths.Death-rate
  • Page 39
    OPHTHALMIA NEONATORUM.
    Cases.Vision UnimpairedVision impairedTotal BlindnessDeaths
    NotifiedTreated.
    At home.In Hospital.
  • Page 40
    TUBERCULOSIS. The following table shows the number of notifications of Pulmonary and Other Forms of Tuberculosis received during the year
    Ward.Pulmonary.Other.
    Fresh Cases.Old Cases re-notified.Duplicates.Fresh Cases.Old Cases re-notified.Duplicates.
  • Page 40
    The following table gives particulars of the ages of the new cases notified, and deaths from this disease during the year:—
    Age Periods.New Cases.Deaths.
    Respiratory.Non-RespiratoryRespiratory.Non-Respiratory.
    M.F.M.F.M.F.M.F.
  • Page 41
    SEX (1st NOTIFICATIONS).
    Form.Males.Females.
  • Page 41
    CASES AND DEATHS. The number of cases, also deaths from this disease, in the different Wards during the year is shown in the following table, viz.:-
    Ward.Pulmonary.Other.
    CasesDeathsCasesDeaths
  • Page 43
    The following table shews the position in this respect.
    Council HousesNon-Council Houses
  • Page 46
    METEOROLOGICAL STATISTICS, 1937.
    Month.Barometer.Temperatures.Rainfall. Millimetres.Sunshine hours.Thunderstorms.Fogs on days.Frosts on days.Snowfalls.Prevailing. Winds.
    Highest.Lowest.Earth. Means.Lowest Grass. Min.Highest Maximum.Lowest MinimumMeans of Latter.
  • Page 53
    MATERNITY AND CHILD WELFARE CLINICS UNDER THE CONTROL OF THE LOCAL AUTHORITY.
    District.Situation of Centre.Day and times open.
  • Page 54
    The following table gives the birth-rate, recorded death-rate and infantile deaths for Enfield as compared with those for England and Wales, London, 125 County Boroughs and Great Towns (including London) and 148 Smaller Towns :-
    Birth-rate.Recorded Death-rate.Infantile Death-rate.
    LiveStill
  • Page 55
    The corrected birth-rates for both sexes, live and still-births, which takes into consideration those born outside the District and those in the District not rightly recorded to the District, and also the corrected birth-rates for the last 5 years, are :-
    Year.Boys.Girls.Total.Birth-rate per 1,000 Population.Illegitimate Birth-rate per 1,000 Population.
  • Page 58
    Number of cases in the area of the Local Supervising Authority attended during the year by midwives :-
    Domiciliary CasesCases in Nursing HomesT otals
  • Page 59
    There are in Enfield the following Nursing Homes.
    Proprietor.Address.Total No. of bedsNo. of maternity beds
  • Page 60
    The following tables show the attendances at the Infant Welfare and Ante-Natal Clinics during the year. INFANT WELFARE CENTRES.
    Centre.New Attendances.Re Attend ances.Total Attendances.Average Attendance per Meeting.
  • Page 61
    VISITS.
    Town, Chase and Hadley.Bush Hill Park.Ordnance.Ponders End.Totals.
  • Page 62
    The following table is an analysis of the children sent for routine examination, shewing the number of appointments made at each birthday.
    Appointments.1st. Birthday.2nd Birthday.3rd. Birthday.4th. Birthday.Total.
  • Page 63
    From the following figures it will be seen to what extent such services have been utilised.
    MothersChildrenTotal
  • Page 65
    The following particulars show the work which has been carried out during 1937 and the previous four years.
    Mothers.Children. __Total.Totals.
    1936.1935.1934.1933.
  • Page 70
    STATEMENT PREPARED BY SANITARY INSPECTOR UNDER ARTICLE XIX (12) MINISTRY OF HEALTH ORDER, No. 276, 1922.
    Number of Houses Inspected.
  • Page 71
    Inspections-(continued).
    Inspections.
  • Page 72
    NOTICES ISSUED.
    Statutory :-
  • Page 76
    Inspections.
    Premises.Nnmber of
    Inspections.Written Notices.Prosecutions.
  • Page 76
    Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 77
    Homework.
    Nature of Work.Lists received from Employers
    Sending once in the year.Sending twice in the year.Notices served on Occupiers as to keeping or sending Lists.
    Lists.Workmen.Lists.Work men
  • Page 79
    The following table shews the results of inspections of the careases and organs of animals killed in the slaughterhouses of the District.
    Cattle, excluding CowsCows.CalvesSheep and LambsPigsTotals
  • Page 80
    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 :—
  • Page 91
    REPORT OF THE SCHOOL MEDICAL OFFICER. SCHOOL.
  • Page 92
    Continued to previous page...
  • Page 95
    The following is a comparative table for the last five years :—
    19331934193519361937
  • Page 96
    INFECTIOUS DISEASE.
    19331934193519361937
  • Page 97
    The following is a summary of the work of the school nurses during 1937 and for the past five years :—
    19331934193519361937
  • Page 98
    The following is a comparative table for the last five years
    19331934193519361937
  • Page 98
    The following is a comparative table for the last five years :—
    19331934193519361937
  • Page 99
    The following is a comparative table for the last five years :—
    19331934193519361937
  • Page 99
    The following is a comparative table for the last five years.
    19331934193519361937
  • Page 100
    The total number of children examined during the year, excluding those attending the Dental Department, was 12,138. This number was made up as follows :—
  • Page 106
    The following is a comparative table for the last five years :—
    19331934193519361937
  • Page 106
    DEFECTS.
    Jnr. Technical.Grammar.County.
    Requiring Treat-ment.Requiring Observation.Requiring Treatment.Requiring Observation.Requiring Treat-ment.Requiring Observation.
  • Page 107
    TABLE A. INSPECTION AND TREATMENT OF ELEMENTARY SCHOOL CHILDREN.
    Year.Number Inspected.Number Treated.Number of Fillings.Number of Extractions.
  • Page 108
    TABLE B. TREATMENT OF SECONDARY SCHOOL CHILDREN IN 1937.
    SchoolNo. treatedNo. of AttendancesNo. of fillings in perm, teethNo. of fillings per child insptd.No. of Extractions ofTotal no. of extractionsNo. of administrations of Gen. Anaes.No. of other operations
    Temp, teethPerm, teeth
  • Page 110
    TABLE D. Grammar School Boys. Higher age groups.
    Age.Number treated.Number of Fillings inserted.Number of Fillings per child treated.
  • Page 113
    Elementary Schools.
    19361937
  • Page 113
    The cases requiring glasses consisted of :—
  • Page 113
    Secondary Schools.
  • Page 114
    The cases requiring glasses consisted of:—
  • Page 115
    I beg to submit my report on the work done in the Aural Department for the year ending 31st December, 1937.
    19361937
  • Page 117
    LIST OF CASES.
    CLASSIFICATION.Still under treatment. I.S.Q.Improved.Discharged cured.Recurrent, but again discharged.Refused treatment.Left School, District, or treated elsewhere.Total
  • Page 118
    TABLE I. MEDICAL INSPECTIONS OF CHILDREN ATTENDING PUBLIC ELEMENTARY SCHOOLS.
    A—ROUTINE MEDICAL INSPECTIONS.
  • Page 118
    B.—OTHER INSPECTIONS.
  • Page 118
    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.For Defective Vision (excluding squint).For all other conditions recorded in Table IIA.Total.
  • Page 119
    TABLE II. (A) Return of defects found by Medical Inspection in the year ended 31st December, 1937.
    DISEASE OR DEFECT.Routine InspectionsSpecial Inspections
    No. of DefectsNo. of Defects
    Requiring TreatmentRequiring to be kept under observation, but not requiring treatmentRequiring TreatmentRequiring to be kept under observation, but not requiring treatment
    (1)(2)(3)(4)(5)
  • Page 120
    TABLE II ( continued)
  • Page 121
    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 121
    TABLE III. RETURN OF ALL EXCEPTIONAL CHILDREN IN THE AREA. BLIND CHILDREN.
    At Certified Schools for the Blind.At Public Elementary Schools.At other Institutions.At no school or InstitutionTotal
  • Page 121
    PARTIALLY SIGHTED CHILDREN.
    At Certified Schools for the Blind.At Certified Schools for the Partially Sighted.At Public Elementary Schools.At other InstitutionsAt no School or Institution.Total.
  • Page 122
    DEAF CHILDREN.
    At Certified schools for the DeafAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 122
    PARTIALLY DEAF CHILDREN.
    At Certified Schools for the DeafAt Certified Schools for the Partially Deaf.At Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 122
    MENTALLY DEFECTIVE CHILDREN.
    At Certified Schools for Mentally Defective Children.At Public Elementary Schools.At other InstitutionsAt no School or InstitutionTotal
  • Page 122
    EPILEPTIC CHILDREN.
    At Certified Special SchoolsAt Public Elementary Schools.At other InstitutionsAt no School or InstitutionTotal
  • Page 123
    I—CHILDREN SUFFERING FROM PULMONARY TUBERCULOSIS.
    At Certified Special SchoolsAt Public Elementary SchoolsAt other InstitutionsAt no School or InstitutionTotal
  • Page 124
    TABLE III-Continued D.—CHILDREN WITH HEART DISEASE.
    At Certified Special SchoolsAt Public Elementary SchoolsAt other Institutions.At no School or Institution.Total
  • Page 124
    CHILDREN SUFFERING FROM MULTIPLE DEFECTS.
    Combination of Defect.At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or InstitutionsTotal.
  • Page 125
    TABLE IV. Return of defects treated during the year ended 31st december, 1937. Treatment Tables GROUP I.—MINOR AILMENTS (excluding Uncleanliness, for which see Table VI.)
    DISEASE OR DEFECTNumber of Defects treated, or under treatment during the year.
    Under the Authority's Scheme.Otherwise.Total.
    (1)(2)(3)(4)
  • Page 126
    TABLE IV.— continued. GROUP II—DEFECTIVE VISION AND SQUINT (excluding Minor Eye Defects treated as Minor Ailments—Group I.)
    No. of Defects dealt with.
    Under The Authority's Scheme.OtherwiseTotal
  • Page 127
    GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT
    No. of Defects.
    Received Operative Treatment.
    Under the Authority's Scheme, in Clinic or Hospital.By Private Practitioner or Hospital, apart from the Authority's SchemeTotalReceived other forms of TreatmentTotal number treated.
    (1)(2)(3(4)(5)
  • Page 127
    GROUP IV— ORTHOPAEDIC AND POSTURAL DEFECTS.
    Under the Authority's Scheme.Otherwise.
    Residential treatment with educationResidential treatment without educationNonresidential treatment at an Orthopaedic ClinicResidential treatment with education.Residential treatment without education.Nonresidential treatment at an Orthopaedic ClinicTotal number treated
  • Page 128
    TABLE V. DENTAL INSPECTION AND . TREATMENT.
    1. Number of children inspected by the Dentist:—
    (a) Routine Age Groups.
  • Page 128
    TABLE VI.—UNCLEANLINESS AND VERMINOUS CONDITIONS.