[Report of the Medical Officer of Health for Erith]

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A (1 )b. Births.

	TOTAL.		Male.	Female.

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A(1)d. Infantile Mortality. Deaths of infants under one year of age.

	TOTAL.	Male.	Female.

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A(1 )e. Vital Statistics of Whole District during 1938 and previous years.

Year	Population estimated to middle of each year	Births			Total Deaths registered in the District		Transferable Deaths		Nett Deaths belonging to the District
		Uncorrected Number	Nett		Total Deaths registered in the District		of Non-residents registered in the District	of residents not registered in the District	Under 1 year of age		At all Ages
			Nett		Number	Rate
			Number	Rate
			Number	Rate					No.	Rate per 1000 nett Births	No.	Rate
1	2	3	4	5	6	7	8	9	10	11	12	13

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A (1 ) f. Table showing Summary of Causes of Death during the year ended 31st December, 1938.

Cause of Death	Males	Females	Total

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A(l)g. Table showing Birth-rate, Death-rate, and Analysis of Mortality during the year 1938. Provisional figures. The mortality rates for England and Wales refer to the whole population, but for London and the towns to civi ians only

	Rate per 1,000 total population		Annual Death-rate per 1,000 population								Rate per 1,000 Live Births
	Live Births	Still Births	All Causes	Enteric Fever	Small-pox 1	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Diarrhoea & Enteritis (under Two years)	Total Deaths under one year

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Since 1920 there have been 10,103 births with 28 maternal deaths, as shown below, giving a Maternal Mortality rate of 2.78.

Year	Maternal Deaths	Total Births (including still births)	Registered Live Births

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Analysis of the causes of death of this age group reveals the following figures : —

Deaths from	1937	1938

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I have included a table showing the Infant Mortality at 5 year intervals for the past 25 years and for 1038.

	Erith	England and Whiles

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With regard to the unemployment figures for the female group, the increase can be explained, I am advised, by the reduction of staff at a local factory employing a large proportion of female labour.

Year ending	Adults		Young Persons		Total
	Men	Women	Men	Women

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Month	Births			Sex		Legitimacy			Notified by			B(2). Notification of Births. During 1938, 646 live births and 22 stillbirths, giving i total of 668 were notified to me, as shown in the following table :
	Live	S'born		M	F	Leg.	Illeg.		Midwives	Hosp. etc.	Doctors
		M	F	M	F	Leg.	M	F	Midwives	Hosp. etc.	Doctors

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Infant Welfare Centres.

Month	Belvedere			Erith			Picardy			Bedonwell
	Infants weighed		Consultations	Infants weighed		Consultations	Infants weighed		Consultations	Infants Weighed		Consultations
	Under 1 year	1 to 5 years		Under 1 year	1 to 5 years		Under 1 Year	1 to 5 years		Under 1 Year	1 to 5 years

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B(4). Home Visits by Health Visitors.

1938	Children		Special Visits		Expectant Mothers	Infant Life Protection	Total Visits
	1st Visits	Re-Visits	Still-Births	Others

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The conditions for which they were admitted were as follows :

Condition	No.

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The following table shows the total notifications received during the year 1938:—

Disease	Total cases notified	Cases admitted to infectious diseases hospital	Total Deaths

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C(2)b. Age Distribution. This second table shows, in detail, the age distribution of the notified infectious diseases mentioned above:—

Disease	Age Groups
Disease	under 1	1	2	3	4	5	10	15	20	35	45	65	over 65	Totals

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C(3). School Incidence of Infectious Disease. The following Table gives in detail the prevalence of certain notifiable Infectious Diseases in each of the Schools in the District, along with the number of cases above and below School age (5 years).

School			Accommodation	Diphtheria	Scarlet Fever	Typhoid	Total

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During 1938, 299 specimens were sent, as shown below:—

Nature of Specimen sent	Result		Total
Nature of Specimen sent	Positive	Negative	Total

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C (8 )b. Table (i). Particulars of New Cases and Deaths.

Age Periods	New Cases				Deaths
Age Periods	Pulmonary		Non-Pulm'n'ry		Pulmonary		Non-Pulm'n'ry
	M.	F.	M.	F.	M.	F.	M.	F.

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Table (ii). Quarterly Statements.

	1st Quarter			2nd Quarter			3rd Quarter			4th Quarter
	M	F	T	M	F	T	M	F	T	M	F	T

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C (11 ). Clinics and Treatment Centres.

Clinics and Treatment Centres.	Address.	Attend ed by.	Day and Time.

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Continued from previous page...

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E (2) a. Table 1.

Vehicle	Capacity

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E(2)b. Table 2.

Month	Tonnage
	Tons	Cwt

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Premises visited and recorded results or such visits: —

Premises	No. in District	No. of visits in 1938	No. of faults and defects found	No. of Faults and defects remedied

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E(7)b. Summary of Nuisances and Defects Remedied during the year. Other than those enumerated in the above tabulation:

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E (8). HOUSING. E(8)a. 1. Inspection of Dwellinghouses during the year.

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E(8)c. 3. Action under Statutory Powers during the year:—

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E (8) d. 4. Housing Act 1936. Part IV.—Overcrowding.

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1. INSPECTIONS for the purposes of provisions as to health including inspections made by Sanitary Inspectors.

Premises	Number of
Premises	Inspections	Written Notices	Occupiers Prosecuted

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2. DEFECTS FOUND.

Particulars	Number of Defects			Number of defects in respect of which prosecutions were instituted
Particulars	Found	R emedied	Referred to H M. Inspector

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The following table indicates the number of licenses issued by the Authority under the Milk (Special Designations) Order, 1936:—

Designation		No.

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During the year, no persons made application for a licence to slaughter or stun animals in compliance with the requirements of the above Act.

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SUMMARY OF CARCASES INSPECTED AND CONDEMNED.

	Cattle excluding Cows	Cows	Calves	Sheep & Lambs	Pigs

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In addition to the meat insj&gt;ected in the slaughterhouses, the Sanitary Inspectors dealt with the following foodstuffs which upon examination was found to be unfit for human consumption, duly surrendered and destroyed: —

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At the end of 1938, there were 5,125 children on the ro of the elementary schools, distributed as follows:—

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Below is set out a table showing the quantities of Malt and Oil distributed:—

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Operations were performed on 10.5 children, 83 being under the Authority's Scheme, whilst 22 done by private practitioners, were on the advice given at School Medical Inspection.

Year	Operation in Hospital under Authority's Scheme	By Private Practitioners	Total

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The following table has again been brought up to date:

Year.	No. of fillings.

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CASES SEEN BY Mr. TUCKER—1938.

Defects.	Infant Welfare.	School Children.

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Following up and Summary Work by the School Nurses. Following up work by the School Nurses is summarised in the following table:—

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Set out below is a table giving the number of children examined, together with the total attendances, at the various clinics:—

	1938		1937
	Children	Attendances	Children	Attendances

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TABLE 1. A.—Routine Medical Inspections.

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C.—Number of individual children found at Routine Medical Inspection to require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases).

GROUP	Number of Children
	Inspected	Found to require Treatment

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TABLE II. A—Return of Defects found by Medical Inspection in the Year ended 31st December, 1938.

Defect or Disease	Routine Inspections		Specia1 Inspections
	Mo. ot Defects		No. of Defects
	Requiring Treatment	Requiring to be kept under observation, but not requiring treatment	Requiring Treatment	Requiring to be kept under observation but not requiring treatment

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TABLE II— Continued.

1	2	3	4	5

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(See Administrative Memorandum No. 124, dated 31st December, 1934-.)

Age-Groups	Number of Children Inspected	A Excellent		B Normal		C Slightly subnormal		D Bad
Age-Groups	Number of Children Inspected	No.	%	No.	%	No	%	No.	%

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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 Institution	Total

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Partially Sighted Children.

At Certified Schools for the Blind	At Certified Schools for the Partially Sighted	At Public Elementary Schools	At other Institution.-	At no School or Institution	Total

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TABLE III—Continued. Deaf Children.

At Certified Schools for the Deaf		At Public-Elementary Schools		At other Institutions		At no School or Institution		Total

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(Including pleura and intra-thoracic glands.)

At Certified Special Schools	At Public Elementary Schools	At other Institutions	At no School or Institution	Total

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TABLE IV. Return of Defects Treated during the Year ended 31st December, 1938. TREATMENT TABLE. GROUP I.—MINOR AILMENTS. (excluding Uncleanliness, for which see Group VI).

Disease or Defect	Number of Delects treated, or under treatment during the year
	Under the Authority's Scheme	Otherwise	Total

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GROUP II.—DEFECTIVE VISION AND SQUINT (excluding Minor Eye Defects treated as Minor Ailments—Group I).

Defect or Disease	Number of Defects dealt with
Defect or Disease	Under the Authority's Scheme	Otherwise	Total

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Number of Defects.

Received Operative Treatment												Received other forms of Treatment	Total number treated
Under the Authority's Scheme, in Clinic or Hospital (See Note B)				By Private Practitioner or Hospital, apart from the Authority's Scheme				Total				Received other forms of Treatment	Total number treated
1				2				3				4	5
i.	ii.	iii.	iv.	i.	ii.	iii.	iv.	i.	ii.	iii.	IV.

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GROUP IV.—ORTHOPAEDIC AND POSTURAL DEFECTS.

Under the Authority's Scheme			Otherwise
(1)			(2)
Residential treatment with education	Residential treatment without education	Non-Residential treatment at an orthopaedic clinic	Residential treatment with education	Residential treatment without education	Non Residential treatment at an orthopaedic clinic
(i)	(ii)	(iii)	(i)	(ii)	(iii)

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GROUP V.—DENTAL DEFECTS. (1) Number of Children who were:—

	Routine Age Groups										Total	Specials	Grand Total
	5	6	7	8	9	10	11	12	13	14	Total	Specials	Grand Total

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

View report tables

Erith 1938

55 tables in this report

A (1 )b. Births.

A(1)d. Infantile Mortality. Deaths of infants under one year of age.

A(1 )e. Vital Statistics of Whole District during 1938 and previous years.

A (1 ) f. Table showing Summary of Causes of Death during the year ended 31st December, 1938.

A(l)g. Table showing Birth-rate, Death-rate, and Analysis of Mortality during the year 1938. Provisional figures. The mortality rates for England and Wales refer to the whole population, but for London and the towns to civi ians only

Since 1920 there have been 10,103 births with 28 maternal deaths, as shown below, giving a Maternal Mortality rate of 2.78.

Analysis of the causes of death of this age group reveals the following figures : —

I have included a table showing the Infant Mortality at 5 year intervals for the past 25 years and for 1038.

With regard to the unemployment figures for the female group, the increase can be explained, I am advised, by the reduction of staff at a local factory employing a large proportion of female labour.

Infant Welfare Centres.

B(4). Home Visits by Health Visitors.

The conditions for which they were admitted were as follows :

The following table shows the total notifications received during the year 1938:—

C(2)b. Age Distribution. This second table shows, in detail, the age distribution of the notified infectious diseases mentioned above:—

C(3). School Incidence of Infectious Disease. The following Table gives in detail the prevalence of certain notifiable Infectious Diseases in each of the Schools in the District, along with the number of cases above and below School age (5 years).

During 1938, 299 specimens were sent, as shown below:—

C (8 )b. Table (i). Particulars of New Cases and Deaths.

Table (ii). Quarterly Statements.

C (11 ). Clinics and Treatment Centres.

Continued from previous page...

E (2) a. Table 1.

E(2)b. Table 2.

Premises visited and recorded results or such visits: —

E(7)b. Summary of Nuisances and Defects Remedied during the year. Other than those enumerated in the above tabulation:

E (8). HOUSING. E(8)a. 1. Inspection of Dwellinghouses during the year.

E(8)c. 3. Action under Statutory Powers during the year:—

E (8) d. 4. Housing Act 1936. Part IV.—Overcrowding.

1. INSPECTIONS for the purposes of provisions as to health including inspections made by Sanitary Inspectors.

2. DEFECTS FOUND.

The following table indicates the number of licenses issued by the Authority under the Milk (Special Designations) Order, 1936:—

During the year, no persons made application for a licence to slaughter or stun animals in compliance with the requirements of the above Act.

SUMMARY OF CARCASES INSPECTED AND CONDEMNED.

In addition to the meat insj&amp;gt;ected in the slaughterhouses, the Sanitary Inspectors dealt with the following foodstuffs which upon examination was found to be unfit for human consumption, duly surrendered and destroyed: —

At the end of 1938, there were 5,125 children on the ro of the elementary schools, distributed as follows:—

Below is set out a table showing the quantities of Malt and Oil distributed:—

Operations were performed on 10.5 children, 83 being under the Authority's Scheme, whilst 22 done by private practitioners, were on the advice given at School Medical Inspection.

The following table has again been brought up to date:

CASES SEEN BY Mr. TUCKER—1938.

Following up and Summary Work by the School Nurses. Following up work by the School Nurses is summarised in the following table:—

Set out below is a table giving the number of children examined, together with the total attendances, at the various clinics:—

TABLE 1. A.—Routine Medical Inspections.

C.—Number of individual children found at Routine Medical Inspection to require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases).

TABLE II. A—Return of Defects found by Medical Inspection in the Year ended 31st December, 1938.

TABLE II— Continued.

(See Administrative Memorandum No. 124, dated 31st December, 1934-.)

TABLE III. Return of all Exceptional Children in the Area. Blind Children.

Partially Sighted Children.

TABLE III—Continued. Deaf Children.

(Including pleura and intra-thoracic glands.)

TABLE IV. Return of Defects Treated during the Year ended 31st December, 1938. TREATMENT TABLE. GROUP I.—MINOR AILMENTS. (excluding Uncleanliness, for which see Group VI).

GROUP II.—DEFECTIVE VISION AND SQUINT (excluding Minor Eye Defects treated as Minor Ailments—Group I).

Number of Defects.

GROUP IV.—ORTHOPAEDIC AND POSTURAL DEFECTS.

GROUP V.—DENTAL DEFECTS. (1) Number of Children who were:—

In addition to the meat insj>ected in the slaughterhouses, the Sanitary Inspectors dealt with the following foodstuffs which upon examination was found to be unfit for human consumption, duly surrendered and destroyed: —