[Report of the Medical Officer of Health for Erith]

Page 7

A(1)b. Births.

	TOTAL.	Male.	Female.

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Live Birth rate per 1,000 of population (Registrar General's figures):—19.13. Corresponding rate for 1944 : —

	Total	Male	Female

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A(1 )e. Vital Statistics of Whole District during 1945 and previous years.

Births			Total Deaths registered in the District		Transferable Deaths		Nett Deaths belonging t« the District
Uncorrected Number	Nett		Total Deaths registered in the District		ot Non-resi-dents registered in the District	ot residents not registered in the District	Under i year of age		At all Ages
	Nett		Number	Rate
	Number	Rate
	Number	Rate					No.	Rate per 1000 nett Rirths	No.	Rate

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A (1) f. Table showing summary of Causes of Death during the year ended 31st December, 1945.

Cause of Death	Males	Females	Total

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A(1 )g. Table showing Birth-rate, Death-rate, and Analysis of Mortality during the year 1945. Provisional figures. The mortality rates for England and Wales refer to the whole population, but for London and the towns to civilians 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	Typhoid and Paratyphoid	Small-pox	Measles	Whooping Cough	Diphtheria	Influenza	Diarrhoea & Enteritis (under Two years)	Total Deaths under one year

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A (2) Since 1920 there have been 15,720 births with 40 maternal deaths as shown below, giving a Maternal Mortality rate of 2.55.

Year	M iternal Deaths	Total Births (including still births)	Registered Live Births
1921-23	7	2002	1933

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I have included a table showing the Infantile Mortality at 5 year intervals for the past 25 years and for 1945.

	Erith	England and Wales
1915	73.17	91

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A (4). Unemployment Figures and Comments. With the courteous' co-operation of the Manager of the Erith Employment Exchange, it once again is possible to give definite figures on the state of unemployment in the District, as shown in the following table.

Year ending	Adults		Young Persons
Year ending	Men	Women	Men	Women	Total

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The number of medical consultations held was nearly 3 per cent (102) less than in the preceding twelve months, this being due to illness and consequent changes of staff.

Month	Births			Sex		Legitimacy			Notified by
	Live	S'born		M	F	Leg.	Meg.		Midwives	Hosp. etc.	Doctors
	Live	M	K	M	F	Leg.	M	F	Midwives	Hosp. etc.	Doctors

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Infant Welfare Centres.

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B (4). Home Visits by Health Visitors.

1945	Children		Special Visits		Expectant Mothers	Infant Life Protection	Total Visits
	1st Visits	Re- Visits	Still- Births	Others

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The following table illustrates the admissions during the last nine years to the Hainault Maternity Home.

Year	Admissions	No. of Beds

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Ante-Natal Patients seen by Doctor.

Ante-natal patients seen by Doctor	1945
Ante-natal patients seen by Doctor	Jan.	Keb	Mr.	Apr.	May	une	July	Aug	Sep.	Oct.	Nov	Dec.	Total

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B(5)c. Abnormal. Cases. Accommodation for abnormal maternity cases, in need of hospital treatment is provided by an arrangement between this Council and London Hospitals. 36 cases were admitted under this arrangement during the year. The conditions for which they were admitted were as follows : —

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The rates of pay are those which are prevailing in the district for such work and in any case is not less than that stated in the Hetherington scale. The following figures illustrate the position up to the end of the year :

Number of Cases booked during 1915.	Number of days on which Home Helps were employed.	Number of cases booked but subsequently cancelled.
32	355	4

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The following table shows the total notifications received during the year 1945.

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

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

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

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Table showing Details of Cases Treated etc., following Notification under the Scabies Order. 1945.

Month	Cases showing symptoms and treated	Contacts not showing symptoms but treated	Total	Contacts examined not showing symptoms and not treated	No. of second treatments given	No. of families involved	No. of items disinfested	Visits by Nurse Visitor
Month	Cases showing symptoms and treated	Contacts not showing symptoms but treated	Total	Contacts examined not showing symptoms and not treated	No. of second treatments given	No. of families involved	No. of items disinfested	Preliminary Visits	Follow up visits	Total

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The following table will indicate the number of cases dealt with:—

	Diphtheria		Diphtheria and Whooping Cough
	1st	2nd	Diphtheria and Whooping Cough
	Injection.	Injection.	1.	2.	3.	4.

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C (7 ) 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

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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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Provision in the form or two special chair-seats is also made for the comfort of relatives or attendants travelling with the patient.

Cases		Mileage	Months

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E(5)a. Designated Milk. The following table indicates the number of licences issued by the Local Authority in 1945 under the Milk (Special Designations) Order 1936:—

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The following samples were procured during the year and submitted to the Public Analyst for analysis:

Nature of Sample	Adulterated	Genuine	No. of Samples

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F(l)b. Premises visited and results of such visits.

Premises	No. in District	No. of visits 1945	No. of defects found	No. of defects remedied

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F(3)c. Factories. (i) Inspections for the purpose of provisions as to health are detailed below:—

Premises	Number of
Premises	Inspections	Written Notices	Occupiers Prosecuted

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(ii) DEFECTS FOUND.

Particulars	Number of Defects			Number of defects in respect of which pros-ecutions were instituted
Particulars	Found	Remedied	Referred to H M. Inspector

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G (1 ) d. Details of the Tonnage dealt with during the year.

Month	Tonnage
Month	Tons	Cwt.

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C (1 ) f. Salvage.

Tonnage collected.				Income.
T.	C.	Q-	Lbs.	£	s.	d.

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The following table gives the number of routine medical examinations made during the last nine years:—

Year	No. of School Children on Register	No. of Routine Medical Exams.	Percentage of Children examined (R.M.I.)

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Dental Inspection and Treatment. (1) Number of children inspected by the Dentist.

	(a) Routine Age Groups										Total
Age	5	6	7	8	9	10	11	12	13	14	Total

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ORTHOPAEDIC AND POSTURAL DEFECTS. Mr.E.A.Lindsay, F.R.C.S., acts as your consultant orthopaedic surgeon, and the following is a list of cases attending the clinic during 1945.

	School Children.	Infant Welfare.

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Comtinued from previous page

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A.—Routine Medical Inspection.

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TABLE II.

Age-Groups	Number of Children Inspected	A		B		C		D
Age-Groups	Number of Children Inspected	Excellent		Normal		Slightly subnormal		Bad

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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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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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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

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TABLE IV. Return of Defects Treated during the Year ended 31st December, 1945. TREATMENT TABLE. GROUP I.—MINOR AILMENTS. (excluding Uncleanliness, for which see Group V).

Disease or Defect	Number of Defects treated, or under treatment during the year
Disease or Defect	Under the Authority's Scheme	Otherwise	Total
1	2	3	4

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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 Deftcts dealt with
Defect or Disease	Under the Authority's Scheme	other-wise	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	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

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GROUP IV.—ORTHOPAEDIC AND POSTURAL DEFECTS.

	Under the Authority's Scheme (1)			Otherwise (2)			Total number treated
	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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TABLE V. Uncleanliness and Verminous Conditions.

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Table of Clinical Findings.

	Good	Fair	Poor	Pityriasis	Acne	Folliculosis	Cheilosis	Angular Stomatitis	Enlarged Tongue Papillae	Dentures	Gingivitis	Pyorrhiea	Blepharitis	Corneal Vascularisa tion	Loss of Vibratory Sense

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

View report tables

Erith 1945

44 tables in this report

A(1)b. Births.

Live Birth rate per 1,000 of population (Registrar General's figures):—19.13. Corresponding rate for 1944 : —

A(1 )e. Vital Statistics of Whole District during 1945 and previous years.

A (1) f. Table showing summary of Causes of Death during the year ended 31st December, 1945.

A(1 )g. Table showing Birth-rate, Death-rate, and Analysis of Mortality during the year 1945. Provisional figures. The mortality rates for England and Wales refer to the whole population, but for London and the towns to civilians only

A (2) Since 1920 there have been 15,720 births with 40 maternal deaths as shown below, giving a Maternal Mortality rate of 2.55.

I have included a table showing the Infantile Mortality at 5 year intervals for the past 25 years and for 1945.

A (4). Unemployment Figures and Comments. With the courteous' co-operation of the Manager of the Erith Employment Exchange, it once again is possible to give definite figures on the state of unemployment in the District, as shown in the following table.

The number of medical consultations held was nearly 3 per cent (102) less than in the preceding twelve months, this being due to illness and consequent changes of staff.

Infant Welfare Centres.

B (4). Home Visits by Health Visitors.

The following table illustrates the admissions during the last nine years to the Hainault Maternity Home.

Ante-Natal Patients seen by Doctor.

B(5)c. Abnormal. Cases. Accommodation for abnormal maternity cases, in need of hospital treatment is provided by an arrangement between this Council and London Hospitals. 36 cases were admitted under this arrangement during the year. The conditions for which they were admitted were as follows : —

The rates of pay are those which are prevailing in the district for such work and in any case is not less than that stated in the Hetherington scale. The following figures illustrate the position up to the end of the year :

The following table shows the total notifications received during the year 1945.

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

Table showing Details of Cases Treated etc., following Notification under the Scabies Order. 1945.

The following table will indicate the number of cases dealt with:—

C (7 ) b. Table i. Particulars of New Cases and Deaths.

Table II. Quarterly Statements.

Provision in the form or two special chair-seats is also made for the comfort of relatives or attendants travelling with the patient.

E(5)a. Designated Milk. The following table indicates the number of licences issued by the Local Authority in 1945 under the Milk (Special Designations) Order 1936:—

The following samples were procured during the year and submitted to the Public Analyst for analysis:

F(l)b. Premises visited and results of such visits.

F(3)c. Factories. (i) Inspections for the purpose of provisions as to health are detailed below:—

(ii) DEFECTS FOUND.

G (1 ) d. Details of the Tonnage dealt with during the year.

C (1 ) f. Salvage.

The following table gives the number of routine medical examinations made during the last nine years:—

Dental Inspection and Treatment. (1) Number of children inspected by the Dentist.

ORTHOPAEDIC AND POSTURAL DEFECTS. Mr.E.A.Lindsay, F.R.C.S., acts as your consultant orthopaedic surgeon, and the following is a list of cases attending the clinic during 1945.

Comtinued from previous page

A.—Routine Medical Inspection.

TABLE II.

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

Deaf Children.

Mentally Defective Children. FEEBLE MINDED CHILDREN.

TABLE IV. Return of Defects Treated during the Year ended 31st December, 1945. TREATMENT TABLE. GROUP I.—MINOR AILMENTS. (excluding Uncleanliness, for which see Group V).

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.

TABLE V. Uncleanliness and Verminous Conditions.

Table of Clinical Findings.