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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

Hendon 1937

[Report of the Medical Officer of Health for Hendon]

Published
1938
Pages
162
Tables
107

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107 tables in this report

  • Page 4
    Health Visitors, School Nurses and Infant Life Protection Visitors:
  • Page 11
    TABLE 1.
    Census 1921Estimate of Registrar General.Estimate of M edical Officer of Health.
    For calculation of Birth Rate.For calculation of Death Kate.
  • Page 12
    TABLE II.
    Ward.Persons.
  • Page 15
    TABLE III.
    England and Wales125 County Horoughs and Great Towns (including London)148 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 Census)l.ondon administrative CountyHendon
  • Page 16
    TABLE III.—Continued.
    England and Wales125 County Boroughs and Great Towns {including London)148 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 Census)London administrative CountyHendon
  • Page 17
    CAUSES OP DEATH IN 1937. TABLE IV.
    Cause of Death.M.F.
  • Page 19
    TABLE V. INFANTILE MORTALITY DURING THE YEAR 1937. Nett deaths from stated causes at various ages under one year.
    Causes of Death.Under one week.One-—Two weeks.Two—Three weeks.Three—Four weeks.Total under four weeks.Four weeks— three months.Three months— six months.Six months— nine months.JNine months— twelve months.Total under one yearMill Hill.Burnt Oak.West Hendon.Central Hendon.Park.Golders GreenGarden Suburb.Child's Hill.Edgware.
  • Page 23
    TABLE VI. HENDON BOROUGH (NURSING ASSOCIATIONS) SCHEME, 1935. Return showing No. of Cases and Visits made on behalf of the Hendon Borough Council for the year ended 31st December, 1937. (In respect of children under 5 years of age and expectant and nursing mothers.)
    Name of DiseaseEdgware and Little StanmoreWatlingWest Henaon and ColindaleGolders Green aad East CricklewoodMill Hill
    No. of CasesNo. of VisitsNo. of CasesNo. of VisitsNo. of CasesNo. of VisitsNo. of CasesNo. of VisitsNo. of CasesNo. of Visits
  • Page 24
    AT UNIVERSITY COLLEGE HOSPITAL:—
  • Page 24
    AT IIENDON ISOLATION HOSPITAL:— TABLE VII.
    Specimens from:—Total.
    Hospital.Clinics.Local Doctors
  • Page 31
    The following table shows the admissions during the year:—
  • Page 32
    The following are the particulars of her work during the years 1936 and 1937:—
    1936.1937.
  • Page 33
    TABLE VIII. NUMBER ATTENDING THE MATERNITY AND CHILD WELFARE SESSIONS AT THE HEALTH CENTRES.
    Central Hendon CentreWest Hendon CentreChild's Hill CentreWatling Estate CentreTemple Fortune CentreMill Hill CentreEdgware CentreColindale CentreTotal
  • Page 34
    TABLE IX. TABLE OF TOTAL ATTENDANCES SINCE 1922.
    Year.Centre.
    ColindaleEdgwareWatling EstateCentral HendonWest HendonChild's HillTemple FortuneMill HillTotal
  • Page 35
    The following Table gives the position at the end of the year:— TABLE X.
  • Page 36
    VISITS.
    First Visits.Total Visits.
  • Page 39
    Where the net weekly income per head of family per week does not exceed the following amounts:—
    No. in Family.
  • Page 40
    (c) Income from lodgers to be reckoned on the following basis:—
    Payment received from LodgersProportion reckoned as income.
  • Page 45
    The nymber of samples examined during the year by the Colne Valley Water Company were as follows:-
    Well Waters.Waters softened and chlorinated sent into supply.Total.
  • Page 45
    SANITARY INSPECTION OF THE AREA. The following summary of the inspection work performed by the Sanitary Inspectors has been submitted to me by Mr. G. E. Luck, Chief Sanitary Inspector:—
  • Page 46
    DRAINS AND SANITARY FITTINGS.
  • Page 47
    Continued from previous page...
  • Page 48
    Continued from previous page...
  • Page 49
    STATUTORY NOTICES.
  • Page 51
    FACTORY AND WORKSHOP ACT, 1901. The following is the number of Factories and Workshops as recorded on the Factory and Workshop Register, 1937
  • Page 54
    INDIVIDUAL UNFIT HOUSES. No Demolition Order was made and the following table shows the position at the end of the year in relation to houses dealt with in the clearance area and individually since the passing of the Housing Act, 1930:—
  • Page 55
    Continued from previous page...
  • Page 56
    Continued from previous page...
  • Page 57
    HENDON CORPORATION HOUSING SCHEMES—1937. TABLE XI.
    SchemeWhen BuiltNo. of Houses & FlatsFLATSHOUSES
    2 Bedrooms Living-room Bath, etc.3 Bedroorr,s Living-room Bath, etc.2 Bedrooms Living-room Bath, etc.3 Bedrooms Living-room Bath, etc.3 Bedrooms Living-room Parlour Bath, etc.4 Bedrooms Living-room Parlour Bath, etc.
  • Page 59
    TABLE XII. HOUSING (CONSOLIDATED) REGULATIONS, 1925 and 1932. The following Table gives particulars of the house-to-house inspection work completed during the year:—
    Street or Road InspectedNo. of Houses or FlatsNo. of RoomsNo. of TenementsNotices ServedNotices complied with
    PreliminaryStatutoryPreliminaryStatutory
  • Page 63
    MEAT INSPECTION. Public Health (Meat) Regulations, 1924. SLAUGHTER HOUSES.
    January, 1937.December, 1937.
  • Page 63
    TABLE XIII. CARCASES INSPECTED AND CONDEMNED.
    Cattle excluding CowsCowsCalvesSheep and LambsPigs
  • Page 64
    TABLE XIII.—continued.
    Cattle excluding CowsCowsCalvesSheep and LambsPigs
  • Page 66
    TABLE XIV. COUNTY COUNCIL OF MIDDLESEX. BOROUGH OF HENDON. List of samples taken during the year ended 31st December, 1937:—
    Article.Taken.Adulterated.
  • Page 70
    TABLE XV.
  • Page 72
    TABLE XVI. TUBERCULOSIS. New Cases and Mortality during 1937.
    NEW CASESDEATHS.
    Age PeriodsPulmonaryNon-PulmonaryPulmonaryNon-Pulmonary
    M.F.M.F.M.F.M.F.
  • Page 73
    TABLE XVII. Cases of Infectious Disease (other than Tuberculosis) Notified during the year 1937. SHOWING AGE AND WARD DISTRIBUTION.
    Disease.Total cases notified.Removed to Hospital.Deaths.Under one year.Analysis of Cases Notified under Age Groups.Ward Distribution.
    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 upwards.Mill Hill.Burnt Oak.West Hendon.Central Hendon.Park.Golders Green.Garden Suburb.Child's Hill.Edgware.
  • Page 76
    TABLE XVIII .
  • Page 77
    TABLE XIX.
    Notified Disease:—in Hospital I-I-37Admired during year.Died during year.Discharged during year.In Hospital 31-12-37
  • Page 78
    Continued from previous page...
    Notified DiseaseIn Hospital I-I-37Admitted during year.Died during year.Discharged during year.In Hospital 31-12-37.
  • Page 78
    N.B.— The admissions shown in Table XIX. include the following:—
    Notified Disease:—Out-District CasesMembers of Hospital StaffCases from Redhill hospital
  • Page 79
    The numbers of admissions, deaths and discharges during the year, compared with those of the two preceding years, are shown below:— TABLE XX .
    Cases Notified as:—1935.Admissions.1935.Deaths.1935.Discharges.
    1936.1937.1936.1937.1936.1937.
  • Page 80
    The distribution within the district of cases of notifiable disease is shown in Table XXI. TABLE XXI.
    Notified as:—TotalMill HillBurnt OakWest HendonCentral HendonParkGolders GreenGarden SuburbChild's HillEdgware
  • Page 81
    TABLE XXII. (Showing percentage of cases removed to Hendon Isolation Hospital.)
    Disease Notified:TOTALHendon Isolation HospitalCases removed to:— Other HospitalsHome treated casesPercentage of cases removed to Hendon Isolation Hospital
    Council's arrangementsPrivate arrangements
  • Page 82
    FINAL DIAGNOSIS. The final diagnosis arrived at in connection with the 474 completed cases was as follows:—
    Recovered.Died.Total.
  • Page 83
    Continued from previous page...
    Recovered.Died.Total.
  • Page 85
    Diphtheria cases treated—comparison with previous two years.
    1935.1936.1937.
  • Page 86
    TABLE XXIII.
    Day of DiseaseAdmitted with Had Antitoxin+ swab result Not had AntitoxinAdmitted Had Antitoxinwithout swab result Not had Antitoxin
  • Page 87
    COMPLICATIONS. Following are the complications encountered among the completed cases of diphtheria:—
  • Page 88
    Continued from previous page...
  • Page 89
    Scarlet Fever cases treated—comparison with previous two years.
    1935.1936.1937.
  • Page 90
    DOUBLE INFECTIONS. Of the scarlet fever patients discharged during the year the following were found on admission to be suffering from dual infection:—
  • Page 90
    COMPLICATIONS. The following complications were encountered among the completed cases of scarlet fever:—
  • Page 94
    The diagnosis arrived at in connection with the 35 discharged cases was:—
  • Page 95
    Complications encountered among measles cases:—
  • Page 97
    Complications encountered among whooping cough cases were:—
  • Page 97
    26 cases, chiefly of an " observation " character, complete the record of patients dealt with during the year. Following are the conditions diagnosed:—
    Recovered.Died.Total.
  • Page 100
    AURAL AND GENERAL SURGEON. Following is a summary of Mr. Trevor Jones' attendances during the year
  • Page 102
    TABLE XXIV.
    Total Cost.Grant In Aid.Nett Cost to Rates.Rate in £. pence.
    £s.d.£s.d.£s.d.
  • Page 104
    The following table shows the number of children on the rolls and their school distribution at the end of the year:— SCHOOLS.
    No. of children on rolls,
  • Page 109
    ATTENDANCES AT EYE CLINICS. CENTRAL HENDON.—
    1936.1937.
  • Page 110
    Continued from previous page...
  • Page 110
    The following new cases were referred for examination:— School Medical Service
  • Page 115
    The figures below relate to children attending the public elementary schools and secondary schools:—
    Fillings per 100 children.Extractions per 100 children.
  • Page 116
    The following table is of interest in this connection:— ANAESTHETIC CASES (250).
    Average Induction period.Average number of teeth removed.Length of Anaesthesia.After Effects.
  • Page 116
    Attention should be drawn to the figures for the last three years of the total number of children inspected and those actually treated:—
    Inspected.Actually treated.
  • Page 117
    The following is an amplification of the Board of Education Statistical Table V.:—
  • Page 118
    Continued from previous page...
  • Page 120
    TABLE XXV.—continued. SUMMARY OF ORTHOPÆDIC DEFECTS. (1) School Medical Services.
    Under Treatment.Under Observation.Cured and DischargedLeft School, Left District, or Ceased Attending.
  • Page 121
    TABLE XXV.—continued.
    Under Treatment.Under Observation.Cured and DischargedLeft School, Left District, or Ceased Attending.
  • Page 122
    TABLE XXVI. SUMMARY OF ORTHOPÆDIC DEFECTS. (2) Maternity and Child Welfare Services.
    Under Treatment.Under Observation.Cured and DischargedLeft School, Left District, or Ceased Attending.
  • Page 123
    TABLE XXVI.—continued.
    Under Treatment.Under Observation.Cured and DischargedLeft School, Left District, or Ceased Attending.
  • Page 125
    TABLE XXVII. NOTIFIABLE INFECTIOUS DISEASES. 1937.
    School.Disease.
    Scarlet Fever.Diphtheria.Smallpox.Typhoid.Erysipelas.
  • Page 126
    TABLE XXVIII. NON-NOTIFIABLE INFECTIOUS DISEASES. 1937.
    School.Disease.
    Measles.Mumps.Whooping Cough.Chicken-pox.
  • Page 127
    TABLE XXIX. The following table shows the incidence of infectious diseases in the Hendon Public Elementary Schools during the past five years:—
    Small PoxScarlet FeverDiphtheriaMeaslesChicken PoxMumpsWhooping Cough
  • Page 130
    TABLE XXX.
    No. of children of school age in family.Ages of such children.Nature of complaint.No. of visits made by officers of N.S.P.C.C.
  • Page 133
    TABLE XXXI. EMPLOYMENT OF CHILDREN.
    Boys.Girls.
  • Page 134
    TABLE XXXII. Statement of the number of children notified during the year ended 31st December, 1937, by the Local Education Authority to the Local Mental Deficiency Authority.
  • Page 135
    TABLE I. MEDICAL INSPECTIONS OF CHILDREN ATTENDING PUBLIC ELEMENTARY SCHOOLS ( see note a). A.— ROUTINE MEDICAL INSPECTIONS.
  • Page 136
    NOTE.— No individual child should be counted more than once in any column of this Table; for example, a child suffering from defective vision and from adenoids should appear once in Column 2, once in Column 3 and once only in Column 4. Similarly a child suffering from two defects other than defective vision should appear once only in Column 3 and once in Column 4.
    Group.For defective vision (excluding squint).For all other conditions recorded in Table II A.Total.
    (1)(2)(3)(4)
  • Page 138
    MEDICAL INSPECTION RETURNS. TABLE II. A.— Return of Defects found by Medical Inspection in the year ended 31st December, 1937.
    Defect or Disease.Routine Inspections.Special Inspections.
    No. of 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.
    (1)(2)(3)(4)(5)
  • Page 139
    TABLE II—continued.
    Defect or Disease.Routine Inspections.Special Inspections.
    No. of 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.
    (1)(2)(3)(4)(5)
  • Page 140
    Continued from previous page...
    Age Groups.Number of Children InspectedA (Excellent) No. %B (Normal). No. %C (Slightly subnormal). No. %D (Bad). No. %
  • Page 141
    BLIND CHILDREN. A blind child is defined by Section 69 of the Education Act, 1921, as one who is " too blind to be able to read the ordinary school books used by children." This definition covers some children who are totally, or almost totally, blind and can only be appropriately taught in a school for blind children, and others who have partial sight and can be appropriately taught in a school for partially sighted children. Only the first class should be included in this section.
    At Certified Schools for the Blind.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 141
    Children who are able by means of suitable glasses to read the ordinary school books used by children without fatigue or injury to their vision should not be included in this Table.
    At Certified Schools for the Blind.At Certified Schools for the Partially Sighted.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 142
    TABLE III.—continued.
    At Certified Schools for the Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total
  • Page 142
    PARTIALLY DEAF CHILDREN. Enter in this Section children who can appropriately be taught only in a school for the partially deaf.
    At Certified Schools for the Deaf.At Certified Schools for the Partially Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 142
    The following Table should include all such children except those who have been notified to the Local Authority under the Mental Deficiency Act in accordance with Article 3 of the Mental Deficiency (Notification of Children) Regulations, 1928. Particulars relating to these children should be entered in the return of notified children—-Form 307M.
    At Certified Schools for ' Mentally Defective Children.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 143
    TABLE III.— continued. EPILEPTIC CHILDREN. CHILDREN SUFFERING FROM SEVERE EPILEPSY. In this part of the Table only those children should be included who are epileptic within the meaning of the Act, i.e., children who, not being idiots or imbeciles, are unfit by reason of severe epilepsy to attend the ordinary Public Elementary Schools. For practical purposes the Board are of opinion that children who are subject to attacks of major epilepsy in school should be recorded as "severe" cases and excluded from ordinary Public Elementary Schools.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 143
    I.—CHILDREN SUFFERING FROM PULMONARY TUBERCULOSIS. (Including pleura and intra-thoracic glands.)
    At Certified Special Schools.At Public Elementary Schools,†At other Institutions.At no School or Institution.Total.
  • Page 144
    TABLE III.— continued. II.— CHILDREN SUFFERING FROM NON-PULMONARY TUBERCULOSIS. (This category should include tuberculosis of all sites other than those shown in I. above.)
    At Certified Special Schools.At Public Elementary Schools.!At other Institutions.At no School or Institution.Total.
  • Page 144
    At the same time it should be remembered that children should not be regarded as suitable for admission to an Open Air School unless the Medical Officer would be prepared to certify under Section 55 of the Education Act, 1921, that they are incapable by reason of physical defect of receiving proper benefit from the instruction in the ordinary Public Elementary Schools.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 145
    TABLE III.— continued. as gardening or forms of handwork usually engaged in by other children, and in whose case the Medical Officer would be prepared to certify under Section 55 of the Education Act, 1921, that they are incapable by reason of such physical defect of receiving proper benefit from the instruction in the ordinary Public Elementary Schools.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 145
    D. CHILDREN WITH HEART DISEASE. This Section should be confined to children in whose case, the Medical Officer would be prepared to certify, under Section 55 of the Education Act, 1921, that they are incapable by reason of such physical defect of receiving proper benefit from the instruction in the ordinary Public Elementary Schools.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 146
    Should there be no children suffering from Multiple Defects, please enter " Nil."
    Combination of Defect.At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 147
    TABLE IV.— continued. taken, should be included in the body of the School Medical Officer's Report. It is convenient for such particulars to follow the headings of Table II. (Form 8 b.M.). GROUP I.— MINOR AILMENTS (excluding Uncleanliness, for which see Table VI.).
    Disease or Defect.Number of Defects treated or under treatment during the year.
    Under the Authority's Scheme (see noteb).Otherwise.Total.
  • Page 148
    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 (see noteb).Otherwise.Total.
  • Page 149
    TABLE IV.—continued. GROUP III.—TREATMENT OF DEFECTS OF NOSE AND THROAT. NUMBER OF DEFECTS.
    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)
  • Page 149
    A child may be recorded in more than one category and therefore the total number of children treated will not necessarily be the same as the sum of the figures in the separate categories.
    Under the Authority's Scheme (see note b). (1)Otherwise (2)Total number treated (see note above).
    Residential treatment with education (i)Residential treatment without education (ii)Non-Residen-tial treatment at an orthopaedic clinic (iii)Residential treatment with education (i)Residential treatment without education (ii)Non-Residential treatment at an orthopaedic clinic (iii)
  • Page 150
    Temporary fillings, whether in permanent or temporary teeth, should be recorded as other operations.
  • Page 151
    The Return should relate to individual children and not to instances of uncleanliness.
  • Page 154
    A.—ROUTINE MEDICAL INSPECTION. (i) Cases in which a full examination has been made (see paragraph 4, Circular 1153, Board of Education):—
    Age.9.10.11.12.13.14.15.16.17.18.19.Total.
  • Page 155
    Return of defects found by medical inspection in the year ended 31st December, 1937.
    Defect or Disease.Routine Inspections.Special Inspections.
    No. of Defects.No. of Defects.
    A.B.A.B.
    (1)(2)(3)(4)(5)
  • Page 156
    Continued from previous page...
    Defect or Disease.Routine Inspections.Special Inspections.
    No. of Defects.No. of Defects.
    A.B.A.B.
    (1)(2)(3)(4)(5)
  • Page 157
    CLASSIFICATION OF THE NUTRITION OF PUPILS INSPECTED DURING THE YEAR, IN AGES.
    Ages.Number of Pupils Inspected.A. (Excellent). No.B. (Normal). No.c. (Slightly sub-normal). No.D. (Bad). No.
  • Page 158
    TABLE IV.-continued. GROUP II.-DEFECTIVE VISION AND SQUINT. (Excluding minor eye defects treated as minor ailments-Group I.)
    Defect or Disease.Number of Defects dealt with.
    Under the Authority's Scheme.Otherwise.Total.
    (1)(2)(3)(4)
  • Page 158
    Total number of children for whom spectacles were prescribed:—