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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

Willesden 1920

[Report of the Medical Officer of Health for Willesden]

Published
1921
Pages
162
Tables
175

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175 tables in this report

  • Page 17
    1. NATURAL AND SOCIAL CONDITIONS OF THE DISTRICT. Population (Census 1911, and estimated 1920). —The following Table No. 1. shews the population estimated by the method in vogue in Willesden, at Midsummer of each year since 1901, together with the estimated annual increase and the natural increase as indicated by the excess of births over deaths:—
    Year.Estimated Midsummer population.Estimated annual increase of population.Natural increase of population, i.e. excess of births over deaths.
  • Page 18
    TABLE NO. 2.—POPULATION ESTIMATED AT MIDSUMMER, 1920.
    WARD.Population estimated on the number of rooms in occupation in each Ward as ascertained by enumeration.Occupiable Houses, including houses recently erected but-not yet occupied.Occupiable rooms, including those of houses recently erected.Houses recently erected but unoccupied.Houses in course of erection.Houses demolished or unoc-cupiablePercentage of empty houses exclusive of houses recently erectedPercentage of empty rooms inclusive of those of houses recently erected.
    Total.Empty Houses.
    Wholly unoccupied.Partly Empty.
    No. having one or more empty tenements.Empty tenements, exclusive of those houses wholly unoccupied.TotalNo. occupied.No. empty.
    1 room.2 rooms.3 rooms.over 3 rooms.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)
  • Page 19
    Marriages.—Table No. 3.
  • Page 19
    Births.—Table No. 4.
  • Page 19
    Illegitimate Births.—Table No. 5.
  • Page 19
    Deaths.—Table No. 6.
  • Page 19
    Table No. 7.
    Ratio per 1,000 of estimated population.
    Indoor Poor.Outdoor Poor.Total chargeable (excluding lunatics).
  • Page 19
    The Extent to which Hospital and other Forms of Gratuitous Medical Relief are Utilised. —The extent to which Hospitals are utilised may be gauged from the following Table No. 8, which shews the total deaths of Willesden residents and the number and proportion of deaths occurring at home, Workhouse, or Hospitals.
    No.Per cent, of Total Deaths.
  • Page 20
    Sanitary Inspection of District.
    Inspections:
  • Page 21
    Continued from previous page...
    Unsound Food:
  • Page 22
    Continued from previous page...
    Sundry Nuisances abated:
  • Page 22
    Canal Boats Acts, 1877 and 1884. —Table N o . 10. Return shewing the contraventions observed and remedied during the year:—
    Infringement of the Acts and Regulations with respect to:—Carried forward from 1919.Found during 1920.Remedied during 1920.Carried forward from 1920.
  • Page 25
    The following statement shows the amount of milk and dried milk distributed during the year. Dried Milk.
    Supplied without cost to Council. (Parents pay full cost.)Supplied at quarter cost to Council.Supplied at half cost to Council.Supplied at three-quarter cost to Council.Supplied at full cost to Council. (Parents receive free.)
  • Page 25
    Milk (Liquid).
    No. of pints supplied Free.No. of pints supplied at quarter cost to Council.No. of pints supplied at half cost to Council.No. of pints supplied at three-quarter cost to Council.
  • Page 26
    Table No. 11. Shewing the Slaughter-houses in Willesden.
    1914.January, 1920.December, 1920.
  • Page 26
    Table No. 12. Samples taken during the year ended 31st December, 1920:—
    Article.Formal.Informal.
    Taken.Adulterated.Taken.Adulterated.
  • Page 27
    Notifications.—Tabu-: No. 13.
    No. of Notifications of:—
  • Page 27
    Scarlet Fever.—Table No. 14. Shewing the number of cases notified, the number and percentage removed to Hospital, and the Incidence and Fatality rates each year since 1892.
    Year.No. of Cases notified.No. of Cases removed to Hospital.Percentage removed to Hospital.Incidence Rate. Cases per 1,000 population.Fatality Rate. Deaths per 1,000 cases.
  • Page 28
    Table No. 15. Giving Particulars of Infecting and Return Cases of Scarlet Fever during 1920.
    Initials of Infecting Cases.No. of days isolated.Initials of Return Cases.No. of days elapsing between release from isolation of infecting case and onset of illness of return case.Notes on Infecting Cases.
  • Page 29
    Continued from previous page...
    Initials of Infecting Cases.No. of days isolated.Initials of Return Cases.No. of days elapsing between release from isolation of infecting case and onset of illness of return case.Notes on Infecting Cases.
  • Page 30
    Continued from previous page...
    Initials of Infecting Cases.No. of days isolated.Initials of Return Cases.No. of days elapsing between release from isolation of infecting case and onset of illness of return case.Notes on Infecting Cases.
  • Page 30
    Return Cases of Scarlet Fever.—Table No. 16.
    1919.1920.
  • Page 30
    Table No. 17. Giving particulars of multiple cases of Scarlet Fever occurring in houses in 1920.
    No. of Houses.Per cent. of Houses.No. of Cases.Per cent. of Cases.
  • Page 31
    Diphtheria and Membranous Croup.—Table No. 18. Shewing the number of cases notified, and number and percentage removed to hospital, and the incidence and fatality rates each year since 1892.
    Year.No. of Cases notified.No. of Cases removed to Hospital.Percentage of Cases removed to Hospital.Incidence Rate. Cases per 1,000 population.Fatality Rate. Deaths per 1,000 Cases.
  • Page 32
    Table No. 19. Table shewing Chemical and Bacteriological Examinations made during the year 1920.
    Nature of Specimens examined.Positive Result.Negative Result.Total.
  • Page 33
    Table No. 20.—Sources of Specimens Examined.
  • Page 33
    Sources from which Notifications of Measles and German Measles were received during the Year 1920.—Table No. 21:—
  • Page 33
    Measles.—Table No. 22 Shewing the number of cases coming under the notice of the Health Department each year since 1907, and the number of deaths occurring among these cases; the number of deaths occurring among unknown cases, and the probable number of these cases, assuming the fatality rate to have been the same in each class:—
    Year.Total No. of Cases known before death.Cases unknown prior to death.Percentage of all probable Cases coming to knowledge.Total.
    Cases.Deaths.Fatality Rate per cent.Deaths.Estimated No. of Cases.
  • Page 34
    Table No. 23.—Death Rates from certain Infectious Diseases.
  • Page 34
    Tuberculosis Notifications, etc.—Table No. 24.
  • Page 35
    Table No. 25.—Particulars of 8 Cases of Children from 0—14 Years of Age coming under Observation of Willesden Health Department in 1920 and Shewing Syphilitic Manifestations. Total No. of Children coming under Notice = 17,491.
    Case.Age.Onset.Rash.Snuffles.Teeth.Eyes.Ears.Bones.WassermanFamily History.Mother's History.Case still under Treatment.
  • Page 36
    Infant Mortality.—Table No. 26.
  • Page 37
    Infant Mortality of Legitimate Infants. Table No. 29.
  • Page 37
    Infant Mortality of Illegitimate Infants. Table No. 30.
  • Page 37
    Notification of Births Acts, 1907 and 1915. Table No. 31.
  • Page 37
    Table No. 32. Table shewing the number of visits, re-visits, and still-births inquiries under the Notification ol Births Acts, 1907 and 1915, and otherwise since 1912:—
    Year.No. of first visits to children under 1 year of age.No. of re-visits to children under 1 year of age.No. of visits and revisits to children between 1 and 5 years of age.No. of still-birth inquiries.
  • Page 37
    Table No. 33. Table shewing the number of visits and re-visits to Expectant and Nursing Mothers:—
    Year.No. of first visits to Expectant Mothers.No. of re-visits to Expectant Mothers.No. of first visits to Nursing Mothers.No. of re-visits to Nursing Mothers.
  • Page 37
    Infant Death Inquiries.—Table No. 34.
    Year.No. of deaths of Infants under 1 yearNo. of Infant Death InquiriesNo. of deaths of Children 1 year and under 5 yearsNo. of Death inquiries for Children 1 year and under 5 years
  • Page 38
    Table No. 35.
    No. of children solely breast fed for:—
  • Page 38
    Table No. 36. Shewing the number of Mothers and Children under 5 years in attendance at the Clinics and under supervision during the year.
    Under observation by Health Visitors during 1920.Attending Clinic during 1920.% of Cases under observation during 1920 attending Clinic.Under observation at end of 1920.Attending Clinic at end of 1920.% of Cases under observation at end of 1920 attending Clinic.
  • Page 41
    Table No. 37.
    1.—General.
  • Page 43
    Table No. 39.—Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 43
    Table No. 40.—Registered Workshops.
    Workshops on the Register (s. 131) at the end of the year.Number.
    (1)(2)
  • Page 43
    Table No. 41.—Other Matters.
    Class.Number.
    (1)(2)
  • Page 44
    Table No. 42. Home Work.
    Nature of Work.Outworkers' Lists, Section 107.Notices served on Occupiers as to keeping or sending lists.Prosecutions.Outwork in Unwholesome Premises. Section 108.Outwork in Infected Premises. Section 109, 110.
    Lists received from Employers.
    Sending twice in the Year.Sending once in the Year.Failing to keep or permit inspection of lists.Failing to send lists.InstancesNotices served.Prosecutions.InstancesOrders made S. 110.Prose cutions. Section 109,110
    Lists.Outworkers.Lists.Outworkers.
    Contractors.Workmen.Contractors.Workmen.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 45
    Number of Children inspected 1st January, 1920, to 31st December, 1920. A.—Routine Medical Inspection.*
    Age.Entrants. ,
    3456Other Ages.Total.
  • Page 46
    B.—S pecial Inspections.
    Special Cases,†Re-examinations (i.e., No. of Children Re-examined).
  • Page 46
    Return of Defects Found in the Course of Medical Inspection in 1920.
    Defect or Disease.Routine Inspections.Specials.
    Number referred for treatment.Number requiring to be kept under observation but not referred for treatment.Number referred for treatment.Number requiring to be kept under observation but not referred for treatment.
    (1)(2)(3)(4)(5)
  • Page 47
    Continued from previous page...
    Defect or Disease.Routine Inspections.Specials.
    Number referred for treatment.Number requiring to be kept under observation but not referred for treatment.Number referred for treatment.Number requiring to be kept under observation but not referred for treatment.
    (1)(2)(3)(4)(5)
  • Page 48
    Table No . 45.—Corresponding to Table III. of Appendix G of Annual Report of Chief Medical Officer of Board of Education for 1919. Numerical Return of all Exceptional Children in the area in 1920.
    Boys.Girls.Total.
  • Page 49
    Table No. 46.—Corresponding to Table IV. of Appendix G of the Annual Report of the Chief Medical Officer of the Board of Education for 1919. Treatment of Defects of Children during 1920. A.—Treatment of Minor Ailments.
    Defect or Disease.Number of Children.
    Referred for Treatment.Treated.
    Under Local Education Authority's Scheme.Otherwise.Total.
  • Page 49
    B.—Treatment of Visual Defects.
    Number of Children.
    Referred for Refraction.Submitted to Refraction.For whom Glasses were Prescribed.For whom Glasses were Provided.Recommended for Treatment other than by Glasses.Received other Forms of Treatment.For whom no Treatment was considered necessary.
    Under Local Education Authority's Scheme— Clinic or Hospital.By Private Practitioner or Hospital.Otherwise.Total.
  • Page 49
    C.—Treatment of Defects of. Nose and Throat.
    Number of Children.
    Referred for Treatment.Received Operative Treatment.Received other forms of Treatment.
    Under Local Education Authority's Scheme—Clinic or Hospital.By Private Practitioner or Hospital.Total.
  • Page 51
    T able N o . 47.—In this Table is embodied the information required in Table IV. F. of Appendix G. of the Annual Report of the Chief Medical Officer of the Board of Education for 1919. Return showing the nature and number of medical defects referred for treatment, the number of visits and medical examinations made in connection therewith, and the extent to which remedial measures were carried out during 1920.
    CONDITION.No. of defects found for which treatment was considered necessary.No. of visits made on account of these defects.No. of Medical Examinations made on account of these defects.No. of times attended by Clinic Nurse only on account of these defccts.No. of defects for which no report is available.No. of defects not needing treatment.No. of defects treated.Total.Results of Treatment.Percentage of defects treated.No. of defects not treated.No. of defects under ob-servation at end of year and carried forward to succeeding year.
    Remedied.Improved.Unchanged.Under observation at end of year (result of treatment not known at end of vear.
    School Clinic.Municipal Hospital.Home (under super- of Council Staff).Voluntary Hospital or other charitable Institution.Infirmary or Poor Law.Private Practitioner.Removed from observa tion.Still under observation at end of year.Total.
    Brought forward from previous year.†New.Total.
    l234567891011121314I516171819202122232425
  • Page 53
    Summary of Treatment of Defects as shown in Tables 46 and 47 (A, B, C, D and F, but excluding E.).
    Disease or Defect.Referred for Treatment.Number of Children.Total.
    Treated.
    Under Local Education Authority's Scheme.Otherwise.
  • Page 53
    Summary Relating to Children Medically Inspected at the Routine Inspections during the Year 1920.
  • Page 54
    Table No. 50.—Certain Statistical Data.
  • Page 54
    Table No . 51.— Special Schools.
  • Page 54
    No. of children attending Special Schools during 1920:—
    In Willesden.Outside Willesden.Total.
  • Page 54
    Table No . 52. —Corresponding to Appendix E of the Annual Report of the Chief Medical Officer of the Board of Education for 1919. Form of Annual Return of the After-Careers of Children Formerly Attending Special Schools.
    Local Education Authority Willesden.
    Name of School Furness Road Physically Defective School.
    Boys.Girls.
  • Page 55
    †2 ( c ) . —Details of Children who are in Attendance at an Institution for Further Education.
    Ordinary Elementary Schoolprivate SchoolTechnical or Secondary SchoolHome for CripplesInstitution for Deaf.Sanatorium School
  • Page 55
    ††(2 d ) . —Details of Children who are in any other Institution.
    Epileptic Institution.Home—Willesden Board of GuardiansBarnardo's Home.Home for Cripples.
  • Page 55
    Table No . 53.—Corresponding to Appendix E of the Annual Report of the Chief Medical Officer of the Board of Education for 1919. Form of Annual Return of the After-Careers of Children Formerly Attending Special Schools.
    Local Education Authority Willesden.
    Name of School Leinster Road School for Mentally Defectives.
    Boys.Girls.
  • Page 55
    *2(c).— Details of Children who are in Attendance at an Institution for Further Education.
    Ordinary Elementary School.Private School.Deaf and Dumb Institution.Residential M.D. Institution.
  • Page 56
    **2 ( d ) .— Details of Children who are in any other Institution.
    Home—Willesden Board of Guardians.Asylum, Middlesex County Council.Epileptic InstitutionPrivate Home.Roman Catholic Home.
  • Page 56
    Table No. 54. Return showing No. of Special Cases referred in 1920 and previous years with the view of Medical Treatment being obtained, Remedial Measures carried out, or other action taken.
    Year.Referred byTotal
    Medical Inspection and Officers of Heath DepartmentHead TeachersAttendance Officers.Others.
  • Page 56
    Table No . 55. Medical and Dental Treatment—Attendances at Clinics , 1920.
    Condition.Mothers and Childnren under 5.School ChildrenGrand Total
    Expectant Mothers.Nursing Mothers.Children under fiveTotal
  • Page 57
    Continued from previous page...
    Clinic (I.).Clinic (II.).Grand Total.
    Mothers and Children under five.School ChildrenTotal.Mothers and Children under Five.School Children.Total.
  • Page 57
    Table No. 56. Shewing attendances at the Municipal Clinics each year since 1913.
    Year.Mothers and Children under 5 years.School children.Total.School for Mothers.Nursery.Grand Total.
    Medical.Dental.Total.Medical.Dental.Total.
  • Page 58
    T able RETURN OF WORK DONE AT THE MEDICAL
    Ringworm and Special Skin Clinic.Eve Clinic.
    Expt. Mothers.Nursing Mothers.Children under 5.School Children.Total.Expt. Mothers.nursing mothers.Children under 5.School Children.Total.
  • Page 58
    Table No. 58.
    Return respecting the Provision of Spectacles during 1920.
  • Page 59
    No. 57. TREATMENT CLINICS DURING 1920.
    Throat. Nose and Ear Clinic.Minor Ailment Clinic. ,Cleansing Clinic.Grand Total.
    Expt. Mothers.Nursing Mothers.Children under 5.School Children.Total.Expt. Mothers.Nursing Mothers.Children under 5.School Children.Total.Expt. Mothers.Nursing Mothers.Children under 5.School Children.Total.Expt. Mothers.Nursing Mothers.Children under 5.School Children.Total.
  • Page 59
    Table 59. HOSPITAL TREATMENT OF SCHOOL CHILDREN DURING 1920.
    (Excluding Infectious Diseases.)
  • Page 60
    Table No. 60.-HOSPITAL TREATMENT OF SCHOOL CHILDREN DURING 1920.
    Defects.Admitted fromTotal.Forms of Treatment.Results of Treatment.
    School. ClinicsGeneral PractitionerOperative.General.Other forms specify, e.g., massage, electricity, etc.Remedied.Improved .UnchangedDied.In Hospital at end of year.
  • Page 61
    Table No. 60.—Hospital Treatment of School Children during 1920.— continued.
    Defects.Admitted fromTotal.Forms of Treatment.Results of Treatment.In Hospital at end of year.
    School. ClinicsGeneral PractitionersOperative.General.Other forms specify, e.g., massage, electricity, etc.Remedied.Improved.UnchangedDied.
  • Page 61
    Table No . 61. Absence from School. Term commencing August 23rd, 1920, and ending December 23rd, 1920.
    Causes of Absence.P.F.B.P.F.G.P.F.I.F.R.S.M.F.R.J.M.F.R.I.D.H.I.Total.
    No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.
  • Page 62
    Continued from previous page...
    Causes of Absence.P.F.B.P.F.G.P.F.I.F.R.S.M.F.R.J.M.F.R.I.D.H.I.Total
    No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.
  • Page 63
    Continued from previous page...
    Causes of Absence.P.F.B.P.F.G.P.F.I.F.R.S.M.F.R.J.M.F.R.I.D.H.I.Total.
    No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.No. of attendances lost.
  • Page 64
    Table No. 62.—Employment of Children in Entertainments Rules, 1920. Particulars as to applications received in 1920 for certificates from the School Medical Officer.
    No. of Applications, 1st April to 31st December, 1920.No. Granted.
    Boys.Girls.Total.Boys.Girls.Total.
  • Page 65
    Table No. 63.—Corresponding to Table 1 of Appendix G. of the Annual Report of the Chief Medical Officer of the Board of Education for 1919. Number of Children Inspected 1st January, 1920, to 31st December, 1920. A.—Routine Medical Inspection.* (i.) Cases in which a full examination has been made (see para. 4, Circular 1,153, Board o: Education).
    Age.101112131415161718Admitted during preceding term and not included in foregoing or admitted during term.Leaving during term.Total.
  • Page 65
    (ii.) Cases in which only partial examination has been made (see para. 4, Circular 1,153, Board of Education).
    Age.101112131415161718Total.
  • Page 65
    B.—Special Inspections.
    Special Cases.†Re-Examinations (i.e., No. ol Children Re-examined).
  • Page 66
    Table No. 64. —Corresponding to Table II. of Appendix G of the Annual Report of Chief Medical Officer of Board of Education for 1919. Return of Defects Found in the Course of Medical Inspection in 1920.
    Defect or Disease.Routine Inspections.Specials.
    No. referred for treatment.No. requiring to be kept under observation but not referred for treatment.No. referred for treatment.No. requiring to be kept under observation but not referred for treatment.
    (1)(2)(3)(4)(5)
  • Page 67
    Continued from previous page...
    Defect or Disease.Routine Inspections.Specials.
    No. referred for treatment.No. requiring to be kept under observation but not referred for treatment.No. referred for treatment.No. requiring to be kept under observation. but not referred for treatment.
    (1)(2)(3)(4)(5)
  • Page 67
    Table no. 65.—Corresponding to Table IV. of Appendix G of the Annual Report of the Chief Medical Officer of the Board of Education for 1919. Treatment of Defects of Children during 1920. A.—Treatment of Minor Ailments.
    Defect or Disease.Number of Children.
    Referred for Treatment.Treated.
    Under Local Education Authority's Scheme.Otherwise.Total.
  • Page 68
    B.—Treatment of Visual Defect.
    Number of Children.
    Referred for Refraction.Submitted to Refraction,For whom Glasses were Prescribed.For whom Glasses were Provided.Recommended for Treatment other than by Glasses.Received other Forms of Treatment.For whom no Treatment was considered necessary.
    TJnder Local Education Authority's Scheme Clinic or Hospital.By Private Practitioner or Hospital.Otherwise.Total.
  • Page 68
    C.— Treatment of Defects of Nose and Throat.
    Referred for Treatment.Number of Children.
    Received Operative Treatment.
    Under Local Education Authority's Scheme—Clinic or Hospital.By Private Practitioner or Hospital.Total.Received other forms of Treatment.
  • Page 69
    Table No. 66.—Corresponding to Table V. of Appendix G of the Annual Report of the Chief Medical Officer of the Board of Education, 1919. Summary of Treatment of Defects as shown in Table IV. (A, B, C, Dand F, but Excluding E.).
    Disease or Defect.Number of Children.
    Referred for Treatment.Treated.Total.
    Under Local Education Authority's Scheme.Otherwise.
  • Page 69
    Table No. 67.—Corresponding to Table VI. of Appendix G of the Annual Report of the Chief Medical Officer of the Board of Education for 1919. Summary Relating to Children Medically Inspected at the Routine Inspections During the Year 1920.
  • Page 71
    Table No. 68.
    Age.Number of Children Examined.Number of Temporary Teeth.Number of Permanent Teeth.Total No. of Teeth Decayed.
    Decayed Savable.Decayed Unsavable.Decayed Savable.Decayed Unsavable.
  • Page 72
    Table No . 69.
    No. of Children.Interval.No. of Fresh Caries.Average per Child.
  • Page 72
    Table No. 70. Return Showing No. of Cases Referred in 1920 with the View of Dental Treatment being Obtained.
    Year.Referred byTotal.
    Dental Inspection and Officers of Health Dept.Head Teachers.Attendance Officers.Others.
  • Page 72
    Table No . 71. Return showing the number of dental defects referred for treatment, the number of visits and dental examinations made in connection therewith, and the extent to which remedial measures were carried out during 1920.
  • Page 73
    Table No. 72. —Corresponding to Table IV. D. of Appendix G. of the Annual Report of the Chief Medical Officer of the Board of Education for 1919. Treatment of Dextal Defects. (1) Number of children dealt with.
    Age Groups.Specials.Total.
    56 7891011121314
  • Page 73
    (2) Particulars of the time given and of operations undertaken.
    Number of half-days devoted to inspection.Number of half-days devoted to treatment.Total number of Attendances made by children at the Clinic.Number of Permanent Teeth.Number of Temporary Teeth.Total number of fillings.Number of administrations of General Anaesthetic in 4 & 6Number of other operations.
    ExtractedFilledExtractedFilledPermanent TeethTemporary Teeth.
    1234567891011
  • Page 74
    The following Table No. 73 shews the number of orders that were given for dentures und this scheme up to 31st December, 1920 :— Table No . 73.
    At Cost to CouncilAt Cost to Applicant.Total.
  • Page 75
    Table No . 74.—E ducation* Committee's Centres.
    Four Weeks Ended.No. of Individuals Fed Average per week.No. of Meals Supplied.
    Dinners.Breakfasts (including Kilburn).Special Meals.Total.
    (1)(2)(3)(4)(5)(6)
  • Page 77
    Table No. 75.—Table to Shew Proportion of Staff to No. of Individuals Fed.
    Feeding Centre.Week ending.No. of Staff employed.No. of Individuals fed.
  • Page 77
    The following Table, No. 76, shews the cost per meal for the 4 weekly periods of 1920 for food only and the total cost per meal. Table No. 76.
    Four Weeks Ended.Cost for Food only per meal in pence.Total Cost per meal in pence.
    (1)(2)(3)
  • Page 78
    The following Table, No. 77, shews the weekly minimum, weekly maximum, and weekly average number of individual school children fed in 1920. T able N o. 77.
    Week Ending.No. of Individuals Fed.No. of Meals Supplied.
  • Page 78
    Table No . 78.
    No. of Children Fed.No. of Families Involved.Percentage.
    1920.1919.1920.1919.1920.
  • Page 79
    The following Table, No. 79, shews the number of school children fed at the Kilburn Centre and the number of meals supplied. Table No . 79.
    Four Weeks Ended.Average No. of Individuals Fed per week.No. of Meals Supplied. Dinners.
  • Page 79
    Table No . 80.—E ducation Committee's Centres.
    Four Weeks Ended.Individuals Fed.Total.No. of Meals Supplied.Total.
    Mothers.Children under 5.Mothers.Children under 5.
    Average per week.
  • Page 80
    Table No. 81.—Kilburn Voluntary Centre.
    Four Weeks Ended.Individuals Fed. Average No. per week.No. of Meals Supplied.
    Mothers.Children under 5.Total.Mothers.Children under 5.Total.
  • Page 80
    The present scale is :—
    No. in Familv.Net income per head of the family per week.
  • Page 82
    T able N o. 82.—S howing C ases dealt with during 1920 and R esults.
    Disease.Removed from Observation during 1920—Results of Treatment.Still being Home Nursed at end of 1920.Number of Visits Paid during 1920.
    New Cases during 1920.Died.Removed to Hospital or other Institutions.Recovered.
    Expectant Mothers.Nursing Mothers.Children under Five.School Children.Others.Total.Expectant Mothers.Nursing Mothers.Children under Five.School Children.Others.Total.Expectant Mothers.Nursing Mothers.Children under Five.School Children.Others.Total.Expectant Mothers.Nursing Mothers.Children under Five.School Children.Others.Total.Expectant Mothers.Aursmg Mothers.Children under Five.School Children.Others.Total.Expectant MothersNursing MothersChildren under FiveSchool ChildrenOthersTotal
  • Page 83
    Table N o . 83.
    Referred byNumber.
  • Page 83
    Table No . 84. Shewing cases referred for Home Nursing in Wards during 1920.
    Ward.No. of Cases dealt with.No. of Visits paid.
  • Page 89
    Table No . 85.
    Pregnancy.No.
  • Page 90
    Table No . 86.
    Cases.Average duration of stay in Hospital.
    Maternity15.0 days.
  • Page 92
    TABLE No. 87.
    Scarlet Fever.Diphtheria.Enteric Fever.Other Infectious Diseases.Total.Children under 5 years.Children of School Age.Obstetrical.Gynaecological.Diseases of Adults.Total.Grand Total.
  • Page 92
    TABLE No. 88.
    Month.Scarlet Fever.Diphtheria.Enteric Fever.Other Infect. Diseases.Total.Total.
    Admissions.Deaths.Admissions.Deaths.Admissions.Deaths.Admissions.Deaths.Admissions.Deaths.
  • Page 92
    TABLE No. 89.
    Children under 5 years.Children of School age.Obstetrical.Gynaecological.General Diseases of Adults.Total.
    MonthAdmissions.Deaths.Admissions.Deaths.Admissions.Deaths.Admissions.Deaths.Admissions.Deaths.Admissions.Deaths.
  • Page 93
    TABLE No. 90.
    Age.Males.Females.Total.
    Admissions.Deaths.Admissions.Deaths.Admissions.Deaths.
  • Page 93
    TABLE No. 91.
    Age.Males.Females.Total.
    Admissions.Deaths.Admissions.Deaths.Admissions.Deaths.
  • Page 93
    TABLE No. 92.
    Day of Disease on Admission.Admissions.Deaths.Case Mortality.
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    Table No. 93.
    Chief Complications of Scarlet Fever.Number of Cases.
  • Page 94
    Table No. 94.
    Chief Complications of Diphtheria.Number of Cases
  • Page 94
    Table No. 95. Showing Cases wrongly Certified and the Diseases for which they were mistaken.
    Certified as suffering fromDiagnosed as suffering fromTotal.
    Scarlet Fever.Diphtheria.Enteric Fever.
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    Table No. 96. Children under 5 Years admitted during 1920 (excluding Epidemic Diarrhoea, Measles, Whooping Cough and Ophthalmia Neonatorum, which are included with Infectious Diseases).
    Condition.Municipal Clinic.Private Medical practitioner.TotalTreatment.Result.Remaining in Hospital, Dec. 31, 1920.
    Operation .GeneralOther.Remedied.Improved.UnchangedDied.
    (i.) (ii.)
  • Page 96
    Table No. 97. Maternity Complications.
    Condition.Number.
  • Page 96
    Table No. 98. Gynaecological Cases.
    Condition.Number.
  • Page 97
    Table No. 99. Diseases of Adults.
    Condition.Number.Recovered.Unchanged.Died.
  • Page 98
    Table No. 100. Anesthetics Administered for Operations during 1920.
    General Surgical Cases.Number.General Surgical Cases.Number.
    Operation.Operation.
  • Page 101
    Table I. VITAL STATISTICS OF WHOLE DISTRICT DURING 1920 AND PREVIOUS YEARS ; VITAL STATISTICS OF THE WARDS DURING 1920.
    Year.Population estimated to Middle of each Year. Whole District.Births.Total Deaths Registered in the District.Transferable Deaths.Nett Deaths belonging to the District.
    Uncorrected Number.Nett.Number.Rate.of nonresidents registered in the District.of residents not registered in the District.Under 1 Year of Age.At all Ages.
    Number.Rate.Number.Rate per 1,000 Nett Births.Number.Rate.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)
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    WARDS.
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    T ABLE 11.—DEATHS OF WILLESDEN RESIDENTS DURING THE YEAR 1920.
    CAUSE OF DEATH.All Ages.0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 to 7575 to 8585 Up.Total deaths, whether of "Residents" or "Non-Residents," in Institutions in the District
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
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    Continued from previous page...
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    T able II.—DEATHS OF WILLESDEN RESIDENTS—continued.
    CAUSE OF DEATH.All Ages.0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 to 7575 to 8585 Up.Total deaths, whether of "Residents" or "Ncm-Residents," in Institutions in the District.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 105
    Continued from previous page...
  • Page 106
    Table II.—DEATHS OF WILLESDEN RESIDENTS—continued.
    CAUSE OF DEATH.All Ages.0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 to 7575 to 8585 Up.Total deaths whether of "Residents" or "Non-Residents," in Institutions in the District.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
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    Continued from previous page...
  • Page 108
    Table II.—DEATHS' OF WILLESDEN RESIDENTS—continued.
    CAUSE OF DEATH.All Ages.0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 to 7575 to 8585 Up.Total deaths whether of "Residents " or "Non-Resi dents," in Institutions in the District.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 109
    Continued from previous page...
  • Page 110
    Table III.—INFANT MORTALITY DURING 1920. Nett Deaths from Stated Causes at Various Ages under 1 Year of Age. Nett Deaths from all Causes under one year of age classified in Wardt-
    Cause of Death.Under 1 week.1-2 Weeks.2-3 Weeks.3-4 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.South Kilburn.Mid-Kilburn.WARDS.
    North Kilburn.Brondesbury Park.Kensal Rise.Harlesden.Stone bridge.RoundwoodChurch End.Willesden Green.Cricklewood.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)
  • Page 111
    T ABLE IV —CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1920.
    Notifiable Disease.Number of Cases Notified.Total Cases Notified in each Ward.
    At all ages.At Ages—Years.South Kilburn.Mid-Kilburn.North Kilburn.Brondesbury Park.Kensal Rise.Harlesden.Stonebridge.Round wood.Church End.Willesden Green,Cricklewood.Total Cases removed to Hospital.
    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.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)
  • Page 113
    APPENDIX C.
    To the Health Committee.MUNICIPAL CLINICS Attendances.1st March, 1920.
    During first 8 weeks of year.Total No. of Attendances at Clinics.Total No. of Births in Willesden.
  • Page 114
    table shows the percentage of these cases attending the Clinics at the 24th January, 1920, and the variations in percentage of Maternity and Child Welfare cases having regard to the accessibility of the Clinics.
    Maternity and Child Welfare.School Children
    Average % of cases attending Clinics.% of cases attending Clinics from neighbourhood.% of cases attending Clinics from most distant area.Average % of cases attending Clinics.
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    MUNICIPAL HOSPITAL.
    During January and February of Year.Total No. of Cases Admitted.Total No. of Confinements,Total No. of Operations.No. of Major Operations.
  • Page 115
    Economic Circumstance Scale. The present Economic Scale of the Health Committee is as follows :—
    No. in Family.If income per head per week is not above the undermentioned amounts.
    Free.Pay ¼ Cost.Pay ¾ Cost.Pay ¾ Cost.
  • Page 115
    April, 1919.
    s.d.
  • Page 115
    April, 1920.
    s.d.
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    On the basis that 10s. 5d. is the minimum amount on which the average unit of a familv, taken as a child of ten years of age, can be maintained in physiological health, then the scale in operation for free benefits should be :—
    No. in familyNet income per head of the family per week.
  • Page 116
    When the value of meals or dried milk is added to this scale, the total amount allowed per head of the family approximates the 10s. 5d. required as shewn in the following table :
    No. in familyProbable No. fedEconomic circumstances per head per week as per suggested scaleTotal.Relief from meals per week @ 4d. per meal per dayTotal including relief from mealsTotal economic circumstances per head per week.
    1234567
  • Page 116
    The part-payment scale came into operation on the 13th February, 1920. The following statement shows the relative costs for milk for about 12 weeks prior to the part-payment scale and for about 12 weeks subsequent to the operation of this scale :—
    12 weeks ended 24/1/20.12 weeks ended 17/4/20. (Part-payment System)
  • Page 117
    If the non part-payment scale above mentioned is adopted by the Committee the result will be that the estimated cost of milk would be as follows, in view of the above figures :—
    12 weeks.Estimated expenditure 52 weeks.Estimated expenditure as provided in estimates, 1920-21.
    (1)(2)(3)(4)
  • Page 118
    The following Tables show how the work of cleanliness inspection has been carried out this year.
    4 weeks ended.No. of Districts in which no School Cleanliness Inspections were undertaken.No. of Districts in which systematic Inspections were undertaken.No. of Sessions.No. of Districts in which Inspection of children specially referred by H.T. to Health Visitor at School was undertaken.
  • Page 118
    In 5 districts no systematic cleanliness inspections have yet been undertaken this year.
    Systematic Cleanliness Inspections.Inspection of Children by Special request of H.T. when H.V. at the School.
  • Page 119
    Health Visits—Time Required. The average time required per case to deal with it properly is as follows
    Case.1st Visit, minutes.Re-visit, minutes.
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    1919.
    No. of whole working days for each Nurse.No. of whole working days lost by all Nurses.Total days lost by all Nurses.
    Clinic 1.Clinic 2.
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    Staff Required when Hospital Fully Occupied.
    On the basis of the existing hours of duty.On the basis of 48 hours duty per week.
    Day.Night.Total.Day.Night.Total.
  • Page 136
    ESTIMATED ANNUAL CHARGES. Expenditure.
    £
  • Page 136
    Income.
    £
  • Page 137
    Wages.—As instructed, I beg to submit herewith a statement of the wages now payable to the Staff and the increase which would appear to be necessary to secure candidates:—
    Maximum No. Employed.Present Remuneration per annum. Salary.
    Nursing Staff.£
  • Page 138
    Additional Estimated Costs:—
    (i.) Initial£s.d
  • Page 139
    Additional Estimated Costs:—
    (i.)Initial.£s.d.
  • Page 139
    Additional Estimated Costs:—
    (i.)Initial.£s.d.
  • Page 139
    Additional Estimated Costs:—
    (i.) Initial.£s.d.
  • Page 139
    Additional Estimated Costs:—
    (i.)Initial.£s.d.
  • Page 140
    6. Summary of Additional Estimated Costs.
    Initial.Annual.
    £s.d.£s.d.
  • Page 141
    Miles Run during year ending 31st March.
    1914.1915.1916.1917.1918.1919.1920.Total.
  • Page 142
    The following table shews the number of miles run by each vehicle during the six complete financial years from April 1st, 1914 to March 31st, 1920, and since delivery to the latter date.
    Car No.Delivery to 31/3/14.1/4/14 to 31/3/15.1/4/15 to 31/3/16.1/4/16 to 31/3/17.1/4/17 to 31/3/18.1/4/18 to 31/3/.19.1/4/19 to 31/3/20Miles run sincedelivery to 31/3/20.
  • Page 142
    The following table shews the number of calls for the Disinfecting Van, Infectious Ambulance, and Accident Ambulance respectively during the six complete financial years April 1st, 1914 to March 31st, 1920, and since delivery to the latter date.
    Delivery to 31/3/14.1/4/14 to 31/3/15.1/4/15 to 31/3/16.1/4/16 to 31/3/17.1/4/17 to 31/3/18.1/4/18 to 31/3/19.1/4/19 to 31/3/20.Total.
  • Page 142
    Petrol Consumption and Cost Per Mile. The following is a statement of mileage petrol consumption, and cost per mile for the six complete years ended March 31st, 1920:—
    Year ending 31st March.
    1915.1916.1917.1918.1919.1920.
  • Page 143
    WILLESDEN URBAN DISTRICT COUNCIL—ACCOUNTANT'S DEPARTMENT. October, 1920 MOTOR SERVICES. Year Ended 31st March, 1920
    Expenditure.Cost per mile
    Running Expenses:-£s.d.£s.d.d.
  • Page 144
    APPENDIX M. To the Health Committee. 5th October, 1920. Contemplated Capital Expenditure prior to 31st March, 1922, and in the Years Immediately Following.
    Year.Works.Reasons and Other Particulars.Estimated Capital Expenditure.Approximate Allocation.
    Maternity and Child Welfare.School Medical Service.Hospital.Motor Service.
    £££££
  • Page 145
    Continued from previous page...
    Year.Works.Reasons and Other Particulars.Estimated Capital Expenditure.Approximate Allocation.
    Maternity and Child Welfare.School Medical Service.Hospital.Motor Service.
    £££££
  • Page 146
    Continued from previous page...
    Year.Works.Reasons and Other Particulars.Estimated Capital Expenditure,Approximate Allocation.
    Maternity and Child Welfare.School Medical Service.Hospital.Motor Service.
    £££££
  • Page 150
    The admissions to the Municipal Hospital since 1904, when the Hospital was extended, have been as follows:—
    Year.Total Admissions.
  • Page 150
    On Monday midnight th 15th November, the beds at the Hospital were occupied as follows:-
  • Page 152
    APPENDIX P. To the Health Committee. 20th January, 1921. Amount Per Week Expended on Milk, and Dried Milk Free or at Reduced Rates by Willesden and Neighbouring Local Authorities.
    Population, 1919.Births, 1919.Approximate net cost per week to the Authority.> Approximate net cost in pence to the Authority per week per birth.
    Original Return, (November, 1920).Amended Return. (December, 1920).Original Return, (November, 1920).Amended Return. (December, 1920).
    Cost. £Relative position as spending Authority.Cost. £Relative position. as spending Authority.Cost in pence. d.Relative position.Cost in pence. d.Relative position.
  • Page 153
    Summary of expenditure during the 12 months ended 31st March.
    1916.1917.1918.1919.1920.
    £s.d.£s.d.£s.d.£s.d.£s.d.
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    Continued from previous page...
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    II.—School Medical Service. Summary of payments made and amounts received during the year ended 31st March.
    1915.1916.1917.1918.1919.1920.
    1. Salaries—£s.d.£s.d.£s.d.£s.d.£s.d.£s.d.
  • Page 155
    III. Provision of Meals (Board of Education). Summary of payments actually made and sums actually received within the year ended 31st March.
    1916.1917.1918.1919.1920.
    1.Payments—£s.d.£s.d.£s.d.£s.d.£s.d.