London's Pulse: Medical Officer of Health reports 1848-1972
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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 1932
[Report of the Medical Officer of Health for Willesden]
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Fifty such reports have been supplied to the Middlesex County Council during the first 3
months of 1933.
Hospital Treatment of Children under 5 Years of Age.—The following table gives
particulars of the children under treatment at the Willesden General Hospital and St. Monica's Home
Hospital under the Council's scheme during 1932:—
Table No . 4.
| — | Willesden General Hospital. | St. Monica's Home Hospital. | Total. |
|---|---|---|---|
| No. of Children in Hospital at 31st December, 1931 | 5 | 7 | 12 |
| No. of Children admitted during 1932 | 172 | 13 | 185 |
| Total No. of Children under treatment during 1932 | 177 | 20 | 197 |
| No. of Children discharged during 1932 | 175 | 14 | 189 |
| No. of Children died in Hospital during 1932 | 2 | 3 | 5 |
| Mortality % | 1.13 | 15.0 | 2.53 |
| No. of Children remaining in Hospital at 31st Dec., 1932 | 0 | 3 | 3 |
The following table gives particulars of the conditions for which children were treated during
1932, the treatment carried out and the results of such treatment:—
Table No . 5.—Children under 5 Years under Treatment in Hospital during 1932.
| Condition. | Brought forward. | Admitted during Year. | Total under Treatment. | Treatment Completed. | In Hospital at end of Year. | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Forms of Treatment. | Results of Treatment. | ||||||||||
| Operative. | General. | Other Forms. | Remedied. | Improved. | Unchanged | Died. | |||||
| Marasmus. | 8 | 24 | 32 | — | 29 | — | 6 | 16 | 2 | 5 | 3 |
| Enlarged Tonsils and Adenoids | 4 | 161 | 165 | 165 | — | — | 165 | — | — | — | — |
| Total | 12 | 185 | 197 | 165 | 29 | — | 171 | 16 | 2 | 5 | 3 |
Puerperal Fever.—During 1932, 8 cases of Puerperal Fever were notified as against 14 in
1931, 5 in 1930, 6 in 1929, 6 in 1928, and 5 in 1927. This gives a case rate of 2.9 per 1,000 registered
live births, as against 4.9 in 1931, 1.7 in 1930, 2.21 in 1929, 2.25 in 1928, 1.95 in 1927.
The figure for 1932 is 2-8 per 1,000 registered total births.
Of these 8 notified cases 2 proved fatal. One of these fatal cases was not a Willesden Resident
and the death was therefore not allocated to Willesden. The 5 other deaths appearing in the death
table under puerperal sepsis were those of a case notified as puerperal pyrexia and 4 cases which had
not been notified.
Taking the 2 deaths occurring amongst the 8 cases of puerperal fever notified in Willesden,
this gives a case mortality of 25 per cent. as against 14.3 per cent. in 1931, 20 per cent. in 1930, 50
in 1929, 33.4 in 1928 and 60 in 1927.
The maternal mortality from sepsis was 2.2 per 1,000 registered live births or 2.1 per 1,000
registered total births.
The maternal mortality from all causes was 4.0 per 1,000 registered live births or 3.8 per
1,000 registered total births.
In 3 of the notified cases a private doctor was in attendance at the confinement at home.
1 of these confinements was instrumental. In 1 case a midwife attended the confinement at home.
These 4 patients recovered. The other 4 cases were cases of miscarriage at home. Two of these
patients recovered and two died.