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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 1937

[Report of the Medical Officer of Health for Willesden]

Published
1938
Pages
152
Tables
143

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143 tables in this report

  • Page 6
    T able N o. 1.
    19241925192619271928192919301931193219331934193519361937
  • Page 7
    Table No . 2.
    Number of Cases notified.
    19361937
  • Page 9
    Table No. 3.
    Year.No. of Confinement Cases Booked.
  • Page 9
    Table No . 4.—A pplications for Booking Refused.
  • Page 9
    The following Table shows the fees at which the 1,069 cases were booked Table No . 5.
    Fee.No. of Cases.Fee.No. of Cases.
  • Page 11
    Table No . 6.
    Age Period.18 months.2 years.3 years.4 years.Total.Percentage.
  • Page 12
    Percentage of Nitty and Verminous individual children recorded upon routine cleanliness inspection at the Schools from year to year since 1914:—
  • Page 15
    I am indebted to the Manager of the Willesden Employment Exchange for the following information regarding unemployment. Unemployed.—
    Men.Women.Total.
  • Page 16
    GENERAL STATISTICS.
  • Page 16
    EXTRACTS FROM VITAL STATISTICS OF THE YEAR.
    Live Births—Total.M.F.Total.
  • Page 16
    Deaths from puerperal causes (Headings 29 and 30 of the Registrar-General's Short List):—
    Deaths.Rates per 1,000 total (Live and Still) Births.
  • Page 16
    Death Rate of Infants under one year of age:—
  • Page 17
    Table No. 7. NOTIFIABLE DISEASES DURING THE YEAR.
    Disease.Total Cases Notified.Cases admitted toTotal Deaths.
    Willesden Municipal Hospital.Other Hospitals.
    (1)(2)(3)(4)
  • Page 17
    Table No. 8. TUBERCULOSIS. New Cases and Mortality during 1937. This table includes primary notifications received from Medical Practitioners, cases not notified but included in the death returns and cases transferred from other areas.
    Age-Periods.New Cases.Deaths.
    Respiratory.Non-Respiratory.Respiratory.Non- Respiratory.
    M.F.M.F.M.F.M.F.
  • Page 21
    Sanitary Inspection of the Area. Tabular summary of the work of the Sanitary Department during the year and action taken under the Public Health Acts, Housing Acts, etc. Inspections:
  • Page 22
    Continued from previous page...
  • Page 27
    Table No. 11.
    In 1920.1925.1937.
  • Page 27
    Table No . 12. The following Table shows the number of carcases inspected and the number of condemnations:—
    Cattle, excluding cows.Cows.Calves.Sheep and lambs.Pigs.
  • Page 28
    Table No. 13. List of Samples taken during the Year ended 31st December, 1937.
    Article.Taken.Adulterated.
  • Page 28
    Table No. 14. Factories, Workshops, Laundries and Workplaces. Inspection.—Including Inspections made by Sanitary Inspectors.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
    (1)(2)(3)(4)
  • Page 29
    Table No. 15.—Defects Found.
    Particulars.Number of Defects.
    Found.Remedied.Referred to H.M. Inspector.Number of Prosecutions.
    (1)(2)(3)(4)(5)
  • Page 29
    Table No. 16.—Registered Factories, Workshops and Outworkers.
    On the Register (s. 131) at the end of the year.Number.
    (1)(2)
  • Page 29
    Table No. 17.—Other Matters.
    Class.Number.
    (1)(2)
  • Page 30
    Return of Medical Inspections for the year ended 31st December, 1937:— A.—Routine Medical Inspections.
    Number of Inspections in the prescribed Groups —
  • Page 30
    C.—Children Found to Require Treatment. Number of individual children Found at Routine Medical Inspection to Require Treatment (excluding Defects of Nutrition, Uncleanliness and Dental Diseases).
    Group.For defective Vision (excluding squint).For all other conditions recorded in Table IIA.Total.*
    (1)(2)(3)(4)
  • Page 31
    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 treatmentRequiring 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 32
    B.—Classification of the Nutrition of Children Inspected during the Year in the Routine Age-Groups. [See Administrative Memorandum No. 124, dated 31st December, 1934.)
    Age-groups.Number of Children Inspected.A (Excellent).B (Normal).C (Slightly subnormal).D (Bad).
    No.%No.%No.%No.%
  • Page 32
    Treatment Tables. 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.Otherwise.Total.
    (1)(2)(3)(4)
  • Page 33
    Group II.—Defective Vision and Squint (excluding Minor Eye Defects Treated as Minor Ailments—Group I). TABLE A.
    Number of Defects Dealt with
    Under the Authority's Scheme.Otherwise.Total.
    (1)(2)(3)(4)
  • Page 33
    TABLE B. The following table shows the cases dealt with during the year whether they were submitted to refraction or not and includes new cases, cases seen for purposes of re-examination, and also cases (whether seen by the oculist or not) receiving attention on account of lost or broken spectacles.
    Defect or Disease.Number of Defects Dealt with
    Under the Authority's Scheme.Otherwise.Total.
    (1)(2)(3)(4)
  • Page 33
    Group III.—Treatment of Defects of Nose and Throat.
    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.
    (1)(2)(3)(4)(5)
  • Page 35
    Table No. 21. Return showing No. of School Cases referred for following-up in 1937 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 Health Department.Head Teachers.Attendance Officers.Others.
  • Page 36
    Table No. 22.—In this Table is embodied the information required in Notes (c), Table IV. of the Board of Education's Medical Statistical Tables. Return showing the nature and number of all medical defects referred for following up, whether referred from Routine Medical Inspection, Medical Inspection of "Specials," or from other Sources .these latter never having been inspected by the Education Committee's Medical Officers; and the extent to which remedial measures were carried out during 1937.
    CONDITIONS.No. of defects followed up.No. of defects for which no report is available.No. of defects not needing treatment.No. of defects treated.Results of Treatment.Percentage of - defects needing treatment treatedNo. of defects not treated.No. of defects under observation at end of year, and carried forward to succeeding year.
    Brought forward from previous year.New.Total.School Clinic, Hospital or other Institution under Council Scheme.VoluntaryHospital or other Charitable Institutions.Hospital or Doctor under M.C.C.Private Practitioner.Total.Domestic Treatment only.Grand Total.Remedied.Improved.UnchangedUnder observation atend of year(result of treatment not known).Excluding Domestic Treatment.Including Domestic Treatment.Removed from observation.Remaimn, under observation.Total.
    l234567891011131314151617181920212223
  • Page 37
    Table No. 23. Medical and Dental Treatment—Attendances at Health Centres, 1937.
    Condition.Mothers, and Children under Five.School Children.Grand Total (Cols. 7 and 8).
    Expectant Mothers.Nursing Mothers.Children under Five.Total (Cols. 2—5).
    0—1.1—5.Total (Cols. 4 and 5)
    (1)(2)(3)(4)(5)(6)(7)(8)(9)
  • Page 38
    Showing attendances at the Municipal Centres each year since 1913.
    Year.Mothers and Children under 5 years.School Children.Total.School for Mothers.Nursery.Miscellaneous.Grand Total.
    Medical.Dental.Total.Medical.Dental.Total.
  • Page 38
    Table No . 25.
  • Page 39
    Table No. 26. School Children under Treatment in Hospital during 1937.
    Condition.Brought forward.Admitted during Year.Total under treatment.Treatment Completed.Remaining in Hospital at end of Year.
    Forms of Treatment.Results of Treatment.
    Operative.General.Remedied.Improved or Unchanged.Died.
  • Page 39
    B.— CHILDREN UNDER 5 YEARS OF AGE. Table No. 27.
    Willesden Municipal Hospital.Children's Hospital, Cold Ash.Noel Convalescent Home, Letchworth.Total.
  • Page 39
    Table No. 28. Children under 5 Years under Treatment in Hospital during 1937.
    Condition.Brought forward.Admitted during Year.Total under Treatment.Treatment Completed.Remaining in Hospital at end of Year.
    Forms of Treatment.Results of Treatment.
    Operative.General.Remedied.Improved or Unchanged.Died.
  • Page 39
    IV.—EMPLOYMENT OF CHILDREN IN ENTERTAINMENTS RULES, 1933. Particulars as to applications received in 1937 for certificates from the School Medical Officer.
    No. of Applications.No. Granted.
    Boys.Girls.Total.Boys.Girls.Total
  • Page 41
    Table No . 29.
    Defects.Found to require treatment.Requiring to be kept under observation but not requiring treatment.
  • Page 42
    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 are not included in this Table.
  • Page 44
    The actual combination of defects is stated in the table below, together with the type of School attended.
    Combination of Defect.At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 45
    Analysis of the above Total.
    Diagnosis.Boys.Girls.
  • Page 45
    Table No . 32. Number of children attending certified Special (Day and Residential) Schools during 1937:—
    Special Schools in Willesden.Special Schools outside Willesden.Total.
  • Page 46
    Table No. 33. SPECIAL SCHOOLS. Medical defects referred for following up at Routine Medical Inspection. Cases seen by School Medical Officers at other than Routine Medical Inspections. Cases not seen by School Medical Officers.
    CONDITIONS.No. of defects followed up.No. of defects for which no report is available.No. of defects not needing treatment.No. of defects treated.Results of Treatment.Percentage of defects needing treatment treated.No. of defects not treated.No. of defects under observation at end of year, and carried forward to succeeding year.
    Remedied.Improved.Unchanged.Under observation at end of year(result of treatment not known).
    Brought forward from previousNew.Total.School Clinic, Hospital or other Institutions under Council Scheme.VoluntaryHos pitals or other Charita ble InstitutionsHospital or Doctor under m..C.C.Private Practitioner.Total.Domestic Treatment only.Grand Total.Excluding Domestic Treatment.Including Domestic Treatment.Removed from observation.Remaining under observation.Total.
    1234567891011121314151617181920212223
  • Page 47
    Table No. 34. —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 under 21 Years of Age Formerly Attending Special Schools.
    Oldfield Road Physically Defective School.Leinster Mentally Defective School.
    Boys.Girls.Boys.Girls.
  • Page 48
    During the year, 218 children were examined and the following table shows the numbers and percentages of defects found :— Table No . 35.
    Age Period.2 years.3 years.4 years.5 years.Total.Percentage.
  • Page 49
    A.—Routine Medical Inspections. Number of Inspections in the prescribed Groups.*
    Pupils examined. Aged.Secondary Schools.Junior Technical, etc., Schools.Total.
    Boys.Girls.Total.Boys.Girls.Total.Boys.Girls.Total.
  • Page 49
    B.—Other Inspections.
    Secondary Schools.Junior Technical, etc., Schools.Total.
    Boys.Girls.Total.Boys.Girls.Total.Boys.Girls.Total.
  • Page 50
    Table No. 37.— Corresponding to Table II. of the Board of Education's Medical Statistical Tables. A.— Return of Defects Found by Medical Inspection in the Year Ended 31st December, 1937.
    Defect or Disease. (1)Routine Inspections.Special Inspections.
    Number of Defects.Number of Defects.
    Requiring treatment. (2)Requiring to be kept under observation, but not requiring treatment. (3)Requiring treatment. (4)Requiring to be kept under observation, but not requiring treatment. (5)
    Secondary Schools.Junior Technical, etc., Schools.Total.Secondary Schools.Junior Technical, etc., Schools.Total.Secondary Schools.Junior Technical, etc., Schools.Total.Secondary Schools.Junior Technical, etc., Schools.Total.
  • Page 51
    B.—Classification of the Nutrition of Pupils Inspected during the Year in the Routine Age Groups.
    School.Age-Groups.Number of Pupils Inspected.A (Excellent).B (Normal).C (Slightly Sub-normal).D (Bad).
    No.%No.%No.%No.%
  • Page 51
    C.—Pupils Found to Require Treatment. Number of Individual Pupils Found at Routine Medical Inspection to Require Treatment (Excluding Defects of Nutrition, Uncleanliness and Dental Diseases).
    Group.No. of pupilsPercentage of Pupils found to require treatment.
    Inspected.Found to require treatment.
  • Page 52
    No. of Defects Dealt with.
    Secondary Schools.Junior Technical, etc., Schools.Total.
    Under the Authority's Scheme.Otherwise.Total.Under the Authority's Scheme.Otherwise.Total.Under the Authority's Scheme.Otherwise.Total.
  • Page 53
    Table No . 39.
    Defect.Secondary schools.Junior Technical etc., schools.Result.
  • Page 55
    Table No . 40. Comparative Table of Work done for Years 1935, 1936 and 1937.
    1935.1936.1937.
  • Page 55
    T able NO. 41. Comparative Table of Work per Session.
    Year.Attendances.Fillings.Extractions.Sundries.Total operations per Session.
  • Page 56
    Table No. 42.
    Attendances.Fillings.Extractions.Sundries.Total operations.
  • Page 56
    Dental Inspection and Treatment. 1. Number of children who were inspected by the Dentist.
    Aged :Children attending Public Elementary Schools.Children attending Special Schools.Children attending Nursery Schools.
  • Page 57
    Table No. 44. Return showing the number of Dental Defects referred for following-up, and the extent to which remedial measures were carried out during 1937 at Health Visitor's last visit.
  • Page 57
    Table No. 45. 1. Number of pupils who were inspected by the Dentist—
    Willesden Junior Technical, etc., Schools.Willesden Secondary Schools.Total.
  • Page 58
    Continued from previous page...
    Willesden Junior Technical, etc., Schools.Willesden Secondary Schools.Total.
  • Page 58
    Expectant and Nursing Mothers and Children under Five. Table No . 46.
    E.M.N.M.0-5Total.
  • Page 58
    Number of Patients who received Dentures during 1937. Table No. 47.
    At cost to Council.At cost to Applicant.At part cost to Applicant.Total.
  • Page 60
    Table No . 48.—No. of Meals supplied.
    Supplied to:—Breakfasts.Dinners.Total.
    Free.Free.Paying.
  • Page 60
    Table No . 49.—O ccupation List , 1937.
    Occupation.No. of Children Fed during 1937.No. of Families Involved.Percentage.
    1936.1937.1936.1937.
  • Page 61
    Table No. 50. Number of Midwives who gave notice of their Intention to practise in Willesden in 1936 and 1937 respectively.
    19361937
  • Page 61
    Table No . 51. Number of Cases attended by Midwives practising and living in Willesden during 1937.
    Private District Midwives.No. of Cases attended Total.Remarks.
    As Midwife.As Maternity Nurse.
  • Page 62
    Table No. 51 (Contd.)
    Private District Midwives.No. of Cases attended Total.Remarks.
    As Midwife.As Maternity Nurse.
  • Page 62
    Table No. 52. Number of Cases attended by Midwives practising in but living outside Willesden during 1937.
    Private District Midwives.No. of Cases attended in Willesden. Total.
    As Midwife.As Maternity Nurse.
  • Page 62
    Table No. 53. Notifications received from Midwives in accordance with the Rules of the Central Midwives Board, 1st January to 31st December, 1937.
    From Midwives living and practising in Willesden.From Midwives practising in Willesden but living outside.
  • Page 63
    Table No. 54. Reasons for Sending for Medical Help.
    For Mother.Medical Help sought by Midwives.For Child.Medical Help sought by Midwives.
    Living in Willesden.Living outside Willesden.Living in Willesden.Living outside Willesden.
  • Page 63
    Table No. 55. Fees Paid to Medical Practitioners under Section 14 of the Midwives Act, 1918. 1st Tanuary to 31st December, 1937.
  • Page 64
    Table No. 56. Cases in which the Council paid or contributed to the fee of a Midwife during 1937.
    No. of cases.Fees paid by Council.
  • Page 64
    Table No. 57. The following information was sent to the Ministry of Health on Form M.C.W. 96 (revised) :—
    Domiciliary Midwives.Midwives in Institutions.Totals.
  • Page 65
    Table No. 58.
    Expecting Confinement in :—Municipal Midwives (Acting as Midwives).Queen Charlotte's Hospital District Home (Acting as Midwives).Willesden District Nursing Association (Acting as Maternity-Nurses).Total.
    BookedCancelledNet BookingsBookedCancelledNet BookingsBookedCancelledNet BookingsBookedCancelledNet Bookings
  • Page 66
    PUBLIC HEALTH ACT, 1936. SECTIONS 187 TO 195. Table No. 59. Maternity and Nursing Homes, 1st January, 1937, to 31st December, 1937. (1) Number of applications for registration :—
  • Page 68
    Table No . 60. Foster Mothers.
  • Page 68
    Table No . 61. The 203 Foster Children under observation at 31st December, 1937, were maintained in the care of Foster Mothers as follows :—
  • Page 69
    Table No. 62. The following Table shows the length of time each of the 203 Foster Children under observation at 31st December, 1937, had been in the care of their Foster Mothers.
  • Page 70
    Table No. 63. Showing sources from which cases were referred for Home Nursing during the Year 1937.
    Referred byNumber.
  • Page 70
    Table No . 64. Showing cases Home Nursed in Wards during 1937.
    Ward.No. of Cases brought forward from 1936.No. of Cases referred in 1937.Total.No. of Visits paid.
  • Page 71
    Table No. 65—Showing Cases Dealt with during 1937 and Results.
    Disease.Cases being nursed at end of 1936.New Cases during 1937.Removed from Observation during 1937—Results of Treatment.Still being Nursed at end of 1937.Number of Visits Paid during 1937.
    Died.Removed to Hospital or other Institution.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.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.
  • Page 72
    Mixed Infections.
  • Page 72
    Puerperal Fever and Puerperal Pyrexia. The 16 Puerperal cases which were admitted to Hospital were diagnosed as follows:—
  • Page 73
    Other Diseases.
  • Page 73
    These cases may be classified as follows:—
  • Page 73
    The following table shows the number of cases dealt with:—
  • Page 74
    The average length of detention of scarlet fever patients is the lowest recorded, certain of the mildest cases being discharged from Hospital on the 25th day of the disease.
  • Page 74
    Diphtheria.
  • Page 74
    Table No. 66.
  • Page 74
    (2) Willesden Residents. This clinic was made available for Willesden residents in May 1927.
    Year.Number attending for Schick Test.Number attending for Immunisation.
  • Page 75
    Further particulars regarding this year's attendances are as follows :—-
  • Page 75
    Table No. 67.
    Diseases.No. in Hospital on 1-1-37Admitted.Total under treatment.Discharged recovered.Died.Mortality. per cent.Remaining on 31-12-37
  • Page 76
    Table No. 68.
    Name of Authority.No. of Cases.Disease.No. of Cases.
  • Page 76
    Table No. 69. The following table shows the number of cases admitted from outside Authorities from 1933 to 1937 inclusive, and the amount of income derived from the maintenance of these patients :—
    Year.No. of patients.Amount of Income.
    £s.d.
  • Page 77
    Table No. 70.
    Nature of Examination.Positive result.Negative result.Total.
  • Page 77
    Table No. 71.
    Sources of Specimens Examined 1937.Total.
  • Page 77
    Annual Number of Specimens.
  • Page 79
    Statistical Details— (continued).
  • Page 80
    During the year 1936-37 the following vehicles were in use :— Table No. 72.
    No.Registration No.Tax.Make.Year of Purchase.Work required forTotal miles run with vehicles.Purchase Price.
    ££
  • Page 80
    Table No. 73. The following gives the miles run by each vehicle in service during the year under review:—
  • Page 81
    Table No. 74. Total Number of Miles Run. The following table shows the number of miles run year by year since the inception of the service:—
    Total Miles Run.
  • Page 81
    Table No. 75. Calls. The following table shows the number of calls for the Disinfection Van and Ambulances :—
    1913 to 31/3/321/4/32 to 31/3/331/4/33 to 31/3/341/4/34 to 31/3/351/4/35 to 31/3/361/4/36 to 31/3/37Grand Total 1913-1937
  • Page 81
    Table No. 76. The following gives details of the miles run during the year ended 31st March, 1937:—
  • Page 81
    Table No. 77. Miles per Gallon and Cost per Mile Run.
    Total Number of miles run by all vehicles.Total Number of gallons of petrol consumed.Number of miles per gallon of petrol consumed.Cost in pence per mile run.
  • Page 83
    MOTOR SERVICES. Year ended 31st March, 1937. EXPENDITURE.
    Year 1935-36.Cost per mile.Year 1936-37.Cost per mile.
    £s.d.£s.d.d.£s.d.£s.d.d.
  • Page 83
    DEPRECIATION AND INTEREST CHARGES.
  • Page 84
    APPENDIX A.— T ABLE I. VITAL STATISTICS OF WHOLE DISTRICT DURING 1937 AND PREVIOUS YEARS; VITAL STATISTICS OF THE WARDS DURING 1937.
    Year.Population estimated to Middle of each Year. Whole District.Births.Total Deaths Registered in the District.Transferable DeathsNett Deaths belonging to the District.
    Uncorrected Number.Nett.Number.Rate per 1,000 population .of non-residents registered in the District.of residents not registered in the District.Under 1 Year of Age.At all Ages.
    Number.Rate per 1,000 population.Number.Rate per 1,000 Nett Births.Number.Rate per 1,000 popution.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)
  • Page 84
    Continued from previous page...
  • Page 85
    Appendix A.—Table II.—DEATHS OF WILLESDEN RESIDENTS DURING THE YEAR 1937.
    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)(?)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 86
    Continued from previous page...
  • Page 87
    Appendix A.—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 UpTotal 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 88
    Continued from previous page...
  • Page 89
    Appendix A.—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)(V(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 90
    Continued from previous page...
  • Page 91
    Appendix A.—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.
  • Page 92
    Appendix A. —T able II ( a). CAUSES OF DEATH IN BOROUGH OF WILLESDEN AS CIRCULATED BY REGISTRAR-GENERAL.—1937.
    Causes of Death.M.F.
    All Causes1,0041,000
  • Page 93
    APPENDIX A. TABLE III.—INFANT MORTALITY DURING 1937.
    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 1 Year.Wards.
    Carlton.Kilburn.Brondesbury Park.Kensal Rise.Manor.Harlesden.Stonebridge.Roundwood.Church End.Willesden Green.Mapesbury.Neasden.Cricklewood.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)
  • Page 94
    APPENDIX A—Table IV.—CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1937.
    Notifiable Disease.Number of Cases Notified.Total Cases Notified in each Ward.
    At all Ages.At ages—Years.Carlton.Kilburn.Brondesbury Park.Kensal Rise.Manor.Harlesden.Stonebridge.Round wood.Church End.Willesden Green.Mapesbury.Neasden.Cricklewood.Total Cases removed to Willesden Municipal Hospital.
    Under 1.1 and under 2.2 and under 3.3 and under 4.4 and under 5.5 and under 10.10 and under 15.15 and under 20.20 and under 35.35 and under 45.45 and under 65.65 and over.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)
  • Page 98
    The figures for the year are as follows :— Table I.
    Total Attendances.Number of Sessions.Average Number of Attendances per Session.
  • Page 98
    Refraction Cases. Table II.
    Appts. made.Average per S ession.Appts. kept.Average per Session.Percentage Attendances.
  • Page 98
    Table III. Diseases of the Eyelids, Conjunctiva and Lachrymal Apparatus.
    Disease.1934No. of cases.
    193519361937
  • Page 99
    Continued from previous page...
    Type of Squint.Concomitant Squint.No. of cases.
    1934193519361937
  • Page 101
    ORTHOPEDIC DEPARTMENT.—REPORT FOR YEAR 1937.
    Defects Treated.Brought Forward.New.Total.Treatments completed.Treatments ceasing before Completion.Carried forward.
    0-11-55-14N.M.0-11-55-14N.M.0-11-55-14N.M.Total.0-11-55-14N.M.Total.0-11-55-14N.M.Total.0-11-55-14N.M.Total.
  • Page 101
    ORTHOPEDIC DEPARTMENT.—REPORT FOR YEAR 1937.
  • Page 102
    The number of cases referred for operation on tonsils and adenoids is 946. The total number of operations carried out at the Hospital is 618.
    Centre 1Centre 2Centre 3.Total.
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    Municipal Hospital—Ear, Nose and Throat Cases Admitted during 1937.
    For :Boys.Girls.T otal.
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    8.—The following table gives particulars of midwifery in Willesden.—
    Year.Births notified by District Midwives.Births notified by Doctors.Births in Institutions.Total Births notified.
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    11 .—Present System of District Midwifery. —During the past five years the estimated number of 600 cases of district midwifery in Willesden has been dealt with as under :—
    1931.1932.1933.1934.1935.
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    18.— Estimated Costs of Midwifery Arrangements. —It is estimated that the cost to carry out the Act on the foregoing lines will be as follows
  • Page 116
    The following table gives the details regarding the 108 probationer nurses obtained during the six years 1931 to 1936:—
    Year.No. who commenced duties.No. who have left.No. still in Hospital.No. who stayed 2 yrs. or more.No. who passed State Exam.No. who left during probationary period.No. who stayed between 2 mths. & 2 yrs.Percentage who passed State Exam.
  • Page 116
    The following table gives the particulars:—
    L.C.C.M.C.C.Willesden Municipal Hospital.
    Day.Night. All grades.
    Nursing Staff all grades. Day and night.Nursing Staff all grades. Day and night.Sisters.Staff Nurses.Probationer Nurses.
  • Page 117
    In this connection it is necessary to consider the number of staff employed in each grade. The following table shows the proportion of trained to untrained staff at a London County Council Fever Hospital, Manchester Fever Hospital and the Willesden Municipal Hospital:—
    Hospital.Total Nursing Staff.Number of trained Staff.Number of untrained Staff.Percentage of trained to untrained Staff.
    Trained.Untrained.
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    The approximate increase of staff required on the present establishment to institute a 48-hour week is shown as follows:—
    Rank.Number.Hours per week.Total hours per weekExtra Staff required.
    Day.Night.Day.Night.
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    Summary of Additional Estimated Costs.
    1937-38. ££1938-39. ££1939-40. £
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    It will therefore be observed that the estimated costs are as follows:—
    Nurse Living In.Nurse Living Out.
    Estimated value of emoluments per week.Estimated value of emoluments while on duty per week.Average payments made by nurse in respect of living out per week.
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    London County Council.
    Status.Cash Allowance.Valuation for superannuation purposes of meals in hospital (6 days), including cooking and service.
    ££
  • Page 133
    The Extent of the Problem. The following table indicates the trend of midwifery since 1931:— Willesden—Births.
    Year.Domiciliary cases attended by Midwives.Domiciliary cases attended by Doctors.Births in Hospitals and Nursing Homes.Total Births notified.
  • Page 135
    Nursing Staff. The following table shows the present nursing staff at the Hospital on the present basis of hours and the staff required to deal with 2,000 cases per annum on the basis of a 48 hours' week:—
    Present Nursing Staff. (1,000 cases and 56 hours' week.)Cursing Staff required for extended Hospital (2,000 cases and 48 hours' week.)
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    Living in or Living Out .—The following table shows the nursing staff who might live in and those who might live out:—
    Living In.Living Out.
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    Domestic Staff. The following table shows the present domestic staff and the staff required for the extended Hospital:—
    Present Domestic Staff.Domestic Staff required for extended Hospital on basis of a proportion of nurses living out.Domestic Staff required for extended Hospital on basis of all nurses living in.
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    Steward's Department. The following table shows the existing staff and the staff required for the extended Hospital:—
    Existing Staff.Staff required for the Extended Hospital.