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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 1938

[Report of the Medical Officer of Health for Willesden]

Published
1939
Pages
152
Tables
138

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138 tables in this report

  • Page 6
    The following table shows the principal causes of deaths of children under one year of age and the infantile mortality year by year up to and including 1938:— Table No. 1.
    19251926192719281929193019311932193319341935193619371938
  • Page 7
    Table No. 2.
    Number of Cases notified.
    19371938
  • Page 9
    Table No. 3.
    Year.No. of Confinement Cases Booked.
  • Page 9
    The following Table shows the fees at which the 1,038 cases were booked:— Table No. 5.
    Fee.No. of Cases.Fee.No. of Cases.
    £s.d.£s.d.
  • Page 10
    Table No. 6.
    Years.Domiciliary Births attended by Midwives.Domiciliary Births attended by Doctors.Births in hospitals and nursing homes.Total Births notified. (Note—Notified not registered.)
  • Page 11
    Table No. 7.
    Age Period.18 months.2 years.3 years.4 years.Total years.Percentage.
  • Page 17
    Table No. 8. NOTIFIABLE DISEASES DURING THE YEAR.
    Disease.Total Cases Notified.Cases admitted to
    Willesden Municipal Hospital.Other Hospitals.Total Deaths.
    (1)(2)(3)(4)
  • Page 17
    Table No. 9. TUBERCULOSIS. New Cases and Mortality during 1938. 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.N on-Respiratory.
    M.F.M.F.M.F.M.F.
  • Page 21
    Samples of water for bacteriologist's examination are taken twice weekly during the season. The following table shows the number of samples so taken during 1938 :—
    Examined at Municipal Laboratory.Examined by Counties Public Health Labs.
  • Page 25
    Table No. 10.
    Year.For working classes.Not for working classes.Total.
    Houses and flats erected by the Council.Houses and flats erected by private enterprise.Houses and flats erected by private enterprise.
  • Page 27
    The number of private slaughter-houses in use in the area at the dates mentioned was:— Table No . 12.
    In 1920.1925.1938.
  • Page 27
    Table No . 13. 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 . 14. List of Samples taken during the Year ended 31st December, 1938.
    Article.Taken.Adulterated.
  • Page 28
    Table No. 15. Factories. Inspections for purposes of provisions as to health made by Sanitary Inspector.
    Premises.Number of
    Inspections.Written Notices.Occupiers Prosecuted.
    (1)(2)(3)(4)
  • Page 29
    Table No. 16.—Defects Found.
    Particulars.Number of Defects.Number of defects in respect of which Prosecutions were instituted.
    Found.Remedied.Referred to H.M. Inspector.
    (1)(2)(3)(4)(5)
  • Page 29
    Table No . 17. Registered Factories. On the register at the end of the year.
  • Page 29
    Table No . 18.
  • Page 29
    Table No. 19.—Other Matters.
    Class.Number.
    (1)(2)
  • Page 30
    Return of Medical Inspections for the year ended 31st December, 1938:— A.—Routine Medical Inspections. Number of Inspections in the prescribed Groups:—
  • Page 30
    B.—O ther Inspections.
  • Page 30
    C.—C hildren 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
    Table No. 21.—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, 1938.
    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 32
    B.— Classification of the Nutrition of Children Inspected during the Year in the Routine Age-Groups. (See Administrative Memorandum No. 124, dated 31 st December, 1934.)
    Age-groups.Number of Children Inspected.A (Excellent).B (Normal).C (Slightly subnormal).D (Bad).
    No.%No.%No.%No.%
  • Page 32
    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.
    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 34
    Group IV.—Orthopedic and Postural Defects.
    Under the Authority's Scheme.Otherwise.
    Residential treatment with education.Residential treatment without education.Nonresidential treatment at an orthopædic clinic.Residential treatment with education.Residential treatment without education.Nonresidential treatment at an orthopaedic clinic.Total* number treated.
    (i)(ii)(iii)(i)(ii)(iii)
  • Page 34
    Table VI.—Uncleanliness and Verminous Conditions.
  • Page 34
    Cases Under Section 87 of the Education Act, 1921. No. of Cases.
    Fined.Amount of Fine.Bound over.Dismissed.Standing adjourned at end of Year.
  • Page 35
    Table No. 23. Return showing No. of School Cases referred for following-up in 1938 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. 24. —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 1938.
    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 oefccts under ob-servar.jvn at end of year, and carried forward to succeeding year.
    Remedied.Improved,Un-. changedUnder observation ,at end of year(result ' of treatment not
    Brought forward from previous year.New.Total.School Clinic, Hospital or other Institution under Council Scheme.Volun-taryHos pital or other Charita ble Insti tutionsHospital Doctor under M.c.c.Private Practitioner.Total.Domestic Treatment only.Grand Total.Excluding Domestic Treatment.Including Domestic Treatment.Removed from observa tion.Re-mainin under observa tion. 21Total.
    1234567891011121314151617181920212223
  • Page 37
    Table No. 25. Medical and Dental Treatment—Attendances at Health Centres, 1938.
    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 37
    Continued from previous page...
    Health Centre (1)Health Centre (2)Health Centre (3)Grand Total.
    Mothers and Children under Five.School ChildrenTotal.Mothers and Children under Five.School ChildrenTotal.Mothers and Children under Five.School ChildrenTotal.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)
  • Page 38
    Table No . 26. 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 . 27.
  • Page 39
    Table No. 28. School Children under Treatment in Hospital during 1938.
    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. 29.
    Willesden Municipal Hospital.Other Hospitals.Total.
  • Page 39
    Table No. 30. Children under 5 Years under Treatment in Hospital during 1938.
    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 1938 for certificates from the School Medical Officer.
    No. of Applications.No. Granted.
    Boys.Girls.Total.Boys.Girls.Total.
  • Page 41
    Table No. 31.
    Defects.Found to require treatment.Requiring to be kept under observation but not requiring treatment.
  • Page 45
    The clinical condition causing the defect is not to be specified. 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
    Table No. 33. Statement of the Number of Children Notified during the Year ended December 31st, 1938, by the Local Education Authority to the Local Mental Deficiency Authority. Total Number of Children notified : 13. Analysis of the above Total.
    Diagnosis.Boys.Girls.
  • Page 45
    Table No. 34. Number of children attending certified Special (Day and Residential) Schools during 1938:—
    Special Schools in Willesden.Special Schools outside Willesden.Total.
  • Page 46
    T able N o. 35. 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.Un-changed.Under observation ,at end of year(result ' of treatment not known).
    School Clinic, Hospital or other Institutions under Council Scheme.Volun-taryHos-pitals or other Charitable Institutions.Hospital Doctor under m.C.C.Private | Practitioner. |Total.Domestic Treatment only.Grand Total.Exclud-ing Do-! mestic Treatment.Including Domestic Treatment.Removed from observation.Re; maimng under observation.Total.
    Brought forward from previous year.New.Total.
    1234567891011121314151617181920212223
  • Page 47
    Table No . 36.—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, 266 children were examined and the following table shows the numbers and percentages of defects found:— Table No. 37.
    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
    T able N o. 39. —Corresponding to Table II. of the Board of Education's Medical Statistical Tables. A.—R eturn of D efects F ound by M edical I nspection in the Y ear E nded 31 st D ecember, 1938.
    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.
    Ages in years.Number of Pupils Inspected.A (Excellent) No.B (Normal) No.C (Slightly subnormal.) No.D (Bad) 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
    Group II.— Defective Vision and Squint (Excluding Minor Eye Defects Treated as Minor Ailments—Group I.). 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. 41.
    Defect.Secondary schools.Junior Technical etc., schools.Result.
  • Page 54
    Table No. 42. Comparative Table of Work done for Years 1936, 1937 and 1938.
    1936.1937.1938.
  • Page 54
    Table No. 43. Comparative Table of Work per Session.
    Year.Attendances.Fillings.Extractions.Sundries.Total operations per Session.
  • Page 55
    T able rso. 44. Work done per Session.
    Attendances.Fillings.Extractions.Sundries.Total operations.
  • Page 55
    Dental Inspection and, Treatment. 1. Number of children who were inspected by the Dentist. (a) Routine age-groups—
    Aged :Children attending Public Elementary Schools.Children attending Special Schools.Children attending Nursery Schools.
  • Page 56
    Continued from previous page...
    Children attending Public Elementary Schools.Children attending Special Schools.Children attending Nursery Schools.
  • Page 56
    Table No. 46. Return showing the number of Dental Defects referred for following-up, and the extent to which remedial measures were carried out during 1938 at Health Visitor's last visit. Total number of defects coming under observation during 1938 :
    Children attending Public Elementary Schools.Children attending Special Schools.Children attending Nursery Schools.
  • Page 57
    Table No. 47. 1. Number of pupils who were inspected by the Dentist— a. Routine age-groups.
    Aged:Willesden Junior Technical, etc., Schools.Willesden Secondary Schools.Total.
  • Page 58
    Table No. 48. Expectant and Nursing Mothers and Children under Five.
    E.M.N.M.0-5Total.
  • Page 58
    Number of Patients who received Dentures during 1938. Table No. 49.
    At cost to Council.At cost to Applicant.At part cost to Applicant.Total.
  • Page 60
    Table No . 50.—No. of Meals supplied.
    Supplied to:—Breakfasts.Dinners.
    Free.Free.Paying.Total.
  • Page 60
    Table No . 51.—O ccupation List , 1938.
    Occupation.No. of Children Fed during 1938.No. of Families Involved.Percentage.
    1937.1938.1937.1938.
  • Page 61
    Table No. 52. Number of Midwives who gave notice of their Intention to practise in Willesden in 1937 and 1938 respectively.
    19371938
  • Page 61
    Table No . 53. Number of Cases attended by Midwives practising and living in Willesden during 1938
    Name.No. of Cases attended Total.Remarks.
    As Midwife.As Maternity Nurse.
  • Page 62
    Table No. 53 ( Contd.)
    Name.No. of Cases attended Total.Remarks.
    As Midwife.As Maternity Nurse.
  • Page 62
    Table No . 54. Number of Cases attended by Midwives practising in but living outside Willesden during 1938.
    Name.Number of cases attended in WillesdenRemarks.
    As Midwife.As Maternity Nurse.
  • Page 62
    Table No. 55. Notifications received from Midwives in accordance with the Rules of the Central Midwives Board, 1st January to 31st December, 1938.
    Living in Willesden.TotalLiving outside WillesdenGrand Total
    Municipal Mid-wives.Queen Charlottes Hospital District H.Independent Mid- wives.
  • Page 63
    Table No. 56. 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. 57. Fees Paid to Medical Practitioners under Section 14 of the Midwives Act, 1918. 1st January to 31st December, 1938.
  • Page 66
    Table No. 59.
    Expecting Confinement in:—Municipal MidwivesQueen Charlotte's District Home (Acting as Midwives).Willesden District Nursing Association (Acting as Maternity Nurses).Total.
    BookedCancelledNet BookingsBookedCancelledNet BookingsBookedCancelledNet BookingsBookedCancelledNet Bookings
  • Page 68
    Table No . 61. Foster Mothers.
  • Page 69
    Table No . 62. The 250 Foster Children under observation at 31st December, 1938, were maintained in the care of Foster Mothers as follows :—
    Maintained by—
  • Page 69
    Table No . 63. The following Table shows the length of time each of the 250 Foster Children under observation at 31st December, 1938, had been in the care of their Foster Mothers.
  • Page 70
    Table No. 64. Showing sources from which cases were referred for Home Nursing during the Year 1938
    Referred byNumber.
  • Page 70
    Table No . 65. Showing cases Home Nursed in Wards during 1938.
    Ward.No. of Cases brought forward from 1937.No. of Cases referred in 1938.Total.No. of Visits paid.
  • Page 71
    T able N o. 66—S howing C ases D ealt with during 1938 and R esults.
    Disease.Cases being nursed at end of 1937.New Cases during 1938.Removed from Observation during 1938—Results of Treatment.Still being Nursed at end of 1938.Number of Visits Paid during 1938.
    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 74
    (2) Willesden Residents. This clinic was made available for Willesden residents in May, 1927. The following are the figures for the years 1927 to 1938 inclusive:—
    Year.Number attending for Schick Test.Number attending for Immunisation.
  • Page 76
    Table No . 68.
    Name of Authority.No. of Cases.Disease.No. of Cases.
  • Page 76
    Table No . 69.
    Nature of Examination.Positive result.Negative result.Total.
  • Page 77
    Table No. 70.
  • Page 80
    Table No. 71.
    No.Registration No.Tax.Make.Year of Purchase.Work required forTotal miles run with vehicles.Purchase Price.
  • Page 80
    Table No . 72. The following gives the miles run by each vehicle in service during the year under review:—
  • Page 83
    EXPENDITURE.
    Year 1936-37.Cost per mile.Year 1937-38.Cost per mile.
    £s.d.£s.d.d.£s.d.£s.d.d.
  • Page 84
    APPENDIX A— T ABLE I. VITAL STATISTICS OF WHOLE DISTRICT DURING 1938 AND PREVIOUS YEARS; VITAL STATISTICS OF THE WARDS DURING 1938.
    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 85
    Appendix a .—Table II.— deaths of willesden residents during the year 1938.
    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)
  • 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-Residents," 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.—T able II.—DEATHS OF WILLESDEN RESIDENTS ( continued).
  • 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-Residents," in Institution in the District.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 92
    CAUSES OF DEATH IN BOROUGH OF WILLESDEN AS CIRCULATED BY REGISTRAR-GENERAL.—1938.
  • Page 93
    APPENDIX A. TABLE III.—INFANT MORTALITY DURING 1938.
    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—T able IV.—CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE YEAR 1938.
    NotifiableDisease.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.Roundwood.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 97
    ARTIFICIAL SUNLIGHT TREATMENT, 1938.
    Conditions.Cases brought forward from 1937, i.e., Treatments, Waiting List Observation Cases.New Cases.Total Cases Treated.Discharged not Treated, i.e., Unable to attend, Unsuitable, Left DistrictWaiting List.RESULTS OF TREATMENT.Cases carried forward to 1938, i.e., Treatments, Waiting List Observation Cases.Attendances Treated.
    Condition Improved. Treatment suspended but still under Observation.Improved or Cured.Unable to attend or Left District before treatment completed.Unsuitable or no Improvement.Cases still under Treatment (Result not yet known).
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)
    0-5Sch.0-5Sch.0-5Sch.0-5Sch.0-5Sch.0-5Sch.0-5Sch.0-5Sch.0-5Sch.0-5Sch.0-5Sch.0-5Sch.
  • Page 97
    TOTAL NUMBER OF ATTENDANCES, YEAR 1938.
    0-5School.Total.
  • Page 97
    CASES REFERRED BY
    0-5School.Total.
  • Page 98
    Refraction Cases.
    Appointments made.Appointments kept.Percentage Attendance.
  • Page 98
    The figures for the year are as follows:— Table I.
    Cases seen by Ophthalmic Surgeon.Number of Sessions.Average Number of Attendances per Session.
  • Page 98
    Refraction Cases. Table II.
  • Page 98
    The following table shows an analysis of diseases and congenital abnormalities found in new cases during the year:— Table III. Diseases of the Eyelids, Conjunctiva and Lachrymal Apparatus.
    Disease.No. of cases.
    19341935193619371938
  • Page 99
    Concomitant Squint.
    Type of Squint.No. of cases.
    19341935193619371938
  • Page 99
    Diseases of the Eyeball.
  • Page 99
    Congenital Malformations.
    Act.No. of cases.
    19341935193619371938
  • Page 99
    Neurological Cases.
    19341935193619371938
  • Page 100
    below. The figures for 1930 have been doubled in order to give an approximately correct value for the year.
    Year.Population (in 1,000's).Number of new cases seen.Number of treatments given.
  • Page 101
    ORTHOPÆDIC DEPARTMENT.—REPORT FOR YEAR 1938.
    Defects Treated.Brought Forward.New.Total.Treatments completed.Treatments ceasing before Completion.Carried forward.
    0-11-55-14n.m.p.h.0–11–55–14n.m.p.h.0–11–55–14n.m.p.h.Total0–11–55–14n.m.p.h.Total0–11–55–14n.m.p.h.Total0–11–55–14n.m.p.h.Total
  • Page 101
    Continued from previous Table...
  • Page 102
    The total number of operations carried out at the Hospital was 522.
    Centre 1Centre 2Centre 3.Total.1937.
  • Page 102
    Municipal Hospital—Ear, Nose and Throat Cases Admitted during 1938.
    Boys.Girls.Total.1937
  • Page 105
    HEALTH DEPARTMENT. Sums Payable per Annum to the Willesden District Nursing Association.
    Service.Payments in accordance with existing agreements or otherwise.Proposed payments.Amount in dispute.
    Local Government Act, 1929.£s.d.£s.d.£
  • Page 105
    The following table indicates the work to be carried out by these bodies since the scheme became operative on 31st October, 1937:— Net Booking of Cases.
    W.B.C.W.D.N.A.
  • Page 105
    Trend of Midwifery. The following table shows the trend of midwifery:—
    Year.Domiciliary cases attended by Midwives.Domiciliary cases attended by Doctors.Births in Hospitals and Nursing Homes.Total Births notified.
  • Page 107
    Accommodation for infectious cases generally. The Committee will remember that I reported in March, 1935, as to the actual accommodation in the Hospital as shown in the following table:—
    Ward.Ministry of Health Standard. (144 sq. ft. per patient.)Standard with 30 cubicles. (120 sq. ft. per patient.)
  • Page 112
    The following table shows the trend of midwifery:—
    YearDomiciliary cases attended by Midwives.Domiciliary cases attended by Doctors.Births in Hospitals and Nursing Homes.Total Births notified.
  • Page 112
    The following table shows the average time spent on a midwifery case ( a ) as originally estimated, and ( b ) from information supplied by the Municipal Midwives from actual experience :—
    (a) As originally estimated.*(b) From midwives' actual experience.
  • Page 113
    Sunday Dinners. The following table shows the dinners which have been supplied at Gibbons Road, Strode Road and Lower Place on each Sunday since the beginning of the year:—
    Gibbons Road.Strode Road.Lower Place.
  • Page 113
    Having regard to these figures it would be possible to carry the Lower Place children to Gibbons Road, but this arrangement would mean an increased cost as shown by the following statement, which excludes the cost of food, as this cost would be the same in either case:—
    Costs of running school 'bus from Lower Place to Gibbons Road so that Lower Place children may be fed at Gibbons Road.Costs at Lower Place Centre of feeding children under the present arrangement.
    £s.d.s.d.
  • Page 118
    Sunday Dinners. The following table shows the dinners which have been supplied at Gibbons Road, Strode Road and Lower Place on each Sunday since the beginning of the year :—
    Gibbons Road.Strode Road.Lower Place.
  • Page 118
    Having regard to these figures it would be possible to carry the Lower Place children to Gibbons Road, but this arrangement would mean an increased cost as shown by the following statement which excludes the cost of food as this cost would be the same in either case:—
    Costs of running school 'bus from Lower Place to Gibbons Road so that Lower Place children may be fed at Gibbons Road.Costs at Lower Place Centre of feeding children under the present arrangement.
    £s.d.S.d.
  • Page 120
    The average age of the children receiving meals is about 10 years and analysis of the revised dietary shows that each child receives approximately on the average the following quantities daily in the food as purchased:—
    Provided in the revised dietary in the food as purchased.*Approx. total daily requirements in food as purchased.
    Breakfast.Dinners.Milk.Fruit.Total.
  • Page 122
    Willesden Elementary Schools.
    193519361937
    Excel lentNormalSlightly Sub NormalBadExcellentNormalSlightly Sub NormalBadExcellentNormalSlightly Sub NormalBad
  • Page 122
    Age in years.
  • Page 124
    This means that such families are living per head per week on sums not exceeding the amount shown in the 2nd last column of the following table:—
    No. in family as defined.Probable No. fed.Economic Circumstances per week per head of scale.Economic Circumstances per week of family.Additional value per week of food provided by Education Committee.Total Economic Circumstances including value of meals provided by Education Committee per week.Total Economic Circumstances per head per week.Estimated Total Economic Circumstances required for maintenance per head per week.
  • Page 125
    Developments. The following table gives certain particulars with regard to the Feeding Centres:—
    Feeding Centre.Seating Capacity.Approx. average No. fed daily at the Centre.Approx. average No. of meals sent out daily from the Centre.
  • Page 126
    If these arrangements were adopted the Feeding Centres, seating capacities and numbers fed would be in accordance with the following table:—
    Seating Capacity.Approximate average No. fed daily at the Centre.Approximate average No. of meals sent out daily from the Centre.
  • Page 126
    The following table shows the number of meals supplied during 1937-38:—
    BreakfastsDinners
    Free.Free.Paying.Total.
  • Page 127
    The following table indicates the occupations of the parents of children who were fed during 1937:—
    Occupation.Number of children fed during 1937.Number of families involved.Percentage.
    1936.1937.1936.1937.
  • Page 131
    Maternity and Child Welfare. The following table shows the maternity and child welfare cases which would be under visitation from each Health Centre and the percentage of such cases attending existing Health Centres:—
    Health Centre.School.Maternity and Child Welfare cases under visitation by Health Visitor at end of 1937.Percentage of such cases attending existing Health Centres at end of 1937.
  • Page 132
    The following table shows this:—
    M.C.W.S.M.S.Total.
    Attendances for H.C. Doctor.Personally seen.%Attendances for H.C. Doctor.Personally seen.%Attendances for H.C. Doctor.Personally seen,%
  • Page 133
    Having regard to all these factors the following table shows for each proposed Health Centre:—
    M.C.W. casesTotal School
    Totalunder visiand M.C.W.Estimated approx.HealthNo. of
    HealthNo. ontation bycases to beCentre attendances.doctors
    Centre.schoolHealthlooked after.required.
    roll.Visitors at(Cols. 2 & 3.)School.M.C.W.Total.
    end of 1937.
    (1)(2)(3)(4)(5)(6)(7)(8)
  • Page 135
    Nursing Mothers and Infant Welfare Cases personally seen by Doctor.
    Actual Sessions held (3-hr. sessions).Nursing Mothers seen.Average per session.0-5 seen.Average per session.Total N.M. & 0-5 seen.Average per session.Average minutes per case counting N.M.I., 0-5 1. & a 3-hr. session.
  • Page 136
    Having regard to these factors the following table shows the number of Dentists required at each of the proposed five Centres:—
    Health Centre.School Roll.M. & C. W. cases under visitation by Health Visitors at end of 1937.Number of Dentists required.
    Elementary.Secondary.Total.
  • Page 137
    On revised figures the attendances allocated to the services are as follows:— Attendances as Estimated.
    M. & C.W.School.Public Health.
  • Page 139
    Summary of Cost. The estimated annual cost, therefore, of the administration of the Food and Drugs Act, 1938, would be as follows:—