[Report of the Medical Officer of Health for Bromley]

Page 10

The following extracts from the vital statistics relate to the nett births and deaths after correction for inward and outward transfers:—

Live Births
	Total.	Male.	Female

Page 14

Bromley's annual birth rates are shown in comparison with those of England and Wales during the past twelve years in the following tabulation: —

Birth Rates.
Year.	Bromley	England and Wales.

Page 14

During the past six years the number of stillbirth- occurring is shown in the following table:—

Year.	Stillbirths.	Rate per 1,000 Births.

Page 15

In the following tabulation is shown the crude death rates for Bromley in comparison with the death rates for England and Wales during the past eleven years:—

Year.	Bromley Crude Death Rates.	England and Wales Death Rates.

Page 16

Causes of deaths are shown in detail in the appendix III., from which the following main causes have been extracted, and the figures for 1931 are given for the purpose of comparison:—

	1931	1932	1931	1932	1931	1932
	No. of Deaths.		Rate per cent, of Total Deaths.		Rate per 1,000 of population.

Page 17

Year	Bromley	England and Wales

Page 17

Maternal Mortality.

Quinquennial periods:	Sepsis.	Accidents of pregnancy, etc.	Rate per 1,000 births.

Page 20

Ante-Natal Clinic. Comparative Tables of Attendances at Ante-Natal Clinic.

Year.	Individual Attendances.	Total Attendances.	Medical Consultations.	Sessions held.

Page 21

It will be noticed from this that there is still much work to be done in educating the mothers in the necessity of seeking advice early and frequently during the pregnancy.

Order of Pregnancies.	No. of mothers who attended in the First three months of Pregnancy.	No. of mothers who attended in the Second three months of Pregnancy.	No. of mothers who attended in the Third three months of Pregnancy.

Page 33

The following are particulars of maternity and nursing homes registered by the Local Authority, ana for the convenience of tabulation I have included detail of the larger hospitals which are exempt from registration under the provisions of the Act :—

Address	Total No- of Beds-	Matern ity beds.	Patient received In 1982			Total.	Residents	Nursing staff.		Type of cases taken.
Address	Total No- of Beds-	Matern ity beds.	Maternity	Surgical	Medical	Total.	Residents	Living out.	Qualifications.	Type of cases taken.

Page 42

The following figures show the increase in licenced storage which has taken place since 1926: —

Year.	Petroleum Spirit, (in gallons).	Licences issued. (Petrol only).

Page 45

the following table, which also includes the results oi samples taken on nine occasions at the request of the Ministry of Health from the producer holding licence for the production of "Certified" milk:—

Samples.	T'otals.	Satisfactory.	Unsatis factory

Page 46

Table A. Total number of animals known to have been slaughtered and carcases inspected.

	Total	Beasts.	Calves.	Sheep.	Pigs.

Page 47

Table B. Total number of slaughterings, carcases inspected, and and found affected with various diseases.

Total No. known to have beenslaughtered.	Total No. of Animals inspected.	Carcases affected with tuberculosis.	Carcases affected withother diseases.	Total No. of carcases affected (all diseases).

Page 47

Table C. Total number of carcases rejected for Tuberculosis and other defined diseases.

Disease.	Bulls.	Cows.	Heifers.	Bullocks.	Calves.	Sheep.	Pigs.	Total.

Page 47

Table D. Total number of all carcases, parts of carcases and offal rejected for all diseases.

Disease.	Carcases.	Parts of Carcases.	Offals of Carcases.	Total number affected.

Page 48

Table E. Total weights of carcases, parts of carcases and offal rejected for all diseases.

	Tons	Cwts.	Qrs.	1bs.	Total in 1bs.

Page 48

Contraventions. The following contraventions were dealt with during 1932 in relation to meat deposited or exposed for sale in shops:—

Parts of carcase.	Disease.	Premises.	Action taken.

Page 49

Food and Drugs (Adulteration) Act, 1928. The following tabulation gives particulars of the work of the Food and Drugs Inspector in Bromley during 1932: —

Page 50

Continued from previous page...

Page 62

APPENDIX II. BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY during the Year 1932. e mortality rates for England and Wales refer to the whole population but for London and the towns to civilians only).

	Rate per 1,000 Total Population.		Annual Death Rate per 1,000 Population.									Rate per 1,000 Live Births.
	Rate per 1,000 Total Population.		All Causes	Enteric Fever	Smallpox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Violence	Diarrh(ea and Enteritis (under Two years).	Total Deaths under One year.
	Live Births	Still Births	All Causes	Enteric Fever	Smallpox	Measles	Scarlet Fever	Whooping Cough	Diphtheria	Influenza	Violence	Diarrh(ea and Enteritis (under Two years).	Total Deaths under One year.

Page 63

APPENDIX III. Causes of Death, 1932.

Causes		Male	Female	Total

Page 64

APPENDIX IV. Infant Mortality, 1932.

CAUSES OF DEATH.	Under 1 Week.	1 and under 2 Weeks.	2 and under 3 Weeks.	3 and under 4 Weeks.	Total under 4 Weeks.	1 month and under 3 Months	3 months and under6 Months	6 Months and under 9 Months	9 Months and under 12 Months.	Total Deaths under 1 year.

Page 65

APPENDIX V. Analysis of Causes of Infant Deaths, 1928-1932.

	1928	1929	1930	1931	1932	Total

Page 66

APPENDIX VI. Summary of Infant Mortality Statistics. Three five-year periods are taken—five years pre-war, five years to 1925, five years to 1930, and 1931-1

Y ears.	Total Births.	Infant Mortality Rate.	Total Infant Deaths.	Age at Death.			Maternal Deaths.
Y ears.	Total Births.	Infant Mortality Rate.	Total Infant Deaths.	Deaths under 1 week.	Deaths 1 week to 4 weeks.	Deaths 4 weeks to 1 year.	Sepsis	Other

Page 67

APPENDIX VII. Summary of Work of Sanitary Inspectors, 1932.

Housing—	Inspections	Re-Inspections

Page 68

Continued from previous page...

Page 72

APPENDIX IX. Return of Notifiable Infectious Diseases, 1932.

Disease	Total	M.	F.	WARDS						Cases removed to Hospital	Attack Rate per 1,000 population	No. of Deaths	Death Rate
Disease	Total	M.	F.	Plaistow	Martin's Hill	Town	Sundridge	Bickley	Bromley Common	Cases removed to Hospital	Attack Rate per 1,000 population	No. of Deaths	Death Rate

Page 73

APPENDIX X. Tuberculosis. New Cases and Mortality during the Year, 1932.

periods.	New cases notified or otherwise revealed.				Deaths.
	Pulmonary.		Non-Pulmonary.		Pulmonary.		Non-Pulmonary.
	M.	F	M.	F.	M.	F.	M.	F.

Page 73

APPENDIX XI. Ophthalmia Neonatorum, 1932.

Cases.			Vision unimpaired	Vision impaired.	Total Blindness	Deaths.
Notified.	Treated.
Notified.	At Home.	In Hospital.

Page 74

APPENDIX XII. Summary of Health Visitors' Work, 1932

Areas	Total	Under one year		Revisits over 1 year	Expectant Mothers	School Children	Baby Deaths	Still-Births	Tuberculosis	Special Visits	M'wives Acts enquiries	Boarded- out Children	Ineffect ual Visits
Areas	Total	Primary	Revisits	Revisits over 1 year	Expectant Mothers	School Children	Baby Deaths	Still-Births	Tuberculosis	Special Visits	M'wives Acts enquiries	Boarded- out Children	Ineffect ual Visits

Page 75

APPENDIX XIII. Welfare Centres, Attendances, 1932.

Centre.	No. of Babies on Rolls at the end of Year 1932.	Total Attendances.		No. of Sessions held.	Medical Consultations.		Total No . of Weighings.
Centre.	No. of Babies on Rolls at the end of Year 1932.	Babies.	Mothers.	No. of Sessions held.	Total Examined.	Sessions held.	Total No . of Weighings.

Page 75

Ante-Natal Clinics. Dental Clinic.

Total Attendances.	Medical Consultations.	Sessions held.	Discharged	Treatment.
199	196	24	Children.	Mothers.

Page 76

APPENDIX XIV. Factories, Workshops and Workplaces, 1932. 1.—Inspections.

Premises.		Number of
Premises.		Inspections		Written Notices.	Occupiers Prosecuted.

Page 87

Statistics.

Page 88

New Cases seen at the Clinic during 1032.

Page 95

Statement of Accounts.

Receipts.	£	s.	d.	Expenditure.		£	s.	d.

Page 98

Statement of Accounts.

	£	s.	d.	Rent of Room	1	2	6
Cash in hand	4	8	0	Rent of Room	1	2	6

Page 100

TABLE I.—MEDICAL INSPECTION RETURNS. Year ended 31st December, 1932. A.—ROUTINE MEDICAL INSPECTIONS.

Page 101

TABLE IIa.—Return of Defects found by Medical Inspection in the year ended 31st December, 1932.

Defect or Disease.	Routine Inspections.		Special Inspections.
	No. of Defects		No. of Defects.
	Requiring Treatment.	Requiring Observation	Requiring Treatment	Requiring Observation
(1)	(2)	(3)	(4)	(5)

Page 102

TABLE Il .a — Continued.

Defect or Disease.	Routine Inspections		Special Inspections
	No. of Defects		No. of Defects
	Requiring Treatment	Requiring Observation	Requiring Treatment	Requiring Observation
(1)	(2)	(3)	(4)	(5)

Page 103

TABLE IIb.—Number of individual Children found at Routine Medical Inspection to Require Treatment (excluding Uncleanliness and Dental Diseases).

Group.	Number of Children		Percentage of Children found to require Treatment.
Group.	Inspected.	Found to require Treatment.	Percentage of Children found to require Treatment.
(1)	(2)	(3)	(4)

Page 104

TABLE III.—Return of all Exceptional Children in the Area, 1932

			Boys.	Girls.	Total.

Page 105

TABLE III.— Continued.

			Boys.	Girls.	Total.

Page 106

TABLE III.— Continued.

			Boys.	Girls.	Total.

Page 107

TABLE IV.-—Return of Defects Treated during the year ended 31st December, 1932. Treatment Table Group I.—Minor Ailments (excluding Uncleanliness for which see Group V.).

Disease or Defect.	Number of Defects treated, or under treatment during-the year.
Disease or Defect.	Under the Authority's Scheme.	Otherwise.	Total.
(1)	(2)	(3)	(4)

Page 108

Group II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I)

Defect or Disease.	Number of Defects dealt with.
Defect or Disease.	Under the Authority's Scheme.	Submitted to refraction by private practitioner or at hospital, apart from the Authority's Scheme.	Otherwise.	Total.
(1)	(2)	(3)	(4)	(5)

Page 109

Group III.—Treatment of Defects of Nose and Throat.

NUMBER OF DEFECTS
Received Operativ 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 Authority's Scheme.	Total.	Received other forms of treatment.	Total number treated.
(1)	(2)	(3)	(4)	(5)

Page 109

Group IV. —Dental Defects. (1) No. of children who were: —

(a) Inspected by the Dentist: —

Page 111

Dental Treatment and Details of Treatment Given, 1932.

Total No. Of half-days given to Inspections.	Total No of half-days given to treatments.	Total No. of Appointments.		S.M.O. and Emergency cases.	Total No. of Permanent Teeth.		Total No. of Temporary Teeth.		Total No. of Fillings.	Anæsthetics.		Other Operations dealings, Dressings, Regulations.
Total No. Of half-days given to Inspections.	Total No of half-days given to treatments.	Male	Kept.	S.M.O. and Emergency cases.	Extracted.	Filled.	Extracted.	Filled,	Total No. of Fillings.	Gas.	Local.	Other Operations dealings, Dressings, Regulations.

Page 112

Head Inspections, 1932.

School	Depts.	FIRST INSPECTIONS.				FINAL INSPECTIONS.				ALL INSPECTIONS.				individual children
School	Depts.	Number Inspected.	Clean	Slightly Vermino us	Highly Verminous	Number Inspected	Clean	Slightly Verminous	Highly Verminous	Number Inspected	Clean	Slightly Verminous	Highly Verminous.	Slightly Verminous	Highly Verminous

London's Pulse: Medical Officer of Health reports 1848-1972

View report tables

Bromley 1932

51 tables in this report

The following extracts from the vital statistics relate to the nett births and deaths after correction for inward and outward transfers:—

Bromley's annual birth rates are shown in comparison with those of England and Wales during the past twelve years in the following tabulation: —

During the past six years the number of stillbirth- occurring is shown in the following table:—

In the following tabulation is shown the crude death rates for Bromley in comparison with the death rates for England and Wales during the past eleven years:—

Causes of deaths are shown in detail in the appendix III., from which the following main causes have been extracted, and the figures for 1931 are given for the purpose of comparison:—

Maternal Mortality.

Ante-Natal Clinic. Comparative Tables of Attendances at Ante-Natal Clinic.

It will be noticed from this that there is still much work to be done in educating the mothers in the necessity of seeking advice early and frequently during the pregnancy.

The following are particulars of maternity and nursing homes registered by the Local Authority, ana for the convenience of tabulation I have included detail of the larger hospitals which are exempt from registration under the provisions of the Act :—

The following figures show the increase in licenced storage which has taken place since 1926: —

the following table, which also includes the results oi samples taken on nine occasions at the request of the Ministry of Health from the producer holding licence for the production of "Certified" milk:—

Table A. Total number of animals known to have been slaughtered and carcases inspected.

Table B. Total number of slaughterings, carcases inspected, and and found affected with various diseases.

Table C. Total number of carcases rejected for Tuberculosis and other defined diseases.

Table D. Total number of all carcases, parts of carcases and offal rejected for all diseases.

Table E. Total weights of carcases, parts of carcases and offal rejected for all diseases.

Contraventions. The following contraventions were dealt with during 1932 in relation to meat deposited or exposed for sale in shops:—

Food and Drugs (Adulteration) Act, 1928. The following tabulation gives particulars of the work of the Food and Drugs Inspector in Bromley during 1932: —

Continued from previous page...

APPENDIX II. BIRTH RATE, DEATH RATE AND ANALYSIS OF MORTALITY during the Year 1932. e mortality rates for England and Wales refer to the whole population but for London and the towns to civilians only).

APPENDIX III. Causes of Death, 1932.

APPENDIX IV. Infant Mortality, 1932.

APPENDIX V. Analysis of Causes of Infant Deaths, 1928-1932.

APPENDIX VI. Summary of Infant Mortality Statistics. Three five-year periods are taken—five years pre-war, five years to 1925, five years to 1930, and 1931-1

APPENDIX VII. Summary of Work of Sanitary Inspectors, 1932.

Continued from previous page...

APPENDIX IX. Return of Notifiable Infectious Diseases, 1932.

APPENDIX X. Tuberculosis. New Cases and Mortality during the Year, 1932.

APPENDIX XI. Ophthalmia Neonatorum, 1932.

APPENDIX XII. Summary of Health Visitors' Work, 1932

APPENDIX XIII. Welfare Centres, Attendances, 1932.

Ante-Natal Clinics. Dental Clinic.

APPENDIX XIV. Factories, Workshops and Workplaces, 1932. 1.—Inspections.

Statistics.

New Cases seen at the Clinic during 1032.

Statement of Accounts.

Statement of Accounts.

TABLE I.—MEDICAL INSPECTION RETURNS. Year ended 31st December, 1932. A.—ROUTINE MEDICAL INSPECTIONS.

TABLE IIa.—Return of Defects found by Medical Inspection in the year ended 31st December, 1932.

TABLE Il .a — Continued.

TABLE IIb.—Number of individual Children found at Routine Medical Inspection to Require Treatment (excluding Uncleanliness and Dental Diseases).

TABLE III.—Return of all Exceptional Children in the Area, 1932

TABLE III.— Continued.

TABLE III.— Continued.

TABLE IV.-—Return of Defects Treated during the year ended 31st December, 1932. Treatment Table Group I.—Minor Ailments (excluding Uncleanliness for which see Group V.).

Group II.—Defective Vision and Squint (excluding Minor Eye Defects treated as Minor Ailments—Group I)

Group III.—Treatment of Defects of Nose and Throat.

Group IV. —Dental Defects. (1) No. of children who were: —

Dental Treatment and Details of Treatment Given, 1932.

Head Inspections, 1932.