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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

Bromley 1935

[Report of the Medical Officer of Health for Bromley]

Published
1936
Pages
128
Tables
93

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93 tables in this report

  • Page 12
    1.—STATISTICS AND SOCIAL CONDITIONS OF THE AREA, 1935.
  • Page 12
    Vital Statistics. The following extracts from the vital statistics of the year relate to the net births and deaths after correction for inward and outward transfers, as furnished by the Registrar General:—
    Live Births.
    Total.Male.Female
  • Page 13
    Continued to previous page...
  • Page 13
    The following table gives details of land available for public recreation within the Borough at the end of 1935:—
    Commons and Open Spaces :Acres.Roods.PolesAcres,Roods.Poles.
  • Page 14
    Continued from previous page...
    Acres.Roods.Poles.Acres.Roods.Poles.
  • Page 16
    The return shows the following details:—
    Live Births:Total.Legitimate.Illegitimate.
  • Page 16
    These figures shew the highest number of births ever recorded in Bromley, an excess of males over females, a reduction in still births and a reduction in the number of babies born out of wedlock.
    Year.Birth Rates.
    Bromley.England and Wales.
  • Page 17
    The following table indicates the scheduled cause of stillbirths in 1935:—
  • Page 18
    Continued from previous page...
    Year.Stillbirths.Rate per 1,000 Births.
  • Page 18
    The following table shows the crude death rates for Bromley in comparison with the death rates for England and Wales since 1925:—
    Year.Bromley Crude Death Rates.England and Wales Death Rates.
  • Page 18
    Appendix III. gives a tabulation of the causes of death from which the following have been extracted for the purpose of comparison:—
    193419351934193519341935
    No. of deaths.Rate per cent, of total deaths.Rate per 1,000 of population.
  • Page 19
    For comparison purposes the following table is of interest, showing rates per 1,000 births:—
    Year.Bromley.England and Wales.
  • Page 20
    Maternal Mortality.
    Quinquennial periods:Sepsis.Accidents of pregnancy, etc.Rate per 1,000 births.
  • Page 23
    Ante-Natal Clinic. Comparative Table of Attendances At Ante-Natal Clinic.
    Year.Individual Attendances.Total Attendances.Medical Consultations.Sessions held.
  • Page 24
    Natal Services. Seven hundred and ninety-eight births (live and still) were known to have occurred in Bromley during 1935, as follows:—
  • Page 25
    Summary of Reasons for Sending for Medical Help.
  • Page 30
    The individual centres give the following averages per session for 1935, and figures for 1934 are shown in comparison:—
    1935.1934.
  • Page 31
    The following table gives an analysis of the size of families who received free milk during 1935:—
    No. of Children in Family.
    123456 and over
  • Page 32
    Diarrhoea and Enteritis. It. is satisfactory to note that only one death is recorded within Bromley in 1935. The mortality rate per 1,000 live births is given in the following comparative table
    Mortality per 1,000 live births.
  • Page 37
    Maternity and Nursing Homes. The following table gives particulars of maternity and nursing homes registered by the Local Authority, anil for convenience of tabulation I have included details of the larger hospitals which are exempt from registration under the provisions of the Act:—
    Address.???????????????Total.ResidentLiving out.Qualifications.???
  • Page 43
    After the survey of the added areas of Hayes and Keston it was found at 1st April, 1934, that 361 premises were not on main drainage, as follows:—
    Total.Sewers available.Sewers not available.
  • Page 43
    Premises Re-drained and Connected to the Server.
    1934.1935.Total.
  • Page 44
    Chemical Examination—Averages 12 months ended 31st December, 1934 :—
    No. 1.Shortlands. No. 2.No. 3.
  • Page 45
    It is of some interest in this respect of change of character to note the statistical comparison of the population per acre as compiled for each ward from the census returns for 1921 and 1931:—
    1921.1931.
  • Page 46
    A further interesting comparison is shown by tiie following figures which explain themselves and which include extracted figures from the housing survey made in January, 1936.
    1921 Census.1931 Census.1936 Housing Survey.
  • Page 46
    The standard of overcrowding laid down in the Act is as follows:—
    Rooms.Persons.
  • Page -
    OVERCROWDING SURVEY—PRELIMINARY REPORT. Number of families containing the number of persons in the first column occupying dwellings with the permitted number shown at the head of this column.
    No. of “ersons ” in family.11½22½33½44½55½66½77½88½99½1010½1111½121314½1617½1920-3030 -4040-5050-60Over 60Families.
    Overcrowded.Un- crovvded.Total.
  • Page 47
    or on the basis of floor space
    Rooms.Persons
  • Page 51
    The following figures show the increase in licenced storage since 1926 :—
    YearPetroleum Spirit.Licences issued.
    (in gallons).(Petrol only).
  • Page 53
    There were 119 samples of milk submitted to bacteriological examination, and the results are shown in the following table, which includes the samples taken at the request of the Ministry of Health from licenced producers of "Certified" and "Grade A (Tuberculin Tested) " milk.
    Samples.Totals.Satisfactory.Unsatisfactory.
  • Page 54
    Table A. Total number of animals known to have been slaughtered and carcases inspected.
    Total.Beasts.Calves.Sheep.Pigs.
  • Page 55
    Table B. Total number of slaughterings, carcases inspected, and found affected with various diseases.
    Total No. known to have been slaughtered.Total No. of animals inspected.Carcases affected with Tuberculosis.Carcases affected with other diseases.Total No. of carcases affected (all diseases).
  • Page 55
    Table C. Total number of carcases rejected for Tuberculosis and other defined diseases.
    Disease.Bulls.Cows.Heifers.BullocksCalves.Sheep.Pigs.Total.
  • Page 55
    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 56
    Table E. Total weights of carcases, parts of carcases and offal rejected for all diseases.
    Tons.Cwts.Qrs.IbsTotal in lbs.
  • Page 56
    Unsound and Unwholesome Food Surrendered.
    Article of Food.Weight.
  • Page 57
    Continued from previous page...
    No. of Samples.No. of Samples.
  • Page 57
    XIII—DISEASES OF ANIMALS ACTS.
  • Page 60
    An analysis of the total ot 385 cases on the register gives the following details of sex and type of disease:—
    Total of both types.Pulmonary Tuberculosis.Non-Pulmonary Tuberculosis.
  • Page 60
    I have submitted the following table to indicate the state of tuberculosis in Bromley since 1926—a fall in incidence will be noted.
    New cases Incidence per 1,000 population.Death Bate.
    Year.Pulm.Non-Pulm.Pulm.Non-Pulm.
  • Page 61
    NEW CASES which have attended the DISPENSARY for the first time for EXAMINATION during the year 1U35.
    Adults.Children.
    Male.Female.Male.Female.
  • Page 65
    APPENDIX 1. SUMMARY OF STATISTICS, 1935.
  • Page 66
    APPENDIX II. Birth Rates, Death Rates, Analysis of Mortality, Maternal Death Rates, and Case Rates for certain Infectious Diseases in the Year 1935 (Provisional figures).
    Bromley.England and Wales.121 County Boroughs and Great Towns including London.140 Smaller Towns (Resident Populations 25,000 to 50,000 at 1931 Census)Londoi Admini irative Count;
  • Page 67
    APPENDIX III. Causes of Death, 1935.
    Male.Female.Total.
  • Page 68
    APPENDIX IV. Infant Mortality, 1935.
    CAUSES OF DEATHS.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 monthsaiid under 6 months.6 months and under 9 months.9 months and under 12 months.Total deaths under 1 year.
  • Page 69
    APPENDIX V. Analysis of Causes of Infant Deaths, 1931-1935.
    19311932193319341935
  • Page 70
    APPENDIX VI. Summary of Infant and Maternal Mortality Statistics. Three 6ve-year period figures are taken—five years pre-war, five years to 1925, five years to 1930, and five years to 1935.
    YearsTotal BirthsInfant Mortality RateTotal Infant DeathsAge at Death.Maternal Deaths.
    Deaths under 1 weekDeaths 1 week to 4 weeksDeaths 4 weeks to 1 yearSepsisOther
  • Page 71
    APPENDIX VII. Summary of Work of the Sanitary Inspectors for the Year 1935.
    Inspections.Nuisances and Defects found.On Complaint.Routine Inspections.Re- Inspections.Total Inspections.
  • Page 72
    Continued to previous page...
    InspectionsNuisances and Defect! found.On Complaint.Routine Inspections.Re-Inspections.Total Inspections.
  • Page 73
    APPENDIX VIII. Nuisances Abated, 1935.
  • Page 74
    Continued from previous page...
  • Page 75
    Continued from previous page...
  • Page 76
    continued to previous page...
  • Page 77
    APPENDIX IX. Return of Notifiable Infectious Diseases, 1935.
    Disease.Total.M.F.WARDS.Cases removed to Hospital.Attack Rate per 1,000 population.No. of Deaths.Death Rate.
    PlaistowMartin's Hill.Town.Sundridge.Bickley.Bromley Common.Keston & Hayes
  • Page 78
    APPENDIX IXa. Notifiable Infectious Disease, 1935 Age Groups.
    DiseaseTotal0-11-22-33-44-55-1010-1515-2020-3535-4545-6665 & over
  • Page 79
    APPENDIX X. Tuberculosis. New Cases and Mortality during the Year, 1935.
    Age Periods.New eases notified or otherwise revealed.Deaths.
    Pulmonary.Non-Pulmonary.Pulmonary.Non-Pulmonary.
  • Page 79
    APPENDIX XI. Ophthalmia Neonatorum, 1935.
    Cases.Vision unimpaired.Vision impaired.Total Blindness.Deaths.
    Notified.Treated.
    At Home.In Hospital.
  • Page 80
    APPENDIX XII. Summary of Health Visitors' Work, 1935.
    Areas.Total.Under one year.Revisits over one year.Expectant Mothers.School Children.Baby Deaths.StillbirthsTuberculosisSpecial Visits.M'wives Acts enquiriesBoarded out Children.Ineffectual Visits.
    PrimaryRevisits
  • Page 81
    APPENDIX XIII. Welfare Centres, Attendances, 1935.
    CENTRE.No. of Babies on the Rolls at the end of the Year, 1935.Total Attendances.No. of Sessions held.Medical Consultations.Total No. of Weighings.
    Babies.Mothers.Total Examined.No. of Sessions held.
  • Page 81
    Ante-Natal Clinics.
    Total Attendances.Medical Consultations.Sessions held.
  • Page 81
    Dental Clinic.
    Children.Mothers.
  • Page 82
    I.—Inspections.
    Premises.Number of
    Inspections.Written Notices.Occupiers prosecuted.
  • Page 82
    II. — Defects.
    Particulars.Number of Defects.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 82
    Outwork in Unwholesome Premises, Section 108.
    Nature of Work.Instances.Notices. served.Prosecutions.
  • Page 99
    New Cases seen at the Clinic during 1935.
  • Page 103
    Summary of Dental Statistics for Year 1935, with Comparisons.
    1932193319341935Remarks.
  • Page 103
    WORK PER 100 CHILDREN TREATED.
    Average for the Country (Board of Education figures).Borough of Bromley.
  • Page 107
    Infectious Disease Returns from Schools, 1935.
    Schools.Diphtheria.Scarlet Fever.Measles.Whooping Cough.Mumps.Chicken Pox.Other.
  • Page 107
    Conditions for which Medical Certificates of Exclusion from School were issued by General Practitioners during 1935.
  • Page 108
    Continued from previous page...
  • Page 109
    Assistance has been given in 195 cases as follows:—
  • Page 110
    Statement of Accounts. 1935.
    Receipts.£s.d.Expenditure.£s.d.
  • Page 112
    TABLE 1.—MEDICAL INSPECTION RETURNS. Year ended 31st December, 1935. A.—ROUTINE MEDICAL INSPECTIONS.
  • Page 112
    B.—OTHER INSPECTIONS.
  • Page 112
    C.—CHILDREN FOUND TO REQUIRE TREATMENT. Number of individual children found at Routine Medical Inspection to Require Treatment.
  • Page 113
    TABLE II. A. —Return of Defects found by Medical Inspection in the Year ended 31st December, 1935.
    Defect or DiseaseRoutine InspectionsSpecial Inspections
    No. of DefectsNo. of Defects
    Requiring TreatmentRequiring observationRequiring TreatmentRequiring observation
  • Page 114
    TABLE II .—Continued.
    Defect or DiseaseRoutine InspectionsSpecial Inspections
    No. of DefectsNo. of Defects
    Requiring TreatmentRequiring observationRequiring TreatmentRequiring observation
  • Page 115
    B.—Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups.
    Age-Groups.No. of Children Inspected.A (Excellent).B (Normal).C (Slightly Sub-normal).D (Bad).
    No.Per cent.No.Per Cent.No.Per cent.No.Per cent.
  • Page 115
    TABLE III.—Return of all Exceptional Children in the Area, 1935. CHILDREN SUFFERING FROM MULTIPLE DEFECTS.
    At no School or Institution.
  • Page 115
    BLIND CHILDREN.
    At Certified Schools for the Blind.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 116
    PARTIALLY SIGHTED CHILDREN.
    At Certified Schools for the Blind.At Certified Schools tor the Partially Sighted.At Public Elementary Schools.At other Institutions.At no School or InstitutionTotal.
  • Page 116
    DEAF CHILDREN.
    At Certified Schools for the Deaf.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 116
    PARTIALLY DEAF CHILDREN.
    At Certified Schools for the Deaf.At Certified Schools for the Partially Deaf.At Public Elementary Schools.At other Institutions.At no School or InstitutionTotal.
  • Page 116
    MENTALLY DEFECTIVE CHILDREN. Feeble-Minded Children.
    At Certified Schools for Mentally Defective ChildrenAt Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 117
    EPILEPTIC CHILDREN. Children Suffering from Severe Epilepsy.
    At Certified Special Schools.At Public Elementary Schools.At other Institutions.At no School or Institution.Total.
  • Page 117
    PHYSICALLY DEFECTIVE CHILDREN.
    At Certified Special SchoolsAt Public Elementary Schools.At other Institutions.At no School or InstitutionTotal.
  • Page 118
    TABLE IV.—Group 1. Minor Ailments treated during the year 1935.
    Disease or Defects.Number of Defects treated, or under Treatment during the year.
    Under the Authority's Scheme.OtherwiseTotal.
  • Page 119
    TABLE IV.—Group II. Defective Vision and Squint (Excluding Minor Eye Defects treated as minor ailments—Group I.).
    No. of Defects dealt with.No. of Children for whom Spectacles were
    Under the Authority's Scheme.Otherwise.Total.(a) Prescribed.(b) Obtained.
    Under the Authority's Scheme.Otherwise.Under the Authority's Scheme.Otherwise.
  • Page 120
    TABLE IV.—Group III. Treatment of Defects of Nose and Throat.
    Received operative Treatment.Received other forms of Treatment.Total N umber treated.
    Under the Authority's Scheme, in Clinic or Hospital.By Private Practitioner or Hospital, apart from the Authority's Scheme.Total.
  • Page 121
    TABLE IV.—Group IV. Orthopædic and Postural Defects.
    Under the Authority's Scheme.Otherwise.Total N umber Treated.
    Residential treatment with Education.Residential treatment without Education.Nonresidential treatment at an Orthopaedic Clinic.Residential treatment with Education.Residential treatment without Education.Nonresidential treatment at an Orthopaedic Clinic.
  • Page 122
    TABLE V.— Dental Inspection and Treatment. (1) Number of children inspected by the Dentist:—
  • Page 123
    1115
  • Page 123
    TABLE VI.—Uncleanliness and Verminous Conditions.