[Report of the Medical Officer of Health for Bromley]

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SECTION A. STATISTICS AND SOCIAL CONDITIONS.

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Vital Statistics.

	Total	Male	Female

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Continued from previous page...

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Based on the voters' register and other local data the following tabulation gives, in the absence of a census return since 1931, a local estimate of population and density of persons per acre at the present time:—

Wards	Acreage	Density No. of persons per acre	Estimated Population

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BIRTHS. The Birth Rate for 1946 is 19.4 per 1,000 population. Comparative rates during the past ten years are as follows—

Year	Bromley	England & Wales

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The number of births occurring in the Borough which were notified to the Medical Officer of Health under the provisions of the Public Health Act, 1936, Section 203, were as follows:—

	Domiciliary Confinements	Institutional Confinements	Total

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By mid-February these figures had been modified ferable births as follows:— by trans-

	Outward transfers (Minus)	Inward transfers (Plus)	Net Total

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The following tabulation gives the number of stillbirths, rates per 1,000 births and comparative rates per 1,000 population with England and Wales for the past ten years:—

Year	No. of Stillbirths	Rate per 1,000 births	Rate per Bromley	1,000 population England & Wales

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A classification of the causes of the 30 hospital cases gives the following results:—

	No. of cases	Post-mortem examinations

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Comparative death rates for the past ten years is as follows:—

Year	Bromley Rates (crude)	England & Wales Rates

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Main causes of deaths are shown in the following table which gives comparative rates per 1,000 population for the past five years:—

	Rates per 1,000 population
	1942	1943	1944	1945	1946

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The causes and rates of maternal mortality in the Borough are shown in 5-yearly periods since 1911 in the following table:—

5-yearly periods	Puerperal Sepsis	Other puerperal causes	Rate per 1,000 births

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Recordings for Bromley during 1946 were as follows:—

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OPEN AIR RECREATIONAL AMENITIES. Commons and Open Spaces.

	Acres	Roods	Poles	Acres	Roods	Poles

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Public Recreation Grounds.

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Public Gardens and Grounds.

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The current annual reports for the associations give the following particulars of work done:—

	so. of Nurses employed	Genera	Total No. of Visits Casual	Paid Total	Cases Nursed

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CLINICS AND WELFARE CENTRES OF THE LOCAL AUTHORITY WITH BRIEF DESCRIPTION OF SERVICES AVAILABLE.

Description	Situation	No. of Sessions Per Week	Professional Attendants	Services Available

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Clinics and Welfare Centres of the Local Authority with Brief Description of Services Available (Continued).

Description	Situation	No. of Sessions Per Week	Professional Attendants	Services Available

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Clinics and Welfare Centres of the Local Authority with Brief Description of Services Available (Continued).

Description	Situation	No. of Sessions Per Week	Professional Attendants	Services Available

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Clinics and Welfare Centres of the Local Authority with Brief Description of Services Available: (Continued).

Description		Situation		No. of Sessions Per Week		Professional Attendants		Services Available

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Details of accommodation, staff and principal health services available:—

Maternity Units			General Hospital Section
No. of Beds
Widmore Road Unit	Masons Hill Unit	Nursing Staff	Beds No. of	Nursing Staff

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PUBLIC HEALTH ACT, 1936. Sections 187/194 Nursing Homes.—There are eight registered nursing homes which come under periodic inspection from the Health Department. Details of these homes at the 31st December, 1946, were as follows:—

Address	No. of Beds	Patients Received		Nursing Staff
Address	No. of Beds	Surgical	Medical	Qualified	Others

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Routine work of the municipal midwives is shown in the following figures for 1946:—

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The activities of the Ante-Natal Clinic is indicated in the following figures for 1946:—

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DENTAL SCHEME FOR EXPECTANT MOTHERS AND NURSING MOTHERS. Patients needing dental attention are referred to Mr. J. H. Glen, Dental Officer. Statistical records of this work for the year, 1946 are as follows:—

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The number of confinements attended by midwives reached record proportions for 1946:—

Domiciliary Institutions			Total

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The following is a summary of reasons for summoning medical aid in the 52 domiciliary cases given above:—

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Continued from previous page...

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The Bromley and District Hospital had a very full year in their two maternity hospital units, and I am indebted to the Medical Officer of the two units for the following interesting figures for 1946:—

Widmore Rd.Unit		Masons Hill Unit	Total

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Figures of premature births in Bromley during 1946:—

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Details of all home visiting for 1946 is as follows:—

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Welfare centres' statistics for 1946 are as follows:—

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At the end of 1946 our registers showed:—

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In Bromley we have two day nurseries with accommodation as follows:—

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Chemical and Bacteriological Examinations, 1946.

Bacteriological.	No. of Samples	Colony Count on Agar at 37°C	Bact. coli Test
Bacteriological.	No. of Samples	Colony Count on Agar at 37°C	Percentage of Samples negative 100 ml	Bact. coli per 100 ml.

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SANITARY INSPECTION OF THE AREA. The following are aggregate totals of the Chief Sanitary Inspector's statistics for 1946. Tables XIII, XIV, XV and XVI in the appendix of statistical tables shows the figures in greater

	Total of Inspections and visits	Total of Defects and Nuisances found

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Inspections and results at end of 1946:—

Shop Acts Inspections	Absence of Statutory Forms	Ventilation defects	Sanitary conveniences unsatisfactory	Washing facilities unsatisfactory

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The medical inspections and treatments by the school doctors during 1946 shows a decrease compared with the previous year, as follows:—

Disease.	Inspected and required treatment	Treated at School Clinics

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Progress under the special schemes from the commencement in November, 1946, to the time of writing (mid-March, 1947) is shown in the following figures:—

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For the year ended 31st December, 1946, the routine work statistics are as follows:—

	On Complaint	Routine	Re-Inspections	Total			Infestation
	On Complaint	Routine	Re-Inspections	Total			Found	Abated

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Inspections and Abatements.

Housing Inspections	On Complaint	Routine	Re-inspections	Totals

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The 2,418 defects abated, are classified as follows:

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An analysis of rateable hereditaments as at 31st March, 1946 as follows, shows very clearly that the predominating characteristic of the area is residential, houses and flats being 90 per cent. of the total rateable assessments:—

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MILK, ICE CREAM. Inspections and sampling during 1946:—

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FOOD AND DRUGS ACT. The Sanitary Inspectors are authorised sampling officers under this Act. Samples taken during 1946 and results:—

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Five adulterated samples amongst the above list were as follows:-

Article of Food.	Informal	Nature of adulteration or irregularity	Observations

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867 Food Condemnation certificates were issued.

Article of Food.	Quantity	Approx. Weight.(in ibs.)

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SPECIAL ENQUIRIES. Foodstuffs submitted for bacteriological tests:—

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TUBERCULOSIS. Table IX gives notifications of new cases and mortality during 1946:— Recordings in the register—1946.

	Respiratory		Other Forms		Total No. of cases
	M.	F.	M.	F.	Total No. of cases

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Market tolls taken during 1946 compare with 1945 as follows:—

	1946			1945

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TABLE I. SUMMARY OF STATISTICS, 1946.

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TABLE II Birth-rates, Civilian Death-rates, Analysis of Mortality, Maternal Mortality and Case rates for certain Infectious diseases in the Year 1946. (Provisional figures based on Weekly and Quarterly Returns.)

	Bromley	England and Wales	126 C.Bs. and Great Towns including London	148 Smaller Towns Resident Pop. 25,000-50,000 at 1931 Census	London Adm. County

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TABLE HI Causes of Death, 1946.

	Male	Female	Total

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TABLE IV. INFANT MORTALITY, 1946. (Compiled from Local Returns.)

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 under 6 Months	6 Months and under 9 Months \|	9 Months and under 12 Months	Total Deaths under 1 year

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TABLE V 1 Analysis of Causes of Infant Deaths, 1942-1946.

	1942	1943	1944	1945	1946	Total
No. of Births (live)	871	901	820	872	1,176
Infant Mortality Rate	33	27	39	28	26

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TABLE VI.— SUMMARY OF INFANT AND MATERNAL MORTALITY STATISTICS. Six quinquennial periods are shown with the year 1946.

Years	Total Births	Infant Mortality Rate	Total Infant Deaths	Age at Death			Maternal Deaths
Years	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

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TABLE VII. Notifiable Diseases, 1946. (Civilians.) Ward Distribution, Attack and Mortality Rates.

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

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TABLE VIII. Notifiable Diseases, 1946. (Civilians.) Sex and Age Grouping.

	Scarlet Fever		Whooping Cough		Acute Poliomyelitis		Ac. Polioencephalitis		Measles		Diphtheria			Ac. Pneumonia		Dysentery

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TABLE IX. Tuberculosis. New Cases and Mortality during the Year 1946.

Age periods.	New cases notified or otherwise revealed. (Not including Inward Transfers.)*				Deaths.
	Pulmonary.		Non-Pulmonary.		Pulmonary.		Non-Pulmonary.
	M.	F.	M.	F.	M.	F.	M.	F.

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TABLE X Ophthalmia Neonatorum, 1946.

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

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TABLE XI. Health Visiting, 1946.

Classification of Visits.	Totals	AREAS.
Classification of Visits.	Totals	1	2	3	4	5	6

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Other Visits— Also Classified and Included in Above Tabulation.

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TABLE XII. Welfare Centres and Ante-Natal Clinics, 1946.

CENTRES.	Nominal Roll of Babies 31/12/1946	New Enrolments		Total Attendances			Welfare Sessions held	Medical Consultations		No. of Weighings
CENTRES.	Nominal Roll of Babies 31/12/1946	Under 1 year	Over 1 year	Under 1 year	Over 1 year	Mothers	Welfare Sessions held	Medical Sessions held	No. of Babies Examined	No. of Weighings

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Ante-Natal Clinic, 1946.

No. of Sessions held	New Cases Examined	Total Attendances for Medical Examinations	Blood Tests Rh. Factor	No. of Sessions Held	Total Examinations by Midwives

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TABLE XIII Housing Statistics for the Year 1946.

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TABLE XIV Work of Sanitary Inspectors for the Year 1946.

HOUSING INSPECTION.	On Complaint	Routine	Re Inspection	Total	Nuisances Found

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TABLE XIV — (Cont.)

SAMPLING, FOOD and DRUGS ACT, Etc.		On Complaint	Routine	Re-Inspection	Total	Nuisances Found

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TABLE XV. Nuisances, Defects, Contraventions, Abated, 1946.

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TABLE XV.— (Cont.)

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meat, Milk and other food shops—

	Butchers	Confectionery	Dairies	Fish	Grocery

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TABLE XV .-(Cont.)

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TABLE XVI. Factories, 1946. I Inspections for purposes as to provisions of health.

Premises		Number of
Premises		Inspections	Written Notices	Occupiers Prosecuted

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Staff. The services of Public Health, Maternity and Child Welfare, and School Welfare are joint services and officers perform the multiple duties. The staff is as follows:—

Medical. Whole-time Officers:		Proportion of time allocated to School Health Service

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Number of Children on School Rolls.

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The statistical records of Routine Inspection for 1946 are as follows:—

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Results of Routine Inspections. The following table indicates individual children found with defects requiring treatment (excluding defect of nutrition, uncleanliness and dental defect).

Group	Defective Vision	Other Defect	Total

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The following is a tabulation of the defects discovered and classified for observation or for treatment.

Defect or Disease	Routine Inspections No. of Defects
Defect or Disease	Requiring Treatment	Requiring Observation

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Continued from previous page...

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Classification of the Nutrition of Children Inspected during the Year in the Routine Age Groups—1946.

Age Groups	No. of Children Inspected	A. (Excellent)		B. (Normal)		C. (Slightly Sub-normal)		D. (Bad)
Age Groups	No. of Children Inspected	No.	Per Cent.	No.	Per Cent.	No.	Per Cent.	No.	Per Cent

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Continued from previous page...

Defect or Disease	Special Inspections No. of Defects
Defect or Disease	Requiring Treatment	Requiring Observation

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Continued from previous page...

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The following is a statistical record of the treatments carried out by the nurses during the year.

Defect or Disease	Number of Defects Treated, or under Treatment during the year 1946
Skin. Ringworm—Scalp: —	Under the Authority's Scheme	Otherwise	Total

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The following stastistical table is a record of the work for the year 1946.

	No. of Defects dealt with		No. of Children for whom Spectacles were
	No. of Defects dealt with		(a) Prescribed		(b) Obtained
	Uuder the Authority's Scheme	Other-wise	Under the Authority's Scheme	Otherwise	Under the Authority's Scheme	Otherwise

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NUMBER OF DEFECTS.

Received Operative Treatment By Private Under the Practitioner, Authority's or Hospital Scheme, in apart from Clinic or Authority's Hospital Scheme		Total	Received other forms of treatment	Total number treated

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Orthopaedic and Postural Defects.

No. of children treated	Residential treatment with Education	Residential treatment withoi Education	Non-residential treatment it at an Orthopaedic Clinic

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of these handicapped children were certified in 1946 and referred to the County Council for special education.

	Handicapped Certified	Double Defect

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At the end of 1946, the number of children in special day or residential schools were:—

	Residential Schools	Special Day Schools

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Dental Returns relating to Pupils attending Maintained Primary and Secondary Schools.

		1946	1945

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Maternity and Child Welfare Dental Returns.

Mothers.	1946	1945

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(These figures include Primary and Modern)

Children taking 1/3 pt. milk.		Children taking 2/3 pt. milk.

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177 children were examined by the School Medical Officers during 1946 as follows:—

	No. employed	Certs. issued

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We are pleased to be able to state that facilities for swimming instruction have again been restored for the following schools:—

At the Municipal Open Air Bath.	Classes

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

View report tables

Bromley 1946

93 tables in this report

SECTION A. STATISTICS AND SOCIAL CONDITIONS.

Vital Statistics.

Continued from previous page...

Based on the voters' register and other local data the following tabulation gives, in the absence of a census return since 1931, a local estimate of population and density of persons per acre at the present time:—

BIRTHS. The Birth Rate for 1946 is 19.4 per 1,000 population. Comparative rates during the past ten years are as follows—

The number of births occurring in the Borough which were notified to the Medical Officer of Health under the provisions of the Public Health Act, 1936, Section 203, were as follows:—

By mid-February these figures had been modified ferable births as follows:— by trans-

The following tabulation gives the number of stillbirths, rates per 1,000 births and comparative rates per 1,000 population with England and Wales for the past ten years:—

A classification of the causes of the 30 hospital cases gives the following results:—

Comparative death rates for the past ten years is as follows:—

Main causes of deaths are shown in the following table which gives comparative rates per 1,000 population for the past five years:—

The causes and rates of maternal mortality in the Borough are shown in 5-yearly periods since 1911 in the following table:—

Recordings for Bromley during 1946 were as follows:—

OPEN AIR RECREATIONAL AMENITIES. Commons and Open Spaces.

Public Recreation Grounds.

Public Gardens and Grounds.

The current annual reports for the associations give the following particulars of work done:—

CLINICS AND WELFARE CENTRES OF THE LOCAL AUTHORITY WITH BRIEF DESCRIPTION OF SERVICES AVAILABLE.

Clinics and Welfare Centres of the Local Authority with Brief Description of Services Available (Continued).

Clinics and Welfare Centres of the Local Authority with Brief Description of Services Available (Continued).

Clinics and Welfare Centres of the Local Authority with Brief Description of Services Available: (Continued).

Details of accommodation, staff and principal health services available:—

PUBLIC HEALTH ACT, 1936. Sections 187/194 Nursing Homes.—There are eight registered nursing homes which come under periodic inspection from the Health Department. Details of these homes at the 31st December, 1946, were as follows:—

Routine work of the municipal midwives is shown in the following figures for 1946:—

The activities of the Ante-Natal Clinic is indicated in the following figures for 1946:—

DENTAL SCHEME FOR EXPECTANT MOTHERS AND NURSING MOTHERS. Patients needing dental attention are referred to Mr. J. H. Glen, Dental Officer. Statistical records of this work for the year, 1946 are as follows:—

The number of confinements attended by midwives reached record proportions for 1946:—

The following is a summary of reasons for summoning medical aid in the 52 domiciliary cases given above:—

Continued from previous page...

The Bromley and District Hospital had a very full year in their two maternity hospital units, and I am indebted to the Medical Officer of the two units for the following interesting figures for 1946:—

Figures of premature births in Bromley during 1946:—

Details of all home visiting for 1946 is as follows:—

Welfare centres' statistics for 1946 are as follows:—

At the end of 1946 our registers showed:—

In Bromley we have two day nurseries with accommodation as follows:—

Chemical and Bacteriological Examinations, 1946.

SANITARY INSPECTION OF THE AREA. The following are aggregate totals of the Chief Sanitary Inspector's statistics for 1946. Tables XIII, XIV, XV and XVI in the appendix of statistical tables shows the figures in greater

Inspections and results at end of 1946:—

The medical inspections and treatments by the school doctors during 1946 shows a decrease compared with the previous year, as follows:—

Progress under the special schemes from the commencement in November, 1946, to the time of writing (mid-March, 1947) is shown in the following figures:—

For the year ended 31st December, 1946, the routine work statistics are as follows:—

Inspections and Abatements.

The 2,418 defects abated, are classified as follows:

An analysis of rateable hereditaments as at 31st March, 1946 as follows, shows very clearly that the predominating characteristic of the area is residential, houses and flats being 90 per cent. of the total rateable assessments:—

MILK, ICE CREAM. Inspections and sampling during 1946:—

FOOD AND DRUGS ACT. The Sanitary Inspectors are authorised sampling officers under this Act. Samples taken during 1946 and results:—

Five adulterated samples amongst the above list were as follows:-

867 Food Condemnation certificates were issued.

SPECIAL ENQUIRIES. Foodstuffs submitted for bacteriological tests:—

TUBERCULOSIS. Table IX gives notifications of new cases and mortality during 1946:— Recordings in the register—1946.

Market tolls taken during 1946 compare with 1945 as follows:—

TABLE I. SUMMARY OF STATISTICS, 1946.

TABLE II Birth-rates, Civilian Death-rates, Analysis of Mortality, Maternal Mortality and Case rates for certain Infectious diseases in the Year 1946. (Provisional figures based on Weekly and Quarterly Returns.)

TABLE HI Causes of Death, 1946.

TABLE IV. INFANT MORTALITY, 1946. (Compiled from Local Returns.)

TABLE V 1 Analysis of Causes of Infant Deaths, 1942-1946.

TABLE VI.— SUMMARY OF INFANT AND MATERNAL MORTALITY STATISTICS. Six quinquennial periods are shown with the year 1946.

TABLE VII. Notifiable Diseases, 1946. (Civilians.) Ward Distribution, Attack and Mortality Rates.

TABLE VIII. Notifiable Diseases, 1946. (Civilians.) Sex and Age Grouping.

TABLE IX. Tuberculosis. New Cases and Mortality during the Year 1946.

TABLE X Ophthalmia Neonatorum, 1946.

TABLE XI. Health Visiting, 1946.

Other Visits— Also Classified and Included in Above Tabulation.

TABLE XII. Welfare Centres and Ante-Natal Clinics, 1946.

Ante-Natal Clinic, 1946.

TABLE XIII Housing Statistics for the Year 1946.

TABLE XIV Work of Sanitary Inspectors for the Year 1946.

TABLE XIV — (Cont.)

TABLE XV. Nuisances, Defects, Contraventions, Abated, 1946.

TABLE XV.— (Cont.)

meat, Milk and other food shops—

TABLE XV .-(Cont.)

TABLE XVI. Factories, 1946. I Inspections for purposes as to provisions of health.