[Report of the Medical Officer of Health for Bromley]

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SCHOOL MEDICAL SERVICE, 1947.

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SECTION A. VITAL AND OTHER STATISTICS AND SOCIAL CONDITIONS OF THE AREA.

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Vital Statistics.

Live Births.	Total	Male	Female

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The comparative rates between Bromley and England and Wales during the past ten years are as follows:—

Year	Bromley	England & Wales

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After adjustment by the inclusion of transferable births, the above figures have been modified as follows:—

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The number of maternity cases in the Borough during the year who were attended by midwives is as follows:—

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Details of premature births which occurred in Bromley during 1947 are as follows:—

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

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

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Post mortem examinations were made in 6 of the hospital cases, and details of the 35 notified stillbirths which occurred in tiosDital are as follows:—

	Cases.	Post Mortem Examinations.

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INFANTILE MORTALITY. The Infant Mortality Rate for the year is 19.11 per 1,000 live births. 25 infants died during 1947 before reaching their first birthday, and the following particulars relate to these cases:—

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MATERNAL MORTALITY. There was one maternal death in 1947; a mortality rate of 0.74 per 1,000 total births. The following table shows the causes and rates of maternal mortality in five-yearly periods since 1911:—

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

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Comparative Death Rates per 1,000 population for the past ten years are as follows:—

Year	Bromley Rates (crude)	England & Wales Rates

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The main causes of death in Bromley, with comparative rates per 1,000 population are shown in the following table:—

	Rates per 1,000 population
	1947	1946	1945	1944	1943

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OPEN AIR RECREATIONAL AMENITIES. Approximately 9% of the total acreage of the Borough (595 acres) have been secured or reserved for public recreational purposes, as shown in the following table:— Commons and Open Spaces.

	Acres	Roods	Poles	Acres	Roods	Poles

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A monthly statistical summary follows:—

Month	No. of Private Cases	Miles on Private Cases	Miles on Police Cases

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in the home. The following figures give an indication of the volume of work carried out:—

	No. of Nurses Employed	Total No. of Visils Paid
	No. of Nurses Employed	General	Casual	Total

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CLINICS AND WELFARE CENTRES PROVIDED BY THE LOCAL AUTHORITY, WITH BRIEF DETAILS OF THE SERVICES AVAILABLE

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

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CLINICS AND WELFARE CENTRES PROVIDED BY THE LOCAL AUTHORITY, WITH BRIEF DETAILS OF THE SERVICES AVAILABLE — ( Continued)

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

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CLINICS AND WELFARE CENTRES PROVIDED BY THE LOCAL AUTHORITY, WITH BRIEF DETAILS OF THE SERVICES AVAILABLE — ( Continued)

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

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CLINICS AND WELFARE CENTRES PROVIDED BY THE LOCAL AUTHORITY, WITH BRIEF DETAILS OF THE SERVICES AVAILABLE — (Continued)

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

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Average number of helpers employed continuously during 1947: —

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The details of the registered nursing homes are shown in the following table:—

Address	No. of Beds	Patients Received during 1947		Nursing Staff
Address	No. of Beds	Surgical	. Medical	Qualified S.R.N.	S.E.A.N.	Other

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The following tables give an indication of the activities of this Clinic during 1947:—

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Details of the results of the 323 specimens submitted for examination during the year are given in the following table:— Rhesus Factor.

Positive		Negative — no anti-Rh agglutinations present.		Negative - anti-Rh agglutinations present.			Total

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The number of confinements attended by midwives during the year was 1,585, an increase of 103 on the figure for 1946.

	Domiciliary	Institutional	Total

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The details of cases in which medical assistance was requested in respect of the domiciliary confinements are as follows:—

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DENTAL TREATMENT (EXPECTANT AND NURSING MOTHERS). The loss of the services of Mr. J. Glen, who left in the autumn of 1947 to take up an academic post, threw a considerable strain on the Maternity and Child Welfare Dental Service, but. despite this, the facilities available to expectant and nursing mothers were undiminished, and it will be seen from the following figures that there is little, if any, reduction, compared with 1946:—

	1947	1946

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The following table, which shows details of attendances, etc., at the Welfare Centres, gives an indication of the extent to which these Centres are used, and also the confidence which mothers in the Borough have in the services provided:—

	1947	1946

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Average number of attendances per session:—

	1947	1946

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Of the total number of children attending the Centres during the year, the average number of attendances per year were:—

	1947	1946

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The manner in which this work is carried out calls for the utmost skill and consideration in dealing with the harassed, and often perplexed, mothers, and it is gratifying to note, from letters which have been received, that the help and attention given has been much appreciated.

	1947	1946

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" Appended are the average results of the chemical and bacteriological analyses of the various supplies for 1947."

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Housing Inspections and Nuisances and Defects Abated Inspections

Reason for Inspection	On Complaint	Routine	Re-inspections	Total inspections	Nuisances found

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Nuisances and Defects Abated

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FOOD AND DRUGS ACT, 1938.

Article	Samples taken		Result		Remarks
	Samples taken		Genuine	Adulterated
	Formal	Informal	Genuine	Adulterated

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Continued from previous page...

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Following investigations into various complaints of suspected foodstuffs and into cases of gastro-enteritis, samples of the following foods were submitted for bacteriological examination with the results shown:—

No. of samples submitted	Article	Satisfactory	Unsatis.

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1,589 Food Condemnation Certificates were issued during the year in respect of the quantities of foodstuffs shown in the following table:—

Article of Food	Quantity containers	Approx. weight.(lbs.)

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Particulars of the recording in the Tuberculosis Register during 1947 are as follows:—

	Pulmonary		Non-Pulmonary		Total Cases
	M	F	M	F

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TABLE I. Summary of Statistics 1947

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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 1947. 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 III. Causes of Death, 1947

		Male	Female	Total

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TABLE IV. INFANT MORTALITY, 1947 (Compiled locally from Registrar's Death 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. Analysis of Causes of Infant Deaths 1943-1947

	1943	1944	1945	1946	1947	Total
No. of Births (live)	901	820	872	1,176	1304
Infant Mortality Rate	27	39	28	26	19

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TABLE VI. SUMMARY OF INFANT AND MATERNAL MORTALITY STATISTICS Sir quinquennial periods are shown with the years 1946 and 1947.

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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Health Visiting, 1947

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

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OTHER VISITS (Classified and Included in the above Tabulation)

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TABLE VIII. Ante-Natal Clinics and Infant Welfare Centres, 1947 Infant Welfare Centres

CENTRE	Nominal Roll of Babies 31/12/1947	New Enrolments		Total Attendances			Welfare Sessions held	Medical Consultations		No. of Weighings
CENTRE	Nominal Roll of Babies 31/12/1947	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 Clinics

MEDICAL CONSULTATIONS				CLINICS HELD BY MIDWIVES ONLY
No. of Sessions held	New Cases Examined	Total Attendances for Medical Examinations	Blood Tests (Rh. Factor, etc.)	No. of Sessions Held	Total Examinations by Midwives

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TABLE IX. Housing Statistics for the Year 1947

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TABLE X. Summary of the Work of the Sanitary Inspectors for the Year 1947

TYPE OF INSPECTION.	On Com -plaint	Routine	Re Inspection	Total	Nuisances Found

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TABLE X. (Continued)

Type of Inspection	On Complaint	Routine	Re-Inspection	Total	Nuisances Found

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TABLE X. (Continued) Food and Drugs Samples Taken

ARTICLE	No. of Samples taken	TYPE OF EXAMINATION
ARTICLE	No. of Samples taken	Bact. or M B.	T.B.	Phos.	Chem

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TABLE XI. Nuisances, Defects, Contraventions, etc., Abated or Remedied in 1947

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TABLE XI. (Continued)

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TABLE XI. (Continued)

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I. Inspections for purposes of provisions as to health.

Premises	Number on Register		Number of
Premises	Number on Register	Inspections	Written Notices	Occupiers Prosecuted

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II. Cases in which defects were found.

Particulars	No. of cases in which defects were				No. of cases in which prosecutions were instituted
	Found	Remedied	Referred
	Found	Remedied	To H.M. Inspector	By H.M. Inspector

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Outwork

Nature of Work	No. of Outworkers	Number of
Nature of Work	No. of Outworkers	Inspections	Nuisances	Notices Served

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TABLE XIII. Notifiable Diseases (Civilian) 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	Sun-dridge	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 XIV. Notifiable Diseases, 1947 (Civilian) Sex and Age Distribution

Disease	Totals		0-		1-		3-		5-		10-		15-		25 and over		Age Unknown
	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.	M.	F.

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TABLE XV. TUBERCULOSIS New Cases and Mortality during the Year 1947

Age groups	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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The number of children under survey in 1939 was 421 (193 boys and 228 girls) and in 1946 was 344 (147 boys and 197 girls), and the comparative tables are as follows:—

	Boys		Girls
	1939	1946	1939	1946

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three groups—low, medium and upper, and which give the percentage of children in each group.

Height in inches	Boys (average age 12 7/12 years')
Height in inches	1939 per cent.	1946 per cent.	Wt. in lbs.	1939 per cent.	1946 per cent.

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In the intermediate group (8 year olds) the records of 574 children (310 boys and 264 girls) were examined in 1946, compared with 512 (278 boys and 234 girls) in 1939. The average weight of boys was increased by 1 3/8 lbs. and that of girls, ½ lb., compared with pre-war. There was no difference in the average height of girls, but the boys showed an average increase of 1".

	Boys		Girls
	1939	1946	1939	1946

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After these adjustments have been made, the true comparative tables are as follows:—

	Boys		Girls
	1939	1946	1939	1946

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Boys. (Average age in 1939, 8 years. Average age in 1946, 7 11/12 years)

Height in inches	1939 per cent.	1946 per cent.	Wt. in lbs.	1939 per cent.	1946 per cent.

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TABLE I. Medical Inspections of Pupils Attending Maintained Primary and Secondary Schools

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B. Other Inspections

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C. Pupils Found to Require Treatment Number of Individual Pupils found at Periodic Medical Inspections to require treatment (excluding Dental Diseases and Infestation with Vermin):

Group	For defective vision {excluding squint)	For any of the other conditions recorded in Table II.A.	Total individal pupils

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A. Return of Defects Found by Medical Inspections

Defect Code No.	Defect or Disease	Periodic Inspections. No. of Defects.		Special Inspections. No of Defects.
Defect Code No.	Defect or Disease	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)

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B. Classification of the General Condition of Pupils Inspected During the Year in the Age Groups

Age Groups	Number of Pupils Inspected	A—Good		B—Fair		C—Poor
Age Groups	Number of Pupils Inspected	No.	% of Col. 2	No.	% of Col. 2	No.	%of Col. 2
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

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TABLE III. TREATMENT TABLES Group I.—Minor Ailments (excluding Uncleanliness, for which see Table V.)

(a)	Number of Defects Treated, or under Treatment during the year

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

	Number of defects dealt with

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Group III.—Treatment of Defects of Nose and Throat

	Total number Treated

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TABLE IV. A—Dental Inspection and Treatment Number of pupils inspected by the Authority's Dental Officers—

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TABLE V. Infestation with Vermin

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TABLE VI. Orthoptic Clinic

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TABLE VII. Speech Clinic

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TABLE VIII. Handicapped Children

	In special schools	In maintained prim, and sec. schools	In independent schools	Not in school	Total

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

View report tables

Bromley 1947

80 tables in this report

SCHOOL MEDICAL SERVICE, 1947.

SECTION A. VITAL AND OTHER STATISTICS AND SOCIAL CONDITIONS OF THE AREA.

Vital Statistics.

The comparative rates between Bromley and England and Wales during the past ten years are as follows:—

After adjustment by the inclusion of transferable births, the above figures have been modified as follows:—

The number of maternity cases in the Borough during the year who were attended by midwives is as follows:—

Details of premature births which occurred in Bromley during 1947 are as follows:—

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

Post mortem examinations were made in 6 of the hospital cases, and details of the 35 notified stillbirths which occurred in tiosDital are as follows:—

INFANTILE MORTALITY. The Infant Mortality Rate for the year is 19.11 per 1,000 live births. 25 infants died during 1947 before reaching their first birthday, and the following particulars relate to these cases:—

MATERNAL MORTALITY. There was one maternal death in 1947; a mortality rate of 0.74 per 1,000 total births. The following table shows the causes and rates of maternal mortality in five-yearly periods since 1911:—

Comparative Death Rates per 1,000 population for the past ten years are as follows:—

The main causes of death in Bromley, with comparative rates per 1,000 population are shown in the following table:—

OPEN AIR RECREATIONAL AMENITIES. Approximately 9% of the total acreage of the Borough (595 acres) have been secured or reserved for public recreational purposes, as shown in the following table:— Commons and Open Spaces.

A monthly statistical summary follows:—

in the home. The following figures give an indication of the volume of work carried out:—

CLINICS AND WELFARE CENTRES PROVIDED BY THE LOCAL AUTHORITY, WITH BRIEF DETAILS OF THE SERVICES AVAILABLE

CLINICS AND WELFARE CENTRES PROVIDED BY THE LOCAL AUTHORITY, WITH BRIEF DETAILS OF THE SERVICES AVAILABLE — ( Continued)

CLINICS AND WELFARE CENTRES PROVIDED BY THE LOCAL AUTHORITY, WITH BRIEF DETAILS OF THE SERVICES AVAILABLE — ( Continued)

CLINICS AND WELFARE CENTRES PROVIDED BY THE LOCAL AUTHORITY, WITH BRIEF DETAILS OF THE SERVICES AVAILABLE — (Continued)

Average number of helpers employed continuously during 1947: —

The details of the registered nursing homes are shown in the following table:—

The following tables give an indication of the activities of this Clinic during 1947:—

Details of the results of the 323 specimens submitted for examination during the year are given in the following table:— Rhesus Factor.

The number of confinements attended by midwives during the year was 1,585, an increase of 103 on the figure for 1946.

The details of cases in which medical assistance was requested in respect of the domiciliary confinements are as follows:—

The following table, which shows details of attendances, etc., at the Welfare Centres, gives an indication of the extent to which these Centres are used, and also the confidence which mothers in the Borough have in the services provided:—

Average number of attendances per session:—

Of the total number of children attending the Centres during the year, the average number of attendances per year were:—

The manner in which this work is carried out calls for the utmost skill and consideration in dealing with the harassed, and often perplexed, mothers, and it is gratifying to note, from letters which have been received, that the help and attention given has been much appreciated.

" Appended are the average results of the chemical and bacteriological analyses of the various supplies for 1947."

Housing Inspections and Nuisances and Defects Abated Inspections

Nuisances and Defects Abated

FOOD AND DRUGS ACT, 1938.

Continued from previous page...

Following investigations into various complaints of suspected foodstuffs and into cases of gastro-enteritis, samples of the following foods were submitted for bacteriological examination with the results shown:—

1,589 Food Condemnation Certificates were issued during the year in respect of the quantities of foodstuffs shown in the following table:—

Particulars of the recording in the Tuberculosis Register during 1947 are as follows:—

TABLE I. Summary of Statistics 1947

TABLE II. Birth-rates, Civilian Death-rates, Analysis of Mortality, Maternal Mortality and Case rates for certain Infectious diseases in the Year 1947. Provisional figures based on Weekly and Quarterly Returns.

TABLE III. Causes of Death, 1947

TABLE IV. INFANT MORTALITY, 1947 (Compiled locally from Registrar's Death Returns)

TABLE V. Analysis of Causes of Infant Deaths 1943-1947

TABLE VI. SUMMARY OF INFANT AND MATERNAL MORTALITY STATISTICS Sir quinquennial periods are shown with the years 1946 and 1947.

Health Visiting, 1947

OTHER VISITS (Classified and Included in the above Tabulation)

TABLE VIII. Ante-Natal Clinics and Infant Welfare Centres, 1947 Infant Welfare Centres

Ante-Natal Clinics

TABLE IX. Housing Statistics for the Year 1947

TABLE X. Summary of the Work of the Sanitary Inspectors for the Year 1947

TABLE X. (Continued)

TABLE X. (Continued) Food and Drugs Samples Taken

TABLE XI. Nuisances, Defects, Contraventions, etc., Abated or Remedied in 1947

TABLE XI. (Continued)

TABLE XI. (Continued)

I. Inspections for purposes of provisions as to health.

II. Cases in which defects were found.

Outwork

TABLE XIII. Notifiable Diseases (Civilian) Ward Distribution, Attack and Mortality Rates

TABLE XIV. Notifiable Diseases, 1947 (Civilian) Sex and Age Distribution

TABLE XV. TUBERCULOSIS New Cases and Mortality during the Year 1947

The number of children under survey in 1939 was 421 (193 boys and 228 girls) and in 1946 was 344 (147 boys and 197 girls), and the comparative tables are as follows:—

three groups—low, medium and upper, and which give the percentage of children in each group.

After these adjustments have been made, the true comparative tables are as follows:—

Boys. (Average age in 1939, 8 years. Average age in 1946, 7 11/12 years)

TABLE I. Medical Inspections of Pupils Attending Maintained Primary and Secondary Schools

B. Other Inspections

C. Pupils Found to Require Treatment Number of Individual Pupils found at Periodic Medical Inspections to require treatment (excluding Dental Diseases and Infestation with Vermin):

A. Return of Defects Found by Medical Inspections

B. Classification of the General Condition of Pupils Inspected During the Year in the Age Groups

TABLE III. TREATMENT TABLES Group I.—Minor Ailments (excluding Uncleanliness, for which see Table V.)