[Report of the Medical Officer of Health for Shoreditch]

Page 1

The estimated population in the eight Wards of the Borough are set out below: —

Ward.	Population.	Ward.	Population.

Page 2

In the following table are given the areas of the wards in acres, and the estimated populations per acre:—

Ward.	Area in acres.	Population per acre.	Ward.	Area in acres.	Population per acre.

Page 2

The distribution of the corrected births in the eight wards of the Borough is given below : —

Ward.	Males.	Females.	Total.

Page 3

The distribution of the deaths amongst males and females in the eight wards of the Borough is as shown in the following table : —

Ward.	Males.	Females.	Total.

Page 5

In the subjoined table the causes of death among infants under one year are given for each of the eight wards of the Borough : —

Cause of Death.	Moorfields Ward.	Church "Ward.	Hoxton Ward.	Wenlock Ward.	Whitmore Ward.	Kingsland Ward.	Haggerston Ward.	Acton Ward.	Totals.

Page 8

The numbers and distribution of the deaths of persons belonging and not belonging to the Borough in the public institutions situate in Shoreditch are as set out in the subjoined table: —

Institution.	Persons belonging to Shoreditch.	Persons not belonging to Shoreditch.	Total.

Page 11

In the subjoined table the deaths from the infectious diseases referred to above have been grouped according to age: —

Age period.	Under 1	1-5	5-10	10-15	15-20	20-25	25-35	35-45	45-55	55-65	65-75	75-85	85 and upwards

Page 12

The cases of notifiable infectious disease numbered 1,028, being 237 less than in 1907. The number of cases annually certified since 1889,| and the attack-rates per 1,000 inhabitants, are contained in the following table : —

Year.	Number of cases.	Attack-rate per 1,000 inhabitants.

Page 12

Subjoined is a list of the infectious diseases which are notifiable to the Medical Officer of Health, showing the number of cases certified in the Borough for each of the four quarters of the year, and the numbers and percentages of such cases which were removed to hospital for treatment: —

Disease.	First Quarter.	Second Quarter.	Third Quarter.	Fourth Quarter.	Total.	Deaths.

Page 13

During the year 10 instances where "return " cases of scarlet fever occurred came under observation. The particulars are briefly as follows: —

Number of Cases.	Length of time in Hospital.	Interval between the return of the primary (infecting) case and the occurrence (invasion of) the secondary or return case	Lesions observed in the primary case on return from hospital.	Number of cases resulting from Primar)' case.	Remarks.

Page 15

The distribution of the cases certified and the deaths amongst males and females during the year in the Borough and its eight wards is as shown in the subjoined table : —

Ward	SCARLET FEVER.
	Notifications.			Fatal Cases.
	Male.	Female.	Total.	Male.	Female.	Total.

Page 16

The numbers of cases and the deaths amongst males and females in the Borough and its eight wards are given in the subjoined table: —

Ward.	DIPHTHERIA (Including Membranous Croup.)
	Cases Certified.			Fatal Cases.
	Male.	Female.	Total.	Male.	Female.	Total.

Page 18

certified during the dear, they were distributed amongst males and females a' certain age periods as set out in the subjoined table: —

Age Period.	Male.	Female.	Total

Page 19

The numbers of cases certified year by year since 1889 are set out in the following table: —

Year.	Number of Cas es.	Year.	Number of Cases.

Page 20

The distribution of the cases certified, and deaths amongst males and females in the Borough and the eight wards thereof during 1907 is shown in the subjoined table: —

Wards.	ENTERIC FEVER.
	Notifications.			Fatal Cases.
	Male.	Female.	Total.	Male.	Female.	Total.

Page 21

Below are set out brief particulars as to the age and sex of the patients, the dates of invasion and notification, the sanitary condition of the dwellings and the probable source of infection. The list includes 8 cases which were not certified. It will be noted that other uncertified cases are referred to iu the remarks as to the probable source of infection. The cases certified but subsequently not regarded as enteric fever have not been included :

No. of case.	Patients initials.	Sex.	Age.	Address.	Probable date of invasion.	Date of Certification.	Sanitary condition of dwelling.	Probable source of infection—Remarks.

Page 22 23

Continued from previous page...

No of case.	Patient's initials.	Sex.	Age.	Address.	Probable date of invasion.	Date of Certification.	Sanitary condition of dwelling.	Probable source of infection. Remarks.

Page 24 25

Continued from previous page...

No. of case.	Patient's initials.	Sex	Age.	Address.	Probable date of invasion.	Date of Certification.	Sanitary condition of dwelling.	Probable source of infection. Remarks.

Page 30

The cases and deaths amongst males and females in the Borough and its eigRt wards were distributed as set out below: —

Ward.	ERYSIPELAS.
	Cases Certified.			Fatal. Cases.
	Male.	Female.	Total.	Male.	Female.	Total.

Page 35

INFECTIOUS DISEASES AND SCHOOLS. In the following table are set forth the numbers of children belonging to Shoreditch who were suffering from infectious diseases or were residing in houses in which infectious diseases existed, concerning whom intimations of exclusion from school were received from the head-teachers of the schools they attended in accordance with the requirements of the school management code of the London County Council:—

School.	Enteric Fever.	Small Pox.	Diphtheria.	Scarlet Fever.	Measles.	Chicken Pox.	Whooping Cough.	Mumps.	Other Diseases.	Total.

Page 38

In the subjoined table is contained a summary giving an idea as to the nature of the work done for the abatement of nuisances and for improving the dwellings of the people in Shoreditch, which has been compiled from the abstracts of their work prepared by the sanitary inspectors : —

	Chief Insp.	Insp. Lear.	Insp. Firth.	Insp. Jordan.	Insp. Lang- stone.	Insp. Pearson.	Total.

Page 39

For non-compliance with the requirements of the sanitary authority, and lor other breaches of the Public Health Act, and the by-laws made thereunder, Police Court proceedings were taken, as set out below : —

Premises.	Result of Proceedings.

Page 43

The number of tenements, rooms, and persons in the dwellings estimated for the year 1908 are contained in the subjoined table : —

	Number of blocks.	Number of tenements.	Num ber of roi ms.	Number of pirsons

Page 43

The births registered during the year, and the birth-rates in the dwellings as a whole, and the two classes into which they have been divided are shown below : —

The whole of the Dwellings.		Class A.		Class B.
Number.	Rate per 1,000 Inhabitants.	Number.	Rate per 1,000 Inhabitants.	N umber.	Rate per 1,003 Inhabitants.

Page 44

In the subjoined table are given the deaths and death-rates from certain causes for the dwellings and the corresponding death-rates for the whole Borough, so that they may be compared :—

Cause of Death.	The whole of the Dwellings.		Class A.		Class B.		The Borough.
Cause of Death.	Number of deaths.	Rate per 1,000 inhabitants.	Number of Deaths.	Rate per 1,000 inhabitants.	Number of deaths.	Rate per 1,000 inhabitants.	Kate per 1,000 inhabitants.

Page 44

The numbers of cases and the attack-rates per 1,000 inhabitants with respect to scarlet fever, diphtheria, enteric fever, and erysipelas are set out below : —

	Scarlet Fever.		Diphtheria.		Enteric Fever.		Erysipelas.
	Cases.	Rate.	Cases.	Rate.	Cases.	Rate.	Cases.	Rate.

Page 53

The results of the year's work are summarised in the following table:—

Quarter of the year 1908.	Number of Samples taken.	Number of Samples Adulterated.	Percentage Adulterated.	N umber of Prosecutions Instituted.	Prosecutions withdrawn because of Warranties, &c.	Prosecutions proceeded with.	N umber of successful Prosecutions.	Fines and Costs.			Amount paid to Analyst for samples analysed
								£	s.	d.	£	8.	d

Page 53

1904, and 22.0 in 1903. In the subjoined table are shown the numbers of samples of milk taken during the four quarters of the year, with the numbers and percentages of those found not to be genuine : —

Page 54

The numbers of samples and percentages of those found adulterated during the four quarters of the year are as shown in the subjoined table:—

Quarter of the year.	Number of Samples.	Number not genuine.	Percentage[ adulterated.

Page 55

The subjoined table shows a comparison of the results of the work under the Food and Drugs Acts during the years 1902.8 inclusive:—

Tear.	Number of Samples.	Number of persons in the Borough to each sample.	Number of samples adulterated.	Percentage of samples adulterated.	Number of prosecutions instituted.	Summonses withdrawn on account of warranties, &c.	Prosecutions proceeded with.	Number of successful prosecutions.	Fines and Costs.			Amount paid to Public Analyst.
									£	s.	d.	£	8.	d.

Page 58

TABLE I. BOROUGH OF SHOREDITCH. Vital Statistics of whole District during 1908 and previous Years.

Year	Population estimated to middle of each Year.	Births.		Total Deaths Registered in the District.				Total Deaths in Public Institu. tions in thk District.	Deaths of Nonresidents registered in PubMc Institutions in the District.	Deaths of residents registered in Public Institutions beyond the District.	Net Deaths at Belonging TO THE District.
		N umber	Rate*	Under one year of Age		at all Ages.					Net Deaths at Belonging TO THE District.
		N umber	Rate*	Num. ber	Kate per 1,000 Birth:. regis.	N umber	Rate*				Number.	Rate*
1	2	3	4	5	6	7	8	9	1C	11	12	13

Page 59

TABLE II. BOROUGH OF SHOREDITCH. Vital Statistics of separate Localities in 1908, and in previous Years.

Year.	Population estimated to middle of year	Births registered.	Draths at all ages.	Deaths under 1 year.	Population estimated to middle of year.	Births registered.	Deaths at all ages.	Deaths under 1 year.	Population estimated to middle of year.	Births registe-e«i.	Deaths at all ape9	Deaths under 1 year	Population estimated to Middle of year.	Births registered.	Deaths at. all ages.	Deaths under 1 year.	Papulation estimated to middle of year.	Birt.ns registered.	Deaths at all ages.	Deaths under 1 year.	Population estimated to middle of year.	Births registered.	Deaths at. all ages.	Deaths under 1 year_Milder 1 year	Population estimated to middle of year.	Births registered.	Deaths at. all ages.	Deaths under 1 year.	Population estimated to middle of year.	Births regitered.	Deaths at all .ages	Deatns under 1 year.
	a.	b.	c.	d.	a.	b.	c.	d.	a.	b.	c.	d.	a.	b.	c	d.	a	b.	c.	d.	a	b.	c.	d.	a.	b.	c.	d.	a.	b.	c.	d.

Page 60

TABLE III. BOROUGH OF SHOREDITCH. Cases of infectious disease notified during the Year 1908.

Cases notified in Whole District.							Total Cases notified in each Locality.								No. of Cases removed to Hospital fkom each Locality.
At all Ages.	At Ages—Years.						1.	²	3.	4.	5.	6.	7.	8.	1.	2.	3.	4.	5,	6.	7.	8.
	At Ages—Years.						Moor-fields.	Church.	Hoxton	Wen-lock.	Whit-more.	Kings-land.	Has- gerston	Acton.	Moor-fields.	Church.	Hoxton.	Wen- lock.	Whit- more.	Kings-land.	Hag-gerston.	Acton.
	Under 1.	1 to 5	5 to 15	15 to 25	25 to 65	65 and upwards	Moor-fields.	Church.	Hoxton	Wen-lock.	Whit-more.	Kings-land.	Has- gerston	Acton.	Moor-fields.	Church.	Hoxton.	Wen- lock.	Whit- more.	Kings-land.	Hag-gerston.	Acton.

Page 61

TABLE IV. BOROUGH OF SHOREDITCH. Causes of, and ages at, death during Year 1908.

Causes of Death.		Deaths in or belonging to whole District at subjoined Ages.							Deaths in or belonging to Localities at all Ages.								Total Deaths In Public Institutions in the District
Causes of Death.		All Ages	Under 1.	1 and under 5.	5 and under 15.	15 and under 25.	25 and under 65.	65 and upwards	Moor-fields.	Church.	Hoxton.	Wen-lock.	Whit- more,	Kings-land.	Haggei--ston.	Ac'on.	Total Deaths In Public Institutions in the District
1		2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17

Page 62

TABLE V. BOROUGH OF SHOREDITCH. Infantile Mortality during the year, 1908, showing deaths from stated causes in weeks and months under One Year of Age.

CAU3E OF DBATH		Under 1 W« ek.	1-2 Weeks	1 2-3 Weeks	34 Weeks	Total under 1 Month	1 - 2 Months	2-3 Months	3-4 Months	4- 5 Months	5-6 Mont l s	6-7 Months	7-8 J Months	8-9 Months	9-10 Months	10-11 Months	11-12 Months	TotalDeaths under 1 Year.

Page 64 65

TABLE VI. DEATHS FROM ALL CAUSES IN THE BOROUGH OF SHOREDITCH, AND IN EACH WARD DURING THE YEAR ENDING 31st DECEMBER.. 1908. Note.—The deaths of persons not belonging to Shoreditch occurring in hospitals and other institutions in the Borough are excluded ; deaths of persons belonging to Shoreditch occurring in public institutions in London beyond the limits of the Borough are included.

CAUSES OF DEATH.		AGES.													DEATHS IN EACH "WARD.								SEX.		Total.
CAUSES OF DEATH.		Under 1.	1 5.	5 to 10.	10 to 15.	15 to 20.	20 to 25.	25 to 35.	35 to 45.	45 to 55.	55 to 65.	65 to 75.	75 to 85.	85 and upwards.	Moorfields.	Church.	Iloxfon.	Wenlock.	Whitmore.	Kingsland.	Haggerston.	Acton.	Male.	Female.	Total.

Page 66 67

Continued from previous page...

CAUSES OF DEA.TH.	AGES.													DEATHS IN EACH WARD.								SEX..		Total.
CAUSES OF DEA.TH.	Under 1.	1 t> 5.	5 to 10.	10 to 15.	15 to 20.	20 to 25.	25 to 35.	35 to 45.	45 to 55.	55 to 65.	65 to 75.	75 to 85.	85 and upwards.	Moorfields.	Church.	lloxton.	Weill ock.	Whitinore.	Kings'and.	rston.	Acton.	Male.	Female.	Total.

Page 68 69

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CAUSES OF DEATH.	AGES.													DEATHS IN EACH WARD.								SEX.		Total
CAUSES OF DEATH.	Under 1.	1 t> 5.	5 to 10.	10 to 15.	15 to 20.	'20 to 25.	25 to 35.	35 to 45.	45 to 55.	55 to 65.	65 to 75.	75 to 85.	85 Hnd upwards.	Moorfields.	Church.	Hoxton.	Wenlock.	1 Whitmore.	Kings'and.	Hag£ r.ston.	Acton.	Male.	Female.	Total

Page 70

TABLE VII— ANALYSIS AND COMPARISON OF LONDON AND SHOREDITCH BIRTH AND DEATH RATES FOR THE YEAR ENDING 31 ST DECEMBER, 1908.

DISTRICT'S.	Estimated population 1908.	ANNUAL KATE PElt 1,000 PERSONS LIVING.															Deaths under 1 year to 1,000 Births.	PERCENTAGE TO TOTAL DEATHS.
		BIRTHS	DKATTTR DURING THE TEARS.				DEATHS DURING 1908 FROM											Inquest Cases. 1	Deaths m Public Institutions.	Uncertified Causes of Death.
		BIRTHS	1905.	1906.	1907.	1908.	Principal Z\ motic Deseases.	SmMll Pox.	Measles.	Scarlet. Fev« r.	Diphtheria.	Whooping Cough.	*Fever.	Diarrhoea.	Tuberculous. Dieease.	Violence.		Inquest Cases. 1	Deaths m Public Institutions.	Uncertified Causes of Death.

Page 71

TABLE VIII. ANALYSIS or the Oases Treated by tub District Medical Officers of the Borough during the Year ending December 31 st, 1908.

Diseases.		Diseases.

Page 72

PUBLIC HEALTH (LONDON) ACT, 1891. SUMMARY OF PROCEEDINGS DURING 1908. Table IX.

PREMISES.	NUMBER OF PLACES—				Number of inspections, 1908.	Number of notices, 1908.	Number of prosecutions, 1908.
PREMISES.	On register at end of 1907.	Added in 1908.	Removed in 1908.	On register at end of 1908.	Number of inspections, 1908.	Number of notices, 1908.	Number of prosecutions, 1908.

Page 73

1.—Inspection. Inspection made by Sanitary Inspectors.

emises.	Number of
emises.	Inspections.	Written Notices.	Prosecutions.
(1)	(2)	(3)	(4)

Page 73

2.—Defects Found.

Particulars.		Number of Defects.			Number of Prosecu-
Particulars.		Found.	Remedied.	Referred to H.M	Number of Prosecu-
(1)		(2)	(3)	(4)	(5)

Page 74

3. Home Work.

NATURE OF WORK.	OUTWORKERS LISTS, SECTION 107.										Number of inspec tions of outworkers premises.	Outwork in unwholesome premises, Section 108.			Outwork in infected premises, Sections 109 and 110.
	Lists received from Employers.						Addresses of Outworkers.		Prosecutions.			Instances.	Notices served.	Prosecutions.	in-stances.	Orders made. (8. 109.)	Prosecutions. (S. 109, 110.)
	Twice in the Year.			Once in the Year.			Received from other Councils.	Forwarded to other Councils.	Failing to keep or permit inspection of lists.	Failing to send Lists.
	Lists.	Outworkers.		Lists.	Outw	arkers.
	Lists.	Con-	Work-	Lists.	Con-	Workmen.
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)	(17)	(18)

Page 75

4.—Registered Workshops.

Workshops oil the Register (s 131) at the end of the year.	Number.
(1)	(2)

Page 75

5.—Other Matters.

Page 76

6.—Shewing tiie Numbers of Outworkers Received from other Districts During 1908.

DISTRICT.	Making Wearing Apparel.		Cleaning and Washing.		Lace Curtains.		Artificial Flowers.		Furniture and Upholstery		Fur Pulling.		Feather Sorting.		Umbrellas, &c.		l'aper Bags and Boxes.		Brush Making		Total.
DISTRICT.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug	Feb	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug	Feb	Aug.	Feb.	Aug.	Feb.	Aug.	Total.

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Shoreditch 1908

47 tables in this report

The estimated population in the eight Wards of the Borough are set out below: —

In the following table are given the areas of the wards in acres, and the estimated populations per acre:—

The distribution of the corrected births in the eight wards of the Borough is given below : —

The distribution of the deaths amongst males and females in the eight wards of the Borough is as shown in the following table : —

In the subjoined table the causes of death among infants under one year are given for each of the eight wards of the Borough : —

The numbers and distribution of the deaths of persons belonging and not belonging to the Borough in the public institutions situate in Shoreditch are as set out in the subjoined table: —

In the subjoined table the deaths from the infectious diseases referred to above have been grouped according to age: —

The cases of notifiable infectious disease numbered 1,028, being 237 less than in 1907. The number of cases annually certified since 1889,| and the attack-rates per 1,000 inhabitants, are contained in the following table : —

Subjoined is a list of the infectious diseases which are notifiable to the Medical Officer of Health, showing the number of cases certified in the Borough for each of the four quarters of the year, and the numbers and percentages of such cases which were removed to hospital for treatment: —

During the year 10 instances where "return " cases of scarlet fever occurred came under observation. The particulars are briefly as follows: —

The distribution of the cases certified and the deaths amongst males and females during the year in the Borough and its eight wards is as shown in the subjoined table : —

The numbers of cases and the deaths amongst males and females in the Borough and its eight wards are given in the subjoined table: —

certified during the dear, they were distributed amongst males and females a' certain age periods as set out in the subjoined table: —

The numbers of cases certified year by year since 1889 are set out in the following table: —

The distribution of the cases certified, and deaths amongst males and females in the Borough and the eight wards thereof during 1907 is shown in the subjoined table: —

Continued from previous page...

Continued from previous page...

The cases and deaths amongst males and females in the Borough and its eigRt wards were distributed as set out below: —

In the subjoined table is contained a summary giving an idea as to the nature of the work done for the abatement of nuisances and for improving the dwellings of the people in Shoreditch, which has been compiled from the abstracts of their work prepared by the sanitary inspectors : —

For non-compliance with the requirements of the sanitary authority, and lor other breaches of the Public Health Act, and the by-laws made thereunder, Police Court proceedings were taken, as set out below : —

The number of tenements, rooms, and persons in the dwellings estimated for the year 1908 are contained in the subjoined table : —

The births registered during the year, and the birth-rates in the dwellings as a whole, and the two classes into which they have been divided are shown below : —

In the subjoined table are given the deaths and death-rates from certain causes for the dwellings and the corresponding death-rates for the whole Borough, so that they may be compared :—

The numbers of cases and the attack-rates per 1,000 inhabitants with respect to scarlet fever, diphtheria, enteric fever, and erysipelas are set out below : —

The results of the year's work are summarised in the following table:—

1904, and 22.0 in 1903. In the subjoined table are shown the numbers of samples of milk taken during the four quarters of the year, with the numbers and percentages of those found not to be genuine : —

The numbers of samples and percentages of those found adulterated during the four quarters of the year are as shown in the subjoined table:—

The subjoined table shows a comparison of the results of the work under the Food and Drugs Acts during the years 1902.8 inclusive:—

TABLE I. BOROUGH OF SHOREDITCH. Vital Statistics of whole District during 1908 and previous Years.

TABLE II. BOROUGH OF SHOREDITCH. Vital Statistics of separate Localities in 1908, and in previous Years.

TABLE III. BOROUGH OF SHOREDITCH. Cases of infectious disease notified during the Year 1908.

TABLE IV. BOROUGH OF SHOREDITCH. Causes of, and ages at, death during Year 1908.

TABLE V. BOROUGH OF SHOREDITCH. Infantile Mortality during the year, 1908, showing deaths from stated causes in weeks and months under One Year of Age.

Continued from previous page...

Continued from previous page...

TABLE VII— ANALYSIS AND COMPARISON OF LONDON AND SHOREDITCH BIRTH AND DEATH RATES FOR THE YEAR ENDING 31 ST DECEMBER, 1908.

TABLE VIII. ANALYSIS or the Oases Treated by tub District Medical Officers of the Borough during the Year ending December 31 st, 1908.

PUBLIC HEALTH (LONDON) ACT, 1891. SUMMARY OF PROCEEDINGS DURING 1908. Table IX.

1.—Inspection. Inspection made by Sanitary Inspectors.

2.—Defects Found.

3. Home Work.

4.—Registered Workshops.

5.—Other Matters.

6.—Shewing tiie Numbers of Outworkers Received from other Districts During 1908.