[Report of the Medical Officer of Health for Shoreditch]

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Statistical Summary, 1928.

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Vital Statistics of the Borough of Shoreditch during 1928 and previous years.

Year. 1	Population estimated to middle of each year. 2	Births.			Total Deaths Registered in the District.		Transferable Deaths.		Nett Deaths belonging to the District.
		Uncorrected Number. 3	Nctt.		Number. 6	Rate. 7	of Nonresidents registered in the District. 8	of residents not registered in the District. 9	Under 1 year of Age.		At all Ages.
		Uncorrected Number. 3	Number. 4	Rate. 5	Number. 6	Rate. 7	of Nonresidents registered in the District. 8	of residents not registered in the District. 9	Number. 10	Rate per 1,000 nett Births. 11	N umber. 12	Rate. 13

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ANALYSIS AND COMPARISON OF LONDON AND SHOREDITCH BIRTH AND DEATH RATES FOR THE YEAR ENDING 31 ST DECEMBER, 1928.

ANNUAL RATE PER 1,000 PERSONS LIVING.															PERCENTAGE TO TOTAL DEATHS.
BIRTHS.	DEATHS DURING THE YEARS:				DEATHS DURING 1928 EROM										Inquest Cases.	Deaths in Public Institutions.	Uncertified Causes of Death.
					1 (cols 2-8)	2	3	4	5	6	7	8	9	10
					1 (cols 2-8)	Smallpox.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Fever.	Diarrhœa Enteritis (under 2 year:	Tuberculous Disease,	Violence.
	1925.	1926	1927.	1928	Principal Zymotic Diseases.	Smallpox.	Measles.	Scarlet Fever.	Diphtheria.	Whooping Cough.	Fever.	Diarrhœa Enteritis (under 2 year:	Tuberculous Disease,	Violence.

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For the purposes of this report 100,200 is the estimated population for the year under consideration. The population in the various Wards of the Borough is estimated as follows :—

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

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BIRTHS.

	Males.	Females.	Total.

Page 6

The distribution of the corrected births and the birth rates in the eight Wards of Borough are given below:—

Ward.	Males.	Females.	Total.	Births per 1,000 Population.

Page 7

During recent years the corresponding figures have been as follows:—

Year.	No. of marriages.	Marriage rate.
Year.	No. of marriages.	Shoreditch.	London.

Page 7

The distribution of the deaths and the death rates in the different Wards are given below:—

Ward.	Males.	Females	Total.	Deaths per 1,000 population.	Deaths of infants under 1 year per 1,000 births registered.

Page 8

The causes of deaths at all ages together with Ward distribution and particulars relating to 1 the deaths in Public Institutions in the Borough is contained in the following table:—

Causes of Death.		AGES.														DEATHS IN EACH WARD.								SEX.		Total.	Belonging to Shoreditch.	Not belonging to Shoreditch.	Belonging to Shorditch.	Not belonging to Shoreditch.	Belonging to Shoreditch.	Not belonging to Shoreditch.	Belonging to Shoreditch.	Not belonging to Shoreditch.	belonging to Shoreditch.	Not belonging to Shoreditch.	Belonging to Shoreditch.	Not belonging to Shoreditch.
		Under 1.	1 to 2	2 to 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.	Hoxton.	Wenlock.	Whitmore.	Kiagsland.	Haggerston.	Acton.	Male.	Female,		Belonging to Shoreditch.	Not belonging to Shoreditch.	Belonging to Shorditch.	Not belonging to Shoreditch.	Belonging to Shoreditch.	Not belonging to Shoreditch.	Belonging to Shoreditch.	Not belonging to Shoreditch.	belonging to Shoreditch.	Not belonging to Shoreditch.	Belonging to Shoreditch.	Not belonging to Shoreditch.
		Under 1.	1 to 2	2 to 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.	Hoxton.	Wenlock.	Whitmore.	Kiagsland.	Haggerston.	Acton.	Male.	Female,		Holborn Institute.		St. Leonard's Hospital.		Royal Chest Hospital.		Home of Good Shepherd.		Convent Hospital.		Infant Welfare Centre.

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Deaths of Infants under one year per 1,000 births registered: —

Year.	England and Wales.	London.	Shoreditch.

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INFANTILE MORTALITY IN THE BOROUGH DURING YEAR 1928.

CAUSES OF DEATH.		AGES.											DEATHS IN EACH WARD.								SEX.
CAUSES OF DEATH.		Under 1 day.	1 day-1 week	1-2 weeks.	2-3 weeks.	3-4 weeks.	Total under 1 month.	1-3 months.	3-6 months.	6-9 months.	9-12 months.	Total under 1 year.	Moorfields.	Church.	Hoxton.	Wenlock.	Whitmore.	Kingsland.	Haggerston.	Acton.	Male.	Female.

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The particulars of these deaths are entered in the following table:—

MATERNAL MORTALITY.	AGES.							Married.	Single.	Widowed.	WARDS.
MATERNAL MORTALITY.	15 to 20 yrs.	20 to 25 yrs.	25 to 30 yrs.	30 to 35 yrs.	35 to 40 yrs.	40 to 45 yrs.	45 yrs.	Married.	Single.	Widowed.	Moorfields.	Church.	Hoxton.	Wenlock.	Whitmore.	Kingsland.	Haggerston.	Acton.

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DEATHS FROM CANCER IN THE BOROUGH DURING YEAR 1928.

	AGES.										SEX.		Total.	WARDS.
	0 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.	Male.	Female.	Total.	Moorfields.	Church.	Hoxton.	Wenlock.	Whitmore.	Kingsland.	Haggerston.	Acton.

Page 14

In the subjoined table are set forth the various institutions outside Shoreditch with the number of persons belonging to the Borough dying therein:—

Asylums:—	No. of Deaths.	No. of Deaths.

Page 16

The following table shows the numbers of cases of infectious disease (tuberculosis excluded) notified in the Borough, together with distribution as to quarter, age and Ward:—

	NUMBER OF CASES NOTIFIED.
NOTIFIABLE DISEASE.	1st Quarter	2nd Quarter	3rd Quarter	4th Quarter	Total	AGES.							WARDS.								Cases removed to Hospital.	Diagnosis revised subsequently.	Deaths.
						AGES.							I	II	III	IV	V	VI	VII	VIII
						Under 1 year.	1 to 5.	5 to 15.	15 to 25.	25 to 45.	45 to 65.	65	Moor-fields.	Church.	Hoxton.	Wenlock.	Whitmore.	Kingsland.	Haggerston.	Acton.

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SMALLPOX—CASES NOTIFIED.

	England & Wales.	London.	Shoreditch

Page 18

SCARLET FEVER.

Wards.	No. of cases.			Fatal cases.			Rates per 1,000 population.		Case mortality. Deaths per 100 cases.
	Male.	Female.	Total.	Male.	Female.	Total.	Rates per 1,000 population.
	Male.	Female.	Total.	Male.	Female.	Total.	Attack	Death

Page 19

The number of cases, the deaths amongst males and females and the attack, death and mortality rates in the Borough, its Wards and in London are given in the subjoined table:—

Ward.	Notifications.			Fatal cases.			Rates per 1,000 population.		Case mortality. Deaths per 100 cases.
	M.	F.	Total	M.	F.	Total	Rates per 1,000 population.
	M.	F.	Total	M.	F.	Total	Attack	Death

Page 20

Home enquiries were made regarding 437 of the notifications received. Amongst these the age distribution was found to be as follows:—

Age period.	Male.	Female.	Total.

Page 21

A comparison between London and Shoreditch is contained in the following table:—

	Per 1,000 inhabitants.		Deaths per 100 cases.
	Attack rate.	Death rate.	Deaths per 100 cases.

Page 22

A comparison between London and Shoreditch during the last 10 years is contained in the following table:—

London.					Shoreditch.
Year.	Cases.	Cases per 1,000 births.	Deaths.	Deaths per 1,000 births.	Cases.	Cases per 1,000 births.	Deaths	Deaths per 1,000 births.

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The disease, which, if not properly treated, may cause blindness or serious impairment of vision, is due to a gonorrheal infection of the child's eyes during birth. Infection is nearly always from the genital tract and the mother should accordingly also undergo treatment.

Cases.			Vision unimpaired	Vision impaired.	Total blindness.	Deaths.
Notified.	Treated at home.	In Hospital.	Vision unimpaired	Vision impaired.	Total blindness.	Deaths.

Page 26

As will be seen from the following table, measles is a disease which tends to become widespread every few years, the probable explanation being that after a bad measles year a large number of children are protected by reason of the fart that they have had the disease.

	Deaths		Death rate per 1,000 population
Year	Shoreditch	London	Shoreditch	London

Page 27

The death rate from this disease was 0.05 per 1,000 inhabitants. The deaths in London as a whole numbered 396, the death rate being 0.09. The number of deaths in Shoreditch in recent years have been as follows:—

Year.	Deaths.	Year.	Deaths

Page 27

The number of deaths in Shoreditch during recent years has been as follows:—

Year.	Deaths.	Year.	Deaths.

Page 28

During the last three years the deaths and death rate from influenza in London as a whole have been as follows:—

	Number of deaths.	Deaths per 1,000 population.

Page 28

The particulars of these exclusions from school are as follows:—

Disease from which suffering or to which exposed.	Number of exclusions from School.

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NURSING LIST. Subjoined is a list of cases nursed for the Shoreditch Borough Council by the Shoreditch and Bethnal Green District Nursing Association during the year 1928.

Disease.	Under 5.	Visits.	Disease.	Over 5.	Visits.

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PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the Period from the 1st January, 1928, to the 29tii December, 1928, in the Metropolitan Borough of Shoreditch.

Age-periods.	Notifications on Form A.													Notifications on Form B.					Number of Notifications on Form C.		Number of Notifications on Form D.
	Number of Primary Notifications.												Total Notifications on Form A.	Number of Primary Notifications.				Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.	Poor Law Institutions.	Sanatoria.
	0 to 1.	1 to 5.	5 to 10.	10 to 15.	15 to 20.	20 to 25.	25 to 35.	35 to 45.	15 to 55.	55 to 65.	65 and upwards.	Total Primary Notifications.	Total Notifications on Form A.	Under 5.	5 to 10.	10 to 15.	Total Primary Notifications.	Total Notifications on Form B.	Poor Law Institutions.	Sanatoria.	Poor Law Institutions.	Sanatoria.

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The number of persons notified per 1,000 inhabitants during the year under consideration, and the preceding nine years is shown in the following table:—

Year.	Pulmonary.	Non-Pulmonary.	All forms.

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The number of cases notified in each of the eight wards during 1928 was as follows:—

Ward.	Pulmonary.	Non-Pulmonary.	Total.	No. per 1,000 inhabitants.

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PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1924.

	Pulmonary.		Non-Pulmonary.		Total.
	Males.	Females.	Males.	Females.	Total.

Page 34 35

DEATHS FROM TUBERCULOSIS IX THE BOROUGH DURING YEAR 1928. The deaths from Tuberculosis during 1928 are classified as to situation of disease, age and ward in the following table:—

	AGES.													DEATHS IN EACH WARD.								SEX.		TOTAL.	DEATHS.
	Under 1 year.	1 to 2 years.	2 to 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 In 85 „	Moorfields.	Church.	Hoxton.	Wenlock	Whit more.	Kingsland.	Haggcrston	Acton.	Male.	Fermle.		Not in Institutions.		St. Leonards.		Otner Institutions.
	Under 1 year.	1 to 2 years.	2 to 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 In 85 „	Moorfields.	Church.	Hoxton.	Wenlock	Whit more.	Kingsland.	Haggcrston	Acton.	Male.	Fermle.		Belonging to Shoreditch.	Not belonging to Shoreditch.	Belonging to Shoreditch.	Not belonging to Sho.'editch.	Belong ng to Shoreditch.	Not belonging to Shoreditch.

Page 34 35

The death rates from Pulmonary and Non-Pulmonary Tuberculosis for 1928 in London and Shoreditch are compared in the following table:—

	Deaths per 1,000 population.			Percentage of total mortality caused by Tuberculosis.
	Pulmonary	Non-Pulmonary	All forms	Pulmonary	Non-Pulmonary	All forms

Page 34 35

The death rates from all forms of Tuberculosis in Shoreditch and London during the last 10 years are compared in the following table:—

Year.	Shoreditch.	London.

Page 38

STATISTICAL REPORT FOR 1928.

	1927.	1928.

Page 38

All New Persons Examined according to monthly Returns:—

	Tuberculous.	Suspects.	NonTuberculous.	Total.

Page 39

Final Analysis of all New Persons attending:—

	Under 15 years.		Over 15 years.		Total
	M.	F.	M.	F.	Total

Page 39

SPECIAL SESSION FOR SCHOOL CHILDREN. The number of Attendances and Examinations made each month are shown in the following table:—

	Attendances.	Examinations.		Attendances.	Examinations.

Page 39

Analysis of all persons attending the Dispensary during 1928:—

	Under 15 years.	Over 15 years.	Totals.

Page 40

The New Persons examined and the Examinations and Attendances each munti were as follows:—

	New Persons Examined.			Examinations.			Attendances.
	Ins.	NonIns.	Total.	Ins.	NonIns.	Total.	Ins.	NonIns.	Total.

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TABLE I.—INSPECTION AND TREATMENT OF CHILDREN.

	Number examined.	Number needing treatment.	Number refusing treatment.	Number treated.	Number of extractions.	Number of Administrations of Anesthetics.		Number of fillings.	Number of other operations.	Number of children treated for orthodontics.	Number of visits.
	Number examined.	Number needing treatment.	Number refusing treatment.	Number treated.	Number of extractions.	Local.	General.	Number of fillings.	Number of other operations.	Number of children treated for orthodontics.	Number of visits.

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TABLE II.—INSPECTION AND TREATMENT OF ADULTS.

	Number of patients examined.	Number of patients treated.	Number of extractions.	Number of Administrations of Anaesthetics.		Number of lillings, including root fillings.	Number of scalings.	Number of other operations.	Number of dentures fitted.	Number of repairs to dentures.	Number of crowns.	Number of visits.
	Number of patients examined.	Number of patients treated.	Number of extractions.	Local.	General.	Number of lillings, including root fillings.	Number of scalings.	Number of other operations.	Number of dentures fitted.	Number of repairs to dentures.	Number of crowns.	Number of visits.

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TABLE III.

	Total ttendances.	No. of M. & C. W. cases.	AnæSthetic Sessions attendances.

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The remissions being 25, 50, 75 and 100 per cent, in accordance with the following income limits approved by the Council:—

No., in family:		No. charge to be made.		To pay 25% of maximum.		To pay 50% of maximum.		To pay 75% of maximum.

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PUBLIC HEALTH (LONDON) ACT, 1891. SUMMARY OF PROCEEDINGS DURING 1928. TABLE VII.

PREMISES.	NUMBER OF PLACES—				Number of inspections, 1928.	Number of notices, 1928.	Number of prosecutions 1928.
	On register at end of 1927.	Added in 1928.	Removed in 1928.	On register at end of 1928.

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Summary compiled from the Abstracts of the work of the Sanitary Inspectors by the Senior Inspector, for the Year 1928.

	Insp. Wright.	Insp. Chapman.	Insp. Sickelmore.	Insp. Thomas.	Insp. Shaw.	Insp. Molloy.	Insp. Bishop.	Insp. Girling.	Insp. Stratton.	Insp. Grant.	Insp. Walker.	Insp. Gibbs.	Totals.

Page 55

The particulars of inspections made by the Sanitary Inspectors are as follows:-

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

Page 55

The defects found and dealt with were as follows:-

Particulars.		Number of Defects.			Number of Prosecutions.
		Found.	Remedied.	Referred to H.M. Inspector.

Page 57

The following is a summary of the lists received from employers in the Borough :

NATURE OF WORK.	OUTWORKERS' LISTS, SECTION 107.									Outwork in unwholesome premises, Section 108.			Outwork in infected premises, Sections 109 and 110.
	Lists received from Employers.						Notices served on Occupiers as to keeping or sending Lists.	Prosecutions.		Instances.	Notices served.	Prosecutions.	Instances.	Orders made. (S. 109.)	Prosecutions. (S. 109, 110.)
	Twice in the Year.			Once in the Year.				Failing to keep or permit inspection of Lists.	Failing to send Lists.
	Lists.	Outworkers.		Lists.	Outworkers.
	Lists.	Contractors.	Workmen.	Lists.	Contractors.	Workmen.
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)
Wearing; apparel:-

Page 58

Communications were received from various sanitary authorities relating to some 1,489 outworkers for firms outside Shoreditch and as 21 of these were residents in other Boroughs, their addresses were forwarded to the authorities concerned. The following table shows the numbers of addresses of outworkers received from the sanitary authorities referred to during 1928.

DISTRICTS.	Making Wearing Apparel.		Confectionery Packing.		Artificial Flowers.		Furniture and Upholsterv.		Fur Pulling.		Feather Sorting.		Umbrellas, &c.		Paper bags and Boxes.		Brush Making.		Fancy Leather Goods.		Card Mounting.		Crackers and Toys.		Totals.
DISTRICTS.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug,	Feb.	Aug.	Feb.	Aug.	Totals.

Page 61

Statistical summary relating to children admitted :—

Page 63

SCHOOL ENTRANTS, 1928.

	Boys.	Girls.	Total.

Page 64

Those due to puerperal fever are shown separately from those due to other diseases and accidents associated with child birth, but it should be remembered that many cases of puerperal fever have their origin in the " accidents " of childbirth :—-

Year.	England and Wales.			London.			Shoreditch.
	Deaths from Sepsis, per 1,000 live births.	Deaths from other diseases and accidents of Pregnancy.	Total.	Deaths from Sepsis, per 1,000 live births.	Deaths from other diseases and accidents of Pregnancy.	Total.	Deaths from Sepsis, per 1,000 live births.	Deaths from other diseases and accidents of Pregnancy.	Total.

Page 65

the conduct of normal labour followed by nursing care during the puerperium. The following figures show the nature of the attention received by Shoreditch mothers who are confined in their own homes. Of 1,000 cases investigated, 751 or 75.1 per cent. were confined in their own homes :—

Cases Confined at Home.	Cases.	Percentage.

Page 66

Ante-natal Care.— The necessity for ante-natal care of every pregnant woman is becoming now generally recognised. Of the 1,000 cases here under consideration, the following table shows the number receiving ante-natal examination (as distinct from "booking " or interview) :—

	Cases.	Percentage.

Page 67

Of the 1,000 confinements under consideration the numbers examined ante-natally at the following Centres were :—

Page 69

Particulars of the Health Visitors' visits and of the attendances at the various Welfare Centres during the year are given in the following tables :— Annual Report for Year 1928. VISITS.

	Health Visitors' Districts.
	1.	2.	3.	4.	5.	6.	7.	Total.

Page 70

NUMBER OF FIRST ATTENDANCES OF INFANTS AND CHILDREN AT WELFARE CLINICS.

	Health Visitors' Districts.
	1.	2.	3.	4.	5.	6.	7.	Total.

Page 71

TOTAL ATTENDANCES OF INFANTS AND CHILDREN AT WELFARE CLINICS.

	Health Visitors' Districts.
	1.	2.	3.	4.	5.	6.	7.	Total.

Page 72

TOTAL ATTENDANCES OF INFANTS AND CHILDREN AT WELFARE CLINICS— Continued.

	Health Visitors' Districts.
	1.	2.	3.	4.	5.	6.	7.	Total.

Page 72

ANTE-NATAL CONSULTATIONS.

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CHILD WELFARE CONSULTATIONS.

	Health Visitors, District No.	Infants seen by Doctor.		Children (1-5 yrs.) seen by Doctor.
	Health Visitors, District No.	For 1st time	Total No.	For 1st time.	Total No.

Page 73

REPORT ON INFANTS ATTENDING DOCTORS' CONSULTATIONS. Health Visitors' Districts.

	1.	2.	3.	4.	5.	6.	7.	Total.

Page 75

In order to arrive at conclusions as to benefit derived from Light Treatment, the cases treated have been classified according to the following table.

	A1	A2	A3	B1	B2	B3	C1	C2	C3	D	Total.

Page 79

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

Quarter of 1928.	Number of Samples taken.	Number of Samples Adulterated.	Percentage Adulterated.	Number of Prosecutions Instituted.	Prosecutions withdrawn because of Warranties, etc.	Prosecutions Proceeded with	Number of Successful Prosecutions.	Fines and Costs.			Amount paid to Analyst for Samples Analysed.

Page 80

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

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

Page 81

The subjoined table gives a comparison of the results of the work under the Sale of Food and Drugs Acts for the years 1904.1928 inclusive:—

Year.	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.	Prosecutions proceeded with.	Number of successful prosecutions.	Fines and Costs.			Amount paid to Public Analyst.

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

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Shoreditch 1928

68 tables in this report

Statistical Summary, 1928.

Vital Statistics of the Borough of Shoreditch during 1928 and previous years.

ANALYSIS AND COMPARISON OF LONDON AND SHOREDITCH BIRTH AND DEATH RATES FOR THE YEAR ENDING 31 ST DECEMBER, 1928.

For the purposes of this report 100,200 is the estimated population for the year under consideration. The population in the various Wards of the Borough is estimated as follows :—

BIRTHS.

The distribution of the corrected births and the birth rates in the eight Wards of Borough are given below:—

During recent years the corresponding figures have been as follows:—

The distribution of the deaths and the death rates in the different Wards are given below:—

The causes of deaths at all ages together with Ward distribution and particulars relating to 1 the deaths in Public Institutions in the Borough is contained in the following table:—

Deaths of Infants under one year per 1,000 births registered: —

INFANTILE MORTALITY IN THE BOROUGH DURING YEAR 1928.

The particulars of these deaths are entered in the following table:—

DEATHS FROM CANCER IN THE BOROUGH DURING YEAR 1928.

In the subjoined table are set forth the various institutions outside Shoreditch with the number of persons belonging to the Borough dying therein:—

The following table shows the numbers of cases of infectious disease (tuberculosis excluded) notified in the Borough, together with distribution as to quarter, age and Ward:—

SMALLPOX—CASES NOTIFIED.

SCARLET FEVER.

The number of cases, the deaths amongst males and females and the attack, death and mortality rates in the Borough, its Wards and in London are given in the subjoined table:—

Home enquiries were made regarding 437 of the notifications received. Amongst these the age distribution was found to be as follows:—

A comparison between London and Shoreditch is contained in the following table:—

A comparison between London and Shoreditch during the last 10 years is contained in the following table:—

The disease, which, if not properly treated, may cause blindness or serious impairment of vision, is due to a gonorrheal infection of the child's eyes during birth. Infection is nearly always from the genital tract and the mother should accordingly also undergo treatment.

As will be seen from the following table, measles is a disease which tends to become widespread every few years, the probable explanation being that after a bad measles year a large number of children are protected by reason of the fart that they have had the disease.

The death rate from this disease was 0.05 per 1,000 inhabitants. The deaths in London as a whole numbered 396, the death rate being 0.09. The number of deaths in Shoreditch in recent years have been as follows:—

The number of deaths in Shoreditch during recent years has been as follows:—

During the last three years the deaths and death rate from influenza in London as a whole have been as follows:—

The particulars of these exclusions from school are as follows:—

NURSING LIST. Subjoined is a list of cases nursed for the Shoreditch Borough Council by the Shoreditch and Bethnal Green District Nursing Association during the year 1928.

PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1912. Summary of Notifications during the Period from the 1st January, 1928, to the 29tii December, 1928, in the Metropolitan Borough of Shoreditch.

The number of persons notified per 1,000 inhabitants during the year under consideration, and the preceding nine years is shown in the following table:—

The number of cases notified in each of the eight wards during 1928 was as follows:—

PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS, 1924.

DEATHS FROM TUBERCULOSIS IX THE BOROUGH DURING YEAR 1928. The deaths from Tuberculosis during 1928 are classified as to situation of disease, age and ward in the following table:—

The death rates from Pulmonary and Non-Pulmonary Tuberculosis for 1928 in London and Shoreditch are compared in the following table:—

The death rates from all forms of Tuberculosis in Shoreditch and London during the last 10 years are compared in the following table:—

STATISTICAL REPORT FOR 1928.

All New Persons Examined according to monthly Returns:—

Final Analysis of all New Persons attending:—

SPECIAL SESSION FOR SCHOOL CHILDREN. The number of Attendances and Examinations made each month are shown in the following table:—

Analysis of all persons attending the Dispensary during 1928:—

The New Persons examined and the Examinations and Attendances each munti were as follows:—

TABLE I.—INSPECTION AND TREATMENT OF CHILDREN.

TABLE II.—INSPECTION AND TREATMENT OF ADULTS.

TABLE III.

The remissions being 25, 50, 75 and 100 per cent, in accordance with the following income limits approved by the Council:—

PUBLIC HEALTH (LONDON) ACT, 1891. SUMMARY OF PROCEEDINGS DURING 1928. TABLE VII.

Summary compiled from the Abstracts of the work of the Sanitary Inspectors by the Senior Inspector, for the Year 1928.

The particulars of inspections made by the Sanitary Inspectors are as follows:-

The defects found and dealt with were as follows:-

The following is a summary of the lists received from employers in the Borough :

Statistical summary relating to children admitted :—

SCHOOL ENTRANTS, 1928.

Those due to puerperal fever are shown separately from those due to other diseases and accidents associated with child birth, but it should be remembered that many cases of puerperal fever have their origin in the " accidents " of childbirth :—-

the conduct of normal labour followed by nursing care during the puerperium. The following figures show the nature of the attention received by Shoreditch mothers who are confined in their own homes. Of 1,000 cases investigated, 751 or 75.1 per cent. were confined in their own homes :—

Ante-natal Care.— The necessity for ante-natal care of every pregnant woman is becoming now generally recognised. Of the 1,000 cases here under consideration, the following table shows the number receiving ante-natal examination (as distinct from "booking " or interview) :—

Of the 1,000 confinements under consideration the numbers examined ante-natally at the following Centres were :—

Particulars of the Health Visitors' visits and of the attendances at the various Welfare Centres during the year are given in the following tables :— Annual Report for Year 1928. VISITS.

NUMBER OF FIRST ATTENDANCES OF INFANTS AND CHILDREN AT WELFARE CLINICS.

TOTAL ATTENDANCES OF INFANTS AND CHILDREN AT WELFARE CLINICS.

TOTAL ATTENDANCES OF INFANTS AND CHILDREN AT WELFARE CLINICS— Continued.

ANTE-NATAL CONSULTATIONS.

CHILD WELFARE CONSULTATIONS.

REPORT ON INFANTS ATTENDING DOCTORS' CONSULTATIONS. Health Visitors' Districts.

In order to arrive at conclusions as to benefit derived from Light Treatment, the cases treated have been classified according to the following table.

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

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

The subjoined table gives a comparison of the results of the work under the Sale of Food and Drugs Acts for the years 1904.1928 inclusive:—