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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Shoreditch 1929

[Report of the Medical Officer of Health for Shoreditch]

Published
1930
Pages
178
Tables
89

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89 tables in this report

  • Page III
    LIST OF STATISTICAL TABLES CONTAINED IN THE REPORT.
  • Page 2
    STATISTICAL SUMMARY, 1929.
  • Page 3
    Number of Women dying in, or in consequence of, childbirth—
  • Page 4
    Vital Statistics of the Borough of Shoreditch during 1929 and previous years.
  • Page 5
    ANALYSIS AND COMPARISON OF LONDON AND SHOREDITCH BIRTH AND DEATH RATES FOR THE YEAR ENDING 31st DECEMBER, 1929.
    ANNUAL. RATE PER 1,000 PERSONS LIVING.Infants under 1 vear. Death rate prr 1,000 Live Biiths.PERCENTAGE TO TCH AL DEA 1 MS.
    DISTRICTS.Estimated Population 1929.BIRTHS.DEATHS DURING THE YEARS:DEATHS DURING 1929 FROMInquest Cases.Deaths in Public Institutions.Uncertified Causes of Death.
    I2345678910
    Principal Zymotic Diseases.Smallpox.Measles.Scarlet Fever.Diphtheria.Whooping Cough.*Fever.Diarrhoea Enteritis (under 2 year):Tuberculous Disease.Violence.
    19261927.1928.1929.
  • Page 6
    ror the purposes ot this report 98.710 is the estimated population tor 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.
  • Page 6
    BIRTHS.
    Males.Females.Total.
  • Page 7
    The distribution of the corrected births and the birth rates in the eight Wards of the 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.
    Shoreditch.London.
  • Page 8
    The distribution of the deaths and the death rates in the different Wards are qiven below :—
    Ward.Males.FemalesTotal.Deaths per 1,000 population.Deaths of infants under 1 year per 1,000 births registered.
  • Page 9
    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 9
    Altogether 1,019 or 63'9 per cent, of the people belonging to Shoreditch who died during the year died in public institutions. The corresponding figures for recent years have been as follows :—
  • Page 10
    The causes of deaths at all ages together with Ward distribution and particulars relating to the deaths in Public Institutions in the Borough is contained in the following table -
    AGE GROUPS.AGES.&eathvIn each wardSEX.TotalBelonging to Slioreditch.Not belonging to ShoreditchBelonging to SlioreditchNot belonging to ShoieditchBelonging to ShoreditchNot belonging to ShoreditchBelonging to ShoreditchNot belonging to Short ditchBelonging to ShoreditchNot belonging to ShoreditchBelonging to ShoreditchNot belonging to Shoreditch.
    Under 11 to 22 to 55 to 1010 to 1515 lo 2020 to 2525 to 3535 to 4545 to 555 5 to 6565 to 7575 to xr,85 and upwards.MoorfieldsChurch.Wenlock.Whit more.Kingsland.Haggerston.Acton.Male.Female.
    Totals in Age Groups168715234132533559419227131022253
  • Page 11
    Deaths of Infants under one year per 1,000 births registered :—
    Year.England and Wales.London.Shoreditch.
  • Page 12
    I nfantile M ortality in the B orough during Y ear 1929.
    AGESDEATHS IN EACH WARD.SEX.
    CAUSE OF DEATH.Under 1day.day 1 week.1-2 weeks.2-3 weeks.3-4 weeks.Total under 1 month1-3 months.3-6 months.6-9 months.9-12 months.Total under 1 year.Moorfields.Church.Hoxton.Wenlock.Whit more.Kingsland.Haggerston.Acton.Male.Female.
  • Page 13
    For purposes of comparison the maternal mortality rates per 1,000 live births in England and Wales, London and Shoreditch, during the year 1929 and ten preceding years are given as follows:—
    Year.England and Wales.London.Shoreditch.
    Deaths from Sepsis.Deaths from other diseases and accidents of Pregnancy.Total.Deaths from Sepsis.Deaths from other diseases and accidents of Pregnancy.Total.Deaths from Sepsis.Deaths from other diseases and accidents of Pregnancy.Total.
  • Page 14
    The particulars of these deaths are entered in the following table : —
    AGES.WARDS.
    MATERNAL MORTALITY.' 15 to 20 yrs.20 to 25 yrs.25 to 30 yrs.30 to 3f> yrs.35 to 40 yrs.40 to 45 yrs.45 yrs.Married.Single.Widowed.Moorfields.Church.Hoxton.Wenlock.Whitmore.Kingsland.Haggerston.Acton.
  • Page 15
    The deaths from Cancer during the last five years per million persons living are given in the following comparative table:—
    England, and Wales.London.Shoreditch.
  • Page 15
    It is interesting to compare the foregoing figures with those of past death rates from Cancer per million living in England and Wales:—
  • Page 16
    Deaths from Cancer in the Borough during Year 1929.
    AGES.SEX.WARDS.
    0 to 15.15 to 20.20 to 25.25 to 35.35 to 45.45 to 55.55 to 66.65 to 75.75 to 85.85 and upwards.Male.Female.Total.Moorfields.Church.Hoxton.Wenlock.Whitmore.Kingsland.Haggerston.Acton.
  • Page 17
    NUMBER OF CASES NOTIFIED.
    NOTIFIABLE DISEASE.1st Quarter2nd Quarter3rd Quarter4th QuarterTotalAGES.WARDS.Cases removed to Hospital.Diagnosis revised subsequently.Deaths.
    IIIIIIIVVVIVIIVIII
    Under 1 year.1 to 3.5 to 15.15 to 25.25 to 45.45 to 65.65 65Moor-fields.Church.Hoxton.Wen-lock.Whit-more.Kings-laiul.Hagger-ston.Acton
  • Page 18
    Smallpox.
    Ward.Notifications,Fatal Cases.Rates per 1,000 Population.Case Mortality Deaths per 100 cases.
    M.F.Total.M.F.Total.AttackDeath.
  • Page 18
    The following table shows the prevalence of smallpox in the country during recent years, the invasion of London in 1928 and of Shoreditch in 1929:—
    England & Wales.London.Shoreditch
  • Page 21
    The number of cases, deaths amongst males and females and the attack, death and case mortality rates in the Borough and Wards are given in the subjoined table:—
  • Page 22
    There were 10 fatal cases—7 males and 3 females. These occurred in the following age groups:—
  • Page 22
    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.No. of cases.Fatal cases.Rates per 1,000 population.Case mortality. Deaths per 100 cases.
    M.F.TotalM.F.Total
    AttackDeath
  • Page 23
    Cases Notified per 1,000 Population.
    1920.1921.1922.1923.1924.1925.1926.1927.1928.1929.
  • Page 23
    Home enquiries were made regarding the notifications received. The age distribution was as follows:—
    Age period.Male.Female.Total.
  • Page 24
    A comparison between London and Shoreditch is contained in the following table
    Per 1,000 inhabitants.Deaths per
    Attack rate.Death rate.100 cases.
  • Page 25
    Continued from previous page...
    London.Shoreditch.
    CasesDeathsCasesDeaths
    Year.Cases.perDeaths.perCases.perDeaths.per
    1,0001,0001,0001,000
    births.births.births.births.
  • Page 28
    As will be seen from the following table, measles is a disease which tends to become widespread every few years, for the reason that after a bad measles year large number of children are protected by reason of the fact that they have had th disease.
    DeathsDeath rate per 1,000 population
    YearShore ditchLondonShore ditchLondon
  • Page 29
    The death rate from this disease was 0 40 per 1,000 inhabitants. The deaths in London as a whole numbered 1,140, the death rate being 0-26. The number of deaths in Shoreditch in recent years have been as follows :—
  • Page 30
    The number of deaths in Shore ditch during recent years has been as follows:—
    YearDeaths.Year.Deaths.
  • Page 30
    During the last four 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 30
    Particulars as to the deaths are contained in the following table:—
    Deaths under two years.Deaths under one year.
    Total Number.Rate per 1,000 population.Total Number.Rate per 1,000 births.Percentage of deaths under 1 year.
  • Page 31
    The particulars of these exclusions from school are as follows:—
    Disease from which suffering or to which exposed.Number of exclusions from School.
  • Page 32
    N ursing L ist. Subjoined is a list of cases nursed for the Shore ditch Borough Council by the Shore ditch and Bethnal Green District Nursing Association during the year 1929.
    Disease.Under 5Visits.Disease.Over 5.Visits.
  • Page 34
    PUBLIC HEALTH (TUBERCULOSIS)REGULATIONS, 1912. Summary of Notifications during the Period from the 30th December, 1928, to the 28th December, 1929, in the Metropolitan Borough of Shore ditch.
    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 45.45 to 55.55 to 05.65 and upwards.Total Primary Notifications.Under 5.5 to 10.10 to 15.Total Primary Notifications.
  • Page 35
    The number of persons notified per 1,000 inhabitants during the year under consideration, and the preceding ten years is shown in the following table:—
    Year.Pulmonary.Non-Pulmonary.All forms.
  • Page 35
    The number of cases notified in each of the eight wards during 1929 was as follows:—
    Ward.Pulmonary.Non-Pulmonary.Total.No. per 1,000 inhabitants.
  • Page 35
    Public Health (Tuberculosis) Regulations, 1924.
    Pulmonary.Non.Pulmonary.Total.
    Males.Females.Males.Females.
  • Page 35
    * The particulars of cases removed from Tuberculosis Register during 1929 are as follows:—
  • Page 36
    DEATHS FROM TUBERCULOSIS IN The deaths from Tuberculosis During 1029 arc classified as to
    AGES.
    Under 1 year.1 to 2 years.2 to 5 „5 to 10 „10 to 15 „13 to 20 „20 to 25 „25 to 35 „35 to 45 „45 to 55 „55 to 65 ,,65 to 75 „75 to 85 ,,
  • Page 36
    The death rates from Pulmonary and Non-Pulmonary Tuberculosis for 1929 in London and Shoreditch are compared in the following table:—
    Deaths per 1,000 population.Percentage of total mortality caused by Tuberculosis.
    PulmonaryNon-PulmonaryAll formsPulmonaryNon-PulmonaryAll forms
  • Page 37
    THE BOROUGH DURING YEAR 1929. situation of disease, age and ward in the following table:—
    Mooi fields.DEATHS IN EACH WARDSEX.TOTAL.DEATHS.
    Church.Hoxton.Wenlock.Whitmore.Kingsland.Haggerston.Acton.Male.Female.Not in Institutions.St. Leonards.Other Institutions.
    Belonging | to Shoreditch.Not belonging to ShoreditchBelonging to Shoreditch.Not belonging to Shoreditch.Belonging to Shoreditch.Not belonging to Shoreditch.
  • Page 37
    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 39
    The New Cases seen were more by 92—the Renewed Cases were more by 42. The total numbers are set out in the following table:-
    1928.1929.
  • Page 39
    In the table given below, all the New Cases referred to are analysed according to the condition at the end of the year. Definite cases of Tuberculosis coming to the Dispensary from other areas have not been included and this explains the difference in the total number given here and that in Table I.
    Under 15 years.Over 15 years.Total
    M.F.M.F.
  • Page 39
    Special Session for School Children. The number of Attendances and Examinations made each month are set out below. This Session retains its popularity.
    Attendances.Examinations.Attendances.Examinations.
  • Page 40
    This, I think, is all to the good, since the latter are unable to pay private medical fees for any length of time and treatment for Tuberculosis should be constant and prolonged.
  • Page 40
    New Persons, including " Contacts," were apportioned as follows:—
  • Page 40
    Of the " Non-Contact " cases the Tuberculous numbered only one more than in 1928 out of a total of 23 in excess of the number examined in 1928.
    Tuberculous.Suspects.Non-Tuberculous.Total.
  • Page 40
    Analysis of all persons attending the Dispensary during 1920:—
    Under 15 years.Over 15 years.Totals.
  • Page 41
    Total number of Patients on the Dispensary Register on 31st December, 1929:—
  • Page 44
    A summary of the work done during the year is contained in the following tables:— Table I.—I nspection and Treatment of Children.
    Number examined.Number treated.Number of extractions.Number of Administrations of Anæsthetics.Number of fillings.Number of other operations.Number of children treated for orthodontics.Number of visits.
    Local.General.
  • Page 44
    Table II.—I nspection and Treatment of Adults.
    Number of patients examined.Number of patients treated.Number of extractions.Number of Administrations of Anaesthetics.Number of fillings, 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.
    Local.General.
  • Page 45
    Table III.
    Total attendances.No. of M. & C. W. cases.Anæsthetic Sessions attendances.
    MorningAfternoonEvening
  • Page 45
    After verification by the Enquiry Officer this statement is used to fix the proportion of the full charge to be paid, the remissions being 25, 50, 75 and 100 per cent, in accordance with the following income limits approved by the Council:—
  • Page 46
    Public Health (London) Act, 1891. Summary of Proceedings during 1929.
    PREMISES.NUMBER OF PLACES—Number of inspections, 1929.Number of notices, 1929.Number of prosecutions, 1929.
    On register at end of 1928.Added in 1929.Removed in 1929.On register at end of 1929.
  • Page 48
    S ummary compiled from the Abstracts of the work of the Sanitary Inspetctors by the Senior Inspector, for the Year 1929.
    Insp. Wright.I nsp. Chapman.Insp. Sickel-niore.Insp. I Thomas.Insp. ShawInsp. Mnlloy.Insp. Bishop.Insp. Girling.Insp. Stratton.Insp. Grant.Insp. Walker.Insp. Gibbs.Totals.
  • Page 51
    The following statistical summary accordingly relates to the Rat Officer up to 29th March and to the Sanitary Inspectors from that date until the end of the year :—
  • Page 51
    The following are the total complaints for the past five years :—
  • Page 55
    A classification of the workshops on the register at the end of the year is contained in the following table:— Registered Workshops—1929.
    Workshops on the Register (s. 131) at the end of the year.Number.
    (1)(2)
  • Page 56
    The particulars of inspections made by the Sanitary Inspectors are as follows:—
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
    (1)(2)(3)(4)
  • Page 56
    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
    Other Matters.
    Class.Number.
  • Page 57
    During the year 209 Sanitary Notices were served upon as many workshops The following is an abstract of the sanitary work carried out in compliance with these notices:—
  • Page 58
    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 ofFailing to send Lists.
    Lists.Outworkers.Outworkers.
    Contractors.Workmen.Lists.Contractors.Workmen.
    (1)(2)(3)(4)(5)(6)(7)(8)(10)(11)(12)(13!(14)(15)(16)
  • Page 59
    Showing the Numbers of Outworkers Received from other Districts during 1929.
    DISTRICTS.Making Wearing Apparel.Toys and Crackers.Artificial Flowers.Furniture and Upholstery.Fur Pulling.Lace Curtains.Umbrellas, See.Paper Bags and Boxes.Brush Making.Fancy Leather Goods.Card Mounting.Sponges.Totals.
    Feb.Aug.Feb.Aug.FebAug.Feb.Aug.Feb.Aug.Feb.Aug.Feb.Aug.Feb.Aug.FebAugFeb.Aug.Feb.Aug.
  • Page 63
    The results of the year's work are summarised in the following Table:—
    Quarter of 1929.Number of Samples taken.Number of Samples Adulterated.Percentage Adulterated.Number of Prosecutions Instituted.Prosecutions withdrawn because of Warranties, &c.Prosecutions Proceeded withNumber of Successful Prosecutions.Fines and Costs.Amount paid to Analyst for Samples Analysed.
    £.s.d.£s.d.
  • Page 64
    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 65
    The subjoined table gives a comparison of the results of Sale of Food and Drugs Acts for the years 1905-1929 inclusive the work under the
    Year.Number of Samples.Number of persons in the Borough to each Sample.Number of Samples adulterated.Percentage of Sampler 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.
  • Page 66
    The following is a list of the various consultation centres in being during the past year:—
  • Page 68
    They are as follows:— School Entrants—1929.
    Boys.Girls.Total.
  • Page 68
    An interesting comparison may be made between the number of defective school entrants in Shoreditch and that of London as a whole:—
    London.Shoreditch.
  • Page 69
    Statistical summary relating to children admitted:—
  • Page 70
    List of Special Features during 1929.
  • Page 71
    D —Not improved.
    A1.A2.A3.B1.B2.B3.C1.C2.C3.D.Total.
  • Page 72
    Particulars of the Health Visitors' visits and of the attendances at the various Welfare Centres during the year are given in the following tables Visits.
    Health Visitors' Districts.
    1.2.3.4.5.6.7.Total.
  • Page 73
    Number of First Attendances of Infants and Children at Welfare Clinics.
    Health Visitors' Districts.
    1.2.3.4.5.6.7.Total.
  • Page 74
    Total Attendances of Infants and Children at Welfare Clinics.
    Health Visitors' Districts.
    1.2.3.4.5.6.7.Total.
  • Page 75
    Total Attendances of Infants and Children at Welfare Clinics—continued.
    Health Visitors' Districts.
    1.2.3.4.5.6.7.Total.
  • Page 75
    Ante-natal Consultations.
  • Page 76
    The Number of Infants and Children seen by the Doctors at the Centres during the year are as follows:—
    Health Visitors, District No.Infants seen by Doctor.Children (1-5 yrs.) seen by Doctor.
    For 1st timeTotal No.For 1st time.Total No.
  • Page 76
    Report of Infants attending Doctors' Consultations.
    Health Visitors' Districts.Total.
    1.2.3.4.5.6.7.
  • Page 77
    The particulars of the cases referred from the Welfare Centre to the Shoreditch Municipal Dental Hospital are as follows:—
    Dental Clinic.Health Visitors' Districts.Total.
    1234567
  • Page 77
    The particulars of the attendances during the year are as follows:—
    Sewing Classes (2).Health Visitors' Districts.Total.
    1234567
  • Page 78
    treated by this method. I he following is a statistical account of patients treated:—
  • Page 79
    ATTENDANCES.