[Report of the Medical Officer of Health for Shoreditch]

Page 2

EXTRACTS FROM VITAL STATISTICS FOR THE YEAR 1932.

Total.			M.	F.	Birth Rate

Page 3

For purposes of comparison the vital statistics of the Borough during recent years are given in the following table:—

Year	Population estimated to middle of each year	Births			Total Deaths registered in the District		Transferable Deaths		Nett Deaths Belonging to the District
		Uncorrected Number	Nett		Number	Rate	of Nonresidents registered in the District	of residents not registered in the District	Under 1 year of age		At all Ages
		Uncorrected Number	Number	Rate	Number	Rate	of Nonresidents registered in the District	of residents not registered in the District	Number	Rate per 1000nett Births	Number	Rate
1	2	3	4	5	6	7	8	9	10	11	12	13

Page 4

ANALYSIS AND COMPARISON OF LONDON AND SHOREDITCH BIRTH AND DEATH RATES FOR THE YEAR ENDING 31st DECEMBER, 1932.

ANNUAL RATE PER 1,000 PERSONS LIVING.															PERCENTAGE TO TOTAL DEATHS.
BIRTHS.	DEATHS DURING THE YEARS.				DEATHS DURING 1932 FROM										Inquest Cases.	Death sin Public Institutions.	Uncertified Causes of Death.
	DEATHS DURING THE YEARS.				1	2	3	4	5	6	7	8	9	10
	1929.	1930.	1931.	1932.	(cols. 2-8)	Smallpox	Measles.	Scarlet Fever.	Diphtheria .	Whooping Cough.	*Fever.	†Diarrhoea Enteritis (under 2 year	Tuberculous Disease.	Violence.
	1929.	1930.	1931.	1932.	Principal Zymotic Diseases.	Smallpox	Measles.	Scarlet Fever.	Diphtheria .	Whooping Cough.	*Fever.	†Diarrhoea Enteritis (under 2 year	Tuberculous Disease.	Violence.

Page 5

BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1932. (Non-civilians included).

-	Rate per 1,000 Total Population.		Annual Death-rate per 1,000 Population.									Rate per 1,000 Live Births.		Percentage of Total Deaths.
-	Live Births.	Still-births	All Causes.	Typhoid and Paratyphoid Fevers	Small-pox.	Measles.	Scarlet Fever.	Whooping Cough.	Diphtheria.	Influenza.	Violence.	Diarrhoea and Enteritis (under two years).	Total Deaths under one year.	Certified by Registered Medical Practitioners.	Inquest cases.	Certified by Coroner after P.M. No Inquest.	Uncertified Causes of Death.

Page 7

Numbers of persons resident in the Metropolitan Borough of Shoreditch, recorded as unemployed, at quarterly dates in the years 1928 to 1932:—

Date.	Men.	Women.	Juveniles.	Total.

Page 7

I have also to thank the Chief Officer of Public Assistance of the London County Council for the following figures relating to persons in receipt of domiciliary relief in Shoreditch: —

Week ended.	Number of persons in receipt of domiciliary relief (excluding medical relief only).	Number of persons in receipt of medical relief only.

Page 12

I.—ACREAGE, POPULATION, PRIVATE FAMILIES AND DWELLINGS IN THE BOROUGH AND IN EACH WARD.

	Acreage (Land & Inland Water)	1921 Persons	TOTAL POPULATION				PRIVATE FAMILIES & DWELLINGS, 1931
			1931				Private Families	Population in Private Families	Structurally Separate Dwellings occupied	Rooms Occupied	Persons per Room
			Persons	Males	Females	Persons per Acre	Private Families	Population in Private Families	Structurally Separate Dwellings occupied	Rooms Occupied	Persons per Room
Columns a.	b.	c.	d.	e.	f.	g	h.	i.	j	k.	l

Page 13

II.—INTERCENSAL VARIATION IN POPULATION.

			Shoreditch.	London.

Page 14

III.—AGES (GROUPED) BY MARITAL CONDITION

Age last Birthday	Persons	MALES						FEMALES
Age last Birthday	Persons	Total	Single	Married	Widowed	Divorced	Total	Single	Married	Widowed	Divorced

Page 15

IV.—AGE AND CONDITION DISTRIBUTIONS

	Average Age		Age distribution per 1,000 of each sex (Ages last birthday)								Marital condition distribution per 1,000 of each sex						No. of Married Women aged less than 45 per 1,000 females of all ages.	No. of Females per 1,000 Males.
	Average Age		Males				Females				Males			Females
	Males	Females	0-4	5-19	20-30	40-	0-4	5-19	20-30	40-	Single	Married	Widowed and Divorced	Single	Married	Widowed and Divorced

Page 16

The population in the various Wards of the Borough is estimated as follows: —

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

Page 16

BIRTHS. Numbers of live births registered in the above-named area during the calendar year 1932: —

Total Live Births (Legitimate and Illegitimate).	Live births registered (excluding re-registration).	Inward Transfers.	Outward Transfers.	Live births allocated to the Borough.

Page 17

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 17

Numbers of still births registered in the above-named area during the calendar year 1932: —

Total Legitimate and Illegitimate.	Stillbirths registered.	Inward Transfers.	Outward Transfers.	Stillbirths allocated to the Borough.

Page 18

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

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

Page 19

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 20

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 21

PUBLIC MORTUARY, 1932.

Number of bodies deposited from—

Page 22 23

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:-

CAUSES OF DEATH.	AGES.														DEATHS IN EACH WARD.																SEX.		Holborn Institution		S. Leonards Hospital		Roy' 1 Chest Hospital		Home of Good Shepherd		Convent Hospital		Infant Welfare Centre
CAUSES OF DEATH.	1. Under	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.		Kingsland.		Haggerston.		Acton.		Male.	Female.	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	Belonging to Shoreditch.	Not belonging to Shoreditch	Belonging to Shoreditch.	Not belonging to Shoreditch

Page 24

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

Year.	England. and Wales.	London.	Shoreditch.

Page -

Infantile Mortality in the Borough During Year, 1932.

CAUSE OF DEATH.	*AGES.											*DEATHS IN EACH WARD.																SEX.
CAUSE 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.		"I Haggerston.		Acton.		Male.	Female.
												M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 25

For purposes of comparison the maternal mortality rates per 1,000 live births in England and Wales, London and Shoreditch, during the year 1932 and ten preceding years are given as follows:—

	England and Wales.			London			Shoreditch.
Year	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 27

MATERNAL MORTALITY, 1932.

	AGES.							Married.	Single.	Widowed.	WARDS.
	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.

Page 28

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 29

Deaths from Cancer in the Borough during Year 1932.

	AGES.										SEX.		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 up.	Male.	Female.	Moorfields.		Church.		Hoxton.		Wenlock.		Whitmore.		Kingsland.		Haggerston		Acton.
													M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 30

III.—INFECTIOUS DISEASE. Notifiable Disease. Excluding- tuberculosis, the deaths during the year from notifiable infectious diseases numbered 129 (10.9 per cent of the total deaths. The corresponding number for 1931 was 158 (12.8 per cent of total deaths). 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 evised subsequently	Deaths
						AGES.							I	II	III	IV	V	VI	VII	VIII
						Under 1 year	1 to 5	5 to 15	I5 to 25	25 to 45	45 to 65	65	Moor-lields	Chursh	Hoxton	Wrn-lock	Whitmore	Kings-land	Hagger-ston	Acton

Page 31

The age, Seasonal and Ward distribution are included in the table on page 30. Further information is contained in the following table:-

Ward.	No. of cases.			Fatal Cases.			Rates per 1,000 Population.		Case Mortality. Deaths per 100 cases.
Ward.	M.	F.	Total.	M.	F.	Total.	Attack	Death	Case Mortality. Deaths per 100 cases.

Page 31

The following table shows the prevalence of smallpox in the country, London and Shoreditch during recent years:—

	Cases Notified.		Shoreditch.
	England & Wales.	London.	Shoreditch.

Page 33

VACCINATION OFFICERS' RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN 1931.

Date.				Number of these births duly entered in Columns 1, 2, 4 and 5 of the vaccination register (birth list sheets), viz.:—				Number of these births which are not entered in the vaccination register, on account (as shown by report book), of
		Registration sub-districts comprised in vaccination officers' district.	Number of births returned in birth list sheets.	Column 1, successfully vaccinated.	Column 2.		Column 5, dead, unvac-cinated.	Postponement by medical certificate.	Removed to other districts and notified to vaccination officers of the districts.	Removal to places unknown, or which cannot be reached, and cases not having been found.	Cases remaining or temporarily unaccounted for.	T otal number of certificates of successful vaccination received during the calendar year 1932.	Number of Statutory Declarations of Conscientious Objection actually received by the Vaccination Officer irrespective of the dates of birth of the children to which they relate, during the Calendar Year 1932.
			Number of births returned in birth list sheets.	Column 1, successfully vaccinated.	Insusceptible of vaccination.	Certificate of conscientious objection.	Column 5, dead, unvac-cinated.	Postponement by medical certificate.			Cases remaining or temporarily unaccounted for.

Page 34

Shoreditch Borough Council.

Name of- Poor Law Institution or Vaccination District.	Name of Medical Officer or Public Vaccinator.	Numbers of successful primary vaccinations of persons.			Number of successful re-vaccinations, i.e., successful vaccinations of persons who had been successfully vaccinated at some previous time.	Observations.
Name of- Poor Law Institution or Vaccination District.	Name of Medical Officer or Public Vaccinator.	Under one year of age.	One year and upwards.	Total.		Observations.

Page 34

The age, seasonal and Ward distribution of the cases are included in the table on page 30, There were six fatal cases. The number of cases and the attack rates in the Borough and Wards are given in the subjoined table:—

Ward.	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 35

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.	Total.	M.	F.	Total.	Rates per 1,000 Population.
	M.	F.	Total.	M.	F.	Total.	Attack	Death

Page 36

The number of cases notified per 1,000 population are compared in the following table:—

	1922	1923	1924	1925	1926	1927	1928	1929	1930	1931	1932

Page 37

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 38

In the following table the number of notified cases of and deaths from Puerperal Fever in London and Shoreditch during recent years are compared. It should be explained that the Shoreditch figures include only cases actually notified as Puerperal Fever. Cases primarily notified as Puerperal Pyrexia and afterwards stated to be suffering from Puerperal Fever are not included.

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.

Page 40

Unfortunately, however, it is only possible to arrange this in very few cases.

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

Page 41

The number of deaths from this disease in London and Shoreditch during recent years have been as follows:—

	1932	1931	1930	1929	1928	1927

Page 43

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 a large number of children are protected by the fact that they have had the disease.

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

Page 46

Whooping Cough. The number of deaths from this disease in Shoreditch during 1932 and preceding years were as follows:—

Year.	Deaths.	Year.	Deaths.

Page 46

Influenza was less prevalent both in Shoreditch and in London as a whole in 1932 than during the immediately preceding year. Comparative figures for recent years are contained in the following table:—

Year.	Deaths.	Deaths per 1,000 population.	Deaths.	Deaths per 1,000 population.

Page 46

In the following table the deaths and death rates of children under one year and between one year and two years in Shoreditch and London are compared:

	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 47

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

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

Page 48

Subjoined is a list of cases nursed under this agreement during the year 1932.

Disease	Under 5	Visits	Disease	Over 5	Visits

Page 50

The number of bacteriological examinations carried out on behalf of the Borough Council in connection with the diagnosis of venereal disease during the past five years is as follows:—

Page 51

The total number of Intimations served as to insanitary conditions was 4,493. The number served on each Sanitary District was as follows:—

Page 52

Workshops Act, 1901, and in connection with the drains and sanitary arrangements of new buildings is included:—

Inspections, 1932	DISTRICTS										Total
Inspections, 1932	1	2	3	4	5	6	7	8	9	10	Total

Page 53

Continued from previous page...

Work Done, 1932	DISTRICTS										Totals
Work Done, 1932	1	2	3	4	5	6	7	8	9	10	Totals

Page 54

Rats and Mice Destruction Act, 1919. Summary.

Inspectors	DISTRICTS										Totals
Inspectors	1	2	3	4	5	6	7	8	9	10	Totals

Page 57

The following summary follows in the main the return made to the Medical Officer of Health of the London County Council for inclusion in his Annual Report for the year 1932:— Sanitary Area.

premises.	number OF places—				Number of inspections, 1932	Number of notices, 1932	Number of prosecutions, 1932
premises.	On register at end of 1931	Added in 1932	Removed in 1932	On register at end of 1932	Number of inspections, 1932	Number of notices, 1932	Number of prosecutions, 1932

Page 63

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

Quarter of 1932.	Number of \| Samples taken.	Number of Samples Adulterated.	Percentage Adulterated.	Number of Prosecutions Instituted.	Prosecutions withdrawn be. ^! cause of Warranties, &c.	Prosecutions 1 Proceeded with.	Number of Successful Prosecutions.	Fines and Costs.			Amount paid to Analyst for Samples Analysed.

Page 63

The Samples taken during 1932 included : —

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 percentage of those not found to be genuine:—

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

Page 65

During 1932 samples of milk were taken from 9 dairymen who deliver milk to schools in the Borough as follow:—

Dairyman	Samples submitted for chemical analysis	Result	Samples for bacteriological examination	Bacteria per c.c.	Coliform Bacillus

Page 66

The subjoined table gives a comparison of the results of the work under the Sale of Food and Drugs Acts for the years 1907.1932 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.
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.		s.	d.	£	s.	d.

Page 67

The following table shows the results of bacteriological analysis of samples of milk sold under this Order :—

No. of Sample	Designation of Milk	No. of bacteria per c. cm.	Presence of coliform bacillus	Remarks

Page 68

Undesignated Milk. The results of the bacteriological examination of thirty-four samples of ordinary milk are given in the following table:—

No. of Sample	Date when taken 1932	No. of bacteria per c. cm.	Presence of coliform bacillus

Page 70

A classification of the workshops on the register at the end of the year is contained in the following table : — R egistered W orkshops —1932.

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

Page 71

The particulars of inspections made by the Sanitary Inspectors are as Allows : —

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

Page 71

The defects found and dealt with were as follows : —

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

Page 72

Other Matters.

Class.		Number.

Page 73

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

OUTWORKERS LISTS, SECTION 107.									Outwork iu unwholesome premises. Section 108.			Out work in infected premises. Sections 109 and 110.
Lists received from Employers.						Notices served on Occupiers as to keeping or sending Lists. (8)	Prosecutions.		Instances. (11)	Notices served (12)	Prosecutions. (l3)	Instances. (14)	Orders made (S. 109) (15)	Prosecutions. (S. 109. 110.) (16)
Twice in the Year.			Once in the Year.				Failing to keep or permit inspection of Lists. (9)	Failing to send Lists. (10)
Lists. (2)	Outworkers.		Lists. (5)	Outworkers.
Lists. (2)	Contractors (3)	Work- men. (4)	Lists. (5)	Contractors (6)	Work- men. (7)

Page 74

Communications were received from various sanitary authorities relating to some 1,157 outworkers for firms outside Shoreditch and as 5 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 1932.

Districts.	Making Wearing Aonarel.		Toys and Crackers.		Artificial Flowers.		Furniture and Upholstery.		Fur Pulling		Lace Curtains		Umbrellas. &c.		Paper Bags and Boxes.		Brush Making		Fancy Leather Goods.		Card Mounting.		Racquets or Tennis Balls		Totals.
Districts.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb.	Aug.	Feb. j Aug. 1		Feb.	Aug.	Feb.	Aug.	Totals.

Page 75

Legal Proceedings. The following is a full list of legal proceedings instituted during the year under report: — Public Health (London) Act, 1891 and Bye-Laws.

Date	Nature of Offence	Fine			Costs			Remarks

Page 76

Continued from previous page...

Date	Nature of Offence	Fine			Costs			Remarks

Page 77

Food and Drugs (Adulteration) Act, 1928. Public Health (Preservatives, etc., in Food) Regulations, 1925 to 1927. Milk and Dairies Order, 1926.

Date	Nature of Offence	Fine			Costs			Remarks
		£	s.	d.	£	s.	d.

Page 78

Continued from previous page...

Date	Nature of Offence	Fine			Costs			Remarks

Page 78

Rag Flock Acts, 1911 and 1928.

Date	Nature of Offence	Fine			Costs			Remarks

Page 79

rart L.—Summary or .Notifications during the period from the 3rd January, 1932, to the 31st December, 1932: —

Age periods	FORMAL NOTIFICATIONS.
	Number of Primary Notifications of new cases of Tuberculosis.											Total Notifications
	0 to 1	1 to 5	5 to 10	10 to IS	15 to 20 20 to 25	25 to 35	35 to 45	45 to 55	55 to 65	65 and upwards	Total (all ages)	Total Notifications

Page 79

Supplemental Return. Part II.—New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than Dy formal notification : —

Age periods	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 65.	65 and upwards.	Total (all ages).

Page 79

Continued from previous page...

source of information as to the above-mentioned cases.		No. of Cases
source of information as to the above-mentioned cases.		Pulmonary	Non- Pulmonary

Page 80

Part III : — Notification Register.

Number of cases of Tuberculosis remaining on the Register at the 31st December, 1932	Pulmonary			Non-Pulmonary			Total Cases
	Males	Females	Total	Males	Females	Total	Total Cases

Page 81

The distribution of the cases notified (primary notification) among the different Wards was as follows : —

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

Page 81

These notifications are summarized below: —

	Number of Notifications on Form I (of admission of case to Institution).		Number of Notifications on Form 11 (of discharge of case from Institution).
	Poor Law Institutions.	Sanatoria.	Poor Law Institutions.	Sanatoria.

Page 82

The following- comparative figures for recent years show that tuberculosis is becoming less prevalent in Shoreditch :—

Year.	Total Number Primary Notifications.	Notifications per 1,000 Inhabitants.
Year.	Total Number Primary Notifications.	Pulmonary.	Non-Pulmonary.	All forms.

Page 82

Particulars of new cases of tuberculosis and of all deaths from the disease in Shoreditch during 1932 are given in the following table :_

Page 83

The interval elapsing between notification and death is an indication of the efficiency of notification. In the following table the deaths from tuberculosis are classified according to this interval : —

	Male		Female		Total
	Pulmonary	Non-Pulmonary	Pulmonary	Non-Pulmonary	Total

Page 84 85

THE DEATHS FROM TUBERCULOSIS NUMBERING 101, ARE CLASSIFIED AS TO SITE OF DISEASE AND WARD IN THE FOLLOWING TABLE DEATHS FROM TUBERCULOSIS IN THE BOROUGH DURING 1932.

	AGES.													DEATHS IN EACH WARD.								SEX.			DEATHS.
	Under 1 year.	1 to 2 years.	2 to 5 years.	5 to 10 years.	I 10 to 15 years.	15 to 20 years.	20 to 25 years.	25 to 35 years.	35 to 45 years.	45 to 55 vears.	55 to 65 years.	65 to 75 years.	75 and upwards.	\| Moorfields.	Church.	Hoxton.	Wenlock.	Whitmore.	Kingsland.	Haggerston.	Acton.	Male.	Female.	TOTAL.	Not in Institutions.	St. Leonard's Hospital.		Other Institutions
	Under 1 year.	1 to 2 years.	2 to 5 years.	5 to 10 years.	I 10 to 15 years.	15 to 20 years.	20 to 25 years.	25 to 35 years.	35 to 45 years.	45 to 55 vears.	55 to 65 years.	65 to 75 years.	75 and upwards.	\| Moorfields.	Church.	Hoxton.	Wenlock.	Whitmore.	Kingsland.	Haggerston.	Acton.	Male.	Female.	TOTAL.	Not in Institutions.	Belonging to Shoreditch.	Not belonging to Shoreditch.	Belonging to Shoreditch.	Not belonging to Shoreditch.

Page 84 85

The death rates per 1,000 from all forms of Tuberculosis in Shoreditch and London during the last 10 years are compared in the following table : —

Year.	Shoreditch.	London.

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		Previous to 1926					1926					1927					1928					1929						1930				1931					1932
		Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus				Class T.B. minus	Class T.B. plus
Condition at the time of the last record made during the year to which the return relates		Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	j Group 2	Group 3	Total (Glass T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)

Page 87

Tuberculosis Scheme of the Shoreditch Metropolitan Borough Council. Return showing the work of the Dispensary daring the year 1932. Memo. 37/T (Revised).

Diagnosis.	Pulmonary.					N on-pulmonary.				Total.				Grand Total.
	Adults. Children.					Adults. Children.				Adults. Children.
	M.	F.	M.		F.	M.	F.	M.	F.	M.	F.	M.	F.

Page 93

Further figures relating to the work of the Dispensary are given in the following tables: —

	1931.	1932.

Page 93

Special sessions for school children : These are held weekly, and the following table shows the total for each month : —

	1931.	1932.		1931.	1932.

Page 96

S tatement of A ccounts. From July 21st, 1930, to December 31st, 1932.

Receipts.				Expenditure.
	£	s.	d.		£	s.	d.

Page 99

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.

No. in family.		No charge to be made.		To pay 25% of maximum.		To pay 50% of maximum.		To pay 75% of maximum.
		^S	d.	s.	d.	s.	d.	s.	d.

Page 100

A summary of the work done during the year is contained in the following tables : — Table I.—Inspection and Treatment of Children.

	No. of primary examinations	No. of 1st Attendances for Course of Treatment	No. of extractions (teeth)	Local Anaesthetics	General Anaesthetics	No. of Fillings		No. of scalings	No. of Orthodontic plates fitted	Orthodontic visits		No. of surgical operations	No. of other operations	No. of visits
	No. of primary examinations	No. of 1st Attendances for Course of Treatment	No. of extractions (teeth)	Local Anaesthetics	General Anaesthetics	Complete	Temporary	No. of scalings	No. of Orthodontic plates fitted	1st (a)	Subsequent (b)	No. of surgical operations	No. of other operations	No. of visits
	(1)	(2)	(3)	(4)	(5)		(6)	(7)	(8)		(9)	(10)	(11)	(12)

Page 101

Table II.—Inspection and Treatment of Adults.

	No. of primary examinations	No. of 1st Attendances for Course of Treatment	No. of extractions (teeth)	Local Anaesthetics	General Anaesthetics	No. of Fillings		No. of scalings	No. of dentures fitted	No. of repairs to dentures	No. of surgical operations	No. of other operations	No. of visits
	No. of primary examinations	No. of 1st Attendances for Course of Treatment	No. of extractions (teeth)	Local Anaesthetics	General Anaesthetics	Complete	Temporary	No. of scalings	No. of dentures fitted	No. of repairs to dentures	No. of surgical operations	No. of other operations	No. of visits
Women referred	(1)	(2)	(3)	(4)	(5)		(6)	(7)	(8)	(9)	(10)	(11)	(12)

Page 102

Table III.— Analysis of Visits.

Sessions.	Morning.	Afternoon.	Evening.	Total.	No. of M. &C.W. Visits.				Anassthetic Sessions. Attendances.
					Women.		Children.
					1st	Subsequent.	1st	Subsequent.

Page 103

A comparison of the work done each year since the Hospital was opened is contained in the following table —

	1927 From 31st Mar. Five Sessions	1928 Five Sessions	1929 Jan.-May Five Sessions. June-Dec. Eleven Sessions	1930 Eleven Sessions	1931 Eleven Sessions	1932 Eleven Sessions Jan.-Nov. when new Time Table introd'c'd (see p. 97)

Page 106

Finances of the Hospital. The following figures prepared by the Borough Treasurer show the general financial position of the Hospital during the last two years. A new scale of charges was introduced on April 1st, 1931.

	Jan.-Dec., 1931						Jan.-Dec., 1932
	£	s.	d.	£	s.	d.	£	s.	d.	£	s.	d.

Page 111

Overcrowding, 1932.

Page 111

In addition to the above the following applications were dealt with by the L.C.C.

Page 112

DWELLINGS, ROOMS, AND FAMILIES

	Structurally Separate Dwellings of								Number of Rooms
	1 Room	2 Rooms	3 Rooms	4 Rooms	5 Rooms	6-8 Rooms	9 or more Rooms	All Sizes	Total	Occupied	Vacant
	1 Room	2 Rooms	3 Rooms	4 Rooms	5 Rooms	6-8 Rooms	9 or more Rooms	All Sizes	Total	Occupied	Furn's'd	Others

Page 113

DWELLINGS, ROOMS, AND FAMILIES

	No.	%

Page 114

PRIVATE FAMILIES CLASSIFIED BY SIZE OF FAMILY, ROOMS OCCUPIED AND DENSITY OF OCCUPATION

Number Private Families occupying the following Number of Rooms								Density of Occupation
								Population at following densities of occupation (Persons per room)
1	2	3	4	5	6-7	8-9	10 or more
1	2	3	4	5	6-7	8-9	10 or more	over 3	3 and over 2	2 and over 1½	1½ and over 1

Page 116

It is hoped that at some time in the not too distant future it may be possible for the question of home visiting to be fully considered in relation to the duties and adequacy of the staff as a whole.

Age	No. living 1931 Census	No. individual Children Visited	Percentage of Children Visited	Average No. Visits paid to each child Visited

Page 118

The nursing staff comprises a matron (Miss Borrow), sister, three staff nurses and three probationers.

Page 118

Particulars of attendances during the last three years are shown in the following table : —

	1930.	1931.	1932.

Page 119

Particulars or the attendances of this Clinic since its inception are contained in the following table:—

Year.	No. of individuals treated.	Total Attendances.	Average No. of Attendances made per Patient.

Page 120

Dental Treatment. The number of cases reported from the Welfare Centres for dental treatment since this has been available are as follows:—

Year.	First Attendances.	Total Attendances.

Page 120

The following are the particulars of the cases referred under this Agreement during the year:—

	1930	1931	1932

Page 121

The attendances at the Sewing Classes during the last six years have been as follows:—

	28, Herbert Street.	Model Welfare Centre.

Page 121

The number of mothers attending for dinners during 1932 and the two preceding years are compared in the following table:—

	Model Welfare Centre.			31, Herbert St.
	1930.	1931.	1932.	1930.	1931.	1932.

Page 122

This scale was revised in February, as follows:—

No. in family.	Net family income per head.
No. in family.	Free Dinners and Milk.		Half-price Dinners and Milk.
	s.	d.	s.	d.

Page 124

ALL ENTRANTS

	Girls		Boys		Total		Percentage of Total
	1932	1931	1932	1931	1932	1931	1932	1931

Page 124

PARTICULARS OF THE OCCURRENCE OF CERTAIN DEFECTS

Defect	Girls		Boys		Total
Defect	1932	1931	1932	1931	1932	1931

Page 124

An interesting comparison may be made between the number of defective school entrants in Shoreditch and in London as a whole : —

	LONDON				SHOREDITCH
	1929	1930	1931	1932	1929	1930	1931	1932 1,762
No. of school entrants inspected	76,024	64,632	68,283	58,345	2,103	1,902	1,982	1932 1,762

Page 125

The numbers of individual expectant mothers visited and subsequent visits paid to these during recent years are shown in the following table:—

	1925	1926	1927	1928	1929	1930	1931	1932

Page 126

Particulars of attendances at these clinics during recent years are contained in the following table:—

	1925	1926	1927	1928	1929	1930	1931	1932

Page 129

The Home Help is provided in those cases in which the family income per head is within the following scale:—

Number in Family.	Income per head after deduction of rent.
Number in Family.	Free.		Half price, i.e., 6d. per hour.
	s.	d.	s.	d.

Page 129

M unicipal M idwifery. Sister Leaton whose appointment to the position of Municipal Midwife was recorded in the last report submits the following statistical report upon her work during the year:—

	Municipal Cases	St. Bartholomew's Hospital Cases

Page 132

The numbers of children and attendances since the commencement of this arrangement are shown in the following table:

Year	No. of Children	ATTENDANCES		Total Attendances
Year	No. of Children	At Full Cost	At Half Cost	Total Attendances

Page 137

Statistical Report for 52 Weeks ending 31st Dec., 1932, upon the work of The Health Visitors.

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

Page 138

Number of First Attendances of Infants and Children at Welfare Clinics.

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

Page 139

Total Attendances of Infants and Children at Welfare Clinics.

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

Page 140

T otal A ttendances of I nfants and C hildren at W elfare C linics— continued.

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

Page 141

Ante-Natal Consultations.

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

Page 142

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 144

The attendances during Health Week were as follows:—

Days.	School Children. Morning.	Evenings.	Total.

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

View report tables

Shoreditch 1932

118 tables in this report

EXTRACTS FROM VITAL STATISTICS FOR THE YEAR 1932.

For purposes of comparison the vital statistics of the Borough during recent years are given in the following table:—

ANALYSIS AND COMPARISON OF LONDON AND SHOREDITCH BIRTH AND DEATH RATES FOR THE YEAR ENDING 31st DECEMBER, 1932.

BIRTH-RATE, DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1932. (Non-civilians included).

Numbers of persons resident in the Metropolitan Borough of Shoreditch, recorded as unemployed, at quarterly dates in the years 1928 to 1932:—

I have also to thank the Chief Officer of Public Assistance of the London County Council for the following figures relating to persons in receipt of domiciliary relief in Shoreditch: —

I.—ACREAGE, POPULATION, PRIVATE FAMILIES AND DWELLINGS IN THE BOROUGH AND IN EACH WARD.

II.—INTERCENSAL VARIATION IN POPULATION.

III.—AGES (GROUPED) BY MARITAL CONDITION

IV.—AGE AND CONDITION DISTRIBUTIONS

The population in the various Wards of the Borough is estimated as follows: —

BIRTHS. Numbers of live births registered in the above-named area during the calendar year 1932: —

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

Numbers of still births registered in the above-named area during the calendar year 1932: —

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: —

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

PUBLIC MORTUARY, 1932.

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:-

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

Infantile Mortality in the Borough During Year, 1932.

For purposes of comparison the maternal mortality rates per 1,000 live births in England and Wales, London and Shoreditch, during the year 1932 and ten preceding years are given as follows:—

MATERNAL MORTALITY, 1932.

The deaths from Cancer during the last five years per million persons living are given in the following comparative table:—

Deaths from Cancer in the Borough during Year 1932.

The age, Seasonal and Ward distribution are included in the table on page 30. Further information is contained in the following table:-

The following table shows the prevalence of smallpox in the country, London and Shoreditch during recent years:—

VACCINATION OFFICERS' RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN 1931.

Shoreditch Borough Council.

The age, seasonal and Ward distribution of the cases are included in the table on page 30, There were six fatal cases. The number of cases and the attack rates in the Borough and Wards are given in the subjoined table:—

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:—

The number of cases notified per 1,000 population are compared in the following table:—

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

Unfortunately, however, it is only possible to arrange this in very few cases.

The number of deaths from this disease in London and Shoreditch during recent years have been as follows:—

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 a large number of children are protected by the fact that they have had the disease.

Whooping Cough. The number of deaths from this disease in Shoreditch during 1932 and preceding years were as follows:—

Influenza was less prevalent both in Shoreditch and in London as a whole in 1932 than during the immediately preceding year. Comparative figures for recent years are contained in the following table:—

In the following table the deaths and death rates of children under one year and between one year and two years in Shoreditch and London are compared:

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

Subjoined is a list of cases nursed under this agreement during the year 1932.

The number of bacteriological examinations carried out on behalf of the Borough Council in connection with the diagnosis of venereal disease during the past five years is as follows:—

The total number of Intimations served as to insanitary conditions was 4,493. The number served on each Sanitary District was as follows:—

Workshops Act, 1901, and in connection with the drains and sanitary arrangements of new buildings is included:—

Continued from previous page...

Rats and Mice Destruction Act, 1919. Summary.

The following summary follows in the main the return made to the Medical Officer of Health of the London County Council for inclusion in his Annual Report for the year 1932:— Sanitary Area.

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

The Samples taken during 1932 included : —

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

During 1932 samples of milk were taken from 9 dairymen who deliver milk to schools in the Borough as follow:—

The subjoined table gives a comparison of the results of the work under the Sale of Food and Drugs Acts for the years 1907.1932 inclusive:—

The following table shows the results of bacteriological analysis of samples of milk sold under this Order :—

Undesignated Milk. The results of the bacteriological examination of thirty-four samples of ordinary milk are given in the following table:—

A classification of the workshops on the register at the end of the year is contained in the following table : — R egistered W orkshops —1932.

The particulars of inspections made by the Sanitary Inspectors are as Allows : —

The defects found and dealt with were as follows : —

Other Matters.

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

Legal Proceedings. The following is a full list of legal proceedings instituted during the year under report: — Public Health (London) Act, 1891 and Bye-Laws.

Continued from previous page...

Food and Drugs (Adulteration) Act, 1928. Public Health (Preservatives, etc., in Food) Regulations, 1925 to 1927. Milk and Dairies Order, 1926.

Continued from previous page...

Rag Flock Acts, 1911 and 1928.

rart L.—Summary or .Notifications during the period from the 3rd January, 1932, to the 31st December, 1932: —

Supplemental Return. Part II.—New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than Dy formal notification : —

Continued from previous page...

Part III : — Notification Register.

The distribution of the cases notified (primary notification) among the different Wards was as follows : —

These notifications are summarized below: —