[Report of the Medical Officer of Health for Shoreditch]

Page 2

EXTRACTS FROM VITAL STATISTICS FOR THE YEAR 1933.

		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 1,000 nett 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. 1933.

ANNUAL RATE PER 1,000 PERSONS LIVING															PERCENTAGE TO TOTAL DEATHS.
BIRTHS.	DEATHS DURING THE YEARS.				DEATHS DURING 1933 FROM										PERCENTAGE TO TOTAL DEATHS.
					DEATHS DURING 1933 FROM										Inquest Cases.	Deaths in Public Institutions.	Uncertified Causes of Death.
					1 (cols. 2, 8)	2	3	4	5	6	7	8	9	10
	1930.	1931.	1932.	1933.	Principal Zymotic Diseases.	Smallpox	Measles.	Scaret Fever.	Diphtheria.	Whooping Cough.	* Fever.	†Diarrhœa Enteritis (under 2 years).	Tuberculous Disease.	Violence.

Page 5

BIRTH.RATE, DEATH.RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1933. (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.
	Rate per 1,000 Total Population.		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.
	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 1933:—

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

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

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

Page 12

BIRTHS. Numbers of live births registered in the above-named area during the calendar year 1933:—

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

Page 13

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 13

Still Births. Numbers of still births registered in the above-named area during the calendar year 1933:—

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

Page 14

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

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

Page 15

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 16

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.	Special Hospitals:—	No. of Deaths.

Page 18 19

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'l Chest Hospital		Home ot Good		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 20

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, 1933.

CAUSE OF DEATH.	*AGES.											*DEATHS IN EACH WARD.																sex.
CAUSE OF DEATH.	Under 1 day.	1 day-l 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.
												M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 21

For purposes of comparison the maternal mortality rates per 1,000 live births in England and Wales, London and Shoreditch, during the year 1933 and four 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 22

MATERNAL MORTALITY, 1933.

	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 23

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 24

Deaths from Cancer in the Borough during Year 1933.

	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.		Haggerstou		Acton.
													M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

Page 25

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.
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	15 to 25	25 to 45	45 to 65	65	Moor-fields	Church	Hoxton	Wen-lock	Whit-more	Kings-land	Hagger-ston	Acton

Page 26

The age, Seasonal and Ward distribution are included in the table on page 25. 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 26

Cases Notified.

	England & Wales.	London.	Shoreditch.

Page 28

VACCINATION OFFICERS' RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN 1932.

Date.	Registration sub-districts comprised in vaccination officers' district.	Number of births returned in birth list sheets.	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
			Column 1, successfully vaccinated.	Column 2.		Column 5, dead, unvaccinated.	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.	Total number of certificates of successful vaccination received during the calendar year 1933.	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 1933.
			Column 1, successfully vaccinated.	Insusceptible of vaccination.	Certificate of conscientious objection.	Column 5, dead, unvaccinated.	Postponement by medical certificate.			Cases remaining or temporarily unaccounted for.
1932.	1	2	3	4	6	7	8	9	10	11	12	13

Page 29

Return showing the number of persons successfully vaccinated and re-vaccinated at the cost of the Rates by the Medical Officers of the Poor Law Institutions and the Public Vaccinators during the year ended 30th September, 1933:—

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.
		Under one year of age.	One year and upwards.	Total.

Page 29

The number of cases and the attack rates in the Borough and Wards are given in the subjoined table:— (See also table on page 18.)

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 30

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 31

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

	1925	1926	1927	1928	1929	1930	1931	1932	1933

Page 32

The following are the particulars of the work done at this Clinic during 1933:—

Year	Schick Tested			Commenc'd treatment without Schick Test	Naturally Immune	No. under treatment at end of year
Year	Pre-School Age	School Age	Adults	Commenc'd treatment without Schick Test	Naturally Immune	No. under treatment at end of year

Page 32

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 36

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

	1933	1932	1931	1930	1929

Page 38

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 39

The number of deaths from this disease in Shoreditch during 1933 and preceding years were as follows:—

Year.	Deaths.	Year.	Deaths.

Page 39

Influenza. Influenza was more prevalent both in Shoreditch and in London as a whole in 1933 than during the immediately preceding year. Comparative figures for recent years are contained in the following table:—

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

Page 40

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.
	1932	1933	1932	1933	1932	1933	1932	1933	1932	1933

Page 42

Subjoined is a list of cases nursed under this agreement during the year 1933.

Disease	Under 5	Visits	Disease	Over 5	Visits

Page 46

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

Inspections, 1933	DISTRICTS									Total
Inspections, 1933	1	2	3	4	5	6	7	8	9	Total

Page 47

Continued from previous page...

Work Done, 1933	DISTRICTS									Totals
Work Done, 1933	1	2	3	4	5	6	7	8	9	Totals

Page 48

Rats and Mice Destruction Act , 1919. Summary.

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

Page 50

Sanitary Area.

PREMISES.	NUMBER OF PLACES—				Number of inspections, 1933	Number of notices, 1933	Number of prosecutions, 1933
PREMISES.	On register at end of 1932	Added in 1933	Removed in 1933	On register at end of 1933	Number of inspections, 1933	Number of notices, 1933	Number of prosecutions, 1933

Page 58

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

Quarter of 1933.	Number of Samples taken.	Number of Samples Adulterated.	Percentage Adulterated.	Number of Prosecutions Instituted.	Prosecutions withdrawn because of Warranties, &c.	Prosecutions Proceeded with.	Number of Successful Prosecutions.	Fines and Costs.			Amount paid to Analyst for Samples Analysed.
								£.	s.	d.	£	s.	d.

Page 58

The Samples taken during 1933 included:—

Page 59

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 60

During 1933 samples of milk were taken from 6 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 61

The subjoined table gives a comparison of the results of the work under the Sale of Food and Drugs Acts for the years 1908-1933 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.
									£	s.	d.	£	s.	d.

Page 62

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 63

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

No. of Sample	Date when taken 1933	No. of bacteria per c. cm.	Presence of coliform bacillus	Remarks

Page 65

A classification of the workshops on the register at the end of the year is contained in the following table:— Registered Workshops—1933.

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

Page 66

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

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

Page 66

The defects found and dealt with were as follows:—

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

Page 67

Other Matters.

Class.		Number.

Page 68

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.			Out work 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	Work-men.	Lists.	Contractors	Workmen.
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)

Page 69

Showing the Numbers of Outworkers Received from other Districts during 1933.

DISTRICTS.	Making Wearing Apparel.		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.		Stuffed 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 70

Public Health (London) Act, 1891 and Bye-Laws.

Date	Nature of Offence	Fine			Costs			Remarks

Page 71

Continued from previous page...

Date	Nature of Offence	Fine			Costs			Remarks

Page 72

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

Date	Nature of Offence	Fine			Costs			Remarks

Page 73

Rag Flock Acts 1911 and 1928.

Date	Nature of Offence	Fine			Costs			Remarks

Page 73

Merchandise Marks Act, 1926, Orders.

Date	Nature of Offence	Fine			Costs			Remarks

Page 74

Part I. —Summary of Notifications during the period from the 1st January, 1933, to the 31st December, 1933:—

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 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)	Total Notifications

Page 74

Part II. —New cases of Tuberculosis coming to the knowledge of the Medical Officer of Health during the above-mentioned period, otherwise than by 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 75

Continued from previous page...

SOURCE OF INFORMATION AS TO THE ABOVE-MENTIONED CASES.		No. of Cases
		Pulmonary	Non-Pulmonary

Page 75

Part III:— Notification Register.

Number of cases of Tuberculosis remaining on the Register at the 31st December, 1933	Pulmonary			Non-Pulmonary			Total Cases
	Males	Females	Total	Males	Females Total		Total Cases
	645	562	1207	242	189	431	1638

Page 77

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 77

These notifications are summarized below:—

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

Page 78

The following comparative figures show the prevalence of tuberculosis in Shoreditch during recent years:—

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

Page 78

Particulars of new cases of tuberculosis and of all deaths from the disease in Shoreditch during 1933 are given in the following table:—

Age Periods.	New Cases.				Deaths.
	Pulmonary.		Non-Pulmonary.		Pulmonary.		Non-Pulmonary.
	M.	F.	M.	F.	M.	F.	M.	F.

Page 79

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 80 81

DEATHS FROM TUBERCULOSIS IN THE BOROUGH DURING 1933.

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

Page 80 81

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.

Page -

PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1933 of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register. The Table is arranged according to the years in which the patients were first entered on the Dispensary Register as definite cases of pulmonary tuberculosis, and their classification at that time.

Condition at the time of the last record made during the year to which the return relates				Previous to 1926					1926					1927					1928					1929					1930					1931					1932					1933
				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'				Class T.B. minus	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.p. 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 plus)	Class T.B. minus	Group 1	Group 2	Group 3	Total (Class T.B. plus)

Page -

NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1933of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

Condition at the time of the last record made during the year to which the return relates				Previous to 1926					1926					1927					1928					1929					1930					1931					1932					1933
				Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total	Bones and Joints	Abdominal	Other Organs	Peripheral Glands	Total

Page 83

(A) Return showing the work of the Dispensary during the Year 1933.

Diagnosis.	Pulmonary.						Non-pulmonary.				Total.				Grand Total.
	Adults.			Children.			Adults.		Children.		Adults.		Children.
	M.		F.	M.		F.	M.	F.	M.	F.	M.	F.	M.	F.

Page 87

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

	1933.	1932.

Page 94

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.

Page 95

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 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

Page 96

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 Filling's		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

Page 97

Table III.—Analysis of Visits.

Sessions	Morning		Afternoon		Evening		Total		No. of M. & C.W. Visits				Anaesthetic Sessions Att'nd'ncs	Special Anaesthetic Visits
	Morning		Afternoon		Evening		Total		Women		Children
	Interviews	Examinations and Treatm't	Interviews	Examinations and Treatm'nt	Interviews	Examinations and Treatm'nt	Interviews	Examinations and Treatm'nt	1st	Subsequent	1st	Subsequent

Page 98

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

	1927 From 31stMar. Five Sessions	1928 Five Sessions	1929 Jan.-May Five Sessions Tune-Dec. Eleven Sessions	1930 Eleven Sessions	1931 Eleven Sessions	1932 Eleven Sessions Jan.-Nov. when new Time Table introduced	1933 Times as stated on page

Page 99

Sessions are held at these Clinics at the following times:—

	Hoxton House	Queen's Hospital

Page 99

The following table is of interest as affording an indication of the effect of raising the charges for children and lowering those for adults : —

	Percentage of those previously examined who attended subsequent course of treatment.

Page 109

The number of cases dealt with by the Sanitary Inspectors was 201 :—-

Page 111

Comparative Table.

	Existing Estate	New Scheme	Remarks

Page 116

Particulars of 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 117

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 118

The following are the particulars of the cases referred under this Agreement during the last four years : —

	IN-PATIENTS.		OUT-PATIONTS.		CASUALTY.
	Number.	Days.	New Cases.	Attendances.	New Cases.	Attendances.

Page 118

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

	28, Herbert Street.	Model Welfare Centre.

Page 119

The number of mothers attending for dinners during 1933 and the three preceding years are compared in the following table:—

	Model Welfare Centre.				31, Herbert Street.
	1930.	. 1931.	1932.	1933.	1930.	1931.	1932.	1933.

Page 120

Necessitousness referred to above in connection with allowance of dinners or milk is determined by the application of the following scale to the family income:—

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 122

Routine Medical Inspection of Elementary School Entrants in Shoreditch in 1933.

	Clothing & Boots				Nutrition				Cleanliness of Head			Cleanliness of Body			Teeth
	Number examined	Good	Fair	Poor	Good	Average	Below normal	Bad	Clean	Nits	Pediculi	Clean	Dirty	Pediculi	All sound	Less than 4 decayed	4 or more decayed	For treatment

Page 123

Routine Medical Inspection of Entrants in Elementary Schools in Shoreditch in 1933. *—Defects found, †—noted for treatment and included in defects found.

Disease or Defect	Boys			Girls
Disease or Defect	Shore-ditch	%	London %	Shore-ditch	%	London %

Page 124

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	1933

Page 125

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

	1925	1926	1927	1928	1929	1930	1931	1932	1933

Page 128

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.

Page 129

Municipal Midwifery. 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 131

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 134

Statistical Report for 52 Weeks ending 30th Dec., 1933, upon the work of the Health Visitors.

	Health Visitor's Districts
	1	2	3	4	5	6	7	Total

Page 135

Report of Attendances at Welfare Centres during the 52 Weeks ended 30th December, 1933.

Health Visitors' Districts	1			2		3		4			5		6		7
Day	Tuesday		Fri.	Mon.	Tues.	Wed.	Fri.	Tuesday		Fri.	Tes.	Thur.	Mon.	Wed.	Tues.	Wed.	Thur.	Totals
Day	a.m.	p.m.						a.m.	p.m.									Totals

Page 140

The programme for the Week was as follows : —

Date.	Lecturer.	Chairman.

Page 141

Continued from previous page...

Page 141

The attendances during Health Week were as follows :—

Days.	School Children. Mornings.	Toddlers' Revue (Afternoon).	Evenings.	Total.

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

View report tables

Shoreditch 1933

100 tables in this report

EXTRACTS FROM VITAL STATISTICS FOR THE YEAR 1933.

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. 1933.

BIRTH.RATE, DEATH.RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1933. (Non.civilians included).

Numbers of persons resident in the Metropolitan Borough of Shoreditch, recorded as unemployed, at quarterly dates in the years 1928 to 1933:—

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:—

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 1933:—

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

Still Births. Numbers of still births registered in the above-named area during the calendar year 1933:—

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:—

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, 1933.

For purposes of comparison the maternal mortality rates per 1,000 live births in England and Wales, London and Shoreditch, during the year 1933 and four preceding years are given as follows:—

MATERNAL MORTALITY, 1933.

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 1933.

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:—

The age, Seasonal and Ward distribution are included in the table on page 25. Further information is contained in the following table:—

Cases Notified.

VACCINATION OFFICERS' RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN 1932.

Return showing the number of persons successfully vaccinated and re-vaccinated at the cost of the Rates by the Medical Officers of the Poor Law Institutions and the Public Vaccinators during the year ended 30th September, 1933:—

The number of cases and the attack rates in the Borough and Wards are given in the subjoined table:— (See also table on page 18.)

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:—

The following are the particulars of the work done at this Clinic during 1933:—

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

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.

The number of deaths from this disease in Shoreditch during 1933 and preceding years were as follows:—

Influenza. Influenza was more prevalent both in Shoreditch and in London as a whole in 1933 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:

Subjoined is a list of cases nursed under this agreement during the year 1933.

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.

Sanitary Area.

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

The Samples taken during 1933 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 1933 samples of milk were taken from 6 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 1908-1933 inclusive:—

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

Undesignated M ilk. The results of the bacteriological examination of thirty-two 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:— Registered Workshops—1933.

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

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:—

Showing the Numbers of Outworkers Received from other Districts during 1933.

Public Health (London) Act, 1891 and Bye-Laws.

Continued from previous page...

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

Rag Flock Acts 1911 and 1928.

Merchandise Marks Act, 1926, Orders.

Part I. —Summary of Notifications during the period from the 1st January, 1933, to the 31st December, 1933:—

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

The following comparative figures show the prevalence of tuberculosis in Shoreditch during recent years:—

Particulars of new cases of tuberculosis and of all deaths from the disease in Shoreditch during 1933 are given in the following table:—

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:—

DEATHS FROM TUBERCULOSIS IN THE BOROUGH DURING 1933.

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:—

NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1933of all patients remaining on the Dispensary Register; and (b) the reasons for the removal of all cases written off the Register.

(A) Return showing the work of the Dispensary during the Year 1933.

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