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Shoreditch 1934

[Report of the Medical Officer of Health for Shoreditch]

Published
1935
Pages
139
Tables
123

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123 tables in this report

  • Page 3
    EXTRACTS FROM VITAL STATISTICS FOR THE YEAR 1934.
    Total.M.F.Birth Rate.
  • Page 4
    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 DeathsNett 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.
    Number.Rate.Number.Rate per 1,000 nettNumber.Rate.
    12345678910111213
  • Page 5
    ANALYSIS AND COMPARISON OF LONDON AND SHOREDITCH BIRTH AND DEATH RATES FOR THE YEAR ENDING 31st DECEMBER, 1934.
    DISTRICTS.Estimated Population 1934.BIRTHS.ANNUAL RATE PER 1,000 PERSONS LIVING.Infants under 1 year. Death rate per 1,000 Live Births.PERCENTAGE TO TOTAL DEATHS.
    DEATHS DURING THE YEARSDEATHS DURING 1934 FROMInquest Cases.Deaths in Public Institutions.Uncertified Causes of Death.
    I (cols 2-8)234567'8910
    Principal Zymotic Diseases.Smallpox.Measles.Scarlet Fever.Diphtheria.Whooping Cough.*Fever.Diarrhœa Enteritis (under 2 years)Tuberculous Disease,Violence.
    1931193219331934
  • Page 6
    BIRTH-RATE. DEATH-RATE, AND ANALYSIS OF MORTALITY DURING THE YEAR 1934. (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 FeversSmall-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 6
    The maternal mortalitv rates for Shoreditch, and England and Wales, are as follows :—
    Puerperal Sepsis.Other Causes.Total.
  • Page 8
    Number of persons resident in the Metropolitan Borough of Shoreditch, recorded as unemployed, at quarterly dates in the years 1928 to 1934:—
    Date.Men.Women.Juveniles.Total.
  • Page 9
    I have also to thank the Chief Officer of Public Assistance of the London Country Council for the following figures relating to persons in receipt of domiciliary relief in Shoreditch:—
    Week endedNumber of persons in receipt of domiciliary relief (excluding medical relief only).Number of persons in receipt of medical relief only.
  • Page 14
    The population in the various Wards of the Borough is estimated as follows:—
    Ward.Population.Area in acres*Density per acre.
  • Page 14
    BIRTHS. The numbers of live births registered in the Borough during the calendar year 1934 are given in the following table:—
    Total Live Births (Legitimate and Illegitimate).Live births registered (excluding re-registration).Inward Transfers.Outward Transfers.Live births allocated to the Borough.
  • Page 15
    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 15
    Still Births. The numbers of still births registered in the Borough during the calendar year 934 are given in the following table:—
    Total Legitimate and Illegitimate.Stillbirths registered.Inward Transfers.Outward Transfers.Stillbirths allocated to the Borough.
  • Page 16
    During recent years the corresponding figures were as follows:—
    Year.No. of marriages.Marriage rate.
    Shoreditch.London.
  • Page 17
    The distribution of the deaths and the death rates in the different Wards are given below :—
    Ward.Males.FemalesTotal.Deaths per 1,000 population.Deaths of infants under 1 year per 1,000 births registered.
  • Page 18
    In the subjoined table are set forth the various institutions outside Shoreditch with the number of persons belonging to the Borough who died therein during the year
    Asylums &Mental Hospitals:—No. of DeathsSpecial Hospitals:—No. of Deaths.
  • Page 19
    Altogether 868 or 73.1 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 19
    PUBLIC MORTUARY, 1934. Number of bodies deposited from—
  • 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 the Year 1934.
    cause of death.*ages.*deaths in each ward.sex.
    Under 1 day.I day to 1 week.1-2 weeks.2-3 weeks.3-4 weeks.Total under 1 month.1-3 months.3-6 months.6-9 months.9-12 months.Total under 1 year.Moorfields.Church.Hoxton.Wenlock.Whitmore.Kingsland.Haggerston.Acton.Male.Female.
  • 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 1934 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, 1934.
    AGES.Married.Single.Widowed.WARDS.
    15 to 20 yrs.20 to 25 yrs.25 to 30 yrs.30 to 35 yrs35 to 40 yrs.40 to 45 yrs.45 yrs.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 1934.
    AGES.SEX.WARDS.
    0 to 15.16 to 20.20 to 25.25 to 35.35 to 45.45 to 55.55 to 6565 to 75.75 to 85.85 and upwards.Male.Female.Moorfields.Church.Hoxton.Wenlock. ,Whitmore.Kingsland.Haggerston.Acton.
  • Page 25
    The following table shows the actual numbers and the percentage of total deaths in various age groups:—
    All ages.0—1—2_5—15—
  • Page 25
    Vital Statistics for the Metropolitan Boroughs.
    Metropolitan Boroughs.Estimated Resident Population. (mid-1934).Birth rate.Death rate—Infantile Mortality per 1,000 births.
    Crude.Adjusted.
  • Page 26 27
    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.St. Leonard's Hospital.Royal Chest Hospital.Home of Good Shepherd.Convent Hospital.Infant Welfare Centre.
    Under 1.1 to 2.2 to 5.5 to 10.10 to 15.15 to 20.20 to 25.25 to 35.35 to 45.45 to 55.55 to 65.65 to 7575 to 8585 and UpwardsMoorfields.Church.HoxtonWenlock.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 29
    TABLE SHOWING CASES OF INFECTIOUS DISEASE NOTIFIED DURING THE CALENDAR YEAR, 1934.
    NOTIFIABLE DISEASE.NUMBER OF CASES NOTIFIED.Cases removed to Hospital.Diagnosis revised subsequently.Deaths.
    1st Quarter2nd Quarter3rd Quarter4th QuarterTotalAGES.WARDS.
    IIIIIIIVVVIVIIVIII
    Under 1 year.1 to 5.5 to 1515 to 25.25 to 45.45 to 65.65Moorfielda.Church.Hoxton.Wenlock.Whitmore.Kingsland.Haggerton.Acton
  • Page 30
    The following table shows the prevalence of smallpox in the country, London and Shoreditch during recent years:— Cases Notified.
    England & Wales.London.Shoreditch.
  • Page 31
    VACCINATION OFFICERS' RETURN RESPECTING THE VACCINATION OF CHILDREN WHOSE BIRTHS WERE REGISTERED IN 1933.
    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, 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.Total number of certificates of successful vaccination received during the calendar year 1934.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 1934.
    Insusceptible of vaccination.Certificate of conscientious objection.
    1933.1234678910111213
  • Page 32
    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, 1934:—
    Name of Poor Law Institution or Vaccination District.Name of Medical Officer or Public Vaccinator.Numbers of successful primary vaccinations of personsNumber 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 32
    The age, seasonal and ward distribution of the cases are included in the table on page 29. There were two fatal cases. The number of cases and the attack rates in the Borough and wards are given in the subjoined table:— (See also table on page 5.)
    Ward.No. of cases.Fatal cases.Rates per 1,000 population.Case mortality. Deaths per 100 cases.
    Male.Female.Total.Male.Female.Total.
    Attack.Death.
  • Page 34
    The following table gives particulars regarding diphtheria for Shoreditch London, and England and Wales for a period of years:—
    Year.Shoreditch.London. Death Rate.England & Wales. Death Rate.
    Cases Notified.Case Rate.DeathsDeath Rate.
  • Page 34
    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 Popu lation.Case Mortality Deaths per 100 eases.
    M.F.Total.M.F.Total.AttackDeath.
  • Page 35
    Erysipelas. The cases certified numbered 59, and there were 4 deaths, 3 males and 1 female. The deaths occurred at the following ages:—
  • Page 35
    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 36
    During the year 23 cases of puerperal pyrexia were notified. 21 out of the 23 cases were removed to hospital, and the final diagnosis was altered to puerperal fever in two cases. The final diagnosis in the remaining 21 cases was as follows:—
  • Page 37
    The following table gives particulars of the cases which occurred during the year
    Cases.Vision unimpaired.Vision. Impaired.Died.
    Notified.Treated at home.In hospital.
  • Page 37
    The number of deaths from this disease in London and Shoreditch during recent years have been as follows:—
    19301931193219331934
  • Page 40
    The following table gives the age distribution of cases and deaths for the whole period of the measles epidemic, viz., from 1st November, 1933, to 31st August, 1934.
    AgesUnder 11 and under 22 and under 33 and under 44 and under 55 and under 66 and under 77 and under 88 and under 1414 and overTotal.
  • Page 40
    The following table gives the number of cases which occurred week by week from January to May.
    Week ending—Week ending—Week ending—
  • Page 41
    The following table gives the deaths from this disease between 1929 and 1934 :—
    Year.Deaths.Year.Deaths.
  • Page 41
    The ages of death are given in the following table:—
    Under 1 year.1-2 years.2-3 years.3-4 years.4-5 years.5-10 years.10-15 years.Total.
  • Page 41
    The following table shows the number of deaths and the death rate during recent years for Shoreditch and for London respectively:—
    Shoreditch.London.
    Year.Deaths.Deaths per 1,000 population.Deaths.Deaths per 1,000 population.
  • Page 42
    These figures for Shoreditch, and for London respectively, are given along with the corresponding figures for children under one year of age in the following table:—
    Deaths under two years.Deaths under one year.
    Total number.Rate per 1,000 populationRate per 1,000 births.Total number.Rate per 1,000 populationRate per 1,000 births.Percentage of deaths under 1 yr.
  • Page 42
    This statement is borne out by the following table, which shows the actual numbers of deaths which were certified as due to enteritis and other conditions respectively in the four years 1931-1934:—
    1931.1932.1933.1934.
  • Page 43
    from these figures is that deaths which are certified as being due to diarrhoea and enteritis are not due to typical epidemic (summer) diarrhoea, which is essentially a disease of the late summer and early autumn.
    True Enteritis.Jan.Feb.Mar.Apr.May.June.July.Aug.Sept.Oct.Nov.Dec.Total
  • Page 43
    The particulars of these exclusions from school are as follows:—
    Disease from which suffering or to which exposed.Number of exclusions from School.
  • Page 44
    Subjoined is a list of cases nursed under this agreement during the year 1934:—
    Disease.Under 5Visits.Disease.Over 5Visits.
  • Page 47
    The following table gives details regarding the ages of notification of pulmonary and non-pulmonary cases respectively:—
    Age periodsFORMAL NOTIFICATIONS.
    Number of Primary Notifications of new cases of Tuberculosis.Total Notifications
    0 to l1 to 55 to 10.10 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwardsTotal (all ages)
  • Page 48
    The supplementary table gives the age grouping of cases of tuberculosis which came to the notice of the Medical Officer of Health, otherwise than by formal notifications, during the year 1934:—
    Age periods0 to 11 to 55 to 1010 to 1515 to 2020 to 2525 to 3535 to 4545 to 5555 to 6565 and upwardsTotal (all ages)
  • Page 48
    Further particulars regarding the notifications, with the reason for removal of cases from register, is given in the following table:—
    SOURCE OF INFORMATION AS TO THE ABOVE-MENTIONED CASES.No. of Cases.
    Pulmonary.Non-pulmonary.
  • Page 48
    Notification Register.
    Number of cases of Tuberculosis remaining on the Register at the 31st December, 1934Pulmonary.Non-pulmonary.Total Cases.
    Males.Females.Total.Males.Females.Total.
    63254811802351814161596
  • Page 49
    The distribution of the cases notified (primary notification) in the different wards is as follows:—
    Ward.Pulmonary.Non. pulmonary.Total.No. per 1,000 inhabitants.
  • Page 49
    Notifications per 1,000 Population.
    Year.Shoreditch.London.England and Wales.
    Pul.Non. pul.All forms.Pul.Non. pul.All forms.Pul.Non. pul.All forms.
  • Page 50
    Death Rates.
    Year.Shoreditch.London.England and Wales.
    Pul.Non. pul.All forms.Pul.Non. pul.All forms.Pul.Non. pul.All forms.
  • Page 50
    Table of year of notification of all deaths during 1934.
    Year of Notification.Number of deaths in 1934.Total.Percentage of total deaths from Tuberculosis.
    Male.Female.
    Pul.Non.Pul.Pul.Non.Pul.
  • Page 51
    Deaths from Tuberculosis in the Borough During 1934.
    AGES.DEATHS IN EACH WARD.SEX.TOTAL.DEATHS.
    Not in Institutions.St. Leonards HospitalOther Institutions.
    Under 1 year.1 to 2 years.2 to 5 ,,5 to 10 ,,10 to 15 ,,15 to 2020 to 25 ,,25 to 35 ,,35 to 45 ,,45 to 5555 to 65 „65 to 75 „75 and upwards.Moorfields.Church.Hoxton.Wenlock.Whit more.Kingsland.Haggerston.Acton.Male.Female.
    Belonging to Shoreditch.Not belonging to Shoreditch.Belonging to Shoreditch.Not belonging to Shoreditch.
    mf.m.f.m.f.m.f.m.f.m.f.m.f.m.f.
  • Page 52
    Particulars of new cases of Tuberculosis and deaths during the year 1934 are giver in the following table:—
    Age Periods.New Cases.Deaths.
    Pulmonary.Non-pulmonary.Pulmonary.Non-pulmonary.
    M.F.M.F.M.F.M.F.
  • Page 53
    The following table shows the number of admissions and discharges according to the intimations of admissions and discharges received from these sanatoria and from other institutions during the year 1934. :—
    Number of Intimations on Form I (of admission of case to Institution).Number of Intimations on Form II (of discharge of case from Institution).
    L.C.C. Hospitals.Sanatoria.L.C.C. Hospitals.Sanatoria.
  • Page 54
    TUBERCULOSIS SCHEME of the Shoreditch Metropolitan Borough Council. PULMONARY TUBERCULOSIS. Supplementary Annual Return showing in summary form (a) the condition at the end of 1934 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 19261926192719281929
    Class T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plusClass T.B. minusClass T.B. plus
    Group 1Group 2Group 3Total (Class T.B. plus),Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)Group 1Group 2Group 3Total (Class T.B. plus)
  • Page 55
    NON-PULMONARY TUBERCULOSIS. Supplementary Annual Return sho wi ng i n su mm ary form (a) the condition at the end of 1934 of all patients remaining on the Dispensary Re gis ter ; an d (b) the reasons f or 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 1926.1926192719281929
    Bones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotalBones and JointsAbdominalOther OrgansPeripheral GlandsTotal
  • Page 56
    Tuberculosis Scheme of the Shoreditch Metropolitan Borough Council. (A) Return showing the work of the Dispensary during the Year 1934.
    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 58
    Further figures relating to the work of the Dispensary are given in the following tables:—
    19331934
  • Page 59
    Special sessions for school-children are held weekly and the following table shows the attendances for each month:—
    1933193419331934
  • Page 61
    Figures for the year's Care Work
    19331934
  • Page 64
    The following table shows the premature deaths and the death rate from prematurity for twelve years for Shoreditch and for England and Wales respectively:—
    Year.Shoreditch.England and Wales.
    Total births.Deaths from prematurity.Death rate (per 1,000 births).Total births.Deaths from prematurity.Death rate (per 1,000 births).
  • Page 65
    The following table gives particulars of the actual age incidence of deaths from prematurity for a period of twelve years:—
    Year.Births in year.Under 1 week.Under 1 month.1 and under 3 months.3 and under 6 months.6 and under 9 months.Between 9 months and 1 year.
  • Page 65
    The following table sets out these particulars for a period of 12 years:—
    Year.1 day.Under 1 week.Under 1 month.1 and under 3 months.3 and under 6 months.6 and under 9 months.Between 9 months and 1 year.
  • Page 66
    Infantile Mortality.
    Year.Shoreditch Deaths under one year.Rate per 1,000 Births.
    Shoreditch.London.England and Wales.
  • Page 67
    The corresponding table shows the maternal mortality rate:—
    Year.Shoreditch Total Maternal Deaths.Rate per 1,000 Live Births.
    Shoreditch.London.England and Wales.
  • Page 68
    The table also gives the total visits made to these patients each year:—
    1925192619271928192919301931193219331934
  • Page 68
    The following table shows particulars of the ante.natal attendances for a period of ten years
    Year.First visits by expectant mothers.Total attendances.Average attendance per individual.
  • Page 70
    This clinic was established in 1931, and the following table gives particulars of the first attendances and total visits for the year over a period of four years:—
    Year.First visits by nursing mothers.Total attendances.Average attendance per individual.
  • Page 71
    The following table gives a comparison between live and still-births notified under the Notification of Births Act, 1907, for the last ten years:—
    Year.Live births notified.Still births notified.Total births notified.Percentage of still births to total births.
  • Page 73
    Statistical Report for 52 Weeks ending 29th December, 1934, upon the Work of the Health Visitors.
    Health Visitor's Districts.
    12345678910Total.
  • Page 74
    Report of Attendances at Welfare Centres during the 52 Weeks ended 29th December, 1934.
    District1234567 & 8910Total
    DayTuesday.Mon.Tue.WedThu.Fri.Tuesday.Fri.Tue.Fri.Mon.Wed.TueThursday.Thursday.Tue.Thursday.
    a.m.p.m.a.m.p.m.a.m.p.m.a.m.p.m..a.m.a.m.p.m.
    Centre*M.C.M.C.M.C.H.R.h.l.H.H.M.C.St.H.H.i.HerbertSt.H.H.M.C.H.H.M.C.
  • Page 75
    Particulars of those referred to the clinic during the last five years are shown in the following table:—
    1930.1931.1932.1933.1934.
  • Page 76
    The conditions for which treatment was given during the year is shown in following table:— the
  • Page 76
    The following table summarises the work done in connection with this branch of the Maternity and Child Welfare work since the hospital was opened on a full-time basis.
    Year.First attendances.Total attendances.
    Mothers.Children.Mothers.Children.
  • Page 77
    Particulars of the attendances at 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 77
    Particulars of the condition from which children were admitted is given in the following table:—
  • Page 79
    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.
    At full cost.At half cost.
  • Page 81
    The following are particulars of the cases referred under this agreement during the last five years
    IN-PATIENTS.OUT-PATIENTS.CASUALTY.
    Number.Days.New Cases.Attendances.New Cases.Attendances.
  • Page 83
    The number of mothers who attended during 1934 and the preceding four years is shown in the following table:—
    Model Welfare Centre.31, Herbert Street.
    1931.1932.1933.1934.1931.1932.1933.1934.
  • Page 83
    The attendances at the Sewing Classes during the last eight years have been as follows:—
    28, Herbert Street.Model Welfare Centre.
  • Page 84
    Routine Medical Inspection of Elementary School Entrants in Shoreditch in 1934. †—Defects found. *—Noted for treatment and included in defects found.
    Disease or Defect.Boys 765.Girls 766.
    Shoreditch.London.Shoreditch.London.
    No.Per cent.Per cent.No.Per cent.Per cent.
  • Page 85
    Routine Medical Inspection of Elementary School Entrants in Shoreditch in 1934.
    Number examinedClothing and Boots.Nutrition.Cleanliness of Head.Cleanliness of Body.Teeth.
    GoodFairPoorGoodAverageBelow normalBadCleanNitsPediculiCleanDirtyPediculiAll soundLess than 4. decayed4 or more decayedFor treatment
  • Page 88
    Table I.—I nspection and Treatment of Children.
    No. of primary examinationsNo. of 1st Attendances for Course of Treatment.No. of extractions (teeth).Local Anæsthetics.General Anæsthetics.No. of Fillings.No. of Scalings.No. of Orthodontic plates fitted.Orthodontic visits.No. of Surgical Operations.No. of other Operations.No. of visits.
    Complete.Temporary.1st (a).Subsequent (b).
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)
  • Page 88
    Table II.— I nspection and Treatment of Adults.
    No. of primary examinationsNo. of 1st attendances for Course of Treatment.No. of Extractions (teeth)Local Anæsthetics.General Anæsthetics.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.
    Complete.Temporary.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)
  • Page 89
    Table III.—Analysis of Visits.
    Sessions.Morning.Afternoon.Evening.Total.No. of M. & C.W. Visits.Anaesthetic Sessions. AttendancesSpecial Anaesthetic Visits
    Women.Children.
    InterviewsExaminations and Treatm'tInterviewsExaminations and Treatm'tInterviewsExaminations and Treatm'tInterviewsExaminations and Treatm't1stSubsequent1stSubsequent
  • Page 90
    The following tables show the number of primary examinations the number of first attendances for treatment as a result of these examinations and the percentages for different groups of peisons during 1933 and 1934 respectively.
    1933.Percentage (b) to (a).1934.Percentage (b) to (a).
    (a) Primary examinations.(b) First attendances for treatment{a) Primary examinations.(b) First attendances for treatment
  • Page 91
    Growth of the Hospital. The following table gives a comparative statement of the work done since the hospital was opened:—
    1927 From 31st Mar. 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 Eight-Sessions.1934 Eight Sessions.
  • Page 94
    The total number of Intimations served in respect of insanitary conditions was 4,785. The number served on each Sanitary District was as follows:—
  • Page 95
    of the Factory and Workshops Act, 1901, and in connection with the drains and sanitary arrangements of new buildings is included:—
    Inspections, 1934DISTRICTS.Total
    123456789
  • Page 96
    Continued from previous page...
    Work Done, 1934.DISTRICTSTotals
    123456789
  • Page 97
    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 1934:—
    PREMISES.NUMBER OF PLACES—Number of inspections, 1934Number of notices, 1934Number of prosecutions, 1934
    On register at end of 1933Added in 1934Removed in 1934On register at end of 1934
  • Page 97
    Smoke Nuisances.
  • Page 97
    Cleansing and Disinfection.
  • Page 97
    Water Supply to Tenement Houses.
  • Page 98
    Number of Notices served—
    (a) Under Public Health Act-—
  • Page 98
    Underground Rooms.
  • Page 98
    Overcrowding.
  • Page 101
    Registered Workshops—1934.
    Workshops on the Register (s. 131) at the end of the year.Number.
  • Page 102
    The particulars of inspections made by the Sanitary Inspectors are as follows
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
    (1)(2)(3)(4)
  • Page 102
    The defects found and dealt with were as follows:—
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 103
    Other Matters.
    Class.Number.
  • Page 103
    The following is an abstract of the sanitary work carried out in compliance with these notices
  • Page 105
    Home Work. The following is a summary of the lists received from employers in the Borough:—
    NATURE OF WORK.OUTWORKERS' LISTS, SECTION 107.Outwork in unwholesome premises. Section 108.Outwork in infected premises, Sections 109 and 110.
    Lists received from Employers.Notices served on Occupiers as to keeping or sending Lists.Prosecutions.Instances.Notices served.Prosecutions.Instances.Orders made. (S. 109.)Prosecutions. (S. 109, 110.)
    Twice in the Year.Once in the Year.Failing to keep or permit inspection of Lists.Failing to send Lists.
    Lists.Outworkers.Lists.Outworkers.
    Contractors.Workmen.Contractors.Workmen.
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)
  • Page 106
    The following table shows the numbers of addresses of outworkers received from the sanitary authorities referred to during 1934.
    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.
    Feb.Aug.Feb.Aug.Feb.Aug.Feb.Aug.Feb.Aug.Feb.Aug,Feb.Aug.Feb.Aug.Feb.Aug.Feb.Aug.Feb.Aug.Feb.Aug.
  • Page 107
    The following particulars will give some information of the type of chimney which is likely to give rise to a nuisance in this Borough:—
    Type of chimney.Number of observations.
  • Page 108
    The work done during the year is summarised in the following table, but it should be realised that the items tabulated do not embrace all the work done by the Inspectors in connection with rat suppression.
    DISTRICTS.Totals.
    123456789
  • Page 111
    Of the 33 samples, 8 did not comply with the standard laid down by the Order. The result of the examination of these is given in the following table:—
    No. of sample.Designation of milk.No. of bacteria per c.cm.Presence of coliform bacillus.Remarks.
  • Page 111
    The total counts in these 21 samples are shown in the following table:—
    Below 1,000.Below 10,000.Below 20,000.Below 50,000.Below 100,000.
  • Page 111
    The total counts in these 11 samples were as follows:—
    Under 1,000.Between 1,000-2,000.Between 2,000-4,000.Over 4,000.
  • Page 112
    The total counts in these 27 samples are shown in the following table:—
  • Page 113
    The following table gives the result of these examinations:—
    Genuine.Deficient in fat only.Deficient in solids not fat.Deficient in fat and non-fatty solids.
  • Page 113
    The results of the year's work are summarized in the following table :—
    Quarter of 1934.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 114
    The subjoined table gives a comparison of the results of the work under the Sale of Food and Drugs Acts for the years 1930-1934 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.
  • Page 115
    The Majority of the samples taken were of milk which was represented by 433 samples during the year. Of these 16 or 3.70 percent. Were found to be below the standared fixed by the Board of Agriculture. The following table shows the results of analysis:-
    Quarter of the year.Number of Samples.Number not genuine.Percentage adulterated.
  • Page 116
    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.
    £s.d.£s.d.
  • Page 117
    Continued from previous page...
    Date.Nature of Offence.Fine.Costs.Remarks.
    £s.d.£s.d.
  • Page 118
    Food and Drugs (Adulteration) Act, 1928.
    Date.Nature of Offence.Fine.Costs.Remarks.
    £s.d.£s.d.
  • Page 126
    The attendances during Health Week were as follows:—
    Days.School Children. Mornings.Rhythmic Exercises Display.Evening Lectures.Swimming Gala.Total Attendances.
  • Page 127
    APPENDIX. LIST OF CLINICS.
    Day.Clinic.Where Held.Time.Doctor.